Name: Richard N. Shiffman, M.D., M.C.I.S.
Address: Yale Center for Medical Informatics
300 George St., Ste. 501
New Haven, CT 06511
(203) 737-5213
Fax: (203) 737-5708
e-mail: richard.shiffman@yale.edu
Education:
1969 B.A. (Biology) University of Pennsylvania, Philadelphia, PA
1973 M.D. University of Pennsylvania, Philadelphia, PA
1991 M.C.I.S. University of Denver, Denver, CO
Career/Academic Appointments:
1973–75 Pediatrics Level 1-2, Children's Hospital of Philadelphia, Philadelphia, PA
1975–76 Pediatrics Level 3, James Whitcomb Riley Hospital for Children, Indianapolis, IN
1976–77 Chief Resident (Outpatient Department), University of Colorado Medical Center, Denver, CO
1977–78 Fellowship in Child Development, John F. Kennedy Child Development Center, Denver, CO
1976-77 Instructor in Pediatrics, University of Colorado School of Medicine
1978–90 Private Practice of Pediatrics, Arvada, CO
1978-90 Clinical Instructor in Pediatrics, Univ. of Colorado School of Medicine
1990–93 Fellowship in Medical Informatics, Harvard – MIT Division of Health Sciences and Technology, Boston, MA
1993–99 Assistant Professor of Pediatrics, Yale School of Medicine, New Haven, CT
1999–2007– Associate Professor of Pediatrics, Yale School of Medicine
2007– Professor of Pediatrics
Board Certification:
American Board of Pediatrics, 1976
Professional Honors and Recognition:
2007 Master of Arts (Hon.) conferred by Yale University
2007 Citation for outstanding service rendered to American Academy of Pediatrics Steering Committee on Quality Improvement and Management
2006 Elected to American Pediatric Society
2006 Byron E. Oberst Award from the American Academy of Pediatrics for significant contributions to the use of clinical information technology in pediatrics through improving pediatric clinical information systems, educating child health professionals, and creating health policies that promote better use of pediatric information systems.
2006 Nominated for Distinguished Poster Award: Thomas P, Inzucchi SE, Shiffman RN. Computing performance measures for inpatient glucose management. AMIA 2006
2006 Nominated for Distinguished Paper Award: Biondich PG Downs SM, Carroll AE, Shiffman RN, McDonald CJ. Collaboration between the Medical Informatics Community and Guideline Authors: Fostering HIT Standard Development that Matters. AMIA 2006
2005 Elected to Executive Board, American College of Medical Informatics
2002 Citation for outstanding service rendered to the American Academy of Pediatrics (Task Force on Medical Informatics)
2001 Elected to American College of Medical Informatics
2000 Citation in recognition of distinguished service to the American Academy of Pediatrics (Committee on Quality Improvement)
1998 First Prize Poster; Doyle JH, Hoffman M, Brandt CA, Shiffman R. Health maintenance form scanning: a viable solution for managed care reporting. Annual Meeting of the Healthcare Information and Management Systems Society (HIMSS)
1997 Best Poster Award, Brandt CA, Frawley SJ, Powsner SM, Shiffman RN, Miller PL. Graphical visualization of the internal logic of an expert system for childhood immunizations. Annual Meeting of the American Medical Informatics Association.
1996 Nominated for Best Theoretical Paper Award: Liu JCS and Shiffman RN. Operationalization of clinical practice guidelines using fuzzy logic. Annual Meeting of the American Medical Informatics Association.
1990 Best Applied Paper Award, Shiffman RN. Design and implementation of a system for computer-assisted telephone triage in pediatrics. Fourteenth Annual Symposium on Computer Applications in Medical Care, Washington, D.C.
1976 Fellow, American Academy of Pediatrics
Professional Service
1978–81 Developmental Pediatrics Consultant, Colorado Department of Health
1981-90 Pediatric Consultant, Cleo Wallace Center, Broomfield, CO
1982-86 Vice-Chairman, Department of Pediatrics, Lutheran Medical Center, Wheatridge, CO
1988-90 Chairman, Department of Pediatrics, Lutheran Medical Center, Wheatridge, CO
1987-89 Medical Board, The Children's Hospital, Denver, CO
1992–98 Executive Committee, Section on Computers and Other Technology, American Academy of Pediatrics
1994 Advisory Board of the Connecticut Health Data Institute, University of Connecticut Health Center
1994 Institute of Medicine Committee to Advise the Agency for Health Care Policy and Research on prioritization of topics for clinical practice guidelines, Washington, DC
1995 NIH-National Library of Medicine Special Emphasis Panel
1996– Liaison, Committee on Quality Improvement, American Academy of Pediatrics
1997–98 Program Committee, Annual Meeting of the American Medical Informatics Association
1998–2000 Chairman, Section on Computers and Other Technology (SCOT), American Academy of Pediatrics
1998-2000 Committee on Sections (COS), American Academy of Pediatrics
1998–2002 Task Force on Medical Informatics (formerly Work Group on Medical Informatics), American Academy of Pediatrics (AAP)
1999 AHCPR SBIR Grant Review Panel
1997 National Library of Medicine Special Emphasis Panel
1998 Program Committee, Annual Meeting of the American Medical Informatics Association
2000 Chair, Expert Meeting on Information Technology in Children's Health Care: Beginning to Ask the Needed Questions (sponsored by AHRQ, convened by Children's Health Research Center of the AAP).
2000–2001 AHRQ Health Research Dissemination and Implementation Special Emphasis Panel
2000–2004 AAP/AAFP Joint Subcommittee on Acute Otitis Media
2001 Visiting Professor, University of Hawaii
2001 National Health Service appointment to evaluate the Prodigy decision support system in the United Kingdom
2001–2007 Member, Steering Committee on Quality Improvement and Management, American Academy of Pediatrics
2002–2005 AAP Liaison and Board Member, National Alliance for Primary Care Informatics
2002 Chair, Conference on Guideline Standardization (sponsored by AHRQ)
2002–2004 Health Care Technology and Decision Sciences (HCTDS) Standing Study Section of AHRQ
2002–2004 AAP/AAFP/AAO Subcommittee on Otitis Media with Effusion
2003 Planning Committee and Keynote Speaker, Developing Child Health Information Systems to Meet Medical Care and Public Health Needs Conference, Atlanta, GA
2004 National Library of Medicine Special Emphasis Panel (IAIMS site visit)
2004 Member, Implementation Committee for AAP Guidelines on Acute Otitis Media and Otitis Media with Effusion
2004 Co-Leader, Measuring Progress Toward a National Health Information Infrastructure, Secretarial Summit on Health Information Technology, Washington, DC
2004– Member, Subcommittee on Bronchiolitis of AAP, American Thoracic Society, American Academy of Family Physicians, European respiratory Society, and the American College of Chest Physicians
2004 Advisor to New Zealand Ministry of Health on electronic decision support
2005– Member, Guideline Development Panel on Acute Otitis Externa, American Academy of Otolaryngology, Head and Neck Surgeons
2005 Member of AAP Work Group on Decision Support for EHR
2005– Member, Partners for Policy Implementation, AAP
2005– Member, Technical Expert Panel, Children’s Health Data Standards Workgroup
2006 Board of Trustees, Guidelines International Network
2006–2009 Elected, Board of Directors, eHealth Connecticut (Regional Health Information Organization)
2006 Invited participant, NIH National Heart Lung and Blood Institute Strategic Planning for the Cardiovascular Knowledge Network
2006 Invited participant, AHRQ Expert Panel on Electronic Guidelines, Washington, DC
2006–2007 Member, International Scientific Committee, Guidelines International Network
2007 Workshop Leader for the Australia National Institute of Clinical Studies
2007 Invited expert (representing American Academy of Pediatrics): CDC Public Health Issues Regarding Male Circumcision and HIV Prevention in the United States, Atlanta, GA
2007 Consultant, Institute of Medicine Committee on Reviewing Evidence to Identify Highly Effective Clinical Services, Washington, DC.
2007-2008 Member, AMIA/RWJ Core Content Team to define the specialty of applied informatics
2008– Member, Technical Expert panel to advise the National Guidelines Clearinghouse/National Performance Measures Clearinghouse, AHRQ
2009– Member, Childhood Obesity National Advisory Council, National Institute for Children’s Healthcare Quality
2009– External Advisor, National Institute for Health and Clinical Excellence’s NHS Evidence Service for accreditation of guideline developers, UK
2009– Member, Institute of Medicine Committee on Standards for Developing Trustworthy Clinical Practice Guidelines
Professional Organizations
1976– American Academy of Pediatrics
1990–2003 Society for Medical Decision Making
1990– American Medical Informatics Association
1991– Association for Computing Machinery
1996- Ambulatory Pediatric Association
2000– American Society for Testing and Materials
2000–2006 Health Level 7 (HL7)
2004- Guidelines International Network (G-I-N)
2006– American Pediatric Society
Bibliography:
Original articles:
1. Shiffman RN. Design and implementation of a system for computer-assisted telephone triage in pediatrics. In: Miller R; ed. Proceedings of the Fourteenth Symposium on Computer Applications in Medical Care. Washington, DC. IEEE Computer Society Press.1990; 826-30.*
2. Shiffman RN, Greenes RA. Use of augmented decision tables to convert probabilistic data into clinical algorithms for the diagnosis of appendicitis. In: Clayton P; ed. Proceedings of the Fifteenth Annual Symposium on Computer Applications in Medical Care. Washington, DC: 1991; 686-90.
3. Bergeron BP, Shiffman RN, Greenes RA. Composing user models through logic analysis. In: Clayton P; ed. Proceedings of the Fifteenth Annual Symposium on Computer Applications in Medical Care. Washington, DC: 1991; 681-85.
4. Shiffman RN, Greenes RA. Rule set reduction using augmented decision table and semantic subsumption techniques: application to cholesterol guidelines. In: Frisse M; ed. Proceedings of the Sixteenth Symposium on Computer Applications in Medical Care. Baltimore, MD: 1992; 339-43.
5. Shiffman RN. Clinical guidelines in medical practice. J Med Practice Management. 1993; 9:70–74.
6. Shiffman RN, Leape LL, Greenes RA. Translation of appropriateness criteria into practice guidelines: application of decision table techniques to the RAND criteria for coronary artery bypass graft In: Safran C; ed. Proceedings of the Seventeenth Symposium on Computer Applications in Medical Care. Washington, DC: 1993; 248-252.
7. Bergeron BB, Shiffman RN, Rouse RL. Data qualification: logic analysis applied toward neural network training. Comput. Biol. Med. 1994; 24:157–64,.
8. Shiffman RN, Greenes RA. Improving clinical guidelines with logic and decision table techniques: application to hepatitis immunization recommendations. Med Decis Making. 1994; 14:145-54.
9. Shiffman RN. Towards effective implementation of a pediatric asthma guideline: integration of decision support and clinical workflow support. In: Ozbolt JG, ed., Proceedings of the Eighteenth Symposium on Computer Applications in Medical Care. Washington, DC: 1994; 797–801.
10. Shiffman RN. Guideline maintenance and revision: fifty years of Jones Criteria for the diagnosis of rheumatic fever. Arch Pediatr Adolesc Med. 1995; 149:727–32.
11. Shiffman RN. A findings model for an ambulatory pediatric record: essential data, relational modeling, and vocabulary considerations. In: Gardner RM, ed. Proceedings of the 19th Annual Symposium on Computer Applications in Medical Care. New Orleans, La: 1995; 411-5.
12. Shiffman RN. Representation of clinical practice guidelines in conventional and augmented decision tables. J Am Med Informatics Assoc 1997; 4:382-93.
13. Brandt CA, Frawley SJ, Powsner SM, Shiffman RN, Miller PL. Visualizing the logic of a clinical guideline: a case study in childhood immunization. Meth Inform Med 1997; 36:179–83.
14. Liu JCS, Shiffman RN. Operationalization of clinical practice guidelines using fuzzy logic. In: Masys DR, ed. Proceedings of the Annual Meeting of the American Medical Informatics Association; Nashville (TN); 1997; 283-7.
15. Shiffman RN, Brandt CA, Freeman BG. Transition to a computer-based record using scannable, structured encounter forms. Arch Pediatr Adolesc Med. 1997; 151:1247-53.
16. Shiffman RN, Brandt CA, Liaw Y, Corb GJ. A design model for computer-based guideline implementation based on information management services. J Am Med Informatics Assoc 1999; 6:99-103.
17. Shiffman RN, Liaw Y, Brandt CA, Corb GJ. Computer-based guideline implementation systems: a systematic review of functionality and effectiveness. J Am Med Informatics Assoc 1999;6:104-14.
18. Corb GJ. Liaw Y, Brandt CA, Shiffman RN. An object-oriented framework for the development of computer-based guideline implementations. Methods of Information in Medicine1999; 38:148–53.
19. Chen RL, Shiffman RN. Assessing growth patterns - routine but sometimes overlooked. Clinical Pediatrics 2000;39:97-102.
20. Shiffman RN, Liaw Y, Navedo DD, Freudigman KA. User satisfaction and frustration with a handheld, pen-based guideline implementation system for asthma. In: Proceedings of the Annual Meeting of the American Medical Informatics Association; Washington, DC: 1999;940-44.
21. Shiffman RN, Freudigman KA, Brandt CA, Liaw Y, Navedo DD. A guideline implementation system using handheld computers for office management of asthma: effects on adherence and patient outcomes .Pediatrics 2000; 105:767-73.
22. Shiffman RN, Karras BT, Agrawal A, Chen R, Marenco L, Nath S. GEM: A Proposal for a More Comprehensive Guideline Document Model Using XML. J Am Med Informatics Assoc 2000;7:488-98 .
23. Karras B.T., Nath S.D., Shiffman R.N. A Preliminary Evaluation of Guideline Content Mark-up Using GEM--An XML Guideline Elements Model. Proc AMIA Symp 2000;413-417.
24. Shiffman RN, Agrawal A, Deshpande AM, Gershkovich P. An approach to guideline implementation with GEM. Patel V, ed., Proceedings MEDINFO 2001;271-5.
25. Agrawal A, Shiffman RN. Evaluation of guideline quality using GEM-Q. Patel V, ed., Proceedings MEDINFO 2001;1097-1101.
26. Shiffman RN, Spooner SA, Kwiatkowski K, Brennan PF. Information technology for children’s health and health care: report on the Information Technology in Children’s Health Care Expert Meeting, September 21-22,2000. J Am Med Informatics Assoc. 2001;8:546-51.
27. Agrawal A, Shiffman RN. Using GEM-encoded guidelines to generate medical logic modules. Bakken S, ed. Proc AMIA Symp 2001;7-11.
28. Gershkovich P, Shiffman RN. An implementation framework for GEM encoded guidelines. Bakken S, ed. Proc AMIA Symp 2001; 204-8.
29. Shiffman RN, Shekelle P, Overhage JM, Slutsky J, Grimshaw J, Deshgpande AM. Standardized reporting of clinical practice guidelines: a proposal from the Conference on Guideline Standardization. Ann Intern Med 2003;139:493-498.
30. Essaihi A, Michel G, Shiffman RN, Comprehensive categorization of guideline recommendations: creating an action palette for implementers. Musen M, ed. Proc Amer Med Informatics Assoc 2003; Washington, DC; 220-4.
31. O’Connell R, Cho C, Shah N, Brown K, Shiffman RN. Take note(s): differential EHR satisfaction with two implementations under one roof. J Am Med Informatics Assoc 2004;11:43-49.
32. Benin AL, Vitkauskas G, Thornquist E, Shiffman RN, Concato J, Krumholz HM, Shapiro ED. Improving diagnostic testing and reducing overuse of antibiotics for children with pharyngitis: a useful role for the electronic medical record. Pediatr Infect Dis J 2003;22:1043-7.
33. Shiffman RN, Michel G, Essaihi A, Marcy TW. Using a guideline-centered approach for the design of a clinical decision support system to promote smoking cessation. In: Kaiser K, Miksch S, Tu S, eds. Proceedings of the Symposium on Computerized Guidelines and Protocols (CGP 2004). Washington, DC, IOS Press, 152-156.
34. Shiffman RN, Michel G, Essaihi A. Bridging the guideline implementation gap: a systematic approach to document-centered guideline implementation. J Am Med Inform Assoc 2004;11:418-26.
35. Shiffman RN, Michel G. Toward improved guideline quality: using the COGS statement with GEM. In: Fieschi M, Coiera, E, Li, YCJ, eds. Proc Medinfo 2004; San Francisco, CA, IOS Press, 159-63.
36. Shiffman RN. A convocation of wizards: synergies at the intersection of child healthcare, public health, and information technology. J Public Health Management and Practice 2004:November (Suppl) S87-90.
37. Deshpande AM, Shiffman RN, Nadkarni PM. Metadata-driven Delphi rating on the Internet. Computer Methods and Programs in Biomedicine. 2005;77:49-56
38. Sittig DF. Shiffman RN, Leonard K, Friedman C, Rudolph B, Hripcsak G, Adams LL, Kleinman LC, Kaushal R. A draft framework for measuring progress toward the development of a national healthcare information infrastructure. BMC Medical Informatics and Decision Making 2005;5:14.
39. Marcy T, Skelly J, Shiffman RN, Flynn BS. Facilitating adherence to the tobacco use treatment guideline with computer-mediated decision support systems: physician and clinic office manager perspectives. Preventive Medicine 2005;41:479-87.
40. Shiffman RN, Dixon, J, Brandt, C, Essaihi A, Hsiao A, Michel G, O’Connell R. The GuideLine Implementability Appraisal: development of an instrument to identify obstacles to guideline implementation. BMC Medical Informatics and Decision Making 2005; 5:23.
41. Codish S, Shiffman RN. A model of ambiguity and vagueness in clinical practice guideline recommendations. Friedman CP, ed. Proc Amer Med Informatics Assoc 2005; Washington, DC; 146-50.
42. Michel G, Marcy T, Shiffman RN. A wireless handheld decision support system to promote smoking cessation in primary care. . Proc Amer Med Informatics Assoc 2005; Washington, DC; 530-4.
43. Biondich PG Downs SM, Carroll AE, Shiffman RN, McDonald CJ. Collaboration between the Medical Informatics Community and Guideline Authors: Fostering HIT Standard Development that Matters. Proc Amer Med Informatics Assoc 2006; Washington, DC; AMIA 2006.
44. Tolomeo C, Shiffman R, Bazzy-Asaad, A. Electronic medical records in a sub-specialty practice: one asthma center’s experience. Journal of Asthma 2008, 45:9;849-51.
45. Marcy TW, Kaplan B, Connelly SW, Michel G, Shiffman RN, Flynn BS. Developing a decision support system for tobacco use counseling using primary care physicians. Informatics in Primary Care. 2008;16:101-9.
46. Hussain T, Michel G, Shiffman RN. The Yale guideline recommendation corpus: a representative sample of the knowledge content of guidelines. Int J Med Informatics.2009;78:354-63.
47. Hsiao AL, Shiffman RN. Dropping the baton during the handoff process from ED to primary care: pediatric asthma continuity errors. The Joint Commission Journal on Quality and Patient Safety 2009; 35:467-74.
In Press
Lomotan EA, Michel G, Lin ZQ, Shiffman RN. How “should” we write guideline recommendations? Quality and Safety in Health Care. In Press.
Tran N, Michel G, Krauthammer M, Shiffman RN. Embedding the Guideline Elements Model in Web Ontology Language. Proc AMIA 2009. In Press.
Shiffman RN, Michel G, Krauthammer M, Fuchs NE, Kaljurand K, Kuhn T. Controlled natural language for clinical practice guidelines. Proceedings Controlled Natural Language 2009. In Press.
Scotch M, Duggal M, Brandt C, Lin Z, Shiffman R. Use of Statistical Analysis in the Biomedical Informatics Literature. J Am Med Informatics Assoc. In Press.
Reviews, Chapters, Books:
1. Shiffman, RN. Pediatric Telephone Protocols: Assessment & Management. Arvada CO: HealthTek Medical Software, Inc.; 1988.
2. Shiffman RN. Medical Decision Support Systems. In: Lustig J, ed. Computers in the Primary Care Office, 3rd ed., Elk Grove Village, IL: American Academy of Pediatrics; 1995.
3. *Shiffman RN. Informatics and general pediatrics. Current Opinion in Pediatrics. 1994; 6:538-43.
4. Miller PL, Shiffman RN, Silverstein S, Frawley SJ, Nadkarni PM. Medical informatics training at Yale University School of Medicine. in: Yearbook of Medical Informatics 1996. New York: Schattauer; 1996: 122-5.
5. Leape LL, Bernstein SJ, Bohon CJ, Dickerson VM, Ling FW, Shiffman RN, Kanouse DE.Hysterectomy: clinical recommendations and indications for use. Santa Monica, Calif: RAND Corp., 1997.
6. Shiffman RN. Informatics and computers in pediatrics. In: Green M, Haggerty RJ, Weitzman M, eds. Ambulatory Pediatrics, 5th ed. Philadelphia:W.B. Saunders, 1999; 62–67.
7. Shiffman RN, Karras BT, Nath S, Engles-Horton L, Corb GJ. Pen-based, mobile decision support in healthcare. ACM SIGBIO Newsletter; 1999: 19:5-7.
8 Rosenfeld RM, Shiffman, RN. Clinical practice guidelines: a manual for developing evidence-based guidelines to facilitate performance measurement and quality improvement. Alexandria, VA. Otolaryngology—Head and Neck Surgery 135 (Suppl) 2006; S1-28.
9. Rosenfeld RM, Shiffman RN. Clinical practice guideline development manual: a quality-driven approach for translating evidence into action. Otolaryngology—Head and Neck Surgery 2009;140:S1-S43.
10. Shiffman RN. Clinical practice guidelines: supporting decisions, optimizing care. In: Lehmann CU, Kim GR, Johnson KB, eds. Pediatric Informatics: Computer Applications in Child Health. New York, Springer 2009; 149-160.
1. Safeguards needed in transfer of patient data. Pediatrics 1996; 98:984-6.
2. Privacy protection of health information: patient rights and pediatrician responsibilities. Pediatrics 1999; 104:973-7.
3. Clinical practice guideline: early detection of developmental dysplasia of the hip. Pediatrics 2000; 105:896-905.
4. Clinical practice guideline: Diagnosis and evaluation of the child with attention-deficit/hyperactivity disorder, Pediatrics 2000; 105:1158-70
5. Special requirements for electronic medical record systems in pediatrics. Pediatrics 2001; 108:513-5.
6. Clinical practice guideline: treatment of the school-aged child with attention-deficit/hyperactivity disorder. Pediatrics 2001; 108:1033-1044.
7. Clinical practice guideline: management of sinusitis. Pediatrics 2002;108:798-808.
8. Subcommittee on Management of Acute Otitis Media. Diagnosis and management of acute otitis media. Pediatrics 2004;113:1451-65
9. American Academy of Family Physicians, American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics Subcommittee on Otitis Media With Effusion. Otitis Media With Effusion. Pediatrics 2004; 113:1412-1429.
10. Gerstle RS, AAP Task Force on Medical informatics. E-mail communications between pediatricians and their patients. Pediatrics 2004;114:317-21.
11. Steering Committee on Quality Improvement and Management. Classifying recommendations for clinical practice guidelines. Pediatrics 2004; 114:874-7.
12. Rosenfeld RM, Brown L, Cannon CR, Dolor RJ, Ganiats TG, Hannley M, Kokemueller P, Marcy SM, Roland PS, Shiffman RN, Stinnet SS, Witsell D. Clinical practice guideline: Acute otitis externa. Otolaryngology 2006;134:4 (Supp S):4-23.
13. Subcommittee on Diagnosis and Management of Bronchiolitis. Diagnosis and management of bronchiolitis. Pediatrics 2006; 118:1774-1793.
14. ASTM Standard E2210-06. Standard Specification for Guideline Elements Model version 2 (GEM II)—Document Model for Clinical Practice Guidelines, ASTM International, West Conshohocken, PA, 2006
15. Shiffman RN, Marcuse EW, Moyer VA, Neuspiel DR, AAP Steering Committee on Quality Improvement and Management. Toward transparent clinical policies. Pediatrics 2008; 121:643-6.
Presentations
Design and implementation of a computerized telephone triage system for pediatrics. Annual Meeting of the American Academy of Pediatrics, Boston, MA, October 1990.
A critique of published medical logic representation schemata: How decision tables can help. American Academy of Pediatrics, New Orleans, LA, October 1991.
Augmented
Decision Tables: Optimization Methods for Guideline Development.
National Library of Medicine Training Directors Meeting, Portland OR, May 5,
1992.
Machine learning techniques for induction of clinical prediction rules. Annual Meeting of the American Academy of Pediatrics, San Francisco, CA, October 1992.
Decision Tables: A Neglected Formalism for Medical Decision-Making. Health Decision Science Seminar, Harvard School of Public Health, May 20, 1992.
Opportunities for advanced training in informatics for pediatricians. Annual Meeting of the American Academy of Pediatrics. Washington, DC, October 1993.
Towards effective implementation of a pediatric asthma guideline: integration of decision support and clinical workflow support. Symposium on Computer Applications in Medical Care, November 1994.
Is new knowledge the major determinant of a need for guideline revision? Annual Meeting of the Society for Medical Decision Making, October 1994.
Chair: Session on Practice Guidelines and Decision Support. Spring Congress of the American Medical Informatics Association, June 1995.
A findings model for an ambulatory pediatric record. Symposium on Computer Applications in Medical Care, New Orleans, La., November 1995.
Developing and Using Clinical Practice Guidelines. Yale Health Policy Journal Club February 12, 1996.
Improving compliance with asthma guidelines in primary care setting. Patient-Centered Research Conference, Yale Department of Pediatrics, April 1996.
Logical analysis to improve the quality of practice parameters. AAP Committee on Quality Improvement. Chicago, IL, October 1996.
Plenary Session: Computer-based decision support in pediatrics. American Academy of Pediatrics Annual Meeting, Boston, MA, October 1996.
Scanned data entry for an electronic health record. Section on Computers and Other Technologies. Annual Meeting of the American Academy of Pediatrics, November 1, 1997.
Informatics Support for Guideline Development and Implementation, Medical Informatics Seminar Series, Columbia-Presbyterian Hospital, New York, NY. October 19, 1997.
Building Blocks for Computer-based Guideline Implementation. American Academy of Pediatrics, Committee on Quality Improvement, Rosemont, IL October 17, 1997.
SEURAT: Scanned Entry of Structured Data for a Pediatric Health Maintenance Record System, AMIA Annual Meeting, Nashville, TN. October 28, 1997 (Poster)
SEURAT: Scanned
Data Entry for An Electronic Health Maintenance Record.
American Academy of Pediatrics, New Orleans, LA. November 1, 1997.
Computer-based Implementation of a Pediatric Asthma Guideline. Robert Wood Johnson Generalist Physician Faculty Scholars Program. San Diego, CA, December 3, 1997 (Poster)
Pediatrics and Medical Informatics; Bridgeport Hospital, Bridgeport, CT, January 8, 1998.
Computer Assisted Decision Support and Quality Improvement, Joslin Diabetes Center, Boston, MA, April 26, 1999.
Evidence Based Pediatrics: Bringing Guidelines to Pediatric Practice. Annual Meeting of the American Academy of Pediatrics, Washington, DC, October 10, 1999.
User satisfaction and frustration with a handheld, pen-based guideline implementation system for asthma. AMIA Annual Meeting, November 9, 1999.
GEM: A standard representation for guideline documents in XML. Presented at ASTM E31.25 Meeting, May 7, 2000, San Francisco, CA
Document-centered guideline knowledge management. AMIA Annual Meeting, Washington, DC, Nov 5, 2001.
Using information technology to improve the quality of care in pediatrics. Pediatric Grand Rounds, Yale New Haven Hospital, New Haven, CT November 14, 2001
Computer-assisted decision support in pediatrics. Grand Rounds. St. Mary’s Hospital, Waterbury, CT , March 12, 2002
Clinical Guidelines and Decision Support. Health Informatics New Zealand. Auckland, New Zealand. Aug 5, 2003
Guideline-based Decision Support and Referral: International Perspective and Experiences. Health Informatics New Zealand. Auckland, New Zealand. Aug 6, 2003
Clinical Decision Support Standards and Systems: Global Updates. HL7 Australia., Sydney, Australia. Aug 13, 2003
Guideline Standards and Formats. HL7 Australia, Sydney, Australia. Aug 14, 2003.
Update on GEM-Related Activities. HL7 Annual Meeting, Memphis TN Sept 11, 2003.
A Convocation of Wizards: Synergies at the Intersection of Child Health, Public Health and Information Technology, Developing Child Health Information Systems to Meet Medical Care and Public Health Needs, Atlanta, GA. Dec. 3, 2003.
The Guideline Elements Model: Representing Guideline Knowledge with XML. Partners Healthcare. Boston, MA Dec. 10, 2003.
Transparency in AAP Recommendations. Connecticut Chapter, American Academy of Pediatrics. New Haven, CT. April 7, 2004.
Using a guideline-centered approach for the design of a clinical decision support system to promote smoking cessation. Symposium on Computerized Guidelines and Protocols (CGP 2004). Prague, Czech Republic. April 14, 2004.
Measuring Progress Toward a National Health Information Infrastructure, Secretarial Summit on Health Information Technology (DHHS), Washington, DC, July 22, 2004.
Update on GEM-Related Activities, HL7 Annual Meeting, Atlanta, GA, Sept. 29, 2004
Appraising Guidelines. Guidelines International Network Annual Meeting, Wellington, New Zealand, Nov. 2, 2004.
Electronic Decision Support. Guidelines International Network Annual Meeting, Wellington, NZ Nov. 2, 2004.
Turning Guidelines Into Practice: Current Status and Pathway to the Future. Canterbury District Health Board, Christchurch, New Zealand Nov. 8, 2004; Capital Coast District Health Board, Newtown, NZ Nov. 10. 2004,; Ministry of Health, Wellington, NZ Nov. 111, 2004; University of Auckand, Auckland, NZ Nov. 15, 2004.
Building More Effective Guidelines. AAP Subcommittee on Bronchiolitis. San Diego, CA. May 20, 2005.
Translating Guideline Knowledge Into Systems that Improve Care. AHRQ Patient Safety-Health Information Technology Conference. Washington, DC. June 9, 2005.
Improving Implementability of Policy Statements. AAP Work Group on Electronic Health Records, Rosemont, IL. June 11, 2005.
Building Better Guidelines. American Academy of Otolaryngology-Head and Neck Surgery Committee on Acute Otitis Externa. Rosemont, IL July 24, 2005.
Unlocking the Knowledge in Guideline Recommendations, Technical Expert panel, National Child Health Data Standards Work Group, Orlando, FL, March 14, 2006
Electronic Records to Improve Care for Children With Asthma. Connecting Kids through Child Health Information Systems Meeting (sponsored by the National Children’s Health . Orlando, FL March 15, 2006.
ERICCA: A Health Information Exchange for New Haven. eHealth Connecticut Inaugural Summit. Farmington, CT, March 23, 2006
Sharing Information Across Organizations in New Haven. New Haven Health Information Exchange Inaugural Meeting. April 25, 2006
Bronchiolitis: Behind the Scenes in the Development of an AAP Evidence-Based Guideline. Bridgeport Hospital Pediatrics Noon Conference. Bridgeport, CT; June 22, 2006
A Tale of Two Cultures: Guideline Authors and Guideline Implementers. AHRQ Expert Panel on Electronic Guidelines, Washington, DC. December 12, 2006.
Toward Improved Guideline Quality and Transparency. American Academy of Otolaryngology-Head and Neck Surgeons Committee on Sinusitis. Rosemont, IL; December 3, 2006.
Improving Guideline Quality Through Transparency. American Academy of Pediatrics Subcommittee on Developmental Dysplasia of the Hip. Rosemont, IL. January 5, 2007.
Electronic Health Records in Pediatric Care. New York University School of Medicine Pediatric Grand Rounds, New York, NY. April 24, 2007.
Reflections on SCOQIM’s Role in Improving Guideline Quality. American Academy of Pediatrics Steering Committee on Quality Improvement and Management. Schaumburg, IL. May 11, 2007.
Building Better Guidelines: Challenges and Solutions. American Academy of Family Physicians Commission on Science. Kansas City, MO. June 2, 2007.
A Health Information Exchange for New Haven. eHealth Connecticut Health Information Technology Jamboree. Hartford, CT. June 28, 2007.
Transforming Guidelines into Electronic Tools (Plenary). Guidelines International Network Meeting. Toronto, ON. August 25, 2007.
Electronic Records To Improve Care for Children With Asthma. AHRQ Annual Meeting. Bethesda, MD. September 26, 2007.
Healthcare Quality’s New Friend: Information Technology (Meet-the-Expert Session). AAP National Conference and Exhibition. San Francisco, CA. September 27, 2007.
End-To-End Clinical Decision Support: Problems and Solutions. (Panel Presentation) American Medical Informatics Association Annual Meeting. Chicago, IL. November 13, 2007.
ERGO and GLIDES: Improving Guideline Development and Implementation, Partners for Policy Implementation, Elk Grove Village, IL. February 8, 2008.
Bridging the gap Between Guideline Developers and implementers. AHRQ-convened meeting of National Professional Societies, Rockville, MD.
Guideline-based Decision Support, Office of the Assistant Commissioner, New York City Department of Health and Mental Hygiene, New York, NY, April 17, 2008.
The Next Frontiers in Electronic Health Records, Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, NY. April 17, 2008.
Building Better Guidelines: Challenges and Solutions. American Academy of Pediatrics Subcommittee on Type 2 Diabetes, Elk Grove Village, IL, June 1, 2008.
Workforce Requirements for Guideline Development and Implementation: IOM Roundtable on Evidence-Based Medicine. National Academy of Sciences, Washington, DC. July 30, 2008
A Systematic and Replicable Approach to Guideline Knowledge Transformation (Web Conference); Morningside Initiative (Department of Defense). August 4, 2008.
In the Same Boat: Facing the Challenges of Guideline, Performance Measure and CDSS Development. NGC/NQMC Annual Meeting, Washington, DC Sept. 7, 2008.
A Systematic and Replicable Approach to Development of Ambulatory Decision Support. Annual Meeting of the Agency for Healthcare Research and Quality, Bethesda, MD, September 8, 2008.
Agency for Health Care Research and Quality’s National Web Conference on Using Clinical Decision Support to Make Informed Patient Care Decisions, September 19, 2008.
GLIDES Update; AHRQ Technical Expert Panel Meeting, Boston, MA, October 15, 2008.
Broad-based Initiatives for Clinical Decision Support Dissemination and Adoption (Panel Presentation); American Medical Informatics Association Annual Meeting, Washington, DC, November 10, 2008.
From Guidelines to Decision Support: A Systematic and Replicable Approach to Guideline Knowledge Transformation (Web Seminar); Kaiser; December 3, 2008.
Building (and Implementing) Better Guidelines (Web seminar); National Heart, Lung, and Blood Institute. January 14, 2009.
Guideline Implementation: Are Decision Support Systems the Key; Aertzliche Zentrum fuer Qualitaet, Berlin, Germany, February 17, 2009.
Through the Looking Glass: Implementing Transparency in AAP Policy Development. AAP Annual Leadership Forum, Schaumburg, IL, March 12, 2009.
Update on Guideline Development and Implementation. American Academy of Otolaryngology-Head and Neck Surgery. Alexandria, VA, March 22, 2009.
Effective Implementation of Clinical Guidelines: Purpose and Promise, Pitfalls and Opportunities. Keynote Address, Canadian Association of Radiologists, Montreal, Quebec, Canada, April 23, 2009.
GEM and the National Guidelines Clearinghouse. ECRI. Plymouth Meeting, PA. May 18, 2009.
Controlled Natural Language and Clinical Practice Guidelines, Controlled Natural Language 2009, Marettimo, Italy, June 8, 2009
Metamorphosis of Guideline-based Decision Support. Federal Clinic Decision Support Collaboratory, Rockville, MD, August 5, 2009.