Julia Adler-Milstein, PhD

Professor

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 125 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.
Education
2021 - Diversity, Equity, and Inclusion Champion Training, UCSF
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
Websites
Publications

  3. Holmgren AJ, Byron ME, Grouse CK, Adler-Milstein J. Association Between Billing Patient Portal Messages as e-Visits and Patient Messaging Volume. 2023. PMID: 36607621


  4. Grenon V, Szymonifka J, Adler-Milstein J, Ross J, Sarkar U. Factors Associated With Diagnostic Error: An Analysis of Closed Medical Malpractice Claims. 2023. PMID: 36631023


  5. Julia Adler-Milstein, Chantal Worzala, Brian E. Dixon. Chapter 21 Future directions for health information exchange. 2023. PMID:


  6. Julia Adler-Milstein, Courtney Lyles, Stephanie Rogers. HEALTH SYSTEM IMPLEMENTATION, SCALING, AND IMPACT OF THE 4MS FRAMEWORK TO ADVANCE AGE-FRIENDLY CARE. 2022. PMID:


  7. Khanna RR, Murray SG, Wen T, Salmeen K, Illangasekare T, Benfield N, Adler-Milstein J, Savage L. Protecting reproductive health information in the post-Roe era: interoperability strategies for healthcare institutions. 2022. PMID: 36287823


  8. Rose C, Thombley R, Noshad M, Lu Y, Clancy HA, Schlessinger D, Li RC, Liu VX, Chen JH, Adler-Milstein J. Team is brain: leveraging EHR audit log data for new insights into acute care processes. 2022. PMID: 36303451


  10. Cross DA, Adler-Milstein J, Holmgren AJ. Management Opportunities and Challenges After Achieving Widespread Health System Digitization. 2022. PMID: 36437617


  11. Herrel LA, Yan P, Modi P, Adler-Milstein J, Ryan AM, Hollingsworth JM. Association of Medicare Beneficiary and Hospital Accountable Care Organization Alignment With Surgical Cost Savings. 2022. PMID: 36547947


  12. Iott BE, Pantell MS, Adler-Milstein J, Gottlieb LM. Physician awareness of social determinants of health documentation capability in the electronic health record. 2022. PMID: 36069887


  14. Adler-Milstein J, Aggarwal N, Ahmed M, Castner J, Evans BJ, Gonzalez AA, James CA, Lin S, Mandl KD, Matheny ME, Sendak MP, Shachar C, Williams A. Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. 2022. PMID: 36713769


  15. Everson J, Adler-Milstein J. Electronic Connectivity Among US Hospitals Treating Shared Patients. 2022. PMID: 36049157


  16. Dori Amelie Cross, Julia Adler-Milstein, Carolyn Tory Harper Hogan. Organizational Factors Associated with Perceptions of Continuity during Post-Acute Transitional Care. 2022. PMID:


  17. Lehmann CU, Fultz Hollis K, Petersen C, DeMuro PR, Subbian V, Koppel R, Solomonides AE, Berner ES, Pan EC, Adler-Milstein J, Goodman KW. Selecting venues for AMIA events and conferences: guiding ethical principles. 2022. PMID: 35579334


  19. Gupta K, Szymonifka J, Rivadeneira NA, Khoong EC, Adler-Milstein J, Ross J, Sarkar U. Factors Associated with Malpractice Claim Payout: An Analysis of Closed Emergency Department Claims. 2022. PMID: 35764489


  20. Julia Adler-Milstein, Urmimala Sarkar, Robert M Wachter. Opportunities to mine EHRs for malpractice risk management and patient safety. 2022. PMID:


  21. Brian E. Dixon, A. Jay Holmgren, Julia Adler-Milstein, Shaun J. Grannis. Health Information Exchange and Interoperability. 2022. PMID:


  23. Adler-Milstein J, Chen J, Dhaliwal G. Supporting Diagnosis With Next-Generation Artificial Intelligence-Reply. 2022. PMID: 35412568


  24. Cross DA, Adler-Milstein J. Progress Toward Digital Transformation in an Evolving Post-Acute Landscape. 2022. PMID: 35712324


  25. Everson J, Adler-Milstein JR, Hollingsworth JM, Lee SD. Dispersion in the hospital network of shared patients is associated with less efficient care. 2020. PMID: 33298805


  26. Huilgol YS, Adler-Milstein J, Ivey SL, Hong JC. Opportunities to use electronic health record audit logs to improve cancer care. 2022. PMID: 35348298


  28. Holmgren AJ, Everson J, Adler-Milstein J. Association of Hospital Interoperable Data Sharing With Alternative Payment Model Participation. 2022. PMID: 35977275


  29. Khoong EC, Sharma AE, Gupta K, Adler-Milstein J, Sarkar U. The Abrupt Expansion of Ambulatory Telemedicine: Implications for Patient Safety. 2022. PMID: 35048294


  31. Vest JR, Adler-Milstein J, Gottlieb LM, Bian J, Campion TR, Cohen GR, Donnelly N, Harper J, Huerta TR, Kansky JP, Kharrazi H, Khurshid A, Kooreman HE, McDonnell C, Overhage JM, Pantell MS, Parisi W, Shenkman EA, Tierney WM, Wiehe S, Harle CA. Assessment of structured data elements for social risk factors. 2022. PMID: 35049262


  34. Wang M, Pantell MS, Gottlieb LM, Adler-Milstein J. Documentation and review of social determinants of health data in the EHR: measures and associated insights. 2021. PMID: 34549294


  37. Adler-Milstein J, Mehrotra A. Paying for Digital Health Care - Problems with the Fee-for-Service System. 2021. PMID: 34449187


  38. Lyles CR, Adler-Milstein J, Thao C, Lisker S, Nouri S, Sarkar U. Alignment of Key Stakeholders' Priorities for Patient-Facing Tools in Digital Health: Mixed Methods Study. 2021. PMID: 34435966


  40. Khairat S, Zalla LC, Adler-Milstein J, Kistler CE. US Nursing Home Quality Ratings Associated with COVID-19 Cases and Deaths Introduction. 2021. PMID: 34454922


  41. Apathy NC, Vest JR, Adler-Milstein J, Blackburn J, Dixon BE, Harle CA. Corrigendum to: Practice and market factors associated with provider volume of health information exchange. 2021. PMID: 33954750


  42. Apathy NC, Vest JR, Adler-Milstein J, Blackburn J, Dixon BE, Harle CA. Practice and market factors associated with provider volume of health information exchange. 2021. PMID: 33674854


  44. Pantell MS, Adler-Milstein J, Wang MD, Prather AA, Adler NE, Gottlieb LM. A reply to Shachak. 2021. PMID: 33659993


  45. Burke RE, Phelan J, Cross D, Werner RM, Adler-Milstein J. Integration Activities Between Hospitals and Skilled Nursing Facilities: A National Survey. 2021. PMID: 34062148


  52. Noshad M, Rose CC, Thombley R, Chiang J, Corbin CK, Nguyen M, Liu VX, Adler-Milstein J, Chen JH. Context is Key: Using the Audit Log to Capture Contextual Factors Affecting Stroke Care Processes. 2021. PMID: 33936471


  53. Adler-Milstein J, Raphael K, O'Malley TA, Cross DA. Information Sharing Practices Between US Hospitals and Skilled Nursing Facilities to Support Care Transitions. 2021. PMID: 33443582


  54. Pantell MS, Adler-Milstein J, Wang MD, Prather AA, Adler NE, Gottlieb LM. A call for social informatics. 2020. PMID: 33202020


  56. Levinson Z, Adler-Milstein J. A decade of experience for high-needs beneficiaries under Medicare Advantage. 2020. PMID: 33129177


  58. Adler-Milstein J, Raphael K, Bonner A, Pelton L, Fulmer T. Hospital adoption of electronic health record functions to support age-friendly care: results from a national survey. 2020. PMID: 32772089


  61. Nouri SS, Adler-Milstein J, Thao C, Acharya P, Barr-Walker J, Sarkar U, Lyles C. Patient characteristics associated with objective measures of digital health tool use in the United States: A literature review. 2020. PMID: 32364238


  64. Sinsky CA, Rule A, Cohen G, Arndt BG, Shanafelt TD, Sharp CD, Baxter SL, Tai-Seale M, Yan S, Chen Y, Adler-Milstein J, Hribar M. Metrics for assessing physician activity using electronic health record log data. 2020. PMID: 32027360


  66. Villumsen S, Adler-Milstein J, Nøhr C. National monitoring and evaluation of eHealth: a scoping review. 2020. PMID: 32607495


  67. Ruppel H, Bhardwaj A, Manickam RN, Adler-Milstein J, Flagg M, Ballesca M, Liu VX. Assessment of Electronic Health Record Search Patterns and Practices by Practitioners in a Large Integrated Health Care System. 2020. PMID: 32142128


  68. Lin SC, Yan PL, Moloci NM, Lawton EJ, Ryan AM, Adler-Milstein J, Hollingsworth JM. Out-Of-Network Primary Care Is Associated With Higher Per Beneficiary Spending In Medicare ACOs. 2020. PMID: 32011939


  70. Adler-Milstein J, Adelman JS, Tai-Seale M, Patel VL, Dymek C. EHR audit logs: A new goldmine for health services research? 2019. PMID: 31821887


  71. Auerbach AD, Khanna R, Adler-Milstein J. Letting a Good Crisis Go to Waste. 2019. PMID: 31745851


  73. Lin SC, Lyles CR, Sarkar U, Adler-Milstein J. Are Patients Electronically Accessing Their Medical Records? Evidence From National Hospital Data. 2019. PMID: 31682494


  74. Cross DA, McCullough JS, Banaszak-Holl J, Adler-Milstein J. Health information exchange between hospital and skilled nursing facilities not associated with lower readmissions. 2019. PMID: 31602639


  77. Zheng K, Chen Y, Adler-Milstein J, Rosenberg AL, Wu DTY, Mei Q, Hanauer DA. How Do Healthcare Professionals Personalize Their Software? A Pilot Exploration Based on an Electronic Health Records Search Engine. 2019. PMID: 31438158


  79. Senteio C, Adler-Milstein J, Richardson C, Veinot T. Psychosocial information use for clinical decisions in diabetes care. 2019. PMID: 31329894


  80. Everson J, Hollingsworth JM, Adler-Milstein J. Comparing methods of grouping hospitals. 2019. PMID: 31197825


  81. Cohen GR, Friedman CP, Ryan AM, Richardson CR, Adler-Milstein J. Variation in Physicians' Electronic Health Record Documentation and Potential Patient Harm from That Variation. 2019. PMID: 31183688


  82. Longhurst CA, Davis T, Maneker A, Eschenroeder HC, Dunscombe R, Reynolds G, Clay B, Moran T, Graham DB, Dean SM, Adler-Milstein J. Local Investment in Training Drives Electronic Health Record User Satisfaction. 2019. PMID: 31091545


  84. Sukul D, Hoffman GJ, Nuliyalu U, Adler-Milstein JR, Zhang B, Dimick JB, Ryan AM. Association Between Medicare Policy Reforms and Changes in Hospitalized Medicare Beneficiaries' Severity of Illness. 2019. PMID: 31050779


  85. Lin SC, Hollingsworth JM, Adler-Milstein J. Alternative payment models and hospital engagement in health information exchange. 2019. PMID: 30667611


  86. Cross DA, McCullough JS, Adler-Milstein J. Drivers of health information exchange use during postacute care transitions. 2019. PMID: 30667612


  88. Everson J, Adler-Milstein J, Ryan AM, Hollingsworth JM. Hospitals Strengthened Relationships With Close Partners After Joining Accountable Care Organizations. 2018. PMID: 30541401


  89. Adler-Milstein J, Nong P, Friedman CP. Preparing healthcare delivery organizations for managing computable knowledge. 2018. PMID: 31245601


  90. Cross DA, Nong P, Harris-Lemak C, Cohen GR, Linden A, Adler-Milstein J. Practice strategies to improve primary care for chronic disease patients under a pay-for-value program. 2018. PMID: 30197304


  92. Dori Amelie Cross, Julia Adler-Milstein, Jane Banaszak-Holl, Jeffrey Scott McCullough. Electronic Information Sharing to Improve Post-Acute Care Transitions. 2018. PMID:


  99. Mello MM, Adler-Milstein J, Ding KL, Savage L. Legal Barriers to the Growth of Health Information Exchange-Boulders or Pebbles? 2018. PMID: 29504197


  103. Carol Parker, Mathew Reeves, Michael Weiner, Julia Adler-Milstein. Health Information Exchange Organizations and Their Support for Research: Current State and Future Outlook. 2017. PMID:


  104. Adler-Milstein J, Holmgren AJ, Kralovec P, Worzala C, Searcy T, Patel V. Electronic health record adoption in US hospitals: the emergence of a digital "advanced use" divide. 2017. PMID: 29016973


  105. Kullgren JT, Krupka E, Schachter A, Linden A, Miller J, Acharya Y, Alford J, Duffy R, Adler-Milstein J. Precommitting to choose wisely about low-value services: a stepped wedge cluster randomised trial. 2017. PMID: 29066616


  106. Holmgren AJ, Patel V, Adler-Milstein J. Progress In Interoperability: Measuring US Hospitals' Engagement In Sharing Patient Data. 2017. PMID: 28971929


  108. Jordan Everson, Julia Adler-Milstein, John Hollingsworth, Shoou-Yih Daniel Lee. A Network Approach to Care Fragmentation: Impact on the Quality and Efficiency of Hospital Care. 2017. PMID:


  110. Dori Amelie Cross, Paige Nong, Christy Harris Lemak, Genna Rebecca Cohen, Ariel Linden, Julia Adler-Milstein. Leveraging Learning, Motivation and Resources to Improve Primary Care for High-Needs Patients. 2017. PMID:


  111. Ryan AM, Krinsky S, Adler-Milstein J, Damberg CL, Maurer KA, Hollingsworth JM. Association Between Hospitals' Engagement in Value-Based Reforms and Readmission Reduction in the Hospital Readmission Reduction Program. 2017. PMID: 28395006


  114. Adler-Milstein J, Lin SC, Jha AK. Health Information Exchanges: The Authors Reply. 2017. PMID: 28264965


  116. Zelmer J, Ronchi E, Hyppönen H, Lupiáñez-Villanueva F, Codagnone C, Nøhr C, Huebner U, Fazzalari A, Adler-Milstein J. International health IT benchmarking: learning from cross-country comparisons. 2017. PMID: 27554825


  117. Cross DA, Cohen GR, Lemak CH, Adler-Milstein J. Outcomes For High-Needs Patients: Practices With A Higher Proportion Of These Patients Have An Edge. 2017. PMID: 28264949


  118. Cross DA, Cohen GR, Harris Lemak C, Adler-Milstein J. Sustained participation in a pay-for-value program: impact on high-need patients. 2017. PMID: 28245662


  119. Holmgren AJ, Pfeifer E, Manojlovich M, Adler-Milstein J. A Novel Survey to Examine the Relationship between Health IT Adoption and Nurse-Physician Communication. 2016. PMID: 27999841


  120. Holmgren AJ, Patel V, Charles D, Adler-Milstein J. US hospital engagement in core domains of interoperability. 2016. PMID: 27982673


  125. Downing NL, Adler-Milstein J, Palma JP, Lane S, Eisenberg M, Sharp C, Longhurst CA. Health information exchange policies of 11 diverse health systems and the associated impact on volume of exchange. 2016. PMID: 27301748


  126. Massoudi BL, Marcial LH, Tant E, Adler-Milstein J, West SL. Using health information exchanges to calculate clinical quality measures: A study of barriers and facilitators. 2016. PMID: 27343159


  127. Idris Adjerid, Alessandro Acquisti, Rahul Telang, Rema Padman, Julia Adler-Milstein. The Impact of Privacy Regulation and Technology Incentives: The Case of Health Information Exchanges. 2016. PMID:


  129. Julia Adler-Milstein, Brian E. Dixon. Chapter 16 Future Directions in Health Information Exchange. 2016. PMID:


  130. Carol J. Parker, Julia Adler-Milstein. Errors Related to Health Information Exchange. 2016. PMID:


  131. Hyppönen H, Ronchi E, Adler-Milstein J. Health Care Performance Indicators for Health Information Systems. 2016. PMID: 27198102


  133. Adler-Milstein J, DesRoches CM, Kralovec P, Foster G, Worzala C, Charles D, Searcy T, Jha AK. Electronic Health Record Adoption In US Hospitals: Progress Continues, But Challenges Persist. 2015. PMID: 26561387


  134. Cross DA, Cohen GR, Nong P, Day AV, Vibbert D, Naraharisetti R, Adler-Milstein J. Improving EHR Capabilities to Facilitate Stage 3 Meaningful Use Care Coordination Criteria. 2015. PMID: 26958177


  135. Adler-Milstein J, Everson J, Lee SY. EHR Adoption and Hospital Performance: Time-Related Effects. 2015. PMID: 26473506


  136. Cross DA, Lin SC, Adler-Milstein J. Assessing payer perspectives on health information exchange. 2015. PMID: 26142424


  137. Manojlovich M, Adler-Milstein J, Harrod M, Sales A, Hofer TP, Saint S, Krein SL. The Effect of Health Information Technology on Health Care Provider Communication: A Mixed-Method Protocol. 2015. PMID: 26068442


  138. Jordan Everson, Shoou-Yih Daniel Lee, Julia Adler-Milstein. The Dependent Effect of Health IT and Hospital-Physician Integration on Evidence Based Practices. 2015. PMID:


  139. Adler-Milstein J, Cohen GR, Markovitz A, Paustian M. The Impact of HIT on Cost and Quality in Patient-Centered Medical Home Practices. 2014. PMID: 25954324


  140. Adler-Milstein J, Woody Scott K, Jha AK. Leveraging EHRs to improve hospital performance: the role of management. 2014. PMID: 25811825


  141. Adler-Milstein J. The 3 key themes in health information technology. 2014. PMID: 25811822


  142. Adler-Milstein J, Jha AK. Electronic health records: the authors reply. 2014. PMID: 25288435


  143. Adler-Milstein J, Sarma N, Woskie LR, Jha AK. A comparison of how four countries use health IT to support care for people with chronic conditions. 2014. PMID: 25201660


  144. Furukawa MF, King J, Patel V, Hsiao CJ, Adler-Milstein J, Jha AK. Despite substantial progress In EHR adoption, health information exchange and patient engagement remain low in office settings. 2014. PMID: 25104827


  145. Adler-Milstein J, DesRoches CM, Furukawa MF, Worzala C, Charles D, Kralovec P, Stalley S, Jha AK. More than half of US hospitals have at least a basic EHR, but stage 2 criteria remain challenging for most. 2014. PMID: 25104826


  147. Adler-Milstein J, Everson J, Lee SY. Sequencing of EHR adoption among US hospitals and the impact of meaningful use. 2014. PMID: 24853066


  148. Lammers EJ, Adler-Milstein J, Kocher KE. Does health information exchange reduce redundant imaging? Evidence from emergency departments. 2014. PMID: 24374414


  152. Adler-Milstein J, Huckman RS. The impact of electronic health record use on physician productivity. 2013. PMID: 24511889


  153. Adler-Milstein J, Salzberg C, Franz C, Orav EJ, Newhouse JP, Bates DW. Effect of electronic health records on health care costs: longitudinal comparative evidence from community practices. 2013. PMID: 23856682


  155. Adler-Milstein J, Furukawa MF, King J, Jha AK. Early results from the hospital Electronic Health Record Incentive Programs. 2013. PMID: 23919447


  156. Adler-Milstein J, Jha AK. Healthcare's "big data" challenge. 2013. PMID: 23919417


  157. Adler-Milstein J, Salzberg C, Franz C, Orav EJ, Bates DW. The impact of electronic health records on ambulatory costs among Medicaid beneficiaries. 2013. PMID: 24753965


  158. Adler-Milstein J, Ronchi E, Cohen GR, Winn LA, Jha AK. Benchmarking health IT among OECD countries: better data for better policy. 2013. PMID: 23721983


  162. Adler-Milstein J, DesRoches CM, Jha AK. Health information exchange among US hospitals. 2011. PMID: 22084896


  164. Julia Adler-Milstein, Sara J. Singer, Michael Toffel. SPEAKING UP CONSTRUCTIVELY: MANAGERIAL PRACTICES THAT ELICIT SOLUTIONS FROM FRONT-LINE EMPLOYEES. 2011. PMID:


  165. Adler-Milstein J, Neal K, Howell MD. Residents' and nurses' perceptions of team function in the medical intensive care unit. 2010. PMID: 20646901


  167. Adler-Milstein J, Landefeld J, Jha AK. Characteristics associated with regional health information organization viability. 2010. PMID: 20064803


  168. Adler-Milstein J, Bates DW, Jha AK. U.S. Regional health information organizations: progress and challenges. 2009. PMID: 19276008


  169. Ashish N. Dwivedi, Julia Adler-Milstein, Ariel Linden. The Use and Evaluations of IT in Chronic Disease Management. 2009. PMID:


  170. Adler-Milstein J, Jha A. Fledgling firms offer hope on health costs. 2008. PMID: 18411963


  171. Linden A, Adler-Milstein J. Medicare disease management in policy context. 2008. PMID: 18567239


  172. Adler-Milstein J, McAfee AP, Bates DW, Jha AK. The state of regional health information organizations: current activities and financing. 2007. PMID: 18073225


  173. Sprivulis P, Walker J, Johnston D, Pan E, Adler-Milstein J, Middleton B, Bates DW. The economic benefits of health information exchange interoperability for Australia. 2007. PMID: 17973611


  174. Adler-Milstein J, Bu D, Pan E, Walker J, Kendrick D, Hook JM, Bates DW, Middleton B. The cost of information technology-enabled diabetes management. 2007. PMID: 17590142


  175. Bu D, Pan E, Walker J, Adler-Milstein J, Kendrick D, Hook JM, Cusack CM, Bates DW, Middleton B. Benefits of information technology-enabled diabetes management. 2007. PMID: 17322483


  176. Hook JM, Pan E, Adler-Milstein J, Bu D, Walker J. The value of healthcare information exchange and interoperability in New York state. 2006. PMID: 17238572


  177. Sprivulis P, Walker J, Johnston D, Pan E, Adler-Milstein J, Middleton B, Bates DW. The economic benefits of health information exchange interoperability for Australia. 2005. PMID: 16779406


  178. Walker J, Pan E, Johnston D, Adler-Milstein J, Bates DW, Middleton B. The value of health care information exchange and interoperability. 2005. PMID: 15659453