Center for Biomedical Informatics at AMIA 2012

CDU’s Center for Biomedical Informatics was well-represented at the recent American Medical Informatics Association (AMIA) Annual Symposium held in Chicago, IL last November (2012). Several of our faculty and staff members presented papers, posters, state of the practice, and lectured.

Dr. Robert Jenders was a lecturer for the half-day tutorial on Clinical Decision Support, and lead author on a state of the practice presentation titled The Practice of Clinical Decision Support:  Applying Standards and Technology to Deliver Knowledge-Driven Interventions. He was also co-author on a paper presentation, Clinical information system services and capabilities desired for scalable, standards-based, service-oriented clinical decision support: assessment of the Health Level 7 Clinical Decision Support Work Group, and lead author on a poster presentation, Enhancing clinical research data interoperability:  consolidation of common data elements for neurologic disorder research.

Dr. Sheba George was lead author on a paper presentation, The Cellular Generation and a New Risk Environment: Implications for Texting-Based Sexual Health Promotion Interventions among Minority Young Men Who Have Sex with Men.

Sukrit Mukherjee and Dr. Lola Ogunyemi presented the poster, GEOCEDRIC: Spatially Enabling an Electronic Chronic Disease Management System for urban Safety Net Populations, for Dr. Paul Robinson who was not able to attend. The poster was also co-authored by Dr. Sheba George.

Sukrit Mukherjee presented the poster, Developing a Service Oriented and Data Intensive Web Portal to Facilitate Translational Research in a Minority Institution, which was co-authored by Drs. Jessica Escobedo and Romulo de Castro.

Dr. Jessica Escobedo presented the poster, Research Resource Spotlights: An Application to Increase Resource Visibility in a Minority Translational Research Institution, which was also co-authored by Sukrit Mukherjee and Dr. Romulo de Castro.

Other CBI activities at AMIA included Dr. Jenders attending the AMIA business meeting and the induction ceremonies of the American College of Medical Informatics, Dr. de Castro attending a tutorial on Clinical Classifications and Biomedical Ontologies and presenting his project on TB for the 10x10 Biomedical Informatics meet-up, and Sukrit Mukherjee attending the 2-day tutorial on CMIO and CNIO.

The following summarizes our activities, and are indexed in the AMIA 2012 Annual Symposium Proceedings.

Papers:

1) Clinical information system services and capabilities desired for scalable, standards-based, service-oriented clinical decision support:  assessment of the Health Level 7 Clinical Decision Support Work Group. Kawamoto K, Jacobs J, Welch BM,  Huser V, Paterno MD, Del Fiol G, Shields D, Strasberg HR, Haug PJ, Liu Z, Jenders RA, Rowed D, Chertcoff D, Fehre K, Adlassnig K-P, Curtis C. AMIA Annu Symp Proc 2012:446-455.

2) The Cellular Generation and a New Risk Environment: Implications for Texting-Based Sexual Health Promotion Interventions among Minority Young Men Who Have Sex with Men. George S, Phillips R, McDavitt B, Adams W, Mutchler M. AMIA Annu Symp Proc 2012:247-256.

Posters:

3) GEOCEDRIC: Spatially Enabling an Electronic Chronic Disease Management System for urban Safety Net Populations. Robinson PL, Mukherjee S, Ogunyemi O, George S, Baldwin S, Dayrit M. AMIA Annu Symp Proc 2012:1917.

4) Developing a Service Oriented and Data Intensive Web Portal to Facilitate Translational Research in a Minority Institution Mukherjee S, Escobedo JR, de Castro R Jr.. AMIA Annu Symp Proc 2012:1870. 

5) Research Resource Spotlights: An Application to Increase Resource Visibility in a Minority Translational Research Institution. Escobedo JR, Mukherjee S, de Castro R Jr.. AMIA Annu Symp Proc 2012:1727. 

6) Enhancing clinical research data interoperability:  consolidation of common data elements for neurologic disorder research. Jenders RA, Taft LM, Ashton C, Grinnon S, Lu Y, Miller K, You C, Odenkirchen J, Kaufman P, McDonald CJ. AMIA Annu Symp Proc 2012:1792. 

State of the Practice:

6) The Practice of Clinical Decision Support:  Applying Standards and Technology to Deliver Knowledge-Driven Interventions. Jenders RA

Tutorial:

7) Clinical Decision Support:  A Practical Guide to Developing Your Program to Improve Outcomes. Jenders RA.

Teleretinal screening for diabetic retinopathy in urban safety net clinics

Several publications and abstracts by biomedical informatics faculty and staff have resulted from an AXIS-funded study that screened 2,732 diabetic patients from six South Los Angeles safety net clinics for diabetic retinopathy. 

They include:

Ogunyemi O, Moran E, Patty L, George S, Teklehaimanot S, Ilapakurthi R, Lopez K, Norris K. Autonomy Versus Automation: Perceptions of Nonmydriatic Camera Choice for Teleretinal Screening in an Urban Safety Net Clinic. Telemedicine and e-Health.  In press.

Ogunyemi O, Terrien E, Eccles A, Patty L, George S, Fish A, Teklehaimanot S, Ilapakurthi R, Aimiuwu O, Baker R. Teleretinal Screening for Diabetic Retinopathy in Six Los Angeles Urban Safety-Net Clinics: Initial Findings. AMIA Annu Symp Proc. 2011: 1027-35. PMID: 22195163. [Full text.]

Fish A, George S, Terrien E, Eccles A, Baker R, Ogunyemi O. Workflow Concerns and Workarounds of Readers in an Urban Safety Net Teleretinal Screening Study. AMIA Annu Symp Proc. 2011: 417-26. PMID: 22195095. [Full text.]
(Nominated for an American Medical Informatics Association Diana Forsythe award)

In September, Drs. Lola Ogunyemi and Sheba George will be presenting work on computerized decision support tools for chronic disease management at Medinfo 2010, the 13th International Congress on Medical Informatics to be held in Cape Town, South Africa.

For basic scientists interested in an introduction to bioinformatics tools that can help their research, slides and video recordings of the Bioinformatics Quick Start course taught at CDU by Dr. Medha Baghwat of the NIH can be found here.

GeoCEDRIC application under development. In partnership with clinicians and staff at the Hubert Humphrey Clinic, and the CDU GIS lab, biomedical informatics function members are developing a geographical information systems plugin to CEDRIC, CDU’s chronic disease registry application. This plugin is designed to assist physicians in identifying good nutritional, recreational and exercise outlets tailored to their patients based on patients’ address information.

Over 2,000 diabetic patients have been screened for diabetic retinopathy using telemedicine in an ongoing partnership between biomedical informatics and the Southside Coalition of community clinics. With this initiative, AXIS fulfills a stated goal in the RCTR grant of partnering with safety net clinics in order to: (1) enhance the quality of care provided to the medically underserved, and (2) learn optimal approaches for introducing informatics solutions into urban safety net settings, an area that has been under-researched.

Two publications on barriers and facilitators to implementing teleretinal screening in a safety net setting will appear in the Proceedings of the American Medical Informatics Association (AMIA) this fall. AMIA proceedings papers are indexed in Medline/ listed in PubMed.

Search for clinical research informatician underway. The search for a clinical research informatician (CRI) who will be devoted full-time to the AXIS biomedical informatics function is currently under way. The CRI will help to roll out different informatics resources and to ensure that end-user training needs for the different resources are met.