Stanley Finkelstein, PhD

Professor, Department of Laboratory Medicine and Pathology

Stanley Finkelstein

Contact Info

stan@umn.edu

Office Phone 612-625-6406

Fax 612-625-7166

Office Address:
793 Mayo Memorial Building

Mailing Address:
MMC 609
420 Delaware Street SE
Minneapolis, MN 55455

PhD, Polytechnic Institute of Brooklyn (Systems Sciences and Electrical Engineering), 1969

MS, Polytechnic Institute of Brooklyn (Electrical Engineering), 1964

BS, Polytechnic Institute of Brooklyn (Electrical Engineering), 1962

Summary

Dr. Finkelstein been a leader in the development, implementation and dissemination of patient monitoring and home telehealth applications for the past 30 years, with funding support from federal agencies for a wide range of studies in geriatric, pediatric and chronic disease populations. During this time he has served as the primary research advisor/mentor for numerous masters, doctoral and post-doctoral students in fields of health informatics, biomedical engineering, biophysical sciences, and nursing

Dr. Finkelstein is an electrical engineer/biomedical engineer whose research employs engineering principles to develop monitoring systems and decision-support systems for managing patients with chronic illnesses. Over three decades he and colleagues in medicine, pediatrics, nursing, and biostatistics have developed clinic and home-based monitoring systems for cardiovascular, cystic fibrosis and lung and heart-lung transplant patients to assist in detecting clinical decline at the earliest possible stage. He and colleagues in cardiology utilized pulse contour methodology to develop a non-invasive measurement of arterial vascular compliance that provided early indicators of hypertension and other cardiac disease. These studies resulted in numerous patents and the founding of a local company, Hypertension Diagnostics Inc, to further develop and market this monitoring system.He and colleagues in pediatrics and pulmonary medicine developed an electronic spirometer and diary system to enable patients to make respiratory measurements reliably at home. In initial studies, spirometry, vital signs, and symptom information were recorded daily in this electronic instrument and transmitted by telephone to the study database for weekly review and evaluation. Patients in these studies were educated and empowered to assist their medical team by providing information that was helpful for identifying those at risk for an infection or rejection episode. The system Finkelstein and his colleagues designed facilitated the detection of these adverse health trends earlier than is now practical by regular clinic visits, so that lung transplant patients can be treated before serious complications develop. Early detection and the shift from hospital to clinic care made possible by such monitoring may also reduce the cost of care for these patients, but conclusive evidence for this awaits future studies.

Dr. Finkelstein and fellow investigators have developed and implemented telemedicine applications for chronic disease management, with a focus on telemedicine from the home (telehomecare). They have also designed and implemented effective data visualization tools and automated decision support systems to assist the clinical team in assessing patient status from home monitoring data.Currently, they are developing care coordination procedures and methods for home health care for children with complex medical conditions and healthcare needs.Hospital-based advanced practice registered nurses (APRNs) employ both telephone and low-cost, HIPAA-compliant web-based video conferencing to link them with parents and other primary caregivers at patients’ homes.These telehealth links enable them to provide effective clinical guidance. The researchers are finding that relationship-based APRN care coordination, delivered via telehealth, shows an increase in the frequency of parent-initiated acute and chronic condition episodes that can be managed remotely. Such a telehealth delivered care coordination program has the potential to change how parents and families of children with complex medical conditions manage their child’s care.

Awards & Recognition

Fellow, American Institute of Medical and Biological Engineering

Professional Associations

  • 1977- presentGraduate Faculty member, Health Informatics
  • 1977- presentGraduate Faculty member, Biomedical Engineering
  • 1981 - 2001 IEEE Transactions on Biomedical Engineering, Associate Editor
  • 1986 - 1997 Director of Graduate Studies-Health Informatics
  • 1996 -2000 Director of Graduate Studies-Biomedical Engineering
  • 1996Founding member, Biomedical Engineering Institute (BMEI),currentlyInstitute of Engineering in Medicine (IEM)
  • 1996 -2000 BMEI Associate Director for Education
  • 1996IEEE Transactions on Information Technology in Biomedicine: Founding Editorial Board
  • 1996-2013 IEEE Transactions on Information Technology in

Research

Research Summary/Interests

Use of remote monitoring and telemedicine systems to monitor patients to provide early detection of potentially adverse health conditions, to enable early intervention and treatment; ideally this connectivity can be between patients in their home and their care providers at their clinical site.

Publications

(since 2010; from total of 162 articles and 204 abstracts/presentations)

  • Pieczkiewicz DS, Finkelstein SM. Evaluating the decision accuracy and speed of clinical data visualization. JAMIA 17:178-181, 2010 (Pubmed ID: 20190060)
  • Cady R, Finkelstein S, Lindgren B, Robiner W, Lindquist R, Van Wormer A, Harrington K,Exploring the translational impact of a home telemonitoring intervention using time-motion study. J Telemed e-Health 16:576-584, 2010PMID:20575725
  • Finkelstein SM, Cady RG. Research Technology-Home Telehealth and Remote Monitoring, chapter in Shaping Health Policy Through Nursing Research, Hinshaw AS, Grady PA (eds), Springer, New York, 2010, pp.251-268.
  • LaVelle MB, Finkelstein SM, Lindgren BR, Lindquist R, Robiner WN, MacMahon K, VanWormer AM. Newsletters and adherence to a weekly home spirometry program after lung transplant, Progress in Transplantation20: 329-334, 2010PMID: 21265285
  • Finkelstein SM, Speedie SM, Zhou X, Potthoff S,Ratner E. Perception, satisfaction, and utilization with the VALUE home telehealth program. J Telemed Telecare17: 288-292, 2011.
  • Lindquist R, VanWormer A, Lindgren B, Harrington K, Robiner W, Finkelstein S. Time-motion analysis ofresearch nurse activities in a lung transplant home monitoring study. Prog Transplantation21: 190-199,2011.
  • Finkelstein SM, MacMahon K, Lindgren BR, Robiner WN, Lindquist R, Van Wormer A, Hertz MI. The remote monitoring satisfaction survey and its use in a clinical trial with lung transplant recipients. J Telemed Telecare18:42-46, 2012
  • VanWormer A, Lindquist R, Robiner W, Finkelstein S. Interdisciplinary collaboration applied to clinical research: an example of remote monitoring in lung transplantation.Dimensions of Critical Care Nursing 31:202-210, 2012
  • Looman W, Erickson M, Garwick A, Cady R, Kelly A, Pettey C, Finkelstein S. Meaningful use of data in care coordination by the advanced practice registered nurse: the TeleFamilies project. CIN: Computers, Informatics, Nursing 30: 649-654, 2012
  • Cady RG, Finkelstein SM. A mixed methods approach for measuring the impact of delivery-centric interventions on clinician workflow. AMIA Annual Symp Proceedings 2012: 1168-1175, 2012
  • Looman W, Presler E, Erickson M, Garwick A, Cady R, Kelly A, Finkelstein S. Care coordination for children with complex special health care needs: thevalue of the advanced practice nurse’s enhanced scope of knowledge and practice. J Pediatric Health Care 27: 293-303, 2013
  • Wang W, Finkelstein S, Hertz M. Automatic event detection in lung transplant recipients based on home monitoring of spirometry and symptoms. J Telemed e-Hlth 19: 658-663, 2013
  • Cady RG, Finkelstein SM. A mixed methods approach for measuring the impact of a telehealth intervention on the workflow of telephone triage nurses. CompInfom Nurs 9: 439-449, 2013
  • Finkelstein SM, Lindgren BR, Robiner W, Lindquist R, Hertz M, Carlin BP, VanWormer A. A Randomized controlled trial comparing health and quality of life of lung transplant recipients following nurse and computer-based triage utilizing home spirometry monitoring.Telemed J e Health 19:897-903, 2013
  • Cady RG, Kelly AM, Finkelstein SM, Looman WS, Garwick AW. Attributes of advanced practice registered nurse care coordination for children with medical complexity.Journal of Ped Hlth Care 28:305-312, 2014
  • CadyR, Finkelstein SM.Task-technology fit of video telehealth for nurses in an outpatient clinic setting. J Telemed e-Health, 20: 633-639, 2014
  • Cady RG, Erickson MM, Lunos S, Finkelstein SM,Looman WS, Celebreeze M, Garwick A. Meeting the needs of children with medical complexity using a telehealth advanced practice registered nurse care coordination model. Maternal Child Health J, 19: 1497-1506, 2015
  • Looman WS, Antolick M, Cady RG, Lunos SA, Garwick AE, Finkelstein SM. Effects of a telehealth care coordination intervention on perceptions of health care by caregivers of children with medical complexity: a randomized controlled trial. J Pediatric Health Care 29: 352-363, 2015
  • Finkelstein SM, Celebrezze M, Cady RG, Lunos S, Looman WS. Strategies to maximize data collection rates in an RCT focused on children with medical complexity. J Telemed & e Hlth, Oct 2015, (Epub ahead of print)