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Julia Adler-Milstein, PhD

TitleAssociate Professor
SchoolUCSF School of Medicine
DepartmentMedicine
Address3333 California Street
San Francisco CA 94118
Phone415-476-9562
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    Collapse Biography 
    Collapse Education and Training
    Stanford University, Palo Alto, CAAB06/2001Human Biology
    Harvard University, Cambridge, MAPhD06/2011Health Policy
    Collapse Awards and Honors
    Academy Health2017Alice S. Hersh New Investigator Award
    University of Michigan2015Henry Russel Award for Outstanding Junior Faculty
    American Journal of Managed Care2015Seema S. Sonnad Emerging Leader in Managed Care Research
    American Medical Informatics Association2014New Investigator Award
    Fierce Health IT2014Top 10 Influential Women in Health IT
    Academy Health2011Outstanding Dissertation Award

    Collapse Overview 
    Collapse Overview
    Dr. Julia Adler-Milstein is an Associate Professor and Director of the Center for Clinical Informatics and Improvement Research (CLIIR).

    Dr. Adler-Milstein is an internationally-recognized expert on policy and management issues related to the use of IT in healthcare delivery. Her research assesses the progress of health IT adoption; the impact of such adoption on healthcare costs and quality; and the relationships between market, organizational, and team structure and health IT use. A core focus of her work is on health information exchange and interoperability.


    Collapse Research 
    Collapse Research Activities and Funding
    Synergies and Sequencing in Delivery and Payment Reform: Understanding What Works
    AHRQ R01HS025165Sep 1, 2017 - Aug 31, 2022
    Role: Principal Investigator
    Redesigning Healthcare Organizations to Deploy New Knowledge from Data Science
    AHRQ R13HS025316Feb 10, 2017 - Jul 31, 2017
    Role: Principal Investigator
    Assessing Readiness, Achievement &Impact of Stage 3 Care Coordination Criteria
    AHRQ R18HS022674Sep 1, 2013 - Aug 31, 2014
    Role: Principal Investigator

    Collapse ORNG Applications 
    Collapse Twitter

    Collapse Bibliographic 
    Collapse Publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help.
    List All   |   Timeline
    1. Mello MM, Adler-Milstein J, Ding KL, Savage L. Legal Barriers to the Growth of Health Information Exchange-Boulders or Pebbles? Milbank Q. 2018 Mar; 96(1):110-143. PMID: 29504197.
      View in: PubMed
    2. Lin SC, Everson J, Adler-Milstein J. Technology, Incentives, or Both? Factors Related to Level of Hospital Health Information Exchange. Health Serv Res. 2018 Feb 28. PMID: 29492959.
      View in: PubMed
    3. Senteio C, Veinot T, Adler-Milstein J, Richardson C. Physicians' perceptions of the impact of the EHR on the collection and retrieval of psychosocial information in outpatient diabetes care. Int J Med Inform. 2018 May; 113:9-16. PMID: 29602438.
      View in: PubMed
    4. Klapman S, Sher E, Adler-Milstein J. A snapshot of health information exchange across five nations: an investigation of frontline clinician experiences in emergency care. J Am Med Inform Assoc. 2018 Feb 02. PMID: 29409028.
      View in: PubMed
    5. Dorr DA, Cohen DJ, Adler-Milstein J. Data-Driven Diffusion Of Innovations: Successes And Challenges In 3 Large-Scale Innovative Delivery Models. Health Aff (Millwood). 2018 Feb; 37(2):257-265. PMID: 29401031.
      View in: PubMed
    6. Holmgren AJ, Adler-Milstein J, McCullough J. Are all certified EHRs created equal? Assessing the relationship between EHR vendor and hospital meaningful use performance. J Am Med Inform Assoc. 2017 Nov 24. PMID: 29186508.
      View in: PubMed
    7. 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. J Am Med Inform Assoc. 2017 Nov 01; 24(6):1142-1148. PMID: 29016973.
      View in: PubMed
    8. 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. BMJ Qual Saf. 2017 Oct 24. PMID: 29066616.
      View in: PubMed
    9. Holmgren AJ, Patel V, Adler-Milstein J. Progress In Interoperability: Measuring US Hospitals' Engagement In Sharing Patient Data. Health Aff (Millwood). 2017 Oct 01; 36(10):1820-1827. PMID: 28971929.
      View in: PubMed
    10. Adler-Milstein J, Embi PJ, Middleton B, Sarkar IN, Smith J. Crossing the health IT chasm: considerations and policy recommendations to overcome current challenges and enable value-based care. J Am Med Inform Assoc. 2017 Sep 01; 24(5):1036-1043. PMID: 28340128.
      View in: PubMed
    11. Adler-Milstein J, Jha AK. HITECH Act Drove Large Gains In Hospital Electronic Health Record Adoption. Health Aff (Millwood). 2017 Aug 01; 36(8):1416-1422. PMID: 28784734.
      View in: PubMed
    12. 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. JAMA Intern Med. 2017 Jun 01; 177(6):862-868. PMID: 28395006.
      View in: PubMed
    13. Everson J, Kocher KE, Adler-Milstein J. Health information exchange associated with improved emergency department care through faster accessing of patient information from outside organizations. J Am Med Inform Assoc. 2017 Apr 01; 24(e1):e103-e110. PMID: 27521368.
      View in: PubMed
    14. Holmgren AJ, Adler-Milstein J. Health Information Exchange in US Hospitals: The Current Landscape and a Path to Improved Information Sharing. J Hosp Med. 2017 Mar; 12(3):193-198. PMID: 28272599.
      View in: PubMed
    15. Adler-Milstein J, Pfeifer E. Information Blocking: Is It Occurring and What Policy Strategies Can Address It? Milbank Q. 2017 Mar; 95(1):117-135. PMID: 28266065.
      View in: PubMed
    16. Adler-Milstein J, Lin SC, Jha AK. Health Information Exchanges: The Authors Reply. Health Aff (Millwood). 2017 Mar 01; 36(3):580. PMID: 28264965.
      View in: PubMed
    17. 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. Health Aff (Millwood). 2017 Mar 01; 36(3):476-484. PMID: 28264949.
      View in: PubMed
    18. 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. J Am Med Inform Assoc. 2017 Mar 01; 24(2):371-379. PMID: 27554825.
      View in: PubMed
    19. Cross DA, Cohen GR, Harris Lemak C, Adler-Milstein J. Sustained participation in a pay-for-value program: impact on high-need patients. Am J Manag Care. 2017 Feb 01; 23(2):e33-e40. PMID: 28245662.
      View in: PubMed
    20. Holmgren AJ, Pfeifer E, Manojlovich M, Adler-Milstein J. A Novel Survey to Examine the Relationship between Health IT Adoption and Nurse-Physician Communication. Appl Clin Inform. 2016 12 21; 7(4):1182-1201. PMID: 27999841.
      View in: PubMed
    21. Holmgren AJ, Patel V, Charles D, Adler-Milstein J. US hospital engagement in core domains of interoperability. Am J Manag Care. 2016 Dec 01; 22(12):e395-e402. PMID: 27982673.
      View in: PubMed
    22. Cross DA, Adler-Milstein J. Investing in Post-Acute Care Transitions: Electronic Information Exchange Between Hospitals and Long-Term Care Facilities. J Am Med Dir Assoc. 2017 Jan; 18(1):30-34. PMID: 27639335.
      View in: PubMed
    23. Everson J, Adler-Milstein J. Engagement In Hospital Health Information Exchange Is Associated With Vendor Marketplace Dominance. Health Aff (Millwood). 2016 07 01; 35(7):1286-93. PMID: 27385246.
      View in: PubMed
    24. Adler-Milstein J, Lin SC, Jha AK. The Number Of Health Information Exchange Efforts Is Declining, Leaving The Viability Of Broad Clinical Data Exchange Uncertain. Health Aff (Millwood). 2016 07 01; 35(7):1278-85. PMID: 27385245.
      View in: PubMed
    25. 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. J Am Med Inform Assoc. 2017 Jan; 24(1):113-122. PMID: 27301748.
      View in: PubMed
    26. 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. Healthc (Amst). 2016 Jun; 4(2):104-8. PMID: 27343159.
      View in: PubMed
    27. Everson J, Lee SD, Adler-Milstein J. Achieving Adherence to Evidence-Based Practices: Are Health IT and Hospital-Physician Integration Complementary or Substitutive Strategies? Med Care Res Rev. 2016 Dec; 73(6):724-751. PMID: 26739594.
      View in: PubMed
    28. Hyppönen H, Ronchi E, Adler-Milstein J. Health Care Performance Indicators for Health Information Systems. Stud Health Technol Inform. 2016; 222:181-94. PMID: 27198102.
      View in: PubMed
    29. Cohen GR, Adler-Milstein J. Meaningful use care coordination criteria: Perceived barriers and benefits among primary care providers. J Am Med Inform Assoc. 2016 Apr; 23(e1):e146-51. PMID: 26567327; PMCID: PMC4954634 [Available on 04/01/17].
      View in: PubMed, PubMed Central
    30. 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. Health Aff (Millwood). 2015 Dec; 34(12):2174-80. PMID: 26561387.
      View in: PubMed
    31. 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. AMIA Annu Symp Proc. 2015; 2015:448-55. PMID: 26958177; PMCID: PMC4765570.
      View in: PubMed, PubMed Central
    32. Adler-Milstein J, Everson J, Lee SY. EHR Adoption and Hospital Performance: Time-Related Effects. Health Serv Res. 2015 Dec; 50(6):1751-71. PMID: 26473506; PMCID: PMC4693851 [Available on 12/01/16].
      View in: PubMed, PubMed Central
    33. Cross DA, Lin SC, Adler-Milstein J. Assessing payer perspectives on health information exchange. J Am Med Inform Assoc. 2016 Mar; 23(2):297-303. PMID: 26142424; PMCID: PMC4784554 [Available on 03/01/17].
      View in: PubMed, PubMed Central
    34. 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. JMIR Res Protoc. 2015 Jun 11; 4(2):e72. PMID: 26068442; PMCID: PMC4526935.
      View in: PubMed, PubMed Central
    35. Adler-Milstein J, Cohen GR, Markovitz A, Paustian M. The Impact of HIT on Cost and Quality in Patient-Centered Medical Home Practices. AMIA Annu Symp Proc. 2014; 2014:232-9. PMID: 25954324; PMCID: PMC4419912.
      View in: PubMed, PubMed Central
    36. Adler-Milstein J, Woody Scott K, Jha AK. Leveraging EHRs to improve hospital performance: the role of management. Am J Manag Care. 2014 Nov; 20(11 Spec No. 17):SP511-9. PMID: 25811825.
      View in: PubMed
    37. Adler-Milstein J. The 3 key themes in health information technology. Am J Manag Care. 2014 Nov; 20(11 Spec No. 17):SP492-3. PMID: 25811822.
      View in: PubMed
    38. Adler-Milstein J, Jha AK. Electronic health records: the authors reply. Health Aff (Millwood). 2014 Oct; 33(10):1877. PMID: 25288435.
      View in: PubMed
    39. 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. Health Aff (Millwood). 2014 Sep; 33(9):1559-66. PMID: 25201660.
      View in: PubMed
    40. 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. Health Aff (Millwood). 2014 Sep; 33(9):1672-9. PMID: 25104827.
      View in: PubMed
    41. 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. Health Aff (Millwood). 2014 Sep; 33(9):1664-71. PMID: 25104826.
      View in: PubMed
    42. Adler-Milstein J, Jha AK. No evidence found that hospitals are using new electronic health records to increase Medicare reimbursements. Health Aff (Millwood). 2014 Jul; 33(7):1271-7. PMID: 25006156.
      View in: PubMed
    43. Adler-Milstein J, Everson J, Lee SY. Sequencing of EHR adoption among US hospitals and the impact of meaningful use. J Am Med Inform Assoc. 2014 Nov-Dec; 21(6):984-91. PMID: 24853066; PMCID: PMC4215052.
      View in: PubMed, PubMed Central
    44. Lammers EJ, Adler-Milstein J, Kocher KE. Does health information exchange reduce redundant imaging? Evidence from emergency departments. Med Care. 2014 Mar; 52(3):227-34. PMID: 24374414.
      View in: PubMed
    45. Adler-Milstein J, Jha AK. Health information exchange among U.S. hospitals: who's in, who's out, and why? Healthc (Amst). 2014 Mar; 2(1):26-32. PMID: 26250086.
      View in: PubMed
    46. Adler-Milstein J, Kvedar J, Bates DW. Telehealth among US hospitals: several factors, including state reimbursement and licensure policies, influence adoption. Health Aff (Millwood). 2014 Feb; 33(2):207-15. PMID: 24493762.
      View in: PubMed
    47. Adler-Milstein J, Cohen GR. Implementing the IT infrastructure for health reform: adoption of health IT among patient-centered medical home practices. AMIA Annu Symp Proc. 2013; 2013:11-6. PMID: 24551318; PMCID: PMC3900118.
      View in: PubMed, PubMed Central
    48. Adler-Milstein J, Huckman RS. The impact of electronic health record use on physician productivity. Am J Manag Care. 2013 Nov; 19(10 Spec No):SP345-52. PMID: 24511889.
      View in: PubMed
    49. 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. Ann Intern Med. 2013 Jul 16; 159(2):97-104. PMID: 23856682.
      View in: PubMed
    50. Adler-Milstein J, Bates DW, Jha AK. Operational health information exchanges show substantial growth, but long-term funding remains a concern. Health Aff (Millwood). 2013 Aug; 32(8):1486-92. PMID: 23840051.
      View in: PubMed
    51. Adler-Milstein J, Furukawa MF, King J, Jha AK. Early results from the hospital Electronic Health Record Incentive Programs. Am J Manag Care. 2013 Jul 01; 19(7):e273-84. PMID: 23919447.
      View in: PubMed
    52. Adler-Milstein J, Jha AK. Healthcare's "big data" challenge. Am J Manag Care. 2013 Jul; 19(7):537-8. PMID: 23919417.
      View in: PubMed
    53. Adler-Milstein J, Salzberg C, Franz C, Orav EJ, Bates DW. The impact of electronic health records on ambulatory costs among Medicaid beneficiaries. Medicare Medicaid Res Rev. 2013; 3(2). PMID: 24753965; PMCID: PMC3983724.
      View in: PubMed, PubMed Central
    54. Adler-Milstein J, Ronchi E, Cohen GR, Winn LA, Jha AK. Benchmarking health IT among OECD countries: better data for better policy. J Am Med Inform Assoc. 2014 Jan-Feb; 21(1):111-6. PMID: 23721983; PMCID: PMC3912720.
      View in: PubMed, PubMed Central
    55. Adler-Milstein J, Green CE, Bates DW. A survey analysis suggests that electronic health records will yield revenue gains for some practices and losses for many. Health Aff (Millwood). 2013 Mar; 32(3):562-70. PMID: 23459736.
      View in: PubMed
    56. Adler-Milstein J, Jha AK. Sharing clinical data electronically: a critical challenge for fixing the health care system. JAMA. 2012 Apr 25; 307(16):1695-6. PMID: 22535851.
      View in: PubMed
    57. Adler-Milstein J, Jha AK. Organizational complements to electronic health records in ambulatory physician performance: the role of support staff. J Am Med Inform Assoc. 2012 Jul-Aug; 19(4):537-40. PMID: 22517802; PMCID: PMC3384125.
      View in: PubMed, PubMed Central
    58. Adler-Milstein J, DesRoches CM, Jha AK. Health information exchange among US hospitals. Am J Manag Care. 2011 Nov; 17(11):761-8. PMID: 22084896.
      View in: PubMed
    59. Adler-Milstein J, Bates DW, Jha AK. A survey of health information exchange organizations in the United States: implications for meaningful use. Ann Intern Med. 2011 May 17; 154(10):666-71. PMID: 21576534.
      View in: PubMed
    60. Adler-Milstein J, Neal K, Howell MD. Residents' and nurses' perceptions of team function in the medical intensive care unit. J Crit Care. 2011 Feb; 26(1):104.e7-15. PMID: 20646901.
      View in: PubMed
    61. Adler-Milstein J, Landefeld J, Jha AK. Characteristics associated with regional health information organization viability. J Am Med Inform Assoc. 2010 Jan-Feb; 17(1):61-5. PMID: 20064803; PMCID: PMC2995627.
      View in: PubMed, PubMed Central
    62. Adler-Milstein J, Bates DW, Jha AK. U.S. Regional health information organizations: progress and challenges. Health Aff (Millwood). 2009 Mar-Apr; 28(2):483-92. PMID: 19276008.
      View in: PubMed
    63. Adler-Milstein J, Jha A. Fledgling firms offer hope on health costs. Harv Bus Rev. 2008 Mar; 86(3):26, 28, 131. PMID: 18411963.
      View in: PubMed
    64. Linden A, Adler-Milstein J. Medicare disease management in policy context. Health Care Financ Rev. 2008; 29(3):1-11. PMID: 18567239; PMCID: PMC4195041.
      View in: PubMed, PubMed Central
    65. Adler-Milstein J, McAfee AP, Bates DW, Jha AK. The state of regional health information organizations: current activities and financing. Health Aff (Millwood). 2008 Jan-Feb; 27(1):w60-9. PMID: 18073225.
      View in: PubMed
    66. 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. Aust Health Rev. 2007 Nov; 31(4):531-9. PMID: 17973611.
      View in: PubMed
    67. 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. Dis Manag. 2007 Jun; 10(3):115-28. PMID: 17590142.
      View in: PubMed
    68. 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. Diabetes Care. 2007 May; 30(5):1137-42. PMID: 17322483.
      View in: PubMed
    69. Hook JM, Pan E, Adler-Milstein J, Bu D, Walker J. The value of healthcare information exchange and interoperability in New York state. AMIA Annu Symp Proc. 2006; 953. PMID: 17238572; PMCID: PMC1839305.
      View in: PubMed, PubMed Central
    70. Walker J, Pan E, Johnston D, Adler-Milstein J, Bates DW, Middleton B. The value of health care information exchange and interoperability. Health Aff (Millwood). 2005 Jan-Jun; Suppl Web Exclusives:W5-10-W5-18. PMID: 15659453.
      View in: PubMed
    71. 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. AMIA Annu Symp Proc. 2005; 1119. PMID: 16779406; PMCID: PMC1560585.
      View in: PubMed, PubMed Central
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