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Areas of Interest

Areas of Responsibility

Engineering Supervisor (former director 1994-2017), Instrumentation & Technical Services, Univ. of Vermont

·       Instrumentation & Model Facility (IMF) - The IMF staff of mechanical, electronic and computer engineers designs and fabricates custom instruments, parts and models for the University of Vermont, other universities, non-profit state and health organizations, and Vermont technology companies.

·        Technical Services Partnership (TSP) - TSP provides healthcare technology management assistance and direct technical services to over thirty hospitals in Vermont, New York and New Hampshire. TSP provides clinical engineering internships for UVM and international students.

Lecturer, College of Nursing and Health Sciences/Medical Laborary & Radiation Sciences, Univ. of Vermont (2009-Present)

Adjunct Lecturer, School of Engineering/Faculty, Biomedical Engineering, Univ.of Vermont (1989-2017)

Director with Michael Lane of the Pan American Health Organization/World Health Organization Collaborating Center for Health Technology Management (2017)

Temporary Advisor, World Health Organization (WHO), Medical Devices, Geneva, Switzerland (1991-Present)

Selected Presentations and Interviews

Healthcare in Asia: A Growing Hub for Innovation, Harvard Project for Asian and International Relations, Harvard University, Cambridge, MA, February 18, 2018 (Panelist)

Cyber Risk Information Sharing – Understand, Evaluate, Mitigate, Innovate, MDISS Fall Congress, Washington, DC, October 31, 2017 (Panelist)

3D Printing Can Build Value for HTM, AAMI Annual Meeting, Austin, TX, June 10, 2017

Healthcare Technology Management, Presenter and Case Study Leader, National Workshop on Healthcare Technology Assessment & Management, Pan American Health Organization, Port of Spain, Trinidad & Tobago, June 2, 2017

Clinical Engineering – Healthcare Technology Management (CE-HTM) Education, Training and Professional Credentialing, Workshop Leader, Third Global Forum on Medical Devices, World Health Organization, Geneva, Switzerland, May 10, 2017

Comparing Compliance Requirements: TJC, DNV, HFAP, MD Expo, Irvine, CA, April 10, 2017

Ventilator Alarm Safety, American Association for Respiratory Care, Webinar, March 1, 2017

Clinical Engineering Internships: University Collaboration in the Americas, VII LATIN AMERICAN CONGRESS IN BIOMEDICAL ENGINEERING, Bucaramanga, Colombia, October 26, 2016

Healthcare Technology Foundation Update: 2016 National Clinical Alarm Survey Results, Alarm Management Workshop, AAMI Annual Meeting, June 5, 2016

Medical Device Integration: Acquisition Focus on RFIs and Replacement, ACCE Symposium, AAMI Annual Meeting, Tampa, FL, June 4, 2016

US Civilian Healthcare Technology Management: A Life Cycle Approach, Joint Military BMET Training Program, Medical Education & Training Campus, Fort Sam Houston, San Antonio, TX, May 25, 2016 (HTM Week)

Are There Indicators to Determine Best Practice in Health Technology Management Programs?, 1st International Clinical Engineering & Health Technology Management Congress, Hangzhou, China, October 22, 2015

Keynote speaker, II Congreso Internacional de Ingeniería Clínica, Medellin, Colombia, August 20-22

Mobile Health: Quality of Service, Assessment, Maintenance and Sustainability Issues, Workshop on Innovations in the Use of Mobile Devices in Healthcare, Health Technology Task Group (HTTG), World Congress on Medical Physics & Biomedical Engineering, Toronto, CA, June 11, 2015

Biomedical Technology Online Courses for the Americas, World Congress on Medical Physics & Biomedical Engineering, Toronto, CA, June 8, 2015 (Presentation by Alexandre Lemgruber & Rossana Rivas)

Medical Device Cleaning and Disinfection: Challenge for HTM, Co presenter with Whitney Taylor, Wally Elliott, and Leah Francoeur, AAMI Annual Meeting, June 8, 2015

Global Medical Device Safety Management, Japanese Society for Medical Instrumentation (JSMI) Annual Meeting, Yokohama, Japan, May 29, 2015

Communicating Safe Practices to Care Givers, AAMI/FDA Summit on Healthcare Technology in Nonclinical Settings, October 9, 2013, Herndon, VA

Lives at risk - Hospitals face hurdles addressing alarm fatigue, Modern Healthcare, April 15, 2013, pages 14-15

Responsibilities of Industry and Setting Standards, Cardiac Monitoring and Alarm Fatigue Session, American Heart Association Annual Meeting, November 6, 2012, Los Angeles, CA

Business Unusual, 24x7 magazine cover story, January 2011

Model Operation, Burlington Free Press, Business Monday cover story, October 25, 2010

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Selected Publications

Attitudes and Practices Related to Clinical Alarms: A Follow-up Survey, Am J Crit Care March 2018 vol. 27 no. 2 114-123 (Ruppel et al)

Nurses’ Perspectives on Clinical Alarms, American Journal of Critical Care, September 2015, Vol. 24, No. 5, 387-395 (Honan et al)

Planeacion de la Reposicion de Tecnologia Medica, (Planning Medical Technology Replacement), El Hospital Magazine, Bogota, Colombia, August 2015

BMET Study Guide: Preparing for Certification and Sharpening Your Skills, AAMI, July 2015 (co-author of study guide questions)

Biomedical Engineering Education in Peru in 2015: A Unique and Innovative Collaboration in Latin America, IFMBE Proceedings: World Congress on Medical Physics & Biomedical Engineering, Toronto, CA, June 2015 (Rivas et al)

Medical Equipment Replacement, Chapter in: A Practicum for Healthcare Technology Management, AAMI, Editor, Les Atles, 2nd Edition, June 2015 (co-author)

Attitudes and Practices Related to Clinical Alarms, American Journal of Critical Care, May 2014, Vol. 23,  no.. 3, pages  9-18 (co-author)

The next challenge for Worldwide Robotized Tele-Echography experiment (WORTEX 2012): From engineering success to healthcare delivery.TUMI II, Congreso Peruano de Ingeniera Biomedical Bioingeniera, Biotecnologica y Fisica Médica, Lima, Peru 29-31 May, 2013 (P. Vieyres et al)

2011 National Clinical Alarms Survey: Perceptions, Issues, Improvements, and Priorities of Healthcare Professionals, Healthcare Technology Foundation, (Task Force Leader)

Convergence Is Not Just An Urban Legend, 24x7 Magazine, Pgs. 22-23, March 2010

Medical Equipment Quality Assurance: Inspection Program Development and Procedures, Book sponsored by Fluke Biomedical Corp., 2008/2014, Translated to Chinese and Korean, (co-author)

A National Online Survey on the Effectiveness of Clinical Alarms, American Journal of Critical Care, Volume 17:Pg. 36-41, January 2008 (co-author)

Regional Clinical Engineering Shared Services and Cooperatives, Clinical Engineering Handbook, by Joseph F. Dyro, Elsevier Science, 2004, Pg: 26-28

Health Care Technology Replacement Planning, Clinical Engineering Handbook, by Joseph F. Dyro, Elsevier Science, 2004, Pg: 153-154

Awards and Certifications


2012 - Infusion Pump Electrical Connector Cover, D672458, Assigned to University of Vermont

1994/2006 - Simulation for Pulse Oximeter, RE39,268, Merrick, et al, Assigned to Fluke Electronics. Corp.

UVM Licenses

Recent Professional Service

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Additional information: Complete listing of professional work