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Item Emergency Physician Perspectives on the Use of Patient Experience Surveys(Springer Nature, 2025-05-03) Kuhn, Diane; Pang, Peter S.; Musey, Paul I., Jr.; Harle, Chris A.; Emergency Medicine, School of MedicineIntroduction: Although emergency medicine specialty societies have published policy statements on the use of patient experience data, we know little about how these data are currently used within physician groups. We also have little information about individual emergency physicians’ perspectives on the use of these data. Methods: A total of 1049 questionnaires were distributed via email to residency program alumni of a large Midwestern residency program in June-July 2024. Participants were asked questions regarding their time in practice since residency, practice setting, and their current group or employer’s use of emergency department (ED) patient experience feedback. Descriptive statistics were calculated for all variables, and a logistic regression was performed to determine associations between respondent sex and years in practice with the odds of perceiving the use of experience ratings as fair. Finally, open-ended responses were reviewed thematically to identify common patterns. Results: From a distribution to 1049 individuals, there were 99 (9.4%) responses. A total of 33 (33.3%) respondents made free-response comments. The most common uses of data were the publication of group performance and individual emails to physicians regarding patient feedback. Financial incentives were more common at the group level than at the individual level. Female physicians had lower odds of perceiving use of the ratings as fair. In addition, physicians raised concerns in free response comments about gender and racial bias, sample size and distribution of surveys, and the relevance of factors outside of physician control. Conclusion: Emergency physicians held relatively neutral positions on whether the current use of experience data was reasonable. However, they had numerous concerns regarding the data quality.Item An Investigation of Legal and Ethical Issues with User-Generated Content and Other Forms of Electronically Stored Information Communicated via Social Media, Messaging Apps and Social Devices, Including the Internet of Things(2016-04-08) Faklaris, Cori; Hook, Sara AnneOn social networking services, sharing is caring. However, depending on who or what is involved, sharing can be the source of a community transgression, copyright infringement, a violation of employment policies or worse. If people who use social media, mobile messaging apps and social devices do not know where the ethical or legal lines are drawn, in jurisprudence, in vendor Terms of Service, in professional codes of conduct or in keeping with online social norms, they are in jeopardy of being publicly shamed or even sued. Users may also put their employers, friends and colleagues at risk of community, professional or legal penalties in an era where the boundary between work and leisure is becoming even more blurred. This mixed-methods, interdisciplinary research project explores the current state of awareness on a range of legal and ethical issues involving User-Generated Content (UGC) and other forms of Electronically Stored Information (ESI) on social networks and devices for personal and enterprise use and for several different constituencies, including marketers, artists, journalists, academics, educators, entrepreneurs, bloggers, photographers and videographers. The quantitative, numeric data resulting from an online survey as well as qualitative, descriptive data gathered from semi-structured interviews with participants and observations gleaned in contextual inquiry will help address gaps in current research on this subject. In addition, the research findings will guide design directions for a tool, intervention or affordance to help users become better informed about privacy, intellectual property and information governance in the context of electronic sharing and more easily put this knowledge into practice. The first phase of developing the survey protocol is already underway, with a literature review completed and the survey submitted for IRB review as #1602921512. Pilot contextual inquiries and field studies are being pursued to guide development of qualitative research phases in the future. 1. Bohn, J., et al. Social, economic, and ethical implications of ambient intelligence and ubiquitous computing. Ambient Intelligence. Springer Berlin Heidelberg, 2005, 5-29. 2. Cohen, J.E. Configuring the Networked Self: Law, Code, and the Play of Everyday Practice. Yale University Press, 2012. 3. Erickson, T., and Kellogg, W.A. Social translucence: an approach to designing systems that support social processes. ACM Transactions on Computer-Human Interaction (TOCHI) 7.1 (2000): 5983. 4. Faklaris, C., and Hook, S.A. Oh, Snap! The State of Electronic Discovery Amid the Rise of Snapchat, WhatsApp, Kik and Other Mobile Messaging Apps. Federal Lawyer, May 2016 [in press]. 5. Fiesler, C., and Bruckman, A.S. Remixers' understandings of fair use online. Proceedings of the 17th ACM Conference on Computer Supported Cooperative Work and Social Computing. ACM, 2014. 6. Hook, S.A., and Faklaris, C. Social Media, The Internet and Electronically Stored Information (ESI) Challenges. National Business Institute, 2015. Available at https://scholarworks.iupui.edu/handle/1805/7177.Item Public Health Informatics in Local and State Health Agencies: An Update From the Public Health Workforce Interests and Needs Survey(Wolters Kluwer, 2019-03) McFarlane, Timothy D.; Dixon, Brian E.; Grannis, Shaun J.; Gibson, P. Joseph; Epidemiology, Richard M. Fairbanks School of Public HealthOBJECTIVE: To characterize public health informatics (PHI) specialists and identify the informatics needs of the public health workforce. DESIGN: Cross-sectional study. SETTING: US local and state health agencies. PARTICIPANTS: Employees from state health agencies central office (SHA-COs) and local health departments (LHDs) participating in the 2017 Public Health Workforce Interests and Needs Survey (PH WINS). We characterized and compared the job roles for self-reported PHI, "information technology specialist or information system manager" (IT/IS), "public health science" (PHS), and "clinical and laboratory" workers. MAIN OUTCOME MEASURE: Descriptive statistics for demographics, income, education, public health experience, program area, job satisfaction, and workplace environment, as well as data and informatics skills and needs. RESULTS: A total of 17 136 SHA-CO and 26 533 LHD employees participated in the survey. PHI specialist was self-reported as a job role among 1.1% and 0.3% of SHA-CO and LHD employees. The PHI segment most closely resembled PHS employees but had less public health experience and had lower salaries. Overall, fewer than one-third of PHI specialists reported working in an informatics program area, often supporting epidemiology and surveillance, vital records, and communicable disease. Compared with PH WINS 2014, current PHI respondents' satisfaction with their job and workplace environment moved toward more neutral and negative responses, while the IT/IS, PHS, and clinical and laboratory subgroups shifted toward more positive responses. The PHI specialists were less likely than those in IT/IS, PHS, or clinical and laboratory roles to report gaps in needed data and informatics skills. CONCLUSIONS: The informatics specialists' role continues to be rare in public health agencies, and those filling that role tend to have less public health experience and be less well compensated than staff in other technically focused positions. Significant data and informatics skills gaps persist among the broader public health workforce.