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:
- 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,
Courses taught:
·
Introduction
to Healthcare Informatics
·
Organizational
and Sociological 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
- Writer for a policy think-tank, the Foundation
for Integrity and Responsibility in Medicine (FIRM), and their online web
site 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). As of mid-2009 the site is also one of only a dozen in the New York Times blogroll of recommended healthcare weblogs (see list in right hand column of NYT link). Cited by Forbes Magazine as one of three “must read” health blogs by physicians, Oct. 2009.
- 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
In summary, championed maximal, unfettered access to state of the art scientific information resources to ensure R&D productivity and enhance drug safety. Separated as a result of mass downsizing in Nov 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:
Articles, letters and
quotes:
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
Book: “H.I.T. or Miss: Lessons Learned from Health
Information Technology Implementations”
Associate Editor
Nov. 2009 (due for publication)
American Health Information Management Association (AHIMA)
https://imis.ahima.org/orders/productDetail.cfm?pc=AB102209&bURL=%2Forders%2Findex.cfm%3F
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/failurecases/?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.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
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
iHealthBeat.Org
October 26, 2007
Congress Likely To Agree on $61M for Health IT in 2008 (quoted)
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
'
Aliya Sternstein (quoted)
National Journal’s Technology
Daily
Feb.
27, 2007 (quoted twice in same issue)
More
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”
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
“
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
April 11,
2006
“Doctors
prescribe electronic records”
http://www.projo.com/news/content/projo_20060411_records11.d8a3121.html
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”
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
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”
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
PC Magazine
April 5, 1999
“Not Too Logical”
Healthcare
Informatics
Feb. 1999
“Broken Chord”
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
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?”
April 4, 1998
Letter to the Editor
“Seeking better ways to measure health-care quality”
Healthcare
Informatics
April 1998
“Healthcare IT an Unregulated Industry?”
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.
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,
http://en.scientificcommons.org/41032550
K. W. McCain,
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.
May 1994
“A database and entity relationship visualization tool for cDNA hybridization selection data”
CAMIS Symposium
Dec. 1995
SAYGR: A Database to Support International Clinical Genetics and
Genomics Collaboration
Kingdom of Saudi Arabia
Nov. 1996
Medical Informatics Education Day
Medical
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
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
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
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
Oct.
1, 2009
Health
IT Promises and Threats
American
Association of Physicians and Surgeons (AAPS) Annual Meeting
http://www.ischool.drexel.edu/faculty/ssilverstein/EHR_benefit_peril_final.ppt
