Liveblogging the 15th ITERA Conference Nashville (5)- Case Study Competition, Ohio University team

Day 2 in Nashville, Tennessee, for the 15th Conference of ITERA–the Information & Telecommunications Education & Research Association.

This afternoon session is the annual Case Study Competition.

The case problem this year is medical records technology, policy, and business. Presenters have 20 minutes, then 5 minutes Q&A.

The second team is Ohio University. Athens, Ohio–not to be confused with Athens, Greece, they say.

They open with a problem statement, after giving a light-hearted introduction to their university (Hint: they are NOT Ohio State).

Health information technology they say was fronted by $35 Billion transition costs. This led to a standards and interoperability framework. The team suggests an encrypted email solution for records transfer.

The team proposes a National Health Information Service Provider (NHISP). They call for a state HISP in every state, interacting in a national schema.

For individuals, the team suggests a smart card health card solution. Security in PIN-based.

The team shows a project lifecycle slide. Costs are $142.4 Million per state.

They want a cloud-based solution for resilience and to mitigate maintenance costs.

Judges ask about training program; what about continuing education? Answer, a public-private consortium of providers will handle this at state level.

Judge asks about national organizational infrastructure? Team has not covered this, they say.

Judge asks technical question–how does the team’s system allow clients to connect? Answer, apparently existing Internet.

Judge: National standards connecting with international? Team says international server gate on each coast; nodes in USA embassies would manage overseas.

 

 

 

 

Liveblogging the 15th ITERA Conference Nashville (4)- Case Study Competition, Ball State University goes first

Day 2 in Nashville, Tennessee, for the 15th Conference of ITERA–the Information & Telecommunications Education & Research Association.

This afternoon session is the annual Case Study Competition.

The case problem this year is medical records technology, policy, and business. Presenters have 20 minutes, then 5 minutes Q&A.

The four teams are from Ball State University, James Madison University, Murray State University, Ohio University.

The team representatives draw for presentation order. Ball State University goes first. (Disclaimer: Ball State is also my home university.)

Their team does an overview, then presents a user’s perspective. Now they are into the systems perspective. They have a major focus on information security; they have a double-wall security architecture.

The team has an Implementation section to their presentation. Feasibility is first part. They have training involved, nationwide. Then they forecast an international phase. The will then do a live roll-out.

The team then presents its Cost section. Budget has networking, hardware, consulting fees, year support (optional).

The judges are pressing the presenters on details technically and economically.

 

Liveblogging the 15th ITERA Conference Nashville (3)-Tod Fetherling, CEO, Perception Health

Liveblogging the 15th ITERA Conference Nashville (3)-Tod Fetherling, CEO, Perception Health

This is the afternoon keynote, Day 1.

“The Future of Analytics” — will speak on these topics, among others:

  • Today is the anniversary of the founding of the Internet, today in 1969 (07 April 1969), ARPANET
  • The future of anlaytics begins in the network and begins today!
  • Tesla just announced “Omnimics” Fetherling’s term–the state of knowing before you think it

In Nashville, has HIT (Health Information Technology) Workforce Accelerator, has online option

Started his company in August 2014; manage 4B records; 170M more each month

“Be ready for that first job; you will probably get a lot of curve balls you haven’t seen yet.”

Nashville has 1500 open IT jobs now; needs “everyone here in the room” to come to work in Nashville

Sometimes when you look at data, it’s the simple things that matter (obvious anomaly, for example)

Do the right things; do them right (Right Things/Things Right);

Predictive health analytics in 10 years may save more lives than physician interventions

The promise of Big Data; “you have to present information on Big Data about three times to top executives before they really get it”

  • don’t believe it
  • like the other vendor better
  • maybe yours is better

“Six Honest Serving Men” by Rudyard Kipling

  1. What,
  2. Where,
  3. When,
  4. How,
  5. Why,
  6. Who

CCD, health record on iPhone (more secure than most office health systems); also on android

Too many hospitals in USA; most health care can be outpatient and more and more telehealth.

Advice: put $1000 in HSA and $100 month the rest of their life; you would not have to worry about health care costs the rest of your life

Health insurance, average $14,000 annually for health insurance; in general employer $1000/month; employer $12,000 employee $4,000 a year.

New health care paradigm: informed, money-driven, transparent; not like now, bundle payment around medical episode

Where innovation comes from: small groups

Analytics:

  • Descriptive (statistics, “the old science”)
  • Predictive
  • Prescriptive (this is the future)

“Asking the Right Questions = Gain Understanding and Wisdom”

Health Data types:

  • CCDA – Comprehensive Clinical Document Architecture
  • CCD – Continuity of Care Document
  • ADT Admission, Discharge, Transfer
  • 837/835 claims
  • Clinical Notes
  • Biometrics (API’s)

Three opportunities for companies:

  1. PHR (Personal Health Records) (individual)
  2. EHR (Electronic Health Records) (community)
  3. EMR (Electronic Medical Records) (proprietary) [today’s bad guys, since they don’t want records to move]

Need to curate the data:

  • Compiling the Data is Step 1
  • Quality of the Data
  • Magnitude of the Data
  • Usefulness of the Data
  • TImeliness of the Data

Do I have the right data?

  • check the sum
  • validate against known answers
  • do quality check early on in the process
  • create a “golden” dataset

Data Governance:

  • 9 steps of data governance model–has slide on this (3 layers: People & organization/Rules of engagement/Processes)
  • audit of usage (should you be seeing the data?)

Good book called “Doodle”

Data Visualizations:

Shows ecosystem map of hospital market; then quadrant analysis of this; the technology has shrunk how fast someone can do strategy now; we are thinking of how to explain markets to people

Tools (Prepare Data: (use Notepad; Excel; Monarch; SPSS [IBM bought them; now expensive] use R–open source); Databases:

Characteristics of Big Data (describes data sets so large & complex they are impractical to manage with traditional software tools)

Volume/Variety/Velocity>>Complexity

“Big Data relates to data creation, storage, retrieval and analysis that is remarkable in terms of volume, velocity, and variety”

CRISP-DM model

“If you can write it, you can code it”

Predictive Modeling; found good results with Random Forrest model

More opportunities for you, in this era, than I had when I was in your position.

 

 

 

 

Liveblogging the 15th ITERA Conference Nashville (2)-Tim Obermier

Liveblogging the 15th ITERA Conference Nashville (2) -Tim Obermier of the University of Nebraska, Kearney, Information Networking and Telecommunications program

“Economic Impact of Unwanted Telecom Services in Rural Areas”

Lincoln NE, 268,738 people, 100 Mbps, $65 month

Aurora, NE population 4465, 7 Mbps, $50 month

thus the rural town pays more per megabit

research project:

Internet Access Cost, by Mbps, by city classification, delivery method, for broadband, rural compared to urban

Cities classifications: Metro class  300K (only Omaha); Primary class 100-300K; First class; Second class; Village class [defines First, Second, Village as rural]

Congressional act: 47 USC 254 (b)(3) Access in rural and high cost areas; Rural Internet cost cost/speed = Urban

Lit review: Katz R (2012) broadband essential to economic growth

FCC broadband data speeds have increased from 2010

CTIA (2015) 355M wireless devices in USA; 47% households have no landlands

Professor data: Average cost for broadband 25Mbps down/3 up;

rural pays 8.5% more than urban for all delivery methods; DSL 170% more than urban in Nebraska

Unwanted telecom services: landline (yet required by tariff); conclusion $30 Million unwanted cost for whole state, annually

 

 

 

 

Liveblogging the 15th ITERA Conference Nashville (1)-Opening Session Andy Snow, Research Award Winner

I’m in Nashville, Tennessee for the 15th conference of ITERA, the Information & Telecommunications Education & Research Association.

Michael Ramage, Professor at Murray State University, ITERA President is opening the conference.

Professor Phil Campbell (Ohio University) is Chairman of ITERA. He introduces the conference as a community of scholars, no matter whether you are a veteran or a new scholar.

Professor Andy Snow, also of Ohio University, has won ITERA’s Lifetime Research Award Winner, will give the morning keynote. He has served in telecommunications in the military, then at University of Pittsburgh, then Georgia State University, now in the McClure School of Information & Telecommunication Systems.

Dr. Snow says while we are called to be specialists and experts, “life is general,” and we also need to be generalists.

Background: Job titles: “Signal Officer, Electronic Engineer, Member of Technical Staff, Manager, Director, Vice President, General Manager, President, Chairman, Professor.”

BSEE (1970) and Master of Engineering in US Army Signal Corps. OK with the experience, but found out “I hated operations,” he says.

“Figure out where you will fit” in your career. See if you want to be on the front end, or back end.

Went from Member of Technical Staff to Vice President for Engineering with 500 people and budget of $100 million.

Then did startups. Then 20 years almost to the day, in 1992 at age 44 with two kids in college and one in high school, went for Ph.D. at University of Pittsburgh. First Ph.D. from their Telecommunications program. Done in five years.

Dissertation on network resiliency, on the public switched telecommunications network. Also has researched “IT and Telecom/Networking” Project Management.

Liked teaching; decided to do full-time. Needed “union card” called “Ph.D.” Teaching was good yet liked to work on problems, so research was good for him.

Research Methods, graduate course for the last 10 years (Quantitative, Qualitative, Mixed methods).

Key things:

  • research methods are good for industry and academic
  • pick good/interesting research questions
  • importance of random sampling and random assignment
  • know how to develop a good survey (avoid double-barrelled questions; avoid leading questions)
  • statistics can help (correlation is not necessarily causation; watch for hidden variables; and the more plausible the correlation, the more it tempts people to “throwaway science” conclusions)
  • you don’t have to defend the null hypothesis
  • ethics matter (“I’ve seen people fired for plagiarism” in industry; recounts story that his 2006 IEEE proceedings paper was reprinted in another journal in 2016, without any change of any word except the name of the authors. Dr. Snow has notified the IEEE.)

Come up with questions; then figure where you are going to get the data; then get some findings.

Types of Quantitative Research:

Experimental; Quasi-Experimental (same except convenience sample of elements); Non-Experimental. Degree of establishing causality goes up at each category listed above, from most to less.

Dr. Snow reports on research about project management; conclusions show positive bias in assessing project status; “if a PM applies bias, it is twice as likely to be optimistic as pessimistic.”