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Research Profile

Gregory Alexander

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Professor

Office: S415 Sinclair School of Nursing

Phone: (573) 882-9346

Email: alexanderg@missouri.edu

Lab URL: http://eldertech.missouri.edu/

Home Department: Sinclair School of Nursing

Concentration: Health Informatics

Education: Ph.D. University of Missouri-Columbia, Sinclair School of Nursing, Masters Information Science, Masters Health Administration

Overview

Dr. Alexander received his PhD Degree in Sinclair School of Nursing from University of Missouri-Columbia in 2005. He have a broad background in human factors, informatics, patient safety and quality improvement. As PI on several previous grants, he laid the groundwork for my research by creating and conducting a statewide survey of IT sophistication in nursing homes, currently, he is conducting observational and focus groups in a diverse set of these nursing homes focusing on evidenced based pressure ulcer practices.

Research Focus

Human Factors, Human Computer Interaction, IT Sophistication in Nursing Homes, Information Technology Standards

Honors, Awards, and Appointments

Harriet Werley New Investigator Award, Midwest Nursing Research Society 2010

Selected Publications

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Gerontology

published: 2015

vol. 61:3 pp. 281–290

Citation

M Rantz, M Skubic, M Popescu, C Galambos, R Koopman, G Alexander, A New Paradigm of Technology-Enabled ‘Vital Signs' for Early Detection of Health Change for Older Adults, Gerontology, 281–290, 2015.

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International journal of medical informatics

published: 2014

vol. 83:8 pp. 581–591

Citation

G Alexander, K Pasupathy, L Steege, E Strecker, K Carley, Multi-disciplinary communication networks for skin risk assessment in nursing homes with high IT sophistication, International journal of medical informatics, 581–591, 2014.

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Appl Clin Inform

published: 2014

vol. 5:1 pp. 73–84

Citation

G Alexander, A Wilbik, J Keller, K Musterman, others, Generating Sensor Data Summaries to Communicate Change in Elder’s Health Status, Appl Clin Inform, 73–84, 2014.

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Journal of Nursing Care Quality

published: 2014

vol. 29:1 pp. 1–8

Citation

M Rantz, G Alexander, C Galambos, A Vogelsmeier, L Popejoy, M Flesner, A Lueckenotte, C Crecelius, M Zwygart-Stauffacher, R Koopman, Initiative to test a multidisciplinary model with advanced practice nurses to reduce avoidable hospitalizations among nursing facility residents, Journal of Nursing Care Quality, 1–8, 2014.

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Applied clinical informatics

published: 2014

vol. 5:1 pp. 92

Citation

C Craven, M Sievert, L Hicks, G Alexander, L Hearne, J Holmes, CAH to CAH: EHR Implementation Advice to Critical Access Hospitals from Peer Experts and Other Key Informants, Applied clinical informatics, 92, 2014.

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International Journal of Industrial Ergonomics

published: 2013

Citation

G Alexander, L Steege, K Pasupathy, K Wise, Case studies of IT sophistication in nursing homes: A mixed method approach to examine communication strategies about pressure ulcer prevention practices, International Journal of Industrial Ergonomics, 2013.

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Journal of the American Medical Directors Association

published: 2013

vol. 14:6 pp. 386-391

Citation

M Rantz, M Skubic, S Miller, C Galambos, G Alexander, J Keller, M Popescu, Sensor technology to support aging in place, Journal of the American Medical Directors Association, 386-391, 2013.

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American Medical Informatics Association

published: 2012

vol. 2012:

Citation

G Alexander, R Madsen, A Case Study in Communication Strategies used for Pressure Ulcer Prevention in a Nursing Home with High IT Sophistication, American Medical Informatics Association, 2012.

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Studies in health technology and informatics

published: 2012

vol. 192: pp. 608–612

Citation

C Craven, M Sievert, L Hicks, G Alexander, L Hearne, J Holmes, Experts speak: advice from key informants to small, rural hospitals on implementing the electronic health record system., Studies in health technology and informatics, 608–612, 2012.

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Journal of gerontological nursing

published: 2012

vol. 38:4 pp. 18-23

Citation

M Rantz, M Skubic, R Koopman, G Alexander, L Phillips, K Musterman, J Back, M Aud, C Galambos, R Guevara, Automated technology to speed recognition of signs of illness in older adults, Journal of gerontological nursing, 18-23, 2012.

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International Journal of Intelligent Systems

published: 2012

vol. 27:10 pp. 926–938

Citation

A Wilbik, J Keller, G Alexander, Similarity evaluation of sets of linguistic summaries, International Journal of Intelligent Systems, 926–938, 2012.

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Nursing research

published: 2011

vol. 60:5 pp. 318-325

Citation

G Alexander, B Wakefield, M Rantz, M Skubic, M Aud, S Erdelez, S Ghenaimi, Passive sensor technology interface to assess elder activity in independent living, Nursing research, 318-325, 2011.

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International journal of medical informatics

published: 2011

vol. 80:9 pp. 606-617

Citation

M Fossum, G Alexander, M Ehnfors, A Ehrenberg, Effects of a computerized decision support system on pressure ulcers and malnutrition in nursing homes for the elderly, International journal of medical informatics, 606-617, 2011.

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Journal of Healthcare Engineering

published: 2011

vol. 2:3 pp. 337–364

Citation

G Alexander, M Rantz, M Skubic, R Koopman, L Phillips, R Guevara, S Miller, Evolution of an early illness warning system to monitor frail elders in independent living, Journal of Healthcare Engineering, 337–364, 2011.

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Journal of Clinical Nursing

published: 2011

vol. 20:17-18 pp. 2425-2435

Citation

M Fossum, G Alexander, K Göransson, M Ehnfors, A Ehrenberg, Registered nurses’ thinking strategies on malnutrition and pressure ulcers in nursing homes: A scenario-based think-aloud study, Journal of Clinical Nursing, 2425-2435, 2011.

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Journal of gerontological nursing

published: 2011

vol. 37:7 pp. 23-25

Citation

G Alexander, M Alwan, L Batshon, S Bloom, R Brennan, J Derr, M Dougherty, P Gruhn, A Kirby, B Manard, R Raiford, I Serio, Building on a national health information technology strategic plan for long-term and post-acute care: Comments by the long term post acute care health information technology collaborative, Journal of gerontological nursing, 23-25, 2011.

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Policy, Politics, & Nursing Practice

published: 2010

pp. 1527154410386616

Citation

G Alexander, R Madsen, D Wakefield, A regional assessment of information technology sophistication in Missouri nursing homes, Policy, Politics, & Nursing Practice, 1527154410386616, 2010.

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Journal of the American Medical Directors Association

published: 2010

vol. 11:7 pp. 485–493

Keywords: nursing homes, EMR, advanced practice nurse, costs, quality indicators

Citation

M Rantz, L Hicks, G Petroski, R Madsen, G Alexander, C Galambos, V Conn, J Scott-Cawiezell, M Zwygart-Stauffacher, L Greenwald, Cost, staffing and quality impact of bedside electronic medical record (EMR) in nursing homes, Journal of the American Medical Directors Association, 485–493, 2010.

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Western Journal of Nursing Research

published: 2010

vol. 32:2 pp. 233-249

Keywords: exercise, human computer interaction, geriatrics, human motion analysis, silhouettes

Citation

G Alexander, T Havens, M Rantz, J Keller, C Abbott, An analysis of human motion detection systems use during elder exercise routines, Western Journal of Nursing Research, 233-249, 2010.

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CIN: Computers, Informatics, Nursing

published: 2010

vol. 28:6 pp. 325-332

Citation

M Rantz, M Skubic, G Alexander, M Aud, B Wakefield, C Galambos, R Koopman, S Miller, Improving nurse care coordination with technology, CIN: Computers, Informatics, Nursing, 325-332, 2010.

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Gerontechnology

published: 2010

vol. 9:2 pp. 186

Citation

G Alexander, C Galambos, M Skubic, S Wang, Density map visualization as a tool to monitor activity levels of older adults, Gerontechnology, 186, 2010.

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Journal of the American Medical Directors Association

published: 2009

vol. 10:6 pp. 398-407

Keywords: Health care systems, Information Technology, nursing homes

Citation

G Alexander, D Wakefield, Information technology sophistication in nursing homes, Journal of the American Medical Directors Association, 398-407, 2009.

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Technology and Health Care

published: 2009

vol. 17:3 pp. 183-201

Citation

M Skubic, G Alexander, M Popescu, M Rantz, J Keller, A smart home application to eldercare: Current status and lessons learned, Technology and Health Care, 183-201, 2009.

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Geriatric Nursing

published: 2009

vol. 30:4 pp. 238-249

Citation

M Rantz, D Cheshire, M Flesner, G Petroski, L Hicks, G Alexander, M Aud, C Siem, K Nguyen, C Boland, S Thomas, Helping nursing homes “at risk” for quality problems: A statewide evaluation, Geriatric Nursing, 238-249, 2009.

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Journal of Applied Computer Science Methods

published: 2009

vol. 2:1 pp. 21-42

Citation

T Havens, G Alexander, C Abbott, J Keller, M Skubic, M Rantz, Tracking exercise motions of older adults using contours, Journal of Applied Computer Science Methods, 21-42, 2009.

Long-Term Living: For the Continuing Care Professional

published: 2009

vol. 58:1 pp. 20-25

Keywords: Information Technology, COMPUTER networks, LONG-term care facilities, MOBILE communication systems, QUALITY of service

Citation

G Alexander, W Kehr, Mobile IT applications, Long-Term Living: For the Continuing Care Professional, 20-25, 2009.

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Journal of gerontological nursing

published: 2009

vol. 35:7 pp. 22-27

Citation

G Alexander, R Madsen, It sophistication and quality measures in nursing homes, Journal of gerontological nursing, 22-27, 2009.

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IEEE

published: 2009

pp. 22–28

Citation

T Havens, G Alexander, C Abbott, J Keller, M Skubic, M Rantz, Contour tracking of human exercises, IEEE, 22–28, 2009.

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IEEE

published: 2009

pp. 951–956

Citation

T Havens, G Alexander, J Keller, M Skubic, M Rantz, Fuzzy contour tracking of human silhouettes, IEEE, 951–956, 2009.

Journal of Nursing Care Quality

published: 2008

vol. 23:3 pp. 195-201

Keywords: Humans, UNITED States, Aged, Geriatric Assessment, Environment Design, Safety Management, Monitoring, Ambulatory, Accidental Falls, Biomechanical Phenomena, Geriatric Nursing, Long-Term Care, Nursing Assessment, Patient Care Team, Patient Simulation, Risk Assessment, Technology Assessment, Biomedical, Total Quality Management, Videotape Recording

Citation

M Rantz, M Aud, G Alexander, B Wakefield, M Skubic, R Luke, D Anderson, J Keller, Falls, technology, and stunt actors: new approaches to fall detection and fall risk assessment, Journal of Nursing Care Quality, 195-201, 2008.

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Research in Gerontological Nursing

published: 2008

vol. 1:4 pp. 238-244

Citation

G Alexander, M Rantz, M Skubic, M Aud, B Wakefield, E Florea, A Paul, Sensor systems for monitoring functional status in assisted living facilities, Research in Gerontological Nursing, 238-244, 2008.

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Advances in Patient Safety: New Directions and Alternative Approaches. Rockville, MD: Agency for Health Care Research and Quality

published: 2008

vol. 4: pp. 91–105

Citation

G Alexander, D Madsen, S Herrick, B Russell, Measuring IT sophistication in nursing homes, Advances in Patient Safety: New Directions and Alternative Approaches. Rockville, MD: Agency for Health Care Research and Quality, 91–105, 2008.

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Journal of Housing For the Elderly

published: 2008

vol. 22:1-2 pp. 66-85

Citation

M Rantz, R Porter, D Cheshier, D Otto, C Servey, R Johnson, M Aud, M Skubic, H Tyrer, Z He, G Demiris, G Alexander, G Taylor, TigerPlace, a state-academic-private project to revolutionize traditional long-term care, Journal of Housing For the Elderly, 66-85, 2008.

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Quality Management in Health Care

published: 2008

vol. 17:3 pp. 242-251

Citation

G Alexander, An analysis of nursing home quality measures and staffing, Quality Management in Health Care, 242-251, 2008.

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Journal of Nursing Management

published: 2008

vol. 16:6 pp. 692–699

Keywords: Novice-to-Expert nursing practice, clinical, decision support systems, expert systems, nursing administration, nursing informatics

Citation

K Courtney, G Alexander, G Demiris, Information technology from novice to expert: Implementation implications, Journal of Nursing Management, 692–699, 2008.

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Journal of gerontological nursing

published: 2008

vol. 34:2 pp. 15-20

Citation

G Alexander, others, Analysis of an integrated clinical decision support system in nursing home clinical information systems., Journal of gerontological nursing, 15-20, 2008.

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Perspectives in Health Information Management / AHIMA, American Health Information Management Association

published: 2008

vol. 5:

Citation

G Alexander, A descriptive analysis of a nursing home clinical information system with decision support, Perspectives in Health Information Management / AHIMA, American Health Information Management Association, 2008.

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Gerontechnology

published: 2008

vol. 7:2 pp. 67

Citation

G Alexander, T Havens, M Skubic, M Rantz, J Keller, C Abbott, Markerless human motion capture-based exercise feedback system to increase efficacy and safety of elder exercise routines, Gerontechnology, 67, 2008.

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IEEE Proc., EMBS/BMES

published: 2008

Citation

I Sledge, J Keller, G Alexander, Emergent trend detection in diurnal activity, IEEE Proc., EMBS/BMES, 2008.

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American Medical Informatics Association

published: 2008

vol. 2008: pp. 1

Citation

G Alexander, A state profile of IT sophistication in nursing homes, American Medical Informatics Association, 1, 2008.

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published: 2008

vol. 37:1 pp. 20–26

Citation

C Craven, M Sievert, L Hicks, G Alexander, L Hearne, J Holmes, Snapshot, 20–26, 2008.

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Computers Informatics Nursing

published: 2007

vol. 25:4 pp. 189-197

Citation

G Alexander, M Rantz, M Flesner, M Diekemper, C Siem, Clinical information systems in nursing homes: An evaluation of initial implementation strategies, Computers Informatics Nursing, 189-197, 2007.

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Nursing administration quarterly

published: 2006

vol. 30:1 pp. 21-29

Citation

G Alexander, Issues of trust and ethics in computerized clinical decision support systems, Nursing administration quarterly, 21-29, 2006.

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Nursing administration quarterly

published: 2005

vol. 29:4 pp. 315

Citation

K Courtney, G Demiris, G Alexander, Information technology: Changing nursing processes at the point-of-care, Nursing administration quarterly, 315, 2005.

published: in press

Citation

G Alexander, Human factors in safety critical nursing systems, chapter 8, in press.

CIN: Computers, Informatics, Nursing

published: in press

Citation

M Rantz, G Alexander, C Galambos, M Flesner, A Vogelsmeier, L Hicks, J Scott-Cawiezell, M Swygart-Stauffacher, L Greenwald, Evaluation of the use of bedside technology to improve quality of care in nursing facilities: A qualitative analysis, CIN: Computers, Informatics, Nursing, in press.

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