Julia Adler-milstein, PhD


Hospital Medicine, Hospital Medicine UCSF Health, CLIIR

Dr. Julia Adler-Milstein is a Professor of Medicine and Director of the Center for Clinical Informatics and Improvement Research (CLIIR).

Dr. Adler-Milstein is a leading researcher in health IT policy, with a specific focus on electronic health records and interoperability. She has examined policies and organizational strategies that enable effective use of electronic health records and promote interoperability. She is also an expert in EHR audit log data and its application to studying clinician behavior. Her research – used by researchers, health systems, and policymakers – identifies obstacles to progress and ways to overcome them.

She has published over 100 influential papers, testified before the US Senate Health, Education, Labor and Pensions Committee, is a member of the National Academy of Medicine, been named one of the top 10 influential women in health IT, and won numerous awards, including the New Investigator Award from the American Medical Informatics Association and the Alice S. Hersh New Investigator Award from AcademyHealth. She has served on an array of influential committees and boards, including the NHS National Advisory Group on Health Information Technology, the Health Care Advisory Board for Politico, and the Interoperability Committee of the National Quality Forum.

Dr. Adler-Milstein holds a PhD in Health Policy from Harvard and spent six years on the faculty at University of Michigan prior to joining UCSF as a Professor in the Department of Medicine and the inaugural director of the Center for Clinical Informatics and Improvement Research.

PhD, 06/2011 - Health Policy, Harvard University
AB, 06/2001 - Human Biology, Stanford University
Honors and Awards
  • Member, National Academy of Medicine, 2019
  • Don Eugene Detmer Award for Health Policy Contribution in Informatics, American Medical Informatics Association, 2018
  • Alice S. Hersh New Investigator Award, Academy Health, 2017
  • Fellow, American College of Medical Informatics (ACMI), 2017
  • Seema S. Sonnad Emerging Leader in Managed Care Research, American Journal of Managed Care, 2015
  • Henry Russel Award for Outstanding Junior Faculty, University of Michigan, 2015
  • New Investigator Award, American Medical Informatics Association, 2014
  • Top 10 Influential Women in Health IT, Fierce Health IT, 2014
  • Outstanding Dissertation Award, Academy Health, 2011
  1. Barriers to hospital electronic public health reporting and implications for the COVID-19 pandemic: the authors' reply.
  2. Barriers to Hospital Electronic Public Health Reporting and Implications for the COVID-19 Pandemic.
  3. Hospital adoption of electronic health record functions to support age-friendly care: results from a national survey.
  4. Why real-world health information technology performance transparency is challenging, even when everyone (claims to) want it.
  5. Studying Workflow and Workarounds in Electronic Health Record-Supported Work to Improve Health System Performance.
  6. Patient characteristics associated with objective measures of digital health tool use in the United States: A literature review.
  7. Early Insights from Health System Deployment of Patient-Facing Application Programming Interfaces (APIs): Progress and Opportunities.
  8. Electronic health records and burnout: Time spent on the electronic health record after hours and message volume associated with exhaustion but not with cynicism among primary care clinicians.
  9. Metrics for assessing physician activity using electronic health record log data.
  10. The impact of transitioning from availability of outside records within electronic health records to integration of local and outside records within electronic health records.
  11. National monitoring and evaluation of eHealth: a scoping review.
  12. Assessment of Electronic Health Record Search Patterns and Practices by Practitioners in a Large Integrated Health Care System.
  13. Out-Of-Network Primary Care Is Associated With Higher Per Beneficiary Spending In Medicare ACOs.
  14. Electronic Health Record Time Among Outpatient Physicians: Reflections on the Who, What, and Why.
  15. EHR audit logs: A new goldmine for health services research?
  16. Letting a Good Crisis Go to Waste.
  17. Sharing information electronically with other hospitals is associated with increased sharing of patients.
  18. Are Patients Electronically Accessing Their Medical Records? Evidence From National Hospital Data.
  19. Health information exchange between hospital and skilled nursing facilities not associated with lower readmissions.
  20. Early experiences with patient generated health data: health system and patient perspectives.
  21. Health informatics and health services research: reflections on their convergence.
  22. How Do Healthcare Professionals Personalize Their Software? A Pilot Exploration Based on an Electronic Health Records Search Engine.
  23. Assessment of Patient Use of a New Approach to Access Health Record Data Among 12 US Health Systems.
  24. Psychosocial information use for clinical decisions in diabetes care.
  25. Comparing methods of grouping hospitals.
  26. Variation in Physicians' Electronic Health Record Documentation and Potential Patient Harm from That Variation.
  27. Local Investment in Training Drives Electronic Health Record User Satisfaction.
  28. Restricting the Number of Open Patient Records in the Electronic Health Record: Is the Record Half Open or Half Closed?
  29. Association Between Medicare Policy Reforms and Changes in Hospitalized Medicare Beneficiaries' Severity of Illness.
  30. Alternative payment models and hospital engagement in health information exchange.
  31. Drivers of health information exchange use during postacute care transitions.
  32. Coordination of Care Around Surgery for Colon Cancer: Insights From National Patterns of Physician Encounters With Medicare Beneficiaries.
  33. Hospitals Strengthened Relationships With Close Partners After Joining Accountable Care Organizations.
  34. Preparing healthcare delivery organizations for managing computable knowledge.
  35. Practice strategies to improve primary care for chronic disease patients under a pay-for-value program.
  36. Gaps in health information exchange between hospitals that treat many shared patients.
  37. Electronic Information Sharing to Improve Post-Acute Care Transitions.
  38. Participation in a Voluntary Bundled Payment Program by Organizations Providing Care After an Acute Hospitalization.
  39. Electronic Health Records Associated With Lower Hospital Mortality After Systems Have Time To Mature.
  40. A snapshot of health information exchange across five nations: an investigation of frontline clinician experiences in emergency care.
  41. Are all certified EHRs created equal? Assessing the relationship between EHR vendor and hospital meaningful use performance.
  42. Reducing Medicare Spending Through Electronic Health Information Exchange: The Role of Incentives and Exchange Maturity.
  43. The relationship between hospital and ehr vendor market dynamics on health information organization presence and participation.
  44. Legal Barriers to the Growth of Health Information Exchange-Boulders or Pebbles?
  45. Technology, Incentives, or Both? Factors Related to Level of Hospital Health Information Exchange.
  46. Physicians' perceptions of the impact of the EHR on the collection and retrieval of psychosocial information in outpatient diabetes care.
  47. Data-Driven Diffusion Of Innovations: Successes And Challenges In 3 Large-Scale Innovative Delivery Models.
  48. Health Information Exchange Organizations and Their Support for Research: Current State and Future Outlook.
  49. Electronic health record adoption in US hospitals: the emergence of a digital "advanced use" divide.
  50. Precommitting to choose wisely about low-value services: a stepped wedge cluster randomised trial.
  51. Progress In Interoperability: Measuring US Hospitals' Engagement In Sharing Patient Data.
  52. Crossing the health IT chasm: considerations and policy recommendations to overcome current challenges and enable value-based care.
  53. A Network Approach to Care Fragmentation: Impact on the Quality and Efficiency of Hospital Care.
  54. HITECH Act Drove Large Gains In Hospital Electronic Health Record Adoption.
  55. Leveraging Learning, Motivation and Resources to Improve Primary Care for High-Needs Patients.
  56. Association Between Hospitals' Engagement in Value-Based Reforms and Readmission Reduction in the Hospital Readmission Reduction Program.
  57. Health information exchange associated with improved emergency department care through faster accessing of patient information from outside organizations.
  58. Health Information Exchange in US Hospitals: The Current Landscape and a Path to Improved Information Sharing.
  59. Health Information Exchanges: The Authors Reply.
  60. Information Blocking: Is It Occurring and What Policy Strategies Can Address It?
  61. International health IT benchmarking: learning from cross-country comparisons.
  62. Outcomes For High-Needs Patients: Practices With A Higher Proportion Of These Patients Have An Edge.
  63. Sustained participation in a pay-for-value program: impact on high-need patients.
  64. A Novel Survey to Examine the Relationship between Health IT Adoption and Nurse-Physician Communication.
  65. US hospital engagement in core domains of interoperability.
  67. Investing in Post-Acute Care Transitions: Electronic Information Exchange Between Hospitals and Long-Term Care Facilities.
  68. Engagement In Hospital Health Information Exchange Is Associated With Vendor Marketplace Dominance.
  69. The Number Of Health Information Exchange Efforts Is Declining, Leaving The Viability Of Broad Clinical Data Exchange Uncertain.
  70. Health information exchange policies of 11 diverse health systems and the associated impact on volume of exchange.
  71. Using health information exchanges to calculate clinical quality measures: A study of barriers and facilitators.
  72. The Impact of Privacy Regulation and Technology Incentives: The Case of Health Information Exchanges.
  73. Achieving Adherence to Evidence-Based Practices: Are Health IT and Hospital-Physician Integration Complementary or Substitutive Strategies?
  74. Errors Related to Health Information Exchange.
  75. Health Care Performance Indicators for Health Information Systems.
  76. Meaningful use care coordination criteria: Perceived barriers and benefits among primary care providers.
  77. Electronic Health Record Adoption In US Hospitals: Progress Continues, But Challenges Persist.
  78. Improving EHR Capabilities to Facilitate Stage 3 Meaningful Use Care Coordination Criteria.
  79. EHR Adoption and Hospital Performance: Time-Related Effects.
  80. Assessing payer perspectives on health information exchange.
  81. The Effect of Health Information Technology on Health Care Provider Communication: A Mixed-Method Protocol.
  82. The Dependent Effect of Health IT and Hospital-Physician Integration on Evidence Based Practices.
  83. The Impact of HIT on Cost and Quality in Patient-Centered Medical Home Practices.
  84. Leveraging EHRs to improve hospital performance: the role of management.
  85. The 3 key themes in health information technology.
  86. Electronic health records: the authors reply.
  87. A comparison of how four countries use health IT to support care for people with chronic conditions.
  88. Despite substantial progress In EHR adoption, health information exchange and patient engagement remain low in office settings.
  89. More than half of US hospitals have at least a basic EHR, but stage 2 criteria remain challenging for most.
  90. No evidence found that hospitals are using new electronic health records to increase Medicare reimbursements.
  91. Sequencing of EHR adoption among US hospitals and the impact of meaningful use.
  92. Does health information exchange reduce redundant imaging? Evidence from emergency departments.
  93. Health information exchange among U.S. hospitals: who's in, who's out, and why?
  94. Telehealth among US hospitals: several factors, including state reimbursement and licensure policies, influence adoption.
  95. Implementing the IT infrastructure for health reform: adoption of health IT among patient-centered medical home practices.
  96. The impact of electronic health record use on physician productivity.
  97. Effect of electronic health records on health care costs: longitudinal comparative evidence from community practices.
  98. Operational health information exchanges show substantial growth, but long-term funding remains a concern.
  99. Early results from the hospital Electronic Health Record Incentive Programs.
  100. Healthcare's "big data" challenge.
  101. The impact of electronic health records on ambulatory costs among Medicaid beneficiaries.
  102. Benchmarking health IT among OECD countries: better data for better policy.
  103. A survey analysis suggests that electronic health records will yield revenue gains for some practices and losses for many.
  104. Sharing clinical data electronically: a critical challenge for fixing the health care system.
  105. Organizational complements to electronic health records in ambulatory physician performance: the role of support staff.
  106. Health information exchange among US hospitals.
  107. A survey of health information exchange organizations in the United States: implications for meaningful use.
  108. Residents' and nurses' perceptions of team function in the medical intensive care unit.
  109. Paperless healthcare: Progress and challenges of an IT-enabled healthcare system.
  110. Characteristics associated with regional health information organization viability.
  111. U.S. Regional health information organizations: progress and challenges.
  112. Fledgling firms offer hope on health costs.
  113. Medicare disease management in policy context.
  114. The state of regional health information organizations: current activities and financing.
  115. The economic benefits of health information exchange interoperability for Australia.
  116. The cost of information technology-enabled diabetes management.
  117. Benefits of information technology-enabled diabetes management.
  118. The value of healthcare information exchange and interoperability in New York state.
  119. The economic benefits of health information exchange interoperability for Australia.
  120. The value of health care information exchange and interoperability.