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OMB No. 0925-0001 and 0925-0002 (Rev. 10/15 Approved Through 10/31/2018) BIOGRAPHICAL SKETCH Provide the following information for the Senior/key personnel and other significant contributors. Follow this format for each person. DO NOT EXCEED FIVE PAGES. NAME: Shyam Visweswaran eRA COMMONS USER NAME (credential, e.g., agency login): vshyam POSITION TITLE: Associate Professor of Biomedical Informatics EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, include postdoctoral training and residency training if applicable. Add/delete rows as necessary.) INSTITUTION AND LOCATION Jawaharlal Institute of Post-Graduate Medical Education and Research (JIPMER), Pondicherry, India University of Illinois at Urbana-Champaign, Urbana, IL Boston University Medical Center, Boston, MA DEGREE (if applicable) Completion Date MM/YYYY M.B.,B.S. 12/1987 Medicine M.S. 06/1996 Physiology and Biophysics Residency in Neurology 06/2000 University of Pittsburgh, Pittsburgh, PA M.S. 07/2004 University of Pittsburgh, Pittsburgh, PA Ph.D. 09/2007 FIELD OF STUDY Biomedical Informatics & Intelligent Systems Biomedical Informatics & Intelligent Systems A. Personal Statement I am a tenured Associate Professor of Biomedical Informatics with cross appointments in Computational & Systems Biology and Clinical & Translational Science Institute at the School of Medicine and in the Intelligent Systems Program in the School of Arts and Sciences. My training is in informatics, artificial intelligence and clinical neurology, and my research interests include the application of artificial intelligence and machine learning to problems in the Learning Health System with a specific focus on developing learning electronic medical records (EMRs), precision medicine and personalized modeling, enabling reuse of EMR data for research, and data mining and causal discovery from genomic and biomedical data. In the Department of Biomedical Informatics, I serve as the Director of Clinical and Translational Informatics, Director of the Center of Clinical Research Informatics (CCRI), and Co-Director of the Kimball Family Center of Clinical Informatics (KCI). I also serve as the Co-Director of the Informatics Component for the University of Pittsburgh Clinical and Translational Science Institute (CTSI), and as a PD/PI for the Pitt Precision Medicine Initiative project that is a component of the Cohort Program of President Obama’s Precision Medicine Initiative. I was deeply involved in reorganizing the graduate Biomedical Informatics Training Program’s curriculum which developed a set of core courses that cover a wide range of foundational topics in biomedical informatics. I serve as the Biomedical Informatics Program Director for the University of Pittsburgh School of Medicine Medical Scientist Training Program. B. Positions and Honors Positions and Employment 1989-1991 1991-1995 Resident in Anesthesiology, Department of Anesthesiology, Jawaharlal Institute of PostGraduate Medical Education and Research, Pondicherry, India Research and teaching assistant, Department of Physiology and Biophysics, University of Illinois at Urbana-Champaign, Urbana, IL 1996 1997-2000 2001-2006 2006-2015 2015200820102011- Internal Medicine Intern, Department of Medicine, St. Luke’s - Roosevelt Medical Center, New York, NY Resident in Neurology, Department of Neurology, Boston University Medical Center, Boston, MA Informatics Fellow, Department of Biomedical Informatics, University of Pittsburgh School of Medicine, Pittsburgh, PA Assistant Professor, Department of Biomedical Informatics, University of Pittsburgh School of Medicine, Pittsburgh, PA Associate Professor, Department of Biomedical Informatics, University of Pittsburgh School of Medicine, Pittsburgh, PA Associate Professor, Intelligent Systems Program (Secondary Appointment), University of Pittsburgh, Pittsburgh, PA Associate Professor, Clinical and Translational Science Institute (Secondary Appointment), University of Pittsburgh, Pittsburgh, PA Associate Professor, Department of Computational Biology (Secondary Appointment), University of Pittsburgh Other Experience and Professional Memberships 2001200120152005- 20072011-2012 Member, American Medical Informatics Association Member, American Association for Artificial Intelligence Association of Computing Machinery Ad hoc reviewer for multiple journals, including Artificial Intelligence in Medicine, PLoS ONE, PLoS Medicine, PLoS Computational Biology, Computers in Biology and Medicine, Medical Decision Making, Science Translational Medicine, Journal of Biomedical Informatics, and Journal of the American Medical Informatics Association Editorial Board Member, International Journal of Medical Engineering and Informatics NSF Peer Review Committee, Smart Health and Wellbeing Review Panel Honors 1981-1991 1995-1996 2000-2001 2001-2005 2005 2010 2011 2012 2013 2014 2015 National Science Talent Search Scholarship, Government of India Excellent Teacher, School of Life Sciences, University of Illinois at Urbana-Champaign, Champaign, IL Chief Resident, Department of Neurology, Boston University Medical Center, Boston, MA National Library of Medicine Post-Doctoral Fellowship Third place, American Medical Informatics Association (AMIA) Fall Symposium Student Paper Competition, Washington DC Homer R. Warner Research Award, AMIA Fall Symposium, Washington DC (for a co-authored paper) Marco Ramoni Distinguished Paper Award, AMIA 2011 Joint Summits on Translational Science, San Francisco, CA (for a co-authored paper) Distinguished Paper Award, AMIA 2012 Joint Summits on Translational Science, San Francisco, CA (for a co-authored paper) Distinguished Paper Award, AMIA 2013 Joint Summits on Translational Science, San Francisco, CA (for a co-authored paper) Hattie Becich Award for Best Teacher, Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA First place, AMIA Fall Symposium Student Paper Competition, Washington DC (for a lastauthored paper) C. Contribution to Science My research is focused on the application of artificial intelligence and machine learning to problems in the Learning Healthcare System with a specific focus on developing intelligent electronic medical records, precision medicine and personalized modeling, research data warehousing, and data mining and causal discovery from genomic and biomedical data. 1. Intelligent electronic medical record and computerized clinical decision support. Electronic medical records (EMRs) are capturing increasing amounts of patient data that can be leveraged by machinelearning methods for computerized decision support. My work focuses on the development of intelligent EMRs that contain adaptive and learning components to provide decision support using the right data, at the right time. I will use the expertise gained from this work to provide guidance in the proposed project in enhancing the search log functionality and analyzing the resulting data, determining patient and clinician characteristics as well as task context, and defining and evaluating the recommendation algorithms. a. Visweswaran, S, Hanbury, P, Saul, M, Cooper, GF. Detecting adverse drug events in discharge summaries using variations on the simple Bayes model. In: AMIA Annual Symposium Proceedings. 2003; 2003:689-93. PMID: 14728261 PMCID: PMC1479984 b. Visweswaran, S, Mezger, J, Clermont, G, Hauskrecht, M, Cooper, GF. Identifying deviations from usual medical care using a statistical approach. In: AMIA Annual Symposium Proceedings. 22010 Nov 13; 2010:827-31. PMID: 21347094 PMCID: PMC3041340 c. Hauskrecht, M, Batal, I, Valko, M, Visweswaran, S, Cooper, GF, Clermont, G. Outlier detection for patient monitoring and alerting. Journal of Biomedical Informatics. 2013 Feb; 46(1):47-55. PMID: 22944172 PMCID: PMC3567774 d. King, AJ, Cooper, GF, Hochheiser, H, Clermont, G, Visweswaran, S. Development and preliminary evaluation of a prototype of a learning electronic medical record system. In: AMIA Annual Symposium Proceedings. 2015 Nov 17; 2015:1967-75. PMCID: PMC4765593 2. Precision medicine and personalized modeling. I serve as a PD/PI for the Pitt Precision Medicine Initiative project that is a component of the Cohort Program of President Obama’s Precision Medicine Initiative. This project will enroll and collect data and bio specimens for 150,000 individuals for the Precision Medicine Initiative. In predictive modeling in medicine, the typical paradigm consists of learning a single model from a database of individuals, which is then applied to predict outcomes for any future individual. Such a model is called a population-wide model because it is intended to be applied to an entire population of future individuals. In contrast, my work focusses on personalized modeling where models are tailored to the characteristics of the individual at hand. Personalized models that are optimized to perform well for a specific individual are likely to have better predictive performance than the typical population-wide models that are optimized to have good predictive performance on average on all future individuals. Moreover, personalized models can identify features such as genomic factors that are specific for an individual thus enabling precision medicine. a. Visweswaran, S, Cooper, GF. Patient-specific models for predicting the outcomes of patients with community acquired pneumonia. In: AMIA Annual Symposium Proceedings. 2005; 2005:759-63. PMID: 16779142 PMCID: PMC1560580 (Awarded Third Place in the Student Paper Competition at the AMIA Annual Symposium, 2005) b. Visweswaran, S, Angus, DC, Hsieh, M, Weissfeld, L, Yealy, D, Cooper, GF. Learning patientspecific predictive models from clinical data. Journal of Biomedical Informatics. 2010 Oct;43(5):66985. PMID: 20450985 PMCID: PMC2933959 c. Visweswaran, S, Cooper, GF. Learning instance-specific predictive models. Journal of Machine Learning Research. 2010 Dec; 11:3369-3405. PMCID: PMC4102007 d. Ferreira, A, Cooper, GF, Visweswaran, S. Decision path models for patient-specific modeling of patient outcomes. In: Proceedings of the Fall Symposium of the American Medical Informatics Association. 2013 Nov 16; 2013:413-21. PMID: 24551347 PMCID: PMC3900188 e. Visweswaran, S, Ferreira, A, Cooper, GF. Personalized modeling for prediction with decision-path models. PLoS One. 2015 Jun 22;10(6):e0131022 PMID: 26098570 PMCID: PMC4476684 3. Reuse of EMR data. Several local, regional and national efforts are ongoing that are creating clinical data repositories for reuse of EMR data for clinical, translational, and informatics research. I lead the efforts for data harmonization, translation to standard terminologies and mapping to standard value sets for several projects that include: 1) CTSI-funded i2b2 – based Cohort Discovery Repository, 2) NCATS-funded Accrual of patients to Clinical Trials (ACT) network, and 3) PCORI-funded PaTH clinical data research network (CDRN). a. Amin, W, Borromeo, C, Saul, M, Becich, MJ, Visweswaran, S. Informatics synergies between PaTH and ACT networks. In: Proceedings of the 2015 Summit on Clinical Research Informatics. 2015 Mar 25; 2015:294-95. b. Visweswaran, S, Tenenbaum, J, Gouripeddi, R. Secondary use of data for research - EHR, omics and environmental data. In: AMIA Joint Summits Translational Science Proceedings. 2016 Mar 22. 4. Data mining and causal discovery from biomedical data. Developing efficient data mining and causal discovery methods for biomarker discovery from high-dimensional genetic variant data is important for genomic medicine. Genomic medicine is driving precision medicine and focuses on the use of information obtained from sequences such as whole exomes and whole genomes. Genomic information, in combination with clinical data, will lead to increased understanding of the biology of human health and disease, improved prediction of disease and effect of therapy, and ultimately the realization of precision medicine. My work focuses on single nucleotide variants (SNVs) data obtained from genome-wide studies (GAWSs), and more recently whole exomes. a. Jiang, X, Barmada, MM, Visweswaran, S. Identifying genetic interactions in genome-wide data using Bayesian networks. Genetic Epidemiology. 2010 Sep; 34(6):575-81. PMID: 20568290 PMCID: PMC3931553. b. Stokes, ME, Barmada, MM, Kamboh, MI, Visweswaran, S. The application of network label propagation to rank biomarkers in genome-wide Alzheimer's data. BMC Genomics. 2014 Apr 14;15(1):282. PMID: 24731236 PMCID: PMC4234455 c. Aflakparast, M, Masoudi-Nejad, A, Bozorgmehr, JH, Visweswaran, S. Informative Bayesian Model Selection: A method for identifying interactions in genome-wide data. Molecular BioSystems. 2014 Aug 26; 10(10):2654-62. PMID: 25070634 d. Strobl, EV, Visweswaran, S. Markov boundary discovery with ridge regularized linear models. Journal of Causal Inference. 2016 Mar; 4(1):31-48. Complete List of Published Work in MyBibliography: http://goo.gl/brnulV D. Research Support Ongoing Research Support UG3 OD023253 Reis, Visweswaran, Marroquin (PIs) 07/01/2016 - 06/30/2017 NIH Precision Approach to healthCARE enrollment Site (PA CARES) This Precision Medicine Initiative (PMI) Cohort Program Healthcare Provider Organization Enrollment Center project will enroll 10,000 individuals in year 1 and collect EHR data and bio specimens. Role: PD/PI R01 LM012095 Visweswaran (PI) 09/15/2015 - 06/30/2019 NIH/NLM Development and Evaluation of a Learning Electronic Medical Record System This project investigates the development of intelligent electronic medical record systems (EMRs) that contain adaptive and learning components to provide decision support using the right data, at the right time. Role: PI (Sole) UL1 TR001857 Reis (PI) 07/01/2016 - 05/31/2021 NIH/NCATS Informatics Component, Clinical and Translational Science Institute This grant provides funding support for the University of Pittsburgh’s CTSA program. The Informatics Component provides informatics support and, in particular, supports maintenance of the Accrual of patients to Clinical Trials (ACT) data repository network that enables cohort identification for clinical trial accrual across 21 CTSA sites. Role: Co-Director, Informatics Component U54 HG008540 Cooper, Bahar, Berg (PI) 10/01/2014 - 06/30/2018 NIH Center for Causal Modeling and Discovery of Biomedical Knowledge from Big Data This Center of Excellence is developing, implementing, and evaluating an integrated set of tools that support causal modeling and discovery of biomedical knowledge from very large and complex biomedical data. It will make these methods widely available to biomedical and data scientists, highly efficient when applied to big datasets, and easy to use. The Center will also train biomedical scientists how to apply the methods to their biomedical data and data scientists how to further develop the methods. Role: Co-Investigator R01 GM088224 Hauskrecht, Clermont, Cooper (PI) 08/15/2014 - 05/31/2018 NIH/NIGMS Real-Time Detection of Deviations in Clinical Care in ICU Data Streams There remain numerous opportunities to reduce medical errors in that occur during clinical care. This project is developing and evaluating a new clinical monitoring and alerting framework that uses electronic medical records and machine-learning methods to send alerts concerning clinical decisions in the ICU that are unexpected in given the clinical context and may represent medical errors. Role: Co-Investigator Completed Research Support (Last Three Years) UL1 TR000005 Reis (PI) 07/01/2015 - 06/30/2016 NIH/NCATS Biomedical Informatics Core, Clinical and Translational Science Institute This grant provides funding support to establish a clinical data repository network across 21 CTSA sites for enabling cohort identification for accrual of patients to clinical trials. Role: Co-Director, Informatics Component CDRN-1306-04912 McTigue, Becich, Hess (PI) 10/01/2015 - 06/30/2016 PCORI A PaTH towards a Learning Health System in the Mid-Atlantic Region The PaTH Clinical Data Research Network brings together four Mid-Atlantic Health Systems: University of Pittsburgh/UPMC, Penn State College of Medicine/Hershey Medical Center, Temple University School of Medicine/Temple Health, and Johns Hopkins University/ Johns Hopkins Health System. The goal of PaTH is to assemble and follow a longitudinal cohort of at least 1 million individuals across a variety of health care settings for conducting patient-centered research. T15 LM007059-25 Crowley (PI) 07/01/2012 - 01/31/2016 NIH/NLM/NIDR Pittsburgh Biomedical Informatics Training Program This grant provides funding support to graduate students in the Biomedical Informatics Training Program, Department of Biomedical Informatics, University of Pittsburgh. Role: Co-Investigator UL1 TR000005-09S1 Reis (PI) 07/01/2014 - 06/30/2015 NIH/NCATS CTSActs (Clinical and Translational Science Accrual to Clinical Trials) This grant provides funding support to establish a clinical data repository network across 21 CTSA sites for enabling cohort identification for accrual of patients to clinical trials. Role: Co-Investigator