Contemporary Issues in Medical Informatics: Good Health IT, Bad Health IT, and Common Examples of Healthcare IT Difficulties
Biography, Scot M. Silverstein, MD

Biography of Scot M. Silverstein, MD


http://www.ischool.drexel.edu/faculty/ssilverstein/scot2000a.jpg

 


Summary:

¨        Medical Informatics professional with expertise in clinical and research IT management, design, implementation, and remediation of projects in difficulty in hospitals and the pharmaceutical industry.  

 

¨        Pioneer in recognition of fundamental differences between business-oriented computing and clinical computing, and of the specialized competencies essential for optimal design and management of biomedical IT.

 

¨        Independent expert witness on health IT-caused or HIT-related medical malpractice, evidence spoliation and related matters.

 

¨        Early advocate of web-based citizen journalism on EMR design and implementation errors and resultant patient safety hazards.

 

On Medical Informatics:

Medical Informatics is a cross-disciplinary field that studies information-seeking activities and tools, analytic processes, and workflows in biomedical research and clinical care delivery. It focuses upon the innovative use of computers in clinical medicine, molecular biology, neuroscience, and other areas of biomedical research. Specialized postdoctoral training in Medical Informatics is funded by The U.S. National Institutes of Health (NIH) at a number of universities, and is provided by other universities via internal funds as well.

The National Library of Medicine at NIH believes that clinical care, biomedical research and education, and public health administration can be improved by the inclusion of informaticists (in-context information specialists) into work and decision settings. Informaticists are information specialists who have received formal graduate training and practical experience that provides a cross-disciplinary background in both medical science and information science. Their cross training provides a unique perspective on the acquisition, synthesis and application of information to problem solving and program development in clinical and biomedical areas.

 

 


Highlights of Roles and Accomplishments in Medical Informatics:

  • Faculty, Drexel University, College of Information Science and Technology, Philadelphia, PA (2004-present)

    (Adjunct professor 2004; Assistant Professor and Director, Institute for Healthcare Informatics 2005-2007; Adjunct Professor Sept. 2007-). Established new Graduate Certificate Program in Healthcare Informatics via development of new online and classroom courses in healthcare informatics, clinical information technology, sociotechnical (culture change) issues and best implementation practices, healthcare IT policy, and related areas. Targeted to healthcare professionals as well as Doctoral and Masters' candidates in Information Systems (MSIS), Software Engineering (MSSE) and Library Information Science (MSLIS).

 

Graduate courses developed and taught:

 

·         Introduction to Healthcare Informatics

·         Organizational Issues in Healthcare Informatics

·         Special Topics in Healthcare Informatics:  Clinical Information Technology

·         Special Topics in Healthcare Informatics:  Social Informatics

·         Advanced Issues:  Planning and Evaluation Methods in Healthcare Informatics

  • Medical Informatics Journalist, Healthcare Renewal, Public Policy weblog (2004-present)

    Writer on contemporary issues in Medical Informatics at Healthcare Renewal (http://hcrenewal.blogspot.com), website of the Foundation for Integrity and Responsibility in Medicine.  This site is consistently rated very highly in the Global Ranking of Top English-Language Health Weblogs.  The site is one of a select group of New York Times-recommended healthcare weblogs.  Listed in the AAAS-National Academies Compilation of Resources on Scientific Misconduct and Research Integrity (link).  Cited by Forbes Magazine as one of three “must read” health blogs by physicians, Oct. 2009 (link).
  • Director of Scientific Information Resources and The Merck Index at Merck Research Laboratories, Merck & Co., Inc. (2000-2003).

    Championed maximal access to state of the art scientific information resources to ensure R&D productivity and enhance drug safety.  Led multi-site library and scientific computing group serving over 6,000 Merck Research Laboratories scientists and executives globally. Managed staff of 50+ at West Point, PA and Rahway, NJ and budget of $13 million. Identified and substantially remedied a $4 million annual gap in Merck’s portfolio of informatics tools and resources critical to new drug discovery and development such as CAS SciFinder, Beilstein Crossfire, eJournals and advanced scientific databases.  Increased scientific literature dissemination tenfold over decade-long norms, to over one million articles per year, filling longstanding scientist needs for timely alerting to the latest scientific developments. Also managed the team that authored The Merck Index of Chemicals, Drugs, and Biologicals, 13th edition, the published and electronic encyclopedia of Medicinal Chemistry dating to 1889. The Merck Index is renowned internationally. Sales of the 13th Edition exceeded 150,000 worldwide. 
  • Director of Clinical Informatics at Delaware's largest healthcare system, the Medical Center of Delaware, now Christiana Care Health System (1996-1998).

    Chief Medical Informatics Officer (CMIO) at Delaware's largest healthcare system, the Medical Center of Delaware, now Christiana Care Health System.  Improved quality of care, operational efficiency and medical error prevention though leadership of electronic medical records implementation and development of specialized research information systems in a 1,000-bed hospital system. Led strategic planning, design, and implementation of $10 million electronic medical records (EMR) system. EMR facilitated substantial, quantified improvements in immunization rates, preventive care delivery, appropriate treatment of chronic diseases, and error prevention. Re-engineered and made highly successful a complex Invasive Cardiology/Cardiac Surgery research information system project for quality improvement, clinical trials evaluation of new treatment modalities and devices, and outcomes assessment, in facility performing more than 6,000 procedures/year. An article by a Christiana Care executive gives management's views on the Medical Informatics-based re-engineering of this project.
  • Delaware Health Information Network (DHIN) technology committee of the Delaware Health Care Commission (1996-2000).

    Served as consultant on creation of the Delaware Health Information Network for governmental healthcare resource allocation, care quality monitoring, EDI and related areas. Authored foundational DHIN Plan of Study, accepted and executed by the DHIN Board in January 1999. Recommendations for prototype development process were accepted and executed by the DHIN board, March 2000. Implementation phase of DHIN underway.
  • Associate Research Scientist, Yale School of Medicine, Center for Medical Informatics (1994-1996)

    As faculty at the Yale School of Medicine, research focused on user interaction design of applications for biomedical research, clinical trials and direct patient care, and organizational issues affecting electronic medical records implementation in hospital and office settings. Was Co-principal investigator of Medical Informatics in an international collaborative genetics and birth defects project funded by a $17 million grant from a Middle Eastern country where incidence of inherited disease is significant. Developed and authored SAYGR, a clinical genetics information system, field EDC (electronic data capture) application and analytic tool for the pediatric genetics clinic and DNA diagnostics lab of the country’s major research hospital.  Invented novel user interaction design elements including interaction-by-schema, query-by-schema and Virtual Pedigree Template™ (VPT) pedigree capture metaphors that were very well received.
  • NIH Postdoctoral Fellow in Medical Informatics, Yale School of Medicine (1992-1994)

    Completed NIH-sponsored Medical Informatics Postdoctoral Fellowship at Yale, 6/94. Medical informatics has as its focus the innovative use of computers in clinical medicine, molecular biology, neuroscience, and other areas of biomedical research. During fellowship was investigator in Yale-New Haven Medical Center informatics projects including information sources mapping (facilitation of retrieval of Internet-based clinical information via domain-specific indexing and optimal user interaction design), medical image indexing and retrieval, cDNA hybridization selection (genetics) information system at Yale Boyer Center for Molecular Medicine incorporating a novel schema-based user interface, and decision support for early extubation at Yale-New Haven Hospital thoracic surgery ICU.
  • Over 40 years of hands-on computing experience. Experienced in use, programming and administration of Windows, UNIX and Macintosh computers, Internet, HTML, and Web technologies, biomedical data modeling and relational database design, and in computer selection, configuration and trouble-shooting to module level.

 


Education summary:

  • Postdoctoral Fellowship, Medical Informatics (2 yrs), Yale University School of Medicine.
  • Medical Residency in Internal Medicine (3 yrs) and Diagnostic Radiology (1 yr)
  • Accelerated Seven-Year Medical Program, Boston University.
    M.D. degree, Boston University School of Medicine. Formal clerkship in Biomedical Engineering.
    B.A., Biomedical Sciences.  Advanced courses in computer science including IBM370 assembler, minor in history of religion.

 


Additional accomplishments and items of interest:

Medical informatics professionals are often people of broad scientific interests. These interests lead to pursuit of Medical Informatics as a career, and are applied to advantage in difficult real-world settings in healthcare and industry. My interests include computing and radio-telecommunications technology (amateur radio). Below are several links containing additional information and pictures on these interests, and on the tools that facilitate these interests.

Computing:

  • Applied informatics at Yale: novel user interaction design for a population genetics workstation and analysis tool for use in-the-field was very well received by busy scientists and clinicians overseas. My invention, the Virtual Pedigree Template™ genealogic capture and interaction metaphor, was found especially useful in gathering data on complex family trees in time-constrained, tense clinical settings. The importance of making the IT fit the user's needs (as opposed to the other way around) is often overlooked in the clinical IT industry.
  • Writing IBM System/370 Mainframe assembler in the mid-1970's at Boston University. The IBM 370/185 owned by BU was definitely “big iron.”  Low-level languages like C were in their infancy; serious work was done in assembler. A thorough knowledge of IT beyond "appliance operator of a magical tan box" has been quite useful in management of advanced Medical Informatics initiatives.
  • Learning computing on a classic Digital Equipment Corp. PDP-8/S computer, 1971-2. First computer commercially available off-the-shelf. Efficient programming was a must. 4K of 12-bit core memory, 300 cps high-speed paper tape reader, ASR-33 teletype (10 cps), cost $17,000. Received this letter from IBM on winning a programming contest in 1972 on the topic of chemistry.

 

Special competency in electronics:

  • Building an infrared-sensing cardiac monitor as a project in a biomedical engineering elective in medical school (Biomedical Engineering Laboratory, Boston University Hospital, 1980).

 


 

Selected Publications as of July 2012:

 

Articles, letters and quotes:

 

Pulse*IT Magazine (Australia)

The Wicked Complexity of Health IT (profiled prior to keynote address to the Health Informatics Society of Australia, HISA)

July 2012 edition

Kate McDonald

http://content.yudu.com/Library/A1xcz9/Pulse+ITMagazineJuly/resources/56.htm

Note: An essay on my Aug. 2012 keynote address to HISA on health IT trust can be found at this link.

 

Washington Post

Health insurers’ push to diversify raises ethical concerns (quoted)

April 29, 2012

Jay Hancock

http://www.washingtonpost.com/health-insurance-companies-push-to-diversify-raises-concerns/2012/04/27/gIQAWoSkoT_story.html

 

Forbes

Obamacare Billionaire: What One Entrepreneur's Rise Says About The Future Of Medicine (quoted)

Apr. 18, 2012

Matthew Herper

http://www.forbes.com/sites/matthewherper/2012/04/18/obamacare-billionaire-what-one-entrepreneurs-rise-says-about-the-future-of-medicine/5/

 

ACP Internist, American College of Physicians

Scribes: a Write Way and a Wrong Way (quoted)

Feb. 2012

Charlotte Huff

http://www.acpinternist.org/archives/2012/02/scribes.htm 

 

Technorati

Electronic Health Records Make Doctors Accountable and Some Don't Like That (cited)

Feb. 13, 2012

Patrick Malone, Esq.

http://technorati.com/business/article/electronic-health-records-make-doctors-accountable1/

 

Pittsburgh Post-Gazette

Computer outage at UPMC called 'rare': System wide disruption potentially dangerous, expert warns (quoted)

Dec. 24, 2011

Jonathan D. Silver

http://old.post-gazette.com/pg/11358/1199140-53-0.stm

 

American Medical News (American Medical Association)

IOM calls for monitoring and probe of health IT hazards (quoted)

Nov. 21, 2011

Kevin B. O’Reilly

http://www.ama-assn.org/amednews/2011/11/21/prsa1121.htm

 

MedPage Today 

Health IT: Garbage In, Garbage Out (cited)

Nov. 15, 2011

George Lundberg (former editor, JAMA)

http://www.medpagetoday.com/Columns/29688

 

Jay Hancock’s Blog:  Baltimore Sun

Advice to hospitals: Be careful what you bill for (quoted)

Nov. 8, 2011

Jay Hancock

http://weblogs.baltimoresun.com/business/hancock/blog/2011/11/advice_to_hospitals_be_careful.html 

 

Baltimore Sun

Malnutrition diagnoses at Kernan were fraud, feds say (quoted)

Nov. 7, 2011

Jay Hancock

http://www.baltimoresun.com/business/bs-bz-hancock-kernan-kwashiorkor-20111107,0,6114553.column 

 

HIT Exchange Media

The State of CPOE: Better Than Physician Scrawl but Still in Need of Improvement (quoted)

Sept. – Oct. 2011

Frank Jossi

http://hitexchangemedia.com/articles/septoct-2011/the-state-of-cpoe-still-in-need-of-improvement/

 

Pittsburgh Post-Gazette

Electronic records no panacea for health care industry (quoted)

Aug. 7, 2011

Bill Toland

http://www.post-gazette.com/pg/11219/1165767-114-0.stm

 

Pittsburgh Post-Gazette

Doctor, nurse disciplined by UPMC in kidney transplant case (quoted)

May 27, 2011

Jonathan D. Silver and Sean D. Hamill

http://www.post-gazette.com/pg/11147/1149429-114.stm

 

ComputerWorld UK

May 20, 2011

Key lesson from the NPfIT (quoted)

Tony Collins

http://blogs.computerworlduk.com/the-tony-collins-blog/2011/05/the-national-programme-of-failed-it-in-the-nhs/index.htm

 

Wall Street Journal

Apr. 8, 2011

Letter to the Editor

“The Literature Is Hardly Pristine”

http://online.wsj.com/article/SB10001424052748703712504576245654116005400.html

 

Pennsylvania Bar Institute, 17th Annual Health Law Institute

Mar. 16, 2011

Co-presentation with Bruce Wilder MD, JD

"HITECH and the Fast Track to Electronic Health Records: Are We Safe?"

http://www.legalspan.com/pbi/catalog.asp?ItemID=20100823-150226-131756

 

Wall Street Journal

Feb. 25, 2011

Letter to the Editor

“No Patient Will Ever Say, 'Quick, Watson, the Needle’”

http://online.wsj.com/article/SB10001424052748704546704576150783285060852.html?mod=WSJ_Opinion_MIDDLEThirdBucket 

 

Newark Post (Delaware)

Feb. 24, 2011

Questions raised about access to hospital medical records

Doug Rainey (quoted)

http://www.newarkpostonline.com/articles/2011/02/24/news/doc4d65787e4758e501313769.txt

 

MinnPost.com (Minnesota News)

Feb. 21, 2011

On ethics of Wisconsin doctors supporting union protesters

http://tinyurl.com/4bz5oyd

 

Health Beat

Jan. 31, 2011

Electronic Health Records: Should Congress “Defund” the Stampede to Convert to EHRs? No, But . . .

Maggie Mahar (cited)

http://www.healthbeatblog.com/2011/01/electronic-health-records-should-congress-defund-the-stampede-to-convert-to-ehrs-no-but-.html

 

WHYY-FM (PBS affiliate)

August 2, 2010

Health information security breaches are common, fixes common sense

Taunya English (quoted)

http://whyy.org/cms/news/health-science/2010/08/02/health-information-security-breaches-are-common-fixes-common-sense/42904

 

Philadelphia Inquirer

July 29, 2010

Computer with patient data stolen from Jefferson

Josh Goldstein (quoted)

http://www.philly.com/philly/business/homepage/99591364.html

 

Wall Street Journal

April 2, 2010

Letter to the Editor

“Concern about medical records in not misplaced”

http://online.wsj.com/article/SB10001424052702304252704575156092885171262.html

 

EpsteinBeckerGreen Advisors

March 2010

Life Sciences Top Ten - Electronic Health Record System Expectations/Requirements: Beyond ‘Meaningful Use’

Newsletter (quoted)

http://blog.ansongroup.com/wp-content/uploads/Top-Ten-Newsletter-3_2010-FINAL1.pdf

 

Advance for Health Information Professionals

Jan. 18, 2010

EHR Downtime:  The Aftermath

Cheryl McEvoy (quoted)

http://health-information.advanceweb.com/Archives/Article-Archives/EHR-Downtime-The-Aftermath.aspx

 

Book:  “H.I.T. or Miss: Lessons Learned from Health Information Technology Implementations”

Associate Editor

Nov. 2009

American Health Information Management Association (AHIMA) and American Medical Informatics Association (AMIA)

https://www.ahimastore.org/ProductDetailBooks.aspx?ProductID=14181

 

Forbes magazine

Oct. 8, 2009

“Wired Medicine's Silent Giant”

Robert Langreth (quoted)

http://www.forbes.com/2009/10/08/epic-systems-business-healthcare-medical-tech-09-epic.html

 

Forbes magazine

Oct. 7, 2009

“Must-read health blogs”

Rebecca Ruiz, Healthcare reporter

Healthcare Renewal cited by Forbes Magazine as one of three “must read” health blogs by physicians.

http://www.forbes.com/2009/10/07/best-health-blogs-lifestyle-health-blogs-health-information.html

 

WKSU News (for NPR)

Oct. 5, 2009

The Electronic Promise

Vivian Goodman (quoted)

http://www.wksu.org/news/features/healthcare2009/index.php?story=24099

 

Advance for Health Information Professionals

July 29, 2009

Vendor Accountability: Should HIT companies take responsibility for errors? (quoted)

Cheryl McEvoy

http://health-information.advanceweb.com/Article/Vendor-Accountability.aspx

 

Journal of the American Medical Association

July 22, 2009

Letter to the Editor

“Health Care Information Technology, Hospital Responsibilities, and Joint Commission Standards”

JAMA. 2009;302(4):382

http://jama.ama-assn.org/cgi/content/extract/302/4/382

 

Wall Street Journal

July 10, 2009

Letter to the Editor

“This is not the jobs programs we need”

http://online.wsj.com/article/SB124718631738020599.html

 

Journal of American Physicians and Surgeons

June 2009, Volume 14 Number 2

The Syndrome of Inappropriate Overconfidence in Computing: An Invasion of Medicine by the Information Technology Industry?

http://www.jpands.org/vol14no2/silverstein.pdf

 

Journal of the American Medical Informatics Association

March 2009

Clinical Information Systems workgroup representative, contributor and concept initiator for the article:

“Health IT Project Success and Failure: Recommendations from Literature and an AMIA Workshop”

Bonnie Kaplan and Kimberly D. Harris-Salamone (J Am Med Inform Assoc. 2009;16:291-299)

http://www.jamia.org/cgi/content/full/16/3/291

(History of workshop evolution at http://www.ischool.drexel.edu/faculty/ssilverstein/cases/?loc=cases&sloc=workshop)

 

HealthLeaders Magazine

May 11, 2009

Cash for Computers (quoted)

John Commins and Jim Molpus

http://www.healthleadersmedia.com/content/232813/topic/WS_HLM2_MAG/Cash-for-Computers.html

 

Forbes

May 11, 2009

"The Devil Inside Wired Medicine" (quoted)

Robert Langreth

http://www.forbes.com/forbes/2009/0511/040-health-care-hospitals-devil-inside-wired-medicine_2.html

 

Forbes

April 23, 2009

Why Your E-Health Records Need First Aid (quoted)

Robert Langreth

http://www.forbes.com/2009/04/23/health-internet-records-technology-personal-tech-health.html

 

Hospitals & Health Networks

March 2009

“A Health IT Reading List”

http://www.hhnmag.com/hhnmag_app/jsp/articledisplay.jsp?dcrpath=HHNMAG/Article/data/03MAR2009/0903HHN_CoverStory_SB2&domain=HHNMAG

 

Washington Examiner

http://www.washingtonexaminer.com/opinion/Obamas-HIT-will-likely-be-a-miss-40512247.html

Examiner Editorial:  Obama's HIT will likely be a miss (quoted)

March 2, 2009

 

eHealthEurope

26 Mar 2009

“Over Here” (quoted)

http://www.ehealtheurope.net/comment_and_analysis/407/over_here

 

Healthcare IT news

March 25, 2009

Critics charge HIMSS-CCHIT connection ‘too cozy’ (quoted)

Neil Versel

http://www.healthcareitnews.com/news/critics-charge-himss-cchit-connection-%E2%80%98too-cozy%E2%80%99

 

ZDNet Healthcare

February 19th, 2009

Profiled:  Will health IT be Obama version of the Iraq War

Dana Blankenhorn

http://healthcare.zdnet.com/?p=1848

 

Wall Street Journal

Feb 18, 2009

Letter to the Editor

“Digitizing Medical Records May Help, but It's Complex”

http://online.wsj.com/article/SB123492035330205101.html

 

Healthcare IT News

Dec. 8, 2008

Docs like blogging platform (quoted)

Molly Merrill, Associate Editor

http://www.healthcareitnews.com/news/docs-blogging-platform

 

Cleveland Plain Dealer

April 29, 2008

Medical and Science News

Painful -- and perilous -- consequences to electronic records (quoted)

Chris Seper

http://blog.cleveland.com/medical/2008/04/painful_and_perilous_consequen.html#more

 

Government Health IT

Jan. 16, 2008

Invited Webcast

“The Problem with EMR’s

http://govhealthit.com/articles/2008/01/the-problem-with-emrs.aspx

 

Government Health IT

Dec 6, 2007

Interviewed: Are EMRs really the next big thing?

Brian Robinson

http://govhealthit.com/articles/2007/12/are-emrs-really-the-next-big-thing.aspx

 

American Medical Informatics Association

Nov. 2007

Podcast: Chief Medical Informatics Officer Effectiveness

Toby Samo Scot Silverstein Paul Fu Joseph Kannry Christoph U. Lehmann

http://www.amia.org/content/clinical-information-systems-working-group-presents-chief-medical-informatics-officer-effect

 

iHealthBeat.Org

October 26, 2007

Congress Likely To Agree on $61M for Health IT in 2008 (quoted)

http://www.ihealthbeat.org/Articles/2007/10/26/Congress-Likely-To-Agree-on-61M-for-Health-IT-in-2008.aspx

 

American Medical Informatics Association

2007 Proceedings

 “A Lessons Learned System in Healthcare IT Implementation”

Yunan Chen, Scot Silverstein, Rosina Weber

http://en.scientificcommons.org/41032550

 

National Journal’s Technology Daily

May 14, 2007

Firms Move To E-Health, But Will Workers Respond?
Aliya Sternstein (quoted)

 

HealthLeaders Media

March 8, 2007

Learning from Mistakes (quoted)

http://www.healthleadersmedia.com/content/87842/topic/WS_HLM2_TEC/Learning-from-Mistakes.html

 

National Journal’s Technology Daily

Feb. 27, 2007

The 'Tower Of Babel' In The Health Technology Arena

Aliya Sternstein (quoted)

 

National Journal’s Technology Daily

Feb. 27, 2007 (quoted twice in same issue)

More U.S. Hospitals Use Drug Alerts, Survey Finds

Aliya Sternstein (quoted)

 

National Journal’s Technology Daily

Jan. 3, 2007

Aliya Sternstein (quoted)

 

Wall Street Journal

Dec. 30, 2006

Letter to the Editor

“Spread of Records Stirs Patient Fears of Privacy Erosion”

 

Sacramento Business Journal

November 10, 2006

“Kaiser responds sharply to e-mail tech allegations” (quoted)

http://sacramento.bizjournals.com/sacramento/stories/2006/11/13/story6.html

 

Journal of the American Medical Association

June 28, 2006

Letter to the Editor

Academic Medical Centers and Conflicts of Interest”

Roy M. Poses, Scot Silverstein, and Wally R. Smith

 

Medical Informatics 20/20: Quality and Electronic Health Records through Collaboration, Open Solutions, and Innovation (textbook)

Douglas Goldstein, Peter J. Groen, MPA, Suniti Ponkshe, Marc Wine, MHA

April 2006

Quoted in Ch. 1

http://books.google.com/books?id=JivKd9gTA5cC&pg=PT55&lpg=PT55&dq=%22scot+silverstein%22+medical+informatics+20+20%22&source=bl&ots=mAH8ZWDvYo&sig=RV5RI6AKTLZNoTfpmjq2TkrWAUE

 

Providence Journal

April 11, 2006

“Doctors prescribe electronic records”

http://www.projo.com/news/content/projo_20060411_records11.d8a3121.html

 

NIH National Center for Research Resources / Mitre corp.

April 2006

“Electronic Health Records Overview” (cited)

www.ncrr.nih.gov/CRInformatics/EHR.pdf

 

LabSoft News

Transitioning to the Era of the EMR (quoted)

March 26, 2006

http://labsoftnews.typepad.com/lab_soft_news/2006/03/failures_in_hea.html

 

Gartner Group

Dec. 2005

“Predicts 2006: Life Science Manufacturers Adapt to Industry Transitions”  (quoted)

Carol Rozwell, Gartner Group Research Vice President, Life Sciences, Manufacturing Industry Advisory Service

 

CIO magazine

Nov. 1, 2005

"The Right Dose of Technology"

http://www.cio.com/archive/110105/health_care.html  

 

Redmond Magazine, and Microsoft Certified Professional Magazine

Nov. 2005

Software Crusades – “When software religion turns critical."

http://redmondmag.com/features/article.asp?editorialsid=522 and http://mcpmag.com/features/article.asp?EditorialsID=522

 

isEDIS  (Intelligent Solutions for Emergency Dept. Information Systems). 

Aug. 22, 2005

"Article of the month” - Silverstein: JAMA was On the Mark

http://www.isedis.com/article_of_the_month.htm

 

Bio-IT World

May 16, 2005

“Technology and Culture: One Assessment of Pharma

http://www.bio-itworld.com/archive/eclinica/051605.html  

 

BusinessWeek

Jan. 10, 2005

Letter to the Editor

“How The FDA Can Prevent Another Vioxx
http://yahoo.businessweek.com/magazine/content/05_02/c3915011_mz004.htm#top

 

Health-IT News

Sep. 28, 2004

“How to Avoid CPOE Failure a Second Time”

 

Health IT Strategist

Aug. 1, 2004

Sociotechnologic Issues in Clinical IT”

 

Milwaukee Journal Sentinel

Mar. 7, 2004

A healthy dose of computers: hospitals struggle for best system

 

Health-IT World

Aug. 12, 2003

Rebuttal Rebuffed: Med Pros Should Control Health-IT

 

Health-IT World

Aug. 5, 2003

Medical Informaticist to MIS: Get out of the Way

 

New England Journal of Medicine

June 5, 2003  

Letter to the Editor

“Computer Crash”

http://content.nejm.org/cgi/content/short/348/10/881

 

Bio-IT World

Aug. 13, 2002

“Medical Informatics MIA”

http://www.bio-itworld.com/archive/081302/letters.html

 

Advance for Health Information Executives

May 1, 2002

Co-author: “Medical Informatics:  Friend or Foe?”

http://www.advanceforhie.com/common/editorialsearch/viewer.aspx?FN=02may1_hxp37.html&AD=5/1/2002

 

American Medical News (American Medical Association)

19 Jun 2000

“Medical informatics specialists and leadership roles”

 

USA Today

Dec. 8, 1999

Reuse of Medical Devices Not So Simple

 

American Medical News (American Medical Association)

July 19, 1999

“Turn to specialized professionals in matters of medicine and information technology”

 

Wall Street Journal

June 1, 1999

Letter to the Editor

Feeling Good Tops Pursuit of Excellence?”

 

Computerworld

May 3, 1999

Monitoring IT projects' vital signs

 

Science

April 10, 1999

“On Research in the Mideast

 

PC Magazine

April 5, 1999

“Not Too Logical”

 

Healthcare Informatics

Feb. 1999

“Broken Chord”

 

Philadelphia Inquirer

Feb. 25, 1999

Letter to the Editor

Impediments to Home Health Care: The Blind, Deaf and Dumb,

 

Journal of the American Medical Association

Jan. 13, 1999

Letter to the Editor

“Academic and Legal Aspects of Authorship Disputes”

 

Wall Street Journal

Oct. 14, 1998

Letter to the Editor

Want to Play Doctor? Go to Medical School

 

Journal of the American Medical Association

Aug. 12, 1998

Letter to the Editor

 “Barriers to Computerized Prescribing”

 

Computerworld

April 20, 1998

Letter to the Editor

“Interfacing Computers as Hard as Brain Surgery?”

 

Philadelphia Inquirer

April 4, 1998

Letter to the Editor

“Seeking better ways to measure health-care quality”

 

Healthcare Informatics

April 1998

“Healthcare IT an Unregulated Industry?”

 

Philadelphia Inquirer

Mar. 4, 1998

Letter to the Editor

“Medical informatics: a new breed of doctor”

 

Healthcare Informatics

Nov 1997

“Strategic value of Informaticists

 

 

 

Papers:

 

S. M. Silverstein, P. L. Miller, M. R. Cullen. "An Information Sources Map for Occupational and Environmental Medicine: Guidance to Network-Based Information Through Domain-Specific Indexing". Proceedings of the 17th Annual Symposium for Computer Applications in Medical Care. Washington, D.C.: IEEE Computer Society Press, 1993 (.zip file via FTP)

 

S.M. Silverstein, S.M. Weissman, J.R. Gruen, P.M. Nadkarni, P.L. Miller. "A Database and Relationship Visualization Tool for cDNA Hybridization Selection Data." Proceedings, Genome Mapping & Sequencing, Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, 1994.

 

 J.L Kannry, L. Wright, M. Shifman, S. M. Silverstein, P.L. Miller: "Portability Issues for a Structured Clinical Vocabulary: Mapping from Yale to the Columbia Medical Entities Dictionary." Journal of the American Medical Informatics Association, 3:66-78, 1996.

 

K. Cheung, P.M. Nadkarni, J.R. Kidd, A.J. Pakstis, S.M. Silverstein, P.L. Miller, K.K. Kidd. "A Pilot Database for the Human Genome Diversity Project." Proceedings, Genome Mapping & Sequencing, Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, 1995.

 

K. Cheung, P.M. Nadkarni, S. M. Silverstein, J.R. Kidd, A.J. Pakstis, P. L. Miller, K.K. Kidd. "PhenoDB: An Integrated Client/Server Database for Linkage and Population Genetics." Computers and Biomedical Research, August 1996, 29(4):327-37.

 

P. L. Miller, R. N. Shiffman, S. M. Silverstein, S. J. Frawley, P. M. Nadkarni. "Medical Informatics Training at Yale University School of Medicine." Yearbook of Medical Informatics, International Medical Informatics Association (IMIA), 1996.

 

Y Chen, S Silverstein, R Weber. “A Lessons Learned System in Healthcare IT Implementation”, AMIA 2007 Proceedings

http://en.scientificcommons.org/41032550

 

K. W. McCain, S Silverstein:  “Using Historiographic Mapping to Trace Persistent. Highly Visible Research Themes in Medical Informatics”, Proceedings of the 11th International Conference of the International Society for Scientometrics and Informetrics, 2007

http://ec3.ugr.es/publicaciones/Jimenez_Contreras,E;_Response_Surface_Methodology_and_its_Application_in_Evaluating_Scientific_activity.pdf

 

 

 

Presentations:

 

April 1994

“A database and entity relationship visualization tool for cDNA hybridization selection data”, S. Silverstein, S. Weissman, J. Gruen, P. Nadkarni, P. Miller. 

Cold Spring Harbor Laboratory Genome Mapping Conference

Cold Spring Harbor, NY

 

May 1994

“A database and entity relationship visualization tool for cDNA hybridization selection data”

Stanford University

CAMIS Symposium

Palo Alto, Calif.

 

Dec. 1995

SAYGR: A Database to Support International Clinical Genetics and Genomics Collaboration

King Faisal Specialist Hospital & Research Centre

Riyadh

Kingdom of Saudi Arabia

 

Nov. 1996

Medical Informatics Education Day

Medical Center of Delaware (now Christiana Care Health System)

Newark, DE

 

Nov. 9, 1999

Informatics in the Real World: Applied Informatics in the Nonacademic Setting (panel member)

American Medical Informatics Association Annual Symposium

Washington, D.C.

 

Sep. 29, 1999

Medical Informatics: the Gateway to Advanced Clinical Computing. Abington Memorial Hospital, Abington, PA, Department of Medicine Grand Rounds.

 

Feb. 20, 1999

The Benefits and Challenges of the Electronic Medical Record

American College of Physicians/American Society of Internal Medicine Scientific Meeting

DE chapter

 

Nov. 17, 1998

A Challenge for Y2K and Beyond: Improving Healthcare through Integrated Information, Capitol Hill Conference on Medical Freedom and Integrated Patient Care

Ethics and Public Policy Center

Washington, D.C.

 

Sept. 29, 2005

iSchool Consortium

iConference 2005

Penn State University

Presented “The iSchools and Health Information Technology”

 

Feb. 28, 2006

iSchool Consortium

Dean's meeting, Washington, D.C.

Presented “A Grand Challenge in Medical Informatics:  Pharmaceutical Post-Marketing Surveillance as a Pilot Environment Towards Broad National Health Data Initiatives”

 

March 14, 2006

Invited presentation, “Medical Informatics Perspectives on Pharma eClinical:  Leveraging EMR Expertise”

eClinical Trials: Managing implementation of EDC and other eClinical Processes, Hilton Philadelphia City Ave.. sponsored by Center for Business Intelligence.

 

April 20, 2006

Invited presentation "Medical Informatics perspectives on Electronic Medical Records"

Amer. Records Management Association (ARMA)

Liberty Bell chapter, Philadelphia, PA.

 

May 19, 2006

Invited visiting professor, Scottsdale Health System, Arizona

Presentation:  “Medical Informatics:  Friend or Foe”

 

Nov. 8, 2006

Merck Research Labs

Clinical Risk Management & Safety Surveillance

Invited presentation, “Medical Informatics Perspectives on Leveraging the EMR in Pharma

 

Nov. 2006

AMIA 2006 Annual Meeting

Poster presentation

Access Patterns to Website on Health IT Failure

http://www.ncbi.nlm.nih.gov/pubmed/17238714

 

Jan 12, 2007

Fox Chase Cancer Center

Philadelphia, PA

Invited presentation, “Novel human-computer interaction for capture and management of genealogical data: the Saudi Arabia-Yale Genetics Research Database”

 

March 2007

Children’s Hospital of Philadelphia (CHOP)

“Introduction to Healthcare Informatics”

Invited kickoff presentation, Center for Biomedical Informatics

 

June 19, 2007

American Health Information Management Association (AHIMA)

Legal EHR Conference:  Ensuring Health Record Integrity

“Do Not Fold, Spindle, or Modify: Fidelity in EHR Output Reports”

http://www.ahima.org/meetings/documents/FinalAgenda_004.pdf

 

Sept. 27, 2007

Beaumont Hospital

Royal Oaks, MI

Invited presentation, Healthcare IT in the 21st Century: A Medical Informatics Vision

 

Dec. 10, 2007

IEEE Medical Technology Policy Committee

Washington, DC

Invited presentation - To The Moon In A Hot Air Balloon:  Why Is Clinical IT Difficult?

 

Dec. 17, 2007

The Cancer Institute of New Jersey

Invited Presentation - SAYGR: A Database With Novel Human Computer Interaction Supporting International Clinical Genetics Collaboration

 

May 21, 2009

Avoiding the Next Vioxx:  Medical Informatics Perspectives on Leveraging Electronic Medical Records for Earlier Detection of Drug Adverse Events

University of Texas Health Sciences Center – San Antonio

Department of Biostatistics

San Antonio, TX

 

Oct. 1, 2009

Health IT Promises and Threats

American Association of Physicians and Surgeons (AAPS) Annual Meeting

Nashville, TN

http://www.ischool.drexel.edu/faculty/ssilverstein/EHR_benefit_peril_final.ppt

 

Mar. 16, 2011

Pennsylvania Bar Institute, 17th Annual Health Law Institute

Co-presentation with Bruce Wilder MD, JD

"HITECH and the Fast Track to Electronic Health Records: Are We Safe?"

http://www.legalspan.com/pbi/catalog.asp?ItemID=20100823-150226-131756

http://www.pbi.org/resources/extras/6425_HLI/37_Silverstein.pdf

 

April 9 and April 11, 2012

Philadelphia, PA and Pittsburgh, PA

Pennsylvania Association for Justice (of the American Association for Justice, http://www.justice.org)

“A Primer on Healthcare IT Myths, Realities, Risks, and Practical Implications for Trial Lawyers”

http://eseries.pajustice.org/source/Events/Event.cfm?Event=EMPH0412

 

July 24, 2012

Harrisburg, PA

Pennsylvania Patient Safety Authority (http://patientsafetyauthority.org)

"Asking the Right Questions: Using Known HIT Safety Issues to Improve Risk Reporting and Analysis"

 

August 1, 2012

Sydney, Australia

Health Informatics Society of Australia (HISA)

Annual Convention – HIC 2012

Keynote address:  “Critical thinking on evidence-based medicine and better clinical outcomes: Improving health IT as the first step”

http://hcrenewal.blogspot.com/2012/08/my-presentation-to-health-informatics.html