John Zaleski, PhD, CPHIMS
Dr. Zaleski is executive vice president and chief informatics officer of Bernoulli, a leader in real-time connected healthcare. Dr. Zaleski brings more than 25 years of experience in researching and ushering to market devices and products to improve health care. He received his PhD from the University of Pennsylvania, with a dissertation that describes a novel approach for modeling and prediction of post-operative respiratory behavior in post-surgical cardiac patients. Dr. Zaleski has a particular expertise in designing, developing and implementing clinical and non-clinical point of care applications for hospital enterprises. Dr. Zaleski is the named inventor or co-inventor on seven issued patents related to medical device interoperability.
The health care industry is a long way from realizing universal interoperability of medical devices. Federal guidelines and reforms, technological advances, industry societies, and standards organizations, as well as various industry and business requirements, have motivated some manufacturers to develop interfaces. Despite progress over the last 10 years, it’s unlikely that we’ll see medical devices that universally operate and conform to a data communication standard as easily and freely as plugging in a USB anytime in the next decade.
Medical device data system (MDDS) middleware will continue to be necessary to pull data from certain classes of medical devices using the vendor’s specification, then translate and communicate them to an EHR, data warehouse, or other information system to support use cases such as clinical charting, clinical decision support, and research. The breadth and scope of MDDS middleware’s capabilities helps hospitals, health systems, and other provider organizations uncover ways to leverage the data that flow from a device into a record system. The use of the data to improve patient care management and clinical decision-making comes immediately to mind, but those only scratch the surface of what’s possible.