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Rauch Susan

Description

In recent years, studies in health and medicine have shifted toward eHealth communication and the relationships among human interaction, computer literacy, and digital text content in medical discourses (1-6). Clinicians, however, continue to struggle with EHR usability, including how to effectively capture patient data without error (7-9). Usability is especially problematic for clinicians, who must now acquire new skills in electronic documentation (10). Challenges with the EHR occur because of clinicians'™ struggle with attention to the non-linear format of clinical content and automated technologies (11). It is therefore important to understand how attention structures are visually situated within the EHR's narrative architecture and audience for whom electronic text is written. It is equally important to visualize and track how automated language and design in health information technology (HIT) affect users' attention when documenting clinical narratives (12). In the study of health information technology, researchers of eHealth platforms need to recognize how the construction of human communication lies within the metaphoric expression, design, and delivery of the EHR's information architecture (13). Many studies of electronic health records (EHR) examine the design and usability in the development stages. Some studies focus on the economic value of the EHR Medicare incentive program, which affects providers' return on investment (ROI). Few studies, however, identify the communicative value of how attention structures within the EHR'™s information architecture compete for users' attention during the clinical documentation process (9, 14).

Objective: To track and visually assess how automated attention structures within the electronic health record (EHR) compete for clinicians attention during computer physician order entry that could potentially lead to transactions hazards in the clinical narrative.

Submitted by elamb on
Description

How are interactive story map journals situated within the genre of interactive, health science reporting? How can reporting information to public audiences be theorized through traditional and contemporary understandings of new media genres in technical, health and science communication (1-7). Although the polio vaccine has eradicated the disease in the United States, and 99% worldwide (8), PPS has emerged as a present-day condition that continues to affect many polio survivors years after the initial onset and recovery. Since the symptoms of PPS are oftentimes mis-identified as other illnesses, the diagnosis and management of disease is especially challenging for PPS survivors due to the limited knowledge of and access to PPS resources and support networks (9-11). In 2011, Esri created the ArcGIS story map initiative to meet a need for public audiences who sought how to critically think, better understand, communicate, and interact with world news events. ArcGIS is a geospatially-driven, new media platform that enables audiences to engage with interactive storytelling of news events. Public health and news reporting agencies are now turning to Esri and similar interactive, geospatially driven new media platforms for health and disease surveillance (12-14). Esri's ArcGIS mobile and web technology platform visually reports, maps and tracks population health data information. With the emergence of such new media applications, it is therefore important to recognize multimodal, visualization strategies that investigate how interaction design choices within the story map journal influence and engage public health audiences. In the field of technical and professional communication (15), applied concept of visual-material rhetorics is a useful mode of inquiry in the study of interactive story map journals. Propen's concept presents a new understanding of how researchers in disease and public health surveillance can analyze the effectiveness of text and new media technology in relationship to space, place, and geospatial mapping. More specifically, Propen's concept situates the visual-material as the applied use of text with visual, interactive multimodal components inclusive of images, video, and GPS/GIS mapping technologies.

Objective: A case study on the visual-material components of story map journals as visual, new media interactive health reporting used in population health surveillance. The story map journal is demonstrated an effective tool that visually reports, maps and tracks global support networks and health resources for post-polio (PPS) survivors.

Submitted by elamb on