Faculty

faculty photo
Bryant Thomas Karras
MD  
University of Wisconsin, 1995
Internal Medicine
BA  
University of California (San Diego), 1990
Biomedical Engineering
-  
Yale University, 2000
Medical Informatics Fellowship
-  
Dartmouth College,
Engineering
Adjunct Assistant Professor, Medical Education & Biomedical Informatics

Department of Health Services Program Affiliations:
  -  Public Health Informatics
  -  Northwest Center for Public Health Practice

Dr. Bryant Thomas Karras is a assistant professor with the Department of Health Services, School of Public Health and Community Medicine and the Division of Bio-Medical and Health Informatics, School of Medicine at the University of Washington, Seattle. He has been recruited to work with Health Services and Epidemiology faculty on new research in the application of Informatics in Public Health, and to assist in development and teaching of new courses in the BHI program. Dr. Karras has completed a fellowship in Medical Informatics at Yale University under the direction of Dr. Perry Miller, a highly regarded leader nationally in medical informatics. Dr Karras has his medical degree from the University of Wisconsin Madison. He did his residency and was chief resident in Internal Medicine at Sinai-Samaritan Hospital, the Milwaukee Clinical Campus of the University of Wisconsin. He has authored a handbook on Medical Decision Making and has published articles on designing a hand held implementation of clinical practice guidelines (Asthma), development of GEM an XML model of guideline content as well as a review of the current activities in syndromic surveillance for BT. Research interests also include the practical implementation of Electronic Medical Records (EMR/CPR) and wireless handheld systems. In 2000, Drs. Karras, Lober and Duchin developed the Syndromic Surveillance Information Collection (SSIC) system that is being used in Seattle to monitor for possible bioterrorism events.

Contact Information
(office)  UDB-200
University of Washington
1107 NE 45th.
Box:  354800
Seattle, WA 98195-4800
(voice)  206-221-6676     (fax)  206-338-2527
bkarras@u.washington.edu
Teaching Interests
Health Informatics
  • HSERV 503
    Public Health Informatics and Surveillance
Research Interests
Biomedical and Health Informatics
Projects
Roundtable on Bioterrorism Detection
The use of web technology to improve surveillance of public health significant diseases, (including Bio-terrorism Syndromic Surveillance).
http://bt.cirg.washington.edu
GEM: Guideline Elements Model
Use of XML in the computerization of Clinical and Public Health Guidelines for Decision Making.
http://ycmi.med.yale.edu/gem/
EMR (Electronic Medical Records)
The practical implementation of medical records and patient questionnaires on wireless pen-based and handheld systems.
Palm Asthma
Handheld access to decision support system in the treatment of Asthma and patient entered data for monitoring of chronic diseases.
Public Health Informatics Group
Promotion of Public Health Informatics as well as Distance Learning and International Research Training Program in Health Informatics.
http://phig.washington.edu
External Funding (sampling of current and past involvement)
eHealth Survey for Public Health: Feasibility and Usability
National Library of Medicine
PI:   Karras           Dates:    09/2007 - 09/2009
The goal of this project is to evaluate the usability of the Behavioral Risk Factor Surveillance System, explore incentive mechanisms in its use, and conduct preliminary tests of it effectiveness as an intervention.

Development of Web Tool for Community Programs and Resources to Support Physical Activity in Older Adults.
National Council on the Aging
PI:   Karras           Dates:    01/2005 - 08/2009
The aim of this project is to develop a nationally available web-based toolkit for community use that permits the development of a user friendly guide to local physical activity programs that are senior friendly.

Robert Wood Johnson -National Library of Medicine Collaborative Training Initiative in Public Health Informatics
National Library of Medicine
PI:   Tarczy-Hornoch           Dates:    09/2004 - 06/2009
We propose the development of a training track for leaders and innovators in public health informatics.

Center of Excellence in Public Health Informatics
Centers for Disease Control
PI:   Oberle           Dates:    09/2005 - 09/2008
The goal of this project is to establish a Center of Excellence in Public Health Informatics at the University of Washington.

Northwest Center for Public Health Preparedness
Centers for Disease Control
PI:   Thompson           Dates:    09/2004 - 08/2008
The major goals of this project are to ensure that the public health workforce has the knowledge and skills necessary to identify, characterize, control and develop prevention programs that will be effective in safeguarding the residents and the six state region from current and emerging threats to their health, including the threats of bioterrorist attack.

Informatics Competencies - Training the Next Generation
Association of Schools of Public Health
PI:   Karras           Dates:    10/2005 - 09/2007
This project will seek to find a consensus on Public Health Informatics topics and competencies that should be taught in graduate education in US schools of public health.

Computerized Assessment for Patients with Cancer
National Institutes of Health
PI:   Berry           Dates:    08/2004 - 06/2007
The purpose of this study is to design and evaluate the clinical integration of the web-based computerized assessment in a major, multi-disciplinary academic medical and cancer center.

King County Care Information System
Seattle Dept of Human Services
PI:   Lober           Dates:    12/2006 - 02/2007
This project explores applying concepts of clinical informatics and personal health records to a specialized information system which supports the creation of a medical home and delivery of integrated services to an at-risk population.

UW - Uniform Medical Plan Software License Agreement
WA State
PI:   Karras           Dates:    07/2005 - 05/2006
The Health Risk Assessment (HRA) project is a collaborative project between the Uniform Medical Plan (UMP) and the University of Washington's (UW) Public Health Informatics and Health Promotions Research Center. The overall goal of this project is to build and test an innovative electronic health risk assessment survey system, eHealth Survey. eHealth Survey is intended to serve as a robust health promotion tool for UMP members and will inform UMP decision-makers with data about behavioral risk factors among its membership.

Puget Sound Infectious Disease Tracking System
Foundation for Healthcare Quality
PI:   Lober           Dates:    07/2004 - 02/2006
The Foundation for Healthcare Quality, local health jurisdictions, the State of Washington Paladin Data Systems, and the University of Washington are collaborating to develop a regional information system to improve the capability to detect and respond to bioterrorism events and infectious diseases outbreaks.

Northwest Center for Public Health Preparedness
Association of Schools of Public Health
PI:   Thompson           Dates:    07/2002 - 09/2005
The primary goal of this project is to serve as the leader in providing curricula for ongoing public health preparedness and injury prevention to state and local health professionals in the 6 Northwestern states.

Syndromic Surveillance Information Collection - Peninsula
WA State Department of Health
PI:   Karras           Dates:    09/2004 - 09/2005
The Clinical Informatics Research Group at the University of Washington will assist the syndromic surveillance project at the Kitsap County Health District in the development of a reliable, secure system of electronic data collection and transmission between hospital emergency departments.

Bioterrorism Curriculum Development Program
Health Resources Services Administration
PI:   Oberle           Dates:    09/2003 - 09/2005
The University of Washington proposes to establish a multi-disciplinary curriculum that provides students with the knowledge and skills necessary to recognize indications of a terrorist event or other public health emergency and meet the acute health needs of victims of such an event.

Disease Management Program Development for Asthma and Hypertension
Merck Foundation
PI:   LoGerfo           Dates:    01/1998 - 12/2004
The goal of this project is to improve the quality of care and outcomes of patients with asthma and hypertension in 9 clinics through the use of computerized medical record guidelines, computerized physician alerts and nurse care management.

An Evaluation Framework for eHealth Survey Applications
Robert Wood Johnson Foundation
PI:   Karras           Dates:    09/2003 - 08/2004
The goal of this project is to develop a framework to describe, compare, and evaluate methods for web-based patient assessment and education systems.

Syndromic Surveillance Information Collection
WA State Department of Health
PI:   Karras           Dates:    08/2001 - 08/2004
The major goal of this project is to assist the Washington State Department of Health in development of a secure system of electronic communication between hospital emergency departments and DOH.

The Northwest Center for Public Health Preparedness
Association of Schools of Public Health
PI:   Gale           Dates:    10/2000 - 09/2003
The primary goal of this project is to serve as the leader in providing curricula for ongoing public health preparedness and injury prevention to state and local health professionals in the 6 Northwestern states.

Syndromic Surveillance Information Collection - King County (SSIC-KC)
WA State Department of Health
PI:   Lober           Dates:    11/2002 - 08/2003
The goal of this project is to expand data collection for the Public Health Seattle King County bioterrorism surveillance system.

Wireless Reporting of Communicable Disease Cases for CEDRS
Denver Public Health
PI:   Lober           Dates:    03/2002 - 11/2002
The primary goal of this project is to assist the Denver Center for Public Health Preparedness in the development of a reliable, secure system of data collection.

Computerized Cancer Symptom and Quality of Life Assessment
Oncology Nursing Society Foundation
PI:   Berry           Dates:    06/2001 - 05/2002
The major goals of this project are the development of an online/wireless touch screen questionnaire and database for research on symptoms assessment in Radiation oncology patients.


Selected Publications

1. Lober WB, Karras BT, Wagner MM, Overhage MJ, Davidson AJ, Fraser H, Trigg LJ, Mandl KD, Espino JU, Tsui FC. Roundtable on Bioterrorism Detection: Information System-based Surveillance. J Am Med Inform Assoc. 2002;9(2):105-15.

Karras BT, Nath SD, Shiffman RN. A Preliminary Evaluation of Guideline Content Markup Using GEM--An NML Guideline Elements Model Proc AMIA Symp 2000; 413-417.

Shiffman RN, Agrawal A, Chen, R, Karras BT, Marenco L, Nath S. GEM: A Proposal of a more Comprehensive Guideline Ontology Using XML. JAMIA 7(5) 488-498 Sept/Oct 2000

4. Karras BT, O'Carroll P, Oberle M, Masuda D, Lober WB, Robins L, Kim S, Schaad DC, Scott CC Development and Evaluation of Public Health Informatics at University of Washington, Accepted for publication, J Public Health Manag Pract. 2002, 8(3), p.38-44

Karras, BT, Kimball AM, Gonzales V, Pautler N, Alarson J, Garcia P, Fuller S: Informatics in Peru in the New Millennium. IMIA-MedInfo 2001 (Editors V. Paterl et al.) Amsterdam: IOS Press 2001, p 0133-1037.

Dissertation, Thesis and Capstone Committees (recent graduates)
2005
Member, thesis committee for Walter Curioso
Design, implementation and initial evaluation of a real-time surveillance system for adverse events using cell phones in Peru


Links
Division of Biomedical Health and Informatics