Per H. Gesteland
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Per H. Gesteland, MD, MSc

Languages spoken: English

Clinical Locations

Primary Location

Primary Children's Hospital

100 N Mario Capecchi Drive
Salt Lake City , UT 84113
801-662-3645
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Dr. Gesteland is an Associate Professor of Pediatrics in the Division of Pediatric Hospital Medicine and an Adjunct Associate Professor in the Department of Biomedical Informatics at the University of Utah. Dr. Gesteland completed his medical school training at the University of Utah in 1996 and his combined Internal Medicine and Pediatrics residency training at the University of Minnesota in 2000. He completed his medical informatics training at the University of Utah as a Fellow in The National Library of Medicine’s University-based Medical Informatics Training Program in 2002.

The subject of Dr. Gesteland’s Master’s of Science dissertation work was the rapid deployment and evaluation of a real-time disease outbreak detection system for the 2002 Winter Olympic Games in Salt Lake City. As a fellow of Intermountain Healthcare’s Institute of Healthcare Delivery Research and later as a member of the inaugural class of Pediatric Clinical and Translational Research Scholars in the Department of Pediatrics, he built upon his thesis work to create a novel infectious disease situational awareness program for state of Utah. The program, called GermWatch, has become an invaluable resource for public health, caregivers, hospital administrators, researchers and the communities of Utah.

Dr. Gesteland has a breadth of clinical experience including 20 years of adult and pediatric urgent care and 16 years of pediatric hospital medicine. He is a practicing clinician working as an academic Hospitalist at Intermountain Healthcare’s Primary Children's Hospital since 2004, where he cares for a wide variety of acuity and complexity, from healthy infants with fever to children with multiple complex chronic conditions who have recently had major surgery.

Dr. Gesteland’s research interests and expertise encompasses clinical information systems, health information technology, natural language processing, machine-learning, biosurveillance, health services research and clinical decision support. He has over 40 publications in peer-reviewed journals relating to these topics. His current research focus is in furthering the development and deployment of probabilistic and interoperable methods for disease surveillance, forecasting, mitigation and response.

Dr. Gesteland has been the Principle Investigator or Co-Investigator on grants from the Centers for Disease Control and Prevention, the Telemedicine and Advanced Technology Research Center, the University of Utah’s Center for Translational Science, the Agency for Healthcare Research and Quality and the National Library of Medicine.

Specialties

Dr. Gesteland is an Associate Professor of Pediatrics in the Division of Pediatric Hospital Medicine and an Adjunct Associate Professor in the Department of Biomedical Informatics at the University of Utah. Dr. Gesteland completed his medical school training at the University of Utah in 1996 and his combined Internal Medicine and Pediatrics residency training at the University of Minnesota in 2000. He completed his medical informatics training at the University of Utah as a Fellow in The National Library of Medicine’s University-based Medical Informatics Training Program in 2002.

The subject of Dr. Gesteland’s Master’s of Science dissertation work was the rapid deployment and evaluation of a real-time disease outbreak detection system for the 2002 Winter Olympic Games in Salt Lake City. As a fellow of Intermountain Healthcare’s Institute of Healthcare Delivery Research and later as a member of the inaugural class of Pediatric Clinical and Translational Research Scholars in the Department of Pediatrics, he built upon his thesis work to create a novel infectious disease situational awareness program for state of Utah. The program, called GermWatch, has become an invaluable resource for public health, caregivers, hospital administrators, researchers and the communities of Utah.

Dr. Gesteland has a breadth of clinical experience including 20 years of adult and pediatric urgent care and 16 years of pediatric hospital medicine. He is a practicing clinician working as an academic Hospitalist at Intermountain Healthcare’s Primary Children's Hospital since 2004, where he cares for a wide variety of acuity and complexity, from healthy infants with fever to children with multiple complex chronic conditions who have recently had major surgery.

Dr. Gesteland’s research interests and expertise encompasses clinical information systems, health information technology, natural language processing, machine-learning, biosurveillance, health services research and clinical decision support. He has over 40 publications in peer-reviewed journals relating to these topics. His current research focus is in furthering the development and deployment of probabilistic and interoperable methods for disease surveillance, forecasting, mitigation and response.

Dr. Gesteland has been the Principle Investigator or Co-Investigator on grants from the Centers for Disease Control and Prevention, the Telemedicine and Advanced Technology Research Center, the University of Utah’s Center for Translational Science, the Agency for Healthcare Research and Quality and the National Library of Medicine.

Board Certification and Academic Information

Academic Departments Biomedical Informatics -Adjunct Professor
Pediatrics -Professor
Academic Divisions Hospital Medicine

Education history

Undergraduate Biology and Chemistry - Allegheny College B.S.
Professional Medical Medicine - University of Utah School of Medicine M.D.
Internship Combined Internal Medicine and Pediatrics - University of Minnesota School of Medicine Intern
Residency Combined Internal Medicine and Pediatrics - University of Minnesota School of Medicine Resident
Fellowship Medical Informatics - National Library of Medicine¿s University-based Training Program, University of Utah Fellow
Graduate Training Medical Informatics - Department of Medical Informatics, University of Utah School of Medicine M.S.

Selected Publications

Journal Article

  1. Greene C, Nian H, Zhu Y, Antoon JW, Freundlich KL, Ampofo K, Sartori LF, Johnson J, Arnold DH, Gesteland P, Stassun J, Robison J, Pavia AT, Grijalva CG, Williams D (2022). Associations between comorbidity-related functional limitations and pneumonia outcomes. Journal of hospital medicine, 17(7), 527-533.
  2. Sekmen M, Johnson J, Zhu Y, Sartori LF, Grijalva CG, Stassun J, Arnold DH, Ampofo K, Robison J, Gesteland PH, Pavia AT, Williams D (2022). Association Between Procalcitonin and Antibiotics in Children With Community-Acquired Pneumonia. Hospital pediatrics, 12(4), 384-391.
  3. Aronis JM, Ferraro JP, Gesteland PH, Tsui F, Ye Y, Wagner MM, Cooper G (2020). A Bayesian approach for detecting a disease that is not being modeled. PloS one, 15(2), e0229658.
  4. Laura F Sartori , Yuwei Zhu, Carlos G Grijalva, Krow Ampofo, Per Gesteland, Jakobi Johnson, Rendie McHenry , Donald H Arnold, Andrew T Pavia, Kathryn M. Edwards, and Derek J William (2020). Pneumonia Severity in Children: Utility of Procalcitonin in Risk Stratification. Hospital pediatrics,
  5. Hughes MM, Carmack AE, McCaffrey K, Spencer M, Reed GM, Hill M, Dunn A, Risk I, Garg S, Reed C, Biggerstaff M, Mayer J, Gesteland P, Korgenski K, Dascomb K, Pavia A, Rolfes M (2019). Estimating the Incidence of Influenza at the State Level - Utah, 2016-17 and 2017-18 Influenza Seasons. MMWR. Morbidity and mortality weekly report, 68(50), 1158-1161.
  6. Dunnick J, Gesteland (2019). Isolated Increased Intracranial Pressure and Unilateral Papilledema in an Infant With Traumatic Brain Injury and Nondepressed Basilar Skull Fracture. Pediatric emergency care, 35(11), e198-e200.
  7. Millett NE, Aronis JM, Wagner MM, Tsui F, Ye Y, Ferraro JP, Haug PJ, Gesteland PH, Cooper G (2019). The design and evaluation of a Bayesian system for detecting and characterizing outbreaks of influenza. Online journal of public health informatics, 11(2), e6.
  8. Horne BD, Joy EA, Hofmann MG, Gesteland PH, Cannon JB, Lefler JS, Blagev DP, Korgenski EK, Torosyan N, Hansen GI, Kartchner D, Pope CA 3r (2018). Short-Term Elevation of Fine Particulate Matter Air Pollution and Acute Lower Respiratory Infection. American journal of respiratory and critical care medicine, 198(6), 759-766.
  9. Meyers L, Ginocchio CC, Faucett AN, Nolte FS, Gesteland PH, Leber A, Janowiak D, Donovan V, Dien Bard J, Spitzer S, Stellrecht KA, Salimnia H, Selvarangan R, Juretschko S, Daly JA, Wallentine JC, Lindsey K, Moore F, Reed SL, Aguero-Rosenfeld M, Fey PD, Storch GA, Melnick SJ, Robinson CC, Meredith JF, Cook CV, Nelson RK, Jones JD, Scarpino SV, Althouse BM, Ririe KM, Malin BA, Poritz M (2018). Automated Real-Time Collection of Pathogen-Specific Diagnostic Data: Syndromic Infectious Disease Epidemiology. JMIR public health and surveillance, 4(3), e59.
  10. Aronis JM, Millett NE, Wagner MM, Tsui F, Ye Y, Ferraro JP, Haug PJ, Gesteland PH, Cooper G (2017). A Bayesian system to detect and characterize overlapping outbreaks. Journal of biomedical informatics, 73, 171-181.
  11. Ye Y, Wagner MM, Cooper GF, Ferraro JP, Su H, Gesteland PH, Haug PJ, Millett NE, Aronis JM, Nowalk AJ, Ruiz VM, López Pineda A, Shi L, Van Bree R, Ginter T, Tsui (2017). A study of the transferability of influenza case detection systems between two large healthcare systems. PloS one, 12(4), e0174970.
  12. Ferraro JP, Ye Y, Gesteland PH, Haug PJ, Tsui FR, Cooper GF, Van Bree R, Ginter T, Nowalk AJ, Wagner (2017). The effects of natural language processing on cross-institutional portability of influenza case detection for disease surveillance. Applied clinical informatics, 8(2), 560-580.
  13. Bhattacharyya S, Gesteland PH, Korgenski K, Bjørnstad ON, Adler F (2015). Cross-immunity between strains explains the dynamical pattern of paramyxoviruses. Proceedings of the National Academy of Sciences of the United States of America, 112(43), 13396-400.
  14. Luo G, Stone BL, Fassl B, Maloney CG, Gesteland PH, Yerram SR, Nkoy F (2015). Predicting asthma control deterioration in children. BMC medical informatics and decision making, 15, 84.
  15. Luo G, Nkoy FL, Gesteland PH, Glasgow TS, Stone B (2014). A systematic review of predictive modeling for bronchiolitis. International journal of medical informatics, 83(10), 691-714.
  16. Cummins MR, Crouch B, Gesteland P, Wyckoff A, Allen T, Muthukutty A, Palmer R, Peelay J, Repko (2013). Inefficiencies and vulnerabilities of telephone-based communication between U. S. poison control centers and emergency departments. Clinical toxicology (Philadelphia, Pa.), 51(5), 435-43.
  17. Gesteland PH, Livnat Y, Galli N, Samore MH, Gundlapalli A (2012). The EpiCanvas infectious disease weather map: an interactive visual exploration of temporal and spatial correlations. Journal of the American Medical Informatics Association, 19(6), 954-9.
  18. Cummins MR, Crouch BI, Gesteland P, Staggers N, Wyckoff A, Wong B (2012). Electronic information exchange between emergency departments and poison control centers: a Delphi study. Clinical toxicology (Philadelphia, Pa.), 50(6), 503-13.
  19. Dahle KW, Korgenski EK, Hersh AL, Srivastava R, Gesteland P (2012). Clinical Value of an Ambulatory-Based Antibiogram for Uropathogens in Children. Journal of the Pediatric Infectious Diseases Society, 1(4), 333-6.
  20. Staes CJ, Wuthrich A, Gesteland P, Allison MA, Leecaster M, Shakib JH, Carter ME, Mallin BM, Mottice S, Rolfs R, Pavia AT, Wallace B, Gundlapalli AV, Samore M, Byington C (2011). Public health communication with frontline clinicians during the first wave of the 2009 influenza pandemic. Journal of public health management and practice, 17(1), 36-44.
  21. Leecaster M, Gesteland P, Greene T, Walton N, Gundlapalli A, Rolfs R, Byington C, Samore (2011). Modeling the variations in pediatric respiratory syncytial virus seasonal epidemics. BMC infectious diseases, 11, 105.
  22. Xu W, Pettey W, Livnat Y, Gesteland P, Rajeev D, Reid J, Samore M, Evans RS, Rolfs RT, Staes (2011). Strengthening Partnerships along the Informatics Innovation Stages and Spaces: Research and Practice Collaboration in Utah. Online journal of public health informatics, 3(3),
  23. Lloyd MB, Lloyd JC, Gesteland PH, Bale JF Jr (2010). Rotavirus gastroenteritis and seizures in young children. Pediatr Neurol, 42(6), 404-8.
  24. Bender JM, Ampofo K, Gesteland P, Sheng X, Korgenski K, Raines B, Daly JA, Valentine K, Srivastava R, Pavia AT, Byington C (2010). Influenza virus infection in infants less than three months of age. The Pediatric infectious disease journal, 29(1), 6-9.
  25. Walton NA, Poynton MR, Gesteland PH, Maloney C, Staes C, Facelli J (2010). Predicting the start week of respiratory syncytial virus outbreaks using real time weather variables. BMC medical informatics and decision making, 10, 68.
  26. Livnat Y, Gesteland P, Benuzillo J, Pettey W, Bolton D, Drews F, Kramer H, Samore (2010). Epinome - a novel workbench for epidemic investigation and analysis of search strategies in public health practice. AMIA ... Annual Symposium proceedings. AMIA Symposium, 2010, 647-51.
  27. Allison MA, Guest-Warnick G, Nelson D, Pavia AT, Srivastava R, Gesteland PH, Rolfs RT, Andersen S, Calame L, Young P, Byington C (2010). Feasibility of elementary school children's use of hand gel and facemasks during influenza season. Influenza and other respiratory viruses, 4(4), 223-9.
  28. Bender JM, Ampofo K, Gesteland P, Stoddard GJ, Nelson D, Byington CL, Pavia AT, Srivastava (2009). Development and validation of a risk score for predicting hospitalization in children with influenza virus infection. Pediatric emergency care, 25(6), 369-75.
  29. Staes CJ, Gesteland PH, Allison M, Mottice S, Rubin M, Shakib JH, Boulton R, Wuthrich A, Carter ME, Leecaster M, Samore MH, Byington C (2009). Urgent care providers' knowledge and attitude about public health reporting and pertussis control measures: implications for informatics. Journal of public health management and practice, 15(6), 471-8.
  30. Shakib JH, Wyman L, Gesteland PH, Staes CJ, Bennion DW, Byington C (2009). Should the pertussis case definition for public health reporting be refined?. Journal of public health management and practice, 15(6), 479-84.
  31. Parks AL, Walker B, Pettey W, Benuzillo J, Gesteland P, Grant J, Koopman J, Drews F, Samore (2009). Interactive agent based modeling of public health decision-making. AMIA ... Annual Symposium proceedings. AMIA Symposium, 2009, 504-8.
  32. Nkoy FL, Fassl BA, Simon TD, Stone BL, Srivastava R, Gesteland PH, Fletcher GM, Maloney C (2008). Quality of care for children hospitalized with asthma. Pediatrics, 122(5), 1055-63.
  33. Gesteland PH, Allison MA, Staes CJ, Samore MH, Rubin MA, Carter ME, Wuthrich A, Kinney AY, Mottice S, Byington C (2008). Clinician use and acceptance of population-based data about respiratory pathogens: implications for enhancing population-based clinical practice. AMIA ... Annual Symposium proceedings. AMIA Symposium, 232-6.
  34. Gesteland PH, Samore MH, Pavia AT, Srivastava R, Korgenski K, Gerber K, Daly JA, Mundorff MB, Rolfs RT, James BC, Byington C (2007). Informing the front line about common respiratory viral epidemics. AMIA ... Annual Symposium proceedings. AMIA Symposium, 274-8.
  35. Maloney CG, Wolfe D, Gesteland PH, Hales JW, Nkoy F (2007). A tool for improving patient discharge process and hospital communication practices: the "Patient Tracker". AMIA ... Annual Symposium proceedings. AMIA Symposium, 493-7.
  36. Walton N, Poynton MR, Maloney C, Gesteland P (2007). Forecasting hospital census at a tertiary care children's hospital. AMIA ... Annual Symposium proceedings. AMIA Symposium, 1147.
  37. Gesteland PH, Nebeker JR, Gardner R (2006). These are the technologies that try men's souls: common-sense health information technology. Pediatrics, 117(1), 216-7.
  38. Ampofo K, Gesteland PH, Bender J, Mills M, Daly J, Samore M, Byington C, Pavia AT, Srivastava (2006). Epidemiology, complications, and cost of hospitalization in children with laboratory-confirmed influenza infection. Pediatrics, 118(6), 2409-17.
  39. Mandl KD, Overhage JM, Wagner MM, Lober WB, Sebastiani P, Mostashari F, Pavlin JA, Gesteland PH, Treadwell T, Koski E, Hutwagner L, Buckeridge DL, Aller RD, Grannis (2004). Implementing syndromic surveillance: a practical guide informed by the early experience. Journal of the American Medical Informatics Association, 11(2), 141-50.
  40. Wagner MM, Espino J, Tsui FC, Gesteland P, Chapman W, Ivanov O, Moore A, Wong W, Dowling J, Hutman (2004). Syndrome and outbreak detection using chief-complaint data--experience of the Real-Time Outbreak and Disease Surveillance project. MMWR supplements, 53, 28-31.
  41. Tsui FC, Espino JU, Dato VM, Gesteland PH, Hutman J, Wagner M (2003). Technical description of RODS: a real-time public health surveillance system. Journal of the American Medical Informatics Association, 10(5), 399-408.
  42. Hogan WR, Tsui FC, Ivanov O, Gesteland PH, Grannis S, Overhage JM, Robinson JM, Wagner MM, Indiana-Pennsylvania-Utah Collaboration (2003). Detection of pediatric respiratory and diarrheal outbreaks from sales of over-the-counter electrolyte products. Journal of the American Medical Informatics Association, 10(6), 555-62.
  43. Gesteland PH, Gardner RM, Tsui FC, Espino JU, Rolfs RT, James BC, Chapman WW, Moore AW, Wagner M (2003). Automated syndromic surveillance for the 2002 Winter Olympics. Journal of the American Medical Informatics Association, 10(6), 547-54.
  44. Ivanov O, Gesteland PH, Hogan W, Mundorff MB, Wagner M (2003). Detection of pediatric respiratory and gastrointestinal outbreaks from free-text chief complaints. AMIA ... Annual Symposium proceedings. AMIA Symposium, 318-22.
  45. Gesteland PH, Wagner MM, Chapman WW, Espino JU, Tsui FC, Gardner RM, Rolfs RT, Dato V, James BC, Haug P (2002). Rapid deployment of an electronic disease surveillance system in the state of Utah for the 2002 Olympic Winter Games. Proceedings. AMIA Symposium, 285-9.
  46. Tsui FC, Espino JU, Wagner MM, Gesteland P, Ivanov O, Olszewski RT, Liu Z, Zeng X, Chapman W, Wong WK, Moore (2002). Data, network, and application: technical description of the Utah RODS Winter Olympic Biosurveillance System. Proceedings. AMIA Symposium, 815-9.

Book Chapter

  1. Jacobson N, Daswani S, Gesteland PH (2006). Project Management. Chapter, 36.
  2. Wagner MM, Hogan WR, Chapman WW, Gesteland PH (2006). Chief Complaints and ICD Codes. Chapter, 23.