Bio of Scot Silverstein, MD
Résumé in MS-Word format is here.
Summary:
Medical Informatics professional
with expertise in Electronic Medical Records and research IT design,
implementation and management.
Leader in identification and
remediation of biomedical IT innovation difficulty.
On Biomedical Informatics:
Biomedical 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 Biomedical 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.
Roles and accomplishments in Biomedical
Informatics:
- Writer for multi-author online site of the
Foundation for Integrity and Responsibility in Medicine, Healthcare
Renewal (2004-present)
Biomedical Informatics correspondent for FIRM's internationally read site Healthcare Renewal, addressing threats to health care's core values, especially those stemming from concentration and abuse of power. This site is consistently rated very highly in the Global Ranking of Top English-Language Health Weblogs, and in 2008 was found by the Medicines and Healthcare products Regulatory Agency (MHRA, the UK equivalent of the FDA) to be the most influential healthcare industry blog in the United States. The MHRA report is here (PDF).
- Faculty, Drexel University, College of
Information Science and Technology, Philadelphia, PA (2004-present)
(Teaching faculty 2004; Assistant Professor and Director, Institute for Healthcare Informatics 2005-2007; Teaching faculty 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). Advisor, Drexel University College of Medicine EHR initiative. Co-Chair, Faculty Search Committee,
- Director of Scientific Information Resources and
The Merck Index at Merck Research
Laboratories, Merck & Co., Inc. (2000-2003).
Led multi-site library and scientific computing group serving over 6,000 Merck Research Laboratories scientists and executives globally. Managed staff of 50+ at
Separated as a result of the "Equinox" mass downsizing of November 2003. (See Nov. 2003 Business Week article on Merck's difficulties here.)
- Director
of Clinical Informatics 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 a $5 million electronic medical records (EMR) system. EMR has 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 invasive cardiology facility performing more than 6,000 procedures/year. An article by a Christiana Care executive gives management's views on the Biomedical Informatics-based approach to this project.
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 Biomedical Informatics
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 Informatics in an international collaborative clinical genetics project funded by a $17 million foreign research grant. Developed and authored a clinical genetics information system, field EDC (electronic data capture) application and analytic tool for the pediatric clinic and DNA diagnostics lab of a research hospital in the
- NIH Postdoctoral
Scholar in Biomedical Informatics,
Completed NIH-sponsored Biomedical 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 25 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, Biomedical Informatics (2 yrs),
- Medical Residency in Internal Medicine (3 yrs)
and Diagnostic Radiology (1 yr)
- Accelerated Seven-Year Medical Program,
M.D. degree, Boston University School of Medicine.
B.A. in Biomedical Sciences with minor in Computer Science,
Additional accomplishments and items of
interest:
Medical
informatics professionals are often people of broad scientific interests. These
interests lead to pursuit of Biomedical 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
- 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:
- Telecommunications
engineering and experimentation as amateur radio extra class KU3E, and
ARRL member. This interest began at a young
age with a Hallicrafters
S-38E short wave radio given as a present by my father, early 1960's.
Those exotic languages and unusual music coming from around the world via
the magic of radio were irresistible.
- 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:
Letters and articles:
Strategic value of Informaticists
Healthcare Informatics
Nov 1997
Medical informatics: a new breed of doctor
4 Mar 98
Healthcare IT an Unregulated Industry?
Healthcare Informatics
Apr 98
Seeking better ways to measure health-care quality
4 Apr 98
Interfacing Computers as Hard as Brain Surgery?
Computerworld
20 Apr 98
Barriers to Computerized Prescribing
Journal of the American Medical Association
12 Aug 98
Want to Play Doctor? Go to
Wall
Street Journal - letter to the editor
14 Oct 98
Academic and Legal Aspects of Authorship Disputes
Journal of the American Medical Association
13 Jan 99
Impediments to Home Health Care: The Blind, Deaf and Dumb,
25 Feb 99
Broken Chord
Healthcare Informatics
Feb 99
Not Too Logical
PC Magazine
5 Apr 99
On Research in the
Science
10 Apr 99
Monitoring IT projects' vital signs
Computerworld
3 May 99
Feeling Good Tops Pursuit of Excellence?
Wall
Street Journal - letter to the editor
1 June 99
Turn to specialized professionals in matters of medicine and
information technology
American Medical News (American Medical Association)
19 Jul 99
Reuse of Medical Devices Not So Simple
8 Dec 99
Medical informatics specialists and leadership roles
American Medical News (American Medical Association)
19 Jun 2000
Medical Informatics: Friend
or Foe?
Advance for Health Information Executives
May 1, 2002
http://www.advanceforhie.com/common/editorialsearch/viewer.aspx?FN=02may1_hxp37.html&AD=5/1/2002
Medical Informatics MIA
Bio-IT World
Aug. 13, 2002
http://www.bio-itworld.com/archive/081302/letters.html
Computer
Crash
June 5, 2003
http://content.nejm.org/cgi/content/short/348/10/881
Medical Informaticist to MIS: Get out of the Way
Health-IT World
Aug. 5, 2003
Rebuttal Rebuffed: Med Pros Should Control Health-IT
Health-IT World
Aug. 12, 2003
A healthy dose of computers: hospitals struggle for best system
Mar. 7, 2004
Sociotechnologic Issues in Clinical IT
Health IT Strategist
Aug. 1, 2004
How to Avoid CPOE Failure a Second Time
Health-IT World News
Sep. 28, 2004
How
The FDA Can Prevent Another Vioxx
BusinessWeek
Jan.
10, 2005
http://yahoo.businessweek.com/magazine/content/05_02/c3915011_mz004.htm#top
Technology
and Culture: One Assessment of Pharma
Bio-IT
World
May 16,
2005
http://www.bio-itworld.com/archive/eclinica/051605.html
Silverstein:
JAMA was On the Mark
isEDIS (Intelligent Solutions for Emergency Dept.
Information Systems).
"Article
of the month”
Aug. 22,
2005
http://www.isedis.com/article_of_the_month.htm
Redmond Magazine, and
Microsoft Certified Professional Magazine
Software
Crusades – “When software religion turns critical."
Nov. 2005
http://redmondmag.com/features/article.asp?editorialsid=522
and http://mcpmag.com/features/article.asp?EditorialsID=522
CIO
magazine
"The
Right Dose of Technology"
Nov. 1,
2005
http://www.cio.com/archive/110105/health_care.html
Gartner
Group
“Predicts
2006: Life Science Manufacturers Adapt to Industry Transitions” (quoted)
Dec. 2005
Carol
Rozwell, Gartner Group Research Vice President, Life Sciences,
Manufacturing Industry Advisory Service
Lab Soft
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
“Electronic
Health Records Overview” (quoted)
April 2006
www.ncrr.nih.gov/CRInformatics/EHR.pdf
“Doctors
prescribe electronic records”
April 11,
2006
http://www.projo.com/news/content/projo_20060411_records11.d8a3121.html
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
Roy M. Poses, Scot Silverstein, and Wally R. Smith
Journal of the
American Medical Association
June 28, 2006
“Kaiser responds sharply to
e-mail tech allegations” (quoted)
November
10, 2006 http://sacramento.bizjournals.com/sacramento/stories/2006/11/13/story6.html
“Spread
of Records Stirs Patient Fears of Privacy Erosion”
Wall
Street Journal - letter to the editor
Dec.
30, 2006
Jan. 3, 2007
National
Journal’s Technology Daily
Aliya
Sternstein (quoted)
Feb.
27, 2007
More
National
Journal’s Technology Daily
Aliya
Sternstein (quoted)
Feb.
27, 2007 (quoted twice in same issue)
The
'
National
Journal’s Technology Daily
Aliya
Sternstein (quoted)
HealthLeaders
Media
Learning from Mistakes (quoted)
March
8, 2007
http://www.healthleadersmedia.com/content/87842/topic/WS_HLM2_TEC/Learning-from-Mistakes.html
May 14, 2007
Firms Move To E-Health, But Will Workers Respond?
National
Journal’s Technology Daily
Aliya Sternstein (quoted)
“A Lessons Learned System in Healthcare IT Implementation”
AMIA 2007 Proceedings
Yunan Chen, Scot Silverstein, Rosina Weber
http://en.scientificcommons.org/41032550
Using Historiographic Mapping to Trace Persistent. Highly Visible
Research Themes in Medical Informatics.
Katherine W. McCain and Scot Silverstein
Proceedings of ISSI 2007
11th International Conference of the International
Society for
Scientometrics and Informetrics
iHealthBeat.Org
October 26, 2007
Congress Likely To Agree on $61M for Health IT in 2008 (quoted)
Clinical Information Systems Working Group Presents: Chief Medical
Informatics Officer Effectiveness
Nov. 2007
AMIA Podcast
Toby Samo Scot Silverstein Paul Fu Joseph Kannry Christoph U.
Lehmann
Interviewed: Are EMRs really the next big thing?
By Brian Robinson
Government Health IT
Dec 6, 2007
http://govhealthit.com/articles/2007/12/are-emrs-really-the-next-big-thing.aspx
Invited
Webcast
“The
Problem with EMR’s”
Government
Health IT
Jan.
16, 2008
http://govhealthit.com/articles/2008/01/the-problem-with-emrs.aspx
ß
Cleveland Plain Dealer
Medical and Science News
Painful -- and perilous -- consequences to electronic records
(quoted)
Chris Seper
April 29, 2008 12:25PM
http://blog.cleveland.com/medical/2008/04/painful_and_perilous_consequen.html#more
Healthcare IT News
Dec. 8, 2008
Docs like blogging platform (quoted)
Molly Merrill, Associate Editor
http://www.healthcareitnews.com/news/docs-blogging-platform
Feb
18 2009
Digitizing Medical Records May Help, but It's Complex
Wall
Street Journal - letter to the editor
http://online.wsj.com/article/SB123492035330205101.html
Profiled
Will health IT be Obama version of the Iraq War
Dana Blankenhorn
ZDNet
Healthcare
February 19th, 2009
http://healthcare.zdnet.com/?p=1848
Healthcare IT news
March 25, 2009
Critics charge HIMSS-CCHIT connection ‘too cozy’ (quoted)
Neil Versel
eHealthEurope
26 Mar 2009
“Over
Here” (quoted)
http://www.ehealtheurope.net/comment_and_analysis/407/over_here
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
A
Health IT Reading List
March 2009
Hospitals
& Health Networks
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
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
May 11, 2009
HealthLeaders Magazine
Cash for Computers (quoted)
John Commins and Jim Molpus
http://www.healthleadersmedia.com/content/232813/topic/WS_HLM2_MAG/Cash-for-Computers.html
Clinical Information Systems workgroup representative and
contributor
Health IT Project Success and Failure: Recommendations from
Literature and an AMIA Workshop. Journal of the American Medical Informatics
Association.
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
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.
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,
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
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,
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
Y Chen,
AMIA 2007 Proceedings
http://en.scientificcommons.org/41032550
K McCain,
Proceedings of ISSI 2007
11th International Conference of the International Society for
Scientometrics and Informetrics
Presentations:
Nov. 9, 1999
Informatics in the Real World: Applied Informatics in the
Nonacademic Setting (panel member)
American Medical Informatics Association Annual Symposium
Sep. 29, 1999
Medical Informatics: the Gateway to Advanced Clinical Computing.
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
Sept. 29,
2005
iSchool Consortium
iConference
2005
Presented
“The iSchools and Health Information Technology”
Feb. 28, 2006
iSchool Consortium
Dean's meeting,
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,
April 20, 2006
Invited presentation "Medical
Informatics perspectives on Electronic Medical Records"
Amer. Records Management
Association (ARMA)
Liberty Bell chapter,
May 19, 2006
Invited visiting professor,
Scottsdale Health System,
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
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
Sept.
27, 2007
Royal
Oaks, MI
Invited
presentation, Healthcare IT in the 21st Century: A Medical Informatics Vision
Dec.
10, 2007
IEEE Medical Technology
Policy Committee
Invited presentation - To
The Moon In A Hot Air Balloon: Why Is
Clinical IT Difficult?
Dec. 17, 2007
The Cancer Institute of
Invited Presentation -
SAYGR: A Database With Novel Human Computer Interaction Supporting
International Clinical Genetics Collaboration
