Yu, Ping

Overview

Assoc. Prof. Yu is the Director of Centre for Digital Transformation in School of Computing and Information Technology, University of Wollongong, Australia. She also leads the Group of Digital Health and Digital Aged Care in Smart Infrastructure Facility at UOW. She is an Elected Fellow of Australasian College of Health Informatics and an Associate Editor of BMC Medical Informatics and Decision Making.

Assoc. Prof. Yu is a leader in collaborative, industry-based research that advocates and supports the digital transformative agenda of health and aged care sectors in Australia and overseas. Taking social technical approach to joint problem solving, she has successfully planned and executed complex, multi-method research on the design, adoption, usage and impact of digital technology in health and aged care for 18 years. Her passion and contribution have been recongised by Don Walker Award from Health Informatics Society Australia for improving access to digital technology by the under-developed economy (aged care) early in 2008. Once again, she led a multi-disciplinary team to win the 2019 Research OSCAR (ROSCAR) Award for the Best Multi-disciplinary Project at Illawarra and Shoalhaven Local Health District.

Assoc. Prof. Yu is one of the earliest researchers in the world to pursue mobile health research. She pioneered the digital health adoption research in residential aged care early in 2003. Sustained leadership has seen her team to contribute a substantial body of cutting-edge knowledge in digital aged care, i.e., electronic nursing documentation and digital solutions for continence care, wound care and medication management. Assoc. Prof. Yu also led the digital transformation of patient appointment system in a primary health care clinic in Australia.

Assoc. Prof. Yu’s recent digital transformative effort is focused on secondary use of electronic health records, applying artificial intelligence and data analytics to optimise health and aged care services. Some exemplar projects are (1) application of theory-based, mobile and social media technology for digital transformation of consumer lifestyle and chronic disease management; (2) hospital patient journey mapping and treatment process optimisation; (3) ontology driven, multi-agent technology to improve aged care services; and (4) observational study and data analytics to optimise resource utilisation in health and aged care.

Assoc. Prof. Yu has supervised to completion 8 PhD students, generated 135 peer refereed publications and attracted competitive grants over two million Australian dollars. Currently she supervises 9 PhD candidates.

Top Publications

Year	Title
2009	Health IT acceptance factors in long-term care facilities: A cross-sectional survey Published in International Journal of Medical Informatics
2011	Quality of nursing documentation and approaches to its evaluation: a mixed-method systematic review Published in Journal of Advanced Nursing
2015	Using diffusion of innovation theory to understand the factors impacting patient acceptance and use of consumer e-health innovations: a case study in a primary care clinic Published in BMC Health Services Research
2017	Comparison of the effectiveness of two styles of case-based learning implemented in lectures for developing nursing students’ critical thinking ability: A randomised controlled trial Published in International Journal of Nursing Studies

Research Areas

Geographic Focus

Australia Country
China Country
Illawarra Shoalhaven region Geographic Region
Ningxia Province State or Province

Selected Publications

Journal Article

Year	Title
2020	Developing an ontology for representing the domain knowledge specific to non-pharmacological treatment for agitation in dementia Published In Alzheimer's and Dementia Volume 6 Pages e12061-1 - e12061-17 ISSN 1552-5279 Altmetric
2020	Does electronic medical record redesign increase screening of risk for pressure injury, falls and substance use in the Emergency Department? An implementation evaluation Published In Australasian Emergency Care Altmetric
2020	From Ideal to Reality: Segmentation, Annotation, and Recommendation, the Vital Trajectory of Intelligent Micro Learning Published In World Wide Web Volume Online First Pages 1 - 21 ISSN 1386-145X Altmetric
2020	Heterogeneity in clinical research data quality monitoring: a national survey Published In Journal of Biomedical Informatics Volume 108 Pages 103491-1 - 103491-11 ISSN 0010-4809 Altmetric
2020	Identifying return visits to the Emergency Department: A multi-centre study Published In Australasian Emergency Care Altmetric
2020	The contribution of electronic health records to risk management through accreditation of residential aged care homes in Australia Published In BMC Medical Informatics and Decision Making Volume 20 ISSN 1472-6947 Altmetric
2019	A study design to model clinical management process for the health and wellbeing of patients with alcohol use disorders Published In Studies in Health Technology and Informatics Volume 264 Pages 1753 - 1754 ISSN 1879-8365 Altmetric
2019	Contradictions in information technology mediated work in long-term care: An activity theoretic ethnographic study Published In International Journal of Nursing Studies Volume 98 Pages 9 - 18 ISSN 0020-7489 Altmetric
2019	Identification of the essential components of quality in the data collection process for public health information systems Published In Health Informatics Journal Volume Online First Pages 1 - 19 ISSN 0965-8335 Altmetric
2019	Investigating the management of alcohol‐related presentations in an Australian teaching hospital Published In Drug and Alcohol Review Volume 38 Pages 190 - 197 ISSN 0959-5236 Altmetric
2019	Long-term care services and care workers in Hangzhou City, China: A cross-sectional survey Published In Journal of Nursing Management Volume 27 Pages 1546 - 1553 ISSN 0966-0429 Altmetric
2019	Mobile Health Interventions for Self-Control of Unhealthy Alcohol Use: Systematic Review Published In JMIR mHealth and uHealth Volume 7 Pages e10899-1 - e10899-14 ISSN 2291-5222 Altmetric
2019	The use of theory in mobile health interventions for patient self-management of chronic diseases Published In Studies in Health Technology and Informatics Volume 264 Pages 1982 - 1983 ISSN 1879-8365 Altmetric
2019	Towards the Readiness of Learning Analytics Data for Micro Learning Published In Lecture Notes in Computer Science Volume 11515 Pages 66 - 76 Altmetric
2019	Using inpatient portals to engage family caregivers in acute care setting: A literature review Published In Studies in Health Technology and Informatics Volume 264 Pages 1627 - 1628 ISSN 1879-8365 Altmetric
2019	Work Pattern of Neurology Nurses in a Chinese Hospital: a Time and Motion Study Published In Journal of Nursing Management Volume 27 Pages 320 - 329 ISSN 0966-0429 Altmetric
2018	Evaluating the effect of a Web-based e-learning tool for health professional education on clinical vancomycin use: a comparative study Published In JMIR Medical Education Volume 4 Pages 1 - 9
2018	Defining and Developing a Generic Framework for Monitoring Data Quality in Clinical Research Published In AMIA Annual Symposium Proceedings. Volume 2018 Pages 1300 - 1309
2018	Developing a theoretical model and questionnaire survey instrument to measure the success of electronic health records in residential aged care Published In PLoS One Volume Online First Pages 1 - 18 ISSN 1932-6203 Altmetric
2018	Effect of passive finger exercises on grip strength and the ability to perform activities of daily living for older people with dementia: a 12-week randomized controlled trial Published In Clinical Interventions in Aging Volume 2018 Pages 2169 - 2177 ISSN 1176-9092 Altmetric
2018	Exploring Data Quality Management within Clinical Trials Published In Applied Clinical Informatics - ACI Volume 9 Pages 72 - 81 Altmetric
2018	Medication administration process in a residential aged care home: An observational study Published In Journal of Nursing Management Volume 26 Pages 1033 - 1043 ISSN 0966-0429 Altmetric
2017	Accuracy of outpatient service data for activity-based funding in New South Wales, Australia Published In Health Information Management Journal Volume 46 Pages 78 - 86 ISSN 1833-3583 Altmetric
2017	Comparison of the effectiveness of two styles of case-based learning implemented in lectures for developing nursing students’ critical thinking ability: A randomised controlled trial Published In International Journal of Nursing Studies Volume 68 Pages 16 - 24 ISSN 0020-7489 Altmetric
2017	Data quality of the Chinese National AIDS information system: A critical review Published In Studies in Health Technology and Informatics Volume 245 Pages 1352 - 1352 ISSN 1879-8365 Altmetric
2017	Design and Implementation of a Novel Web-Based E-Learning Tool for Education of Health Professionals on the Antibiotic Vancomycin Published In Journal of Medical Internet Research Volume 9 Pages e93-1 - e93-13 ISSN 1438-8871 Altmetric
2017	Game-based interventions and their impact on dementia: a narrative review Published In Australasian Psychiatry Volume 25 Pages 562 - 565 ISSN 1039-8562 Altmetric
2017	Patients’ Acceptance of Smartphone Health Technology for Chronic Disease Management: A Theoretical Model and Empirical Test Published In JMIR mHealth and uHealth Volume 5 Page p. e177 ISSN 2291-5222 Altmetric
2017	The effect of nursing participation in the design of a critical care information system: a 4 case study in a Chinese hospital Published In BMC Medical Informatics and Decision Making Volume 165 Pages 1 - 12 ISSN 1472-6947 Altmetric
2016	Caregivers Time Utilization Before and After the Introduction of an Electronic Nursing Documentation System in a Residential Aged Care Facility Published In Journal of Ergonomics Volume 6 Pages 1 - 4 Altmetric
2016	Doing infrastructural work: The role of boundary objects in health information infrastructure projects Published In Scandinavian Journal of Information Systems Volume 28 Pages 28 - 56 ISSN 0905-0167
2016	Factors influencing nursing time spent on administration of medication in an Australian residential aged care home Published In Journal of Nursing Management Volume 24 Pages 427 - 434 ISSN 0966-0429 Altmetric
2016	National electronic health record systems as 'wicked projects': the Australian experience Published In Information Polity: An International Journal of Government and Democracy in the Information Age Volume 21 Pages 367 - 381 ISSN 1570-1255 Altmetric
2016	Nursing staff work patterns in a residential aged care home: a time-motion study Published In Australian Health Review Volume 40 Pages 544 - 554 ISSN 0156-5788 Altmetric
2016	The future of informatics in aged care: an international perspective Published In Studies in Health Technology and Informatics Volume 225 Pages 780 - 782 ISSN 1879-8365 Altmetric
2016	The impact of electronic health records on risk management of information systems in Australian residential aged care homes Published In Journal of Medical Systems Volume 40 Pages 204-1 - 204-7 ISSN 0148-5598 Altmetric
2015	The impact of electronic medication administration records in a residential aged care home Published In International Journal of Medical Informatics Volume 84 Pages 966 - 973 ISSN 1386-5056 Altmetric
2015	The quality of paper-based versus electronic nursing care plan in Australian aged care homes: A documentation audit study Published In International Journal of Medical Informatics Volume 84 Pages 561 - 569 ISSN 1386-5056 Altmetric
2015	The relationship between using electronic health records and meeting accreditation standards for client safety in residential aged care homes Published In Studies in Health Technology and Informatics Volume 214 Pages 134 - 138 ISSN 1879-8365 Altmetric
2015	Urinary continence care in Australian nursing homes Published In Australian Journal of Advanced Nursing Volume 32 Pages 39 - 46 ISSN 0813-0531
2015	Using diffusion of innovation theory to understand the factors impacting patient acceptance and use of consumer e-health innovations: a case study in a primary care clinic Published In BMC Health Services Research Volume 15 Pages 1 - 15 ISSN 1472-6963 Altmetric
2014	A review of data quality assessment methods for public health information systems Published In International Journal of Environmental Research and Public Health Volume 11 Pages 5170 - 5207 ISSN 1660-4601 Altmetric
2014	An exploration of the effects of introducing a telemonitoring system for continence assessment in a nursing home Published In Journal of Clinical Nursing Volume 23 Pages 3069 - 3076 ISSN 0962-1067 Altmetric
2014	Assisting an elderly with early dementia using wireless sensors data in smarter safer home Published In IFIP Advances in Information and Communication Technology Volume 426 Pages 398 - 404 ISSN 1868-4238 Altmetric
2014	Development of the quality of Australian nursing documentation in aged care (QANDAC) instrument to measure paper-based and electronic resident records Published In Australasian Journal on Ageing Volume 33 Pages E18 - E24 ISSN 1440-6381 Altmetric
2014	The effect of an electronic health record system on nursing staff time in a nursing home: a longitudinal cohort study Published In Australasian Medical Journal Volume 7 Pages 285 - 293 ISSN 1836-1935 Altmetric
2014	The impact of electronic health records on client safety in aged care homes Published In Studies in Health Technology and Informatics Volume 201 Pages 116 - 123 ISSN 1879-8365 Altmetric
2014	Time spent on daytime direct care activities by personal carers in two Australian residential aged care facilities: a time-motion study Published In Australian Health Review Volume 38 Pages 230 - 237 ISSN 0156-5788 Altmetric
2013	Caregivers' time utilization before and after the introduction of an electronic nursing documentation system in a residential aged care facility Published In Methods of Information in Medicine: journal of methodology in medical research, information and documentation Volume 52 Pages 403 - 410 ISSN 0026-1270 Altmetric
2013	Cost-effectiveness of telehealth in the management of chronic conditions Published In Journal of Comparative Effectiveness Research Volume 2 Pages 379 - 381 Altmetric
2013	Description and comparison of documentation of nursing assessment between paper-based and electronic systems in Australian aged care homes Published In International Journal of Medical Informatics Volume 82 Pages 789 - 797 ISSN 1386-5056 Altmetric
2013	Description and comparison of quality of electronic versus paper-based resident admission forms in Australian aged care facilities Published In International Journal of Medical Informatics Volume 82 Pages 313 - 324 ISSN 1386-5056 Altmetric
2013	Do we have the reliable data? An exploration of data quality for AIDS information system in China Published In Studies in Health Technology and Informatics Volume 192 Pages 1042 - 1042 ISSN 1879-8365 Altmetric
2013	Measuring the performance of electronic health records: a case study in residential aged care in Australia Published In Studies in Health Technology and Informatics Volume 192 Pages 1035 - 1035 ISSN 1879-8365 Altmetric
2013	Model medication management process in Australian nursing homes using business process modeling Published In Studies in Health Technology and Informatics Volume 192 Pages 1061 - 1061 ISSN 1879-8365 Altmetric
2013	Unintended adverse consequences of introducing electronic health records in residential aged care homes Published In International Journal of Medical Informatics Volume 82 Pages 772 - 788 ISSN 1386-5056 Altmetric
2012	Aged care IT in Australia-the past, present and future Published In Electronic Journal of Health Informatics Volume 7 Pages 1 - 3 ISSN 1446-4381
2012	Evaluating the impact of implementing of a new wireless telemonitoring system for urinary continence management for older people living in nursing homes Published In Neurourology and Urodynamics Volume 31 Pages 974 - 975 ISSN 1520-6777
2012	Managing collaboration across boundaries in health information technology projects Published In Studies in Health Technology and Informatics Volume 178 Pages 58 - 63 ISSN 1879-8365 Altmetric
2012	Patients perceptions of web self-service applications in primary healthcare Published In Studies in Health Technology and Informatics Volume 178 Pages 242 - 249 ISSN 1879-8365 Altmetric
2012	The benefits of introducing electronic health records in residential aged care facilities: A multiple case study Published In International Journal of Medical Informatics Volume 81 Pages 690 - 704 ISSN 1386-5056 Altmetric
2012	The impact of an electronic nursing documentation system on efficiency of documentation by caregivers in a residential aged care facility Published In Journal of Clinical Nursing Volume 21 Pages 2940 - 2948 ISSN 0962-1067 Altmetric
2012	The work pattern of personal care workers in two Australian nursing homes: a time-motion study Published In BMC Health Services Research Volume 12 Pages 1 - 3 ISSN 1472-6963 Altmetric
2011	A preliminary investigation of complex adaptive systems as a model for explaining organisational change caused by the introduction of health information systems Published In Electronic Journal of Health Informatics Volume 6 Pages 1 - 7 ISSN 1446-4381
2011	Developing measurements of the quality of electronic versus paper-based nursing documentation in Australian aged care homes Published In Electronic Journal of Health Informatics Volume 6 Pages 1 - 6 ISSN 1446-4381
2011	Does the introduction of an electronic nursing documentation system in a nursing home reduce time on documentation for the nursing staff? Published In International Journal of Medical Informatics Volume 80 Pages 782 - 792 ISSN 1386-5056 Altmetric
2011	How nursing staff spend their time on activities in a nursing home: an observational study Published In Journal of Advanced Nursing Volume 67 Pages 1908 - 1917 ISSN 0309-2402 Altmetric
2011	Methods to evaluate health information systems Published In Journal of Medical Informatics Volume 32 Pages 15 - 21 ISSN 1673-6036
2011	Piloting a logic-based framework for understanding organisational change process for a health IT implementation Published In Studies in Health Technology and Informatics Volume 168 Pages 44 - 50 ISSN 1879-8365 Altmetric
2011	Quality of nursing documentation and approaches to its evaluation: a mixed-method systematic review Published In Journal of Advanced Nursing Volume 67 Pages 1858 - 1875 ISSN 0309-2402 Altmetric
2011	The changes in caregivers' perceptions about the quality of information and benefits of nursing documentation associated with the introduction of an electronic documentation system in a nursing home Published In International Journal of Medical Informatics Volume 80 Pages 116 - 126 ISSN 1386-5056 Altmetric
2010	Critical factors for the successful introduction of information and communication technologies into health care organisations Published In Journal of Medical Informatics Volume 31 Pages 1 - 7 ISSN 1673-6036
2010	Different usage of the same oncology information system in two hospitals in Sydney--lessons go beyond the initial introduction Published In International Journal of Medical Informatics Volume 79 Pages 422 - 429 ISSN 1386-5056 Altmetric
2009	Health IT acceptance factors in long-term care facilities: A cross-sectional survey Published In International Journal of Medical Informatics Volume 78 Pages 219 - 229 ISSN 1386-5056 Altmetric
2009	The development and evaluation of a PDA-based method for public health surveillance data collection in developing countries Published In International Journal of Medical Informatics Volume 78 Pages 532 - 542 ISSN 1386-5056 Altmetric
2008	Caregivers' acceptance of electronic documentation in nursing homes Published In Journal of Telemedicine and Telecare Volume 14 Pages 261 - 265 ISSN 1357-633X Altmetric
2007	Heuristic evaluation of an online help system for an e-health application Published In Journal of Telemedicine and Telecare Volume 13 Pages 107 - 107 ISSN 1357-633X Altmetric
2007	Nursing information systems: applying usability testing to assess the training needs for nursing students Published In Methods of Information in Medicine: journal of methodology in medical research, information and documentation Volume 46 Pages 416 - 419 ISSN 0026-1270 Altmetric
2007	The perceptions of aged care workers about the adoption of e-health applications in residential aged care in Australia Published In Journal of Telemedicine and Telecare Volume 13 Pages 110 - 110 ISSN 1357-633X

Book

Year	Title
2017	The digitalization of health care: electronic records and the disruption of moral orders Publisher United Kingdom: Oxford University Press ISBN 9780198744139 Pages 196

Chapter

Year	Title
2019	Consumer health informatics Published In Encyclopedia of Gerontology and Population Aging Publisher Cham, Switzerland: Springer Page p. 1 ISBN 9783319698922 Altmetric
2019	Electronic health record Published In Encyclopedia of Gerontology and Population Aging Publisher Cham, Switzerland: Springer Page p. 1 ISBN 9783319698922 Altmetric
2019	Health 3.0 Published In Encyclopedia of Gerontology and Population Aging Publisher Cham, Switzerland: Springer Page p. 1 ISBN 9783319698922 Altmetric
2019	MedlinePlus Published In Encyclopedia of Gerontology and Population Aging Publisher Cham, Switzerland: Springer Page p. 1 ISBN 9783319698922 Altmetric
2019	Telenursing Published In Encyclopedia of Gerontology and Population Aging Publisher Cham, Switzerland: Springer Page p. 1 ISBN 9783319698922 Altmetric
2019	mHealth Published In Encyclopedia of Gerontology and Population Aging Publisher Cham, Switzerland: Springer Page p. 1 ISBN 9783319698922 Altmetric
2014	Battling the challenges of training nurses to use information systems through theory-based training material design Published In Investing in E-Health: People, Knowledge and Technology for a Healthy Future Publisher Netherlands: IOS Press Pages 32 - 37 ISBN 9781614994268 Altmetric
2014	Fitting clinical workflow: the case for wound care in a residential aged care home Published In Investing in E-Health: People, Knowledge and Technology for a Healthy Future Publisher IOS Press Pages 130 - 135 Altmetric
2014	Methods for assessing the quality of data in public health information systems: a critical review Published In Investing in E-Health: People, Knowledge and Technology for a Healthy Future Publisher IOS Press Pages 13 - 18 Altmetric
2014	Patients’ adoption of the e-appointment scheduling service: A case study in primary healthcare Published In Investing in E-Health: People, Knowledge and Technology for a Healthy Future Publisher IOS Press Pages 176 - 181 Altmetric
2014	Pre-implementation investigation of the readiness of allied health professionals to adopt electronic health records Published In Investing in E-Health: People, Knowledge and Technology for a Healthy Future Publisher IOS Press Pages 47 - 53 Altmetric

Conference Paper

Year	Title
2019	A Survey of Segmentation, Annotation, and Recommendation Techniques in Micro-Learning for Next Generation of OER Published In Proceedings of the 2019 IEEE 23rd International Conference on Computer Supported Cooperative Work in Design Pages 152 - 157 Altmetric
2017	Precision of EMR Data: The Case For a Drug and Alcohol Service Published In 16th World Congress on Medical and Health Informatics (MedInfo2017)
2017	Text data mining of aged care accreditation reports to identify risk factors in medication management in Australian residential aged care homes Published In 16th World Congress on Medical and Health Informatics (MedInfo2017) Pages 892 - 895 Altmetric
2012	Developing an online patient appointment scheduling system based on web services architecture Published In APAMI-2012: 7th Asia Pacific Association for Medical Informatics Conference Pages 1 - 6
2011	The work pattern of care workers in residential aged care facilities in Australia: A time and motion study Published In Health Informatics Conference
2010	A multi-method approach to evaluate health information systems Published In World Congress on Medical Informatics Pages 1231 - 1235 Altmetric
2010	Design an automatic appointment system to improve patient access to primary health care Published In Australasian Workshop on Health Informatics and Knowledge Management Pages 17 - 22
2010	Developing a socio-technical approach supporting communication process analysis in healthcare information system development Published In 18th Annual Health Informatics Conference, HIC 2010
2010	Development and testing of a work measurement tool to assess caregivers’ activities in Residential Aged Care Facilities Published In World Congress on Medical Informatics Pages 1226 - 1230 Altmetric
2010	Electronic documentation in residential aged care facilities – a review of the literature on organisational issues and early findings on initial conditions from a case study Published In Australasian Conference on Information Systems Pages 1 - 10
2009	Complex adaptive systems as a model for evaluating organisational change caused by the introduction of health information systems Published In Health Informatics Conference Pages 165 - 169
2009	Developing approaches to measure the quality of electronic versus paper-based nursing documentation in aged care homes Published In Health Informatics Conference Pages 126 - 131
2009	SIMsystemTM: User interface development and technology acceptance of a wireless based continence assessment system Published In Incontinence: The Engineering Challenge VII Pages 254 - 260
2008	Healthcare workers' readiness to adopt e-Health applications in public hospitals in regional Saudi Arabia: A case study Published In Saudi International Innovation Conference 2008 Pages 84 - 90
2007	A discussion about the importance of laws and policies for data sharing for public's health in P.R.China Published In World Congress on Medical Informatics Pages 316 - 319
2007	A multi-method approach to assessing health information systems end users' training needs Published In World Congress on Medical Informatics Pages 1352 - 1356
2007	Development of a specialist medical vocabulary for radiation oncology Published In World Congress on Medical Informatics Pages P342-1 - P342-3
2007	The acceptance of a clinical IT innovation by the care givers in residential aged care 11-weeks after the software implementation in Australia Published In International Conference on Wireless Communications, Networking and Mobile Computing Pages 6549 - 6552
2007	The quality indicators of delivering e-learning for dementia care to nurses Published In World Congress on Medical Informatics Page p. P048

Investigator On

Year	Title
3010	Continence Management Technology Awarded by: Victoria's Science Agenda Investment Fund Funding Scheme: Grant
2016 - 2021	Greener Cities Healthier Lives: Measuring the wider social benefits Awarded by: Horticulture Innovation Australia (HIA) Ltd Funding Scheme: Strategic Co-investment Pool
2019	Postoperative Delirium (POD): Improving detection, management and prevention of delirium to improve patient outcomes and staff competence Awarded by: NSW Health Funding Scheme: Translational Research Grants Scheme
2013 - 2014	How meaningful is the use of a national eHealth standards compliant electronic health records system - HTR Telhealth - in cancer care? Awarded by: NSW Government Funding Scheme: NSW Technology Vouchers (Techvouchers) Program Connectors Funds
2011 - 2014	Generating insights for the future: A retrospective, comparative study of attempts to implement large-scale electronic health record systems. Awarded by: Australian Research Council (ARC) Funding Scheme: Discovery Projects
2010 - 2011	Aged Care Continence Monitor Awarded by: Enterprise Connect Funding Scheme: Researchers in Business
2008	Introducing computer-based documentation to Residential Aged Care: a multi-method evaluation of success Awarded by: Australian Research Council (ARC) Funding Scheme: Linkage Projects

Impact Story

Digitisation of nursing records to support residential aged care services in Australia
Summary
The impacts of this line of research are generating research evidence to promote use of electronic nursing records to improve residential aged care services at a local level with individual aged care providers, supporting product marketing for the medical software companies producing these products, and at a regulatory level advising peak bodies and government. The next generation researchers in health information management and nursing have also been developed in the process.I gained full time employment as a lecturer in the School of Information Technology and Computer Science at the University of Wollongong in February 2002. Ever since I have established and consolidated research in health informatics by joining the research group Initiative for e-Health immediately and developing applied research that use multiple theories to solving problems in health information practice in a richly supportive research environment.My research in electronic nursing records in residential aged care has developed in parallel with the process of transformation from the “cottage industry” to consumer directed care in Australian aged care in the past 15 years. With the belief that the value of digital technology can only be realised through its application to solving real world problems, I have taken a social technical approach to conduct applied research, unpacking the maze of technology adoption and usage to support aged care services. My research agenda has always been co-developed with industry partner organisations. The research was conducted in residential aged care homes with participants being frontline aged care workers, nurses and managers. Being grateful of the enormous contribution of my industry supporters and participants to the research endeavour, I have always delivered value for them. Our team have always communicated our research findings timely to the partner organisations, workforce and public for aged care practice improvement, to the medical software companies for better product development, and to the peak bodies and government for technology policy development. The next generation nursing and health informatics researchers were developed in this journey, including seven PhD graduates. 

Detail View

Detail View Summary View
Detail of Impact
The pathway to impact started with a proactive approach to the local aged care organisations IRT and Warrigal Care to understand their needs for technology. With the management support, I led the third-year software engineering project students to develop prototype electronic nursing documentation systems for these organisations in 2002 – 2003. None of the organisations implemented our products due to a lack of resources and capacity to do so. This generated my interest in understanding and promoting adoption and usage of technology ever since.With support of UOW Industry Linkage grant and industry matching fund, we produced a landmark report to then UnitingCare Ageing Southeast Region, NSW entitled “<a href="https://search.informit.com.au/documentSummary;dn=449471200494455;res=IELHEA" target="_blank" rel="noopener">Capacity and willingness of residential aged care workers to use IT to manage care information</a>”. The report was publicly launched by then Minister of Ageing the Honorary Julie Bishop on July 28, 2005. In <a href="https://www.dropbox.com/s/dwobhycl860q8dl/MinisterMediaRelease.pdf?dl=0" target="_blank" rel="noopener">her media release</a>, the minister appraised our research endorsed Australian government’s approach to encouraging the uptake of digital technology in aged care. The report attracted substantial media attention, including “<a href="https://www.dropbox.com/s/aqix8vsey3zojb6/Dr%20Yu-Australian%20news-1.pdf?dl=0" target="_blank" rel="noopener">The Australian</a>” and has had significant influence on <a href="https://www.dropbox.com/s/e50tmanap768dpj/JoneMeganHESTAITresearch%20Aged%20Care.pdf?dl=0" target="_blank" rel="noopener">the attitude of Australian aged-care </a>towards introducing digital solutions into services.I was twice engaged by RSL Care to evaluate the organization’s pilot implementation of an electronic client care system in 2005 to 2007. Our research provided evidence for the decision makers in the organisation.Encouraged by the acquired value of the above collaborative research, in 2007 the four beneficiaries, IRT, Warrigal Care, UnitingCare Ageing and RSL Care, in conjunction with the peak body Aged Care and Community Services Australia, provided cash contribution to support us to submit a proposal entitled ‘introducing computer based documentation to residential aged care: a multi-method evaluation of success’ to Australian Research Council Industry Linkage Grant scheme.Funding support from the ARC Linkage Project LP0882430 in 2008 to 2012 has enabled me to establish a multi-disciplinary research team of three academics and three PhD candidates to systematically develop a body of knowledge about <a href="https://www.dropbox.com/s/ue8f6mxlownpieo/2008MediaReport.doc?dl=0" target="_blank" rel="noopener">the impacts of electronic nursing documentation systems on aged care services</a>. Every effort was made to transfer the generated knowledge to the partner organisations and the aged-care sector. Three milestone newsletters were disseminated to benefit the four partner organisations and 24 participating residential aged care homes in <a href="https://www.dropbox.com/s/nhi0o23vimclrty/AgedCare-e-DocNewsletter1.pdf?dl=0" target="_blank" rel="noopener">2010</a>, <a href="https://www.dropbox.com/s/uafes2zn16g1ubh/AgedCareEDocNewsletter2.pdf?dl=0" target="_blank" rel="noopener">2011</a> and <a href="https://www.dropbox.com/s/zha857lanhpyjha/AgedCare-e-DocNewsletter3.pdf?dl=0" target="_blank" rel="noopener">2012</a>. The newsletters were also disseminated to the aged care sector through the national conferences of the peak bodies Aged Care and Community Services Australia and Leading Age Services Australia. We gave more than 50 presentations in national and international academic and industry conferences including National Health Informatics Conference, Information Technology in Aged Care Conference and the national and regional Conferences of the two aged care peak bodies.The social impacts have been achieved through dissemination via media reports. For example, the magazine Australian Ageing Agenda reported our findings in Sep/Oct 2010 volume entitled ‘<a href="https://search.informit.com.au/fullText;dn=514755445593054;res=IELFSC" target="_blank" rel="noopener">Mixed results: electronic care software was supposed to make life easier but does the reality match the hype?</a>’ Aged Care Insite wrote ‘<a href="https://www.agedcareinsite.com.au/2011/08/human-connections/" target="_blank" rel="noopener">Human connections</a>’ on August 1, 2011. The Australian e-health magazine PULSE+IT reported ‘<a href="https://www.pulseitmagazine.com.au/news/aged-care/1487-ehrs-in-aged-care-the-good-the-bad-and-the-unintended" target="_blank" rel="noopener">EHR in aged care: the good, the bad and the unintended</a>” on July 2, 2013. Our findings about the benefits of electronic documentation are disseminated to international audience by the Journal of Prosthetic Dentistry. Illawarra Health and Medical Research Institute reported our findings entitled '<a href="https://ihmri.uow.edu.au/research-program/spotlight/UOW138918.html" target="_blank" rel="noopener">Electronic health records make life easier for care staff</a>' in December 2012. A paper we published in Journal of Advanced Nursing entitled “Quality of nursing documentation and approaches to its evaluation: a mixed-method systematic review” has the record of 3,455 readership according to Research Gate. All these articles are still available online, benefiting the community with interest in applying digital technology in aged care and nursing documentation.From 2013 onwards, we have conducted further study to collect “hard” evidence about the impact of electronic nursing documentation on risk management for client safety in residential aged care. We identified six risk factors for a residential aged care home to fail the information system accreditation standards, as well as the weakness of aged care accreditation in lacking objective measurement of care standards. On May 27, 2015, we met and shared our findings with the General Manager, Accreditation and his team in Australian Government Aged Care Quality Agency. The agency staff fully acknowledged our findings and admitted the weakness in the regulatory framework. To my knowledge, currently the Agency is in the process of consultation to develop a Single Aged Care Quality Framework to replace the current aged care quality framework.Our research have also benefited the Australian digital health companies that supply electronic documentation systems to aged care, such as iCare, Leecare Solutions and AutumnCare. These companies often quoted our findings in their marketing brochures. A cloud software solution provider Datanova publishes the key findings of our article about <a href="https://datanova.com.au/risk-management-impact-ehr-aged-care/" target="_blank" rel="noopener">risk management impact of EHR in aged care</a> on their website as evidence to support the use of their product by disability and aged care services in Australia.In this journey, I have gradually developed capacity in higher degree research supervision. With support from the VC's award for highly commended HDR supervision, I successfully completed seven PhD graduates. Two of them were awarded ‘<a href="https://media.uow.edu.au/news/UOW065358.html" target="_blank" rel="noopener">Highly Commended’ student scientific </a>papers in 2009 National Health Informatics Conference. Candidate Dr Ning Wang graduated with highly commended PhD thesis. 
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Trialing the Efficacy of a Medical Device SIM® for Continence Monitoring
Summary
According to the Deloitte Access Economics report, there were 4.8 million Australians aged over 15 years living with incontinence in 2010. The total financial cost of incontinence (excluding the burden of disease) was estimated to be $42.9 billion. Since 1996, Simavita, a start-up company headquartered in North Sydney, has been developing a revolutionary new product SIM® to help manage incontinence in aged care homes. SIM® remotely monitors continence events to make assessment easier, simpler and more accurate than existing manual methods. While the company had confidence in their new product, Simavita needed independent research and evidence to validate SIM® before taking it to market. “As a small and rapidly growing global business, Simavita does not have the significant research resources at its disposal as a larger company might,” said Simavita’s Chief Executive Officer Philippa Lewis.Dr Ping Yu from University of Wollongong’s School of Information Systems and Technology is an expert in the use of information technology to improve the effectiveness of healthcare and evaluation of health information systems.The company became aware of Enterprise Connect’s Researchers in Business program that provides funding to help place experts from universities or public research agencies with businesses to develop and implement new commercial ideas. <a href="https://www.dropbox.com/s/d597ix8ydn7nrmt/Enterprise-Connect-Success-Story-20110326.pdf?dl=0" target="_blank" rel="noopener">Enterprise Connect provided $50 000, matched by Simavita to engage University of Wollongong researchers, led by </a>Dr<a href="https://www.dropbox.com/s/d597ix8ydn7nrmt/Enterprise-Connect-Success-Story-20110326.pdf?dl=0" target="_blank" rel="noopener"> Yu to evaluate the product</a>. Researchers conducted two field trials in two aged care facilities and then evaluated the data to validate the efficacy of SIM®.OutcomeFollowing the validation of its product, Simavita moved quickly to take SIM® to market. The company is now listed on the Australian Securities Exchange with the symbol SVA. It is operating in Australia, Europe and North America.UOW and Simavita have continued their successful collaboration through commercial research. A multi-disciplinary team of researchers in Faculty of Informatics and Health & Behavioural Sciences, Dr Ping Yu, Prof. David Hailey, Prof. Richard Fleming and A/Prof. Victoria Traynor have published an original research paper to Journal of Advanced Nursing reporting the impact of SIM® on continence care in residential aged care homes in May 2012. They also disseminated the urinary continence care practices in Australian nursing homes to the international community through Australian Journal of Advanced Nursing in 2014.The story of our successful research collaboration was show-cased by NSW Enterprise Connect program, reported in Simavita’s web site and UOW in 2012. It was showcased as <a href="https://www.dropbox.com/s/2fhydhnt50k8gtz/ContinenceMonitor2014.pdf?dl=0" target="_blank" rel="noopener">a successful university and industry collaborative research case at UOW</a>.

Detail View

Detail View Summary View
Detail of Impact
In an industry event, I met then Chief Technology Officer Mr David Barda of Simavita Pty Ltd., who was looking for a reliable research partner organisation to provide consulting research to trial the world-first biomedical product SIM® that the company was developing in collaboration with CSIRO in 2008. After several discussions, David was confident with our team's capability and commitment to collaborate with the company in research and develop the product. Then we co-developed a research proposal for an evaluation research of their product in trial in residential aged care homes, and the budget for the project. A systematic literature review suggested that only a few studies had explored the effect of introducing tele-monitoring system on urinary continence care, none for older people in nursing homes. Therefore, the research was novel. Effort was given to understand the company's product, the disease and symptom of incontinence, and the practices of incontinence care in residential aged care homes. Based on the preliminary research, we developed the research plan. Two initial investigations were conducted in two residential aged care homes in Victoria. Two research reports were submitted to the company, which helped the company to acquire the objective feedback from the aged care workers about the product. This helped the company to position the product with realistic expectations, important for the future development of the product. My initial field research experience also confirmed my belief that the aged care workers were keen to adopt to use technical solutions to support care delivery. A collaborative approach to research and development was taken by the research team and the partner organisation Simavita and the engaged aged care provider organsations in the journey. In 2009, research assistant Zhenyu Zhang and I regularly traveled to the company in their North Sydney office to have project meetings with the company staff. The open, smooth communication facilitated the understanding of company's needs and direct translation of research findings into product development in the company. With NSW government Enterprise Connect funding support, our research team further conducted two field trials in two aged care homes in NSW, collected data to validate the advanced version of the SIM®. Our study demonstrates that the continence monitoring system can reduce volume of urine voided into continence aids, increase number of successful toileting events and increase adherence to urinary continence care plans by staff. During a 12-week trial, urinary continence assessment and management of older people were improved. 
Field of Research
Countries / Regions
Beneficiaries

Beneficiary Quantification Description
External Partners
Evidence of Impact

Evidence Description
UOW Centres / Programs
UOW Researchers / Collaborators

Advisees

Graduate Advising Relationship

Degree	Research Title	Advisee
Doctor of Philosophy (Integrated)	Using Data from the Electronic Medical Records to Support Type 2 Diabetes Management (Development of an eHealth initiative for managing Type 2 Diabetes).
Doctor of Philosophy	Exploring current data management within clinical research settings	Houston, Lauren
Doctor of Philosophy	To develop and evaluate a success model of mobile health interventions for consumer self-management of hypertension	Song, Ting
Doctor of Philosophy (Integrated)	Evaluating the impacts of mHealth to enhance self-management care of diabetic patients in Saudi Arabia	Alshoumr, Bader
Doctor of Philosophy	An Ontology to represent dementia and dementia care knowledge in computer readable format	Zhang, Zhenyu
Master of Research - EIS	Domain ontology for quality of care indicators measured in Australian Residential Aged Care Facilities	Yin, Cedar
Doctor of Philosophy	AI enhanced segmentation, annotation, and recommendation for micro-learning	Lin, Jiayin
Master of Research - EIS	Developing an instrument to evaluate the quality of dementia information website	Zhu, Yunshu
Doctor of Philosophy (Integrated)	Comparing Machine Learning Algorithms in Predicting Weight Gain or Loss	Alkhalaf, Mohammad
Doctor of Philosophy (Integrated)	Understanding Resistance to Health Information Technology (HIT)	Alabdulmunim, Abdulmonem
Master of Philosophy - EIS	Understanding journey of patients with alcohol use disorder in Illawarra & Shoalhaven Local Health District	Zhang, Jingxiang
Doctor of Philosophy	Green space and healthy ageing	John, Eme
Doctor of Philosophy (Integrated)	Data Missing Assessment and Improvement on Data Mining	Altuhaifa, Fatimah Abdulazim A
Master of Research - EIS	Machine learning to understand agitation management for people with dementia in residential aged care	Ke, Jiang
Doctor of Philosophy	Measuring Quality of Data Collection Process to Ensure Data Quality for Public Health Information Systems	Chen, Hong

Professional Service Activities

MedInfo: International Medical Informatics Conference Organiser for the workshop: Establishing a Smart Phone Enabled Chronic Disease Management Model in a Tertiary Hospital in China 2017 -
Pacific Asian Conference on Information Systems Ping Yu, I-Chiu Zhang, Xudong Lu, Ning Deng m-Health, what does it really differ from other e-health systems? 2015 -
Association of Information Systems Member 2014 -
Australasian College of Health Informatics Elected Fellow 2010 -
IEEE Computer Society Senior Member 2010 -
Health Informatics Society, Australia Member 2002 -

Outreach And Community Service Activities

IHMRI Chronic Conditions and Lifestyle Theme Leadership Group Executive Member 2017 -
UOW Workplace Advisory Committe Management Representative 2014 -
Academic Senate UOW, Member 2015 - 2019
Nursing Informatics Australia Executive Member 2007 - 2012
Standards Australia Health Informatics Committee participating in two work groups: Messaging and Communication, Electronic Health Records 2002 - 2010

Education And Training

M.C.S. in Computer, University of New England, School of Mathmatics and Computing 2000 - 2012
B.S. in Biology, Southwest University, P.R.China, 1981 - 1985
Ph.D. in Population Biology, University of New England 1996 - 2000
M.S. in Population Biology, Southwest University, P.R.China 1985 - 1988

Awards And Honors

Vice Chancellor’s Highly Commended Award for Research Supervision, conferred by University of Wollongong, 2012
Best Paper Award, conferred by Saudi International Innovation Conference. Leeds, Britain, 2008
Don Walker Award for Access , conferred by The Health Informatics Society Australia, 2008
The Excellent Paper Award, conferred by The 9th National Medical Informatics Conference, P.R.China, 2003

Teaching Overview

2019 Autumn
ISIT 333 Social Media and the Workplace
ISIT430/ISIT930 Introduction to Health Informatics

2018 Autumn
ISIT333 Social Media and the Workplace

2018 Spring
ISIT406/ISIT906/MICT906 Information Design and Content Management
ISIT410/ISIT910 IT-enabled Supply Chain Management

2017 Spring

ISIT406/ISIT906/MICT906 Information Design and Content Management

ISIT410/ISIT910 IT-enabled Supply Chain Management

2016 Spring

ISIT929 Concepts and Issues in Healthcare Computing

ISIT446/ISIT946 Project and Change Management

2015 Autumn

ISIT437/ISIT937 Information Technology Security and Risk Management

ISIT440/ISIT940 IT Research Methods

2015 Spring

ISIT406/ISIT906 Information Design and Content Management

2014 Autumn

ISIT430/ISIT930 Introduction to Health Informatics

2014 Spring

ISIT201/MCS9301 Information and Communication Security

ISIT929 Concepts and Issues in Healthcare Computing

2013 Autumn

ISIT405/ISIT905 Technology Management and Innovation

ISIT430/ISIT930 Introduction to Health Informatics

2013 Spring

ISIT409/ISIT909 Advanced Business Process Management

2012 Autumn

ISIT430/ISIT930 Introduction to Health Informatics

ISIT437/ISIT937 Information Technology Security and Risk Management

2011 Autumn

ISIT430/ISIT930 Introduction to Health Informatics

2011 Spring

ISIT446/ISIT946 Project and Change Management

2010 Autumn

ISIT416/ISIT916 Organisational Issues and Information Technology

ISIT430/ISIT930 Introduction to Health Informatics

2010 Spring

ISIT446/ISIT946 Project and Change Management

2009 Autumn

ISIT430/ISIT930 Introduction to Health Informatics

ISIT437/ISIT937 Information Technology Security and Risk Management

2009 Spring

ITCS301 Exploiting Collaborative Technology

2008 Autumn

BUSS952 Strategic Information Systems Management

ISIT937 Information Technology Security and Risk Management

2007Autumn

ITCS450/ITCS950 Patterns for e-Business

ITCS937 Security, Risk Management and Control for e-Commerce

2007 Spring

ITCS301 Exploiting Collaborative Technology

ITCS429/ITCS929 Concepts and Issues in Healthcare Computing

2006 Autumn

CSCI315/MCS9315 Database Design and Implementation

ITCS430/ITCS930 Introduction to Health Informatics

2006 Spring

IACT303/MCS9303 World Wide Networking

ITCS429/ITCS929 Concepts and Issues in Healthcare Computing

2005 Spring

IACT303/MCS9303 World Wide Networking

IACT932 Special Topics in IACT B

ITCS301 Exploiting Collaborative Technology

2004 Autumn

ITCS430/ITCS930 Introduction to Health Informatics

CSCI213 Java Program and Internet

2004 Spring

CSCI235 Databases

2003 Autumn

ITCS904 Database Systems

2003 Spring

CSCI213/ITCS907 Java Programming and Internet

2002 Autumn

ITCS904 Database Systems

2002 Spring

CSCI235 Databases

CSCI213/ITCS907 Java Programming and Internet

Keywords

e-health，m-health, evaluation, health information systems, health services research, aged care services research

Full Name

Assoc. Prof. Ping Yu, PhD

Mailing Address

School of Computing and Information Technology

University of Wollongong

Wollongong

NSW - New South Wales

2522

Australia

Geographic Location

University of Wollongong

Located In Facility

Building 3 Room 204

Orcid Id

http://orcid.org/0000-0002-7910-9396 (confirmed)

Web Of Science Researcher Id

B-1205-2008

Scopus Id

8216989800

Top Publications

Year	Title
2009	Health IT acceptance factors in long-term care facilities: A cross-sectional survey Published in International Journal of Medical Informatics
2011	Quality of nursing documentation and approaches to its evaluation: a mixed-method systematic review Published in Journal of Advanced Nursing
2015	Using diffusion of innovation theory to understand the factors impacting patient acceptance and use of consumer e-health innovations: a case study in a primary care clinic Published in BMC Health Services Research
2017	Comparison of the effectiveness of two styles of case-based learning implemented in lectures for developing nursing students’ critical thinking ability: A randomised controlled trial Published in International Journal of Nursing Studies

Research Areas

Geographic Focus

Australia Country
China Country
Illawarra Shoalhaven region Geographic Region
Ningxia Province State or Province

Head Of

Centre for Digital Transformation Director 2014 -

Member Of

INFORMS - Institute for Operational Research and the Management Sciences Member 2019 -
IEEE Computer Society Senior Member 2010 -
Australasian College of Health Informatics Fellow 2008 -
Health Informatics Society, Australia Member 2002 -

Attended Event

INFORMS Healthcare 2019 2019
INFORMS Healthcare 2019 2019

Selected Publications

Journal Article

Year	Title
2020	Developing an ontology for representing the domain knowledge specific to non-pharmacological treatment for agitation in dementia Published In Alzheimer's and Dementia Volume 6 Pages e12061-1 - e12061-17 ISSN 1552-5279 Altmetric
2020	Does electronic medical record redesign increase screening of risk for pressure injury, falls and substance use in the Emergency Department? An implementation evaluation Published In Australasian Emergency Care Altmetric
2020	From Ideal to Reality: Segmentation, Annotation, and Recommendation, the Vital Trajectory of Intelligent Micro Learning Published In World Wide Web Volume Online First Pages 1 - 21 ISSN 1386-145X Altmetric
2020	Heterogeneity in clinical research data quality monitoring: a national survey Published In Journal of Biomedical Informatics Volume 108 Pages 103491-1 - 103491-11 ISSN 0010-4809 Altmetric
2020	Identifying return visits to the Emergency Department: A multi-centre study Published In Australasian Emergency Care Altmetric
2020	The contribution of electronic health records to risk management through accreditation of residential aged care homes in Australia Published In BMC Medical Informatics and Decision Making Volume 20 ISSN 1472-6947 Altmetric
2019	A study design to model clinical management process for the health and wellbeing of patients with alcohol use disorders Published In Studies in Health Technology and Informatics Volume 264 Pages 1753 - 1754 ISSN 1879-8365 Altmetric
2019	Contradictions in information technology mediated work in long-term care: An activity theoretic ethnographic study Published In International Journal of Nursing Studies Volume 98 Pages 9 - 18 ISSN 0020-7489 Altmetric
2019	Identification of the essential components of quality in the data collection process for public health information systems Published In Health Informatics Journal Volume Online First Pages 1 - 19 ISSN 0965-8335 Altmetric
2019	Investigating the management of alcohol‐related presentations in an Australian teaching hospital Published In Drug and Alcohol Review Volume 38 Pages 190 - 197 ISSN 0959-5236 Altmetric
2019	Long-term care services and care workers in Hangzhou City, China: A cross-sectional survey Published In Journal of Nursing Management Volume 27 Pages 1546 - 1553 ISSN 0966-0429 Altmetric
2019	Mobile Health Interventions for Self-Control of Unhealthy Alcohol Use: Systematic Review Published In JMIR mHealth and uHealth Volume 7 Pages e10899-1 - e10899-14 ISSN 2291-5222 Altmetric
2019	The use of theory in mobile health interventions for patient self-management of chronic diseases Published In Studies in Health Technology and Informatics Volume 264 Pages 1982 - 1983 ISSN 1879-8365 Altmetric
2019	Towards the Readiness of Learning Analytics Data for Micro Learning Published In Lecture Notes in Computer Science Volume 11515 Pages 66 - 76 Altmetric
2019	Using inpatient portals to engage family caregivers in acute care setting: A literature review Published In Studies in Health Technology and Informatics Volume 264 Pages 1627 - 1628 ISSN 1879-8365 Altmetric
2019	Work Pattern of Neurology Nurses in a Chinese Hospital: a Time and Motion Study Published In Journal of Nursing Management Volume 27 Pages 320 - 329 ISSN 0966-0429 Altmetric
2018	Evaluating the effect of a Web-based e-learning tool for health professional education on clinical vancomycin use: a comparative study Published In JMIR Medical Education Volume 4 Pages 1 - 9
2018	Defining and Developing a Generic Framework for Monitoring Data Quality in Clinical Research Published In AMIA Annual Symposium Proceedings. Volume 2018 Pages 1300 - 1309
2018	Developing a theoretical model and questionnaire survey instrument to measure the success of electronic health records in residential aged care Published In PLoS One Volume Online First Pages 1 - 18 ISSN 1932-6203 Altmetric
2018	Effect of passive finger exercises on grip strength and the ability to perform activities of daily living for older people with dementia: a 12-week randomized controlled trial Published In Clinical Interventions in Aging Volume 2018 Pages 2169 - 2177 ISSN 1176-9092 Altmetric
2018	Exploring Data Quality Management within Clinical Trials Published In Applied Clinical Informatics - ACI Volume 9 Pages 72 - 81 Altmetric
2018	Medication administration process in a residential aged care home: An observational study Published In Journal of Nursing Management Volume 26 Pages 1033 - 1043 ISSN 0966-0429 Altmetric
2017	Accuracy of outpatient service data for activity-based funding in New South Wales, Australia Published In Health Information Management Journal Volume 46 Pages 78 - 86 ISSN 1833-3583 Altmetric
2017	Comparison of the effectiveness of two styles of case-based learning implemented in lectures for developing nursing students’ critical thinking ability: A randomised controlled trial Published In International Journal of Nursing Studies Volume 68 Pages 16 - 24 ISSN 0020-7489 Altmetric
2017	Data quality of the Chinese National AIDS information system: A critical review Published In Studies in Health Technology and Informatics Volume 245 Pages 1352 - 1352 ISSN 1879-8365 Altmetric
2017	Design and Implementation of a Novel Web-Based E-Learning Tool for Education of Health Professionals on the Antibiotic Vancomycin Published In Journal of Medical Internet Research Volume 9 Pages e93-1 - e93-13 ISSN 1438-8871 Altmetric
2017	Game-based interventions and their impact on dementia: a narrative review Published In Australasian Psychiatry Volume 25 Pages 562 - 565 ISSN 1039-8562 Altmetric
2017	Patients’ Acceptance of Smartphone Health Technology for Chronic Disease Management: A Theoretical Model and Empirical Test Published In JMIR mHealth and uHealth Volume 5 Page p. e177 ISSN 2291-5222 Altmetric
2017	The effect of nursing participation in the design of a critical care information system: a 4 case study in a Chinese hospital Published In BMC Medical Informatics and Decision Making Volume 165 Pages 1 - 12 ISSN 1472-6947 Altmetric
2016	Caregivers Time Utilization Before and After the Introduction of an Electronic Nursing Documentation System in a Residential Aged Care Facility Published In Journal of Ergonomics Volume 6 Pages 1 - 4 Altmetric
2016	Doing infrastructural work: The role of boundary objects in health information infrastructure projects Published In Scandinavian Journal of Information Systems Volume 28 Pages 28 - 56 ISSN 0905-0167
2016	Factors influencing nursing time spent on administration of medication in an Australian residential aged care home Published In Journal of Nursing Management Volume 24 Pages 427 - 434 ISSN 0966-0429 Altmetric
2016	National electronic health record systems as 'wicked projects': the Australian experience Published In Information Polity: An International Journal of Government and Democracy in the Information Age Volume 21 Pages 367 - 381 ISSN 1570-1255 Altmetric
2016	Nursing staff work patterns in a residential aged care home: a time-motion study Published In Australian Health Review Volume 40 Pages 544 - 554 ISSN 0156-5788 Altmetric
2016	The future of informatics in aged care: an international perspective Published In Studies in Health Technology and Informatics Volume 225 Pages 780 - 782 ISSN 1879-8365 Altmetric
2016	The impact of electronic health records on risk management of information systems in Australian residential aged care homes Published In Journal of Medical Systems Volume 40 Pages 204-1 - 204-7 ISSN 0148-5598 Altmetric
2015	The impact of electronic medication administration records in a residential aged care home Published In International Journal of Medical Informatics Volume 84 Pages 966 - 973 ISSN 1386-5056 Altmetric
2015	The quality of paper-based versus electronic nursing care plan in Australian aged care homes: A documentation audit study Published In International Journal of Medical Informatics Volume 84 Pages 561 - 569 ISSN 1386-5056 Altmetric
2015	The relationship between using electronic health records and meeting accreditation standards for client safety in residential aged care homes Published In Studies in Health Technology and Informatics Volume 214 Pages 134 - 138 ISSN 1879-8365 Altmetric
2015	Urinary continence care in Australian nursing homes Published In Australian Journal of Advanced Nursing Volume 32 Pages 39 - 46 ISSN 0813-0531
2015	Using diffusion of innovation theory to understand the factors impacting patient acceptance and use of consumer e-health innovations: a case study in a primary care clinic Published In BMC Health Services Research Volume 15 Pages 1 - 15 ISSN 1472-6963 Altmetric
2014	A review of data quality assessment methods for public health information systems Published In International Journal of Environmental Research and Public Health Volume 11 Pages 5170 - 5207 ISSN 1660-4601 Altmetric
2014	An exploration of the effects of introducing a telemonitoring system for continence assessment in a nursing home Published In Journal of Clinical Nursing Volume 23 Pages 3069 - 3076 ISSN 0962-1067 Altmetric
2014	Assisting an elderly with early dementia using wireless sensors data in smarter safer home Published In IFIP Advances in Information and Communication Technology Volume 426 Pages 398 - 404 ISSN 1868-4238 Altmetric
2014	Development of the quality of Australian nursing documentation in aged care (QANDAC) instrument to measure paper-based and electronic resident records Published In Australasian Journal on Ageing Volume 33 Pages E18 - E24 ISSN 1440-6381 Altmetric
2014	The effect of an electronic health record system on nursing staff time in a nursing home: a longitudinal cohort study Published In Australasian Medical Journal Volume 7 Pages 285 - 293 ISSN 1836-1935 Altmetric
2014	The impact of electronic health records on client safety in aged care homes Published In Studies in Health Technology and Informatics Volume 201 Pages 116 - 123 ISSN 1879-8365 Altmetric
2014	Time spent on daytime direct care activities by personal carers in two Australian residential aged care facilities: a time-motion study Published In Australian Health Review Volume 38 Pages 230 - 237 ISSN 0156-5788 Altmetric
2013	Caregivers' time utilization before and after the introduction of an electronic nursing documentation system in a residential aged care facility Published In Methods of Information in Medicine: journal of methodology in medical research, information and documentation Volume 52 Pages 403 - 410 ISSN 0026-1270 Altmetric
2013	Cost-effectiveness of telehealth in the management of chronic conditions Published In Journal of Comparative Effectiveness Research Volume 2 Pages 379 - 381 Altmetric
2013	Description and comparison of documentation of nursing assessment between paper-based and electronic systems in Australian aged care homes Published In International Journal of Medical Informatics Volume 82 Pages 789 - 797 ISSN 1386-5056 Altmetric
2013	Description and comparison of quality of electronic versus paper-based resident admission forms in Australian aged care facilities Published In International Journal of Medical Informatics Volume 82 Pages 313 - 324 ISSN 1386-5056 Altmetric
2013	Do we have the reliable data? An exploration of data quality for AIDS information system in China Published In Studies in Health Technology and Informatics Volume 192 Pages 1042 - 1042 ISSN 1879-8365 Altmetric
2013	Measuring the performance of electronic health records: a case study in residential aged care in Australia Published In Studies in Health Technology and Informatics Volume 192 Pages 1035 - 1035 ISSN 1879-8365 Altmetric
2013	Model medication management process in Australian nursing homes using business process modeling Published In Studies in Health Technology and Informatics Volume 192 Pages 1061 - 1061 ISSN 1879-8365 Altmetric
2013	Unintended adverse consequences of introducing electronic health records in residential aged care homes Published In International Journal of Medical Informatics Volume 82 Pages 772 - 788 ISSN 1386-5056 Altmetric
2012	Aged care IT in Australia-the past, present and future Published In Electronic Journal of Health Informatics Volume 7 Pages 1 - 3 ISSN 1446-4381
2012	Evaluating the impact of implementing of a new wireless telemonitoring system for urinary continence management for older people living in nursing homes Published In Neurourology and Urodynamics Volume 31 Pages 974 - 975 ISSN 1520-6777
2012	Managing collaboration across boundaries in health information technology projects Published In Studies in Health Technology and Informatics Volume 178 Pages 58 - 63 ISSN 1879-8365 Altmetric
2012	Patients perceptions of web self-service applications in primary healthcare Published In Studies in Health Technology and Informatics Volume 178 Pages 242 - 249 ISSN 1879-8365 Altmetric
2012	The benefits of introducing electronic health records in residential aged care facilities: A multiple case study Published In International Journal of Medical Informatics Volume 81 Pages 690 - 704 ISSN 1386-5056 Altmetric
2012	The impact of an electronic nursing documentation system on efficiency of documentation by caregivers in a residential aged care facility Published In Journal of Clinical Nursing Volume 21 Pages 2940 - 2948 ISSN 0962-1067 Altmetric
2012	The work pattern of personal care workers in two Australian nursing homes: a time-motion study Published In BMC Health Services Research Volume 12 Pages 1 - 3 ISSN 1472-6963 Altmetric
2011	A preliminary investigation of complex adaptive systems as a model for explaining organisational change caused by the introduction of health information systems Published In Electronic Journal of Health Informatics Volume 6 Pages 1 - 7 ISSN 1446-4381
2011	Developing measurements of the quality of electronic versus paper-based nursing documentation in Australian aged care homes Published In Electronic Journal of Health Informatics Volume 6 Pages 1 - 6 ISSN 1446-4381
2011	Does the introduction of an electronic nursing documentation system in a nursing home reduce time on documentation for the nursing staff? Published In International Journal of Medical Informatics Volume 80 Pages 782 - 792 ISSN 1386-5056 Altmetric
2011	How nursing staff spend their time on activities in a nursing home: an observational study Published In Journal of Advanced Nursing Volume 67 Pages 1908 - 1917 ISSN 0309-2402 Altmetric
2011	Methods to evaluate health information systems Published In Journal of Medical Informatics Volume 32 Pages 15 - 21 ISSN 1673-6036
2011	Piloting a logic-based framework for understanding organisational change process for a health IT implementation Published In Studies in Health Technology and Informatics Volume 168 Pages 44 - 50 ISSN 1879-8365 Altmetric
2011	Quality of nursing documentation and approaches to its evaluation: a mixed-method systematic review Published In Journal of Advanced Nursing Volume 67 Pages 1858 - 1875 ISSN 0309-2402 Altmetric
2011	The changes in caregivers' perceptions about the quality of information and benefits of nursing documentation associated with the introduction of an electronic documentation system in a nursing home Published In International Journal of Medical Informatics Volume 80 Pages 116 - 126 ISSN 1386-5056 Altmetric
2010	Critical factors for the successful introduction of information and communication technologies into health care organisations Published In Journal of Medical Informatics Volume 31 Pages 1 - 7 ISSN 1673-6036
2010	Different usage of the same oncology information system in two hospitals in Sydney--lessons go beyond the initial introduction Published In International Journal of Medical Informatics Volume 79 Pages 422 - 429 ISSN 1386-5056 Altmetric
2009	Health IT acceptance factors in long-term care facilities: A cross-sectional survey Published In International Journal of Medical Informatics Volume 78 Pages 219 - 229 ISSN 1386-5056 Altmetric
2009	The development and evaluation of a PDA-based method for public health surveillance data collection in developing countries Published In International Journal of Medical Informatics Volume 78 Pages 532 - 542 ISSN 1386-5056 Altmetric
2008	Caregivers' acceptance of electronic documentation in nursing homes Published In Journal of Telemedicine and Telecare Volume 14 Pages 261 - 265 ISSN 1357-633X Altmetric
2007	Heuristic evaluation of an online help system for an e-health application Published In Journal of Telemedicine and Telecare Volume 13 Pages 107 - 107 ISSN 1357-633X Altmetric
2007	Nursing information systems: applying usability testing to assess the training needs for nursing students Published In Methods of Information in Medicine: journal of methodology in medical research, information and documentation Volume 46 Pages 416 - 419 ISSN 0026-1270 Altmetric
2007	The perceptions of aged care workers about the adoption of e-health applications in residential aged care in Australia Published In Journal of Telemedicine and Telecare Volume 13 Pages 110 - 110 ISSN 1357-633X

Book

Year	Title
2017	The digitalization of health care: electronic records and the disruption of moral orders Publisher United Kingdom: Oxford University Press ISBN 9780198744139 Pages 196

Chapter

Year	Title
2019	Consumer health informatics Published In Encyclopedia of Gerontology and Population Aging Publisher Cham, Switzerland: Springer Page p. 1 ISBN 9783319698922 Altmetric
2019	Electronic health record Published In Encyclopedia of Gerontology and Population Aging Publisher Cham, Switzerland: Springer Page p. 1 ISBN 9783319698922 Altmetric
2019	Health 3.0 Published In Encyclopedia of Gerontology and Population Aging Publisher Cham, Switzerland: Springer Page p. 1 ISBN 9783319698922 Altmetric
2019	MedlinePlus Published In Encyclopedia of Gerontology and Population Aging Publisher Cham, Switzerland: Springer Page p. 1 ISBN 9783319698922 Altmetric
2019	Telenursing Published In Encyclopedia of Gerontology and Population Aging Publisher Cham, Switzerland: Springer Page p. 1 ISBN 9783319698922 Altmetric
2019	mHealth Published In Encyclopedia of Gerontology and Population Aging Publisher Cham, Switzerland: Springer Page p. 1 ISBN 9783319698922 Altmetric
2014	Battling the challenges of training nurses to use information systems through theory-based training material design Published In Investing in E-Health: People, Knowledge and Technology for a Healthy Future Publisher Netherlands: IOS Press Pages 32 - 37 ISBN 9781614994268 Altmetric
2014	Fitting clinical workflow: the case for wound care in a residential aged care home Published In Investing in E-Health: People, Knowledge and Technology for a Healthy Future Publisher IOS Press Pages 130 - 135 Altmetric
2014	Methods for assessing the quality of data in public health information systems: a critical review Published In Investing in E-Health: People, Knowledge and Technology for a Healthy Future Publisher IOS Press Pages 13 - 18 Altmetric
2014	Patients’ adoption of the e-appointment scheduling service: A case study in primary healthcare Published In Investing in E-Health: People, Knowledge and Technology for a Healthy Future Publisher IOS Press Pages 176 - 181 Altmetric
2014	Pre-implementation investigation of the readiness of allied health professionals to adopt electronic health records Published In Investing in E-Health: People, Knowledge and Technology for a Healthy Future Publisher IOS Press Pages 47 - 53 Altmetric

Conference Paper

Year	Title
2019	A Survey of Segmentation, Annotation, and Recommendation Techniques in Micro-Learning for Next Generation of OER Published In Proceedings of the 2019 IEEE 23rd International Conference on Computer Supported Cooperative Work in Design Pages 152 - 157 Altmetric
2017	Precision of EMR Data: The Case For a Drug and Alcohol Service Published In 16th World Congress on Medical and Health Informatics (MedInfo2017)
2017	Text data mining of aged care accreditation reports to identify risk factors in medication management in Australian residential aged care homes Published In 16th World Congress on Medical and Health Informatics (MedInfo2017) Pages 892 - 895 Altmetric
2012	Developing an online patient appointment scheduling system based on web services architecture Published In APAMI-2012: 7th Asia Pacific Association for Medical Informatics Conference Pages 1 - 6
2011	The work pattern of care workers in residential aged care facilities in Australia: A time and motion study Published In Health Informatics Conference
2010	A multi-method approach to evaluate health information systems Published In World Congress on Medical Informatics Pages 1231 - 1235 Altmetric
2010	Design an automatic appointment system to improve patient access to primary health care Published In Australasian Workshop on Health Informatics and Knowledge Management Pages 17 - 22
2010	Developing a socio-technical approach supporting communication process analysis in healthcare information system development Published In 18th Annual Health Informatics Conference, HIC 2010
2010	Development and testing of a work measurement tool to assess caregivers’ activities in Residential Aged Care Facilities Published In World Congress on Medical Informatics Pages 1226 - 1230 Altmetric
2010	Electronic documentation in residential aged care facilities – a review of the literature on organisational issues and early findings on initial conditions from a case study Published In Australasian Conference on Information Systems Pages 1 - 10
2009	Complex adaptive systems as a model for evaluating organisational change caused by the introduction of health information systems Published In Health Informatics Conference Pages 165 - 169
2009	Developing approaches to measure the quality of electronic versus paper-based nursing documentation in aged care homes Published In Health Informatics Conference Pages 126 - 131
2009	SIMsystemTM: User interface development and technology acceptance of a wireless based continence assessment system Published In Incontinence: The Engineering Challenge VII Pages 254 - 260
2008	Healthcare workers' readiness to adopt e-Health applications in public hospitals in regional Saudi Arabia: A case study Published In Saudi International Innovation Conference 2008 Pages 84 - 90
2007	A discussion about the importance of laws and policies for data sharing for public's health in P.R.China Published In World Congress on Medical Informatics Pages 316 - 319
2007	A multi-method approach to assessing health information systems end users' training needs Published In World Congress on Medical Informatics Pages 1352 - 1356
2007	Development of a specialist medical vocabulary for radiation oncology Published In World Congress on Medical Informatics Pages P342-1 - P342-3
2007	The acceptance of a clinical IT innovation by the care givers in residential aged care 11-weeks after the software implementation in Australia Published In International Conference on Wireless Communications, Networking and Mobile Computing Pages 6549 - 6552
2007	The quality indicators of delivering e-learning for dementia care to nurses Published In World Congress on Medical Informatics Page p. P048

Investigator On

Year	Title
3010	Continence Management Technology Awarded by: Victoria's Science Agenda Investment Fund Funding Scheme: Grant
2016 - 2021	Greener Cities Healthier Lives: Measuring the wider social benefits Awarded by: Horticulture Innovation Australia (HIA) Ltd Funding Scheme: Strategic Co-investment Pool
2019	Postoperative Delirium (POD): Improving detection, management and prevention of delirium to improve patient outcomes and staff competence Awarded by: NSW Health Funding Scheme: Translational Research Grants Scheme
2013 - 2014	How meaningful is the use of a national eHealth standards compliant electronic health records system - HTR Telhealth - in cancer care? Awarded by: NSW Government Funding Scheme: NSW Technology Vouchers (Techvouchers) Program Connectors Funds
2011 - 2014	Generating insights for the future: A retrospective, comparative study of attempts to implement large-scale electronic health record systems. Awarded by: Australian Research Council (ARC) Funding Scheme: Discovery Projects
2010 - 2011	Aged Care Continence Monitor Awarded by: Enterprise Connect Funding Scheme: Researchers in Business
2008	Introducing computer-based documentation to Residential Aged Care: a multi-method evaluation of success Awarded by: Australian Research Council (ARC) Funding Scheme: Linkage Projects

Impact Story

Digitisation of nursing records to support residential aged care services in Australia
Summary
The impacts of this line of research are generating research evidence to promote use of electronic nursing records to improve residential aged care services at a local level with individual aged care providers, supporting product marketing for the medical software companies producing these products, and at a regulatory level advising peak bodies and government. The next generation researchers in health information management and nursing have also been developed in the process.I gained full time employment as a lecturer in the School of Information Technology and Computer Science at the University of Wollongong in February 2002. Ever since I have established and consolidated research in health informatics by joining the research group Initiative for e-Health immediately and developing applied research that use multiple theories to solving problems in health information practice in a richly supportive research environment.My research in electronic nursing records in residential aged care has developed in parallel with the process of transformation from the “cottage industry” to consumer directed care in Australian aged care in the past 15 years. With the belief that the value of digital technology can only be realised through its application to solving real world problems, I have taken a social technical approach to conduct applied research, unpacking the maze of technology adoption and usage to support aged care services. My research agenda has always been co-developed with industry partner organisations. The research was conducted in residential aged care homes with participants being frontline aged care workers, nurses and managers. Being grateful of the enormous contribution of my industry supporters and participants to the research endeavour, I have always delivered value for them. Our team have always communicated our research findings timely to the partner organisations, workforce and public for aged care practice improvement, to the medical software companies for better product development, and to the peak bodies and government for technology policy development. The next generation nursing and health informatics researchers were developed in this journey, including seven PhD graduates. 

Detail View

Detail View Summary View
Detail of Impact
The pathway to impact started with a proactive approach to the local aged care organisations IRT and Warrigal Care to understand their needs for technology. With the management support, I led the third-year software engineering project students to develop prototype electronic nursing documentation systems for these organisations in 2002 – 2003. None of the organisations implemented our products due to a lack of resources and capacity to do so. This generated my interest in understanding and promoting adoption and usage of technology ever since.With support of UOW Industry Linkage grant and industry matching fund, we produced a landmark report to then UnitingCare Ageing Southeast Region, NSW entitled “<a href="https://search.informit.com.au/documentSummary;dn=449471200494455;res=IELHEA" target="_blank" rel="noopener">Capacity and willingness of residential aged care workers to use IT to manage care information</a>”. The report was publicly launched by then Minister of Ageing the Honorary Julie Bishop on July 28, 2005. In <a href="https://www.dropbox.com/s/dwobhycl860q8dl/MinisterMediaRelease.pdf?dl=0" target="_blank" rel="noopener">her media release</a>, the minister appraised our research endorsed Australian government’s approach to encouraging the uptake of digital technology in aged care. The report attracted substantial media attention, including “<a href="https://www.dropbox.com/s/aqix8vsey3zojb6/Dr%20Yu-Australian%20news-1.pdf?dl=0" target="_blank" rel="noopener">The Australian</a>” and has had significant influence on <a href="https://www.dropbox.com/s/e50tmanap768dpj/JoneMeganHESTAITresearch%20Aged%20Care.pdf?dl=0" target="_blank" rel="noopener">the attitude of Australian aged-care </a>towards introducing digital solutions into services.I was twice engaged by RSL Care to evaluate the organization’s pilot implementation of an electronic client care system in 2005 to 2007. Our research provided evidence for the decision makers in the organisation.Encouraged by the acquired value of the above collaborative research, in 2007 the four beneficiaries, IRT, Warrigal Care, UnitingCare Ageing and RSL Care, in conjunction with the peak body Aged Care and Community Services Australia, provided cash contribution to support us to submit a proposal entitled ‘introducing computer based documentation to residential aged care: a multi-method evaluation of success’ to Australian Research Council Industry Linkage Grant scheme.Funding support from the ARC Linkage Project LP0882430 in 2008 to 2012 has enabled me to establish a multi-disciplinary research team of three academics and three PhD candidates to systematically develop a body of knowledge about <a href="https://www.dropbox.com/s/ue8f6mxlownpieo/2008MediaReport.doc?dl=0" target="_blank" rel="noopener">the impacts of electronic nursing documentation systems on aged care services</a>. Every effort was made to transfer the generated knowledge to the partner organisations and the aged-care sector. Three milestone newsletters were disseminated to benefit the four partner organisations and 24 participating residential aged care homes in <a href="https://www.dropbox.com/s/nhi0o23vimclrty/AgedCare-e-DocNewsletter1.pdf?dl=0" target="_blank" rel="noopener">2010</a>, <a href="https://www.dropbox.com/s/uafes2zn16g1ubh/AgedCareEDocNewsletter2.pdf?dl=0" target="_blank" rel="noopener">2011</a> and <a href="https://www.dropbox.com/s/zha857lanhpyjha/AgedCare-e-DocNewsletter3.pdf?dl=0" target="_blank" rel="noopener">2012</a>. The newsletters were also disseminated to the aged care sector through the national conferences of the peak bodies Aged Care and Community Services Australia and Leading Age Services Australia. We gave more than 50 presentations in national and international academic and industry conferences including National Health Informatics Conference, Information Technology in Aged Care Conference and the national and regional Conferences of the two aged care peak bodies.The social impacts have been achieved through dissemination via media reports. For example, the magazine Australian Ageing Agenda reported our findings in Sep/Oct 2010 volume entitled ‘<a href="https://search.informit.com.au/fullText;dn=514755445593054;res=IELFSC" target="_blank" rel="noopener">Mixed results: electronic care software was supposed to make life easier but does the reality match the hype?</a>’ Aged Care Insite wrote ‘<a href="https://www.agedcareinsite.com.au/2011/08/human-connections/" target="_blank" rel="noopener">Human connections</a>’ on August 1, 2011. The Australian e-health magazine PULSE+IT reported ‘<a href="https://www.pulseitmagazine.com.au/news/aged-care/1487-ehrs-in-aged-care-the-good-the-bad-and-the-unintended" target="_blank" rel="noopener">EHR in aged care: the good, the bad and the unintended</a>” on July 2, 2013. Our findings about the benefits of electronic documentation are disseminated to international audience by the Journal of Prosthetic Dentistry. Illawarra Health and Medical Research Institute reported our findings entitled '<a href="https://ihmri.uow.edu.au/research-program/spotlight/UOW138918.html" target="_blank" rel="noopener">Electronic health records make life easier for care staff</a>' in December 2012. A paper we published in Journal of Advanced Nursing entitled “Quality of nursing documentation and approaches to its evaluation: a mixed-method systematic review” has the record of 3,455 readership according to Research Gate. All these articles are still available online, benefiting the community with interest in applying digital technology in aged care and nursing documentation.From 2013 onwards, we have conducted further study to collect “hard” evidence about the impact of electronic nursing documentation on risk management for client safety in residential aged care. We identified six risk factors for a residential aged care home to fail the information system accreditation standards, as well as the weakness of aged care accreditation in lacking objective measurement of care standards. On May 27, 2015, we met and shared our findings with the General Manager, Accreditation and his team in Australian Government Aged Care Quality Agency. The agency staff fully acknowledged our findings and admitted the weakness in the regulatory framework. To my knowledge, currently the Agency is in the process of consultation to develop a Single Aged Care Quality Framework to replace the current aged care quality framework.Our research have also benefited the Australian digital health companies that supply electronic documentation systems to aged care, such as iCare, Leecare Solutions and AutumnCare. These companies often quoted our findings in their marketing brochures. A cloud software solution provider Datanova publishes the key findings of our article about <a href="https://datanova.com.au/risk-management-impact-ehr-aged-care/" target="_blank" rel="noopener">risk management impact of EHR in aged care</a> on their website as evidence to support the use of their product by disability and aged care services in Australia.In this journey, I have gradually developed capacity in higher degree research supervision. With support from the VC's award for highly commended HDR supervision, I successfully completed seven PhD graduates. Two of them were awarded ‘<a href="https://media.uow.edu.au/news/UOW065358.html" target="_blank" rel="noopener">Highly Commended’ student scientific </a>papers in 2009 National Health Informatics Conference. Candidate Dr Ning Wang graduated with highly commended PhD thesis. 
Field of Research
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Beneficiary Quantification Description
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Evidence Description
UOW Centres / Programs
UOW Researchers / Collaborators
Trialing the Efficacy of a Medical Device SIM® for Continence Monitoring
Summary
According to the Deloitte Access Economics report, there were 4.8 million Australians aged over 15 years living with incontinence in 2010. The total financial cost of incontinence (excluding the burden of disease) was estimated to be $42.9 billion. Since 1996, Simavita, a start-up company headquartered in North Sydney, has been developing a revolutionary new product SIM® to help manage incontinence in aged care homes. SIM® remotely monitors continence events to make assessment easier, simpler and more accurate than existing manual methods. While the company had confidence in their new product, Simavita needed independent research and evidence to validate SIM® before taking it to market. “As a small and rapidly growing global business, Simavita does not have the significant research resources at its disposal as a larger company might,” said Simavita’s Chief Executive Officer Philippa Lewis.Dr Ping Yu from University of Wollongong’s School of Information Systems and Technology is an expert in the use of information technology to improve the effectiveness of healthcare and evaluation of health information systems.The company became aware of Enterprise Connect’s Researchers in Business program that provides funding to help place experts from universities or public research agencies with businesses to develop and implement new commercial ideas. <a href="https://www.dropbox.com/s/d597ix8ydn7nrmt/Enterprise-Connect-Success-Story-20110326.pdf?dl=0" target="_blank" rel="noopener">Enterprise Connect provided $50 000, matched by Simavita to engage University of Wollongong researchers, led by </a>Dr<a href="https://www.dropbox.com/s/d597ix8ydn7nrmt/Enterprise-Connect-Success-Story-20110326.pdf?dl=0" target="_blank" rel="noopener"> Yu to evaluate the product</a>. Researchers conducted two field trials in two aged care facilities and then evaluated the data to validate the efficacy of SIM®.OutcomeFollowing the validation of its product, Simavita moved quickly to take SIM® to market. The company is now listed on the Australian Securities Exchange with the symbol SVA. It is operating in Australia, Europe and North America.UOW and Simavita have continued their successful collaboration through commercial research. A multi-disciplinary team of researchers in Faculty of Informatics and Health & Behavioural Sciences, Dr Ping Yu, Prof. David Hailey, Prof. Richard Fleming and A/Prof. Victoria Traynor have published an original research paper to Journal of Advanced Nursing reporting the impact of SIM® on continence care in residential aged care homes in May 2012. They also disseminated the urinary continence care practices in Australian nursing homes to the international community through Australian Journal of Advanced Nursing in 2014.The story of our successful research collaboration was show-cased by NSW Enterprise Connect program, reported in Simavita’s web site and UOW in 2012. It was showcased as <a href="https://www.dropbox.com/s/2fhydhnt50k8gtz/ContinenceMonitor2014.pdf?dl=0" target="_blank" rel="noopener">a successful university and industry collaborative research case at UOW</a>.

Detail View

Detail View Summary View
Detail of Impact
In an industry event, I met then Chief Technology Officer Mr David Barda of Simavita Pty Ltd., who was looking for a reliable research partner organisation to provide consulting research to trial the world-first biomedical product SIM® that the company was developing in collaboration with CSIRO in 2008. After several discussions, David was confident with our team's capability and commitment to collaborate with the company in research and develop the product. Then we co-developed a research proposal for an evaluation research of their product in trial in residential aged care homes, and the budget for the project. A systematic literature review suggested that only a few studies had explored the effect of introducing tele-monitoring system on urinary continence care, none for older people in nursing homes. Therefore, the research was novel. Effort was given to understand the company's product, the disease and symptom of incontinence, and the practices of incontinence care in residential aged care homes. Based on the preliminary research, we developed the research plan. Two initial investigations were conducted in two residential aged care homes in Victoria. Two research reports were submitted to the company, which helped the company to acquire the objective feedback from the aged care workers about the product. This helped the company to position the product with realistic expectations, important for the future development of the product. My initial field research experience also confirmed my belief that the aged care workers were keen to adopt to use technical solutions to support care delivery. A collaborative approach to research and development was taken by the research team and the partner organisation Simavita and the engaged aged care provider organsations in the journey. In 2009, research assistant Zhenyu Zhang and I regularly traveled to the company in their North Sydney office to have project meetings with the company staff. The open, smooth communication facilitated the understanding of company's needs and direct translation of research findings into product development in the company. With NSW government Enterprise Connect funding support, our research team further conducted two field trials in two aged care homes in NSW, collected data to validate the advanced version of the SIM®. Our study demonstrates that the continence monitoring system can reduce volume of urine voided into continence aids, increase number of successful toileting events and increase adherence to urinary continence care plans by staff. During a 12-week trial, urinary continence assessment and management of older people were improved. 
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Beneficiary Quantification Description
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Evidence Description
UOW Centres / Programs
UOW Researchers / Collaborators

Advisees

Graduate Advising Relationship

Degree	Research Title	Advisee
Doctor of Philosophy (Integrated)	Using Data from the Electronic Medical Records to Support Type 2 Diabetes Management (Development of an eHealth initiative for managing Type 2 Diabetes).
Doctor of Philosophy	Exploring current data management within clinical research settings	Houston, Lauren
Doctor of Philosophy	To develop and evaluate a success model of mobile health interventions for consumer self-management of hypertension	Song, Ting
Doctor of Philosophy (Integrated)	Evaluating the impacts of mHealth to enhance self-management care of diabetic patients in Saudi Arabia	Alshoumr, Bader
Doctor of Philosophy	An Ontology to represent dementia and dementia care knowledge in computer readable format	Zhang, Zhenyu
Master of Research - EIS	Domain ontology for quality of care indicators measured in Australian Residential Aged Care Facilities	Yin, Cedar
Doctor of Philosophy	AI enhanced segmentation, annotation, and recommendation for micro-learning	Lin, Jiayin
Master of Research - EIS	Developing an instrument to evaluate the quality of dementia information website	Zhu, Yunshu
Doctor of Philosophy (Integrated)	Comparing Machine Learning Algorithms in Predicting Weight Gain or Loss	Alkhalaf, Mohammad
Doctor of Philosophy (Integrated)	Understanding Resistance to Health Information Technology (HIT)	Alabdulmunim, Abdulmonem
Master of Philosophy - EIS	Understanding journey of patients with alcohol use disorder in Illawarra & Shoalhaven Local Health District	Zhang, Jingxiang
Doctor of Philosophy	Green space and healthy ageing	John, Eme
Doctor of Philosophy (Integrated)	Data Missing Assessment and Improvement on Data Mining	Altuhaifa, Fatimah Abdulazim A
Master of Research - EIS	Machine learning to understand agitation management for people with dementia in residential aged care	Ke, Jiang
Doctor of Philosophy	Measuring Quality of Data Collection Process to Ensure Data Quality for Public Health Information Systems	Chen, Hong

Professional Service Activities

MedInfo: International Medical Informatics Conference Organiser for the workshop: Establishing a Smart Phone Enabled Chronic Disease Management Model in a Tertiary Hospital in China 2017 -
Pacific Asian Conference on Information Systems Ping Yu, I-Chiu Zhang, Xudong Lu, Ning Deng m-Health, what does it really differ from other e-health systems? 2015 -
Association of Information Systems Member 2014 -
Australasian College of Health Informatics Elected Fellow 2010 -
IEEE Computer Society Senior Member 2010 -
Health Informatics Society, Australia Member 2002 -

Outreach And Community Service Activities

IHMRI Chronic Conditions and Lifestyle Theme Leadership Group Executive Member 2017 -
UOW Workplace Advisory Committe Management Representative 2014 -
Academic Senate UOW, Member 2015 - 2019
Nursing Informatics Australia Executive Member 2007 - 2012
Standards Australia Health Informatics Committee participating in two work groups: Messaging and Communication, Electronic Health Records 2002 - 2010

Education And Training

M.C.S. in Computer, University of New England, School of Mathmatics and Computing 2000 - 2012
B.S. in Biology, Southwest University, P.R.China, 1981 - 1985
Ph.D. in Population Biology, University of New England 1996 - 2000
M.S. in Population Biology, Southwest University, P.R.China 1985 - 1988

Awards And Honors

Vice Chancellor’s Highly Commended Award for Research Supervision, conferred by University of Wollongong, 2012
Best Paper Award, conferred by Saudi International Innovation Conference. Leeds, Britain, 2008
Don Walker Award for Access , conferred by The Health Informatics Society Australia, 2008
The Excellent Paper Award, conferred by The 9th National Medical Informatics Conference, P.R.China, 2003

Teaching Overview

2019 Autumn
ISIT 333 Social Media and the Workplace
ISIT430/ISIT930 Introduction to Health Informatics

2018 Autumn
ISIT333 Social Media and the Workplace

2018 Spring
ISIT406/ISIT906/MICT906 Information Design and Content Management
ISIT410/ISIT910 IT-enabled Supply Chain Management

2017 Spring

ISIT406/ISIT906/MICT906 Information Design and Content Management

ISIT410/ISIT910 IT-enabled Supply Chain Management

2016 Spring

ISIT929 Concepts and Issues in Healthcare Computing

ISIT446/ISIT946 Project and Change Management

2015 Autumn

ISIT437/ISIT937 Information Technology Security and Risk Management

ISIT440/ISIT940 IT Research Methods

2015 Spring

ISIT406/ISIT906 Information Design and Content Management

2014 Autumn

ISIT430/ISIT930 Introduction to Health Informatics

2014 Spring

ISIT201/MCS9301 Information and Communication Security

ISIT929 Concepts and Issues in Healthcare Computing

2013 Autumn

ISIT405/ISIT905 Technology Management and Innovation

ISIT430/ISIT930 Introduction to Health Informatics

2013 Spring

ISIT409/ISIT909 Advanced Business Process Management

2012 Autumn

ISIT430/ISIT930 Introduction to Health Informatics

ISIT437/ISIT937 Information Technology Security and Risk Management

2011 Autumn

ISIT430/ISIT930 Introduction to Health Informatics

2011 Spring

ISIT446/ISIT946 Project and Change Management

2010 Autumn

ISIT416/ISIT916 Organisational Issues and Information Technology

ISIT430/ISIT930 Introduction to Health Informatics

2010 Spring

ISIT446/ISIT946 Project and Change Management

2009 Autumn

ISIT430/ISIT930 Introduction to Health Informatics

ISIT437/ISIT937 Information Technology Security and Risk Management

2009 Spring

ITCS301 Exploiting Collaborative Technology

2008 Autumn

BUSS952 Strategic Information Systems Management

ISIT937 Information Technology Security and Risk Management

2007Autumn

ITCS450/ITCS950 Patterns for e-Business

ITCS937 Security, Risk Management and Control for e-Commerce

2007 Spring

ITCS301 Exploiting Collaborative Technology

ITCS429/ITCS929 Concepts and Issues in Healthcare Computing

2006 Autumn

CSCI315/MCS9315 Database Design and Implementation

ITCS430/ITCS930 Introduction to Health Informatics

2006 Spring

IACT303/MCS9303 World Wide Networking

ITCS429/ITCS929 Concepts and Issues in Healthcare Computing

2005 Spring

IACT303/MCS9303 World Wide Networking

IACT932 Special Topics in IACT B

ITCS301 Exploiting Collaborative Technology

2004 Autumn

ITCS430/ITCS930 Introduction to Health Informatics

CSCI213 Java Program and Internet

2004 Spring

CSCI235 Databases

2003 Autumn

ITCS904 Database Systems

2003 Spring

CSCI213/ITCS907 Java Programming and Internet

2002 Autumn

ITCS904 Database Systems

2002 Spring

CSCI235 Databases

CSCI213/ITCS907 Java Programming and Internet

Keywords

e-health，m-health, evaluation, health information systems, health services research, aged care services research

Full Name

Assoc. Prof. Ping Yu, PhD

Mailing Address

School of Computing and Information Technology

University of Wollongong

Wollongong

NSW - New South Wales

2522

Australia

Geographic Location

University of Wollongong

Located In Facility

Building 3 Room 204

Orcid Id

http://orcid.org/0000-0002-7910-9396 (confirmed)

Web Of Science Researcher Id

B-1205-2008

Scopus Id

8216989800

Overview

Overview

Top Publications

Research Areas

Geographic Focus

Affiliation

Head Of

Member Of

Attended Event

Publications

Selected Publications

Journal Article

Book

Chapter

Conference Paper

Funding

Investigator On

Impact

Impact Story

Digitisation of nursing records to support residential aged care services in Australia

Trialing the Efficacy of a Medical Device SIM® for Continence Monitoring

Supervision

Advisees

Graduate Advising Relationship

Service

Professional Service Activities

Outreach And Community Service Activities

Background

Education And Training

Awards And Honors

Teaching Overview

Keywords

Contact

Full Name

Mailing Address

Geographic Location

Located In Facility

Identity

Orcid Id

Web Of Science Researcher Id

Scopus Id

Overview

Top Publications

Research Areas

Geographic Focus

Affiliation

Head Of

Member Of

Attended Event

Publications

Selected Publications

Journal Article

Book

Chapter

Conference Paper

Funding

Investigator On

Impact

Impact Story

Digitisation of nursing records to support residential aged care services in Australia

Trialing the Efficacy of a Medical Device SIM® for Continence Monitoring

Supervision

Advisees

Graduate Advising Relationship

Service

Professional Service Activities

Outreach And Community Service Activities

Background

Education And Training

Awards And Honors

Teaching Overview

Keywords

Contact

Full Name

Mailing Address

Geographic Location

Located In Facility

Identity

Orcid Id

Web Of Science Researcher Id