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A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
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Successful implementation of a nurse-navigator-run program using natural language processing identifying patients
Laura T Boitano1, Gabrielle DeVivo1, Devon I Robichaud1
1UMass Chan Medical School, Worcester, MA.
Journal of Vascular Surgery
|November 3, 2022
Summary
A nurse-navigator program using natural language processing (NLP) effectively identifies patients with abdominal aortic aneurysms (AAA) who need follow-up. This approach improves surveillance and care for patients with AAA.
Area of Science:
- Vascular Surgery
- Health Informatics
- Medical Technology
Background:
- Abdominal aortic aneurysms (AAA) are frequently found incidentally during imaging studies.
- Many patients and providers remain unaware of AAA diagnoses and the necessity for ongoing surveillance.
- A significant gap exists in active follow-up for identified AAA cases.
Purpose of the Study:
- To evaluate the effectiveness of a nurse-navigator-led program for managing abdominal aortic aneurysms (AAA).
- To assess the utility of a natural language processing (NLP) algorithm integrated with electronic medical records (EMR) for identifying patients with AAA requiring follow-up.
- To improve the surveillance and care of patients with AAA who are not actively managed.
Main Methods:
- A natural language processing (NLP) system was employed on EMR data spanning 11 years to identify and characterize abdominal aortic aneurysms (AAA).
- A nurse-navigator utilized software filters to categorize AAA cases based on repair status and adherence to surveillance protocols.
- The program involved direct patient and provider engagement to re-establish care for individuals not undergoing active follow-up.
Main Results:
- The NLP system processed over 6.3 million imaging reports, identifying 6495 patients with AAA.
- Among patients not actively followed, the program facilitated 29 new clinic visits, 40 finalized imaging studies, 29 scheduled imaging studies, and 4 AAA operations.
- The program successfully identified and initiated follow-up for patients with AAA who were previously not receiving appropriate surveillance or care.
Conclusions:
- An abdominal aortic aneurysm (AAA) program utilizing NLP and nurse navigation is successful in identifying patients needing surveillance, counseling, and potential repair.
- This integrated approach demonstrates a significant opportunity to enhance best-practice care delivery for AAA management within large healthcare systems.
- The findings underscore the value of technology-driven patient outreach for improving outcomes in vascular disease management.
Keywords:
Abdominal aortic aneurysmDiagnostic screening programsNatural language processingProcess assessment (health care)More Related Videos
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