Design and implementation of a tailored data management system for a rural cardiovascular clinic

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Health Information Technology (HIT) adoption and meaningful use continues to be a challenge in rural healthcare, specifically in Critical Access Hospitals (CAHs) and smaller clinics. This study addresses the gap in effective HIT deployment in a rural cardiovascular clinic in Alabama by providing a data management solution for the authorization and validation of implantable cardioverter-defibrillator (ICD) procedures. This software was deployed via the Google Cloud, and by using this platform alongside its integrated API system via AppsScript, the specific financial and operational needs of the clinic and support staff were satisfied. This system was deployed from January to August 2023, and led to the identification and subsequent treatment of patients who otherwise would have been overlooked (71 identified, 13 treated). This thesis focuses on the need for tailored, low-tech approaches in high-need environments, emphasizing the opportunities to leverage scalable, affordable technologies to enhance HIT in high need areas.

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