VCLIC Members Take Action with COVID-19-related Efforts

VCLIC members have been busy creating informatics-driven solutions and developing ways to support COVID-19-related interventions, research, data collection, and analysis. 

The depth and breadth of what our team members have been working on over just the last few weeks is extensive and incredibly impactful! We will continue to add to this page as we are notified of initiatives. 

Here is a sampling of the creative, essential COVID-19-related work being done by VCLIC members: 

• Dr. Kevin Johnson has been working to obtain national data from Epic about the changes in the demographics of visits pre-and post-COVID-19 to highlight the disparity caused by telemedicine in its current form, and to suggest alternatives. He is working with Pediatrics to improve this disparity. Dr. Johnson is also supporting a project that Drs. Fabbri and Talbert are doing at Tennessee Tech. This project aims to determine a way to incorporate paper-based assessment form data into a standard data set for intake, at scale, regardless of the form’s appearance.  

• Dr. Melissa McPheeters is an integral part of the VUMC Health Policy team that has developed the COVID-19 Modeling for Tennessee as well as all of the related reports and supporting documents. She has given countless presentations to DBMI, VUMC, VU, and other stakeholders, many of whom are involved in the state’s policy and decision-making processes.  

• Drs. Adam Wright, Dara Mize, and the Health IT team developed new clinical decision support tools to help identify patients with pending or positive COVID 19 tests and alert healthcare providers to take appropriate precautions.

• Dr. Allison McCoy created Reporting Workbench reports to help dermatology identify and easily contact patients to reschedule or convert to telehealth visit; extracted Clarity data to help develop models to predict positive COVID tests or worsening outcomes for COVID patients;  extracted Clarity data to help evaluate COVID and other respiratory virus outcomes in Type 1 and Type 2 diabetes patients; implemented the Epic Deterioration Index predictive model; and in the earlier phases of the pandemic, extracted Clarity data to help evaluate travel screening completeness. 

• Dr. Rob Turer has helped with several projects, including implementing SmartText for ED “E-Pod” (COVID-19 Fast Track) documentation; Implementing a BPA for negative COVID-10 tests in the ED to facilitate throughput; designing and building ED daily reporting tools; designing and prototyping (with Dr. Trent Rosenbloom and Health IT) MHAV COVID-19 dashboard, which was adopted and improved upon by the enterprise analytics team under Bill Harrell; prototyping and implementing visualizations for a CDC-COVID-19 study reporting tool; publishing a perspective in JAMIA: Electronic Personal Protective Equipment: A Strategy to Protect Emergency Department Providers in the Age of COVID-19, co-authored with fellow VCLIC member Dr. Trent Rosenbloom.  

• Dr. Dario Giuse has worked with the HDR team to do an early export of data for all patients on the census to extend the capabilities of an EDW2 report from daily to near-real-time; develop a real-time dashboard that shows all current inpatients with a reported positive COVID-19 result from the lab (mobile version also available); add a version of the same dashboard that is driven not by positive VUMC lab results but from documentation of positive status from the Word Cloud, which covers patients not tested at VUMC but admitted because of a positive elsewhere; create a report that shows the total number of COVID-19 tests done by the lab, with numbers of pending and positive results (the report also shows how many ventilators are in use and the total number of ventilators VUMC owns); create a version of the same report that shows testing done by the VUMC lab for non-VUMC patients (as part of VPLS), to give a complete idea of the actual testing volume for COVID-19; create some of the early map displays of the geolocation of patients who tested positive; and extend the Census Dashboard in StarPanel to display capacity and occupancy of the various inpatient units, to support resource/bed allocation for COVID-19 treatment.  

• Dr. Trent Rosenbloom has worked with Assessment Site leadership to adjust their paper intake form (documentation and orders) to make it more computable via OCR and to include content likely to be of interest for research; worked with Health IT (and Dr. Rob Turer) to develop a COVID-19-related MHAV Tableau dashboard that allows operations to track MHAV use among COVID-tested patients to determine whether they have accounts and have reviewed their results in MHAV (MHAV is the primary means for supporting the big increase in telehealth at VUMC); helped Dr. Rob Turer frame out his concept for telehealth-enabled ED assessment (called ePPE), mentioned above and published in JAMIA; worked to modify policy, procedure, and technology approaches to MHAV enrollment to support remote enrollment for telehealth (a medical student he worked with is submitting a manuscript to JAMIA on this topic); worked with fellow VCLIC members, Dr. Josh Peterson and Dr. Melissa McPheeters to establish a COVID-19 registry within the RD to support predictive work; worked with ACMI to develop a common data model for all COVID-19 assessments, which may turn into working with the CDC; worked with Dan Fabbri and team (including Dr. Kevin Johnson and VU medical students) to target the OCR and manual review of COVID-19 assessment forms to digitize the paper-based documentation. 

• Dr. Lindsey Knake created a research poster abstract for AMIA about a group she and her medical school classmates created to share treatment ideas and new research about COVID-19: Using Social Media as a Clinical Decision Support Tool During the Uncertainty of Covid-19.  

• Dr. Robert Freundlich and Dr. Sunil Kripalani both mentioned their involvement in a COVID-19-related study being organized through the VICTR Learning Health System. This is a pragmatic clinical trial on the proning of patients with COVID-19, and informatics expertise is being leveraged in data collection, using Clarity/Caboodle, and analysis. 

• Dr. Yaa Kumah-Crystal has been leading the Outpatient and Inpatient Telehealth initiatives as the Clinical Director for Telehealth. She is working with another VLIC member, Dr. Shane Stenner, on inpatient initiatives, and they are specifically working on pilots for virtual rounding. Regarding outpatient initiatives, Dr. Kumah-Crystal worked with the Redcap team to build out a Redcap/Twilio integration that will allow providers to text their patients Telehealth invitations without revealing the provider’s personal mobile phone or email.  

• Dr. Wael Alrifai has worked on several initiatives related to obstetrics and newborn care, including creating a number of decision support tools to protect mother and baby as well as team members carrying for the dyad and creating novel views in the labor and delivery grease board where users can determine at a glance which mothers have suspected or confirmed COVID-19, so obstetric and pediatric teams can perform timely planning for urgent and emergent deliveries. His team also collaborated with VCLIC members to utilize a link between mother and infant charts to deliver alerts that appear to newborn providers based on maternal risk factors and recommend the right actions. They updated portals used for babies born outside VUMC to screen their mothers’ clinical and lab information. Dr. Alrifai notes that the VUMC obstetric and newborn COVID-19 tools have attracted attention from Epic representatives, enough that they requested VUMC build information to adopt some of its features.  

• Drs. Jeremy Warner and Sanjay Mishra are part of the COVID-19 and Cancer Consortium (CCC19), whose goal is to collect prospective, granular, uniformly organized information on cancer patients infected with COVID-19 at scale and as rapidly as possible.  

• Dr. Jon Wanderer has been building reports for tracking surgical cases that were cancelled or delayed due to COVID-19. 

VCLIC Members Support Vanderbilt Wilson County Hospital Epic Go-Live

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Congratulations to the many VCLIC Members who supported the extremely successful VWCH Epic Go-Live! We know many of you were both part of the planning and on-the-ground support, including Dara Mize, Sharidan Parr, Rob Turer (pictured), Jon Wanderer (pictured) and others. 

Dario Giuse also let us know that "As part of the VWCH project, the HDR (Health Data Repository) is receiving and uploading close to 9.5 million documents from almost 150,000 Wilson County patients.  The data, which was extracted from the legacy system that was in use at VWCH until we went live with eStar on 4/23/2020, will be visible within the StarPanel Viewer in eStar, and will also be used by the HIM Department for Release of Information of historical data." 

Congratulations on a successful effort, both on the front and back ends of things! 

ARCHIVED AWARDS AND HONORS

 

Julie Bauml, MD               Aileen Wright, MD, MS

Congratulations to Julie Bauml, MD and Aileen Wright, MD, MS for winning the 2023 Physican Builder Award, as part of the eStar Physician Builder Program!  

Yaa Kumah-Crystal, MD, MPH, MS also gave pediatric grand rounds at Stanford: How to Survive the AI Uprising. 

Kathy Moss, MSN, MBA, RN-BC, NEA-BC achieved certification in Nursing Informatics from the American Nurses Credentialing Center (ANCC) on June 9, 2023. 

Michael Ward, MD, PhD, MBA was the guest editor of the Special Issue on Veteran Emergency Care in Academic Emergency Medicine, featuring contributions from several VUMC researchers. This special issue is an outcome of the state-of-the-art (SOTA) conference on VA Emergency Medicine in 2022, which focused primarily on emergency care of older Veterans, Veterans with mental health needs in the emergency setting, and emergency care in non-VA community settings.  

Eunice Huang, MD, MS has been selected to participate in the highly competitive 2023-2024 Hedwig van Ameringen Executive Leadership in Academic Medicine (ELAM) program, on the Executive Leadership in Academic Health Care (ELH) track launched in 2022!  

Siru Liu, PhD will officially be joining DBMI as a tenure-track Assistant Professor in August 2023! Congrats Siru!  

Adam Wright, PhD and Allison McCoy, PhD wrapped up their Spring 2023 course: BMIF 7340 Clinical Informatics in May 2023 – congrats!

Sunil Kripalani, MD, MSc, SFHM, FACP served as a moderator for the “AAPI Pioneers in Medicine at VUMC,” virtual panel event that featured a few of DBMI’s AAPI healthcare leaders in celebration of Asian-American and Pacific Islander Heritage Month. 

Trent Rosenbloom, MD, MPH, FACMI talked about patient portals and personal health records in the Clinical Informatics course in April 2023. 

Matthew Krantz, MD discussed “Mining the EHR for Delayed Hypersensitivity Phenotypes” for a webinar hosted by the American Academy of Allergy, Asthma & Immunology. 

Megan Salwei, PhD was selected as a 2023 NIH mHealth Scholar and will attend the NIH mHealth Training Institute this summer at UCLA. Congrats Megan! 

 

Congratulations to Travis Osterman, DO, MS, VUMC’s new Associate Vice President for Research Informatics!  

Thomas Reese, PharmD, PhD was invited to the Junior Investigator Intensive program through the NIA-funded US Deprescribing Research Network’s.  

Yaa Kumah- Crystal, MD, MPH, MS gave a talk at HealthIT with Joel Doren about chatGPT and productivity, titled "Hidden Benefits of ChatGPT: Optimize Your Workflow And Life". 

Sunil Kripalani, MD, MSc, SFHM, FACP and Jenny Slayton, MSN, RN have successfully led VUMC to be selected as a recipient of the PCORI Health Systems Implementation Initiative (HSII)!  

Laurie Novak, PhD, MHSA, Trent Rosenbloom, MD, MPH, FACMI, Kim Unertl, PhD, MS and several other informaticians published an editorial on Dobbs v. Jackson's Women's Health Organization in Applied Clinical Informatics and urged the clinical informatics community to band together and take action to support patients, educate colleagues, address interoperability and privacy gaps and more. 

Benjamin Collins, MD, MA joined an AIM-AHEAD panel to discuss “Race as a Variable in Artificial Intelligence” on March 2. 

Travis Osterman, DO, MS spoke about the Vanderbilt-Ingram Cancer Center participating in the CancerLinq Quality Initiative in the VUMC Reporter last month. 

Travis Osterman, DO, MS attended a National Academies of Sciences, Engineering, and Medicine (NASEM) workshop to discuss Incorporating Integrated Diagnostics into Precision Oncology Care. 

Patty Sengstack, DNP, RN-BC, FAAN and Kathy Moss, MSN, MBA, RN, PMP, NEA-BC joined the VCLIC Clinical Informatics course last week to discuss nursing informatics. 

Alvin Jeffery, PhD discussed data science activities in nursing in Applied Clinical Informatics. 

Allison McCoy, PhD and Adam Wright, PhD are part of the AHRQ-funded Clinical Decision Support Innovation Collaborative which launched a new website recently. Check it out here! 

Colin Walsh, MD, MA and team published a study titled “Development and Multi-Site External Validation of a Generalizable Risk Prediction Model for Bipolar Disorder” in medRxiv. 

Travis Osterman, DO, MS and team published a study “On the Cusp: Considering the Impact of Artificial Intelligence Language Models in Healthcare” in Med. 

Yaa Kumah-Crystal, MD, MPH, MS recently attended the Gates Foundation Meeting on Voice and Digital technology in Seattle and discussed emerging AI with Eric Horvitz, Microsoft’s Chief Scientific Officer. 

Ashley Spann, MD, MS will officially be joining DBMI as an Assistant Professor Physician Scientist in July 2023! She will also be stepping into the role of Director of Clinical Research Informatics for the Department of Gastroenterology at VUMC.  

Lyndsay Nelson, PhD was recently named Assistant Director of the CCQIR.  Her research focuses on designing digital tools that engage and empower patients to improve their health and implementing these tools in routine clinical care. 

Sean Huang, MD has successfully passed the American Board of Preventative Medicine (ABPM) certifying examination and effective January 1st, 2023, is now a certified specialist in Clinical Informatics. Congratulations! 

Martin Were, MD, MS, professor of Biomedical Informatics and Medicine, has been named as the inaugural vice chair for Diversity, Equity and Inclusion (DEI) for the Department of Biomedical Informatics (DBMI) at Vanderbilt University Medical Center. 

Megan Salwei, PhD has joined the JAMIA Editorial Board for 2023-2025. 

Dara Mize, MD, is named Chief Medical Information Officer for VUMC! We are so excited for Dr. Mize and this new role!  

Robert Freundlich, MD, MS, MSCI attended the 2023 Society of Critical Care Medicine (SCCM) conference recently, where he was named Fellow of the American College of Critical Care Medicine! 

Jake Hughey, PhD, and team published a piece “LimoRhyde2: Genomic Analysis of Biological Rhythms Based on Effect Sizes” in bioRxviv. 

Lisa Bastarache, MS and Josh Peterson, MD, MPH published a paper "Phenotypic Convergence: A Novel Phenomenon in the Diagnostic Process of Mendelian Genetic Disorders" in medRxiv. 

Yaa Kumah-Crystal, MD, MPH, MS has accepted an invitation to attenda symposium on Voice Technology sponsored by the Bill & Melinda Gates Foundation on February 15^th. 

Kevin Johnson, MD, MS and team’s paper “REDCap on FHIR: Clinical Data Interoperability Services” (Journal of Biomedical Informatics, Sept. 2021) was selected as one of the best articles published in 2021 in the “Clinical Research Informatics” section of the 2022 IMIA Yearbook of Medical Informatics. 

Colin Walsh, MD, MA, was recently elected to the American College of Medical Informatics (ACMI) Class of 2022 and was inducted into the ACMI at the 2022 American Medical Informatics Association (AMIA) Annual Symposium, held in Washington, DC. 

Wael Alrifai, MD, MS has been invited to join the AAP Partnership for Policy Implementation (PPI),  which assigns pediatric informaticians to groups authoring clinical guidelines, policy statements, and clinical reports, with the goal of ensuring that clinical recommendations are clear, unambiguous, actionable, executable, and computable. 

VUMC Clinical Directors Shane Stenner, Thomas Reese, PharmD, PhD; Dara Mize, MD; Patty Sengstack, DNP, RN-BC, FAAN; Scott Nelson, PharmD, MS; Travis Osterman, DO, MS; and Yaa Kumah-Crystal, MD, MPH, MS gave ignite-style talks in a VCLIC course last week. 

Martin Were, MD, MS was promoted to the rank of Professor of Biomedical Informatics. Congratulations, Martin! 

Mhd Wael Alrifai, MD, MS has accepted the position as the new MS-ACI Capstone Course Director for Spring 2023. Dr. Alrifai is an Assistant Professor of Pediatrics in the Division of Neonatology, and an Assistant Professor of Biomedical Informatics at the Vanderbilt University Medical Center. He completed Neonatology Fellowship here at VUMC, as well as a MS in the MS-ACI program. Welcome to the team Dr. Alrifai! 

Chetan Aher, MD, and William Martinez, MD, MSc, were recently awarded Excellence in Patient Experience Awards for ranking in the top 10% nationally in patient experience for the last fiscal year!   

Colin Walsh, MD, MA, will be inducted as a Fellow of ACMI class of 2022! 

Allison McCoy, PhD, Adam Wright, PhD, Kim Unertl, PhD, Scott Nelson, PharmD, MS, and Sina Madani, MD, PhD, were honored at the inaugural AMIA Certified Health Informatics Professional (ACHIP) Diplomates reception on Nov. 5.  

Benjamin Collins, PhD received the Academic Forum Best Paper Award for his work on the “Development of an Online Training Module on Algorithmic Bias in Health Care for Clinicians”. 

Kim Unertl, PhD, was recently named a Fellow of AMIA class of 2023! She will be inducted at the AMIA 2023 Clinical Informatics Conference in Chicago in May.  

Allison McCoy, PhD, will be joining the FAMIA executive committee as Secretary/Treasurer this year! 

Scott Nelson, PharmD, MS, FAMIA, ACHIP was recently promoted to Associate Professor! Congratulations, Scott!  

Yaa Kumah-Crystal, MD has just been named one of the Women leaders of Conversational AI class of 2023! Congratulations, Yaa! 

Travis Osterman, DO, MS was appointed as Minimal Common Oncology Data Element’s (mCODE) American Society of Clinical Oncology (ASCO) Representative and Executive Committee Chair. Travis formerly served as Chair of mCODE’s Technical Review Group. 

Sara Horst, MD, MPH, was recently featured for her new roles in advancing digital health, including Associate Vice Chair for Digital Health Operations for the Department of Medicine and Assistant Chief for Clinical Informatics for the Division of Gastroenterology, Hepatology, and Nutrition! Congratulations, Sara!  

Justin Bachmann, MD, MPH, and the Vanderbilt Patient-Reported Outcome Measurement System (VPROMS) team were awarded the Value-Based Health Care Primary Care Award from the Value-Based Health Care Center Europe!  

Adam Wright, PhD, FACMI, FAMIA, FIAHSI, was named holder of the DBMI Directorship in Clinical Informatics. 

Colin Walsh, MD, MA, was one of 13 faculty who were named 2022 Chancellor Faculty Fellows.  

Scott D. Nelson, PharmD, MS, CPHIMS, FAMIA, has been selected to be a co-chair of the 2023 AMIA Clinical Informatics Conference in Chicago. 

Additionally, per Dr. Nelson, the MS in Applied Clinical Informatics (MSACI) program, which he runs, just received candidacy status from the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM). CAHIIM worked with the AMIA Accreditation Council (AAC) in establishing core competencies for health informatics education at the master’s degree level. Congratulations! 

Adam Wright, PhD was an honorable mention for Faculty Mentor of the Year! 

Jonathan P. Wanderer, MD, M.Phil, FASA, FAMIA, was awarded the Kevin B. Johnson Award for innovative approaches advancing clinical practice and/or biomedical research. Congratulations on the award! 
 

Congratulations to Karen Hughart, MSN, RN-BC, who was named the Adrienne Ames Transformational Nursing Leader for VUMC for 2022. This award is for a full-time registered nurse currently practicing in a nursing leadership role who exemplifies the Magnet culture by consistently demonstrating certain traits and achievements.  

Gretchen P. Jackson, MD, PhD, was appointed to a three-year term as co-chair of the Association for the Advancement of Medical Instrumentation (AAMI) HIT Committee. This committee develops documents on the safety, effectiveness, and security of health software and health IT and oversees all of AAMI’S Health IT working groups. 

Alvin Jeffery, PhD, RN, CCRN-K, FNP-BC, joins the Betty Irene Moore fellowship program at the UC Davis nursing school. He is one of 12 nurse scientists accepted to the third cohort of the Betty Irene Moore Fellowship for Nurse Leaders and Innovators. This fellowship program recognizes early- to mid-career nursing scholars and innovators with a high potential to accelerate leadership in nursing research, practice, education, policy, and entrepreneurship.

Jonathan P. Wanderer, MD, M.Phil, FASA, FAMIA, will be chairing the Anesthesia Research Council’s 3rd Working Group, which is focused on artificial intelligence in informatics.  

Scott Nelson, PharmD, MS, CPHIMS, FAMIA, has been selected as the Co-chair of the 2023 AMIA Clinical Informatics Conference. 

Ashley Spann received the International Liver Transplantation Society’s (ILTS) Young Investigator Award at the 2022 ILTS Annual Congress. 

Sharidan Parr, MD, MSCI, MS was elected to the Fellows of the American Medical Informatics Association.

Brent Moseng was the recipient of the Five Pillar Leader Award in February. Nominees must demonstrate consistent practices that impact success across the five pillars (People, Service, Quality, Growth & Finance, Innovation) and demonstrate consistent Credo behavior. His colleagues and other VUMC members highlighted Brent’s work ethic and contributions in this video. Congratulations, Brent! 

Derek Williams, MD, MPH was awarded the 2022 Society of Hospital Medicine’s Excellence in Research Award, which will be presented at the SHM national meeting in April. SHM’s Awards of Excellence program honors members who have made exceptional contributions to hospital medicine in various categories. 

Siru Liu, PhD was selected as one of 12 biomedical PhD students and postdocs at VUMC for the ASPIRE on the Road Program to visit biotechnology companies and organizations in Boston to help make trainees well-informed career decisions. 

Siru Liu, PhD was also selected for the Google Cloud Research Innovators program, which selects 30 researchers in the physical, social, and biomedical sciences to support their research on the use of cloud computing. 

Siru Liu, PhD was (also!) accepted into the American Thoracic Society (ATS) 2022 Student Scholar Program, an opportunity for a select group of medical students, graduate students, respiratory therapy and nursing students to attend the annual ATS International Conference. Students will benefit from a specially designed curriculum to get the most out of the ATS International Conference, and will be exposed to cutting-edge science, professional education, and focused career development. 

Gretchen P. Jackson, MD, PhD is now the co-chair of the AAMI Health Information Technology Committee. The AAMI HIT Committee develops documents on the safety, effectiveness, and security of health software and health IT, and oversees all of AAMI Health IT working groups. 

Yaa Kumah-Crystal, MD, MPH, MS, has agreed to participate on the Women in AMIA steering committee.  

Congratulations to Siru Liu, PhD for being selected to the National Cancer Institute (NCI) Multilevel Intervention Training Institute, a 4-month program to build capacity and skills for researchers in the field of cancer care and to further multilevel intervention research! She was also selected to the Women in AMIA Awards and Leadership Subcommittee. 

Siru Liu, PhD was nominated by the University of Utah for the American Medical Informatics Association (AMIA) Doctoral Dissertation Award, and finally, was also nominated by Vanderbilt University for the National Cancer Institute (NCI) Pathway to Independence Award for Outstanding Early-Stage Postdoctoral Researchers.  

Congratulations to Jonathan P. Wanderer, M.D., M.Phil, FASA, FAMIA for being voted President-Elect for the Society for Technology in Anesthesia! 

WOMAN TO WATCH 

 

Gretchen Jackson, MD, PhD has been named one of the Nashville Medical News 2021 Women to Watch. Congratulations, Dr. Jackson! Reading your career story is certainly inspiring!  

SIRU LIU, PHD SELECTED INTO WOMEN IN AMIA LEADERSHIP PROGRAM

Siru Liu, PhD, was selected into the Women in AMIA (WIA) Leadership Program, a seven-month leadership development program for women researchers from across the health informatics ecosystem.  

Ashley Spann, MD has taken on the role of the hepatology steering board chair for Epic, and was also selected to moderate a session on November 13th at the American Association for the Study of Liver Diseases (AASLD) Meeting.

Stuart Weinberg, MD, was recognized as a contributor to the VUMC Mass Vaccination Project with a VUMC Team Elevate Award. 

Joseph Legrand, PharmD, MS was one of six members of CodeRx who won the Synthetic Health Data Challenge, a coding challenge hosted by the Office of the National Coordinator for Health IT (ONC). Their solution was called Medication Diversification Tool (MDT). On October 19th, 2021, Joey presented this work in an informational webinar via healthit.gov. The HealthIT.gov announcement is here, and the challenge.gov announcement is here (in addition to the HHS announcement linked above).  

Megan Salwei, PhD was elected to the Human Factors and Ergonomics Society (HFES) Healthcare Technical Group Executive Committee as the “Student Affairs Chair” from 2021 to 2023. 

Sunil Kripalani, MD, MSc is part of a multiple-PI team, including Alan Storrow, MD and Dandan Liu, PhD, that was awarded a four-year R01 grant from NIH/NHLBI. The central objective of the project is to develop a multilevel approach and the necessary statistical methods to close the gap in implementation of our AHF risk prediction tool, as a model for other automated risk prediction approaches within an electronic health records system. Adam Wright, PhD and Asli Weitkamp, PhD are co-Investigators on the grant. 

Michael Ward, MD, PhD, MBA was awarded a R34 grant from NIH/NHLBI titled “PORTAL: Patient Outcome Reporting Tool for emergency medicAL services”. The project will develop, refine, and implement a scalable feedback system for EMS providers delivering acute cardiovascular emergency care to patients with chest pain. 

Jeremy Warner, MD, MS, started the ASCO Leadership Development Program, in which participants learn valuable leadership skills, gain exposure to the roles and mission of ASCO, and learn about the Society’s place in developing the future of cancer care.

Siru Liu, PhD, is one of 8 recipients of the AMIA Leadership and Education Award Donation (LEAD) Fund. The purpose of the award program is to cover trainee registration for the 2021 AMIA Annual Symposium in order to present their research.

Ashley Spann, MD, MS, was selected as the social media editor for the Journal of Medical Systems (JOMS), led by Jesse Ehrenfeld.

In addition, Dr. Spann created the Hepatology Sub-specialty Steering Board for Epic, which is a national group, containing about 8-12 members from Epic sites with a focus on hepatology. Ashley noticed that a hepatology steering board was missing, and she worked with Epic and hepatologists from other sites to bring a group together to create the Hepatology Steering Board. They had their first meeting 8/19/21, and haven’t quite made it to the landing page yet on Galaxy, but here’s the link for that on Userweb: https://galaxy.epic.com/?#Browse/page=1!68!601!2290373,3774815. The group’s focus is developing CDS for providers across the Epic ecosystem taking care of patients with liver disease or those undergoing evaluation for or have received liver transplants.

Catalyzing Informatics Innovation (CI2) Program has 3 VCLIC Awardees 

3 VCLIC members were recently funded as awardees of the Catalyzing Informatics Innovation Program, run by DBMI Faculty member, Daniel Fabbri, PhD. 

“The DBMI Catalyzing Informatics Innovation (CI2) Program supports the development of creative, feasible informatics-based ideas that have the potential to improve health, healthcare, or discovery.   CI2 Program awardees receive not only modest funding to pursue their proposed project, but also join a cohort of CI2 Scholars who work closely with faculty and VUMC leadership. Cohorts learn about using real-world data and evidence to advance innovation, evaluate methods and impact change. CI2 awardees work closely with their mentor and the CI2 Advisors to ensure that their project is moving forward and leading to publications and extramural funding, as appropriate.” 

Congratulations to Bryan Steitz, PhD; Wael Alrifai, MD, MS; and Justin Bachmann, MD, MPH on their acceptance into this program!  

Bryan’s Project is: A Real-Time Dashboard to Visualize Time-Based Organizational Stress 

Wael’s Project is: The Development and Validation of a Multidimensional Model to Measure Provider Workload in the Neonatal Intensive Care Unit (also note that this is Wael’s second year participating in the program)! 

Justin’s Project is: Decreasing Heart Failure Readmissions with Patient-Reported Outcome Measures 

Bryan Steitz, PhD

Wael Alrifai, MD, MS

Justin Bachmann, MD, MPH

 

 

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Policy Insights: Use of Web Services in Pediatric Care  

 

Stuart Weinberg, MD, was lead author of the American Academy of Pediatrics (AAP) Policy Statement “Integrating Web Services/Applications to Improve Pediatric Functionalities in Electronic Health Records” as well as a co-author on the corresponding technical report “Web Services and Cloud Computing in Pediatric Care.” Additionally, he penned the article in the AAP news outlet “Looking to improve EHR functionality? Guidance addresses web applications, services,” which ran on June 28th, 2021.   

The AAP summarized this essential work in a news release:  

Certified Electronic Health Record (EHR) technology is used by an estimated 96% of U.S. acute care hospitals and 94% of office-based physicians, but gaps continue to exist in many systems with regard to core pediatric functionalities. The American Academy of Pediatrics discusses these gaps and opportunities to address them with a policy statement, “Integrating Web Services/Applications to Improve Pediatric Functionalities in Electronic Health Records,” published in the July 2021 Pediatrics (published online June 28). A technical report, “Web Services and Cloud Computing in Pediatric Care,” will be published in the same issue and online. The policy statement reviews how web applications and web services can be integrated into EHRs to meet pediatric needs, such as assessing anticipatory and preventive care gaps including immunizations, calculating pediatric blood pressure percentiles, safely prescribing pediatric medication with weight-based dosing, plotting growth curves, or providing bilirubin management clinical decision support. The statement and technical report, written by the AAP Council on Clinical Information Technology, note that pediatric providers should work with their vendor users’ groups to become familiar with available web services and web applications as potential solutions to improve pediatric functionalities. The AAP recommends that pediatricians learn about these tools and talk with vendors on ways to implement solutions where useful and feasible. 

The impacts of this work will be felt far and wide, as Dr. Weinberg’s work was also referenced in the HIMSS White Paper “Aggregate Immunization Acknowledgement Message Reports Guidance,” (Dr. Weinberg is co-chair of the HIMSS Immunization Integration Program Executive Committee).  

While the technical report, policy statement, and AAP article mentioned above were recently published, Dr. Weinberg has been advocating for use of web services for improving safety and accuracy of pediatric care since 2009, when he wrote an article for the American Academy of Pediatrics News publication “Web services can aid development of pediatric-friendly EHRs.”  

Fantastic work, Dr. Weinberg!  

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Jonathan P. Wanderer Received DBMI TODE Award

Jonathan P. Wanderer, MD, M.Phil, FASA, FAMIA was promoted to Professor, and received the DBMI Technology, Organizational Development, and Evaluation (TODE) Award for his work. The TODE Award is given to an individual who has contributed significant and impactful service through work that develops and/or supports operational systems of Vanderbilt University and VUMC.

 

 

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Adam Wright Receives Donald A.B. Lindberg Award for Innovation in Informatics 

Adam Wright, PhD, FACMI, FAMIA, FIAHSI, will be presented the Donald A.B. Lindberg Award for Innovation in Informatics at the AMIA 2021 Annual Symposium in San Diego. The award is given annually to an individual for advancing biomedical informatics at the national or international level.  

 

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Trent Rosenbloom, MD, MPH, to serve as DBMI Interim Chair 

S. Trent Rosenbloom, MD, MPH, FACMI, FAMIA was chosen to serve as the Interim Chair of Biomedical Informatics beginning on November 1st, 2021. He is currently the Vice Chair for Faculty Affairs and a Professor of Biomedical Informatics with secondary appointments in Medicine, Pediatrics, and the School of Nursing at Vanderbilt University. He also directs the My Health at Vanderbilt patient portal, one of the oldest and best-used patient portals in the country. 

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Fellows of AMIA Announced 

Michael Matheny, MD, MPH (left) and Sharidan Parr, MD, MSCI, MS (right) are part of the 2022 class of the Fellows of AMIA (FAMIA). A formal induction ceremony will be held at the 2022 Clinical Informatics Conference May 24-26th in Houston, TX. 

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ACMI Fellows Announced 

Patty Sengstack, DNP (left) and Martin Were, MD, MS (right) were elected as fellows in the American College of Medical Informatics (ACMI). The induction ceremony will take place on October 31st at the AMIA 2021 Annual Symposium in San Diego. 

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Scott Lee, MD, PhD, MPA, MPhil received Kenneth J. Arrow Award

Scott Lee, MD, PhD, MPA, MPhil received the Kenneth J. Arrow Award for health economics research given by the International Health Economics Association. Dr. Lee and colleagues were awarded this honor for their 2020 paper published in the American Economic Review, describing a study about the recruitment of health practitioners in Zambia and its relationship to significant improvement in measured health outcomes. This award is the highest honor given annually for health economics research. Congratulations, Dr. Lee!

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Trent Rosenbloom, MD, MPH appointed to NLM BILDS Review Committee

Trent Rosenbloom, MD, MPH, was appointed to the National Library of Medicine’s (NLM) Biomedical Informatics, Library, and Data Sciences (BILDS) Review Committee for the term between July 1, 2021, and June 30, 2025. The BILDS committee is the leading study section for the NLM, and members are chosen for their individual expertise, academic ranking, research background, and experience with peer review processes, among other criteria.

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Inaugural Physician Builder Award Winners: Chetan Aher, MD, and Wael Alrifai, MD, MS

Chetan Aher, MD, and Wael Alrifai, MD, MS, were awarded the first Physician Builder Awards for VUMC Physician Builder program participants. This award recognizes physician builders who have made outstanding contributions to eStar via devising and implementing new content and tools for the system. Dr. Alrifai was recognized for his work on a neonatal sequential organ failure assessment (nSOFA) score calculator, which provides an index of how sick a patient is. Dr. Aher received his award for his work on the bariatric procedure pass, which allows teams to track surgical weight loss patients as they progress through the presurgical checklist, as well as for his work on a post-operative checklist, which ensures that teams promptly notify VUMC insurance authorization staff when retro-authorization is needed for a procedure. Drs. Aher (second from right) and Alrifai (second from left) are pictured with Adam Wright, PhD (far left), VCLIC Center Director and award sponsor, and Jonathan Wanderer (far right), MD, MPhil, Physician Builder Program Director. Their accomplishment was recognized in the VUMC Reporter.

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Dave Johnson, MD, Elected to Academy for Excellence in Education

Congratulations to Dave Johnson, MD, who was elected to the Academy for Excellence in Education, which was established in November of 2006 and is a collective of outstanding faculty educators in Vanderbilt University School of Medicine who are highly engaged in the educational mission.

 

Summer Accolades

 

• Lyndsay Nelson, PhD was named the new Director of Scholarly Series for the Center for Clinical Quality and Implementation Research! 
• Stuart Weinberg, MD, was quoted in a slideshow on the HIMSS Website: "HIMSS Immunization Integration Program." 
• Allison McCoy, PhD, completed VUMC’s site implementation of GUARRD-US CDS, a germline disease-risk genetic CDS VUMC is currently running.
• Martha Shepherd, DO, MPH, graduated from Dartmouth with her Master’s of Public Health on June 11, 2021. Congratulations, Dr. Shepherd!
• Alvin Jeffery, PhD, co-facilitated a workshop at the 2021 Nursing Knowledge: Big Data Science pre-conference titled “Data Science Hands-On.”
• Wael Alrifai, MD, MS, received the VUMC Turners-Hazinski Award, which is two years of grant funding for the project Operationalizing Provider Workload Assessment in the Neonatal Intensive Care Unit.

 

Congratulations to Our New ACMI Fellow  

Congratulations to Kim Unertl, PhD, who will be inducted into the American College of Medical Informatics (ACMI) during the AMIA 2020 Annual Symposium this November. There were only 13 new fellows, making this an especially impressive achievement! 

Kim Unertl, PhD

 

Kevin Johnson, MD, MS, Elected ACMI Executive Committee President-Elect 

 

Congratulations are in order for Kevin Johnson, MD, MS, who was recently named President-Elect of ACMI (the American College of Medical Informatics)'s Executive Committee, for January 1, 2021 - December 31, 2022, with a term as President to follow the year after. We look forward to seeing the fantastic results that will arise from having Dr. Johnson on the governing board of such an influential body in informatics.  

 

Matt Weinger, MD, MS, Awarded 2020 AR Lauer Safety Award from the HFES

 Please join us in congratulating Matt Weinger, MD, MS, who will be presented with the 2020 AR Lauer Safety Award at the Human Factors and Ergonomics Society (HFES) annual meeting in October.  

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This award, established in 1968, recognizes a person for outstanding contributions to human factors aspects in the broad area of safety. This includes HF/E work that has led to reduced accidents and injuries in such areas as industry, aviation, surface transportation, and consumer products. Candidates' accomplishments should be related to safety or safety training technology as demonstrated by research or application of HF/E principles. Emphasis should be placed on both programmatic and recent contributions to the field of endeavor.  

 

Adam Wright, PhD, appointed to Faculty Advisory Council 

 

VCLIC Director Adam Wright, PhD was recently appointed to the Vanderbilt University School of Medicine Faculty Advisory Council. Dr. Wright’s appointment was fueled by his commitment to excellence in teaching, research, and service at Vanderbilt. Congratulations, Dr. Wright!

 

December 2020

VCLIC Members represented VUMC very prominently at AMIA’s Annual Symposium, showcasing 5 workshops, 13 presentations, and 9 posters.  

• The following team, led by Carrie Reale, MSN, RN-BC, won the Harriet Werley Award for their presentation. VCLIC Members Laurie Novak, PhD, MHSA, and Colin Walsh, MD, MA, collaborated:  
  • Reale C, Novak LL, Robinson K, Simpson CL, Ribeiro JD, Franklin JC, Ripperger MA, Walsh CG. User-Centered Design of a Machine Learning Intervention for Suicide Risk Prediction in a Military Setting.  
• Furthermore, Gretchen P Jackson, MD, PhD, was appointed Chair-elect for 2021 and Chair for 2022-23 of the Board of Directors for AMIA. Congratulations to all on an extremely successful AMIA Symposium!

November 2020

Promotion to Senior Associate Dean for Informatics in the VU School of Nursing 

We are also thrilled to announce that Patty Sengstack, DNP, RN-BC, FAAN, has recently been promoted to Senior Associate Dean for Informatics in the Vanderbilt University School of Nursing (VUSN) beginning January 1, 2021. Please see the letter celebrating her promotion, written by the Dean of the Nursing School, Dr. Linda Norman: 

I am pleased to announce that we will welcome Dr. Patricia (Patty) Sengstack. DNP, RN-BC, FAAN, into the role of Senior Associate Dean for Informatics beginning January 1, 2021. She will succeed Dr. Betsy Weiner, who is retiring at the end of the year.  

Patty was in the first cohort of students in the DNP program at VUSN, and since graduation in 2010, has taught informatics here at both the doctoral and master’s level. She has served as academic director for the Nursing Informatics specialty since 2018. Patty has more than 20 years of experience in the field of informatics and has established herself as a leader in the field both locally and nationally. Her roles prior to coming to Vanderbilt full time include appointments as the Deputy CIO and Chief of Clinical Informatics at the NIH Clinical Center and the Chief Nursing Informatics Officer for the Bon Secours Health System. She currently has a joint appointment at VUMC and serves as their Nursing Informatics Executive, providing strategic direction in the use of technology for nurses.  

Her focus over the last several years has been health information technology’s impact on patient safety. Her master’s and doctoral work addressed evidence-based strategies in the configuration of computerized provider order entry systems (CPOE) to ensure patient safety. She now leads VUMC’s Health IT Safety Program. Many of her publications address the need to focus on safety aspects in the use of technology 

Patty was inducted as a fellow in the American Academy of Nursing in October 2016 and was recently appointed to serve on AAN’s Institute for Nursing Leadership’s National Advisory Council, as well as its Informatics and Technology Expert Panel. She is a past president of the American Nursing Informatics Association and remains active in the organization. In 2016, she was recognized as one of the most powerful women in health IT by Health Data Management. 

As the use of technology in health care and academia continue to advance at a rapid pace, Patty will help us ensure that our students acquire the necessary competencies that drive innovative and transformative care. Please welcome her to our leadership team. 

Congratulations, Patty! 

October 2020

We would like to highlight Scott Nelson, PharmD, MS’ achievement of completing 5 Epic Trainings. Congratulations, Scott—we know this took a lot of time and effort!   

• Cogito Certified 

• Caboodle Certified 

• Clarity Data Model Certified 

• Clinical Data Model Certified 

• Cognitive Computing Badge 

In addition, Eric Tkaczyk’s, MD, PhD, FAAD, team (VDTRC) landed the most recent cover article in Microcirculation, for their article “Individual cell motion in healthy human skin microvasculature by reflectance confocal video microscopy.” Way to go! 

 

 

September 2020

• Stuart Weinberg, MD, FAAP, FAMIA, assisted with - and is listed as a Contributor on - the latest "Recommendations for Prevention and Control of Influenza in Children, 2020–2021," which was recently published by the American Academy of Pediatrics

• Stuart Weinberg, MD, FAAP, FAMIA, was also quoted in this American Academy of Pediatrics article on certification efforts of pediatric functionalities in EHRs: Pediatricians’ need for specific EHR functionality finally recognized

• Eric Tkaczyk, MD, PhD, FAAD ‘s post-doc Dr. Inga Saknite's article landed the cover of the journal Microcirculation.  While Dr. Tkaczyk did mention this is not necessarily related to informatics, we decided it is a success worth celebrating! Dr. Saknite studied the patterns and distributions of leukocyte motion by taking videos of them in the skin of live human subjects. 

August 2020

Patty Sengstack, DNP, RN-BC, FAAN is giving a keynote presentation for the annual (virtual) American Nursing Informatics Association conference on 8/21/20. What’s an Informatics Nurse Worth? Using Data to Elevate Your Career 

Patty was also appointed to serve on the American Nursing Association’s ANCC (American Nursing Credentialing Center) Informatics Nursing Continuous Item Writer Panel for the nursing informatics board certification exam. 

July 2020

Alvin Jeffrey, PhD was recently elected to serve a 3-year term on the Board of Directors for the American Association of Critical-Care Nurses starting July 1st, 2020. This organization has over 125,000 members and is typically considered the 2nd or 3rd largest nursing organization in the world. While acute & critical care nurses have long used technology in patient care, the organization has not had an explicit emphasis on the role of informatics. Therefore, one of his personal goals is to have the organization become a formal member of the Alliance for Nursing Informatics where they can more formally work on recognizing the important role informatics plays in nursing care delivery.  

 More information can be found here. Congratulations, Alvin!  

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Spring 2021

VCLIC Members Present their Work Nationally and Internationally

Several VCLIC Members will be presenting at the 25 By 5: Symposium to Reduce Documentation Burden on U.S. Clinicians by 75% by 2025 , which began Friday, January 15th. The overall goal of the Symposium is to establish strategies and approaches to reduce clinician documentation burden on US clinicians to 25% by 2025. VUMC is one of the sponsors, along with Columbia University, AMIA, and the NLM, and has extensive representation! Trent Rosenbloom, MD, MPH is Co-Chair of the event, and Kevin Johnson, MD, MS is part of the Steering Committee.

ARCHIVED PRESENTATIONS

Travis Osterman, PhD presented “Interoperability in Action: Progress in Implementing the mCODE Oncology Data Standard” at ASCO 2023 in Chicago. He also chaired a session titled “Implementing Innovation: Informatics-Based Technologies to Improve Care Delivery and Clinical Research”. 

Megan Salwei, PhD also presented her poster “Lost in Translation? Information Exchange During Breast Cancer Care and Implications for Technology Design” at ASCO! 

Trent Rosenbloom, MD, MPH presented “Policy in Practice: Supporting Ready Patient Access to Test Results” at the Office of the National Coordinator for Health IT Panel on June 5. Watch here! 

Allison McCoy, PhD recently spoke with gifted elementary school students enrolled in this year's Data Discoverers course in Vanderbilt’s Programs for Talented Youth about how she uses research and data in her personal life and career! 

Kathy Moss, MSN, MBA, RN-BC, NEA-BC presented both “Innovations to a Nursing Informatics Support Model” (podium presentation) and “Pediatric Complex Care Plan Adoption across the Continuum” (poster) at the 2023 American Nursing Informatics Association (ANIA) Annual Conference in Louisville, KY. 

Parker Evans, MD presented his work on education informatics tools at the annual NLM T15 Training Meeting at Stanford University. 

Bryan Steitz, PhD will be discussing the implications of patient access to test results at Epic’s UGM 2023 conference in August. 

Michael Cauley, PhD, DMin had an acceptance to a paper session, titled “Relational Factors of Documenting Practice in Patient Care”, for presentation at the 83^rd Annual Meeting of the Academy of Management in Boston in August. Michael will be presenting this paper within Communication, Digital Technology, and Organization Division. Congrats! 

Michael Cauley, PhD, DMin will be leading a round table discussion on Implementation Science as part of a Professional Development Workshop, within the Health Care Management Division, at the 83^rd Annual Meeting of the Academy of Management this August 2023! 

Aileen Wright, MD, MS and Siru Liu, PhD presented their latest paper “Using AI-generated Suggestions from ChatGPT to Optimize Clinical Decision Support” on May 11 at JAMIA Journal Club. 

Jon Wanderer, MD gave a talk, titled “Quality Improvement for Obstetric Anesthesia: Tales from Two Institutions”, at XGM May 2023. 

Benjamin Collins, MD, MA presented a TEDxVanderbiltUniversity talk on “Navigating the AI Future of Health Care” on April 18, 2023! 

Yaa Kumah- Crystal, MD, MPH, MS presented on “Leveraging LLMs like ChatGPT in Medicine and Research” at the AI Revolutions Symposium hosted by the Data Science Institute on 3/28, 2023. 

Hannah Slater (current DBMI PhD student) and Monika Grabowska presented their poster “Network Analysis of Drug Repurposing Studies and Candidates for Alzheimer’s Disease” at the 4th Annual Vanderbilt Alzheimer’s Disease Research Day. 

Trent Rosenbloom, MD, MPH, FACMI presented at AMIA’s Informatics Summit in Seattle.

Hannah Slater (current DBMI PhD student) presented at MLK High School in Nashville to provide an information session on biomedical informatics. 

Kim Unertl, PhD presented on high school outreach at the recent ACMI Symposium and had a great conversation about next steps to keep moving forward with this area. 

Travis Osterman, DO, MS discussed “Predicting Efficacy and Toxicities Prior to Immune Checkpoint Inhibitor Treatment” and the ongoing collaboration between VUMC and GE Healthcare at the I/O 360 Conference in New York. 

Johnathan P. Wanderer, MD, presented a talk as part of the Anesthesiology grand rounds at the University of Florida, Department of Anesthesiology, in November 2022.

Aramvareekul V, Nelson SD, Siska M, Cox G. Validated Artificial Intelligence: The Future of Pharmacy and its Applications.Podium presentation at the 2022 American Society of Health-System Pharmacists (ASHP) Midyear Clinical Meeting and Exhibition. Las Vegas, NV. Dec 2022 

Nelson SD, Kabisatpathy S, Clauson K. Digital Health 101: Interventions for Maximum Pharmacist Impact. Podium presentation at the 2022 American Society of Health-System Pharmacists (ASHP) Midyear Clinical Meeting and Exhibition.  Las Vegas, NV. Dec 2022 

Gilmer LE, Nelson SD, Wybo JM. Models for Using Technology and Supportive Services to Remove Access Barriers for Patients.Podium presentation at the 2022 American Society of Health-System Pharmacists (ASHP) Midyear Clinical Meeting and Exhibition. Las Vegas, NV. Dec 2022 

Nelson SD. Introduction to Artificial Intelligence.Invited presentation at the 67 Congreso Nacional de la Sociedad Española de Farmacia Hospitalaria (SEFH) [67th National Congress of Spanish Society of Hospital Pharmacists]. Barcelona, Spain. Nov 2022 

Spann A, Bishop KM, Ozdas Weitkamp A, Stenner SP, Nelson SD, Izzy M. A novel EHR-based approach can automate risk stratification and care gap detection in primary care for patients with nonalcoholic fatty liver disease. Podium presentation at The Liver Meeting. Nov 2022 

Nelson SD, Wong A, Dorsch MP, Cohen LJ. The Role of Artificial Intelligence and Wearable Tech in the Profession of Pharmacy.Podium presentation at the 2022 ACCP Global Conference on Clinical Pharmacy. San Francisco, CA. Oct 2022 

Siru Liu presented her poster on “Delirium Prediction using Long Short-Term Memory (LSTM) in the Electronic Health Record” at the 2022 Neural Information Processing Systems conference recently. 

Travis Osterman discussed “Leveraging Structured Genomic Data” at the Perspectives in Precision Oncology from Prevention to Treatment event, hosted by the Vanderbilt-Ingram Cancer Center and the AJMC. 

Rachel A. Hilton, Laurie Novak, Alan Storrow, Sunil Kripalani, Dandan Liu, Casey Distaso, Anna Sachs, and Deonni P. Stolldorf have an abstract accepted for the 2022 Academy Health Dissemination and Implementation Conference. “Preliminary stakeholder perspectives and QI implications of the implementation of clinical decision support for acute heart failure in emergency departments: A qualitative inquiry.” 

Yaa Kumah-Crystal, MD recently gave the virtual keynote for the Voice Summit 2022.   

Yaa Kumah-Crystal also served as a panelist in a Microsoft Research Summit panel discussion on Ambient Clinical Intelligence, the Next Frontier of AI.  

Jon Wanderer, MD, gave grand rounds at SickKids hospital in Toronto, CA on 9/23/22: “Perioperative Informatics Innovation: For Patient Care, Research and Education.”  

A study team, including Laurie Novak, PhD, and Gretchen Jackson, MD, was featured for their work defining AI-related competencies for health professionals.   

Trent Rosenbloom, MD, MPH spoke about "Teens, Portals and the 21st Century Cures Act" on the For Your Informatics Podcast.   

Jonathan Wanderer, MD and Neal Patel, MD, MPH’s Physician Builder program was highlighted on the front page of Epic Share and referenced in the keynote address at UGM 2022.  

• Read more about the program as featured by Epic, here   

Jon Wanderer, MD spoke at the Anesthesia Patient Safety Foundation’s 2022 Stoelting Conference in Nashville, with a talk titled “Using Data to Improve Care in the NORA Setting.”  

Colin Walsh, MD, MA, presented on "Opportunities for Public Health Policy to Enhance Effective Detection and Response to Suicide Risk". Click to read more.  

Travis Osterman, DO, MS, spoke at the American Society of Clinical Oncology (ASCO) 2022 conference on “Unlocking the Promise of Data-Driven Medicine in Cancer Care, Together”.  

Colin Walsh, MD, MA, presented “Prediction and Phenotyping with Mental Health Data” to the University of Alaska, Fairbanks, and the Alaska Native Tribal Health Consortium funded by AIM-AHEAD.  

Yaa Kumah-Crystal, MD, MPH, MS, gave a virtual lecture about voice in the EHR at UT Southwestern’s May Clinical Informatics Research Colloquium. The Clinical Informatics Center at UT Southwestern hosts the Clinical Informatics Research Colloquium to bring clinical informatics, research informatics, and other data and informatics scientists together at UT Southwestern to foster exchange of ideas, collaboration, and development of grants, papers, and novel projects.   

Jonathan P. Wanderer, MD, M.Phil, FASA, FAMIA presented “Better Living Through Data: Perioperative informatics for Patient Care, Research and Education in April in New York, New York for NYC Health and Hospitals. 

Yaa Kumah-Crystal, MD, MPH, MS, gave a virtual presentation about Voice and Health at the Vitalis Conference in May 2022. The conference is the largest eHealth event in Scandanavia, attracting attendees yearly who share the aim of building their knowledge and improving tomorrow’s health care.  

Travis Osterman, DO, MS presented “Today’s Patient Portal and Sharing of Patient Data Across EHR Systems for Cancer Care and Research” at the National Academies of Sciences. The workshop was hosted to examine opportunities to improve patient care and outcomes through collaborations to enhance innovation in the development, implementation, and use of EHRs in oncology care, research, and surveillance. 

Matthew Weinger, MD, MS gave the Keynote Address, “The Long Walk: Bringing a Complex Medical Device to Market” at the International Symposium on Human Factors & Ergonomics in Healthcare. This symposium is a focused, interactive knowledge-sharing and networking event for professionals who address patient and provider safety research and practice.  

Yaa Kumah-Crystal, MD, MPH gave a virtual keynote presentation, “Voice in Health and Care: What Lies Ahead” for the Voice & AI Technology Forum at the 2022 ViVE conference. ViVE convenes top thought leaders who are shaping tech-enabled healthcare and addressing key issues in digital health innovation. 

Jon Wanderer, MD gave a talk through the Clinical Informatics Program Director’s Didactic Series on October 1st, 2021, titled “Individual and Organizational Performance Metrics.” 

Yaa Kumah-Crystal, MD, MPH, MS, Michelle Griffith, and Amber Humphrey were on a virtual panel presenting at the Telehealth Academy on September 14, 2021

Alvin Jeffery, PhD presented at the Sepsis Alliance Summit on September 15th, 2021, participating on a panel entitled “AI and Sepsis: How Can It Inform Bedside Care?” 

Stuart Weinberg, MD presented as a panelist on “Data Quality Improvement Success Story: Collaborating Through the Immunization Integration Program” as part of the AIRA Discovery Session Webinar at the American Immunization Registry Association. 

Patty Sengstack, DNP, RN-BC, was been invited to speak at ANIA (American Nursing Informatics Association)’s annual conference on a panel regarding “Documentation Burden.” The panel discussed the current and future state of documentation burden in the electronic health record and efforts at the national level to address the impact on clinical practice and patient safety, as well as the role of the informatics nurse. 

Patty Sengstack, DNP, RN-BC and Trent Rosenbloom, MD, MPH, also presented at VU’s Ethics Grand Rounds on Ethical Complexities in the New Era of Open Notes.  

Siru Liu, PhD presented “Leveraging Transfer Learning to Analyze Behavioral Intentions Toward COVID-19 Vaccines” at the 9th Annual Oak Ridge Postdoctoral Association (ORPA) Research Symposium. 

 

ARCHIVED SPECIAL FEATURES

Dario Giuse, Dr. Ing, MS, along with collaborators from VUMC, the US and across the globe, published a paper in PLOS ONE titled “Systematic Review of International Studies Evaluating MDRD and CKD-EPI Estimated Glomerular Filtration Rate (eGFR) Equations in Black Adults”. The piece was featured in the VUMC Reporter. 

Scott Nelson, PharmD, MS, discussed his journey into the pharmacy and clinical informatics fields on the “Pharmacy, IT, & Me Podcast.” 

Sara Horst, MD, MPH, Director of Ambulatory Telehealth, shared her perspective on VUMC’s recent transition from Zoom to Epic Telehealth in the VUMC reporter.

Eric Tkaczyk, MD, PhD, and team were featured in both the VUMC Reporter and VU Research News for their work developing AI to identify and track monkey pox lesions. 

Barron Frazier, MD, and team featured for creating an emergency department to primary care clinic transfer protocol as an alternative for using the ED for non-urgent conditions that can be treated in a primary care setting. 

New VCLIC member Julie Bauml, MD, was featured by Radiology in this great article!

Yaa Kumah-Crystal, MD, MPH, MS, announced that some of her voice work is featured in a new book, which was released the week of 6/24, titled “Voices of Healthcare: The Digital Acceleration”  

Dara Mize, MD, was interviewed as part of a podcast on the Clinical Informatics Fellowship program. Who can be a part of the fellowship? How does it differ from a traditional clinical fellowship? What are some next steps and challenges she is seeing for the fellowship? Click to listen here. 

Yaa Kumah-Crystal, MD, MPH, MS,’ work is discussed in “Hey Epic!” story in VUMC’s Discover.  

The first phase of Lindsey Knake’s fellowship project on tidal volume use when starting volume-targeted ventilation was featured in “The Incubator” podcast. Co-authors include Allison McCoy, Adam Wright and Wael Alrifai. 

Scott Nelson, PharmD, MS, discussed a new two-year pharmacy informatics fellowship, which was established by VUMC, the MSACI program, and Omnicell, in the VUMC Reporter. 

Martin Were , MD, MS, discussed ethical considerations when using mobile technology for HIV care delivery for the Vanderbilt-Nigeria Research Administration and Management Training Program (V-RAMP). 

Trent Rosenbloom, MD, MPH, discussed the next stage of Cures Act as it relates to pediatrics in an article titled "Next stage of Cures Rule Expands Patient Access to their Health Information".  

Michael Ripperger and Colin Walsh, MD, MA were featured in an AI in Healthcare article, “Opioid overdoses more readily preventable with ensemble learning.” 

Stuart Weinberg, MD was mentioned in a HIMSS article, “Integration Program Executive Committee Selects 2022 Priorities for Improving Immunization Interoperability and Information Sharing”. 

Stuart Weinberg, MD, was featured in "Improving the EHR, Longitudinal Outcomes of MIS-C", an episode of the American Academy of Pediatrics’ Pediatrics On Call Podcast. He described ways pediatricians can use Web applications and services to improve functionality of the Electronic Health Record.

Adam Wright, PhD, Josh Denny, MD, MS and Dan Roden, MD were highlighted as three of the “top 10 most influential authors on EHR and EMR between 2001 and 2020.” 

 

BPA Clickbusters Round 2 Winners Announced

The Health IT Clinical Decision Support Team partnered with the Vanderbilt Clinical Informatics Center (VCLIC) to complete a second round of the Clickbusters program. The BPA Clickbuster program helped review Epic BPAs (Best Practice Advisories) in use at VUMC. Many BPAs that were reviewed were found to be functioning well and up to date with current clinical guidelines. Health IT and the Clickbusters also found several BPAs that could be improved in this round and, over the course of two rounds, Clickbusters has reduced alerts by more than 62,000 per week! 

Participants earned points based on how many of the steps of the process they completed for each of their BPAs and how well they documented their work. We awarded 1st, 2nd, and 3rd place “Golden Mouse” trophies based on these point totals.  

Additionally, we awarded prizes to the participant whose work reduced the most clicks, to the one whose work was most innovative, and to the one who Scott Nelson, PharmD (and Clickbusters Round 1 Winner) judged to be the most impactful (“Judge’s Choice”).  

Without further ado, we present our winners! 

First Place	Second Place	Third Place
Robert Turer, MD	Wael Alrifai, MD, MS	Cheryl Cobb, MD
Busted several ED-related BPAs	Modified two neonatal BPAs	Determined that a psychiatry BPA could be replaced by a dashboard metric

 

Most Clicks Reduced	Most Innovative	Judge’s Choice
Chetan Aher, MD	Barron Patterson, MD	Aileen Wright, MD
Turned off the signed and held or saved orders BPA, saving approximately 700 clicks per day	Determined that the pediatric ambulatory hypertension BPAs could be replaced by Epic Storyboard features	Vastly improved the readability and accuracy of the Immunocompromised and Live Virus BPA

 

Thank you to everyone who in Health IT and VCLIC who participated in any way in Clickbusters Round 2, which wrapped up officially on September 8th, 2020. We had 20 participants who reviewed 55 BPAs, which reduced clicks by more than 12,787 per week! 

Thank you especially to:  

Clickbusters Leadership Team: Allison McCoy, Adam Wright, Dara Mize, Neal Patel, Elise Russo, Jon Wanderer, Kevin Johnson 

Clickbuster Participants: Chetan Aher, Wael Alrifai, Jennifer Andrews, Chery Cobb, Daniel Cottrell, Sara Horst, Dave Johnson, Lindsey Knake, Adam Lewis, Scott Nelson, Laura Parks, Sharidan Parr, Pratik Patel, Barron Patterson, Lorraine Patterson, Patty Sengstack, Christine Smith, Krystle Suszter, Rob Turer, Stuart Weinberg, Lyndy Wilcox, Aileen Wright 

Health IT CDS team: Tina French, Jon Jackson, SyLinda Littlejohn, Debbie Preston, Audra Rosenbury, Charlie Valdez 

Health IT Additional Participants: Dan Albert, Marc Beller, Kristen Berutti, Austin Brown, Julia Cartwright, Jared Cobb, Susan Conner, Heather Freeman, Michael Friebe, Fred Hargrove, Carrie Hobby, Jo Ann Howell, Joseph Huenecke, Karen Hughart, Christopher Kleymeer, Yaa Kumah-Krystal, Joey LeGrand, Sylinda Littlejohn, Raymond Mayer, Christine McWatters, Natasha Miller, David Mulherin, Patrick Norris, Keith Norton, Travis Osterman, Spring Prince, Nancy Rudge, Ashley Spann, Shane Stenner, AJ Teare, Jason Williams, Liu Wing, Randy Winstead.

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BPA Clickbusters Round 1 Winners Announced

We would like to formally recognize the winners of Clickbusters Round 1! As a reminder, participants earned points based on how many of the steps of the process they completed for each of their BPAs and how well they documented their work. We awarded 1st, 2nd, and 3rd place “Golden Mouse” trophies based on these point totals. 

Additionally, we awarded prizes to the participant whose work reduced the most clicks, to the one whose work was most innovative, and to the one who Dr. Kevin Johnson judged to be the most impactful (“Judge’s Choice”).  

 

Thank you to everyone who participated in any way in Clickbusters Round 1, which wrapped up officially on June 6th, 2020. We had 17 participants who “busted” 58 BPAs, which reduced clicks by 49,026 per week! If you “Busted” a BPA, we have a framed Certificate for you! We distributed as many as we could but will figure out how to get the remainder out despite the COVID19-related work from home policies.  

The Clickbuster participants would not have been able to complete their work without help from HealthIT, whose staff partners closely with participants and VCLIC leadership to move changes to BPAs into production. Thank you, HealthIT!  

Please also see the Clickbusters section of this website for more information, or read the VUMC Reporter article Clickbusters program takes on EHR alert fatigue. 

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Celebrating the Achievements of our Clickbusters Program Participants

Thank you to all our participants from Rounds I and II of Clickbusters. We had such a great time working with you, and your work has undoubtedly supported improved provider workflow and patient care throughout VUMC. Overall, we “busted” around 60,000 clicks per week!

Kevin Johnson, MD, MS Named IAHSI Fellow

 

Kevin Johnson, MD, MS, has been elected to the International Academy of Health Sciences Informatics (IAHSI) in the 2021 Class of Academy Fellows. The Academy is part of the International Medical Informatics Association (IMIA), and election to IAHSI fellowship is a prestigious honor, recognizing expertise in biomedical and health informatics internationally.

 

Congratulations to the VUMC IAHSI Fellows! 

VUMC and DBMI have three faculty members who will be inducted as Fellows into IAHSI (International Academy of Health Sciences Informatics) next month:  

Congratulations to Martin Were (VCLIC Member), Steven Brown, and Brad Malin on this fantastic accomplishment! 

 

Martin Were, MD, MS	Steven Brown, MD, MS, FACMI	Brad Malin, PhD, FACMI

FAMIA Awardees 

We congratulate the 8 VCLIC Members who will be inducted as Fellows of AMIA (FAMIA) during the 2021 AMIA Clinical Informatics Conference (CIC). Great job representing VUMC and VCLIC!  

 

Martin Were, MD, MS	Scott Nelson, PharmD, MS		Laurie Novak, PhD, MHSA
Josh Peterson, MD, MPH, FACMI	Colin Walsh, MD, MA		Trent Rosenbloom, MD, MPH, FACMI
Asli Weitkamp, PhD		Kevin Johnson, MD, MS

 

We would also like to congratulate the 3 VCLIC Members who were inducted into the FAMIA Class of 2020 earlier this year. Great job!  

Dara Mize, MD	Travis Osterman, DO, MS	Jon Wanderer, MD, MPhil

ARCHIVED FUNDING AWARDS

Ashley Spann, MD, MSACI was named a finalist for the AASLD Harold Amos Medical Faculty Development Program Fellowship Award with $420,000 over four years! 

Jessica Ancker, MPH, PhD and Adam Wright, PhD are part of a collaboration that received an R01 grant from the National Institute of Aging. In partnership with Vanderbilt University Medical Center, this mixed methods study will develop GEMRA - a machine-learning model designed to identify acute post-ED risk in older adults - into accurate, realtime, EHR-based clinical decision support. The goal is for GEMRA to inform ED-based risk reduction strategies for older adult diseases and vulnerabilities that can be under-recognized in conventional clinical practice. 

Bryan Steitz, PhD has received a research award from the Google Health Equity Research Initiative. He received a total of $20,000 in research funding to use for his project “Reducing Literacy-Related Health Inequities by Developing Patient Language Models to Improve Comprehension of Medical Text” and also received an additional credit for the Google Cloud Platform for $49,285. 

Megan Salwei, PhD, was awarded a K01 from AHRQ, which will provide 4 years of funding for her project “COMputerized PAtient-centered Collaborative Technology (COMPACT) to Support Personalized Decision Making in Breast Cancer”. Total funding: ~$480,000. During the project, Megan will apply human factors engineering approaches to develop a team-based technology to improve treatment decision making for newly diagnosed breast cancer patients. The COMPACT system will be designed and tested using human-centered design (HCD). 

Travis Osterman, DO, MS, was awarded a R-21 with Christine Micheel for “Oncology Knowledge Rapid Alerts (OKRA): Integrating biomarker-driven clinical decision support for therapy selection at point-of-care”. Total funding: $449,971 until August 31, 2024. 

The NIH awarded a four-year, $5.2 million grant to VUMC to lead the AI research core for the Bridge to Artificial Intelligence (Bridge2AI) program. Laurie Novak, PhD, MHSA, FAMIA will serve as co-leader for two of the ethics core’s four planned buckets of work, and Colin Walsh, MD, MA, FAMIA, Martin Were, MD, and Yaa Kumah-Crystal, MD will also be involved.  

Josh Peterson, MD, MPH, FACMI and team were recently awarded a 5-year, $4.3M grant from the National Human Genome Research Institute to explore computational solutions to help address the problem of missed/delayed diagnosis for patients with rare genetic diseases!  

Allison McCoy, PhD is the Site PI for a subcontract on an AHRQ R01 awarded to Lipika Samal and Patricia Dykes at Mass General Brigham, “Care Transitions App for Patients with Multiple Chronic Conditions.” 

Alvin Jeffery discussed his research under a new $2.5 million over 5-year grant from the National Institute on Drug Abuse that will advance identification of substance use disorders in order to accelerate genetics studies. 

VCLIC team members Adam Wright, PhD; Sharidan Parr, MD, MSc; Scott Nelson PharmD, MS; and Elise Russo, MPH received an R01 from the National Library of Medicine. 

Several VCLIC members are part of the Bridge to Artificial Intelligence, or Bridge2AI project, awarded to accelerate use of machine learning (ML) and artificial intelligence (AI) in biomedical and behavioral research. VUMC will receive $3million over four years to lead the AI Research Ethics Core, called the FAIR AI Bridge Center - Ethics Core, or FABRIC-Ethics for short. Drs. Brad Malin and Ellen Clayton will lead this critically important effort, along with colleagues from several other institutions. Laurie Novak, PhD will serve as co-leader for two of the ethics core’s four planned buckets of work. They will be joined by other VUMC faculty from DBMI, including, Toufeeq Ahmed, PhD, Daniel Fabbri, PhD, Paul Harris, PhD, Yaa Kumah-Crystal, MD, Michael Matheny, MD, Colin Walsh, MD, Martin Were, MD, and Zhijun Yin, PhD, and from the Department of Biostatistics, Chris Lindsell, PhD. 

Josh Peterson, MD, MPH received a five-year, $4.5 million grant from the National Human Genome Research Institute to assess clinical outcomes and economic value of screening large, diverse health care populations for disease risk using polygenic risk scores. He will collaborate with colleagues from the University of Washington and Geisinger Health System. Read more! 

Colin Walsh, MD, MA, received a renewal of the Discovery Award to support his project “Predicting and Preventing Suicide in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) in the COVID Era” for an additional year. 

Adam Wright, PhD, had a subaward with Oregon Health and Science University awarded for the project “Collaboration Oriented Approach to Controlling High blood pressure (COACH)”. 

Lee Wheless, MD, PhD, will have his VA Career Development Award will funded!  

Alvin Jeffery, PhD, was awarded a grant to develop a novel substance use disorder (SUD) phenotyping method. The framework will assist geneticists in comparing SUD phenotypes across multiple organizations. 

Ashley Spann, MD, MSACI, is the recipient of the AASLD Foundation Award. Award recipients were selected from a highly competitive applicant pool, and demonstrate not only an exceptional aptitude, but a deep interest in liver disease research and treatment.  

Siru Liu, PhD, received a K99/R00 grant from the National Library of Medicine for her research project “Optimizing Clinical Decision Support Alerts Using Explainable Artificial Intelligence (XAI).” She received this award on her first NIH submission, which is fairly unheard of and also incredible! Congratulations, Siru!

Dan France, PhD, Wael Alrifai, MD, MS, and other VUMC colleagues were awarded a 4-year AHRQ R01, Realtime Measurement of Situational Workload in NICU Nurse to Improve Workload Management and Patient Safety. Ayse Gurses, PhD (Johns Hopkins) is serving as Co-PI with Dr. France, and the rest of the Vanderbilt team includes Jason Slagle, PhD (CRISS), Brenda Kulhanek, PhD (School of Nursing, Nursing Informatics), Eva Dye, DNP (NICU), and Carrie Reale, RN-BC, MSN (CRISS).

DBMI Annual Employee Celebration Award Winners

During the DBMI Annual Employee Celebration and Holiday Party on December 6th, 2022, Allison McCoy, PhD, was awarded the Above and Beyond Award for Faculty by the Department Chair, Peter Embi, MD, MS. Allison received this award for her productivity and service to VUMC and the department, especially in consideration of her work as the Scientific Director of the Clinical Informatics Core. In the Core’s first year of operation (August 2021-August 2022), the Core received 101 total requests from 87 individual researchers (15 were repeat customers). In that time, 42 of the requests were completed, with about 20 projects in progress, 13 waiting funding (grants), and the remainder either awaiting decisions by the requestor or determined out of scope. The Core continues to acquire new and additional business and is improving its cost recovery each month—several customers have submitted feedback stating that Allison and her team are doing a phenomenal job and validating the importance of having such a service at VUMC. Through her work with the Core, Allison has facilitated and built several Epic-based interventions, including clinical decision support and predictive models, which have led to several publications and improved care and outcomes at VUMC. 

In addition to Allison’s award, two other VCLIC members received departmental awards at the celebration:  

Laurie Novak, PhD, received the DBMI Outstanding Educator Award for her fantastic teaching and course instruction. 

Yaa Kumah-Crystal, MD, MS, MPH, received the DBMI TODE Award for her outstanding work as Clinical Director, especially her projects on voice recognition and EHRs. 

 

AMIA Annual Symposium Recap  

It was so wonderful to see so many VCLIC members, future VCLIC members, past VCLIC members, and VCLIC friends at AMIA last week! We are still recovering but wanted to highlight some of the impressive accolades our members received during the week!  

• Laurie Novak, PhD, and colleagues won the Diana Forsythe Award at AMIA 2022 for their paper, “Disappearing Expertise in Clinical Automation: Barcode Medication Administration and Nurse Autonomy”.  

• Elise Russo, MPH, received a Distinguished Poster recognition for her poster “Hacking Mental Health: A Vanderbilt Clinical Informatics Center Hackathon,” done with Allison McCoy, PhD, Thomas Reese, PharmD, PhD, Adam Wright, PhD, and colleagues.  

• Congrats to Allison McCoy, PhD, Elise Russo, MPH, Kevin Johnson, MD, Neal Patel, MD, MPH, Jonathan Wanderer, MD, Dara Mize, MD, Thomas Reese, PharmD, PhD, Scott Nelson, PharmD, MS, Chetan Aher, Wael Alrifai, MD, MS, Cheryl Cobb, MD, Sara Horst, MD, MPH, David Johnson, MD, Sharidan Parr, MD, MSCI, MS, Christine Smith, MD, Aileen Wright, MD, Adam Wright, PhD, and colleagues, Clickbusters initiative made it into the AMIA 2022 Year in Review! 

• Allison McCoy’s article on the AMIA First Look Program also made it into the AMIA 2022 Year in Review! 

  

 

Announcing the vclic theme for the 2022-2023 academic year

Re-envisioning the EHR to Reduce Burnout and Improve Wellbeing 

Each year, VCLIC chooses a theme to organize our programming around. Our theme this year is “Re-envisioning the EHR to Reduce Burnout and Improve Wellbeing.” When we went to choose our theme for the year, burnout and wellbeing quickly bubbled up to the top. Concern about burnout is everywhere in our modern society, and health care workers are particularly impacted by burnout. The causes of burnout are many, but we believe that clinical informatics will play a role in the solution. Though the evidence is complex and not entirely consistent, physicians and nurses have reported that EHRs and document burden contribute to burnout. The promise of EHRs has always been that they will make health care safer, more effective, and more efficient for those who administer care as well as those who receive it. We plan to spend our year exploring the relationship between EHRs and burnout—and hopefully developing some solutions along the way.  

 

InformaticCon 2022

VCLIC hosted its first ever InformaticCon event on Wednesday, September 28th, 2022 from 12:00-2:00 pm in the VU Student Life Center Board of Trust Room. The event celebrated and showcased a variety of clinical informatics-focused projects that people from across VUMC are or have worked on, and we believe the end result was a display of a truly diverse array of impactful work! During the first hour of the event, eight speakers gave lightning-style (no longer than 7 minute) talks, and for the second hour, we held a poster session with 27 presenters. Thank you so much to all our presenters! We hope you had as much fun as we did.  

One of the most-requested items on our feedback form was this archive of presented materials, so if presenters consented, we placed their materials in a repository on our website for your review. 

Please find an archive of all the talks and posters we are able to share from the event on our website, here! We are already looking forward to next year.  

 

Epic UGM Recap

Epic hosted its annual User Group Meeting (UGM) in Verona, WI August 22-24. Several VCLIC members and HealthIT staff, including VCLIC Members Allison McCoy, PhD; Adam Wright, PhD; Travis Osterman, DO, MS; Patty Sengstack, DNP; Dara Mize, MD; Yaa Kumah-Crystal, MD, MPH, MS; Neal Patel, MD, MPH attended, and Neal Patel and Travis Osterman delivered presentations. 

 

CLINICAL INFORMATICS CORE HITS 100TH REQUEST 

This month, the Clinical Informatics Core celebrated both its first year anniversary and its 100th request! The Clinical Informatics Core, directed by Allison McCoy, PhD, exists to enable VUMC researchers to design and implement electronic health record (EHR)-related tools, functionalities, and interventions with input and assistance from clinical informatics experts, as well as to gain access to and analyze EHR-based data. The core offers clinical data extraction and analysis, design and build of EHR interventions, predictive model implementation, value set and logic development, and general clinical informatics consultation services to researchers.