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Annual Report
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TM
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
TM
2014 Annual Report
TM
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
2014
Annual Report
TM
II
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
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TM
2014 Annual Report
TM
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
Table of Contents
Chief’s Message
Charles Safran, MD Division Chief
2014 was a very productive year with new global events and
research. Our division hosted a global e-health conference
on September 16, 2104, in Boston that brought together
over 60 leading e-health researchers from Boston, Kuwait,
and Malaysia. The event was highlighted by the inaugural
e-health award given to Kazam Behbehani, MD, for lifetime
contributions to global e-health. The division also welcomed
two new faculty members, Melek Somai, MD, and Yuri
Quintana, PhD, to expand our efforts in research and global
e-health programs. The division faculty made research
presentations at the American Medical Informatics
Association (AMIA) national conference and participated on
board committees to expand the role of AMIA internationally.
I was also honored to receive the Morris F. Collen Award at
the AMIA conference. This award was named in honor of
Morris F. Collen, a pioneer in the field of medical informatics.
The division continues to make significant contributions in
research and education. We look forward to staying in touch
and hearing from you.
Best wishes for the year.
Charles Safran, MD
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Global e-Health Conference 5
INAUGURAL CONFERENCE BRINGS TOGETHER GLOBAL EXPERTS IN E-HEALTH 8
International Informatics 9
INTERNATIONAL COLLABORATIONS IN CLINICAL INFORMATICS
10 Awards 11 Kazem Behbehani, PhD, awarded inaugural Global E-Health Leadership Award 12 Charles Safran, MD, Awarded Morris F. Collen Award of Excellence in
Medical Informatics 16 Research News InfoSAGE™ aims to improve care coordination for elders and their families 17 using innovative online technologies 19 Preliminary findings from InfoSAGE™ 20Research on healthcare proxy and family history 21 Research presentations 22New faculty 24 Education News 25 NLM informatics training fellows 26 Pioneers of the Field 28 Research Publications 29 Research Presentations 30 Contact 3
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2014 Annual Report
Global e-Health Conference
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
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An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
INAUGURAL CONFERENCE
BRINGS TOGETHER
GLOBAL EXPERTS IN E-HEALTH
Global e-Health Conference
On September 16, 2014, the Division of Clinical
Informatics (DCI) hosted over 60 participants from
Boston, Kuwait, and Malaysia to discuss global
e-health initiatives and research. The conference
goals were to advance innovation, education,
and global collaborations for the advancement of
science and health care around the world.
The event was supported by Harvard Medical
Faculty Physicians (HMFP) and the newly formed
Longwood Medical International Foundation to
support international health initiatives.
Kuala lumpur, malaysia
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2014 Annual Report
Global e-Health Conference
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
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An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
The conference was opened by Antoine Kaldany,
MD, Associate Clinical Professor of Medicine,
Harvard Medical School Executive Director, International Initiatives, and Chairman of Longwood Medical International Foundation (LMIF), and Charles
Safran, MD, Chief, Division of Clinical Informatics,
Associate Professor of Medicine, Harvard Medical
School, Vice-Chair of LMIF.
antoine
kaldany, MD
DCI faculty members who spoke at the conference
and their topics included Communities of Practice
by Yuri Quintana, PhD, Foundations of e-Health in
Kuwait by Henry Feldman, MD, Patient Engagement
with Portals by Brad Crotty, MD, and InfoSAGE community based elder care by Charles Safran,
MD.
Kuwait City, Kuwait
h. m. goh, MD
dasman institute, kuwait
For an Asia/Pacific view on e-health, H. M. Goh,
MD, from the UMSC hospital in Malaysia, presented a talk entitled “TransformHealth with Clinical Informatics: An ASEAN Perspective.”
A panel on the topic of challenges in e-health was
moderated by Charles Safran, MD, and included
University of Malaya School of Medicine Dean
Adeeba Kamarulzaman, MD, Kazem Behbehani,
PhD, Director General of the Dasman Institute,
Kuwait, Antoine Kaldany, MD, and H. M. Goh, MD.
adeeba
kamarulzaman, MD
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2014 Annual Report
International Informatics
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
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An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
INTERNATIONAL COLLABORATIONS
IN CLINICAL INFORMATICS
International Informatics
Charles Safran, MD, Chief of the Division of Clinical
Informatics, recalls the founding of the Division at
Beth Israel Hospital over 40 years ago. “Back then,
it was called ‘Computer Medicine,’” he says. “We
were one of the first academic divisions focused on
the use of computers in health care.
Since then, the field has become essential,
integrating technology into clinical practice.
Decision support, clinical protocols and patient
education are all part of the clinical informatics
toolkit. But perhaps the most important innovation
to come out of the field is the electronic health
record (EHR). Here at BIDMC, the Online Medical
Record (WebOMR)—which Safran and his team
originally developed in 1989—has become the
standard for storing and sharing patient information
across BIDMC’s ever-growing provider network.
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Just as BIDMC has WebOMR, most other health care
networks have their own EHRs. But these systems
rarely “talk” to each other, meaning information
doesn’t travel with patients, who may receive care in
various places. So when Safran and his team began
to envision a next-generation EHR that could help
ensure continuity of care and information-sharing
across care providers, they looked beyond the US
to an environment where there were fewer systems
in place. In fact, they looked well beyond: to Kuwait,
a small country at the top of the Persian Gulf. There
they partnered with the Dasman Diabetes Institute
to create the Knowledge-Based Health Record
(KBHR), a clinically intuitive and patient-centric
EHR that is on its way to becoming, in the words of
Safran, “the central nervous system of health care
efforts throughout Kuwait.”
In addition to being a clean slate for EHRs, Kuwait
has one of the highest rates of diabetes in the
world. Because managing the disease requires
close coordination of primary care physicians and
specialists, a unified and accessible health record
is especially important in diabetes care. “Treatment
and research are strongly impacted by KBHR
in that it forms a single source of truth for both
research and clinical data,” says Henry Feldman,
MD, Chief Information Architect of the KBHR team
at BIDMC. “You don’t have to combine data from
many systems to come up with an answer about
the patient.” This, as Feldman notes, is useful not
only from a clinical standpoint but from a research
perspective as well. The KBHR team is working
on an exciting addendum to KBHR’s information
repository: a system called I2B2, developed as part
of Harvard’s Catalyst program. “I2B2 is a research
database for integrating technology and informatics
at the bedside,” explains Safran. “It not only allows
administrators and scientists to access records for
performance evaluation or basic research, but it
allows physicians to ask, ‘Have we seen a patient
like this before?’ And if so, what happened? What
were the diagnoses, the complications, the best
medical regimens?”
Antoine Kaldany, MD, of Joslin Diabetes Center
and BIDMC’s Division of Nephrology, spearheaded
the BIDMC-Dasman partnership and agrees that
Kuwait and Dasman, in particular, have been ideal
for this project. “Kuwait’s citizens are open-minded
and eager to improve their health,” says Kaldany.
“And Dasman’s Director-General, Dr. Kazem
Behbehani, and his team have been exceptional
partners.” Behbehani believes that KBHR has the
potential to revolutionize health care in Kuwait and
beyond. He says, “KBHR will help providers be more
efficient and to make better clinical decisions for
their patients. We hope to serve as a global model
for the best technology that clinical informatics has
to offer.”
Adapted from the 2014
Department of Medicine Annual Report
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2014 Annual Report
Awards
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
TM
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
Kazem Behbehani, PhD,
awarded inaugural Global
E-Health Leadership Award
Awards
Kazem Behbehani, PhD
Director General of the Dasman Institute, Kuwait
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Kazem Behbehani, PhD, Director General of
the Dasman Institute, Kuwait, was awarded the
inaugural e-health award for lifetime contributions
to global e-health. It was presented at the 2014
DCI Global e-health conference. Kazem Behbehani,
PhD (London), Royal College of Pathologists (UK),
joined the World Health Organization (WHO)
Geneva headquarters in 1990. He became WHO
Assistant Director-General for External Relations
& Governing Bodies in 2003 and in 2005 became
the WHO Envoy. He co-chairs Harvard University’s
scientific advisory board for the environment and
public health. He joined WHO’s HIV/AIDS program,
was appointed program manager in the Tropical
Disease Research Division, and subsequently
became Director of the Control of Tropical Diseases
Division and Eastern Mediterranean Liaison Office
in Geneva.
Before joining WHO, Dr. Behbehani was Professor
of Immunology at the Faculty of Medicine of
Kuwait University, and held the posts of: Vice Dean
of the Faculty of Science, Vice Dean (Research) of
the Faculty of Medicine, and Vice President for
Research of Kuwait University and was a member
of the University Council. He became a visiting professor at Harvard Medical School. Dr. Behbehani
is actively involved in environmental and health
issues, health management, application of information technology to health (e-health), and development of interactive educational materials for public,
professional, and medical use (e-learning). He has
written more than 100 scientific publications and a
book on science and technology.
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TM
2014 Annual Report
Awards
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
TM
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
Charles Safran, MD,
Awarded Morris F. Collen Award
of Excellence in Medical Informatics
Charlie Safran, md, receiving
the Morris F. Collen Award.
View the Award video at https://vimeo.com/113206054
Charles Safran, MD, FACMI, Chief of the Division
of Clinical Informatics at Beth Israel Deaconess
Medical Center (BIDMC), has received the American
College of Medical Informatics’ 2014 Morris F.
Collen Award in recognition of his commitment
to and achievements in medical informatics. The
award is given annually in honor of Morris F. Collen,
a pioneer in medical informatics, which concentrates on the use of communications and information technology to advance patient care, teaching,
and medical research.
Safran is the third BIDMC informatician to receive
the honor, following Warner Slack, MD, and Howard
Bleich, MD, who founded the Division of Clinical
Informatics more than 40 years ago. The Division
was among the first academic divisions in the world
to concentrate on the use of computers for patient
care, teaching, and medical research.
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Under Safran’s leadership since 2007, the Division
works to improve the quality and reduce the cost of
medical care, enhance the quality of medical education, improve the relationship between doctor
and patient, and explore innovative approaches to
research through computing.
“I am honored to be following in such footsteps and
build upon the solid foundation created by Warner
and Howard,” said Safran, who is also an Associate
Professor of Medicine at Harvard Medical School.
“The clinical informatics program has always been
about the care and well-being of our patients and
fellow citizens.”
“I am honored to be following in such footsteps and build upon
the solid foundation created by Warner and Howard.”
“The clinical informatics program has always been about the
care and well-being of our patients and fellow citizens.”
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TM
2014 Annual Report
Awards
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
Safran is a primary care internist who has devoted
his career to improving patient care through the
innovative use of informatics. He helped to develop
and deploy the integrated clinical computing and
electronic health record systems at BIDMC and
Brigham & Women’s Hospital, two Harvard Medical
School teaching hospitals. Safran also developed
Baby CareLink, a telemedicine program that incorporates videoconferencing and online technologies
to enhance communications between families with
premature babies, medical staff, and community
providers.
He has also designed clinical decision support systems to help clinicians implement care guidelines,
select diagnostic strategies for patients with cancer, and treat patients with HIV/AIDS. Currently, he
is working to explore how technology can improve
family collaboration in the care of elders through
the Information Sharing Across Generations and
Environments (InfoSAGE) project, with support
from the federal government’s Agency for Healthcare Research and Quality (AHRQ).
Earlier this year, the American Board of Medical
Specialties issued the first round of certifications
for clinical informatics, a subspecialty in which physicians use information and communication systems to enhance individual and population health
outcomes, improve patient care, and strengthen the
clinician-patient relationship. Safran, who helped
define the core contents of the field and led the
delineation of training requirements for the subspecialty, was among the first physicians to receive
board certification.
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An Academic Division of the Dept of Medicine
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“ACMI is proud to honor Charles Safran with the
Collen Award,” said ACMI Chair Alexa McCray, PhD,
of Harvard Medical School. “We congratulate Dr.
Safran on his accomplishments in improving patient
care at Beth Israel Deaconess Medical Center and
Harvard’s teaching hospitals and thank him for the
clinical informatics leadership role he has played
both throughout his career and recently during the
creation of the CI subspecialty of medicine.” “Dr.
Safran has had a profound impact on BIDMC and
me personally,” added John Halamka, MD, BIDMC’s
Chief Information Officer. “I began my career in his
lab and first prototyped our BIDMC web-based
systems under his mentorship.”
Safran is the past President and Chairman of
American Medical Informatics Association and
was previously Vice President of the International
Medical Informatics Association. He is an elected
fellow of both the American College of Medical Informatics and the American College of Physicians.
He chairs the Clinical Informatics track for Harvard
Medical School master’s program in biomedical
informatics and National Library of Medicine informatics fellowship. Safran graduated cum laude
in mathematics from Tufts University, where he
also earned a master’s degree in mathematical logic
and a doctor of medicine degree.
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2014 Annual Report
Research News
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
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An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
InfoSAGE™ aims to improve
care coordination for elders
and their families
using innovative online technologies
Research News
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Charles Safran, MD, is leading InfoSAGE™ (Information Sharing Across Generations and Environments), an AHRQ-funded project to advance care
and communication for elders. InfoSAGE™ was
developed by the Division of Clinical Informatics in
collaboration with investigators at Hebrew SeniorLife. It was designed to support the challenges
facing families in communicating, coordinating, and
collaborating on shared care. The goal of this system
is not only to support the special needs of the independent elder, but also to be capable of supporting
an incremental transition to shared management of
information. The aim is to improve the patient’s and
family’s sense of awareness and control over longterm care plans, as well as optimize overall resource
utilization around care transitions.
Aging creates new healthcare decision-making,
information management, and communication
challenges - not only for elders but also for their
families. When the need arises for family members
and other informal caretakers to take a more
active role in care and decision making, it can be
exceptionally challenging for them to manage an
elder’s healthcare information while respecting the
individual’s preferences and priorities.
The InfoSAGE project has been studying these information needs of elders and the adult children who
are involved in their care through the building of a
“living laboratory.” This allows us to study real-life
situations of elders and the challenges for families
of communicating, coordinating, and collaborating
with complex and costly care environments. Elderly
patients may face diminishing cognitive function
and may need to transfer aspects of control of their
personal health information and decision-making
to one or more family members. Based on focus
groups and interviews, we see that elders want to
retain control over their healthcare information and
decision-making, but also want to gradually transition to a shared model as their needs evolve.
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2014 Annual Report
Research News
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
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An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
Preliminary findings from InfoSAGE™
The broad goal is to gain a deep understanding of
the healthcare information ‘ecosystem’ that can
support the special needs of the independent elder,
yet also be capable of supporting an incremental
transition to shared management of information,
decision-making, and communication. Based upon
our extensive experience studying IT-enabled
collaborative care we know that one of the most
effective ways to understand a person’s information needs is to learn through direct observation of
behavior. The specific aims are to:
1. Identify the information needs and decision-making dynamics of
elders and those helping to care for them, with a particular focus on
how needs evolve as they transition from full independence to familysupported care.
Bradley Crotty, MD, at the 2014
Medical Informatics Conference
2. Create a “living laboratory,” a novel, family-centered information
management and collaborative environment that is based on the
requirements and needs identified in Specific Aim 1.
3. Longitudinally study elder and family collaborative interactions and
information management behaviors with InfoSAGE in the context of real
healthcare decision-making and care transitions.
4. Evaluate the extent to which InfoSAGE improves communication,
coordination, and collaboration for elders and their family.
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The outcome of the InfoSAGE project will be a
robust model of the healthcare information management infrastructure needed to meet the growing
needs of elders and their adult children and other
caretakers, as well as a framework for measuring
the impact of consumer information technology on
several key outcome variables. The team sought to
identify gaps and ascertain whether and how online
solutions might help by conducting a series of 10
focus groups with elders 75 years of age and older
living in senior housing, and with family members of
such elders. The group identified several key themes
from our focus groups. Identifying these themes
pointed to widespread gaps in communication and
information related to elder care in general. Based
on our focus group results, Bradley Crotty, MD, presented a poster at the American Medical Informatics
Association (AMIA) symposium on November 18,
2014, entitled “Elders & Families Rely on Social
Networks for Aging-Related Information: Implications for Informaticians,” B.H. Crotty, J. Walker, J.
O’Brien, L. Lipsitz, M. Dierks, C. Safran.
Additionally, as part of our analysis of PatientSite
and how elders 75 years of age and older use the
online patient portal at BIDMC, we conducted a
cross–sectional analysis of secure messaging use
among elders, families, and physician. We assessed
trends in the use of secure messaging in a patient
portal to characterize the reasons why patients may
be using secure messaging and also to determine
if family members of elders also use the portal to
communicate with providers. The group presented
an analysis to the AMIA Symposium entitled “Not
Just for the Millennials: A Cross-Sectional Analysis
of Secure Messaging Use Among Elders, Families,
and Physicians,” B.H. Crotty, J. O’Brien, M. Dierks,
X. Lu, H.J. Feldman, C. Safran.
We have also written a literature review of technology to improve elder care, published by the International Journal of Medical Informatics, “Acceptance and Use of Health Information Technology by
Community-Dwelling Elders,” Fischer SH, David D,
Crotty BH, Dierks M, Safran C.
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2014 Annual Report
Research News
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
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An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
Research on healthcare proxy
and family history
Research presentations
Henry Feldman, md, gave
the Ethics Grand Rounds
at St. Elizabeth Medical Center in Boston
on October 23, 2014.
junping Zhao, PHD, MD,
Institute of Med Informatics, at the 5000 beds
PLA General Hospital, Beijing, China,
shares his experience at the DCI seminar
on September 19, 2014.
Adarsha Bajracharya, md, Hollis Kowaloff, and Warner Slack, md, at DCI discussing their research.
Dr. Adarsha Bajracharya, Hollis Kowaloff, Dr.
Bradley Crotty, and Dr. Warner Slack have been
working with elders on the design for online systems for documentation of a healthcare proxy.
They have built the model to include health proxy
documentation in the Online Medical Record system and have submitted to the IRB a plan to make
this module part of the hospital’s Patient Portal –
PatientSite – and to study the use of this module.
Dr. Bajracharya presented this research at the 2014
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American Medical Informatics conference with a
poster entitled “Picking a Proxy on the Web: Interactive Patient Interview Module for Health Care
Proxy Documentation.” He also presented this research at the BIDMC Silverman Symposium. This
group has also designed an interview focused on
family history and presented the abstract “An Interactive Web-based Interview to Improve Family
Medical History Documentation” at the American
Medical Informatics Association.
Yuri Quintana, PhD, presenting at
the 2014 DCI Global e-health conference
on September 16, 2014.
Harvard Medical Student mujeeb basit, Md,
presented the results of his research at
the DCI seminar on October 29, 2014.
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2014 Annual Report
Research News
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
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An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
New faculty
Yuri Quintana, PhD
In 2014, Yuri Quintana, PhD, joined the Division
of Clinical Informatics as a new faculty member
and Director of Global Health Informatics; he is
also a lecturer, Harvard School of Medicine. Dr.
Quintana’s research focuses on the design of
online platforms that empower communities of
professionals and consumers to collaborate on a
worldwide basis. Previously, he was at St. Jude
Children’s Research Hospital, where he developed
international education and informatics programs
in pediatric oncology. He led the development
of Cure4Kids, an online pediatric cancer education and collaboration Website used by thousands of health professionals worldwide; online
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Melek Somai, MD
systems used for international clinical trials; and
Cure4Kids for Kids, a community outreach education program to educate children and communities
about cancer and healthy living. Before coming to
St. Jude, Quintana was a principal investigator in
the Canadian HealNet Research Network, focusing
on consumer health informatics. Formerly a faculty
member at the University of Western Ontario, Dr.
Quintana also served as director of the New Media
Research Lab developing innovations in interactive
media and online education. He has held high-tech
positions at IBM Canada Limited and Watcom, as
well as academic appointments at the University of
Waterloo and the University of Victoria.
In 2014, Melek Somai, MD, MPH, joined as a new
faculty member in the Division of Clinical Informatics. Dr. Melek is also a lecturer at MIT, Department of Health Science and Technology, Division of
Computational Physiology and is the co-founder of
the Tunisian Center for Public Health, a non-governmental organization aimed at developing public
health in Tunisia. Dr. Somai’s research focuses on
building an analytics platform for both research and
clinical care. He has previously worked extensively
in the area of predictive analytics and big data.
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2014 Annual Report
Education News
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
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An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
NLM informatics training fellows
Education News
The National Library of Medicine supports research training in biomedical informatics at selected educational institutions in the United States. These programs offer graduate education and postdoctoral research
experiences in a wide range of areas including: health care informatics, translational bioinformatics, clinical research informatics, and public health informatics. Charles Safran, MD, DCI Division Chief, directs the
fellowship program that is part of the Harvard / HST Medical Informatics Training program funded by the
National Library of Medicine. The Division Fellowship Program (http://www.hmfpinformatics.org/fellowship.shtml) seeks to train leaders who will help transform tomorrow’s healthcare through the creative use of
information and communication technology. Through real-world exposure to and participation within one
of the world’s preeminent clinical computing system environments, our fellows learn how to assess needs
of clinicians and patients, refine clinical processes, and design and implement clinical systems. Each fellow is
expected to complete a research project that evaluates a clinical informatics intervention.
Mujeeb Basit, MD
In 2014, Mujeed Basit, MD, joined DCI for a twoyear fellowship. He obtained his medical degree
from George Washington School of Medicine in
2008. His current research interest is in clinical
process improvement and facilitation via supportive electronic health records. He is working on
analysis of existing health record data to understand secondary benefits from existing drugs.
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Adarsha Bajracharya, MD
Adarsha Bajracharya, MD, joined DCI for a two-year
fellowship in 2013. He obtained his medical degree
from Manipal College of Medical Sciences, Nepal.
His current research interest is in the development and evaluation of applications to facilitate
the capture and use of patient-generated family
medical history and health care proxy information in clinical care. Dr. Bajracharya completes his
fellowship in May 2015.
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2014 Annual Report
Pioneers of the Field
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
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An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
Pioneers of the Field
Warner Slack, MD AND Howard L. Bleich, MD
On July 16, 2014, Dean F. Sittig, PhD, Professor,
School of Biomedical Informatics, University of
Texas Health Sciences Center, Houston, and Joan
Ash, MD, Professor and Vice Chair, Department
of Medical Informatics and Clinical Epidemiology,
School of Medicine, Oregon Health & Science
University, Portland, visited the Division of Clinical
Informatics to interview Warner V. Slack, MD, and
Howard L. Bleich, MD, about the work that they
and their colleagues did in the Center for Clinical
Computing. The day-long interviews were taped,
transcribed, and then edited for inclusion in the
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Medical Informatics Pioneers Oral History Project
of the National Library of Medicine. The interviews
discussed Dr. Slack’s work with the Computer
Based Medical History and patient empowerment,
Dr. Bleich’s work with Electrolyte and Acid-Base
Balance and PaperChase, and their joint work with
the Hospital Information systems developed for the
Beth Israel and Brigham and Women’s Hospitals.
Charles Slack, Dr. Slack’s son, who is an accomplished author with experience and expertise in interviewing, helped edit the transcripts.
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2014 Annual Report
Research Presentations
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
Research Publications
Peer reviewed journal publications in 2014
1.
Safran C. Reuse of clinical data. Yearb Med Inform.
2014 Aug 15;9(1):52-4.
2.
Fischer SH, David D, Crotty BH, Dierks M, Safran C.
Acceptance and use of health information technology by
community-dwelling elders. Int J Med Inform.
2014 Sep;83(9):624-35
3.
Hripcsak G, Bloomrosen M, FlatelyBrennan P, Chute CG,
Cimino J, Detmer DE, Edmunds M, Embi PJ, Goldstein
MM, Hammond WE, Keenan GM, Labkoff S, Murphy S,
Safran C, Speedie S, Strasberg H, Temple F, Wilcox AB.
Health data use, stewardship, and governance: ongoing
gaps and challenges: a report from AMIA’s 2012 Health
Policy Meeting. J Am Med Inform Assoc.
2014 Mar-Apr;21(2):204-11.
4.
McCray AT, Trevvett P, Frost HR. Modeling the autism
spectrum disorder phenotype. Neuroinformatics.
2014 Apr;12(2):291-305.
doi: 10.1007/s12021-013-9211-4.
5.
Feldman HJ. Response to letter to the editor.
Int J Med Inform. 2014 Aug;83(8):604.
6.
Pritish K. Tosh, MD; Henry Feldman, MD; Michael D.
Christian, MD, MSc, FRCPC, FCCP; Asha V. Devereaux,
MD, MPH, FCCP; Niranjan Kissoon, MBBS; Jeffrey R.
Dichter, MD on behalf of the Task Force for Mass Critical
Care, Business and Continuity of Operations: Care of the
Critically Ill and Injured During Pandemics and Disasters:
CHEST Consensus Statement, Chest.
2014. doi:10.1378/chest.14-0740
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TM
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
Research Presentations
7.
Feldman HJ, Somai M, Dweck E. A cannonball through
the chest: disseminated tuberculosis, threatening the
aortic arch. Tunis Med.
2014 Jan;92(1):34-7
1.
Bajracharya, AS., “Initial work on development
of interactive interview for health care proxy
documentation”, Harvard Annual Master of Medical
Science Research Day, Boston, MA, February 2, 2014.
10.
Quintana, Y. “Innovations in mhealth: Patient Portable
data – Transforming Healthcare, benefitting patients”.
EU-US eHealth Marketplace and Conference, Boston,
State House, Tuesday October 21, 2014 .
8.
Crotty BH, Mostaghimi A. Confidentiality in the digital
age. BMJ. 2014 May 9;348:g2943.
2.
Bajracharya, AS., “An Interactive Web-based Interview
to Improve Family Medical History Documentation”,
American Medical Informatics Association Conference,
Washington, DC, November 14-18, 2014.
11.
Quintana, Y. “Communities of Practice”, Conference on
Global eHealth, Boston, September 16, 2014.
9.
Crotty BH, Tamrat Y, Mostaghimi A, Safran C, Landon BE.
Patient-to-physician messaging: volume nearly tripled
as more patients joined system, but per capita rate
plateaued. Health Aff (Millwood).
2014 Oct 1; 33(10):1817-22.
10.
Cady RG, Kelly AM, Finkelstein SM, Looman WS,
Garwick AW. Attributes of advanced practice registered
nurse care coordination for children with medical
complexity. J Pediatr Health Care.
2014 Jul-Aug;28(4):305-12.
11.
Cady RG, Finkelstein SM. Task-technology fit of video
telehealth for nurses in an outpatient clinic setting.
Telemed J E Health. 2014 Jul;20(7):633-9.
12.
Richardson, Sandra M.; Kettinger, William J.; Banks,
Michael S.; and Quintana, Yuri (2014) “IT and Agility
in the Social Enterprise: A Case Study of St Jude
Children’s Research Hospital’s “Cure4Kids” IT-Platform
for International Outreach,” Journal of the Association for
Information Systems: Vol. 15: Iss. 1, Article 2.
13.
Fischer SH, Tjia J, Reed G, Peterson D, Gurwitz JH,
Field TS. Factors Associated with Ordering Laboratory
Monitoring of High-Risk Medications.
J Gen Intern Med. 2014 Jun 26.
3.
Bell SK, Crotty BH, Anselmo M, Flier L, Leveille S, Mejilla
R, Walker J. “Patient Safety Implications of Shared Visit
Notes: Trainee and Preceptor Views”. Society of General
Internal Medicine National Meeting. April 24 2014.
4.
Crotty BH, Anselmo M, Clarke DN, Famiglio LM, Flier L,
Green JA, Leveille S, Mejilla R, Stametz TA, Thompson
M, Walker J, Bell SK. “Sharing Trainee Notes With
Patients: Anticipated Effects of OpenNotes on Graduate
Medical Education”. Society of General Internal Medicine
(Joint Session, American Academy on Communication in
Healthcare), April 24 2014.
5.
Crotty BH, “Patient Engagement with Portals”,
Conference on Global eHealth, Boston,
September 16, 2014.
6.
Dierks, M. “Taxonomy of Health IT Risks”. Proposed
Risk-Based Regulatory Framework and Strategy for Health
Information Technology Public Workshop, Silver Spring,
MD., May 13-15, 2014.
7.
Dierks, M. “Risk-Based Framework for Health IT”.
Proposed Risk-Based Regulatory Framework and Strategy
for Health Information Technology Public Workshop, Silver
Spring, MD, May 13-15, 2014.
12.
Safran, C. “Medicine Based Upon Data”, Critical Data
Conference, MIT, Cambridge, MA, September 5, 2014.
13.
Safran, C. “InfoSAGE, using social media to help care for
the fail elderly”, University of Connecticut Medical Center,
Farmington, Connecticut, June 2014.
14.
Safran, C. “Clinical Informatics – The practice of
medicine based upon data”, IEEE conference on Extreme
Computing, Waltham, MA, September 11, 2014.
15.
Safran, C. “Clinical Informatics as a Medical
Subspecialty”, University of Malaya, Kuala Lumpur,
Malaysia, February 4, 2014
16.
Safran, C. “InfoSAGE – Community-based Elder Care”,
Conference on Global eHealth, Boston, MA,
Sept. 16, 2014.
17.
Safran, C. Transforming Healthcare with Informatics,
Brazilian Health Informatics Society, Sao Paulo, Brazil,
December 8, 2014.
18.
Slack, WV. Global Health Selective Discussion Series,
UCLA, Los Angeles, 2014.
8.
Feldman, H. “Foundations of e-Health in Kuwait”,
Sept. 11, 2014.
19.
Somai, M, Quintana, Y. Opportunities and challenges
in the implementation and use of collaborative
translational platforms, TranSMART Foundation Annual
Meeting., University of Michigan, October 15, 2014
9.
Quintana, Y. “Trends in e-Health and Medication
Adherence”, Health Innovators Group, Cambridge, MA,
November 11, 2014.
20.
Somai, M, “An introduction to entrepreneurship for
science and technology in the field of Public Health”,
Fulbright Summit, Cambridge , MA, May 14, 2014.
29
TM
2014 Annual Report
TM
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
TM
An Academic Division of the Dept of Medicine
at Harvard Medical Faculty Physicians at BIDMC, Inc.
Division
of Clinical Informatics
1330 Beacon Street
Suite 400
Brookline, MA 02446
About DCI
The Division of Clinical Informatics, created
over 40 years ago by Drs. Howard Bleich and
Warner Slack, was among the first academic
divisions in the world to concentrate on the
use of computers for patient care, teaching,
and medical research. The goals of the Division
have been to improve the quality and reduce
the cost of medical care, to enhance the
quality of medical education, to improve the
relationship between doctor and patient, and
to explore innovative approaches to research
through computing. Follow us online
at the following pages
http://www.hmfpinformatics.org
https://twitter.com/dcihmfp
https://www.facebook.com/clinical.informatics
To be added or removed
from the DCI mailing list,
please contact
Ava Atkinson at email:
aatkinson@bidmc.harvard.edu
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