• A Comparison of 3 Methods of Neonatal Intensive Care Unit (NICU) Mortality and Morbidity Risk Scoring Assessments (CRIB, SNAPPE-II, NTISS): A Systemic Analysis

      Ul-Haque, Anum; Baskaran, Vikraman (2021)
      The NICU aims to provide real-time updates on the medical status of its infant patients. Along with medical techniques, the use of mortality risk scoring systems is necessary in enabling the medical team to make better predictions about the conditions of its patients. Currently, there are many scoring systems used in the NICU, each of which focus on different characteristics to assist the physicians and determine the best course of action and treatment plans. A few common NICU mortality scoring systems are CRIB, SNAPPE-II, and NTISS. CRIB and SNAPPE-II assess infant morbidity at different timepoints post-birth in a cross-sectional methodology. NTISS conducts continuous observations in a longitudinal methodology to record patient healthcare outcomes after different treatments are applied. To conduct thorough research on these NICU patient mortality and morbidity scoring systems, literature searches will be conducted to determine the prevalence of these NICU scoring systems. Specific keywords will be utilized to search multiple databases related to the NICU by focusing on patient categorizations, successful variables, and ineffective scoring systems. After this preliminary research, the evolution of these systems over the past 20 years will also be studied, to learn how the scoring techniques were modified for different clinical scenarios. Finally, a new NICU scoring system will be proposed for future implementation, and a systematic analysis will be written with these results.
    • A Pain in the Face: When Insurers Sucker Punch Their Subscriber's Teeth In

      Lancaster, Kimberly D. (2021)
      There is a crisis in American healthcare. This very crisis involves insurers whether those insurers be medical, dental, or property and casualty insurers not covering surgical and non-surgical treatments for craniomandibular and temporomandibular disorders that include accompanying commodities that become multi-system overall health dysfunctions. In many jurisdictions, these subscriber denials are in direct violation of state statue. The states that experience some of the highest denial rates leaving patients receiving shocking sucker punches to their oral health, joint health, multi-system health, wallets, and functional capacities including performing daily ADLs (activities of daily leaving) are the biggest offenders. These disorders, thanks to the insurance carriers' relentless arguments whether this is dental or medical has left many patients between the ages of thirty and forty chronically disabled with many being forced to live in poverty on social security and receive further sub-par medical management on state plans. Thus, to shed light on the necessity for legislative and healthcare overalls that address this forgotten medical population, I have followed the personal stories of two patients and their families from Tennessee and Illinois that have laws mandating coverage (Tmjjoints.org, n.d.). The aim of this research is being used to become a national and global catalyst for permanent and effective access to coverage and care change. The goal is academic and personal.
    • Advocacy and Leadership Development through Honor Society Membership: Implications for Counseling Professional Identity

      C. Peeper McDonald; Yvonne Varner-Kirkland; Caroline Fernandes
      Chi Sigma Iota (CSI), the International Counseling Honor Society for professional counselors, counselor educators, and students was established in 1985 in recognition for outstanding achievement as well as outstanding service within the counseling profession. This poster exemplifies the exceptional advocacy and leadership developmental work being implemented by the Mercer University (MU) Upsilon Alpha Chi Sigma Iota (CSI) Chapter.
    • Analysis of electronic health record (EHR) tracking and computing system for Breast Imaging Reporting and Data System (BIRADS 3) Probably Benign breast lesions

      Harris, Julie M. (2021)
      The purpose of this study is to determine if the EHR is beneficial in tracking and monitoring patients with BIRADS 3. The study will determine if the follow up imaging intervals are necessary. The current tracking system does not have an algorithm that is able to monitor patient outcome statuses.
    • Are Virtual Visits A Viable Alternative to In-Person Visits from a Healthcare Professional Perspective?

      Scott, Tashaleta M. (2021)
      The COVID Pandemic has changed the way that various parts of healthcare perform interactions and business with patients. This is very true for Orthopaedics. It seemed to be a difficult process to think of when stating a virtual visit for Orthopaedic injuries. It is important that wounds are evaluated, radiographs are taken, etc. to ensure that the correct care is given. It is also important to ensure that the virtual information and process can be easily understood by patient, staff, and physicians. Virtual visits require the use of an application that can call and/or provide video. There must also be access to an EMR/EHR to document the visit and provide the necessary information to setup the virtual visit. The most important issue to determine when looking at the implementation of virtual visits is to understand how the physicians and staff feel about the procedural change. The users are an important aspect of understanding the issues, concerns, as well as the favorable aspects of a system. If the users are not satisfied with the virtual visits, the system could be less used which would result in a decrease in revenue. These factors will allow organizations to focus on reducing and/or eliminating issues that could cause the virtual visit to be unsuccessful and/or misuse of valuable resources. The best way to assess this is to pose various questions that will look at productivity, time management, satisfaction, advantages, and disadvantages of the virtual program. The results from polling and providing questionnaires to physicians and staff can assist with choosing a system or process that better serves the patients and those who utilize the system. Virtual visits are about convenience as well as providing an alternative of care that can be as beneficial as in person visits. Overall, the opinions and insight from the physicians and staff who utilize the virtual visit program will be beneficial to ensuring that virtual visits are a viable alternative to in-person visits, user friendly, and accomplishes the goal of providing superb patient care.
    • Assessment of Current Opioid Stewardship Activities and Evaluation of Health Informatics Tools to Reduce Opioid Prescribing

      Parker, Julie; Baskaran, Vikraman (2021)
      Background: Overprescribing opioids has become a public health emergency in which 128 people in the United States die every day after overdosing on opioids. This also poses a problem in the acute care setting, as many institutions do not continually monitor daily opioid administrations. Currently, opioid use in the hospital setting can be tracked using morphine milligram equivalents (MME) calculators. Several studies have shown that monitoring MMEs can help identify patients at risk for overdose death. In particular the CDC recommends using caution when increasing to >50 MME per day, and to avoid or carefully justify increasing doses to >90 MME per day. The CDC has also outlined high risk conditions for opioid related harm including patients >65 years, pre-disposing conditions such as mental health or substance abuse disorders, and previous naloxone use. Through this research project, we will be able to assess our current opioid stewardship activities through a survey presented to pharmacy staff and then discussing health informatics-based options for the monitoring of MMEs in an acute care hospital system. Objective: The primary objective of this study is to assess the current opioid stewardship activities and to discuss the need to implement clinical decision support tools to provide EHR-based opioid prescribing guidelines. Methods: A voluntary survey will be administered to pharmacy staff to assess how pharmacists current screen patients� profiles for pain medication administration and how they currently approach avoiding pain duplication and overprescribing of opioids. Through this survey, we will be able to address: � PDMP review � MEDD calculator use � Long-acting opioid appropriateness � Interdisciplinary communication with provider � Chart review for naloxone use or respiratory depression � PRN opioid order monitoring This survey will provide information for how pharmacists are performing opioid stewardship activities. This information will also be used to discuss current health informatics tools that could be utilized to provide an EHR-based approach to this real-time monitoring for the development of a process to integrate into workflow. Results & Conclusions: In progress
    • Assessment of Health and Digital Literacy Amongst First-Generation Somali Immigrants

      Awatef Ben Ramadan; Dina Schwam
      Assessment of Health and Digital Literacy Amongst First-Generation Somali Immigrants in Dekalb County
    • Assessment of Mercer University Students' perceptions and Attitudes about the University's Sudden transfer to the Total Online Learning Environment due to COVID-19 Pandemic

      Ramadan, Awatef A. Ben (2021)
      The study investigator constructed a survey tool to assess and evaluate the students' reactions to the sudden and massive transformation of the Mercer learning environment. Study Aims: To assess Atlanta College of Professional Advancement students' perceptions and attitudes about the sudden transfer to the total online learning environment due to the COVID-19 pandemic. The results of this study are expected to: � Collect relevant and robust evidence on the massive and sudden transformation's influence on our students. Therefore, we could help our leaders and policymakers plan, tweak, and issue effective and efficient evidence-based policies and interventions that suit our students' preferences and expectations now and help them prepare and control similar crises in the future. The students' opinions, attitudes, and perceptions are important for us to be sure that we are meeting their expectations, enabling them to attain their courses' learning objectives, and serving them smoothly and efficiently throughout this health crisis. Study design: A cross-sectional descriptive study targeted all undergraduate and graduate students of Atlanta College of Professional Advancement, used an online self-administered survey. Survey: It is a structured questionnaire with closed-ended questions. The study tool composed of 54 structured questions. Data Analysis: The survey link has been disseminated through mercer emails to the participants. The survey has published from March 24, 2021 to the present. In this poster, we present the results that we retrieved from the survey monkey's results link from March 24 to April 1, 2021.
    • Benefits of Telemedicine and Telehealth for Small Practices

      Kamra, Channu; Baskaran, Vikraman (2021)
      As the world has drastically changed due to the impacts of COVID-19, the healthcare industry is now adopting telemedicine a lot more. This heavy adoption rate has caused a lot of changes to how patient received their care. Smaller practices that once did not use telemedicine are now using it to keep their workers and patients safe. This research aims to understand the impacts these changes have on the patients and providers. Perspectives from both groups can yield results that allow telemedicine to grow more and create a more considerable impact on the healthcare industry. Before this can happen, telemedicine must prove to provide benefits to the groups being examined. This research looks to survey both the patients and the providers to see if telemedicine can benefit smaller practices. Data will also be collected to see the difference in costs between in-person and telemedicine visits. The practice where the research study will be taking place is called Lifeline Primary Care. Two different surveys will be used for this research. One survey will focus on the patients and gauging their interaction with the telemedicine visit. This survey will also grab some patient demographics to help understand any indirect costs associated with them. Information such as work, and distance traveled to receive care will be used to determine these indirect costs. The second survey will be provider-based and focus more on the questions that will show telemedicine's advantages and disadvantages. These surveys will be created on survey monkey and sent to patients via text or email, same for providers. Direct costs data will be collected from the providers for two months. These costs will help determine the cost-effectiveness of telemedicine. With all the information put together, a better case can be made for the future of telemedicine post-pandemic. Research articles mentioned in this proposal have run similar studies on telemedicine. So, the results should be similar to these studies. This research aims to see if telemedicine provides benefits to smaller practices today that are rapidly adopting it. These benefits could potentially allow for advancement or at least lead to improvements where telemedicine is currently lacking. It allows patients and providers to become more accustomed and make it part of their routine when visiting. Telemedicine has so much potential in providing quality care for patients in so many ways that understanding its benefits can help the healthcare industry go a long way.
    • Capstone ePortfolios and Synthetic Learning

      Winkler, Andrea (2021)
      ePortfolios are considered the eleventh high-impact practice by the AACU. Done well, they do not merely store artifacts that record a student’s progress. They actively encourage students to reflect on their work and to synthesize it. They focus attention on the process of learning, and make that learning visible to student, faculty, and others alike. The LBST 498 ePortfolio required students to explain their degree to the public in a succinct format. The process of selecting artifacts, explaining them, and using them to make meaning for themselves of their degree helped students actively to synthesize their experiences with the perspectives they had gained through their concentrations and core courses. By demonstrating recent ePortfolios, we intend to document the initial success of the ePortfolio program, and generate discussion about the role of reflection in increasing student success.
    • Cultural Responsiveness in Counseling and Counselor Education

      McDonald, C. Peeper; Burch, Shakenya; Davis, Dazzmen (2021)
      Given the continued and steady growth of diversity within the United States population (Tran et al., 2016; Vespa et al., 2020) and the discourse around social injustice in all it's forms, it is more important than ever that the strengths-based approaches to counseling be infused with cultural responsiveness. As a result, cultural responsive approaches will be discussed as it relates to counseling and teaching to create social change. In this way, this presentation will not only educate the general public about how professional counselors and educators are utilizing best practices for serving traditionally minoritized and under-represented groups, it will illuminate advocacy action efforts perpetuated through cultural responsiveness.
    • Development of Openness to Self-Healing Scale (OTS-HS)

      Caroline Fernandes
      Development of a holistic integration psychometric scale to measure openness to self-healing in counseling
    • Does the Use of Health Apps to Monitor Hypertension Improve the Knowledge, Attitudes, and Practices of African-Americans towards Hypertension Self- and Active-Management

      Lindsey, Jacquetta; Ramadan, Awatef A. Ben (2021)
      Showcase: Does the Use of Health Apps to Monitor Hypertension Improve the Knowledge, Attitudes, and Practices of African-Americans towards Hypertension Self- and Active-Management First Author: Jacquetta Lindsey Co-author: Awatef Ben Ramadan Background: Despite the many medical advancements available today, cardiovascular disease remains the leading cause of death in the African American community. Hypertension is considered the most modifiable cardiovascular disease, and African Americans are disproportionately affected by this disease � 43% compared to 28% of White Americans. Study Aim: To determine if the knowledge, attitudes, and practices (KAP) of African Americans towards hypertension self-management and active engagement in the healthcare process improved with the use of a mobile health application to monitor their condition. Methods: Study participants were recruited from community-based resources. Participants first completed a pre-survey to determine their baseline KAP. Next, they downloaded the AVAX Blood Pressure Diary to daily monitor their blood pressure. Lastly, participants completed the post-survey and system user satisfaction (SUS) survey on the blood pressure application. Results: Majority of the participants were women (70%) with 50% on medication for their hypertension. Most of the participants (87.5%) believed that their hypertension was better managed after using the health app. The average SUS score for the hypertension mobile health application was 89.75. Conclusion: It appears that the mobile health application assisted participants with monitoring their blood pressure daily and being aware of changes that needed to be made to improve their self-management.
    • Drug Use In The LGBT Community

      Cleary, Drew (2021)
      Drug use in the LGBT community is a large problem. Rates of drug use in the community is higher than in the heterosexual community. There are several factors that contribute to the high rates that are unique to the LGBT community. One way to conceptualize these unique factors is to use the minority stress model. There are a few therapeutic options as well as directions for future research.
    • Finding Clarity Through My ePortfolio (Capstone ePortfolios and Synthetic Learning)

      Adams, Brooke (2021)
      This presentation showcases some of the ePortfolios created by senior Liberal Studies majors. To improve students’ reflective skills and increase their chances of creating effective syntheses of their work to date, the Liberal Studies Department began using ePortfolios in the major. These student ePortfolios represent the results of the first time seniors in LBST 498 (Senior Capstone) used the ePortfolios. ePortfolios are considered the eleventh high-impact practice by the AACU. Done well, they do not merely store artifacts that record a student’s progress. They actively encourage students to reflect on their work and to synthesize it. They focus attention on the process of learning, and make that learning visible to student, faculty, and others alike. The LBST 498 ePortfolio required students to explain their degree to the public in a succinct format. The process of selecting artifacts, explaining them, and using them to make meaning for themselves of their degree helped students actively to synthesize their experiences with the perspectives they had gained through their concentrations and core courses. By demonstrating recent ePortfolios, we intend to document the initial success of the ePortfolio program, and generate discussion about the role of reflection in increasing student success. This presentation showcases some of the ePortfolios created by senior Liberal Studies majors. To improve students’ reflective skills and increase their chances of creating effective syntheses of their work to date, the Liberal Studies Department began using ePortfolios in the major. These student ePortfolios represent the results of the first time seniors in LBST 498 (Senior Capstone) used the ePortfolios. ePortfolios are considered the eleventh high-impact practice by the AACU. Done well, they do not merely store artifacts that record a student’s progress. They actively encourage students to reflect on their work and to synthesize it. They focus attention on the process of learning, and make that learning visible to student, faculty, and others alike. The LBST 498 ePortfolio required students to explain their degree to the public in a succinct format. The process of selecting artifacts, explaining them, and using them to make meaning for themselves of their degree helped students actively to synthesize their experiences with the perspectives they had gained through their concentrations and core courses. By demonstrating recent ePortfolios, we intend to document the initial success of the ePortfolio program, and generate discussion about the role of reflection in increasing student success.
    • How Covid-19 Has Affected the Healthcare Industry

      Griffin, Aundria; McCray, Justice; Mills, Keyonna; Swain, Shnean; Walthall, Sabrina (2021)
      Coronavirus infectious disease (Covid-19) first took rise in Wuhan city, China, in December 2019. The virus has spread globally to the point that the World Health Organization (WHO) declared a global pandemic on March 11, 2020 . Beyond our day-to-day life being brought to a halt, the pandemic has prompted a closer look at the country's health care system. In this research three categories of the healthcare system are identified as facing challenges during the pandemic. First, healthcare workers are affected by COVID-19 as their physical and mental health is challenged as they provide frontline critical care. Secondly, hospitals, especially those located in hotspot areas of the pandemic are increasingly overwhelmed within their management infrastructure and underprepared with inadequate facilities placing doctors and patients in life or death situations. Lastly, the insurance industry has not escaped the impact of COVID- 19 as enforced self-isolation rules has meant that elective procedures and consultations have been greatly curtailed and subsequently claim volumes have reduced in the short term. However, long-term, the treatment of COVID 19, the severity of the disease, and the length of hospital stays are expected to greatly increase the cost of insurance for individuals as insurance companies reexamine their losses. This research emphasizes the impact Covid-19 is having on sub-groups of the healthcare system.
    • Improving Nursing Documentation in Patients With Sudden Cardiac Arrest Requiring Cardiopulmonary Resuscitation (CPR) in Long Term Acute Care

      Abdulkadir, Zeinab; Baskaran, Vikraman (2021)
      Healthcare documentation is a very important required task when working in any healthcare setting. From every patient encounter, prescription refill, and laboratory testing; all healthcare providers are required to document. As a Nurse, accurate documentation is vital in improving patient safety and quality of care. In emergency situations, such as a sudden cardiac arrest requiring cardiopulmonary resuscitation, precise documentation is rarely accomplished, due to the hectic nature of the patient's health status. In many circumstances, healthcare providers have witnessed the designated nurse attempting to document interventions on a napkin, whiteboard, or glove. The patient primary nurse is responsible for documenting a narrative note in the patient chart after the incident. The subjective nature of the nursing narrative note after CPR is often inaccurate, incomplete, or lacks details. Several research studies have highlighted the significance of CPR, the assessment of time keeping roles in cardiac arrests, and the evaluation of nursing documentation. This research study will analyze and provide possible solutions to the challenges faced by Nurses in long term acute settings during the documentation process on patients with sudden cardiac arrest requiring CPR. This study will evaluate, anonymous and randomly extracted, narrative notes from patient�s charts. The analysis will identify a CPR documentation template that can be implemented to reconstruct and improve the documentation process. This effort will promote efficiency and accuracy in capturing, analyzing, and reporting of data in resuscitation science to help improve patient outcomes and workflow.
    • Introducing a Mitigation Strategy into EHR Systems for Drug Shortages

      Nisanian, Meetra T.; Baskaran, Vikraman (2021)
      Nationally, hospitals are feeling the effects of the drug shortages on the quality of patient care. These shortages pose strenuous difficulties on patients, clinicians, and healthcare facilities. These shortages can be caused by many factors including, manufacturing problems lack of raw materials, business decisions, regulatory problems, as well as other external factors. The lack of available medications can cause adverse outcomes due to the need for substitution of commonly used medications that can compromise or delay procedures and lead to medication errors. This also places a burden on the hospital and the hospital staff as well. A mitigation strategy needs to be introduced in order to allow the facility in order to act efficiently in the midst of a crisis. The Rehabilitation Hospital of Southern New Mexico, located in the city of Las Cruces, is a specialized facility that provides rehabilitative services to patients recovering from disabilities causes by illnesses, injuries, or chronic medical conditions. This organization is a member of a large hospital network system known as Ernest Health; However, the hospital is managed locally in order to serve the needs of the community. When a drug shortage occurred, the hospital was not prepared. Therefore, introducing a mitigation strategy was vital for the assurance of continuation of quality patient care.
    • Knowledge, Attitude, and Practice (KAP) Survey about COVID-19 and Telehealth and Virtual Medicine Services of Atlanta College of Professional Advancement students

      Ramadan, Awatef A. Ben (2021)
      The study investigator constructed a survey tool to estimate the students' reactions to different public health precautions and interventions that may be practiced during the current pandemic. The study aims: To measure the knowledge, attitude, and practice (KAP) regarding COVID-19 among Atlanta College of Professional Advancement students. To evaluate the students' KAP about telehealth and virtual medical services to screen, diagnose, and treat COVID-19 and other current acute and chronic The results of this study are expected to: Assist in better preparation for the campus and the university COVID-19-related awareness interventions Tailor different interventions and campaigns to educate the students about the effectiveness and efficiency of Telemedicine and telehealth information technology and motivate them to use these safe healthcare services during this infectious pandemic to manage COVID-19 and other health issues. Methods: Study Design: A cross-sectional descriptive study will be conducted at Atlanta College of Professional Advancement, targeting all undergraduate and graduate students, all races, all gender, and all nationalities. Study Survey: It is a structured questionnaire with closed-ended questions. The study tool comprises 60 structured questions that assess the students' KAP during the COVID-19 pandemic and assess their KAP towards telemedicine and telehealth services to manage the pandemic and follow-up on their current or future different health problems. The survey constructed into a Survey-Monkey format. A link to the survey was created and has been disseminated to the students' emails from March, 24, 2021 to the present. Data Analysis: In this poster, we present the results that we retrieved from the survey monkey's results link from March 24 to April 1, 2021.
    • Pharmacovigilance Analysis of Drug-Drug Interactions in the FDA Adverse Event Reporting System: A Retrospective Study

      Awatef Ben Ramadan; Hellen Pham
      The objective of this study is to analyze and assess the drug-drug interactions in the web-based, publicly available FDA Adverse Event Reporting System (FAERS) database in the years 2017, 2018, and 2019.