Homegrown System Research Articles

Fanglue: An Interactive System for Decision Rule Crafting

In many applications the training data do not always contain sufficient information to produce high-quality decision rules for standard (end-to-end) rule mining algorithms, and human experts have to incorporate domain knowledge during rule induction in order to get meaningful results. In this work we present Fanglue, a home-grown system inside Alipay, for interactive decision rule crafting. Fanglue is a distributed in-memory system and is highly responsive when processing large-scale datasets. In addition, Fanglue extends the standard representation of a decision rule by introducing disjunctive clauses. Having disjunctive clauses can improve the coverage and robustness of a decision rule, especially for fraud prevention in Fintech applications.

Temporal disambiguation of relative temporal expressions in clinical texts.

Temporal expression recognition and normalization (TERN) is the foundation for all higher-level temporal reasoning tasks in natural language processing, such as timeline extraction, so it must be performed well to limit error propagation. Achieving new heights in state-of-the-art performance for TERN in clinical texts requires knowledge of where current systems struggle. In this work, we summarize the results of a detailed error analysis for three top performing state-of-the-art TERN systems that participated in the 2012 i2b2 Clinical Temporal Relation Challenge, and compare our own home-grown system Chrono to identify specific areas in need of improvement. Performance metrics and an error analysis reveal that all systems have reduced performance in normalization of relative temporal expressions, specifically in disambiguating temporal types and in the identification of the correct anchor time. To address the issue of temporal disambiguation we developed and integrated a module into Chrono that utilizes temporally fine-tuned contextual word embeddings to disambiguate relative temporal expressions. Chrono now achieves state-of-the-art performance for temporal disambiguation of relative temporal expressions in clinical text, and is the only TERN system to output dual annotations into both TimeML and SCATE schemes.

A Lean Case Study On Managing Interlibrary Loan and Document Delivery Service in an Academic Library

Interlibrary loan and document delivery (ILL/DD) is an essential service provided by academic libraries to support research activities, publication and academic programmes. ILL/DD service capitalises on resource sharing or library networking by providing library materials that are not available at the host library. The Lean Six Sigma method was applied to identify the root problems. A construction of a web-based system branded as “Request Book and Article System (RBAS)” soon followed as an intervention. A retrospective study was conducted from March 2020 to August 2021 (16 months) to evaluate the key indicators of the service. Customer feedback on service quality was also surveyed. The majority of request was for articles, 649 (87.5%), followed by book request 84 (11.3%) and ebook, 9 (1.2%). Turnaround time fell within 24 hours for the majority of requests, 494 (68.4%). The highest number was from article request category, 460 (71.8%). A high proportion of users (78%) deemed the service as “high quality”. The use of a lean approach and the development of a homegrown system have improved the ILL/DD service at our library. Here we share lean practices in ILL/DD management, focusing on transforming a manual method to a digital homegrown system development and its advantages.

A Tool to Retrieve Alert Dwell Time from a Homegrown Computerized Physician Order Entry (CPOE) System of an Academic Medical Center: An Exploratory Analysis

Alert dwell time, defined as the time elapsed from the generation of an interruptive alert to its closure, has rarely been used to describe the time required by clinicians to respond to interruptive alerts. Our study aimed to develop a tool to retrieve alert dwell times from a homegrown CPOE (computerized physician order entry) system, and to conduct exploratory analysis on the impact of various alert characteristics on alert dwell time. Additionally, we compared this impact between various professional groups. With these aims, a dominant window detector was developed using the Golang programming language and was implemented to collect all alert dwell times from the homegrown CPOE system of a 726-bed, Taiwanese academic medical center from December 2019 to February 2021. Overall, 3,737,697 interruptive alerts were collected. Correlation analysis was performed for alerts corresponding to the 100 most frequent alert categories. Our results showed that there was a negative correlation (ρ = −0.244, p = 0.015) between the number of alerts and alert dwell times. Alert dwell times were strongly correlated between different professional groups (physician vs. nurse, ρ = 0.739, p < 0.001). A tool that retrieves alert dwell times can provide important insights to hospitals attempting to improve clinical workflows.

Work without Labor: Life in the Surround of a Rural Prison Town

This article challenges the idea that the U.S. prison boom is a federally driven fix. By assembling a two-hundred-year regional history of Cliptown, New Jersey—a rural town with five prisons and three police departments—the article indicates that prisons appear not as an external fix but as the most recent technological iteration of a homegrown system that has always functioned to capture labor through white supremacist domination. Locally historicizing the evolution of this dominating system, however, refuses to concede the final word to prisons and earlier confinement technologies, concluding, instead, in an alternative space that exceeds the capture of confinement, where formerly incarcerated people collaborate to expand freedoms and to practice being unavailable for confinement’s servitude.

A novel method to retrieve alerts from a homegrown Computerized Physician Order Entry (CPOE) system of an academic medical center: Comprehensive alert characteristic analysis.

BackgroundThe collection and analysis of alert logs are necessary for hospital administrators to understand the types and distribution of alert categories within the organization and reduce alert fatigue. However, this is not readily available in most homegrown Computerized Physician Order Entry (CPOE) systems.ObjectiveTo present a novel method that can collect alert information from a homegrown CPOE system (at an academic medical center in Taiwan) and conduct a comprehensive analysis of the number of alerts triggered and alert characteristics.MethodsAn alert log collector was developed using the Golang programming language and was implemented to collect all triggered interruptive alerts from a homegrown CPOE system of a 726-bed academic medical center from November 2017 to June 2018. Two physicians categorized the alerts from the log collector as either clinical or non-clinical (administrative).ResultsOverall, 1,625,341 interruptive alerts were collected and classified into 1,474 different categories based on message content. The sum of the top 20, 50, and 100 categories of most frequently triggered alerts accounted for approximately 80, 90 and 97 percent of the total triggered alerts, respectively. Among alerts from the 100 most frequently triggered categories, 1,266,818 (80.2%) were administrative and 312,593 (19.8%) were clinical alerts.ConclusionWe have successfully developed an alert log collector that can serve as an extended function to retrieve alerts from a homegrown CPOE system. The insight generated from the present study could also potentially bring value to hospital system designers and hospital administrators when redesigning their CPOE system.

Tube Housing as Dominant System and Everyday Urban Culture of Saigon-Ho Chi Minh City

Saigon-Ho Chi Minh City (HCMC) is a typical 21st-century mega-city coping with informal hyper-growth. Government planners are under pressure to provide mass housing, transit and utilities. Yet HCMC has developed a distinctive and effective homegrown informal housing system based on ‘tube housing’. This system of dense housing, motorcycle transport and laneways embodies an integrated everyday urban culture whereby each of its purposes (work, commerce, rest and recreation) in turn shapes the whole urban form. As such, it is argued that these everyday forms of urbanism should be respected and incorporated by city planners into their masterplans rather than be viewed as anachronistic, illegal forms to be overcome and deconstructed.

News - Briefing. Space - UK considers scrapping homegrown satellite navigation system

News - Briefing. Space - UK considers scrapping homegrown satellite navigation system

Twilighted Homegrown Systems: The Experience of Six Traditional Electronic Health Record Developers in the Post-Meaningful Use Era.

Objectives This study aimed to understand if and how homegrown electronic health record (EHR) systems are used in the post–Meaningful Use (MU) era according to the experience of six traditional EHR developers. Methods We invited informatics leaders from a convenience sample of six health care organizations that have recently replaced their long used homegrown systems with commercial EHRs. Participants were asked to complete a written questionnaire with open-ended questions designed to explore if and how their homegrown system(s) is being used and maintained after adoption of a commercial EHR. We used snowball sampling to identify other potential respondents and institutions. Results Participants from all six organizations included in our initial sample completed the questionnaire and provided referrals to four other organizations; from these, two did not respond to our invitations and two had not yet replaced their system and were excluded. Two organizations (Columbia University and University of Alabama at Birmingham) still use their homegrown system for direct patient care and as a downtime system. Four organizations (Intermountain Healthcare, Partners Healthcare, Regenstrief Institute, and Vanderbilt University) kept their systems primarily to access historical data. All organizations reported the need to continue to develop or maintain local applications despite having adopted a commercial EHR. The most common applications developed include display and visualization tools and clinical decision support systems. Conclusion Homegrown EHR systems continue to be used for different purposes according to the experience of six traditional homegrown EHR developers. The annual cost to maintain these systems varies from $21,000 to over 1 million. The collective experience of these organizations indicates that commercial EHRs have not been able to provide all functionality needed for patient care and local applications are often developed for multiple purposes, which presents opportunities for future research and EHR development.

Transforming data into actionable insights

As this supplement goes to press, the Veteran Health Administration’s (VHA) electronic health record system is undergoing a critical transition; from a largely home-grown system to a widely used co...

Number of Players with Different Training Environments in J-Club Youth and High Schools and Universities in Relation to the J-league Home-Grown System

Number of Players with Different Training Environments in J-Club Youth and High Schools and Universities in Relation to the J-league Home-Grown System

The eyes have it: Using eye-tracking to evaluate a library website

When Western New England University announced its intentions to switch over its entire website from a legacy homegrown system to a brand new CMS, we were faced with moving all content on the library’s website from one platform to another over the course of a summer. We needed to make our content fit into a strict new design scheme, but also wanted to take full advantage of the switch and use it as an opportunity to make our content work even better for our students.

Providing digital access to newsfilm and news videotape content at the University of Georgia Libraries: A brief history

The Brown Media Archives & Peabody Awards Collection (BMA) at the University of Georgia Libraries has been providing online digital access to newsfilm content for over a decade. Its largest collection of local newsfilm is from Atlanta’s WSB-TV and dates from 1948 to 1982. The BMA’s existing database, a home-grown system developed in 2000, has served well; however, it is approaching the end of its useful life and it is time to decide how best to provide ongoing access to current content and anticipate the future needs of the Archives and its users. The BMA also houses the WSB Videotape Collection, which dates from 1976 to 2010, and is providing descriptive access to part of that collection using Collective Access, an open source content management system. This paper looks briefly at the history of the news collections, discusses the challenges associated with the provision of digital access to such historic content and considers the BMA’s evolving needs, including the migration of metadata and digital content going forward.

Beyond COUNTER-Compliant: Ways to Assess E-Resources Reporting Tools

ABSTRACTThis article describes the implementation of ProQuest’s usage assessment tool, 360 COUNTER [Counting Online Usage of Networked Electronic Resources], at Yale University Library, and the subsequent methods used by Yale’s E-Resources Group to assess the accuracy of its reporting output compared to the original data seen in COUNTER reports. The assessment of the usage reporting tool took place in multiple phases, and involved working closely with ProQuest to understand how COUNTER data were being normalized behind the scenes for consolidation to the Authority Title. The assessment method used to evaluate the reporting accuracy can be adapted and modified for other usage assessment tools. This article also discusses how Yale has begun to modify the use of 360 COUNTER over time, using it in combination with a home-grown system built within Tableau.

A Clean Sweep: The Tools and Processes of a Successful Metadata Migration

ABSTRACTIn 2016, the University of Utah's J. Willard Marriott Library migrated digital asset management systems from CONTENTdm, a vendor-provided solution from OCLC, to Solphal, a homegrown system utilizing several open source tools. During the migration, issues with metadata led to a large-scale metadata cleanup and standardization project, enhancing discovery in the new system. This article discusses the method used to determine which system would best meet the library's needs, methods for metadata migration, issues observed during migration, metadata management capabilities of the new system, and future plans for post-migration metadata cleanup and remediation to ensure that the metadata is consistent with best practices.

Massive Newspaper Migration - Moving 22 Million Records from CONTENTdm to Solphal

Utah Digital Newspapers is a pioneering digital newspapers program at the University of Utah J. Willard Marriott Library. Recently, a small project team completed a successful migration away from CONTENTdm onto a home-grown system called Solphal, built using open-source applications. The migration process is detailed along with examples of scripts used to prepare and enhance metadata. Transitioning away from a limiting vendor-based solution to a home-grown system has enabled the Utah Digital Newspapers program to be more responsive to user requests as well as realizing greater efficiencies in hardware and software. The platform has opened up new possibilities for the future as the collection continues to grow.

Acceptance of homegrown enterprise resource planning (ERP) systems in Ethiopia

In the current competitive global market, organizations are implementing information and communication technology (ICT) that could add value to their products, processes, and satisfaction of their users. The adoption, implementation and use of homegrown enterprise resource planning (ERP) systems is one of these mechanisms being globally used for recording, processing, storing, and exchanging organizational information anytime anywhere. Although organizations have been utilizing ERP systems, the acceptance of homegrown ERP systems is given less attention as compared to commercial off-the shelf (COTS) software. Hence, this research studied factors that determine acceptance of homegrown ERP through the extension of unified theory of acceptance and use of technology (UTAUT) model. The finding revealed that performance expectancy, effort expectancy, social influence, competitive advantage, cost effectiveness, and facilitations functions are determinants of homegrown ERP system acceptance in Ethiopia. Moreover, experience and voluntariness are found to be significant moderators of the study.

Digital degree audits boost completion rates, foster collaboration with faculty and students

ANAHEIM, CALIF. — Implementing new technology is never without challenges, but implementing a digital degree audit system has meant big rewards for the University of California, Santa Barbara Registrar's Office. In a session at the Pacific Association for Registrars and Admissions Officers annual conference, a team of registrars from UCSB discussed the migration of their degree auditing system from a homegrown system to the Degree Audit Reporting System. The new system implementation has, according to the presenters, led to a higher completion rate, including a 50 percent decrease in nongraduated students (those students either eligible to graduate and for whatever reason don't or those students on track to graduate, with either fulfilled or close to fulfilled credit requirements, who don't complete their degree) within eight years while increasing collaboration between the Registrar's Office and academic departments on campus. Sara Cook, assistant registrar; Anthony Schmid, associate registrar; and Leesa Beck, university registrar, shared how the adoption of DARS has improved student self‐service for degree evaluation, strengthened interdepartmental ties with faculty, and boosted completion rates on campus.

Health Centers after Fifty Years: Lessons from the Health Disparities Collaboratives.

The fertile social movements of the 1960s in the United States gave birth to the community health center model. During the past 50 years, health centers have emerged as a national primary care institution serving over 20 million of the nation's most vulnerable people. Founded on the shared health center mission and commitment to collective action, the Health Disparities Collaboratives (HDC) provided a cultural and social milieu for accelerated learning as well as a homegrown system and infrastructure for collaborative learning and improvement. Although the HDC only existed during the years from 1999-2006, they generated positive health outcomes and strengthened the capacity of health centers for quality improvement. After a description of the history and the characteristics of the HDC, six recommendations are presented for the re-design and implementation of a second-generation health center learning and improvement system.

Emergency Physician Task Switching Increases With the Introduction of a Commercial Electronic Health Record

We evaluate how the transition from a homegrown electronic health record to a commercial one affects emergency physician work activities from initial introduction to long-term use. We completed a quasi-experimental study across 3 periods during the transition from a homegrown system to a commercially available electronic health record with computerized provider order entry. Observation periods consisted of pre-implementation, 1 month before the implementation of the commercial electronic health record; "go-live" 1 week after implementation; and post-implementation, 3 to 4 months after use began. Fourteen physicians were observed in each period (N=42) with a minute-by-minute observation template to record emergency physician time allocation across 5 task-based categories (computer, verbal communication, patient room, paper [chart/laboratory results], and other). The average number of tasks physicians engaged in per minute was also analyzed as an indicator of task switching. From pre- to post-implementation, there were no significant differences in the amount of time spent on the various task categories. There were changes in time allocation from pre-implementation to go-live and go-live to pre-implementation, characterized by a significant increase in time spent on computer tasks during go-live relative to theother periods. Critically, the number of tasks physicians engaged in per minute increased from 1.7 during pre-implementation to 1.9 during post-implementation (difference 0.19 tasks per minute; 95% confidence interval 0.039 to 0.35). The increase in the number of tasks physicians engaged in per minute post-implementation indicates that physicians switched tasks more frequently. Frequent task switching behavior raises patient safety concerns.