2014 Annual Report 001 000 0 1110 00 001 00 111 011 0 11 001 000 00 111 001 00 00 111 001 001 0101100100011010111001011000100101 01 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. 1 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 2 4 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 TM 2014 Annual Report Global e-Health Conference 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. 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 4 5 TM 2014 Annual Report Global e-Health Conference 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. 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 6 7 TM 2014 Annual Report International Informatics 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. 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. 8 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 9 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. Kazem Behbehani, PhD, awarded inaugural Global E-Health Leadership Award Awards Kazem Behbehani, PhD Director General of the Dasman Institute, Kuwait 10 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. 11 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. 12 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.” 13 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. 14 TM An Academic Division of the Dept of Medicine at Harvard Medical Faculty Physicians at BIDMC, Inc. “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. 15 TM 2014 Annual Report Research News 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. InfoSAGE™ aims to improve care coordination for elders and their families using innovative online technologies Research News 16 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. 17 TM 2014 Annual Report Research News 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. 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. 18 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. 19 TM 2014 Annual Report Research News 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. 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 20 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. 21 TM 2014 Annual Report Research News 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. 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 22 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. 23 TM 2014 Annual Report Education News 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. 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. 24 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. 25 TM 2014 Annual Report Pioneers of the Field 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. 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 26 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. 27 TM 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 28 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. 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