Advances in health information science and practice最新文献

{"title":"Protecting Against Unintended Risk From Student Quality Improvement Projects in Health Care.","authors":"Ianthe Bryant-Gawthrop","doi":"10.63116/ahisp-25-009","DOIUrl":"10.63116/ahisp-25-009","url":null,"abstract":"<p><p>Quality improvement (QI) project design is an essential characteristic of degree programs for future health care leaders. The use of evidence-based practices strengthens patient safety and organizational efficiency. The curriculum for advanced degree programs emphasizes and requires a QI project for each student, often allowing the activity to occur at the student's place of employment, thus creating a dual responsibility (student-employee). In the past two decades, institutional review boards (IRBs) and practitioners have struggled with incorporating uniformity in the review of research versus QI design. Despite the efforts of experts in ethics and calls to develop formal processes, consistency issues are still a challenge in traditional IRB review models. The process to mandate the IRB as the sole decision-maker for QI projects may lead to overregulation and bottlenecks in the institutional workflow. In this report, the author attempts to reconcile the causes of overregulation and also draw attention to potentially unrealized risks to patient privacy and protections. The proposed effort aims to (1) proactively establish when governance models are necessary for the population of student-employees conducting QI projects, and (2) promote interaction and cooperation when addressing ethical and regulatory standards outside of the IRB to reduce overregulation for student-employee QI projects. The author also describes a novel heatmap for risk identification and introduces the 5Circle Student Employee Venn for Quality Improvement model as a proposed mechanism to help institutions design more appropriate governance structures for student-employee QI projects. Finally, the author suggests ways by which institutions can increase efficiency and reduce overregulation of QI.</p>","PeriodicalId":521055,"journal":{"name":"Advances in health information science and practice","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13097626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147795974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital Accreditation Type and Patient Safety Outcomes: A National Comparison.","authors":"Magdalynn Kayfes","doi":"10.63116/NVMQ4217","DOIUrl":"10.63116/NVMQ4217","url":null,"abstract":"<p><strong>Background: </strong>Hospital accreditation is widely viewed as a mechanism to promote patient safety and quality improvement. However, the extent to which different accrediting bodies are associated with variation in performance outcomes remains unclear. The authors in this study assessed whether the performance on publicly reported patient safety outcomes in US acute care hospitals with 250 or more licensed beds, accredited by The Joint Commission (TJC) or Det Norske Veritas Healthcare, significantly differs.</p><p><strong>Methods: </strong>The authors used a retrospective, cross-sectional study design. They merged hospital accreditation and bed count data with publicly available Centers for Medicare & Medicaid Services performance data and included, in total, 1043 hospitals. The authors analyzed 24 outcome measures, including timely and effective care, complications, infections, mortality, readmissions, and the Overall Star Rating. The authors used Welch's independent 2-sample <i>t</i> tests to compare patient safety outcomes between TJC- and Det Norske Veritas-accredited hospitals and the 1-sample <i>t</i> tests to assess each group's performance relative to national benchmarks.</p><p><strong>Results: </strong>The accreditation groups for 23 of the 24 measures analyzed did not show statistically significant differences. Heart failure mortality was significantly lower in TJC-accredited hospitals (<i>P</i> < .05). Both groups outperformed national benchmarks on several infection-related measures, including catheter-associated urinary tract infections, central line-associated bloodstream infections, and <i>Clostridioides difficile</i> rates.</p><p><strong>Conclusions: </strong>Findings show that hospital accreditation type is not strongly associated with differences in patient safety outcomes. Although accreditation remains important for compliance and accountability, broader organizational, operational, and cultural factors may play a greater role in driving safety performance.</p>","PeriodicalId":521055,"journal":{"name":"Advances in health information science and practice","volume":"2 1","pages":"eNVMQ4217"},"PeriodicalIF":0.0,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12933432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147314736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Readability, Accessibility, and Quality of Online Health Information on Opioid Use Disorder: A Comparative Analysis of Government and Non-Government Websites.","authors":"Fatema Z Ahmed, Alice Noblin, Kendall Courtelyou, Georgiana Tynes","doi":"10.63116/SVXO9846","DOIUrl":"10.63116/SVXO9846","url":null,"abstract":"<p><strong>Background: </strong>The opioid crisis in the US remains a critical public health issue. Accessible, high-quality online health information is vital for educating the public about opioid use disorder (OUD) and available treatment options. This study aims to evaluate and compare the readability, accessibility, and quality of OUD-related information on government and non-government websites to identify areas for improvement.</p><p><strong>Methods: </strong>A total of 30 websites, 21 government-operated and 9 non-governmental, were selected through a systematic search. Readability was assessed using Gunning Fog, Simple Measure of Gobbledygook (SMOG), and Flesch Reading Ease Score (FRES) tests. Accessibility was evaluated using the WAVE tool, which checks for errors and adherence to Web Content Accessibility Guidelines (WCAG). Quality was measured using the DISCERN Instrument, a standardized tool for evaluating the quality of health information. Data were analyzed for statistical differences between government and non-government websites.</p><p><strong>Results: </strong>The average readability grade level across all websites was 14.63 and average FRES score was 31.63, indicating content requiring advanced reading skills, with no significant difference between government and non-government websites. Accessibility issues were more prevalent on non-government websites. Government websites scored significantly lower in terms of quality, with 80.95% of them rated as \"poor\" or \"very poor\" compared with 22.22% of non-government websites. The overall quality scores for both groups remained suboptimal, with an average DISCERN score of 39.52 out of 80.</p><p><strong>Conclusions: </strong>The findings highlight a critical need for improvements in the readability, accessibility, and quality of online health information on OUD. Government websites, in particular, require enhancements to ensure they meet the public's need for reliable, accessible, and comprehensible health resources.</p>","PeriodicalId":521055,"journal":{"name":"Advances in health information science and practice","volume":"2 1","pages":"eSVXO9846"},"PeriodicalIF":0.0,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12933433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147314753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges Associated With the Use of Electronic Health Record Systems for Health Service Delivery in Ghana.","authors":"Edward Agyemang, Kobina Esia-Donkoh, Addae Boateng Adu-Gyamfi, Emmanuel Kusi Achampong","doi":"10.63116/XQPG1557","DOIUrl":"10.63116/XQPG1557","url":null,"abstract":"<p><strong>Background: </strong>Globally, digital health holds immense potential for transforming health-care delivery and improving patient outcomes, including enhanced care, increased mobility of records, reduced costs, and efficient recordkeeping. In this study, the authors sought to explore the challenges associated with the use of the electronic health record (EHR) Lightwave Health Information Management System (LHIMS) for health service delivery in Ghana.</p><p><strong>Methods: </strong>The authors used a nonprobability purposive sampling technique (expert sampling) to sample 30 unit heads from the study population.</p><p><strong>Results: </strong>The software challenges included inconsistency in report generation and a lack of standardization in system features, functions, and data capturing. The EHR (LHIMS) is also dependent on computer devices, and inadequate or malfunctioning devices pose a challenge to its effectiveness. Power interruptions can disrupt the work process and even affect patient outcomes.</p><p><strong>Conclusions: </strong>The challenges associated with the use of the EHR (LHIMS) in Ghana are issues that could have been resolved at the beginning of the implementation of the EHR if all the players had been involved in the process.</p>","PeriodicalId":521055,"journal":{"name":"Advances in health information science and practice","volume":"2 1","pages":"eXQPG1557"},"PeriodicalIF":0.0,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12933431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147314761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Expansion to Expiration: Federal Policy Waivers and Telehealth Utilization in US Primary Care (2016-2024).","authors":"Abhilasha Bellapu, John Geracitano, Jamie Conklin, Saif Khairat","doi":"10.63116/RCTG8117","DOIUrl":"10.63116/RCTG8117","url":null,"abstract":"<p><strong>Background: </strong>The use of Telehealth has fluctuated over the past 8 years, with events such as the COVID-19 pandemic driving considerable growth in usage. During the COVID-19 pandemic, federal policy waivers were enacted to have Medicare cover costs for synchronous telehealth visits, increasing accessibility to telehealth during a public health emergency. Although waivers temporarily expanded access, sustainable, equitable telehealth access continues to heavily depend on overlooked factors such as technological accessibility, broadband availability, disability accommodations, and insurance status, particularly in rural and underserved populations. With these federal waivers set to expire on December 31, 2025, it is critical to evaluate the effectiveness and long-term impact of such federal policy waivers and to determine whether these have meaningfully improved telehealth access or have merely delayed underlying inequities.</p><p><strong>Methods: </strong>In this scoping review, the authors aimed to evaluate the impact of federal policy waivers on the utilization of synchronous telehealth with a focus on primary care across the United States from 2016 to 2024. Database searches across PubMed, SCOPUS, Cumulative Index of Nursing and Allied Health Literature (CINAHL), and PsycINFO yielded 137 unique references. Two screening stages resulted in 19 articles that met all evaluation criteria for review inclusion.</p><p><strong>Results: </strong>A review of the existing literature showed a common theme, in that federal waivers primarily affected telehealth usage by altering key social determinants of health and structural accessibility-driving both overuse in some populations and underuse in others. The most significant impact of the waivers was removal of geographic restrictions, particularly benefiting disadvantaged and rural communities. Studies noted that following the expiration of the waivers, patients-especially those seeking care across state lines-were less likely to attend either telemedicine or in-person visits, highlighting an immediate reduction in care access.</p><p><strong>Conclusions: </strong>Overall, previous studies have emphasized that sustaining telehealth access depends less on awareness efforts and more on addressing implementation barriers, particularly for nonambulatory, transportation-dependent, and financially disadvantaged populations.</p>","PeriodicalId":521055,"journal":{"name":"Advances in health information science and practice","volume":"2 1","pages":"eRCTG8117"},"PeriodicalIF":0.0,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12933434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147314743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safeguarding Social Determinants of Health Data at a Managed Health Plan.","authors":"Aurae Beidler, Kevin Rogers","doi":"10.63116/TLCI7167","DOIUrl":"10.63116/TLCI7167","url":null,"abstract":"<p><strong>Background: </strong>Increased adoption of social determinants of health (SDOH) screening protocols by federal and state agencies to address health equity initiatives has led to an increase in the collection of new types of data by health care workers (HCWs). Although there is general consensus on the need for SDOH screening, issues such as a lack of standardization, patient distrust, and concerns over data security continue. Past studies have identified gaps in the methods of SDOH data collection, how the SDOH data is handled, training provided on collecting and safeguarding this type of information, and how to educate patients about how their information may be used. The authors designed this study to explore the perspectives and experiences of HCWs who access and use SDOH data to deliver care coordination for managed health plan members.</p><p><strong>Methods: </strong>The authors used a mixed-methods methodology, quasi-experimental pre-post study to explore experiences and perspectives regarding data safeguards for SDOH data collected and accessed by HCWs at a managed health plan. Potential participants were selected from 2 divisions that provide care coordination and health-related service needs. The 18-item online survey contained both closed- and open-ended questions, with most using a Likert scale for responses.</p><p><strong>Results: </strong>The survey response rate was 14.1% (50). The authors found that 78.0% of the respondents were actively accessing and using SDOH data in their role. Of the 39 respondents who actively accessed and used SDOH data in their role, 23 (59.0%) respondents had been trained on how best to collect and use SDOH data, 6 (15.4%) respondents were unsure of receiving training, and 10 (25.6%) respondents had not received training. A majority (33 of 44; 75.0%) of the respondents understood that their department was collecting data directly from individual members regarding their SDOH/health-related social needs. When asked \"How certain are you that SDOH data is protected health information (PHI)?,\" there was an increase in mean and a decrease in standard deviation values when comparing the pre- and post-study answers to the same question. This indicates a shift toward higher numbers and less variability in results. The results showed that privacy and security training increased the level of confidence that HCWs have in safeguarding SDOH data.</p><p><strong>Conclusions: </strong>According to the results of this study, HCW participants better understood how SDOH data is protected health information upon receiving training. The results also demonstrated that HCWs are eager and open to more training on safeguarding SDOH data. The findings of this study could be used to assess the current use of SDOH data, develop guidelines for best practices, and identify specific areas of training to ensure the privacy and security of SDOH data.</p>","PeriodicalId":521055,"journal":{"name":"Advances in health information science and practice","volume":"2 1","pages":"eTLCI7167"},"PeriodicalIF":0.0,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12933430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147314749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correct Coding and Navigating Payer Expectations.","authors":"Leah Akers","doi":"10.63116/LFYE5539","DOIUrl":"10.63116/LFYE5539","url":null,"abstract":"<p><p>In this commentary, the author examines the root cause and barriers to billing compliance due to varying payer (insurance) requirements. The author examines uniform code set requirements enacted with the Health Insurance Portability and Accountability Act (HIPAA) and offers practical recommendations for health information (HI) professionals striving for compliance. Recommendations offered by the author include proactive approaches for compliance, monitoring techniques, and policy development.</p>","PeriodicalId":521055,"journal":{"name":"Advances in health information science and practice","volume":"1 2","pages":"LFYE5539"},"PeriodicalIF":0.0,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12917905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147314735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Clinical Documentation Integrity Programs on Diagnosis Documentation.","authors":"Amy L Sanderson, Lucinda Lo, Wendy Arafiles, Ara Balkian, Daxa P Clarke, Paola Dees, Corinna M Foley, Patrice Melvin, Steven J Staffa, David Zurakowski, Sheilah Snyder","doi":"10.63116/CGJA8827","DOIUrl":"10.63116/CGJA8827","url":null,"abstract":"<p><strong>Background: </strong>Clinical Documentation Integrity (CDI) programs aid in documentation of precise diagnoses. In this study, the authors assessed the rate at which certain diagnoses were present in the Pediatric Health Information System (PHIS) database and evaluated changes in the hospital-specific case mix index (CMI) pre- and post-CDI program inception at six children's hospitals.</p><p><strong>Methods: </strong>Between 2011 and 2017, CDI programs were implemented at six children's hospitals. The authors queried the PHIS database to compare the following diagnoses in 2010 and 2021: acute respiratory failure, chronic respiratory failure, ventilator dependence, dysphagia, malnutrition, and presence of a gastrostomy and/or jejunostomy (G/J) tube in patients with aspiration.</p><p><strong>Results: </strong>From 2010 to 2021, CMI increased at all hospitals. For all hospitals' inpatient encounters, the percentage of patients with acute respiratory failure and malnutrition increased (both <i>p</i> <0.001). Documentation of chronic respiratory failure increased (<i>p</i> < 0.001) and ventilator dependence decreased (<i>p</i> < 0.001) at all institutions. There were variations at the hospital level for capture of dysphagia, G/J and both diagnoses together.</p><p><strong>Conclusions: </strong>CMI increased and the rate of specific diagnoses in the PHIS database increased from 2010 to 2021, which corresponded to implementation of all institutions' CDI programs. Documentation of specific, clinically-relevant diagnoses in the medical record ensures optimal healthcare provider communication, proper severity of illness representation, appropriate hospital reimbursement, accurate quality metric reporting and database accuracy.</p>","PeriodicalId":521055,"journal":{"name":"Advances in health information science and practice","volume":"1 2","pages":"CGJA8827"},"PeriodicalIF":0.0,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12637214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145663606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Information Exchange as a Strategy for Advancing the Modernization of Healthcare Ecosystem in the Emirate of Dubai.","authors":"Mahera Abdulrahman, Mohammad Al Redha","doi":"10.63116/NACM4667","DOIUrl":"10.63116/NACM4667","url":null,"abstract":"<p><p>Health Information Exchange (HIE) aims to provide healthcare practitioners with a comprehensive, real-time overview of a patient's medical history, connecting patient records across healthcare facilities. Despite the potential advantages and despite ongoing efforts to promote HIE, challenges have often outweighed successes. In this article, the authors outline the process of establishing an HIE in Dubai (Nabidh HIE), emphasizing the obstacles, significant moments, and successes. This article examines the difficulties and achievements faced throughout the implementation phase and their effects on upcoming HIE initiatives. We think that our experience can act as a useful point of reference for other countries in the area as they strive to implement HIE.</p>","PeriodicalId":521055,"journal":{"name":"Advances in health information science and practice","volume":"1 2","pages":"NACM4667"},"PeriodicalIF":0.0,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12611100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145663589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Artificial Intelligence Literacy: What do Health Information Professionals Know about AI?","authors":"Diane Dolezel, Elize Lambert, Valerie Watzlaf, Mary Morton, Karima Lalani, Jaime Sand, Susan Fenton","doi":"10.63116/KLVV3078","DOIUrl":"10.63116/KLVV3078","url":null,"abstract":"<p><strong>Background: </strong>Previous AI literacy studies have been limited to clinical students and professionals and included subjective reporting. This survey study explored the extent of AI knowledge in health information professionals with subjective and objective questions. The objective of the study was to inform the International Federation of Health Information Management Associations (IFHIMA) and national health information bodies about current AI literacy levels and the education needs of their members.</p><p><strong>Methods: </strong>A descriptive survey was adapted from two validated, previously-published study instruments. Survey data were collected between December 5, 2024, and February 28, 2025 using a self-administered Qualtrics (Seattle, WA) online survey link distributed by email to IFHIMA members. The survey link was also distributed on the LinkedIn professional networking platform (LinkedIn Corp; Sunnyvale, CA) by multiple IFHIMA members. Results were analyzed using Chi-square, ANOVA, and Tukey HSD post-hoc tests to assess the associations between the categorical response variables and the subjective survey question measures.</p><p><strong>Results: </strong>A total of 176 participants began the survey. Data were cleaned to exclude 48 incomplete responses, leaving 128 complete and valid responses for analysis. AI knowledge varied by demographics; country of employment or residence and professional association membership were shown to influence familiarity with AI. Many health information professionals reported limited or no AI experience, and those with practical AI experience performed better on foundational AI knowledge questions, suggesting that experiential learning scaffolds AI literacy. Most respondents understood emerging AI-related threats. However, regardless of experiences with everyday AI tools, they struggled with AI modeling and product development.</p><p><strong>Conclusions: </strong>The study results identified a major gap in AI knowledge, and the authors provide input for educators aiming to align educational programs with job market demand by increasing AI knowledge content, addressing gaps through targeted curriculum development and educator training.</p>","PeriodicalId":521055,"journal":{"name":"Advances in health information science and practice","volume":"1 2","pages":"KLVV3078"},"PeriodicalIF":0.0,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12588626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145663655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}