Robert A. Greenes

Last updated

Robert A. Greenes (b. 1940) is a pioneer in the field of biomedical informatics (BMI). His work has focused on knowledge representation, decision support, and human-computer interaction for health and healthcare. He was co-developer of the MUMPS System and Language in the 1960s. He is an Emeritus Professor of Biomedical Informatics at Arizona State University.

Contents

Career

Greenes’ early professional career during the 1960s overlapped with his medical school and doctoral training. While a medical student, he developed software and carried out statistical computing, for researchers at MGH, and neuroelectric signal analysis for scientists studying the visual system in monkeys. He also built one of the first geographic visualization systems for health services research.

Greenes joined the Laboratory of Computer Science (LCS) at MGH in 1965. The LCS was directed by G. Octo Barnett, M.D., established under a subcontract to MGH from the Hospital Computer Project, a National Institutes of Health-supported grant to Bolt Beranek & Newman, Inc. [1]

In 1966, for a research honors thesis for his M.D. degree, Greenes developed a software platform for interactive discourse design. Further pursuing the interest in facilitating the human-computer interface, Greenes then worked with Neil Pappalardo and Curt Marble, two engineers in the LCS, along with Barnett, to develop a prototype of a minicomputer-based time-sharing system called MUMPS, for healthcare applications that included an interactive, interpretive programming language.

Greenes used MUMPS as a platform for his Ph.D. thesis on computer-based interactive capture of progress notes by clinicians. This work, carried out using a home-grown touchscreen computer, led to further investigation into the physician-computer interface for both progress notes and radiology reports, and to work on capture and generation of ultrasound reports in the 1980s-90s, and later to modeling of cognitive processes, to anticipate physician-patient interaction, provider workflow, decision-making needs, and potential clinical actions.

Following a 1970-78 interlude in the commercial world, a year at Stanford, and radiology residency at MGH, Greenes joined the Department of Radiology at Brigham and Women's Hospital (BWH) as a practicing radiologist in 1978. Shortly thereafter, he established the Decision Systems Group as a BMI research and development laboratory, which he directed for 27 years and which, at its peak, consisted of over 30 faculty, staff, and doctoral and postdoctoral fellows. [2] Greenes was professor of radiology and of health sciences and technology (HST), at Harvard Medical School. He was also professor of health policy and management at Harvard School of Public Health. In 2005 he became the Distinguished Chair in Biomedical Informatics at BWH. [2]

From 1985 to 2007, Greenes directed the Harvard-based Biomedical Informatics Research Training (BIRT) program, with support from the National Library of Medicine and other sources. [3]

After 40 years at Harvard and its affiliate hospitals, Greenes moved to Phoenix, AZ in 2007 to lead a new Department of Biomedical Informatics at Arizona State University (ASU), where he became the Ira A. Fulton Chair and Professor of Biomedical Informatics. [4] He was also professor of biomedical informatics at Mayo Clinic. During the period at ASU (2007–2020), he continued his work on knowledge-enhanced care, directing collaboration initiatives on a platform for deploying interoperable healthcare apps. [5]

In August 2020, he became emeritus Professor, and is now living in San Diego, where he is a Visiting Scholar, at the University of California San Diego Health System and continues to engage in various projects. [6]

Awards and honors

Greenes won the Borden Research Prize from Harvard for his medical school thesis on computer-based interactive discourse design. Greenes is a member of the National Academy of Medicine, [7] Distinguished Fellow [8] and 2008 Morris F. Collen Award Recipient in the American College of Medical Informatics, [9] [10] and Fellow of the American College of Radiology [11] and Society of Imaging Informatics in Medicine. [12] The Distinguished Robert Greenes Chair of Biomedical Informatics was established at Brigham and Women's Hospital in 2005 in his honor. [13] The current incumbent is CF Westin. [14]

Related Research Articles

<span class="mw-page-title-main">Health informatics</span> Computational approaches to health care

Health informatics is the study and implementation of computer structures and algorithms to improve communication, understanding, and management of medical information. It can be viewed as branch of engineering and applied science.

<span class="mw-page-title-main">Renato M. E. Sabbatini</span> Brazilian scientist (born 1947)

Renato Marcos Endrizzi Sabbatini is a retired professor at the Department of Biomedical Engineering and at the State University of Campinas Institute of Biology. He received a B.Sc. in Biomedical Sciences from Medical School of the University of São Paulo and a doctorate in behavioral neuroscience in 1977, followed by postdoctoral work at the Max Planck Institute of Psychiatry's Primate Behavior Department. He founded the Center for Biomedical Informatics, and helped create the Brazilian Society for Health Informatics.

<span class="mw-page-title-main">Brigham and Women's Hospital</span> Hospital in Massachusetts, United States

Brigham and Women's Hospital (BWH) is the second largest teaching hospital of Harvard Medical School and the largest hospital in the Longwood Medical Area in Boston, Massachusetts. Along with Massachusetts General Hospital, it is one of the two founding members of Mass General Brigham, the largest healthcare provider in Massachusetts. Robert Higgins, MD, MSHA serves as the hospital's current president.

The American College of Medical Informatics (ACMI) is a college of elected fellows from the United States and abroad who have made significant and sustained contributions to the field of medical informatics. Initially incorporated in 1984, the organization later dissolved its separate corporate status to merge with the American Association for Medical Systems and Informatics (AAMSI) and the Symposium on Computer Applications in Medical Care (SCAMC) when the American Medical Informatics Association (AMIA) was formed in 1989. The College now exists as an elected body of fellows within AMIA, with its own bylaws and regulations that guide the organization, its activities, and its relationship with the parent organization. The College is fiscally self-sufficient, and its officers prepare and submit its financial plan annually for approval by the AMIA Board of Directors.

Edward ("Ted") Hance Shortliffe is a Canadian-born American biomedical informatician, physician, and computer scientist. Shortliffe is a pioneer in the use of artificial intelligence in medicine. He was the principal developer of the clinical expert system MYCIN, one of the first rule-based artificial intelligence expert systems, which obtained clinical data interactively from a physician user and was used to diagnose and recommend treatment for severe infections. While never used in practice, its performance was shown to be comparable to and sometimes more accurate than that of Stanford infectious disease faculty. This spurred the development of a wide range of activity in the development of rule-based expert systems, knowledge representation, belief nets and other areas, and its design greatly influenced the subsequent development of computing in medicine.

Samuel Osiah Thier was professor of Medicine and Health Care Policy at Harvard University. He earned his medical degree at the State University of New York Upstate Medical University in 1960. He previously served as the president of Brandeis University from 1991–1994 and the president of the Massachusetts General Hospital from 1994-96.

<span class="mw-page-title-main">Homer R. Warner</span> American cardiologist

Homer Richards Warner was an American cardiologist who was an early proponent of medical informatics who pioneered many aspects of computer applications to medicine. Author of the book, Computer-Assisted Medical Decision-Making, published in 1979, he served as CIO for the University of Utah Health Sciences Center, as president of the American College of Medical Informatics, and was actively involved with the National Institutes of Health. He was first chair of the Department of Medical Informatics at the University of Utah School of Medicine, the first American medical program to formally offer a degree in medical informatics.

<span class="mw-page-title-main">Yves A. Lussier</span>

Yves A. Lussier is a physician-scientist conducting research in Precision medicine, Translational bioinformatics and Personal Genomics. As a co-founder of Purkinje, he pioneered the commercial use of controlled medical vocabulary organized as directed semantic networks in electronic medical records, as well as Pen computing for clinicians.

<span class="mw-page-title-main">University of Utah School of Medicine</span> Medical school of the University of Utah

The University of Utah School of Medicine is located on the upper campus of the University of Utah in Salt Lake City, Utah. It was founded in 1905 and is currently the only MD-granting medical school in the state of Utah.

The Athinoula A. Martinos Center for Biomedical Imaging, usually referred to as just the "Martinos Center," is a major hub of biomedical imaging technology development and translational research. The Center is part of the Department of Radiology at Massachusetts General Hospital and is affiliated with both Harvard University and MIT. Bruce Rosen is the Director of the Center and Monica Langone is the Administrative Director.

<span class="mw-page-title-main">Ruth Dayhoff</span> American physician and medical bioinformatician

Ruth Dayhoff is an American physician and medical bioinformatician.

<span class="mw-page-title-main">David W. Bates</span> Researcher

David Bates is an American-born physician, biomedical informatician, and professor, who is internationally renowned for his work regarding the use of health information technology (HIT) to improve the safety and quality of healthcare, in particular by using clinical decision support. Bates has done work in the area of medication safety. He began by describing the epidemiology of harm caused by medications, first in hospitalized patients and then in other settings such as the home and nursing homes. Subsequently, he demonstrated that by implementing computerized physician order entry (CPOE), medication safety could be dramatically improved in hospitals. This work led the Leapfrog Group to call CPOE one of the four changes that would most improve the safety of U.S. healthcare. It also helped hospitals to justify investing in electronic health records and in particular, CPOE. Throughout his career, Bates has published over 600 peer reviewed articles and is the most cited researcher in the fields of both patient safety and biomedical informatics, with an h-index of 115. In a 2013 analysis published by the European Journal of Clinical Investigation, he ranked among the top 400 living biomedical researchers of any type. He is currently editor of the Journal of Patient Safety.

Bruce Rosen is an American physicist and radiologist and a leading expert in the area of functional neuroimaging. His research for the past 30 years has focused on the development and application of physiological and functional nuclear magnetic resonance techniques, as well as new approaches to combine functional magnetic resonance imaging (fMRI) data with information from other modalities such as positron emission tomography (PET), magnetoencephalography (MEG) and noninvasive optical imaging. The techniques his group has developed to measure physiological and metabolic changes associated with brain activation and cerebrovascular insult are used by research centers and hospitals throughout the world.

<span class="mw-page-title-main">Ferenc A. Jolesz</span> Hungarian-American physician

Ferenc Andras Jolesz was a Hungarian-American physician and scientist best known for his research on image guided therapy, the process by which information derived from diagnostic imaging is used to improve the localization and targeting of diseased tissue to monitor and control treatment during surgical and interventional procedures. He pioneered the field of Magnetic Resonance Imaging-guided interventions and introduced of a variety of new medical procedures based on novel combinations of imaging and therapy delivery.

Elazer R. Edelman is an American engineer, scientist and cardiologist. He is the Edward J. Poitras Professor in Medical Engineering and Science at the Massachusetts Institute of Technology (MIT), Professor of Medicine at Harvard Medical School and at Brigham and Women's Hospital (BWH), and a practicing cardiologist at BWH. He is the director of MIT's Institute for Medical Engineering and Science (IMES), the Harvard-MIT Biomedical Engineering Center, and the MIT Clinical Research Center. He is also the Program Director of the MIT Graduate Education in Medical Sciences program within the Harvard-MIT Division of Health Sciences and Technology.

<span class="mw-page-title-main">Ron Kikinis</span> American physician and scientist (born 1956)

Ron Kikinis is an American physician and scientist best known for his research in the fields of imaging informatics, image guided surgery, and medical image computing. He is a professor of radiology at Harvard Medical School. Kikinis is the founding director of the Surgical Planning Laboratory in the Department of Radiology at Brigham and Women's Hospital, in Boston, Massachusetts. He is the vice-chair for Biomedical Informatics Research in the Department of Radiology.

<span class="mw-page-title-main">Lucila Ohno-Machado</span> Biomedical engineer

Lucila Ohno-Machado is a biomedical engineer and Deputy Dean for Biomedical Informatics at the Yale University School of Medicine. She is an elected member of the American Society for Clinical Investigation and the National Academy of Medicine.

<span class="mw-page-title-main">Dean F. Sittig</span> US Professor in Biomedical Informatics and Bioengineering

Dean Forrest Sittig is an American biomedical informatician specializing in clinical informatics. He is a professor in Biomedical Informatics at the University of Texas Health Science Center at Houston and Executive Director of the Clinical Informatics Research Collaborative (CIRCLE). Sittig was elected as a fellow of the American College of Medical Informatics in 1992, the Healthcare Information and Management Systems Society in 2011, and was a founding member of the International Academy of Health Sciences Informatics in 2017. Since 2004, he has worked with Joan S. Ash, a professor at Oregon Health & Science University to interview several Pioneers in Medical Informatics, including G. Octo Barnett, MD, Morris F. Collen, MD, Donald E. Detmer, MD, Donald A. B. Lindberg, MD, Nina W. Matheson, ML, DSc, Clement J. McDonald, MD, and Homer R. Warner, MD, PhD.

Morris Frank Collen was founder of the Kaiser Permanente Division of Research and an original member of the Permanente Medical Group, pioneering developer of Automated Multiphasic Health Testing (AMHT) systems, and Electronic Health Records (EHRs) for Public Health and Clinical Screening, serving as a model for pre-paid healthcare at the national level. Collen was a Founder of the American College of Medical Informatics (ACMI) in 1984, and the American Medical Informatics Association (AMIA) in 1989. The Morris F. Collen Award of Excellence was established in his honor by ACMI in 1993. In 1971 Collen was elected a member of the Institute of Medicine of the National Academy of Sciences.

<span class="mw-page-title-main">Charles Safran</span> American physician

Charles Safran is an American-born physician, biomedical informatician, and professor, who is known for his work regarding the use of health information technology (HIT) to improve the delivery and quality of healthcare, in particular clinical information systems.

References

  1. "The Laboratory of Computer Science | Celebrating 50 Years of Innovation". The Laboratory of Computer Science.
  2. 1 2 gazetteimport (2005-11-03). "Greenes honored with endowed chair at BWH". Harvard Gazette.
  3. "Better-connected health care". ASU News.
  4. "New department head will boost ASU's leadership in biomedical informatics". ASU News.
  5. "ASU, Mayo Clinic enhance collaboration with formal commitment". ASU News.
  6. "Robert Greenes, MD, PhD | CDSiC". Ahrq.gov.
  7. "National Academy of Medicine". Arizona State University.
  8. "4 Named Distinguished Fellows of the American College of Medical Informatics | AMIA - American Medical Informatics Association". AMIA.
  9. "Greenes given highest biomedical informatics honor". ASU News.
  10. "Morris F. Collen Award of Excellence". American Medical Informatics Association.
  11. https://www.acr.org/-/media/ACR/Files/Member-Resources/AllFACRList.pdf
  12. "SIIM Fellows". SIIM.
  13. "Honors & Grants - Brigham and Women's Hospital". Brigham and Women's Hospital Newsletter.
  14. "Carl-Fredrik Westin". Harvard.edu.