Index

Data Ethics and Digital Privacy in Learning Health Systems for Palliative Medicine

ISBN: 978-1-80262-310-9, eISBN: 978-1-80262-309-3

ISSN: 2050-2060

Publication date: 15 November 2023

This content is currently only available as a PDF

Citation

(2023), "Index", Miori, V.M., Miori, D.J., Burton, F. and Cardamone, C.G. (Ed.) Data Ethics and Digital Privacy in Learning Health Systems for Palliative Medicine (Studies in Media and Communications, Vol. 23), Emerald Publishing Limited, Leeds, pp. 157-161. https://doi.org/10.1108/S2050-206020230000023013

Publisher

:

Emerald Publishing Limited

Copyright © 2024 Virginia M. Miori, Daniel J. Miori, Flavia Burton and Catherine G. Cardamone


INDEX

Accountability principle
, 15

Accountable Care Organizations (ACOs)
, 19

Advance Care Planning
, 20

Advocacy
, 120

Affordable Care Act (ACA)
, 19, 100

Agency for Healthcare Research and Quality (AHRQ)
, 2

Allscripts
, 80

Alteryx Designer Product
, 35

American Community Survey (ACS)
, 27, 29, 125

data
, 64

data profile
, 31–32

wrangling ACS data
, 30–32

Anderson-Darling Goodness of Fit
, 92

Annual Homeless Assessment Report
, 28

Anticipatory grieving
, 7

Application programming interfaces (APIs)
, 23, 30, 126, 140

usage
, 140–145

Architecture
, 138

Behavioral Risk Factor Surveillance System (BRFSS)
, 28, 32–35

Bias
, 6, 32, 80

Biomedical ethics
, 152

Body Mass Index (BMI)
, 35, 71

Bundled payments
, 20

Bureau of Economic Analysis
, 4

Bureau of Economic Data (BEA)
, 62

Bureau of Labor Statistics
, 4, 62

California Consumer Privacy Act of 2018 (CCPA)
, 13

Care group
, 99, 101, 120

Center to Advance Palliative Care (CAPC)
, 6

Centers for Disease Control (CDC)
, 6, 28, 62

BRFSS
, 4, 70–77, 112

Centers for Medicare and Medicaid Services (CMS)
, 6

Cerner
, 80

Certificate Authority (CA)
, 138

Children’s Health Insurance Program (CHIP)
, 19

Chronic care management
, 20

Chronic conditions
, 71

Client
, 112

Client–server model
, 137

Clinical decision support (CDS)
, 19

Collection limitation principle
, 14

Comma separated values (CSV)
, 80

Comorbidity count distribution
, 92–94

Comprehensive care for joint replacement (CJR)
, 20

Comprehensive Primary Care Plus program (CPC+ program)
, 20

Consumer Assessment of Healthcare Providers and Systems (CAHPS)
, 19

Consumer privacy law in US
, 13

Contingency table
, 87

Continuum of Care Programs (CoCs)
, 28

Cross-Agency Priority (CAP)
, 62

Cross-reference data base definition
, 126–128

Cumulative Distribution Functions (CDFs)
, 87

Current procedural terminology (CPT)
, 19

Data mapping to characteristics of care
, 112–113

Data privacy
, 82

API
, 140–145

architecture
, 138

dataset generation
, 148–149

installation of client components
, 139–140

Kaplan-Meier curve generation
, 149

Kaplan-Meier data
, 148

Palliative Patient Web Pages
, 145–148

security
, 138

subscription
, 138

Data profiles (DPs)
, 30, 125

ACS
, 31–32

DP02
, 37–43

DP02001E
, 30

DP02001ME
, 30

DP02001P
, 30

DP02001PM
, 30

DP03
, 44–49

DP04
, 50–55

DP05
, 56–59

Data quality principle
, 14

Data repository design

cross-reference data base definition
, 126–128

cross-reference example
, 131

data base tables for storing targeted ACS five-year data
, 132–133

populating cross-reference data
, 128–131

retrieving ACS five-year data
, 131–132

storing ACS five-year data
, 134

Data science

address disparities in access to palliative care
, 8

concerns in palliative care
, 7

facilitating transition to palliative care
, 7

Database
, 126

Death Anxiety
, 7

Decision support
, 3

Decryption
, 138

Demographic
, 28

Denial of Need for Care
, 120

Digital certificates
, 138

Digital Imaging and Communications in Medicine (DICOM)
, 4

Digital privacy
, 10

E-Government Act of 2002
, 13

Education
, 68–69, 98–99

Electronic Communications Privacy Act (ECPA)
, 12

Electronic Health Records (EHR)
, 4, 17–18, 80

addition popular EHRs
, 89

data privacy and accuracy
, 81–82

primary characteristics
, 81

systems
, 80

Electronic Medical Record (EMR)
, 80

Electronic Palliative Care Coordination Systems (EPCCS)
, 19

Emergency room (ER)
, 22

Employment
, 69, 99

Encounter Notification Services (ENS)
, 22

Encryption
, 138

Epic
, 80

Ethics
, 152

additional observations
, 154

assiduous cultivation of data sources
, 155

avoid imposing non-clinical risks
, 153

common good
, 154

conduct responsible activities
, 154

informed consent
, 155

LHSs and
, 152

medical decision-making
, 155

optimal clinical care
, 153

reduce health inequalities
, 154

respecting clinician judgment
, 153

respecting rights and dignity of patients
, 152–153

Evaluation and management (EM)
, 21

Federal Communications Act
, 11

Federal data strategy
, 62

Federal Information Processing System (FIPS)
, 132

Federal Wiretap Act of 1968
, 12

Fourth Amendment’s limitation of searches and seizures
, 11

Framingham Study, The
, 2

Freedom of Information Act (FOIA)
, 12

Gehan-Breslow-Wilcoxin test
, 117

General Data Protection Regulation on Scientific Research (GDPR)
, 15

Generic Module Framework (GMF)
, 82

Geriatric Syndrome
, 97

Group
, 2, 149

Group assignment
, 115–116

GUID
, 141, 143, 148

Hazard rate
, 118

Health and Human Services (HHS)
, 19

Health information exchange (HIE)
, 19

tapping into HIE services
, 22–23

Health Insurance Portability and Accountability Act of 1996 (HIPAA)
, 9–10, 12–13, 23, 80

Privacy Rule
, 81

Health Management Organizations (HMOs)
, 67

Healthcare system
, 17

Heuristics in palliative care
, 6–7

Home movement, riding hospital at
, 24

Homeless Data Exchange (HDX)
, 28

Homeless Research Institute
, 6

Housing and Urban Development Exchange (HUD Exchange)
, 4, 28, 64

Illusion of control
, 7

Income
, 70, 100

0%–150% of poverty level by sex-race-age group
, 109

150%–250% of poverty level by sex-race-age group
, 110

Incomplete secondary education by sex-race-age group
, 103

Individual participation principle
, 15

Information blocking, updated rules regarding
, 23–24

Information technology
, 19, 22, 24

Informed consent
, 155

Instagram
, 62

Insurance
, 67–68, 99–100

International standards for privacy
, 14–15

Internet of Things (IoT)
, 5

JavaScript Object Notation (JSON)
, 132

Kaplan-Meier analysis
, 117

Kaplan-Meier curve
, 113–115

generation
, 117–118

generation
, 149

mean and median output
, 117

pairwise tests on
, 118

use of
, 118–120

Kaplan-Meier data
, 148

Kaplan-Meier survival analysis
, 94, 101

Katz test
, 11–12

Katz v. The United States
, 11–12

Learning activities
, 152

Learning Health Systems (LHSs)
, 1–2, 112, 137, 151

address disparities in access to palliative care
, 8

ethical foundation for
, 152

ethics and
, 152

recommendations
, 3

Legal standards
, 13

Log-Rank test
, 117

Luxembourg data protection authority
, 15

Machine learning
, 7

Mantle-Cox test (see Log-Rank test)

Medicaid
, 18

Medical decision-making
, 155

Medicare Access and the Children’s Health Insurance Program Reauthorization Act (MACRA)
, 19

Medicare beneficiaries and data
, 18–19

Medicare Shared Saving Programs (MSSP)
, 19

Meditech
, 80

Merit-based Incentive Payment System (MIPS)
, 19

Meta (Facebook)
, 62

Metabolic Syndrome
, 71

Metadata
, 125–126, 128

Migration Policy Institute (MPI)
, 4, 6, 64

National Health Interview Survey (NHIS)
, 6

National Institutes of Health (NIH)
, 82

Natural Language Processing (NLP)
, 7

New York Senate Bill S6701
, 13

Olmsted v. The United States
, 11

Openness principle
, 14

Oregon
, 22

Organization for Economic Co-operation and Development (OECD)
, 13–14

Overall Health
, 120

Palliative care
, 2, 18–19, 91, 137

approaches to supporting palliative care data collection in real time
, 21–23

data science address disparities in access to
, 8

data science concerns in
, 7

data science facilitating transition to
, 7

heuristics in
, 6–7

key barriers to
, 3

providers
, 2

Palliative data
, 4

validity
, 5

variety
, 4–5

velocity
, 5

veracity
, 5

volatility
, 5

volume
, 4

Palliative Patient Web Pages
, 145–148

Personally Identifiable Information (PII)
, 13, 61

Poverty level
, 32, 64

PRAXIS
, 80

Prescription Drug Monitoring Programs (PDMPs)
, 20

Primary Care First Program
, 20

Privacy
, 9

current understanding of privacy in US
, 13–15

GDPR
, 15

history of privacy in US
, 10–13

Privacy Act of 1974
, 13

Private insurance
, 67

Private key
, 138

Protected Health Information (PHI)
, 12, 80

Public data sources
, 27–29

BRFSS
, 32–35

CDC BRFSS
, 70–77

employment
, 69

evolving nature of data
, 62–63

federal data strategy
, 62

income
, 70

overall data aggregation
, 35

population characteristics
, 63

US Census ACS
, 63–69

US census five-year ACS
, 29–30

wrangling ACS data
, 30–32

Public key
, 140

Public key infrastructure (PKI)
, 138

Public Use Microdata Sample (PUMS)
, 84–85

Publicly available data
, 79

Purpose specification principle
, 14

Python script
, 131

Quality of life
, 118

Query
, 146

Referral process
, 18

Refugee Processing Center (RPC)
, 6

Remote patient monitoring platforms
, 17–18

Right to privacy
, 10

Risk-based payment systems, intersecting with
, 17–18

Sampling
, 148

Secondary education by sex-race-age group
, 104

Security
, 138

safeguards principle
, 14

Server
, 12, 81

Simulation
, 82

SQL
, 128

Stanford Encyclopedia of Philosophy online
, 10

Stratified random sampling
, 149

Subscriber
, 138

Survival analysis
, 112

Synthea
, 82

augmenting Synthea data
, 84–87

comorbidity count distribution
, 92–94

conditions
, 90

CSV
, 83

data baseline
, 91–92

data mapping process
, 112

demographic characteristics
, 95–98

demographic summary
, 101

education
, 98–99

employment
, 99

identifying palliative patients
, 94–95

income
, 100

insurance
, 99–100

output files
, 83

output formats
, 83

simulation
, 82

Synthetic patient records
, 87

Synthetic patients
, 92

Tarone-Ware Test
, 117

Telehealth services
, 17–18, 21

Text mining
, 7

Translation
, 64–66, 120

Twenty-first Century Cures Act
, 23

Twitter
, 62

Unconscious bias
, 5–6

Underemployed status by sex-race-age group
, 106

Underinsured by sex-race-age group
, 108

Unemployed status by sex-race-age group
, 105

Uninsured by sex-race-age group
, 107

United States (US)
, 2, 18, 27, 92, 152

current understanding of privacy in
, 13–15

history of privacy in
, 10–13

United States Census Bureau
, 6, 30, 62, 126

United States Core Data for Interoperability (USCDI)
, 23

USCDI V2
, 23

Unstructured data analysis
, 7

US Census American Community Survey
, 4, 28, 63, 112

education
, 68–69

insurance
, 67–68

translation
, 64–66

US census five-year ACS
, 29–30

US Department of HUD
, 6

Use limitation principle
, 14

Validity
, 5

Value-based care and data use incentives
, 19–21

Variety
, 4–5

VBA script
, 130

Velocity
, 5

Veracity
, 5

Volatility
, 5

Volstead Act
, 11

Volume
, 4

WhatsApp
, 62

World Health Organization (WHO)
, 2, 6

Wrangling
, 4, 30–32