OnSchedule is a web-based scheduling and reporting application that allows users to staff the cost centers throughout the hospital with float pool or agency personnel. The application provides the associated detail and summary level financial reports to capture the costs and hours associated with all schedule items. The Rush On-Schedule system provides users with the ability to accept needs from cost centers, accept availability from float pool personnel (and agencies), and allows the users complete control over which personnel they would like to assign to cost centers with open needs. OnSchedule also allows users to pre-schedule personnel months in advance or create ad hoc schedules as requested.

System Features:

• Provides multiple perspectives of schedules. Users have the ability to view things from an availability perspective or a needs perspective.
• A person can be prescheduled based on the Monthly Availabilities form
• A person can be scheduled via the Preschedule screen for multiple days at a time
• A person can be manually scheduled to fill one specific need
• A person can be auto scheduled if their skill/ and start/end times exactly match that of the need
• Nurses can submit availabilities remotely via VPN access
• Offers a variety of business reports, including the utilization report and the cost estimate report implemented in Business Objects.
• The application is serviced from the Rush's WebLogic environment with integration with Business Objects and Active Directory.

The research PI designed this study to compare the effectiveness and cost-effectiveness of two different lower back pain management strategies: usual care and intervention (physical therapy). To assist in the execution of this project, BrightOutcome developed a data collection and reporting system and continues to provide ongoing technical support.

This system contains the following features:

Subject Portal:

• Assigns a unique log-in ID and password
• Automatically assigns relevant, time-based surveys to subject's current session (based on study arm and study visit)
• Directs subjects to fill-out the required surveys based on time in study
• Provides a seamless delivery of assigned surveys
• Automatically checks for unanswered questions and provides prompts to subject to complete them
  

Investigator Portal:

• Log-in with unique ID and password
• Ability to enter subject-related data (surveys and exam) on specified visits, view previously entered data from the subject portal, read-only mode for previous data
• Receive automated weekly status reports on subject activities (delinquent, incomplete, and upcoming)
• Monthly data export file emailed to statistician
  

Physical Therapist Portal:

• Log-in with unique ID and password
• Ability to enter subject-related data for physical therapy sessions
• Ability to view read-only versions of previous subject-completed surveys and previous physical therapy sessions

OPT will seamlessly link an online assessment engine that gathers and displays progress monitoring (PM) data from patients and practitioners with online EBP training, expert consultation, and peer community to work like a GPS, locating the progress of the therapy or training process relative to benchmarks, and providing context-specific assistance when practitioners need help implementing or learning EBPs and serve as a platform for implementation research. Development is on-going but current features include:

Client Portal:

• Unique log-in ID and password
• Online delivery of assessment instruments
• Instrument accessibility pre-determined and controlled by the client's therapist
• System sends reminders to the client to complete assessments before visit with therapist

Therapist Portal:

• Unique log-in ID and password
• Ability to assign assessments to clients
• Record new assessments with client
• View past assessment results in an interactive trend chart

The Personalized Online Weight and Exercise Response System (POWERS) is an intelligent weight management portal for wellness coaches working with people with disabilities. Based on the popular open source Drupal framework, POWERS delivers goal-oriented lifestyle recommendations tailored to the needs and conditions of each individual being coached based on a variety of health risk factors using rules-based inference logic. Using location-based technologies, POWERS can also make localized lifestyle recommendations. Individual performance in achieving recommended goals, as well as aggregate performance for each type of lifestyle recommendations, can be monitored in interactive charting. Wellness coaches can receive support and training not only from system-recommended multimedia resources, but also from peer coaches and our expert trainers at NCPAD via social media.

System Features:

1. Health Appraisal and Profile (HAP) – Provides the background information about each participant. (ie, personal characteristics, eating and exercise behaviors, barriers to healthy eating and exercise, environmental mapping to determine what is available in the community.)
2. Plan – Provides pre-written goals from a drop-down menu that the 'coach' can choose from regarding physical activity, nutrition or health behavior. Also allows the 'coach' to set up the program delivery plan – ie, Go to this gym. Start with these home-based activities.
3. Delivery– Day-to-Day implementation that provides a drop down menu of activities that the 'coach' can select from (ie, use exercise video clips; switching to baked vs. fried potato chips or lower salt pretzels)
4. Monitor – calendar-base weight, activity, and nutrition tracker
5. Coach's Corner – new research, ideas, tips

The Fatigue Assessment System was designed and developed for clinicians to use in practice at MD Anderson Cancer Center's Fatigue Clinic. Breaking from the traditional paper-based assessment system, this system provides patients with an electronic version. Nurses are able to individualized assessment assignments for each patient and review the assessment results. Physicians can access assessment results and summaries and complete an end-of-visit assessment as well.

System Features:

Patient Portal:

• Unique log-in ID and password
• Online delivery of assessment instruments
• Includes decision logic for PROMIS instruments

Nurse Portal:

• Unique log-in ID and password
• Ability to assign assessments to clients
• Record new assessments with client
• View assessment results
• Report that highlights missing answers

Physician Portal:

• Unique log-in ID and password
• View assessment summary results
• Complete end-of-visit assessment
• Close visit with patient

iManage is a system designed to provide prostate cancer patients with a trustworthy and easy-to-use place to establish and track healthy living habits, record and monitor prostate cancer-related symptoms, receive symptom-specific educational videos and materials, and participate in a discussion forum that is monitored by a health professional.

System Features:

• Unique log-in ID and password
• Patients can select from a list of healthy living goals or create their own goal
• Patients track their progress towards their healthy living goals
• Patients can enter their prostate cancer-related symptoms
• These symptoms can be monitored on a symptom trend chart and summary page
• The system delivers educational videos and materials that are tailored to the patient's symptom report
• The patient can participate in a discussion forum

Marcus Durham, M.S. (CDC)
Kathy Wood, RN (Cerner)

This is a sub-project under the CDC HIV Outpatient Study (HOPS) and uses interactive voice response (IVR) technology to collect longitudinal behavior data from HIV patients at eight HIV clinics across the country.  Patients can use the system both at the clinic or at home. The questionnaire includes questions about smoking, medication, drug use, and sexual behaviors.  To date, about 3,000 records have been collected.  The number of questions per survey session has been between 13 and 53 with a median of 30; mostly within 4-6 minutes.  Completion rate has been over 99%.

System Features:

• IVR-based phone surveys.
• Web-based administrative interface.
• Conditional logic to implement question branching.
• Automated weekly recruitment status reports in Excel.
• Automated monthly data export in Excel.