News and Events | Biomedical Informatics and Medical Education

Chair’s Message

pth-use-this-one We are moving toward our vision with a number of activities across our various programs. We have updated our strategic plan in response to the 10-year academic program review that we recently completed. For our research-oriented MS and PhD programs, we have recently added a specialization in Data Science. We are completing a curriculum revision for our on line applied clinical informatics MS which will be effective Fall 2020. The work of our fellows in the clinical informatics fellowship program has received plaudits from clinical administrators and faculty, and we are currently recruiting a new faculty member in our department to assist with this program (view position description). We are also recruiting a faculty member in medical education to start Summer 2020 (view position description). This is the beginning of a new cycle of admissions to our graduate programs, and we look forward to another productive year, and new growth in our department.

Cordially,

Peter Tarczy-Hornoch, MD
Chair and Professor, Department of Biomedical Informatics and Medical Education

Biomedical Informatics and Medical Education Newsletter

April 5-April 9, 2021

NEWS

Jason Thomas, BHI PhD Student, was appointed as a member to the 2021-2023 JAMIA Editorial Board.

PUBLICATIONS AND PRESENTATIONS

Burkhardt, H., Brandt, P., Lee, J., Karras, S., Bugni, P., Cvitkovic, I., Chen, A., & Lober, W. (2021). StayHome: A FHIR-Native Mobile COVID-19 Symptom Tracker and Public Health Reporting Tool. Online Journal of Public Health Informatics, 13(1). https://doi.org/10.5210/ojphi.v13i1.11462

Areán PA*, Pratap, A*, Hsin, H, Huppert, T, Hendricks, K, E, Heagerty, P, Cohen, T, Bagge, C, Comtois, KA. Characterization of personalized Google Searches to detect proximal patterns associated with suicide attempt and perceived utility among survivors: Pilot Cohort Study. Accepted, JMIR, 2021. (* denotes shared first authorship)

Lybarger, M. Ostendorf, M. Thompson, and M. Yetisgen, “Extracting COVID-19 diagnoses and symptoms from clinical text: A new annotated corpus and neural event extraction framework,” Journal Biomedical Informatics, 2021. doi: 10.1016/j.jbi.2021.103761.

Thomas Payne, MD, presented on the topic “Clinical Decision Support Systems in 2021” in the Annual Seminar Series 2021 of the Centre for Digital Transformation of Health, University of Melbourne on, April 1, 2021.

OTHER

Call for abstracts for a theme issue in Value in Health on Remote Patient Monitoring.

The use of remote patient monitoring (RPM) has developed rapidly over the past decades, with further exponential growth due to the COVID-19 pandemic. Value in Health will soon be publishing a themed section on RPM. The call for abstracts is attached. The abstract submission deadline is April 15th. Please consider submitting your work and share the announcement with others.

Value in Health is an international, indexed journal that publishes original research and health policy articles that advance the field of health economics and outcomes research to help healthcare leaders make evidence-based decisions. The journal’s latest impact factor score is 4.748 and is ranked in the top 7 of peer reviewed papers in Health Policy & Services as well as Health Care Sciences & Services, and ranked 19th of 371 journals in Economics.

All interested authors are invited to submit an abstract for consideration in this themed section no later than April 15, 2021. Abstracts should not exceed 500 words and should be submitted to our online portal at https://vihabstracts.secure-platform.com:443/a. Submissions must also include a title page that includes the proposed title of the paper, names and affiliations of all authors and corresponding author, and expected word count and number of graphic elements of the final paper. Please direct any content-related questions to the Guest Editor, JL (Hans) Severens, PhD (severens@eshpm.eur.nl).

The abstracts will be reviewed internally by the Editors, and authors of those that best fit the scope, vision, and goals of this initiative will be invited to submit full papers for consideration in this themed section. Invited papers will be due no later than June 15, 2021. All invited papers will undergo a rapid peer-review process before the Editors make final decisions about papers to be included in this special themed section of Value in Health.

505 Lawrence Square Blvd South, Lawrenceville, NJ 08648

www.ispor.org

March 29-April 2, 2021

NEWS

Pamela Nagasawa, BIME Assistant Professor, will serve as Co-Chair on the BIME Equity, Diversity and Inclusion Committee, with BIME Research Associate Professor Janice Sabin. Pam joined as a member of the BIME EDI Committee in 2020. A few of her recent EDI contributions include serving on the Justice, Equity, Diversity Committee in the Dept. of Family Medicine, with a national presence on the Diversity and Inclusion Mission Advancement Commission of the Physician Assistant Education Association. In June her publication, “I Can’t Breathe” – Courageous Conversations and Responses to Racism in Physician Assistant Education, will appear in JPAE. Pam is committed to continued work at MEDEX on race and health disparities, integration into the curriculum and instruction, and programmatic measurement.

The BIME EDI committee meets quarterly. Our recent EDI Committee meeting on 3/18/21 resulted in the following action items:

Gather more information about how to implement UW Medicine Equity Impact Tool (Janice and Pam)
Introduce the UW Medicine Equity Impact Tool at a faculty meeting (Janice and Pam)
Create common a folder for EDI related slides as resource for faculty and students (Discuss with Heidi)
Develop a ranked list of areas from which to pilot the EIR Tool by asking faculty to generate and prioritize

PUBLICATIONS AND PRESENTATIONS

Scott A. Malec, Peng Wei, Elmer V. Bernstam, Richard D. Boyce, Trevor Cohen. Using computable knowledge mined from the literature to elucidate confounders for EHR-based pharmacovigilance, Journal of Biomedical Informatics, Volume 117, 2021

UPCOMING GENERAL EXAM

Sicheng Song

Thursday, April 8, 2021; 9:00 AM; Zoom: https://washington.zoom.us/j/4347627194

Title: Automated Generation of the Complete RNA-Seq Data Analysis for Neurodegenerative Disease in the Cloud

Abstract: Currently RNA-Seq is perceived to be one of the most prominent methods for mapping and quantifying transcriptomes. It provides the knowledge about the eukaryotic transcriptomes at a deeper level than ever before, allowing us to characterize comprehensively the molecular portraits of diseases. This molecular portrait is vital for the discovery of the potential therapeutic target in certain chronic diseases, like cancer, chronic kidney disease, and neurodegenerative diseases. The wide application of RNA-Seq on one hand has altered our paradigm in conducting biomedical research and expanded our knowledge in complex diseases, but on the other hand, it has posed new challenges to the biomedical informatics field. Based on these challenges, in my work, I would like to propose a comprehensive RNA-Seq workflow, integrating most of the state-of-the-art analysis methods and build an online platform with an intuitive graphical user interface (GUI) which could automate this RNA-Seq workflow, and a data storage backend which is capable of managing multi-omics data as well as clinical data. This application is able to handle massive RNA-Seq experiment data and store the analysis result for future comparison analysis. We believe that with this application we can accelerate translational research and facilitate personalized medicine in neurodegenerative diseases and renal diseases.

Supervisory Committee:

Sean Mooney, Chair; Adam Wilcox; Su-In Lee; Lisa Ellerby

OTHER

Fred Hutch is hosting a free symposium on mobile technologies in healthcare that may be of interest.

SYMPOSIUM ON MOBILE TECHNOLOGIES IN HEALTHCARE

Through this symposium, we aim to bring together a community of mHealth researchers to share their experiences on various aspects of mHealth, including sensors and technology, practical issues of running mHealth studies, data management and analysis.

With rapid development in technology, mobile and wearable devices have been increasingly utilized in biomedical research. Wearable devices can provide substantially enhanced measurement and monitoring of modifiable lifestyle factors (e.g., physical activity, diet, smoking) and health conditions, while smartphone-based technology enables more effective, individualized, just-in-time interventions for health promotion and disease prevention. We anticipate that the use of mobile and wearable devices will become increasingly popular in public health research and mHealth will play a major role in transforming biomedical research in the era of precision medicine and precision public health.

Through this symposium, we aim to bring together a community of mHealth researchers. We especially would like to facilitate collaborations between established mHealth researchers and those who are newer to the field and are interested in incorporating mHealth components in their research agenda.

Date: Thursday, April 08, 2021

Start Time: 9 a.m. PDT

Cost: Free

Learn more and Register: https://www.fredhutch.org/en/events/mhealth-symposium.html

March 22-26, 2021

PUBLICATIONS AND PRESENTATIONS

Yue Guo, Changye Li, Carol Roan, Serguei Pakhomov, Trevor Cohen. Crossing the ‘Cookie Theft’ Corpus Chasm: Applying what BERT Learns from Outside Data to the ADreSS Challenge Dementia Detection Task
To appear in: Frontiers in Computer Science, section Human-Media Interaction

Kostrinsky-Thomas AL, Hisama FM, Payne TH. Searching the PDF haystack: Automated knowledge discovery in scanned EHR documents. Appl Clin Inform, Accepted for publication, 2021.

Hinshaw JC, Zhao LP, Brimm JE, Payne TH, Hisama FM. Value of a genetics clinic evaluation in identifying women at risk for hereditary breast ovarian cancer syndrome. Journal of Genetic Counseling, Accepted for publication, 2021.

Janice Sabin lead: Developing a Healthcare Equity Tool: Combining Technology and Stakeholder Engagement to Uncover Hidden Bias in Patient-Provider Interactions, has been selected for an interactive poster presentation within the “Poster Session: Digital Technologies, Data, and Analytics” at the 2021 Virtual ARM Academy Health, June 14-17.(authors: Sabin, Weibel, Pratt, Beneteau, Lane, Casanova-Perez, Schairer, Rick, Hartzler)

Janice Sabin lead: Primary Care Provider Reflections on Teaching and Practice Following a Course on Implicit Bias in the Clinical and Learning Environment has been selected for an interactive poster presentation within the “Poster Session: Structural Racism, Disparities, and Equity in Health” at the 2021 Virtual ARM Academy Health, June 14-17. (authors: Sabin, Geunther, Andrilla, Gujral, Ornelas, Morales, Patterson, Frogner)

Tong, A.I. Messinger, A.B. Wilcox, S.D. Mooney, G.H. Davidson, P. Suri, and G. Luo. Building a Model to Forecast Asthmatic Patients’ Future Asthma Hospital Encounters in an Academic Healthcare System: Secondary Analysis. Journal of Medical Internet Research (JMIR), 2021.

Luo, C.L. Nau, W.W. Crawford, M. Schatz, R.S. Zeiger, and C. Koebnick. Assessing the Generalizability of an Automatic Explanation Method for Machine Learning Prediction Results: A Secondary Analysis on Forecasting Asthma-Related Hospital Visits in Patients with Asthma. Journal of Medical Internet Research (JMIR), 2021.

March 15-19, 2021

NEWS

Qifei Dong and Wesley Surento (BHI PhD students) both gave oral presentations at the annual UW Radiology Research & Education Day.

Qifei: Deep Learning Classification of Spinal Osteoporotic Compression Fractures on Radiographs Using the Semiquantitative Criteria

Wesley: Impact of retrospective gradient nonlinearity correction on lesion ADC values and diagnostic performance in the ECOG-ACRIN A6702 multicenter breast DWI trial

Sean Mooney was re-elected to the Association for Clinical and Translational Science (ACTS) board of directors for another 3 years.

March 8-12, 2021

NEWS

Media coverage of Gang Luo’s research work

“Enhancing Machine Learning Prediction to Improve Asthma Care Management.”, Physician’s Weekly, Mar. 11, 2021. https://www.physiciansweekly.com/enhancing-machine-learning-prediction-to-improve-asthma-care-management.

PUBLICATIONS AND PRESENTATIONS

Trevor Cohen gave a talk at Columbia DBMI https://www.dbmi.columbia.edu/dbmi-seminar/

Using Neural Language Representations to Detect Linguistic Anomalies in Neurodegenerative and Psychiatric Disease

Language is uniquely positioned in mental health as both a focus of observation for clinical signs and symptoms, and a medium through which some forms of therapy are delivered. Alzheimer’s Disease and other forms of dementia can also affect language production, for example by limiting access to more specific terms that describe the world in detail. In both cases, data from speech and text are increasingly available on account of the use of digital devices to mediate research and healthcare delivery. Neural language representations such as word embeddings, recurrent neural network language models, and contemporary transformer architectures have become a predominant point of focus in computational linguistics research. The models from which these representations are derived are typically trained on large amounts of unlabeled text, with training tasks involving predicting held-out terms that occur in proximity to observed ones. During the course of such training, much information about the typical use of language is learned. This information is of potential value for the detection of the atypical usage that may characterize certain clinical conditions. In this talk I will discuss our recent work in this area, with a focus on two areas of application: (1) a study of the responsiveness of deep neural networks that distinguish between responses to cognitive tasks from participants with and without Alzheimer’s Disease to known deficiencies in language production in this condition; and (2) the application of neural word embeddings to model language coherence in order to detect the disorganized thinking characteristic of episodes of psychosis in schizophrenia and other conditions. I will also more briefly touch on a range of related ongoing work involving efforts to model constructs that are of diagnostic or therapeutic importance in mental health.

Sabin, J.A., Provider Bias-Awareness, Patient-Centeredness and Reflection: Evaluating a Course on Implicit Bias in the Clinical and Learning Environment, UW Family Medicine Research Seminar, March 2, 2021

Sabin, J.A., Toward Health Equity: Addressing Implicit Bias in Healthcare, NW Rural Health Conference, March 4, 2021

March 1-5, 2021

NEWS

On March 2, 2021, Dr. Annie Chen gave a presentation in the Computational Linguistics Seminar at University of North Carolina, Chapel Hill, entitled, “Studying the Language of Psychological and Social Processes in Social Media and Personal Communications: Examples from Biomedical Informatics and Digital Humanities Research.”

Daniel Capurro, has been recently appointed as Deputy Director for the Centre for Digital Transformation of Health at the University of Melbourne, a joint collaboration between the School of Computing and Information Systems and the Faculty of Medicine at that university. Daniel is a BIME graduate who completed his PhD in 2012 under the direction of Peter Tracy-Hornoch and is currently a BIME Affiliate Faculty. His research focuses on clinical data science and process mining.

https://mailchi.mp/47d0d33a49b7/daniel-capurro-appointed-deputy-director?e=9ad1f42bf2

UPCOMING LECTURES AND SEMINARS

BIME 590A – Biomedical & Health Informatics Lecture Series

Thursdays, 11:00am-11:50am, Zoom: https://washington.zoom.us/j/92138508055

BIME 591B

Facilitator: Sarah Stansfield

Tuesdays, 12:30-1:20

Title: Covid-19 Modeling

BIME 591C

Facilitators: Andrew Berry & Matthew Hong

Wednesdays, 12:30-1:20

Title: Participatory Design in the Age of Digital Health

OTHER

Please consider taking the survey and sharing with your network! It only takes 10 minutes to complete:

Researchers at the University of Washington (UW) are interested to assess how the COVID-19 pandemic has impacted the practice of user experience (UX) research. If you currently work or have worked as a UX researcher before and after the COVID-19 pandemic, are 18 years of age or older, and speak English, we would like to get your feedback and understand how the COVID-19 pandemic has influenced UX research practice. Please click on the link to learn more and access the survey, https://tinyurl.com/uxcovid

February 22-26, 2021

NEWS

Adam Wilcox was quoted in an article in the Seattle Times: https://www.seattletimes.com/business/major-hospital-systems-plan-to-share-anonymous-data-on-millions-of-patients-through-seattle-startup/

UPCOMING LECTURES AND SEMINARS

BIME 590A – Biomedical & Health Informatics Lecture Series

Thursdays, 11:00am-11:50am, Zoom: https://washington.zoom.us/j/92138508055

March 4, 2021: Walter Curioso, PhD, Affiliate Associate Professor, Biomedical Informatics and Medical Education

BIME 591B

Facilitator: Sarah Stansfield

Tuesdays, 12:30-1:20

Title: Covid-19 Modeling

BIME 591C

Facilitators: Andrew Berry & Matthew Hong

Wednesdays, 12:30-1:20

Title: Participatory Design in the Age of Digital Health

PRESENTATIONS AND PUBLICATIONS

Supporting Goal-Based Collaboration for Hospitalized Children by Yiran Zhao, Yoojung Kim, Shefali Haldar, Sonali R. Mishra, Julia Dunbar, Calvin Apodaca, Regina Casanova-Perez, Ari H. Pollack, and Wanda Pratt. Proceedings of the ACM on Human-Computer Interaction Vol. 5 (CSCW3). 2021.

The latest issue of JAMIA is a special issue titled Building on Diana Forsythe’s legacy: the value of human experience and context in biomedical and health informatics and four of the papers in this issue have BIME affiliated authors.

Editor’s Choice and featured article:

Different roles with different goals: Designing to support shared situational awareness between patients and clinicians in the hospital by Ari H Pollack, Sonali R Mishra, Calvin Apodaca, Maher Khelifi, Shefali Haldar and Wanda Pratt

UPCOMING LECTURES AND SEMINARS

BIME 590A – Biomedical & Health Informatics Lecture Series

Thursdays, 11:00am-11:50am, Zoom: https://washington.zoom.us/j/92138508055

February 18, 2021: Laura Matrajt, PhD

BIME 591B

Facilitator: Sarah Stansfield

Tuesdays, 12:30-1:20

Title: Covid-19 Modeling

BIME 591C

Facilitators: Andrew Berry & Matthew Hong

Wednesdays, 12:30-1:20

Title: Participatory Design in the Age of Digital Health

UPCOMING FINAL EXAM

Tim Bergquist

Friday, February 12, 2021; 4:00 PM

Zoom: https://washington.zoom.us/j/4818681328

Title: Ensuring Patient Privacy and Accuracy of Analytical Methods to Support Evidence-Based Healthcare

Abstract: Over the past two decades, healthcare providers substantially increased their use of electronic health record (EHR) systems. While the early roll outs of these systems have been fraught with complications and the quality of data from these systems is questionable at times, these EHR systems continue to improve. EHRs are primed to become the core of the data driven healthcare system, with the potential to serve as a platform for population health analytics and predictive model development. However, EHRs represent a high risk for exposing patient records and business practices to nefarious actors. Creating infrastructure to deliver predictive methods to clinical records while protecting patient privacy is key to building a reliable healthcare analytics platform. In this dissertation, I focus on three areas with four aims for building a safe and private data analytics platform on the electronic health record. The aims are to: (1) evaluate the University of Washington EHR as a generalizable public health repository, (2) Pilot a Model-to-Data framework as a method to deliver predictive analytic methods to clinical records (3) Scale the Model-to-Data pipeline to host a community challenge, delivering outside models to electronic health records and (4) Develop a patient portal to enable the return of clinically actionable research results.

OTHER

Documentary: Black Men in White Coats

About this event:

University of Washington (UW) Health Sciences Library; UW School of Medicine (SOM) Faculty Affairs; UW Graduate Medical Education; UW SOM Academic, Rural and Regional Affairs; and UW SOM Office of Healthcare Equity are proud to present the documentary film “Black Men in White Coats.” Fewer Black men applied to medical school in 2014 than in 1978 and Black men have the lowest life expectancy in the United States. With only 2% of American doctors being Black men, this comes as no surprise. This documentary dissects the systemic barriers preventing Black men from becoming medical doctors and the consequences to society at large.

The film will be available for viewing anytime between February 27 and March 3. A unique streaming code will be emailed to attendees. Register Here

Please join us on Wed. March 3rd from 5:00 pm – 6:00 p.m. PST/6:00 pm – 7:00 p.m. MST, for a virtual Q&A and discussion panel with Dr. Dale Okorodudu, founder and executive director of the film.

Film screening: (streaming codes will be emailed)

February 27, 2021 – March 3, 2021 (anytime)gas

Q&A Session: https://washington.zoom.us/j/92507314658

Date: Wednesday, March 3, 2021

Time: 5:00 p.m. PST/6:00 p.m. MST

Guest: Dr. Dale Okorodudu, Founder & Executive Producer, Black Men in White Coats

Facilitator: Dr. Paula Houston, Chief Equity Officer, UW SOM Office of Healthcare Equity

Panelist: Dr. Byron Joyner, Vice Dean for Graduate Medical Education

February 1-5, 2021

PUBLICATIONS AND PRESENTATIONS

Stansfield SE, Herbeck JT, Gottlieb GS, Abernethy NF, Murphy JT, Mittler JE, Goodreau SM.

Test-and-treat coverage and HIV virulence evolution among men who have sex with men. Accepted: Virus Evolution

UPCOMING LECTURES AND SEMINARS

BIME 590A – Biomedical & Health Informatics Lecture Series

Thursdays, 11:00am-11:50am, Zoom: https://washington.zoom.us/j/92138508055

February 4, 2021: TBD

BIME 591B

Facilitator: Sarah Stansfield

Tuesdays, 12:30-1:20

Title: Covid-19 Modeling

BIME 591C

Facilitators: Andrew Berry & Matthew Hong

Wednesdays, 12:30-1:20

Title: Participatory Design in the Age of Digital Health

January 25-29, 2021

PUBLICATIONS AND PRESENTATIONS

January 20, 2021, Dr. Janice Sabin gave a guest lecture in BIME 591- Title: Toward Health Equity: Addressing Bias in Healthcare. Topics included: changing notions of race, history of racism in medicine, social determinants of health, bias, discrimination and equity, and an example of participatory design of culturally tailored health information.

UPCOMING LECTURES AND SEMINARS

BIME 590A – Biomedical & Health Informatics Lecture Series

Thursdays, 11:00am-11:50am, Zoom: https://washington.zoom.us/j/92138508055

February 4, 2021: TBD

BIME 591B

Facilitator: Sarah Stansfield

Tuesdays, 12:30-1:20

Title: Covid-19 Modeling

BIME 591C

Facilitators: Andrew Berry & Matthew Hong

Wednesdays, 12:30-1:20

Title: Participatory Design in the Age of Digital Health

January 18-22, 2021

PUBLICATIONS AND PRESENTATIONS

Drs. Jodell Linder and David Crosslin led the eMERGE III lessons learned marker paper that was accepted to HGG last month and just published online a couple days ago: https://doi.org/10.1016/j.xhgg.2020.100018. It is also one of the three articles featured on the homepage: https://www.cell.com/hgg-advances/home. Drs. Andrea Hartzler (BIME faculty and alum), Peter Tarczy-Hornoch, BIME affiliate Dr. James Ralston, and BIME alum Dr. Casey Overby Taylor are also co-authors.

Alumna Dr. Shefali Haldar will present a webinar for the AMIA Consumer and Public Health Informatics Working Group. She will discuss the use and impact of an online community for hospital patients on Monday, January 25, 9-10am Pacific Time (12-1 pm EST) at https://t.co/7s0dSH7jkq The talk is based on our recently published JAMIA paper:

Shefali Haldar, Sonali R Mishra, Yoojung Kim, Andrea Hartzler, Ari H Pollack, Wanda Pratt, Use and impact of an online community for hospital patients, Journal of the American Medical Informatics Association, Volume 27, Issue 4, April 2020, Pages 549-557, https://doi.org/10.1093/jamia/ocz212

UPCOMING LECTURES AND SEMINARS

BIME 590A – Biomedical & Health Informatics Lecture Series

Thursdays, 11:00am-11:50am, Zoom: https://washington.zoom.us/j/92138508055

January 28, 2021: Gretchen Purcell Jackson, MD, PhD, Vice President and Chief Science Officer,

IBM Watson Health

Associate Professor of Surgery, Pediatrics, and Biomedical Informatics

Vanderbilt University Medical Center

Title: TBD

BIME 591B

Facilitator: Sarah Stansfield

Tuesdays, 12:30-1:20

Title: Covid-19 Modeling

BIME 591C

Facilitators: Andrew Berry & Matthew Hong

Wednesdays, 12:30-1:20

Title: Participatory Design in the Age of Digital Health

January 11-15, 2021

NEWS

Hilaire Thompson, PhD, ARNP, Adjunct Professor in BIME, has been appointed as an Assistant Vice Provost for Academic Personnel in the Office of Academic Personnel beginning January 16, 2021.

UPCOMING LECTURES AND SEMINARS

BIME 590A – Biomedical & Health Informatics Lecture Series

Thursdays, 11:00am-11:50am, Zoom: https://washington.zoom.us/j/92138508055

BIME 591B

Facilitator: Sarah Stansfield

Tuesdays, 12:30-1:20

Title: Covid-19 Modeling

BIME 591C

Facilitators: Andrew Berry & Matthew Hong

Wednesdays, 12:30-1:20

Title: Participatory Design in the Age of Digital Health

January 4-8, 2021

PUBLICATIONS AND PRESENTATIONS

Arseneau ME, Backonja U, Litchman ML, Karimanfard R, Sheng XM, Taylor-Swanson L. #Menopause on Instagram: A mixed methods study. Menopause. 2021 (ahead of print). doi: 10.1097/GME.0000000000001713

Jujjavarapu, C., Anandasakaran, J., Amendola, L.M. et al. ShareDNA: a smartphone app to facilitate family communication of genetic results. BMC Med Genomics 14, 10 (2021). https://doi.org/10.1186/s12920-020-00864-0

UPCOMING LECTURES AND SEMINARS

BIME 590A – Biomedical & Health Informatics Lecture Series

Thursdays, 11:00am-11:50am, Zoom: https://washington.zoom.us/j/92138508055

BIME 591B

Facilitator: Sarah Stansfield

Tuesdays, 12:30-1:20

Title: Covid-19 Modeling

Course Description: This journal-club style seminar will discuss predictive and epidemic models of Covid-19. There has been an outpouring of modeling work published in journals and in archives predicting virus effects. We will go through many of these models and evaluate methods and assumptions to learn how to better critique models.

BIME 591C

Facilitators: Andrew Berry & Matthew Hong

Wednesdays, 12:30-1:20

Title: Participatory Design in the Age of Digital Health

Course Description: Designing effective patient-centered technologies requires all stakeholders (including patients, caregivers, clinicians and many relevant stakeholders) to participate in the creative design process, thus enabling the infusion of their values, skills and knowledge in the final designed outcomes. We call this Participatory Design (PD). While PD relies on a range of in-person research activities, the recent pandemic has disrupted the status quo, forcing researchers to adapt to new constraints that come with running PD activities (e.g., design workshops) entirely through online channels. This course invites students to learn about fundamental concepts in PD, how to apply them in various care settings as well as contribute new knowledge that can be used toward doing PD in the age of digital health.

December 28, 2020-January 1, 2021

PUBLICATIONS AND PRESENTATIONS

K. Lybarger, M. Ostendorf, and M. Yetisgen, “Annotating social determinants of health using active learning, and characterizing determinants using neural event extraction,” Journal of Biomedical Informatics, 2020, doi: 10.1016/j.jbi.2020.103631.

UPCOMING LECTURES AND SEMINARS

BIME 590A – Biomedical & Health Informatics Lecture Series

Thursdays, 11:00am-11:50am, Zoom: https://washington.zoom.us/j/92138508055

BIME 591B

Facilitator: Sarah Stansfield

Tuesdays, 12:30-1:20

Title: Covid-19 Modeling

BIME 591C

Facilitators: Andrew Berry & Matthew Hong

Wednesdays, 12:30-1:20

Title: Participatory Design in the Age of Digital Health

December 21-December 25, 2020

PUBLICATIONS AND PRESENTATIONS

Mike Hairfield, Pacific Symposium on Biocomputing 2021: Perspectives and Concerns Regarding “Ground Truth” and “Gold Standard” as Applied to Artificial Intelligence and Machine Learning in the Health Sciences, UW BIME

Dymek C, Kim B, Melton GB, Payne TH, Singh H, Hsiao CJ. Building the evidence-base to reduce electronic health record-related clinician burden. J Am Med Inform Assoc. 2020 Dec 19:ocaa238. doi: 10.1093/jamia/ocaa238. Online ahead of print. PMID: 33340326

December 7-December 11, 2020

NEWS

Caring for Caregivers Online (COCO), led by Weichao Yuwen and Will Kearns, was awarded funding through the CoMotion Innovation Gap Fund to support the development of an AI-augmented tele-nursing platform to assist family caregivers.

November 30-December 4, 2020

UPCOMING LECTURES AND SEMINARS

BIME 590A – Biomedical & Health Informatics Lecture Series

Thursday, 11:00am-11:50am, Zoom: https://washington.zoom.us/j/92138508055

December 10, 2020: Gilmer Valdes, PhD

Title: Expert-Augmented Machine Learning

Abstract: Machine Learning is proving invaluable across disciplines. However, its success is often limited by the quality and quantity of available data, while its adoption is limited by the level of trust afforded by given models. Human vs. machine performance is commonly compared empirically to decide whether a certain task should be performed by a computer or an expert. In reality, the optimal learning strategy may involve combining the complementary strengths of man and machine. Here we present Expert-Augmented Machine Learning (EAML)1, an automated method that guides the extraction of expert knowledge and its integration into machine-learned models. Using RuleFit and a large dataset of intensive care patient data to derive 126 decision rules that predict hospital mortality. Using an online platform, we asked fifteen clinicians to assess the relative risk of the subpopulation defined by each rule compared to the total sample. We compared the clinician-assessed risk to the empirical risk and found that while clinicians agreed with the data in most cases, there were notable exceptions were they over- or under-estimated the true risk. Studying the rules with greatest disagreement, we identified problems with the training data, including one miscoded variable and one hidden confounder. Filtering the rules based on the extent of disagreement between clinicians and empirical risk, we improved performance on out-of-sample data and were able to train with less data. EAML provides a platform for automated creation of problem-specific priors which help build robust and dependable machine learning models in critical applications.

BIME 591B – Reproducibility in Research

Tuesdays, 11:30-12:20

Facilitators: Hannah Burkhardt, Jake Portanova (BHI PhD Students) with Trevor Cohen (faculty sponsor)

PUBLICATIONS AND PRESENTATIONS

Yue Guo*, Wei Qiu*, Yizhong Wang, and Trevor Cohen (* denotes equal contribution). Automated Lay Language Summarization of Biomedical Scientific Reviews. Accepted paper, Thirty-Fifth AAAI Conference on Artificial Intelligence (AAAI-21).

Yifan Wu, Justin Mower, Devika Subramanian, and Trevor Cohen. Prediction of Blood-Brain Barrier Permeability to Drugs with FDA Adverse Event Report Derived Embeddings. Abstract accepted for podium presentation at the AMIA 2021 Virtual Informatics Summit.

Drs. Oleg Zaslavsky and Annie Chen, along with collaborator Dr. Kimiko Domoto-Reilly, will receive an Innovation Award from the Garvey Institute for Brain Health Solutions to develop an online intervention for older adults who are caregivers of persons with Lewy body dementias. https://gibhs.psychiatry.uw.edu/current-projects/

Chen, A. T., Chu, F., Teng, A. K., Han, S., Lin, S.-Y., Demiris, G., Zaslavsky, O. (accepted). Virtual Online Communities for Aging Life Experiences (VOCALE): A social networking intervention to promote problem solving about health management. Gerontology and Geriatric Medicine.

November 16-20, 2020

NEWS

Andrew M. Simms, BIME PhD ’11, has joined the AstraZeneca Patient Safety Center of Excellence as a Senior Scientist. He will be focused on Safety Informatics for the AZD1222 COVID-19 vaccine project team.

UPCOMING LECTURES AND SEMINARS

BIME 590A – Biomedical & Health Informatics Lecture Series

Thursday, 11:00am-11:50am, Zoom: https://washington.zoom.us/j/92138508055

November 26, 2020: Thanksgiving-no Class

BIME 591B – Reproducibility in Research

Tuesdays, 11:30-12:20

Facilitators: Hannah Burkhardt, Jake Portanova (BHI PhD Students) with Trevor Cohen (faculty sponsor)

PUBLICATIONS AND PRESENTATIONS

Backonja U. Understanding Support for a Nursing Informatics Leadership Pipeline: An ANI Emerging Leader Project. Comput Inform Nurs. 2020;38(11):543-544. doi:10.1097/CIN.0000000000000698

November 9-13, 2020

NEWS

The SOARing Project was highlighted in the recently released AHRQ Year in Review Report (page 12 of report)- https://digital.ahrq.gov/sites/default/files/docs/page/2019-year-in-review.pdf

Team members included several BIME faculty and students: Andrea Hartzler, George Demiris, Andrew Teng and Anne Turner (PI).

UPCOMING LECTURES AND SEMINARS

BIME 590A – Biomedical & Health Informatics Lecture Series

Thursday, 11:00am-11:50am, Zoom: https://washington.zoom.us/j/92138508055

November 19, 2020:

Speaker: Josh Herbeck, PhD

Title: TBD

BIME 591B – Reproducibility in Research

Tuesdays, 11:30-12:20

Facilitators: Hannah Burkhardt, Jake Portanova (BHI PhD Students) with Trevor Cohen (faculty sponsor)

PUBLICATIONS AND PRESENTATIONS

Jeehoon Jang, a Clinical Informatics fellow, presented a poster at BMJ International Forum on Quality & Safety in Healthcare held in Copenhagen, Denmark last Thursday (11/5) and will present the same poster at AMIA 2020 Symposium next Monday (11/16).

Title: “On-Demand, Mobile Clinical Decision Support Delivering “What-to-Know” Applied to ACC AHA Pre-Operative Guideline”

Luo, M.D. Johnson, F.L. Nkoy, S. He, and B.L. Stone. Automatically Explaining Machine Learning Prediction Results on Asthma Hospital Visits in Asthmatic Patients: Secondary Analysis. JMIR Medical Informatics, 2020

2020 AAMC Lean Serve Lead Annual Meeting, November 16, 2020 2-3pm Eastern, (11am-12pm Pacific)
Addressing Institutionalized Racism in Academic Medicine

In the 19th century, medical beliefs based on theories of racial biological differences served to validate racism across institutional structures of American society. Research has shown that many of those racial myths linger in medicine today and contribute to racial and ethnic disparities in medicine. This session will explore historical racist beliefs that remain, how misinformation is perpetuated, and how automatic associations and hidden biases unintentionally influence patient care. Two institutions will highlight steps they have taken to address bias, stereotypes and misinformation in their curriculum, daily interactions, and practice of medicine.
Learning Objectives:
•  Identify false beliefs about race from the past that continue to influence medicine today.
•  Identify methods to address hidden biases, stereotypes, and misinformation that contribute to inequity.
•  Highlight institutional interventions to dispel racist misinformation in medicine and teach antiracist practices.

Speaker(s): Ann-Gel Palermo Brenda Pereda Janice Sabin

Facilitator: Laura Castillo-Page

October 26-October 30, 2020

UPCOMING LECTURES AND SEMINARS

BIME 590A – Biomedical & Health Informatics Lecture Series

Thursday, 11:00am-11:50am, Zoom: https://washington.zoom.us/j/92138508055

November 5, 2020:

Speaker: Brian Piening, PhD

Title: Molecular Tracking of SARS-CoV-2 in Oregon and Beyond

Abstract: Until the availability of a vaccine against SARS-CoV-2, molecular diagnostics represent some of our most effective tools in the COVID-19 pandemic. Here I will discuss work from our group in launching rapid diagnostics, SARS-CoV-2 genome sequencing and large-scale COVID-19 serological testing in the Providence Health System. These efforts have revealed a wealth of data regarding the molecular trajectories of SARS-CoV-2 in Oregon and I will discuss ongoing efforts linking SARS-CoV-2 molecular information with electronic health record data to better predict outcomes.

Speaker Bio: : Brian Piening, PhD is technical director for clinical genomics in the Providence Molecular Genomics Laboratory, which provides clinical genomics testing across the multi-state nonprofit Providence/Swedish Health Network. Dr. Piening is also research faculty at the Providence Cancer Institute in Portland, OR and his research laboratory utilizes multi-omic and computational methods to develop predictive and prognostic biomarkers associated with cancer immunotherapeutics. Dr. Piening performed his PhD training in Molecular and Cellular Biology at UW and Fred Hutch and his postdoctoral training in the department of genetics at Stanford University. He has recently contributed to several large multi-omic studies including the NIH Human Microbiome Project and the NASA Twins Study.

BIME 591B – Reproducibility in Research

Tuesdays, 11:30-12:20

Facilitators: Hannah Burkhardt, Jake Portanova (BHI PhD Students) with Trevor Cohen (faculty sponsor)

October 19-October 23, 2020

UPCOMING LECTURES AND SEMINARS

BIME 590A – Biomedical & Health Informatics Lecture Series

Thursday, 11:00am-11:50am, Zoom: https://washington.zoom.us/j/92138508055

October 29: Speaker: Jason Moore, PhD, University of Pennsylvania

Title: Accessible Artificial Intelligence for Data Science

Abstract: Artificial intelligence (AI) has finally emerged as a useful tool for big data analytics. This is due to decades of research that have provided powerful algorithms and the availability of plentiful computing resources. Despite these advances, AI is not widely accessible due to a steep learning curve and the expense and black box nature of software provided by commercial vendors. In response to this need, we have developed an accessible, open-source, and user-friendly AI system at the University of Pennsylvania (PennAI) to bring AI and automated machine learning technology to everyone who wants to incorporate this technology into their big data analytics agenda.

Speaker Bio: Jason Moore is the Edward Rose Professor of Informatics and Director of the Penn Institute for Biomedical Informatics. He also serves as Senior Associate Dean for Informatics and Chief of the Division of Informatics in the Department of Biostatistics, Epidemiology, and Informatics. He came to Penn in 2015 from Dartmouth where he was Director of the Institute for Quantitative Biomedical Sciences. Prior to Dartmouth he served as Director of the Advanced Computing Center for Research and Education at Vanderbilt University where he launched their first high-performance computer. He has a Ph.D. in Human Genetics and an M.S. in Applied Statistics from the University of Michigan. He leads an active NIH-funded research program focused on the development of artificial intelligence and machine learning algorithms for the analysis of complex biomedical data. He is an elected fellow of the American Association for the Advancement of Science (AAAS), an elected fellow of the American College of Medical Informatics (ACMI), and an elected fellow of the American Statistical Association (ASA). He serves as Editor-in-Chief of the journal BioData Mining.

BIME 591B – Reproducibility in Research

Tuesdays, 11:30-12:20

Facilitators: Hannah Burkhardt, Jake Portanova (BHI PhD Students) with Trevor Cohen (faculty sponsor)

PUBLICATIONS

Shefali Haldar, Yoojung Kim, Sonali R. Mishra, Andrea L. Hartzler, Ari H Pollack, and Wanda Pratt. 2020. The Patient Advice System: A Technology Probe Study to Enable Peer Support in the Hospital. Proc. ACM Hum.-Comput. Interact. 4, CSCW2, Article 112 (October 2020). https://doi.org/10.1145/3415183

Lauren Snyder, Ayan Anandkumar Saraf, Regina Casanova-Perez, Sarah E. Connor, Sheba George, Amelia Wang, Darwin Jones, Georgina Mendoza, John Gore, Mark S. Litwin and Andrea Hartzler. Visualization Co-Design with Prostate Cancer Survivors who have Limited Graph Literacy. Accepted for VAHC 2020.

Regina Casanova-Perez, Calvin Apodaca, Cezanne Lane, Drishti Vidyarthi, Erin Beneteau, Steven R. Rick, Colleen Emmenegger, Cindy Schairer, Janice Sabin, Wanda Pratt, Nadir Weibel, Andrea L Hartzler. Patients’ perspectives on implicit bias in clinical interactions with healthcare providers. Poster presentation at Workshop on Interactive Systems in Healthcare (WISH) 2020.

Steven R. Rick, Colleen Emmenegger, Cynthia E. Schairer, Alex Andreiu, Sam Fleet, Kimberly Sladek, James Ricketts, Calvin Apodaca, Regina Casanova-Perez, Cezanne Lane, Erin Beneteau, Drishti Vidyarthi, Janice Sabin, Wanda Pratt, Andrea Hartzler, Nadir Weibel. Seeing Beyond Patient-Centeredness: Searching for a Signal of Bias and Empathy in Patient-Provider Interaction. Poster presentation at Workshop on Interactive Systems in Healthcare (WISH) 2020.

Luo, C.L. Nau, W.W. Crawford, M. Schatz, R.S. Zeiger, E. Rozema, and C. Koebnick. Developing a Predictive Model for Asthma-Related Hospital Encounters in Patients with Asthma in a Large Integrated Healthcare System: Secondary Analysis. JMIR Medical Informatics, 2020

Tong, A.I. Messinger, and G. Luo. Testing the Generalizability of an Automated Method for Explaining Machine Learning Predictions on Asthma Patients’ Asthma Hospital Visits to an Academic Healthcare System. IEEE Access, 2020.

Adam Wilcox: article that came out of an interview with The Verge:

https://www.theverge.com/2020/10/19/21522863/health-data-records-covid-coronavirus-model-nih-privacy-n3c

NEWS

UW jumps two spots to No. 8 in US News Best Global Universities ranking

The University of Washington moved up two spots to No. 8 on the U.S. News & World Report’s Best Global Universities rankings, released Tuesday. The UW maintained its No. 2 ranking among U.S. public institutions. In addition, 10 subjects at the UW are ranked in the top 10 in the world, including infectious diseases (No. 6), immunology (No. 6) and social sciences and public health (No. 7) — all fields that are playing critical roles in the COVID-19 pandemic response.

https://www.washington.edu/news/

October 12-October 16, 2020

UPCOMING LECTURES AND SEMINARS

BIME 590A – Biomedical & Health Informatics Lecture Series

Thursday, 11:00am-11:50am, Zoom: https://washington.zoom.us/j/92138508055

October 22: Speaker: TBD

BIME 591B – Reproducibility in Research

Tuesdays, 11:30-12:20

Facilitators: Hannah Burkhardt, Jake Portanova (BHI PhD Students) with Trevor Cohen (faculty sponsor)

OTHER

The UW School of Medicine AI Seminars

We are excited to announce the first AI in Medicine Seminar featuring Prof. Sean Mooney with an introduction by School of Medicine Dean and UW Medicine CEO Dr. Paul Ramsey and Biomedical Informatics and Medical Education Chair, Peter Tarczy-Hornoch. Please register at this link.

The meeting will be held on Zoom: October 19th, Monday at 1:00-2:30pm; https://uw-phi.zoom.us/j/91367210948

October 5-October 9, 2020

UPCOMING LECTURES AND SEMINARS

BIME 590A – Biomedical & Health Informatics Lecture Series

Thursday, 11:00am-11:50am, Zoom: https://washington.zoom.us/j/92138508055

October 15: Speaker: TBD

BIME 591B – Reproducibility in Research

Tuesdays, 11:30-12:20: Zoom: https://washington.zoom.us/j/98333515649

Facilitators: Hannah Burkhardt, Jake Portanova (BHI PhD Students) with Trevor Cohen (faculty sponsor)

Guest Speaker 10/13/2020: Dr. Ariel Rokem from the eScience reproducibility in science group

OTHER

The UW School of Medicine AI Seminars

The meeting will be held on Zoom: October 19th, Monday at 1:00-2:30pm; https://uw-phi.zoom.us/j/91367210948

September 28-October 2, 2020

PUBLICATIONS

Choi, Y.K., Demiris, G., & Thompson, H.J. (in press). Use of an Internet-of-Things smart home system for healthy aging of older adults in their residential setting: A feasibility study. JMIR Aging.

Choi, Y.K., Thompson, H.J. & Demiris, G. (in press). Internet-of-Things (IoT) smart home technology to support aging-in-place: older adults’ perceptions and attitudes. Journal of Gerontological Nursing.

OTHER

Microsoft is hiring interns for next summer. The job description is posted here:

https://careers.microsoft.com/students/us/en/job/870957/Internship-Opportunities-for-Students-Software-Engineer

It is a rather generic job posting for all of Microsoft, but the Healtcare NeXT team, has internship openings. We work on building an open source FHIR server, DICOM server and related tools. We are part of Microsoft Research which allows for some fun activities during the summer and exposure to other research teams.

If anyone is interested, they can reach out to Jared Erwin, erwinj@uw.edu, but will also need to apply online using the link above. You can mention the Healthcare NeXT team, and the hiring manager is Joyce Cunningham.

September 21-September 25, 2020

NEWS

A message from Paul Ramsey, MD: After 10 years of serving as Associate Dean for Curriculum Dr. Michael Ryan is stepping down from his role effective 9/16/20. He recently moved from Seattle to Spokane where he has continued his outstanding work. I am pleased to report that Dr. Ryan will continue working with the curriculum team making additional improvements and changes to the curriculum starting with the 2022-23 academic year. Dr. Mark Whipple, assistant to the dean for clinical education, has agreed to serve as the acting associate dean for curriculum. In the near future, I will announce the search process for a permanent associate dean for curriculum. Please join me in thanking Dr. Ryan for his superb contributions and remarkable vision.

Trevor Cohen MBChB, PhD, received a Notification of Award for from the National Institute on Aging indicating the award of a $442 K grant to develop novel approaches to quantify the coherence of language produced by patients with Dementia of the Alzheimer’s Type, in order to facilitate the study of fluctuations in lucidity over time that have been observed in this condition. The award is for is a multi-PI grant with Serguei Pakhomov, PhD at the University of Minnesota and Trevor as the two PIs.

Project Description: The focus of the proposed project is to enable automated detection and analysis of episodes of unexpected lucidity in individuals with late-stage dementia in which the individual long thought to have succumbed to dementia and lost most of his or her cognitive abilities temporarily regains the ability to communicate in a clear and coherent fashion. The very low frequency and unexpected nature of these episodes make it challenging to capture objective evidence in the form of audio or video recordings of these events needed to enable systematic and comprehensive investigations. Thus, it is necessary to develop technological solutions for automated linguistic analysis that can be used for long-term continuous monitoring of individuals in late stages of dementia. In this feasibility project, we will develop technology to address two challenging issues: a) accurate conversion of continuous speech to text, and b) automated analysis of the text to measure the degree of coherence.

Dr. Anne Turner, Dr. Uba Backonja, and fellow investigators were awarded supplemental funding by the Health and Human Services Office of Minority Health to integrate data and training on COVID-19 and related social determinants of health into their project, SHARE-NW: Solutions in Health Analytics for Rural Equity across the Northwest.

Casey Overby Taylor, PhD, received one of the NIH/NHGRI-funded Genomic Innovator Awards this year.

It will provide some funding for Casey and team members over the next 5 years to study genomic clinical decision support.

The story from Hopkins BME is here: https://www.bme.jhu.edu/news-events/news/casey-overby-taylor-earns-genomic-innovator-award/

OTHER

Houda Benlhabib, PhD, announced the birth of her baby girl “Noor” born on 09/20/2020: 8 pounds and 1.7 oz, mom and baby are healthy.

September 14-September 18, 2020

PUBLICATIONS AND PRESENTATIONS

Thomas H Payne, Lue Ping Zhao, Calvin Le, Peter Wilcox, Troy Yi, Jesse Hinshaw, Duncan Hussey, Alex Kostrinsky-Thomas, Malika Hale, John Brimm, Fuki M Hisama. Electronic health records contain dispersed risk factor information that could be used to prevent breast and ovarian cancer. Journal of the American Medical Informatics Association, ocaa152, https://doi.org/10.1093/jamia/ocaa152

Fox S, Menking A, Eschler J, Backonja U. Modules Over Models: Participatory Explorations of the Menstrual Tracking Application. ToCHI special issue on Special Issue on HCI and the Body: Reimagining Women’s Health). 2020; 27(4): article 22. https://doi.org/10.1145/3397178

OTHER

We are growing the Informatics team at DOH (Shoreline) Please consider joining us and helping in the COVID response.

Bryant Thomas Karras M.D.

Chief Informatics Officer

Office of the State Health Officer/Chief Science Officer

Washington State Department of Health

bryant.karras@doh.wa.gov

Here are the direct links and blurbs:

Informatics Specialist (all levels)

Public Health Informatics Specialist (Epidemiologist) positions will support development, maintenance, operation, enhancement, and configuration of data systems and informatics capabilities to address the needs of the Department of Health and in service to the 35 Local Health Jurisdictions, 29 federally-recognized Tribes, and other public health and healthcare sector partners across Washington State. These include laboratory and case reporting, systems which support case management and case and contact investigation, and other critical informatics and data science capabilities that support all aspects of the COVID-19 response in Washington State.

https://www.governmentjobs.com/careers/washington/doh/jobs/2855022

Informatics System Support Supervisor WMS1:

COVID-19 Informatics Systems Support Unit Lead will support priority capacity in COVID-19 response by serving as the Systems Support Unit Supervisor. The Systems Support Unit supports the ongoing surveillance system design, development, and integration tasks. This position leads teams charged with maintaining and operating key data systems and capabilities, and leading process improvements and system enhancements for state-led surveillance applications. They are responsible for a staff of eleven (11) professionals and will coordinate with private and public sector partners to expand surveillance capacity within the state.

https://www.governmentjobs.com/careers/washington/doh/jobs/2861017

RHINO Program Manager WMS1:

Rapid Health Information NetwOrk (RHINO) Program Manager is the program manager for the Rapid Health Information NetwOrk (RHINO) program, Washington state’s syndromic surveillance program. This position has the authority to act on behalf of the agency to public and elected officials, media, and others, regarding issues of high visibility or sensitivity. The RHINO Program Manager will conduct supervisory activities, and coordinate public health surveillance activities for syndromic surveillance, for communicable diseases and non-communicable conditions. This position is directly responsible for supervising professional-level staff responsible for meeting federal grant deliverables around developing, sustaining, and enhancing Washington’s syndromic surveillance capacity. The RHINO Program Manager will coordinate efforts with cross-agency workgroups and other key stakeholders to ensure robust data systems are in place to address syndromic surveillance needs throughout the Department of Health and in service to Local Health Jurisdictions and Tribal health authorities.

https://www.governmentjobs.com/careers/washington/doh/jobs/2860963