Mark J. Halsted, MD
Title
Chief of Research, Radiology Informatics
Appointment
Associate Professor, Radiology and Division of Biomedical Informatics
Email
mark.halsted@cchmc.org
Phone
513-636-8574
Fax
513-636-1388
Bio
Mark J. Halsted, MD, earned a BA in the History, Philosophy and Social Studies of Science and Medicine, with an emphasis on medical ethics, from the University of Chicago. He earned his MD degree at Yale University, where he undertook an additional year of study to conduct research on the histology of the developing spinal cord, a topic on which he based his MD thesis.
Dr. Halsted completed a transitional internship year at Mercy Hospital Medical Center in San Diego, California and completed his radiology residency at the University of California, San Diego, California. Dr. Halsted then completed a fellowship in MR imaging at the University of California, San Diego, California. He then completed two additional fellowships at Cincinnati Children's Hospital Medical Center: one in Pediatric Radiology and one in Pediatric Neuroradiology. In July 2000, Dr. Halsted joined the radiology staff at Cincinnati Children's.
His research focuses on the application of informatics to:
- Improve the safety and efficiency of delivery of radiology services
- Enhance pediatric radiology education for residents, fellows, and staff
- Improve the accuracy of diagnostic radiology interpretations
Credentials
MD: Yale University School of Medicine, New Haven, CT, May 1993.
Residency: Diagnostic Radiology, University of California, San Diego, CA, July 1998.
Fellowship: University of California, San Diego, CA, MRI, 1999.
Fellowship: Cincinnati Children's, Cincinnati, OH, Pediatric Radiology, 2000.
Fellowship: Cincinnati Children's, Cincinnati, OH, Pediatric Neuroradiology, 2001.
Certification: Radiology, 1998.
CAQ: Pediatric Radiology, 2001; Neuroradiology, 2002.
Awards and Honors
- Name in the Top 25 Innovators of 2006, Health Imaging and IT Magazine, June 2006.
- Invited to sit on the Physician Global Advisory Board, Amicas, Inc., Tucson, AZ, April 2006.
- Best of the Best, Medical Imaging Top Ten, Top Third ACS / RIS / Radiology Administrator, Medical Imaging Magazine, January 2006.
- Invited to sit on the Physician Global Advisory Board, General Electric Healthcare, August 2005.
- Featured with his pediatric radiology educational software in a video news release seen by over 7.4 million viewers nationwide watching 467 local stations and 3 national news networks, July 2005.
- Invited speaker, Grand Rounds, Cincinnati Children's, January 2005.
- Invited speaker, Cincinnati Children's Board of Directors Strategic Planning Meeting, January 2005.
Research
- Informatics Applications: Improving Communications between Caregivers
- Design, Deployment, and Assessment of RadStream: Radiology Workflow-Enhancing Software to Reduce Interruptions and Improve Report Turnaround Times, Communication, and Documentation of Critical Results
- Informatics Applications: Diagnostic Error Detection and Reduction
- Informatics Applications: Improving Clinical Performance for Practicing Radiologists
- Informatics Applications: Resident and Staff Education
- Evaluation of a Web-Based Curriculum in Pediatric Radiology for Radiology Residents
- Development and Implementation of a Digital Teaching File on a PACS-based network
- Efficient Image Capture and Archiving from an Active PACS system
- MyPACS.net: a web service for creating teaching file repositories
- Teaching File Modeling Language (TFML): An XML standard for integrating online teaching file repositories
Research Grants and Contracts
Principal Investigator, Measuring the Impact of a Combined RIS / PACS Installation, July 2005 - June 2006.
Principal Investigator, The N. Thorne Griscom Award for Education in Pediatric Radiology, April 2004 - April 2005.
Publications, Most Recent
Gutmark, R., Halsted, M.J., Perry, L., Gold, G. Use of Computer Databases to Reduce Radiograph Reading Errors. Journal of the American College of Radiology, 2007; 4:65-68.
Halsted, M.J., Guluzian, J.K., Little, I.G., Perry, L.A., Perry, D.J., Benton, C. Development of a New Instructional Tool to Increase the Diagnostic Accuracy of Radiology Residents Interpreting Emergency Pediatric Neuroradiology Studies. Journal of the American College of Radiology, 2006; 3:893-894.
Halsted, M.J. Development of an Interactive Model for Teaching Emergency Pediatric Radiography – Preliminary Report. Journal of the American College of Radiology, 2005; 2:701-703.
Halsted, M.J., Donnelly, L.F., Strife, J.L. How Do We Create and Retain More Pediatric Radiologists?Journal of the American College of Radiology, 2005; 2:369-375.
Halsted, M.J., Guluzian, J.K., Perry, L.A., Little, I.G., Benton, C. What is Normal? A Clinically Useful Reference Collection of Pediatric Radiology Cases Created Within PACS. Journal of the American College of Radiology, 2005; 2:189-192.
Halsted, M.J. Hearing the Alarms: Defining Medical Errors. Journal of the American College of Radiology, 2005; 2:299-300.
Professional Organization Memberships
Service
Special Interests
- Improve the accuracy and efficiency of delivery of radiology services
- Enhance pediatric radiology education for residents, fellows, and staff
Presentations, Most Recent
Halsted, M.J. Improving operations, communications and documentation: Toward better workflow with Radstream. Yale University. New Haven, CT; March 14, 2007.
Halsted, M.J. Calming an informatics storm: Radstream coordinates disparate workklists while enhancing patient care. Children's National Medical Center. Washington, DC; January 25, 2007.
Halsted, M.J. Workflow, patient safety, and critical communications: Radstream outcomes studies. Boston Children's Hospital; November 14, 2006.
Halsted, M.J. The temporal bone. Cincinnati Children's Visiting Fellowship in Pediatric Neuroradiology. Cincinnati, Ohio; October 2006.
Nataraja, S., Halsted, M.J. Aligning acuity with urgency: Aligorithm-driven reading order identification at Cincinnati Children's. Imaging Performance Partnership, The Advisory Board Company. Washington, DC; September 2006.
Sapsford, A.M., Weatherly, K., Halsted, M.J. Maximizing technology: digital imaging promotes effective communication and care delivery. National Association of Children's Hospital and Related Institutions. Cincinnati Children's; September 2006.
Halsted, M.J. Improving acceptance of voice recognition while increasing productivity: An outcomes study of new workflow software that supports decentralized paperless workflow, automated communications and documentation, and automated patient triage. Radiological Society of North America; November 2006.
Halsted, M.J., Froehle, C.M., Perry, L., Yang, H. Homegrown informatics: Improving patient safety by filling technology gaps. National Patient Safety Foundation. San Francisco, CA; May 12, 2006.
Halsted, M.J., Froehle, C., Perry, L., Yang, H., Johnson, N.D. Impact of voice recognition on perceptions, operations – can we do better? Society for Computer Applications in Radiology. Austin, TX; April 27-30, 2006
Halsted, M.J. Outcomes analysis of the new initiatives in Radiology Informatics: Optimizing workflow efficiency and patient care. Radiology Business Unit Presentation. Cincinnati Children's; November 2005.
Halsted, M.J. Beyond RIS / PACS / VR: Improving Radiology Workflow. General Electric Radiologist Global Advisory Board, GE HealthCare. Chicago, IL; November 7, 2005.
Halsted, M.J. Improving Radiology workflow, communication, and documentation with new informatics tools for the real world: Improving on state-of-the-ARTS. Cincinnati Children's; October 12, 2005.
Halsted, M.J. Just in time learning throughout the institution: Improving the educational experience for the staff and trainees at Cincinnati Children's Hospital Medical Center: Pilot projects of the radiology informatics research core. Cincinnati Children's Hospital Medical Center Institutional Education and Training Committee; October 12, 2005.
Halsted, M.J., Benton, C. Sensorineural hearing loss and enlarged vestibular aqueduct syndrome: measurement and reporting techniques for the radiologists with clinical and genetic correlation. Visiting Neuroradiology Mini-Fellowship, Cincinnati Children's; October 3-7, 2005.
Halsted, M.J. Hot topics in clinical pediatric neuroradiology. Visiting Neuroradiology Mini-Fellowship, Cincinnati Children's. Cincinnati, Ohio; October 3-7, 2005.
Halsted, M.J. Primary infratentorial pediatric brain tumors: Presentation, imaging characteristics, treatment and prognosis. Visiting Neuroradiology Mini-Fellowship, Cincinnati Children's; October 3-7, 2005.
Halsted, M.J., Perry, L.A., Gutmark-Little, I., Guluzian, J.K. Development of a new instructional tool to increase the diagnostic accuracy of radiology residents interpreting emergency pediatric neuroradiology studies. Annual Meeting of the Society for Pediatric Radiology. New Orleans, LA; May 4-7, 2005.
Halsted, M.J. Measurement of the clinical impact of installation of an integrated RIS / PACS system. Society for Computer Applications in Radiology. Orlando, FL; June 2-5, 2005.
Halsted, M.J., Johnson, N.D., Froehle, C., Perry, L., Marmer, R., Moskovitz, J. Introducing an automated radiology triage system: Improving workflow, enhancing patient care. Society for Computer Applications in Radiology. Orlando, FL; June 2-5, 2005.
Halsted, M.J., Froehle, C.M., Perry, L.A., Moskovitz, J.A., Yang, H., Johnson, N.D. Introducing an automated radiology triage system: Improved workflow, enhanced patient care. Annual meeting, Radiological Society of North America. Chicago, IL; November 27-December 2, 2005.
Software Applications Developed
- Project Leader and Chief: Design, development and launch of RadStream, department-wide software that provides a paperless workflow solution for decentralized study acquisition and interpretation, facilitates and documents communications within and beyond the department of radiology, and automatically triages radiology patients based on medical acuity and other indices.
This software has been the subject of peer-reviewed presentations at international meetings. It is the subject of several trade journal articles, and its impact on radiology clinical operations metrics, radiology staff stress and job satisfaction, and patient satisfaction are the subject of a major research project. More information is available at http://www.radstream.org/. - Project Leader and Chief: Design, development and launch of interactive web-based software that focuses radiology residents and fellows on specific problems in pediatric radiology -- diagnoses identified by Dr. Halsted's research as being particularly prone to diagnostic error.
Cases missed in clinical practice were used to build the modules, and randomized, blinded, prospective studies are being conducted to determine their effectiveness in improving trainees' ability to detect subtle radiographic abnormalities. A news story about this software was viewed by over 7.4 million people nationwide (467 local stations, 3 national networks). - Project Leader and Chief: Design, development and deployment of new feedback software designed to improve hospital-wide physician notification of both routine and critical diagnostic test results, while enhancing real-time clinical learning for physicians.
The software includes long-term follow-up tools that fill gaps in current medical informatics systems and improves patient safety. The system has been enthusiastically received by users. - Consultant and Co-developer: Design and development of international digital teaching file known as MyPACS (http://www.mypacs.net/). The system is used by thousands of radiologists in 1,500 institutions in 75 countries who have contributed 9,000 teaching files containing 37,000 images; 2000 to 2004.
- Project Leader and Chief: "eTeach" Digital Radiology Teaching File at Cincinnati Children's; this software was endorsed by General Electric after Dr. Halsted demonstrated it for the CEO of General Electric, Jeff Immelt, in August 2002.
The system now contains over 4000 cases including hundreds with histopathologic and surgical (intra-operative) correlative images. 2000 to present.
Patents
Four patent applications have been filed for this software development.
Editorial Positions
Manuscript Reviewer: Pediatric Radiology, November 2004 to present.
Manuscript Reviewer: Journal of Digital Imaging, June 2004 to present.
Related Areas
This person works in these other areas at Cincinnati Children's Hospital Medical Center:
