Core Faculty

Profile Pic

Gregory L. Alexander, Ph.D., R.N.

Associate Professor

Office: S415 Sinclair School of Nursing

Phone: 573-882-9346

Email: alexanderg@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

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

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, Information Technology Standards, IT Sophistication in Nursing Homes

Instruction Focus

  • Research, Clinical Decision Support Systems, Human Computer Interaction, Health Systems

Honors, Awards, and Appointments

  • Harriet Werley New Investigator Award, Midwest Nursing Research Society 2010

Selected Publications


  1. Alexander, G. (in press). Human factors in safety critical nursing systems, chapter 8. Virginia Saba, Kathleen McCormick, Ed., Essentials of Nursing Informatics 5th Ed.
  2. Rantz, M., Alexander, G., Galambos, C., Flesner, M., Vogelsmeier, A., Hicks, L., Scott-Cawiezell, J., Swygart-Stauffacher, M., Greenwald, L. (in press). Evaluation of the use of bedside technology to improve quality of care in nursing facilities: A qualitative analysis. CIN: Computers, Informatics, Nursing.
  3. Alexander, G., Steege, L., Pasupathy, K., Wise, K. (2013). 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. doi:http://dx.doi.org/10.1016/j.ergon.2012.12.002 [pdf]
  4. Rantz, M., Skubic, M., Miller, S., Galambos, C., Alexander, G., Keller, J., Popescu, M. (2013). Sensor technology to support aging in place. Journal of the American Medical Directors Association, 14(6), 386-391. [pdf]
  5. Alexander, G., Madsen, R. (2012). A case study in communication strategies used for pressure ulcer prevention in a nursing home with high IT sophistication. Nursing informatics ..: proceedings of the .. International Congress on Nursing Informatics, 2012, 1.
  6. Craven, C., Sievert, M., Hicks, L., Alexander, G., Hearne, L., Holmes, J. (2012). Experts speak: Advice from key informants to small, rural hospitals on implementing the electronic health record system. Studies in health technology and informatics, 192, 608–612. [pdf]
  7. Rantz, M., Skubic, M., Koopman, R., Alexander, G., Phillips, L., Musterman, K., Back, J., Aud, M., Galambos, C., Guevara, R. (2012). Automated technology to speed recognition of signs of illness in older adults. Journal of Gerontological Nursing, 38(4), 18-23. [pdf]
  8. Wilbik, A., Keller, J., Alexander, G. (2012). Similarity evaluation of sets of linguistic summaries. International Journal of Intelligent Systems, 27(10), 926–938. [pdf]
  9. Craven, C., Sievert, M., Hicks, L., Alexander, G., Hearne, L., Holmes, J. (2012). Experts speak: Advice from key informants to small, rural hospitals on implementing the electronic health record system. Studies in health technology and informatics, 192, 608–612. [pdf]
  10. Craven, C., Sievert, M., Hicks, L., Alexander, G., Hearne, L., Holmes, J. (2012). Experts speak: Advice from key informants to small, rural hospitals on implementing the electronic health record system. Studies in health technology and informatics, 192, 608–612. [pdf]
  11. Fossum, M., Alexander, G., Göransson, K., Ehnfors, M., Ehrenberg, A. (2011). Registered nurses’ thinking strategies on malnutrition and pressure ulcers in nursing homes: A scenario-based think-aloud study. Journal of Clinical Nursing, 20(17-18), 2425-2435. [pdf]
  12. Alexander, G., Wakefield, B., Rantz, M., Skubic, M., Aud, M., Erdelez, S., Ghenaimi, S. (2011). Passive sensor technology interface to assess elder activity in independent living. Nursing Research, 60(5), 318-325. [pdf]
  13. Alexander, G., Rantz, M., Skubic, M., Koopman, R., Phillips, L., Guevara, R., Miller, S. (2011). Evolution of an early illness warning system to monitor frail elders in independent living. Journal of Healthcare Engineering, 2(3), 337–364. [pdf]
  14. Fossum, M., Alexander, G., Ehnfors, M., Ehrenberg, A. (2011). Effects of a computerized decision support system on pressure ulcers and malnutrition in nursing homes for the elderly. International Journal of Medical Informatics, 80(9), 606-617. [pdf]
  15. Fossum, M., Alexander, G., Göransson, K., Ehrenberg, A., Ehnfors, M. (2011). Registered nurses' thinking strategies on malnutrition and pressure ulcers in nursing homes: A scenario-based think-aloud study. Journal of Clinical Nursing, 20(17-18), 2425-2435.
  16. Alexander, G., Alwan, M., Batshon, L., Bloom, S., Brennan, R., Derr, J., Dougherty, M., Gruhn, P., Kirby, A., Manard, B., Raiford, R., Serio, I. (2011). 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, 37(7), 23-25. doi:10.3928/00989134-20110602-01 [pdf]
  17. Alexander, G., Madsen, R., Wakefield, D. (2010). A regional assessment of information technology sophistication in missouri nursing homes. Policy, Politics, & Nursing Practice, 11(3), 214–225. [pdf]
  18. Rantz, M., Hicks, L., Petroski, G., Madsen, R., Alexander, G., Galambos, C., Conn, V., Scott-Cawiezell, J., Zwygart-Stauffacher, M., Greenwald, L. (2010). Cost, staffing and quality impact of bedside electronic medical record (EMR) in nursing homes. Journal of the American Medical Directors Association, 11(7), 485–493. [pdf]
  19. Rantz, M., Skubic, M., Alexander, G., Popescu, M., Aud, M., Wakefield, B., Koopman, R., Miller, S. (2010). Developing a comprehensive electronic health record to enhance nursing care coordination, use of technology, and research. Journal of Gerontological Nursing, 36(1), 13-17. doi:10.3928/00989134-20091204-02 [pdf]
  20. Alexander, G., Havens, T., Rantz, M., Keller, J., Abbott, C. (2010). An analysis of human motion detection systems use during elder exercise routines. Western Journal of Nursing Research, 32(2), 233-249. doi:10.1177/0193945909349947 [pdf]
  21. Rantz, M., Skubic, M., Alexander, G., Aud, M., Wakefield, B., Galambos, C., Koopman, R., Miller, S. (2010). Improving nurse care coordination with technology. CIN: Computers, Informatics, Nursing, 28(6), 325-332. doi:10.1097/NCN.0b013e3181f69838 [pdf]
  22. Alexander, G., Wakefield, D. (2009). Information technology sophistication in nursing homes. Journal of the American Medical Directors Association, 10(6), 398-407. doi:10.1016/j.jamda.2009.02.001 [pdf]
  23. Rantz, M., Cheshire, D., Flesner, M., Petroski, G., Hicks, L., Alexander, G., Aud, M., Siem, C., Nguyen, K., Boland, C., Thomas, S. (2009). Helping nursing homes “at risk” for quality problems: A statewide evaluation. Geriatric Nursing, 30(4), 238-249. doi:10.1016/j.gerinurse.2008.09.003 [pdf]
  24. Skubic, M., Alexander, G., Popescu, M., Rantz, M., Keller, J. (2009). A smart home application to eldercare: Current status and lessons learned. Technology and Health Care, 17(3), 183-201. doi:10.3233/THC-2009-0551 [pdf]
  25. Havens, T., Alexander, G., Abbott, C., Keller, J., Skubic, M., Rantz, M. (2009). Tracking exercise motions of older adults using contours. Journal of Applied Computer Science Methods, 2(1), 21-42. [pdf]
  26. Alexander, G., Kehr, W. (2009). Mobile IT applications. Long-Term Living: For the Continuing Care Professional, 58(1), 20-25.
  27. Alexander, G., Madsen, R. (2009). It sophistication and quality measures in nursing homes. Journal of Gerontological Nursing, 35(7), 22-27. doi:10.3928/00989134-20090527-05 [pdf]
  28. Rantz, M., Aud, M., Alexander, G., Wakefield, B., Skubic, M., Luke, R., Anderson, D., Keller, J. (2008). Falls, technology, and stunt actors: new approaches to fall detection and fall risk assessment. Journal of Nursing Care Quality, 23(3), 195-201. doi:10.1097/01.NCQ.0000324581.59557.42
  29. Alexander, G., Rantz, M., Skubic, M., Aud, M., Wakefield, B., Florea, E., Paul, A. (2008). Sensor systems for monitoring functional status in assisted living facilities. Research in Gerontological Nursing, 1(4), 238-244. doi:10.3928/19404921-20081001-01 [pdf]
  30. Alexander, G., Madsen, D., Herrick, S., Russell, B. (2008). Measuring IT sophistication in nursing homes. Advances in Patient Safety: New Directions and Alternative Approaches. Rockville, MD: Agency for Health Care Research and Quality, 4, 91–105. [pdf]
  31. Rantz, M., Porter, R., Cheshier, D., Otto, D., Servey, C., Johnson, R., Aud, M., Skubic, M., Tyrer, H., He, Z., Demiris, G., Alexander, G., Taylor, G. (2008). TigerPlace, a state-academic-private project to revolutionize traditional long-term care. Journal of Housing For the Elderly, 22(1-2), 66-85. doi:10.1080/02763890802097045 [pdf]
  32. Alexander, G. (2008). An analysis of nursing home quality measures and staffing. Quality Management in Health Care, 17(3), 242-251. doi:10.1097/01.QMH.0000326729.78331.c5 [pdf]
  33. Courtney, K., Alexander, G., Demiris, G. (2008). Information technology from novice to expert: Implementation implications. Journal of Nursing Management, 16(6), 692–699. doi:10.1111/j.1365-2834.2007.00829.x [pdf]
  34. Alexander, G. (2008). Analysis of an integrated clinical decision support system in nursing home clinical information systems. Journal of Gerontological Nursing, 34(2), 15-20. [pdf]
  35. Alexander, G. (2008). A descriptive analysis of a nursing home clinical information system with decision support. Perspectives in Health Information Management / AHIMA, American Health Information Management Association, 5. [pdf]
  36. Alexander, G., Rantz, M., Flesner, M., Diekemper, M., Siem, C. (2007). Clinical information systems in nursing homes: An evaluation of initial implementation strategies. Computers Informatics Nursing, 25(4), 189-197. [pdf]
  37. Alexander, G. (2006). Issues of trust and ethics in computerized clinical decision support systems. Nursing administration quarterly, 30(1), 21-29. [pdf]
  38. Courtney, K., Demiris, G., Alexander, G. (2005). Information technology: Changing nursing processes at the point-of-care. Nursing administration quarterly, 29(4), 315. [pdf]