The objective of this assignment is to teach you how clinical
decision aids work, in particular how patient portals for maintaining
diaries work. You are asked to program an Interactive Voice
Response system for collection of patient symptoms. We acknowledge
that you are not computer programmers and therefore provide you with
Voxeo platform that is relatively easy to implement and requires no
prior computer programming experience. Once you have prepared your
product, we expect you to present how your product helps providers meet
stage 2 meaningful use requirements. You should prepare a
presentation of your product. This presentation should
contrast your product with other systems in the field.
You can focus your IVR system on a topic of interest to you.
Three possibilities are the following:
Home monitoring of patients' symptoms.
After initiation of a treatment, patients are asked to use a
secure Interactive Voice Response system as a diary for their symptoms.
They call into a phone number to record their symptoms. At first contact, the
computer acknowledges that they have reached the TRSC Online Diary. Then
it states that the diary cannot be use for emergencies. Next it asks:
"What are your symptoms?" Responses to this question are matched to 5 of
the Treatment Related Symptom Checklist (TRSC) 25 symptoms. If a checklist
item has been found, then a question about the severity of the symptom is asked.
If the question on severity of the symptom indicates that the symptom is not
present, the computer has misclassified initial response of the client and
symptoms are verified one at a time. If the client indicates there is an
emergency, the client is instructed to call 911 and their call is transferred to
an operator. TRSC►
Reduce readmissions. The call should
check that the patient has not received duplicate or contraindicated
prescriptions for medications, understands the proper steps to take if
symptoms change, has specific primary care follow up scheduled and is not
alone. Alternatively the call can focus on 3 care transition
Medication compliance for homeless patients. Ask if
the homeless patient has taken his medication as prescribed? Think
through many different responses to this question.
Here is an example of a student's completion of this assignment:
Alternatively if students would like to change the content of
the interview to focus on discharge planning, they can focus on creating an IVR
system for the
See for an example of implementation in discharge planning:
Go to Voxeo Designer Development platform. Create a free
account. Voxeo's support is 24x7 and free, even before you're a
paying customer. Their developer portal allows you to map to real phone
numbers, and make real calls, all for free.
Once you have registered, from the main menu choose Account and then choose
Voxeo Designer. Do not use other platforms, such as
Evolution Platform, as these are more complex platforms and will take you more
time to complete the class assignment. Once you have selected Voxeo
Designer, you will see the following options:
Learn about how to use the designer platform by using the options on the lower left
hand side. Start your project by creating a simple program that says "Hello".
Present your work as a narrated slides posted to
the Author Stream or other public sites.
Make sure the following are part of your presentations:
Title slide with your name or alias
Importance of symptom diary systems (rely on and reference
published in the literature)
Current applications of patient diaries to care improvement
Design of your system, include the visual flow from Voxeo
Telephone number to try the system
Discuss anticipated impact on stage 2 meaningful use criteria
Make the presentation look good:
Consistent font and size for the text
Take into account that web displays are 1/4 size of web
displays. Make sure that all elements are readable in the
No more than one point per slide. No multi-point slides
Clear narration at CD quality
No spelling or grammatical errors
Put within the description of the presentation the following statement: "This presentation was prepared as part of the
HAP 360 course on Information Systems in
Health Care Management taught by Farrokh Alemi, Ph.D. at George Mason
University Department of Health Administration and Policy."
Add a sentence about you to the description. Keep in mind that the
work you are uploading will remain on the web for years to come and will
help shape your career.
Submit the URL for your presentation to your instructor