About Silverstone Solutions

Silverstone Solutions was founded in 2006 with the goal of delivering efficient, cost-effective technology solutions to the medical and healthcare industries. Our flagship product, Matchmaker, is a clinical application that allows hospitals and transplant organizations to more quickly and accurately match kidney transplant patients who have qualified, but incompatible, donors with an alternate compatible donor. The software utilizes three proprietary algorithms to generate all potential paired donations and also optimizes the greatest number of transplants for an entire pool of paired-exchange candidates.

David S. Jacobs is the President and CEO of Silverstone Solutions, Inc.. He founded the company as a result of his own experience as an end-stage renal disease (ESRD) patient who was on the deceased donor organ waiting list for 3.5 years. Mr. Jacobs suffers from polycystic kidney disease (PKD), a common, genetic, life-threatening disease affecting more than 600,000 Americans and an estimated 12.5 million people worldwide. Mr. Jacobs received a living donor kidney in December 2004 and subsequently committed himself to developing a better way to utilize the scarce availability of viable organs for transplantation. Knowing that living donor transplants are more successful than deceased donor organ transplants, he immediately set about the task of developing a database to help California Pacific Medical Center (CPMC), his transplant hospital, produce alternate recipients for incompatible living donors.

Initially, Mr. Jacobs had no commercial intentions for the software. He was simply grateful for the second chance he'd been given and wanted to use his background in technology to help others in the same predicament. He began working closely with CPMC in order to understand the issues hospitals face in organ procurement and donor testing. Using his own money and some grant money from CPMC, Mr. Jacobs began leading the development effort.

What Mr. Jacobs initially perceived as a simple database program grew into a full-featured clinical application. Early on in development, he discovered that the problem of finding suitable paired donation matches was more multifaceted than a simple search of the database. Matching blood type, antigen avoids and ethics were critical data physicians needed to make appropriate decisions. In addition, it was important not take the sole potential donor organ away from one recipient and pair it with another recipient who may have multiple potential donors. Thus, optimization of the pool also became a key feature of the program. To try to match a pool of just 200 people can involve millions of permutations and take weeks and months to compute using existing processes. Because of this complexity, an algorithm was developed to look at all of the parameters, including blood type matching and cross matching against a larger pool of people, in order to be more predictive in the quality of matches. New problems arose, such as how to prioritize matches when multiple donors are possible and the impact the match may have on the overall quality of the pool. Silverstone Solutions’ optimization technology solves these problems and generates the greatest number of paired donations for a pool, without limiting the clinician’s input on what the final pairings should be.

In parallel to product development, Mr. Jacobs works from a policy point of view and has met with members of Congress to further the cause of paired donation and government-funded research for kidney disease. He continues to keep a keen eye on the needs of patients and has other products in development that will address other patient needs such as drug management and improving communication with doctors and hospital staff regarding patient history and care.

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