Automating a program for the evidence-based reimbursement of oncology drugs across a complex network: Benefits and challenges.

39 Background: Ontario hospitals are reimbursed for IV chemotherapy through Cancer Care Ontario’s (CCO) New Drug Funding Program (NDFP). By 2009, 54 indications (annual budget $195MM) were managed through largely paper based processes. A new web based system (eClaims) was developed focusing on clinic workflow and integration to chemotherapy ordering systems. Interfaces were developed for CCO’s OPIS and commercial systems (HL7v3). eClaims provides users with clinical best practice, pre-approval, immediate adjudication and simple means of tracking outstanding claims. The benefits and challenges are described. Methods: Evaluation used several strategies: debriefs after each deployment; post-go live user surveys and lessons learned workshops. Results: eClaims was deployed in 80 hospitals over two years. At most sites (50/80) treatment data flows from CPOE systems to eClaims in near real time. Over 50% of claims are machine adjudicated. Newly approved indications can be posted within hours. The main learnings during the deployment process were the need to understand and adjust for hospital specific factors and the unique business relationships among clusters of hospitals. Survey responses were received at a 19% response rate. The later deployment groups reported greater satisfaction than earlier adopters with more positive responses in all categories. Workshop key theme was the need to match complex clinical workflows with design/build processes. Secondly, evaluation of historical data before migration is necessary. Conclusions: Introducing an application into complex, varied clinical workflows is difficult. The phased approach to deployment and evaluation worked, allowing for increasingly smooth go lives. Future work revolves around balancing user needs through eClaims modifications vs simplifying clinical processes to make the tool more usable.

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A Generic Adaptation Framework for Web-Based Hypermedia Systems

End-User Computing ◽

10.4018/978-1-59904-945-8.ch014 ◽

2008 ◽

pp. 148-167

Author(s):

Alexandros Paramythis ◽

Constantine Stephanidis

Keyword(s):

European Commission ◽

Local Information ◽

Lessons Learned ◽

Adaptive Hypermedia ◽

Web Based ◽

Adaptive Hypermedia Systems ◽

Future Work ◽

Web Publishing

This chapter introduces a framework intended for facilitating the implementation of Web-based adaptive hypermedia systems. The framework is orthogonal to Web “serving” approaches, and poses only minimal requirements in that direction. As such, it can be easily integrated into existing, non-adaptive Web-publishing solutions. This chapter presents in detail several aspects of the framework, and provides an overview of its application in the European Commission-funded IST-1999-20656 PALIO project (“Personalised Access to Local Information and Services for Tourists”). Furthermore, it discusses some of the lessons learned from our work on the framework thus far, as well as what we consider the most likely directions of future work in the area.

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A Generic Adaptation Framework for Web-Based Hypermedia Systems

Adaptable and Adaptive Hypermedia Systems ◽

10.4018/978-1-59140-567-2.ch005 ◽

2011 ◽

pp. 80-103 ◽

Cited By ~ 1

Author(s):

Alexandros Paramythis ◽

Constantine Stephanidis

Keyword(s):

European Commission ◽

Local Information ◽

Lessons Learned ◽

Adaptive Hypermedia ◽

Web Based ◽

Adaptive Hypermedia Systems ◽

Future Work ◽

Web Publishing

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Monitoring the Health of Public Health Responders: Development and Use of the Responder Safety, Tracking, and Resilience System (R-STaR) for Hurricane Matthew

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2018.102 ◽

2018 ◽

Vol 13 (1) ◽

pp. 74-81 ◽

Cited By ~ 1

Author(s):

Alezandria K. Turner ◽

Laura Edison ◽

Karl Soetebier ◽

Wendy Smith ◽

Cherie Drenzek

Keyword(s):

Public Health ◽

South Carolina ◽

Disaster Response ◽

Health And Safety ◽

Lessons Learned ◽

Surveillance Systems ◽

Mobile Platforms ◽

Web Based ◽

Response Planning ◽

Survey Responses

ABSTRACTOn October 7, 2016, Hurricane Matthew traveled along the coasts of Florida, Georgia, and South Carolina causing flooding and power outages. The Georgia Department of Public Health (DPH) developed the Web-based Responder Safety, Tracking, and Resilience (R-STaR) system to monitor the health and safety of public health responders and to inform disaster response planning for Hurricane Matthew. Using R-STaR, responders (n = 126) were e-mailed a daily survey while deployed to document injuries or harmful exposures and a post-deployment survey on their post-deployment health and satisfaction with using R-STaR. DPH epidemiologists contacted responders reporting injuries or exposures to determine the need for medical care. Frequencies were tabulated for quantitative survey responses, and qualitative data were summarized into key themes. Five percent (6/126) of responders reported injuries, and 81% (43/53) found R-STaR easy to use. Suggestions for R-STaR improvement included improving accessibility using mobile platforms and conducting pre-event training of responders on R-STaR. Lessons learned from R-STaR development and evaluation can inform the development and improvement of responder health surveillance systems at other local and state health departments and disaster and emergency response agencies. (Disaster Med Public Health Preparedness. 2019;13:74–81).

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Adapting an Evidence-Based Early Childhood Tier 2 Social-Emotional Learning Intervention for Web-Based Delivery

Journal of Educational Technology Systems ◽

10.1177/00472395211016051 ◽

2021 ◽

pp. 004723952110160

Author(s):

Kristen L. Granger ◽

Maureen A. Conroy ◽

Kevin S. Sutherland ◽

Edward G. Feil ◽

Jessica Wright ◽

...

Keyword(s):

Early Childhood ◽

Intervention Program ◽

Phase 1 ◽

Lessons Learned ◽

Study Phase ◽

Evidence Based ◽

Tier 2 ◽

Web Based ◽

Testing Phase ◽

Panel Review

The purpose of this article is to describe the adaptation process of an evidence-based early childhood Tier-2 intervention program, BEST in CLASS-Prekindergarten, from a face-to-face format to a web-based delivery format called BEST in CLASS-Web. We describe the three-phase iterative development process used to adapt the parent program for delivery via the web. Activities in these phases included focus groups, interviews, an expert panel review, alpha and beta testing (Phase 1), feasibility testing (Phase 2), and a pilot promise study (Phase 3). Each phase included a series of refinements and improvements to materials based on data and stakeholder feedback. Lessons learned and implications for developing and implementing professional development services via online platforms are discussed.

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Integrated Robotic systems for Humanitarian Demining

International Journal of Advanced Robotic Systems ◽

10.5772/5694 ◽

2007 ◽

Vol 4 (2) ◽

pp. 24 ◽

Cited By ~ 4

Author(s):

E. Colon ◽

G. De Cubber ◽

H. Ping ◽

J-C Habumuremyi ◽

H. Sahli ◽

...

Keyword(s):

Data Acquisition ◽

Lessons Learned ◽

Mine Detection ◽

Detection Systems ◽

Visual Positioning ◽

Humanitarian Demining ◽

Typical Data ◽

Terrain Following ◽

Software Interfaces ◽

Future Work

This paper summarises the main results of 10 years of research and development in Humanitarian Demining. The Hudem project focuses on mine detection systems and aims at provided different solutions to support the mine detection operations. Robots using different kind of locomotion systems have been designed and tested on dummy minefields. In order to control these robots, software interfaces, control algorithms, visual positioning and terrain following systems have also been developed. Typical data acquisition results obtained during trial campaigns with robots and data acquisition systems are reported. Lessons learned during the project and future work conclude this paper.

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343 - Best Practice Guidance on Human Interaction with Technology in Dementia – Recommendations from the INDUCT Network

International Psychogeriatrics ◽

10.1017/s1041610220002434 ◽

2020 ◽

Vol 32 (S1) ◽

pp. 103-103

Author(s):

Rose-Marie Dröes ◽

Yvette Vermeer ◽

Sébastien Libert ◽

Sophie Gaber ◽

Sarah Wallcook ◽

...

Keyword(s):

Best Practice ◽

Early Stage ◽

Human Interaction ◽

Target Groups ◽

Web Based ◽

Policy Makers ◽

International Training ◽

People With Dementia ◽

Informal Carers ◽

Care Technology

The Interdisciplinary Network for Dementia Using Current Technology, INDUCT, is a Marie Sklodowska Curie funded International Training Network that aims to develop a multi-disciplinary, inter-sectorial educational research framework for Europe to improve technology and care for people with dementia, and to provide the evidence to show how technology can improve the lives of people with dementia. Within INDUCT (2016-2020) 15 Early Stage Researchers worked on projects in the areas of Technology to support every day life; technology to promote meaningful activities; and health care technology.Three transversal objectives were adopted by INDUCT: 1) To determine the practical, cognitive and social factors needed to make technology more useable for people with dementia; 2) To evaluate the effectiveness of specific contemporary technology; and 3) To trace facilitators and barriers for implementation of technology in dementia care.The main recommendations resulting from the research projects are integrated in a web-based digital Best Practice Guidance on Human Interaction with Technology in Dementia which will be presented at the congress. The recommendations are meant to be helpful for different target groups, i.e. people with dementia, their formal and informal carers, policy makers, designers and researchers, who can easily select the for them relevant recommendations in the Best Practice Guidance by means of a selection tool. The main aim of the Best Practice Guidance is to improve the development, usage and implementation of technology for people with dementia in the three mentioned technology areas.This Best Practice Guidance is the result of the intensive collaborative partnership of INDUCT with academic and non-academic partners as well as the involvement of representatives of the different target groups throughout the INDUCT project.Acknowledgements: The research presented was carried out within the Marie Sklodowska Curie International Training Network (ITN) action, H2020-MSCA-ITN-2015, grant agreement number 676265.

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Chemical Deliquification of Unconventional Gas Wells

10.2118/spe-169958-ms ◽

2014 ◽

Author(s):

K.. Francis-LaCroix ◽

D.. Seetaram

Keyword(s):

Natural Gas ◽

Best Practice ◽

Oil And Gas ◽

Large Deviation ◽

Cost Effective ◽

Gas Production ◽

Lessons Learned ◽

Offshore Platforms ◽

Gas Wells ◽

Current Production

Abstract Trinidad and Tobago offshore platforms have been producing oil and natural gas for over a century. Current production of over 1500 Bcf of natural gas per year (Administration, 2013) is due to extensive reserves in oil and gas. More than eighteen of these wells are high-producing wells, producing in excess of 150 MMcf per day. Due to their large production rates, these wells utilize unconventionally large tubulars 5- and 7-in. Furthermore, as is inherent with producing gas, there are many challenges with the production. One major challenge occurs when wells become liquid loaded. As gas wells age, they produce more liquids, namely brine and condensate. Depending on flow conditions, the produced liquids can accumulate and induce a hydrostatic head pressure that is too high to be overcome by the flowing gas rates. Applying surfactants that generate foam can facilitate the unloading of these wells and restore gas production. Although the foaming process is very cost effective, its application to high-producing gas wells in Trinidad has always been problematic for the following reasons: Some of these producers are horizontal wells, or wells with large deviation angles.They were completed without pre-installed capillary strings.They are completed with large tubing diameters (5.75 in., 7 in.). Recognizing that the above three factors posed challenges to successful foam applications, major emphasis and research was directed toward this endeavor to realize the buried revenue, i.e., the recovery of the well's potential to produce natural gas. This research can also lead to the application of learnings from the first success to develop treatment for additional wells, which translates to a revenue boost to the client and the Trinidad economy. Successful treatments can also be used as correlations to establish an industry best practice for the treatment of similarly completed wells. This paper will highlight the successes realized from the treatment of three wells. It will also highlight the anomalies encountered during the treatment process, as well as the lessons learned from this treatment.

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Countering Violent Extremism in Canada and Abroad

Inquiry@Queen's Undergraduate Research Conference Proceedings ◽

10.24908/iqurcp.11804 ◽

2018 ◽

Author(s):

Nora Abdelrahman Ibrahim

Keyword(s):

Best Practice ◽

Unintended Consequences ◽

Lessons Learned ◽

Policy And Practice ◽

Far Right ◽

Significant Development ◽

The Us ◽

Violent Extremism ◽

Recent Trends ◽

The Uk

Terrorism and violent extremism have undoubtedly become among the top security concerns of the 21st century. Despite a robust agenda of counterterrorism since the September 11, 2001 attacks, the evolution of global terrorism has continued to outpace the policy responses that have tried to address it. Recent trends such as the foreign fighter phenomenon, the rampant spread of extremist ideologies online and within communities, and a dramatic increase in terrorist incidents worldwide, have led to a recognition that “traditional” counterterrorism efforts are insufficient and ineffective in combatting these phenomena. Consequently, the focus of policy and practice has shifted towards countering violent extremism by addressing the drivers of radicalization to curb recruitment to extremist groups. Within this context, the field of countering violent extremism (CVE) has garnered attention from both the academic and policy-making worlds. While the CVE field holds promise as a significant development in counterterrorism, its policy and practice are complicated by several challenges that undermine the success of its initiatives. Building resilience to violent extremism is continuously challenged by an overly securitized narrative and unintended consequences of previous policies and practices, including divisive social undercurrents like Islamophobia, xenophobia, and far-right sentiments. These by-products make it increasingly difficult to mobilize a whole of society response that is so critical to the success and sustainability of CVE initiatives. This research project addresses these policy challenges by drawing on the CVE strategies of Canada, the US, the UK, and Denmark to collect best practice and lessons learned in order to outline a way forward.

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Multistage Openhole Completion Using Integrated Dynamic Diversion Frac Technique in Highly Depleted Well: First Successful Application in West Kuwait Field

10.2118/205531-ms ◽

2021 ◽

Author(s):

Abdullah Abu-Eida ◽

Salem Al-Sabea ◽

Milan Patra ◽

Bader Akbar ◽

Kutbuddin Bhatia ◽

...

Keyword(s):

Best Practice ◽

Treatment Options ◽

High Energy ◽

Lessons Learned ◽

High Potential ◽

Fracture Plane ◽

Fluid Loss ◽

Field Development ◽

Two Fluids

Abstract The Minagish field in West Kuwait is a high potential field which poses several challenges in terms of hydrocarbon flow assurance through highly depleted tight carbonate intervals with uneven reservoir quality and curtailed mobility. These conditions have shifted the field development from vertical to horizontal wellbore completions. Achieving complete wellbore coverage is a challenge for any frac treatment performed in a long openhole lateral with disparities in reservoir characteristics. The fluid will flow into the path of least resistance leaving large portions of the formation untreated. As a result, economic fracturing treatment options dwindle significantly, thus reservoir stimulation results are not always optimum. A multistage fracturing technique using Integrated Dynamic Diversion (IDD) has been performed first time in West Kuwait field well. The process uses active fluid energy to divert flow into a specific fracture point in the lateral, which can initiate and precisely place a fracture. The process uses two self-directed fluid streams: one inside the pipe and one in the annulus. The process mixes the two fluids downhole with high energy to form a consistent controllable mixture. The technique includes pinpoint fluid jetting at the point of interest, followed by in-situ HCL based crosslinked systems employed for improving individual stage targets. The IDD diversion shifts the fracture to unstimulated areas to create complex fractures which increases reservoir contact volume and improved overall conductivity in the lateral. The kinetic and chemical diversion of the IDD methodology is highly critical to control fluid loss in depleted intervals and results in enhanced stimulation. Pumping a frac treatment in openhole without control would tend to initiate a longitudinal fracture along the wellbore and may restrict productivity. By using specialized completion tools with nozzles at the end of the treating string, a new pinpoint process has been employed to initiate a transverse fracture plane in IDD applications. Proper candidate selection and fluid combination with in-situ crosslink acid effectively plug the fracture generated previously and generate pressure high enough to initiate another fracture for further ramification. By combining these processes into one continuous operation, the use of wireline/coiled tubing for jetting, plug setting and milling is eliminated, making the new multistage completion technology economical for these depleted wells. The application of the IDD methodology is a fit-for-purpose solution to address the unique challenges of openhole operations, formation technical difficulties, high-stakes economics, and untapped high potential from intermittent reservoirs. The paper will present post-operation results of this completion from all fractured zones along the lateral and will describe the lessons learned in implementation of this methodology which can be considered as best practice for application in similar challenges in other fields.

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