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Connecticut Concussion Tracker (CT)2
Joanne Conover, Ph.D., Associate ProfessorDepartment of Physiology and Neurobiology
University of Connecticut75 N. Eagleville Road, U-3156
Storrs, CT 06269-3156860 486 8338
Steven A. Demurjian, Ph.D., ProfessorComputer Science & Engineering Department
University of Connecticut371 Fairfield Road, U-4155
Storrs, CT 06269-4155860 486 3719
Thomas P. Agresta, M.D., M.B.I, ProfessorDepartment of Family Medicine – Medical Informatics
University of Connecticut Health Center263 Farmington Avenue
Farmington, CT 06030-6029860 679 3198
© Copyright 2014, 2015, J. Conover, S. Demurjian, and T. Agresta, University of Connecticut.
October 9, 2014
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Suite of Applications for Concussion Tracking in support of new CT Law HB5113 Mobile and Web Versions Single system for all CT Schools
• Nurses, Trainers, Coaches, Principals, etc.
Provide Additional Policy/Regulatory Capability Data Collection: Causes, Symptoms, Follow-
up, Return to Class/Participation Track Students from K to 12 Establish Longitudinal Repository Advanced Reporting Capabilities for both
Schools and State
Objectives of (CT)2
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Initial Screens
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Selecting State/City/Town/Region/District/School
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List of All Students/User and Summary
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Remaining Summary Screens
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Basic Student Info and Cause of Injury
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Basic Student Info and Cause of Injury
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Symptoms within 48 hrs
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Following up with Student
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Returning to Learn and/or Play
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Reporting Capabilities
Ability to examine data by variety of factors Age Gender Symptoms
Duration Sport
Football, Soccer, Basketball, Hockey, etc. Days lost Region/School
Longitudinal Analysis Tracking trends over time
Under Current Development by M. Morton, CSE4701 Intro to Databases, Honors Project
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Sample Reports
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Sample Reports
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Sample Reports
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Next Steps for (CT)2
Establishing (CT)2 Team Involved UConn/UCHC Personnel Department of Education Representatives Identify Schools to Participate in Early Stages
Requirements Gathering for Security Access Survey schools - who enters or accesses data Design security/role based access
User Centric-Design and Implementation Session Reports, user interface, content modifications Deploy Test Version by Dec. 1, 2014 to gather input Objectives:
Put into Hands of Potential Users Admin, Nurses, Coaches, ADs, etc. Adjust UI and Process
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Current (CT)2 Team
Physiology and Neurobiology Dr. J. Conover/Ms. R. Acabchuk (PhD student)
Computer Science & Engineering Dr. S. Demurjian, Ms. X. Shao (PhD student), Joshua
Diffenderfer (MS Student), M. Morton (Ugrad) Kinesiology
Dr. Lindsay Distefano Nursing and Public Engagement
Dr. Carol Polifroni School Nurse
Ms. L. Demurjian, RN, MBA, Nurse Medical Doctor & Medical Informatics
Dr. Tom Agresta, MD, MBI
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Interactions with Uconn Athletic Training
Identify Collaborators from UConn AT Potential Usage of (CT)2 by UConn AT
Taking the App into the Field User Interface and Usability Testing Sharing the App with Members at Schools
Nurses, Coaches, Trainers, etc. Suggestions for Changes/Enhancements
What are Other Potential Collaborations?
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Next Steps for (CT)2
Deploy Wider-Scale Pilot Version Develop Pilot rollout and evaluation strategy Pilot Version Very soon Android application Secure Data Exchange and Encryption in Database UI Design, Performance, and Load Testing Wide Range of Schools – Urban, Suburban, Rural,
Public, Private, etc. Identify Stakeholders and Obtain Feedback
Plan Later Increments Statewide Deployment in Fall 2017 (Very Optimistic) Add iOS version Add Canned and Ad-hoc Reporting Add additional data capture screens to facilitate more
robust reports (total participation in each sport, out of school sports participation – other as requested)
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Connecticut Concussion Tracker Vision
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Other Relevant Issues for (CT)2
Data Retrieval Security Requirements Role-Based Authentication/Access Control Identity Management Data Storage Requirements
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Data Retrieval
Enabling schools to self-evaluate and identify areas for improvement De-identified incident level data available for
canned and ad hoc reports by authorized school users.
De-identified aggregate & comparative reports available for canned and ad hoc reports by authorized school & state users.
Who has access to what type of reports would be determined in concert with Department of Education during project period
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Security Requirements for (CT)2 Encryption: All
Communication (mobile app or web version)
FERPA Compliance:Insure Concussion Records are Available to Parents/Students
HIPAA Compliance: Electronic Medical Records to establish a Backend Repository
Mobile App No Data left on
Phone Encrypted
Transmission Web App
https No Cookies
Backend Storage All HIPAA Fields
Encrypted Take Advantage of
EMR Secured Report
Environment
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Role-Based Authentication/Access Control
Assigning and Maintaining User Privileges: Who will have access to various features such as view
data, update/delete record and close incident? Who will create, assign & manage Admin accounts? Who will assign and maintain user roles? Plans for turnover.
Generic Security Levels: Security Administrator Simple User Advanced User
Identifying Potential Users: Principal, Nurse, Athletic Trainer, Coaches, Administrators, Athletic Director
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Identity Management
Student ID Maintenance Consider requirement of tracking multiple
incidents for individual students longitudinally If so, student identification be tracked across
schools Long term goals
Track diabetes, asthma, allergies, other health issues
Integration with student health record for complete healthcare record
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Data Storage Requirements
Review/finalize App specifications, security, system admin, student ID management, data storage
Items to be determined Intellectual property: work UConn Tech Trans Potential expansion – other states or CT colleges Server location options:
Initial development and staging at UConn Potential hosting of production at UConn (hosting expense
for HIPAA compliance, etc.) Transfer production to State servers
Support staff Software maintenance Yearly updates/improvements
