Julia Adler-Milstein, PhD


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.
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
  1. 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

  2. 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

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


  5. 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

  6. 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

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

  8. 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

  9. 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

  10. 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

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

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

  13. 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

  14. 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

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

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

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

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

  19. 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

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

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

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

  23. 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

  24. 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

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

  26. 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

  27. 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

  28. 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

  29. 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

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

  31. 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

  32. 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

  33. 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

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

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

  36. 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

  37. 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

  38. 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

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

  40. 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

  41. 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

  42. 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

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

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

  45. 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

  46. 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

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

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

  49. 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

  50. 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

  51. 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

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

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

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

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

  56. 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

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

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

  59. 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:

  60. 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

  61. 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

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

  63. 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:

  64. 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:

  65. 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

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

  67. 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

  68. 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

  69. 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

  70. 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

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

  72. 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

  73. 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

  74. 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:

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

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

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

  78. 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

  79. 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

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

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

  82. 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

  83. 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:

  84. 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

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

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

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

  88. 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

  89. 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

  90. 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

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

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

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

  94. 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

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

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

  97. 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

  98. 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

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


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

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

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

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

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

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

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

  108. 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

  109. 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

  110. 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

  111. 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

  112. 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

  113. 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