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News @ Minnesota State University Moorhead

Li and Gupta publish article in top ranked journal

Posted on November 27, 2012

Han Li and Ashish Gupta, both from School of Business, published a journal article in the top ranked journal on Patient Health Records.

Li, H. Gupta, A., Zhang, J. Sarathy, R. Examining the Decision to Use Standalone Personal Health Record Systems as a Trust-enabled Fair Social Contract, Decision Support Systems, forthcoming

Abstract: Despite the growing research interest in the digitization of healthcare, current understanding of barriers to using health IT is mostly centered on providers. There is a lack of understanding of how to get patients involved in managing their own digital health information using standalone Personal Health Record Systems (PHR). To fill this research gap, this study proposes a trust-enabled fair social contract model to theorize and empirically test how individuals’ intention to use standalone PHR is driven by a trust-enabled privacy calculus, buttressed by the level of perceived privacy control over their own health information and trust. The perceived benefits of using a standalone PHR, perceived privacy control and trust were found to be the major factors determining intention to adopt the PHR, overriding the effect of potential privacy risks of PHR. In addition, the results of the study suggest that the effect of perceived privacy control varies based on one’s prior experience of falling victim to privacy invasions.

Gupta published another article on improving critical care in Decision Support Systems journal, a top-tier journal in B-Schools. This research is done at Mayo Clinic Rochester and another large medical teaching hospital located in US.

Title: “Improving rounding in critical care environments through management of interruptions”

Abstract: Efficient and effective functioning of intensive care units (ICU) has a significant impact on the safety of patients who are critically sick, performance of care providers, utilization of clinical resources, and is essential for improving the overall healthcare delivery. This study focuses on developing a better understanding of ICU rounding process, which is a team-based activity and is routinely conducted with the objective of providing an error-free and customized treatment plan for each patient admitted to an ICU. However, rounding process is complex, ill-understood and marred by numerous inefficiencies. In this study, we develop process framework for ICU care delivery that integrates various pathophysiologic, care delivery and intervention processes. We do this by examining the rounding workflow of two major teaching hospitals in the US. One major issue for rounding process is interruptions. We suggest and test strategies for improving ICU rounding workflow by managing interruptions. This is accomplished through the development of simulation models to compare the relative merits of controlling interruptions in ICU with respect to overall rounding completion time. We found that as much as 39% time savings can be realized with alternate interruption control methods.


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