Robert Greenes, M.D, Ph.D.: Health Care Transformation: 11 Disruptive Changes and their Health IT Implications


Over less than a decade a number of forces have gathered growing momentum, and are poised to create a significant transformation in our health and health care systems – with their impact already being felt.  These forces have scientific, technical, financial, policy, and social underpinnings.  We identify 11 such forces that have substantial disruptive potential, and consider the implications for how health IT needs to evolve – both in response to and to enable the transformations to realize their intended benefits.

About Robert A. Greenes

Dr. Greenes joined Arizona State University as Ira A. Fulton Chair and Professor of Biomedical Informatics, in 2007, in which position he served until the current year, during which he is on sabbatical.  He is also Professor of Biomedical Informatics at Mayo Clinic. Before his move to Arizona, he was founder and director of the Decision Systems Group, a Harvard-based biomedical informatics laboratory at the Brigham and Women’s Hospital.  For over 20 years, Dr. Greenes was the Program Director of the National Library of Medicine-supported Boston Research Training Pro­gram in Biomedical Informatics.  He was Distinguished Chair in Biomedical Informatics at Brigham and Women’s Hospital, and Professor of Radiology, Health Sciences and Technology, and Health Policy and Management at Harvard.  With an M.D. and Ph.D. in applied mathematics/compu­ter science from Harvard, he is Board Certified in Diagnostic Radiology.  He is a member of the Institute of Medicine, and a Fellow of the American College of Medical Informatics, the American College of Radiology, and the Society of Imaging Informatics in Medicine. He was the 2008 recipient of the Morris F. Collen Award for contributions that have made a lasting impact on the field of biomedical informatics, from the American College of Medical Informatics.  The Robert A. Greenes Directorship in Biomedical Informatics at the Brigham and Women’s Hospital continues to bear his name.  Dr. Greenes’ main interests are in clinical informatics, particularly clinical decision support, health care quality improvement, and application usability/interoperability to optimize care processes. He was one of the original developers of the MUMPS language and system widely used in health care.