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H Neal Reynolds, MD

Academic Title:

Associate Professor

Primary Appointment:

Medicine

Administrative Title:

Medical Director For The Maryland Critical Care Network

Additional Title:

Associate professor of Medicine, University of Maryland School of Medicine Co-Director, Multi Trauma Intensive care Unit, R Adams Cowley Shock Trauma Center

Phone (Primary):

410-328-8976

Phone (Secondary):

443-510-2512

Education and Training

University of Maryland School of Engineering; 1970

University of Maryland School of Medicine;  1976

University of Hawaii Integrated Medical Residency, Internal Medicine including Chief Residency; 1980

Wayne State School of Medicine, Fellowship in Critical care Medicine; 1987

Biosketch

H. Neal Reynolds, M.D. has been an Internal Medicine based Intensivist with the University of Maryland R Adams Cowley Shock Trauma Center in Baltimore generally since 1987.  He established the initial Continuous Renal Replacement Therapy (CRRT) program at the Center in 1987 and did his initial research in the field of CRRT with extension into plasma exchange therapy.  In the late 1990’s he was one of three who established the first Extracorporeal Membrane Oxygenation (ECMO) program, utilizing non-silicon membrane lungs at the Shock trauma Center. He was part of a team to establish and operate a mobile ICU program to support the ECMO and facilitated the introduction of unique ventilator modes for life support.  Following a hiatus in service at the Trauma center, during which he provided care at the most underserved facility in Baltimore, he returned to the Trauma Center to direct the “Select Trauma ICU” and later Co-Director of the Multi-Trauma ICU.  While working with the underserved, he presented multiple times before the National Institute on Minority Health and Health Disparities. 

During time working with the underserved, he established a Tele-ICU program utilizing robotic technology to assist in 24 x 7 care and subsequently continued to work in the field of TeleMedicine/TeleHealth.  Within the TeleHealth field, he has spoken locally, nationally and internationally, published multiple peer reviewed articles and book chapters and taught Telehealth at the Medical student, Resident and Fellow and Practitioner levels.  He is currently involved in the utilization of Infra-Red Image enhancement to improve remote examination with TeleHealth technologies.  He has worked for legislation with the Maryland General Assembly culminating in laws supporting reimbursement and simplifying credentialing.  Most recently, He worked to establish a State Wide Alliance to promote the adoption and growth of TeleHealth within the State of Maryland.

Dr. Reynolds was initially board certified in Internal Medicine and remains so currently. He also achieved certification in Critical care Medicine, the first time ever offered in 1987, and remains so thru recertification every decade.  He holds patents on fundamental mechanisms of oxygen exchangers with patents pending for image enhancement via infra-red imaging.

Is a Platinum Level member of the Society of Critical Care Medicine (SCCM), sits on the SCCM Tele-ICU Committee and is an active  member of the American Telemedicine Association and sits on the  ATA Tele-ICU Interest Group.   He is active with the Legislative Sub-Committed of the Maryland State Medical Society (MedChi) for the review of all legislation potentially impacting health care in the State of Maryland

Research/Clinical Keywords

1. Continuous Renal Replacement Therapy (CRRT) 2. TeleHealth/TeleMedicine 3. Infra-Red imaging during remote examination 4. TeleHealth/TeleMedicine during

Highlighted Publications

Reynolds HN, Rogove H, Bander J, McCambridge M, Cowboy E, Niemeier M. A Working Lexicon for the Tele-ICU: We Need to Define Tele-ICU to Grow & Understand It. Telemedicine and e-Health; 17(10)  December 2011: 773-783.

 Reynolds EM, Grujovski A, Wright T, Foster M, Reynolds HN, M.D.Utilization of Robotic “Remote Presence” Technology within North American Intensive Care Units (ICUs).  Telemedicine and e Health, September 2012: Vol 18(7); 507-515

Reynolds HN, Sheinfeld G, Chang J, Simmons D, Tabatabai A.  The Tele-ICU during a "Disaster":  Seamless Transition from Routine Operations to Disaster Mode.  Telemedicine and e-Health, November 2011; 746-749.

Zubrow  M  Wtizke A,  Reynolds HN.  “ Legal, Regulatory, and Ethical Issues in the Use of Telemedicine in:  Telemanagement of Inflammatory Bowel Disease edited by Raymond K Cross and Andrew Watson,   Springer International Publishing, pp 153-178, 2015 (e-book  http://www.springer.com/us/book/9783319222844),  DOI 10.1007/978-3-319-22285-1

Rappaport ES, Reynolds HN, Baucum S, Lehman TM. Tele-Health Support of Managed Care for a Correctional System, The Open Architecture Telehealth model.  Accepted for publication fall 2017 in Telemedicine and e-Health

Reynolds HN, Zubrow M, Sikka N, Alcorta R.  Adult Emergency and Critical Care Telehealth, to be published in first edition of “Understanding Telehealth” , edited by Rheuban K and Puchinski E, McGraw Hill Education,  December 2017

 

Additional Publication Citations

 

Reynolds, H.N.  “Remote Critical Care Services”, pages 49-61, in Coding and Billing:  6th EditionEditors;  Todd Dorman, M.D., Frann Britton, RN,  Daniel Brown MD, Nancy Munro RN.  Published by the Society of Critical Care Medicine, Copyright 2014.

Reynolds HN, Bander JA.  “Options for Tele-ICU Design:  Centralized vs De-Centralized and other Considerations” in Clinics In Critical Care Medicine edited by Richard Carlson, published by Eliviser Publishing Company,  April 2015 Vol 31 (2): 335-350.  Published in  electronic format, January 2015  at DOI: http://dx.doi.org/10.1016/j.ccc.2014.12.010

 

Research Interests

1.  TeleHealth/TeleMedicine:  Applications, enhancment of adoption and deployment, systems and Legislative initiatives

 

2.  Infra-Red Imaging in medicine as applied to the remote patient examination, monitoring of shock resuscitation remotely,  categorizing and describing the IR examination

 

Clinical Specialty Details

Internal Medicine based dedicated critical care Medicine

Grants and Contracts

Maryland HRSA Bio-terrorism Hospital Preparedness Project:  Special Consideration Grant, Application December 2005, Awarded February 2006.  Grant to enhance preparedness for bio-terrorist attack with emphasis on community outreach.  Grant request $353,000 awarded at 80% for $280,000.  Benefits of grants to accrue to the Bon Secours Hospital of Baltimore.

 

HRSA grant to enhance effectiveness of response during a disaster or mass casualty situation.  Grant request awarded at $79,000 to support enhanced communications and remote care of critically ill patients. Benefits of grants to accrue to the Bon Secours Hospital of Baltimore.

 

Phase I SBIR (Small Business Innovative Research) Grant 1R43MD006709-01 from National Institute On Minority Health And Health Disparities:  Enhanced Visualization and Autonomy for TeleHealth Robots to Address Health Care Availability. $191,500 awarded 2011, completed 2012

In the News

Reynolds, HN, Bander J, McCarthy,M.  Different Systems and Formats for Tele-ICU Coverage. Designing a Tele-ICU System to Optimize Functionality and Investment.  Critical Care Nursing Quarterly 2012 October-December; Vol 35 (4):  1-14.

 

Harder, Linda with contributors: H. Neal Reynolds, M.D., Seth Eaton, M.D., David Pruitt, M.D., Don Richter, M.D.  TeleHealth:  Expands Care Beyond Office Walls.  Maryland Physician Journal; Vol 3 (3)  May/June 2013:  29-30.

Community Service

Maryland Regional and Community activites:

 

10/24/2017-present   Establishment of the Maryland Telehealth Alliance:  A coalition of providers, industry, payers and community for the promotion of TeleHealth in the state of Maryland 

7/24/2017                    Volunteers in Mission,  Rehabilitation of Native American facilities on The Rosebud Reservation of the Lakota, South Dakota

 

2/4/2015 &

5/16/2016 &

6/23/2017                    BioMedical Day for Severna Park High school STEM students held at the R Adams Cowley Shock Trauma Center

 

9/2014-present           Mentor through IEE (Institute of Electronics and Electrical Engineering) for local high school students in the STEM program (Science, Technology, Engineering and Math) as part of Project Lead The Way

 

11/2012-2014             Member, Mission Board of Directors, Maryland branch of the American Heart Association,

 

01/2009-2011             DHMH Committee for the Allocation of Scarce Resources

 

07/2011                       Maryland GovenorsTelemedicine Task Force:  Chairman of the Clinical Advisory Committee

 

6/24- 7/1/2007                        Rosebud Indian Health Services Hospital, Rosebud South Dakota:  Medical services provided pro-bono.

 

6/24-7/2/2006             RosebudIndianHealthServicesHospital, Rosebud South Dakota:    Medical services provided pro-bono.

 

6/18-22/2003              Medical Director and sponsor for the 8th Washington DC AIDS Ride (6 sites enroute, each day, spanning 4 days and 330 miles, from Raleigh-Durham, N.C. to WashingtonD.C.).

 

9/13-15/2002              Medical Support for 140th Commemorative Reenactment of the Battle of Antietim, administering acute medical care to re-enactors on-site

 

6/23-27/99                  Medical Director and sponsor for the 4th Washington DC AIDS Ride (6 sites enroute, each day, spanning 4 days and 330 miles)

 

5/15/99                        Medical Staff (volunteer; unpaid) for running of the Preakness at Pimlico Race Track.  Baltimore,  Maryland

 

6/17-22/98                  Medical Director and sponsor for 3rd Washington DC AIDS Ride (8 medical sites along cycling route spanning 4 days and 300 miles)

 

5/3/98                          Medical support for the WhitbreadRacestart/ChesapeakeBay Walk, onsite West EndBayBridge

 

9/12-14/97                  Medical Support for 135th Commemorative Reenactment of the Battle of Antietim administering acute medical care to re-enactors on-site

 

6/19-22/97                  Medical Director and sponsor for 2nd Washington DC AIDS Ride (8 sites along bike route spanning 4 days and 300 miles)

 

6/21-23/96                  Medical Back-up and sponsor for IST Philadelphia ® DC AIDS Ride (6 sites along route from Philadelphia to DC). June 21 - 23, 1996.

 

10/1995:                     Medical Back-up for Papal visit to Baltimore, Maryland, Fall 1995.

 

9/1995:                       Demonstration of Critical Care Transport and Pulmonary Physiology, Key School. Annapolis, Maryland, Fall 1995.

 

Professional Activity

1.  Maryland Medical association (MedChi) Legislative committee member

2.  Member of the Society of Critical care Medicine

3.  Member of the American Telemedicine Association