Julia Adler-Milstein, PhD

3333 California Street
San Francisco, CA 94118

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.

Awards and Honors

2017   Alice S. Hersh New Investigator Award, Academy Health, 2017
2015   Henry Russel Award for Outstanding Junior Faculty, University of Michigan, 2015
2015   Seema S. Sonnad Emerging Leader in Managed Care Research, American Journal of Managed Care, 2015
2014   New Investigator Award, American Medical Informatics Association, 2014
2014   Top 10 Influential Women in Health IT, Fierce Health IT, 2014
2011   Outstanding Dissertation Award, Academy Health, 2011

Recent Articles (63)

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.

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.

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.

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.

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.

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.

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.

Adler-Milstein J, Lin SC, Jha AK. Health Information Exchanges: The Authors Reply. Health Aff (Millwood). 2017 Mar 01; 36(3):580.

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.

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.

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.

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 Dec 21; 7(4):1182-1201.

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.

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.

Everson J, Adler-Milstein J. Engagement In Hospital Health Information Exchange Is Associated With Vendor Marketplace Dominance. Health Aff (Millwood). 2016 Jul 01; 35(7):1286-93.

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 Jul 01; 35(7):1278-85.

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.

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.

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.

Hyppönen H, Ronchi E, Adler-Milstein J. Health Care Performance Indicators for Health Information Systems. Stud Health Technol Inform. 2016; 222:181-94.

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.

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.

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.

Adler-Milstein J, Everson J, Lee SY. EHR Adoption and Hospital Performance: Time-Related Effects. Health Serv Res. 2015 Dec; 50(6):1751-71.

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.

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.

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.

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.

Adler-Milstein J. The 3 key themes in health information technology. Am J Manag Care. 2014 Nov; 20(11 Spec No. 17):SP492-3.

Adler-Milstein J, Jha AK. Electronic health records: the authors reply. Health Aff (Millwood). 2014 Oct; 33(10):1877.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

Adler-Milstein J, Jha AK. Healthcare's "big data" challenge. Am J Manag Care. 2013 Jul; 19(7):537-8.

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).

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.

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.

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.

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.

Adler-Milstein J, DesRoches CM, Jha AK. Health information exchange among US hospitals. Am J Manag Care. 2011 Nov; 17(11):761-8.

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.

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.

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.

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.

Adler-Milstein J, Jha A. Fledgling firms offer hope on health costs. Harv Bus Rev. 2008 Mar; 86(3):26, 28, 131.

Linden A, Adler-Milstein J. Medicare disease management in policy context. Health Care Financ Rev. 2008; 29(3):1-11.

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.

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.

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.

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.

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.

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.

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.