Research

I study how the use of health information technology can improve health care.

My research is situated at the intersection of health information technology and health policy. My dissertation is focused on state policies impacting health information exchange and how best to measure the use of health information exchange among teams in primary care settings.

Research In Progress

Apathy, NC; Harle, CA; Vest, JR; Morea, JG; Menachemi, N. Physician use of electronic health records on days off. Under Review.

Apathy, NC; Everson, J. Physician participation across performance categories in the first year of MIPS. Under Review.

Apathy, NC; Vest, JR; Harle, CA. State consent policies and primary care provider usage of health information exchange.

Apathy, NC; Vest, JR; Adler-Milstein, J; Dixon, BE; Blackburn, J; Harle, CA. Measures of team-based use of health information exchange in primary care.

Apathy, NC; Vest, JR; Adler-Milstein, J; Dixon, BE; Blackburn, J; Harle, CA. Within-user changes in HIE use patterns over time.

Apathy, NC; Wiley, K; Harle, CA. The changing relationship between opioid prescribing and opioid overdose deaths.

Apathy, NC; Finnell, JT; Grannis, S; Embi, P; Comer, AR. Prevalence of serious injuries from electronic scooter use.

Comer, AR; Apathy, NC; Finnell, JT; Silverman, R; Grannis, S; Embi, P. Electric Scooters (e-scooters): A Threat to Public Health and Safety. Under Review.

Apathy, NC; Harle, CA; Roberts, A; Hayden, R; Vest, JR. Tools for visualizing patient-level risk factors derived from clinical risk prediction models.

Peer-Reviewed Publications

Apathy, NC; Holmgren, AJ. Opt-in consent policies: potential barriers to hospital health information exchange. American Journal of Managed Care. Accepted for Jan 2020 Health IT Issue.

Holmgren, AJ; Apathy, NC. Hospital adoption of API-enabled patient data access. Healthcare: The Journal of Delivery Science and Innovation. In Press.

Balio, CP; Apathy, NC; Danek, R. Health information technology and accountable care organizations: synthesis of the literature and future directions. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2019;7(1):24.

Apathy, NC; Yeager, VA. Examining training motivations among public health workers. Journal of Public Health Management and Practice. 2019 Vol 25 Special Supplement 2. PH WINS 2017.

Harle, CA; Apathy, NC; Cook, RL; Danielson, EC; DiIulio, J; Downs, SM; Hurley, RW; Mamlin, BW; Militello, LG; Anders, S. Information Needs and Requirements for Decision Support in Primary Care: An Analysis of Chronic Pain Care. AMIA Annual Symposium Proceedings. 2018 Nov 3-7.

Apathy, NC; Menser, T; Keeran, L; Ford, EW; Harle, CA; Huerta, TR. Trends and gaps in awareness of direct-to-consumer genetic tests from 2007-2014. American Journal of Preventive Medicine. 2018 Jun 1;54(6):806-13.

Mosa, AS; Yoo, I; Apathy, NC; Ko, KJ; Parker, JC. Secondary Use of Clinical Data to Enable Data-Driven Translational Science with Trustworthy Access Management. Missouri Medicine. 2015;112(6):443-448.

Peer-Reviewed Conference Presentations

Apathy, NC; Vest, JR; Menachemi, N; Morea, JG; Harle, CA. Differing patterns in frequency of electronic health records documentation among clinicians following the replacement of a legacy EHR system. American Medical Informatics Association Annual Symposium. Nov. 2019

Apathy, NC. Association between physician usage of health information exchange and quality measures. National Library of Medicine Informatics Training Conference. June 2019

Apathy, NC; Vest, JR; Menachemi, N; Morea, JG; Harle, CA. Impact of Transitioning from a Homegrown to a Commercial EHR on User Satisfaction. AcademyHealth Annual Research Meeting. June 2019

Apathy, NC; Everson, J. Variations in Primary Care Provider Competition Indices across Commonly Used Data Sources. AcademyHealth Annual Research Meeting. June 2019

Apathy, NC; Harle, CA. Patient consent policies for state health information exchange and level of provider exchange. American Medical Informatics Association Annual Symposium. Nov. 2018

Apathy, NC. Measurement of Health Information Exchange & Interoperability. National Library of Medicine Informatics Training Conference. June 2018

Balio, CP; Apathy, NC; Wiley, K; Holmes, A. The association between usual source of care at a patient-centered medical home and high-expense service utilization. AcademyHealth Annual Research Meeting. June 2018

Harle, CA; Anders, S; Apathy, NC; Cook, RL; Danielson, EC; DiIulio, J; Downs, SM; Hurley, RW; Mamlin, BW; Militello, LG. Designing a user-centered electronic health record decision support system for guideline-concordant opioid prescribing. AcademyHealth Annual Research Meeting. June 2018

Apathy, NC; Vest, JR; Menachemi, N; Putz, JW; Morea, JG; Harle, CA. Differing patterns of satisfaction and perception among clinical and non-clinical users following replacement of a legacy EHR system. American Medical Informatics Association Annual Symposium. Nov. 2017

Apathy, NC; Vest, JR; Menachemi, N; Harle, CA. Changes in user perceptions of their electronic health record following the replacement of a legacy system: a longitudinal analysis. AcademyHealth Annual Research Meeting. June 2017

Bako, AT; Apathy, NC; Vest, JR; Harle, CA. User concerns following replacement of a legacy electronic health record: A longitudinal qualitative study. AcademyHealth Annual Research Meeting. June 2017

Apathy, NC; Balio, CP; Danek, RL. Underrepresentation of health information technology studies in the context of accountable care organizations: Using the HSRProj database. AcademyHealth Annual Research Meeting. June 2017

Apathy, NC; Mosa, AS; & Ko, KJ. Protecting Patient Data and Maintaining Site Autonomy: Managing Project Access in a Multi-Site i2b2 Database. American Medical Informatics Association Annual Symposium. Nov. 2014

Book Chapters

Dixon, BE; Rahurkar, S; & Apathy, NC. Health Information Exchange. In: Magnuson, JA; Dixon, BE, editors. Public Health Informatics and Information Systems, 3rd edition. Springer London. Under development, publication 2020.