IBM Journal of Research and Development

Issue 5 • Sept.-Oct. 2012

Technologies for Healthcare Transformation

The healthcare industry worldwide is undergoing a profound transformation to improve quality of care and reduce cost. At the center of this transformation are efforts toward the creation of an evidence-centric ecosystem that enables the generation of patient-centered medical insight from aggregated medical data. Such evidence must be delivered at the point of care in a highly consumable manner, and the evidence must be incorporated into models for policy decision-making. This special issue presents state-of-the-art applications of advanced analytics, visualizations, and medical records to enable such transformation.

Nontopical Papers

Two nontopical papers are included at the end of this issue. Topics include the assessment of "technical debt" by identifying design flaws in software systems and discussions on problem-oriented system architectures.

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Displaying Results 1 - 15 of 15
  • Front Cover

    Publication Year: 2012, Page(s): C1
    IEEE is not the copyright holder of this material | PDF file iconPDF (757 KB)
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  • Cover 2

    Publication Year: 2012, Page(s): C2
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  • Table of Contents

    Publication Year: 2012, Page(s):1 - 2
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  • Preface: Technologies for healthcare transformation

    Publication Year: 2012, Page(s):0:1 - 0:2
    IEEE is not the copyright holder of this material | PDF file iconPDF (48 KB) | HTML iconHTML
    Freely Available from IEEE
  • Meaningful use of patient-centric health records for healthcare transformation

    Publication Year: 2012, Page(s):1:1 - 1:7
    IEEE is not the copyright holder of this material | Click to expandAbstract | PDF file iconPDF (98 KB) | HTML iconHTML

    Healthcare transformation through the use of information technologies is partly dependent on effectively applying the most up-to-date knowledge to the complete representation of the patient's past medical history at the point of care. In order for health knowledge to be effectively used, patient information should be sufficiently detailed, and more importantly, the semantics of the data should be ... View full abstract»

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  • An infrastructure for real-time population health assessment and monitoring

    Publication Year: 2012, Page(s):2:1 - 2:11
    Cited by:  Papers (8)
    IEEE is not the copyright holder of this material | Click to expandAbstract | PDF file iconPDF (2392 KB) | HTML iconHTML

    The fragmented nature of population health information is a barrier to public health practice. Despite repeated demands by policymakers, administrators, and practitioners to develop information systems that provide a coherent view of population health status, there has been limited progress toward developing such an infrastructure. We are creating an informatics platform for describing and monitor... View full abstract»

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  • Real-time analysis for short-term prognosis in intensive care

    Publication Year: 2012, Page(s):3:1 - 3:10
    Cited by:  Papers (4)
    IEEE is not the copyright holder of this material | Click to expandAbstract | PDF file iconPDF (1045 KB) | HTML iconHTML

    There is a tremendous amount of data available to physicians at the point of care in intensive care environments; however, physicians do not have the tools to extract relevant clinical information in a timely manner. They mostly rely on manual inspection of the data to make diagnosis and prognosis. New software technologies make it possible to automatically generate meaningful information in real-... View full abstract»

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  • Case-based reasoning in comparative effectiveness research

    Publication Year: 2012, Page(s):4:1 - 4:12
    Cited by:  Papers (6)
    IEEE is not the copyright holder of this material | Click to expandAbstract | PDF file iconPDF (160 KB) | HTML iconHTML

    A medical case, as defined by the medical field, is the fundamental building block of medical knowledge. We combine the concept of medical case with indirect evidence from similar patients so as to enable the performance of CER (comparative effectiveness research) treatment comparisons for personalization of medical care. We propose that the vehicle by which this goal is achieved is provided by th... View full abstract»

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  • Facilitating observational study for comparative effectiveness research

    Publication Year: 2012, Page(s):5:1 - 5:12
    IEEE is not the copyright holder of this material | Click to expandAbstract | PDF file iconPDF (4063 KB) | HTML iconHTML

    Comparative effectiveness research (CER) compares the benefits and harms of alternative methods to prevent, diagnose, treat, and monitor a clinical condition or to improve the delivery of care for a particular group of patients. With the advent of clinical information systems, e.g., the electronic medical record, observational studies play an increasingly important role in generating clinical evid... View full abstract»

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  • Multifaceted visual analytics for healthcare applications

    Publication Year: 2012, Page(s):6:1 - 6:12
    Cited by:  Papers (1)
    IEEE is not the copyright holder of this material | Click to expandAbstract | PDF file iconPDF (5699 KB) | HTML iconHTML

    A vast amount of electronic healthcare information is now available, ranging from online healthcare articles to patient electronic health records. These electronic data sets contain valuable information that can guide the decisions of both clinical professionals and patients. However, the data are often difficult to analyze, in part because they often contain multiple facets of information. For ex... View full abstract»

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  • Visualization of multivariate time-series data in a neonatal ICU

    Publication Year: 2012, Page(s):7:1 - 7:12
    Cited by:  Papers (4)  |  Patents (1)
    IEEE is not the copyright holder of this material | Click to expandAbstract | PDF file iconPDF (4167 KB) | HTML iconHTML

    Existing visualizations in the neonatal intensive care unit (NICU) frequently obscure important trends in clinical data presented to the clinician in tabular displays or stacked univariate plots of variables as a function of time. Scales and alarm limits in clinical displays are based on data that is typical for adults (i.e., adult “norm data”), resulting in confusing or misleading d... View full abstract»

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  • A comparison of decision-maker perspectives for optimal cholesterol treatment

    Publication Year: 2012, Page(s):8:1 - 8:12
    IEEE is not the copyright holder of this material | Click to expandAbstract | PDF file iconPDF (1119 KB) | HTML iconHTML

    Medical decisions often involve tradeoff among competing criteria. For example, patients with third-party health insurance are primarily concerned about maximizing their quality-adjusted lifespan, since the majority of the cost burden typically falls on the third-party payer. On the other hand, third-party payers are incented to minimize total healthcare-related costs. Therefore, third-party payer... View full abstract»

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  • Assessing technical debt by identifying design flaws in software systems

    Publication Year: 2012, Page(s):9:1 - 9:13
    Cited by:  Papers (31)
    IEEE is not the copyright holder of this material | Click to expandAbstract | PDF file iconPDF (2449 KB) | HTML iconHTML

    Tough time-to-market constraints and unanticipated integration or evolution issues lead to design tradeoffs that usually cause flaws in the structure of a software system. Thus, maintenance costs grow significantly. The impact of these design decisions, which provide short-term benefits at the expense of the system’s design integrity, is usually referred to as technical debt. In this paper,... View full abstract»

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  • Beyond the Zachman framework: Problem-oriented system architecture

    Publication Year: 2012, Page(s):10:1 - 10:9
    Cited by:  Papers (2)
    IEEE is not the copyright holder of this material | Click to expandAbstract | PDF file iconPDF (1385 KB) | HTML iconHTML

    The year 2012 marks the twenty-fifth anniversary of “A framework for information systems architecture,” written by John Zachman and published in the IBM Systems Journal. The first part of this paper reviews the Zachman and similar frameworks and concludes that there are a number of limitations in the framework approach when applied to today's technology environment and business probl... View full abstract»

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  • Cover 3

    Publication Year: 2012, Page(s): C3
    IEEE is not the copyright holder of this material | PDF file iconPDF (7 KB)
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Aims & Scope

Meet Our Editors

Editor-in-Chief
Rachel D'Annucci Henriquez
IBM T. J. Watson Research Center