title: DCDS: A Real-time Data Capture and Personalized Decision Support System for Heart Failure Patients in Skilled Nursing Facilities.
abstract: Heart disease is the leading cause of death in the United States. Heart failure disease management can improve health outcomes for elderly community dwelling patients with heart failure. This paper describes DCDS, a real-time data capture and personalized decision support system for a Randomized Controlled Trial Investigating the Effect of a Heart Failure Disease Management Program (HF-DMP) in Skilled Nursing Facilities (SNF). SNF is a study funded by the NIH National Heart, Lung, and Blood Institute (NHLBI). The HF-DMP involves proactive weekly monitoring, evaluation, and management, following National HF Guidelines. DCDS collects a wide variety of data including 7 elements considered standard of care for patients with heart failure: documentation of left ventricular function, tracking of weight and symptoms, medication titration, discharge instructions, 7 day follow up appointment post SNF discharge and patient education. We present the design and implementation of DCDS and describe our preliminary testing results.
authors.affiliation: Institute of Biomedical Informatics, University of Kentucky, Lexington, KY; Department of EECS, Case Western Reserve University, Cleveland, OH.
authors.forename: Wei
authors.initials: W
authors.lastname: Zhu
authors.affiliation: Department of EECS, Case Western Reserve University, Cleveland, OH.
authors.forename: Lingyun
authors.initials: L
authors.lastname: Luo
authors.affiliation: Department of EECS, Case Western Reserve University, Cleveland, OH.
authors.forename: Tarun
authors.initials: T
authors.lastname: Jain
authors.affiliation: Divisions of Geriatrics and Cardiology, University of Colorado, Aurora, CO.
authors.forename: Rebecca S
authors.initials: RS
authors.lastname: Boxer
authors.affiliation: Institute of Biomedical Informatics, University of Kentucky, Lexington, KY.
authors.forename: Licong
authors.initials: L
authors.lastname: Cui
authors.affiliation: Institute of Biomedical Informatics, University of Kentucky, Lexington, KY.
authors.forename: Guo-Qiang
authors.initials: GQ
authors.lastname: Zhang
mesh_terms: D020000:Decision Support Systems, Clinical; D003661:Decision Support Techniques; D057286:Electronic Health Records; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D012866:Skilled Nursing Facilities