Selections from Articles, Presentations, and Research Interests for Elliot Sloane
(Whew: sadly out of date! Last updated in early 2008!)
Refereed Journal Articles
Computer - "Ensuring Patient Safety in Wireless Medical Device Networks" (35:4 (2006) pp. 32-38) Gehlot and Sloane
This article describes the use of systems- and software-engineering approaches to address serious patient safety problems that can arise when designing and deploying wireless medical device networks (WMDNs). In fact, these WMDN problems may threaten HIPAA patient data privacy and security compliance, too. Some of the system and network threats may be caused by using generic IEEE 802.11x (aka Wi-Fi and Wi-Max) and 802.15.x (aka Bluetooth and Zigbee) wireless data systems that have not included an appropriately-configured Quality of Service (QoS) system such a IEEE 802.11e, but other risks exist as well. This paper describes a two-part solution for use by Clinical Engineers of Hospital IT departments: a verification and validation toolkit (V2T) that incorporates a colored Petri net (CPN) network simulation tool for system planning and problem resolution.
IEEE Engineering in Medicine and Biology - "Using a Decision Support System Tool for Healthcare Technology Assessments: Applying the Analytic Hierarchy Process to Improve the Quality of Capital Equipment Procurement Decisions." (23:3 (2004) pp. 42-55) Sloane
This article describes the evolution of the Healthcare Technology Assessment (HTA) field, and explains the expensive and sometimes dangerous mistakes that can be made when selecting a drug, medical device, or treatment. I describe ways that the Analytic Hierarchical Process (AHP) decision support tool can not only be used to improve decisions in hospitals, but also suggest ways that AHP can be used to enhance national healthcare decisions. This article was selected for a special IEEE-EMB issue covering the current state of the Clinical Engineering field.
Omega - "Impact of process change on customer perception of waiting time - a field study" ( 32:1 (2004) pp. 77-83.) Luo, Liberatore, Nydick, Chung, and Sloane
This article describes a field study that quantified and compared the way customers perceive waiting time and how that perception is affected by changing the process they encounter while waiting for service. (This study was performed in a food service setting; but I believe that the results may be relevant to health care applications as well.)
Journal of Computers and Operations Research - "Using the analytic hierarchy process as a clinical engineering tool to facilitate an iterative, multidisciplinary, microeconomic health technology assessment" ( 30:10 (2003) pp. 1447-1465) Sloane, Liberatore, Nydick, Luo, and Chung
This article is an in-depth look at an action research project that used AHP to help a hospital select a new neonatal ventilator. As it explains, this is a new and interesting application of a decision support system in the field of healthcare technology assessment (HTA).
Journal of Healthcare Information Management - "Medical Decision Support Using the Analytic Hierarchy Process" (16:4 (2002) 38-43) with Liberatore, M. and Nydick, R.
This is a much shorter article, intended for CIO's and HIMSS members. It provides a broad overview of five different healthcare applications for AHP, including healthcare technology assessment, patient safety, MIS/computer system selection for physician practice management, and clinical/physician/patient decision making.
Biomedical Instrumentation and Technology - "The Golden Age of Clinical Engineering: Digital Convergence and Information Technology Partnerships" (35:2 (2001) pp: 95-103)
This article describes the convergence of medical devices with computer-based technologies, and the larger role that Clinical Engineers will play in ensuring safe and reliable patient care.
Journal of Clinical Engineering - "Quality Management for a Nationwide Fleet of Rental Biomedical Equipment" 28:3 (2001) pp: 253-269.
This article describes an innovative Quality Assurance program that my colleagues Dr. Binseng Wang, Bhavesh Patel, and I developed. The Inspection and Preventive Maintenance (I/PM) system supports an extremely large nationwide inventory of medical devices like infusion pumps and ventilators that are used for life support each and every day.
Nursing Homes - Subacute Care: New equipment, new maintenance concerns.
This article is addressed to skilled nursing homes and and other "subacute care" facilities, which are provide an innovative way to control healthcare costs. Since these sites may have as many medical devices as a miniature hospital or intensive care unit (ICU), this article focused on the legal and practical technology management issues needed to protect patient safety and ensure reliable equipment performance.
Refereed Conference Papers/Presentations
Sloane, E., Way, T., Gehlot, V., and Beck, R. “System of systems issues for the 2008 US national Healthcare Information Network’s (NHIN) remote patient monitoring requirements” Proceedings of the 2nd IEEE Systems Conference, Montreal, Canada. 7-9 April 2008.
Sloane, E., Beck, R. and Metzger, S. “AGSOA – Agile governance methodology for SOA-based systems of systems,” Proceedings of the 2nd IEEE Systems Conference, Montreal, Canada. 7-9 April 2008.
Sloane, E. “Systems of systems engineering (SoSE) for the 21st century healthcare enterprise,” Proceedings of the 2nd IEEE Systems Conference, Montreal, Canada. 7-9 April 2008..
Sloane, E. “Successful Grant Writing Workshop: Understanding the grant reviewer’s ‘operator’s manual,’ or How to succeed where others have failed.” Decision Sciences Institute (DSI) 2007 Annual Conference. Phoenix, AZ. 18-21 November 2007.
Sloane, E. “Healthcare technology leadership for the 21st Century,” ” Proceedings of the joint Engineering in Physical Sciences in Medicine Annual (EPSM) and Australian Biomedical Engineering Councils (ABEC) 2007 Conference, Freemantle, Australia. 14-17 October, 2007.
Sloane, E. “New skills and tools for the successful 21st Century clinical engineer,” Proceedings of the joint Engineering in Physical Sciences in Medicine Annual (EPSM) and Australian Biomedical Engineering Councils (ABEC) 2007 Conference, Freemantle, Australia. 14-17 October, 2007.
Beck, R., Barnes, J., Metzger, S., and Sloane, E. “Agile governance methodology for SOA-basedsystems of systems“ Proceedings of the 10th Annual National Defense Industrial Association (NDIA) Systems Engineering Conference. San Diego, CA. 22-25 October, 2007.
Sloane, E. and Carey, C. “Using standards to automate Electronic Health Records (EHRs) and to create integrated healthcare enterprises.” Proceedings of the 29th Annual IEEE EMBS Annual Conference, Lyon, France August, 2007
Sloane, E., LeRoy, G., Sheetz, S. “An integrated Social Actor and Service Oriented Architecture (SOA) Approach for Improved Electronic Health Record (EHR) Privacy and Confidentiality in the US National Healthcare Information Network.” Proceedings Of The Thirteenth Americas Conference On Information Systems (AMCIS), Keystone, CO August 09th-12th 2007.
Sloane, E. “How to Implement the IHE Framework: Achieving Breakthrough Healthcare Enterprise Interoperability.” HIMSS ‘07 Summer Summit, San Diego, CA. 25-27 June, 2007.
“Using hybrid SoSE approaches for modeling and validating large scale Service Oriented Architecture (SOA) System of Systems as next-generation global military informatics platforms with Colored Petri Nets (CPN) and Extend/MESA,” with Thomas Way, Vijay Gehlot, And Robert Beck. Proceedings of the Second IEEE International Systems of Systems Engineering Conference, 16-18 April 2007, San Antonio, TX.
“SoSE modeling and simulation approaches to evaluate security and performance limitations of a next-generation National Healthcare Information Network (NHIN-2),” with Thomas Way, Vijay Gehlot, Anany Levitan, and Robert Beck. Proceedings of the Second IEEE International Systems of Systems Engineering Conference, 16-18 April 2007, San Antonio, TX.
“Using SoSE Modeling and Simulation Approaches to Evaluate the Potential Security, Performance, and Limitations of a Next Generation US National Healthcare Information Network (NHIN-2): Simulating a Service Oriented Architecture (SOA) to create an extensible, context aware, dynamic discovery framework for robust, secure, flexible, safe, and reliable healthcare information management,” with Thomas Way, Vijay Gehlot, and Robert Beck. Proceedings of the 1st IEEE Systems Conference, 12-14 April 2007, Honolulu, HI.
“A Hybrid Approach to Modeling SOA Systems of Systems using CPN and MESA/Extend,” with Thomas Way, Vijay Gehlot, Robert Beck and, James Solderitch, and Elzbieta Dziembowski . Proceedings of the 1st IEEE Systems Conference, 12-14 April 2007, Honolulu, HI.
"The 21st Century Healthcare ISO: Why the CE and IT Worlds Absolutely Need Each Other in Order to Succeed – and Survive - in Healthcare!" Keynote for the SIA (Service Industry Association) Executive Summit, Las Vegas, NV, March 5-7, 2007
"Providing a Solid Foundation: NHIN Pilot Development and How the IHE Technical Framework Accelerates Regional Healthcare Information Organizations (RHIOs)" HIMSS (Health Information Management Systems Society) 2007 Annual Conference, New Orleans, LA, February 25-March 1, 2007.
"Achieving Healthcare Enterprise Interoperability using IHE and Standards" Keynote, ACCE Annual Clinical Engineering Forum, New Orleans, LA, February 25, 2007.
""A 21st Century Manifesto: CE and IT Need Each Other in Order to Survive!" GE Medical Biomedical Advisory Council, New Orleans, LA, February 23, 2007.
“Executive Dashboard and Decision Support System for Reliable, Lean Global Military Medical Logistics Management” with Eric Rosow, Joe Adam, Dave Shine. Decisions Sciences Institute (DSI) 2006 Annual Conference. San Antonio, TX. 18-21 November.
“JEDI – An Executive Dashboard and Decision Support System for Lean Global Military Medical Resource and Logistics Management” with Eric Rosow, Joe Adam, Dave Shine. Proceedings of the 28th Annual IEEE EMBS Annual Conference. New York, NY, 30 August – 3 September 2006.
“Design and Development Of A Prototype For An Inexpensive, Multi-Node Mobile, Palm-PDA-Based Wireless Clinical Information System Platform” with Nicholas O’Donoughue, Douglas Marzela, and Sarvesh Kulkarni. Proceedings of the Twelfth Americas Conference on Information Systems, Acapulco, Mexico August 04th-06th 2006.
“A General-Purpose Safety and Performance Verification and Validation Toolkit (V2T) for Life-Critical Wireless Medical Device Networks (WMDN)” with Vijay Gehlot. Proceedings Of The Twelfth Americas Conference On Information Systems, Acapulco, Mexico August 04th-06th 2006.
“Clinical/Biomedical Engineering Strategic Graphical Dashboard To Enhance Medical Device Maintenance And Asset Management” with Eric Rosow, Joe Adam, Dave Shine Proceedings Of The Twelfth Americas Conference On Information Systems, Acapulco, Mexico August 04th-06th 2006.
"Healthcare IT Investments" SIA (Service Industry Association) Executive Summit, Las Vegas, NV, March 5-7, 2006
"Safety First! Safe and Successful Digital Network Wireless Medical Device Systems (WMDS)" HIMSS (Health Information Management Systems Society) Annual Conference, San Diego, CA, February 12-16, 2006.
"Business Cases and 'Warp Speed Ahead' to Patient Device Interoperability" HIMSS (Health Information Management Systems Society) Annual Conference, San Diego, CA, February 12-16, 2006.
"Conceptual Design and Resources for a General-Purpose Safety and Performance Verification and Validation Toolkit (V2T) for Life-Critical Wireless Medical Device Networks (WMDN)" IEEE- EMBS (Engineering in Medicine and Biology Society) Annual Conference, Shanghai, China, September 1-4, 2005.
"Clinical Engineering Department Strategic Graphical Dashboard to Enhance Maintenance Planning and Asset Management" Proceedings of the IEEE- EMBS (Engineering in Medicine and Biology Society) Annual Conference, Shanghai, China, September 1-4, 2005. (Final print pages not yet assigned, as of April, 2006.)
"Ensuring Patient Safety by using Colored Petri Net Simulation in the Design of Heterogeneous, Multi-Vendor, Integrated, Life-Critical Wireless (802.x) Patient Care Device Networks)" Proceedings of the IEEE- EMBS (Engineering in Medicine and Biology Society) Annual Conference, Shanghai, China, September 1-4, 2005. (Final print pages not yet assigned, as of April, 2006.)
"Optimal Medical Equipment Maintenance Service Proposal Decision Support System combining Activity Based Costing (ABC) and the Analytic Hierarchy Process (AHP)" IEEE- EMBS (Engineering in Medicine and Biology Society) Annual Conference, Shanghai, China, September 1-4, 2005.
"Quality of Service (QoS) in Healthcare Applications: Colored Petri Net Simulation for Designn of Heterogeneous, Multi-Vendor, Integrated, Life-Critical Wireless (802.x) Patient Care Device Networks" AMCIS (Association of Information Systems) Annual Conference, Omaha, NB, August 11-14, 2005.
"Sun Tzu and the Art of Healing: Executive Dashboards and Data Mining for Business Intelligence in Integrated, Lean Military Supply Logistics for the 21st Century" AMCIS (Association of Information Systems) Annual Conference, Omaha, NB, August 11-14, 2005.
"Successful Integration of Medical Devices and Information Systems in the Healthcare Enterprise" AAMI (Association for the Advancement of Medical Instrumentation) Annual Conference, Tampa, FL, May 20, 2005.
"Integrating the Healthcare Enterprise - Alarm Integration and Interoperability for Patient Care Devices" HIMSS (Health Information Management Systems Society) Annual Conference, Dallas, TX, February 13-17, 2005.
"Applications of the Petri net to simulate, test, and validate the performance and safety of complex, heterogeneous, multi-modality patient monitoring alarm systems" Conference Proceedings. 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. Volume 2 (2004), pp: 3492 - 3495
"Clinical Engineering Use of Event-Driven Process Chain (EPC) to Develop Enterprise Models of Collaborative Information and Workflow for Re-Engineering the Operating Room" AMCIS (Association of Information Systems) Annual Conference, New York, NY, August 6-8, 2004.
"Application of the Petri net to Simulate and Validate Complex, Multi-Vendor, Heterogeneous Networks of Wireless Medical Device Systems" AMCIS (Association of Information Systems) Annual Conference, New York, NY, August 6-8, 2004.
Successful Project Management for Information and Medical Technology Projects AAMI (Association for the Advancement of Medical Instrumentation) Annual Conference, Boston, MA, June 5-7, 2004.
Successful Security Management Strategies for Integrated Biomedical and Information Systems HIMSS (Health Information Management Systems Society) Annual Summer Conference, Las Vegas, NV, June 15-15, 2004.
"Case studies using graphically enhanced DSS to improve healthcare technology assessments and clinical decisions" Proceedings of the 25th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. Volume 4 (2003) pp:3636 - 3639. With Liberatore, M. and Nydick, R.
"Strategic dashboards for improved healthcare technology management decisions" Proceedings of the 25th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. Volume 4 (2003) pp:3634 - 3635. With Rosow, E. and Adam, J.
"Integration of heterogeneous military medical supplies and computerized equipment maintenance management (CMMS) databases and decision support systems" Proceedings of the 25th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. Volume 4 (2003) pp: 3628 - 3629. With Rosow, E. and Adam, J.
"Case studies of graphically enhanced computer software to improve MIS and clinical decisions" AMCIS (Association of Information Systems) Annual Conference, Orlando, FL, August 4-6, 2003.
"Successful Healthcare IT Leadership Strategies" The CIO Forum Valley Forge, PA, May, 2003.
"Microeconomic Health Technology Assessment Using the Analytic Hierarchy Process: Two Case Studies." The New Jersey INFORMS Regional Meeting, March, 2003. with Liberatore, M., and Nydick, R.
"Improved Medical Decision Support Using the Analytic Hierarchy Process (AHP): Creating new Tools for Clinical Engineers, Health Systems Engineers, Clinicians, Insurers, and Administrators" Decision Sciences Institute Annual Conference, San Diego, CA. November 2002.
"An Analysis of the Medical Decision Support, Expert System, and Artificial Intelligence Literature" Decision Sciences Institute Annual Conference, San Diego, CA. November, 2002.
"Clinical Engineering Technology Assessment Decision Support: A case study using the analytic hierarchy process (AHP)" Proceedings of the 24th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. Volume 3 (2002) pp: 1950-1951. With Liberatore, M., Nydick, R., Luo, W., Chung, Q. - (Abstract) (Full Presentation)
"E-Health: MIS Challenges and Opportunities in Healthcare" AITP-Montgomery County, PA. April, 2002.
"Successful Healthcare Provider Gap Analysis: CIO Compliance and the HIPAA Law" The CIO Forum Valley Forge, PA, May, 2002.
Awards
American College of Clinical Engineering’s Thomas O’Dea Clinical Engineering Advocacy Award, Washington, DC, June 2006.
ACCE-HIMSS Excellence in Clinical Engineering and Information Technology Synergies Award, HIMSS07, New Orleans, March, 2007.
Elevated to Fellow of the Healthcare Information Management System Society in 2009.
Current Research Interests and Activities
In general, MIS topics like Databases, Business Process Engineering, Knowledge Management, Systems Analysis, Telecommunication and eBusiness design and management are all relevant. Special emphasis on medical informatics, MIS applications that improve the quality, efficiency, safety, and reliability of healthcare delivery and related industries like medical devices, drugs, and biopharmaceuticals. Applying information technology and information science to improve PATIENT SAFETY and eliminate MEDICAL ERRORS is a personal passion!!
Action research (a.k.a. applied research) in these areas is of special interest, as it solves current, real world MIS and healthcare challenges while developing new data, information, and knowledge. Clinical engineering, an applied multidisciplinary part of the biomedical engineering field, is an important focal point and resource for many of my research activities.
This HIMSS presentation by my colleague Joyce Sensemeier on Integrating the Healthcare Environment (IHE) outlines one active and very important current research area. A second presentation, by Ted Cohen, paints the changing landscape of IT/CE Convergence in Healthcare.
Your thoughtful and valuable feedback and comments would be very much appreciated!
Thank you - Elliot Sloane
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