Research Topics
| Steven R SimonSummaryAffiliation: Harvard Medical School and Harvard Pilgrim Health Care Country: USA Publications
Research Grants
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Detail Information
Publications
Readiness for electronic health records: comparison of characteristics of practices in a collaborative with the remainder of MassachusettsSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, Boston, MA 02215, USA
Inform Prim Care 16:129-37. 2008..This study's objective was to assess the degree to which these practices are representative of physicians' practices statewide...
Electronic health records: which practices have them, and how are clinicians using them?Steven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Eval Clin Pract 14:43-7. 2008..Limited data exist to estimate the use of electronic health records (EHRs) in ambulatory care practices in the United States...- Physicians and electronic health records: a statewide surveySteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Arch Intern Med 167:507-12. 2007..Electronic health records (EHRs) allow for a variety of functions, ranging from visit documentation to laboratory test ordering, but little is known about physicians' actual use of these functions... 
Improving diabetes care among patients overdue for recommended testing: a randomized controlled trial of automated telephone outreachSteven R Simon
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA
Diabetes Care 33:1452-3. 2010..The study's objective was to assess the effects of automated telephone outreach with speech recognition (ATO-SR) on diabetes-related testing...- Correlates of electronic health record adoption in office practices: a statewide surveySteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, Sixth Floor, Boston, MA 02215, USA
J Am Med Inform Assoc 14:110-7. 2007..We sought to measure the correlates of EHR adoption... - Failure of automated telephone outreach with speech recognition to improve colorectal cancer screening: a randomized controlled trialSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Arch Intern Med 170:264-70. 2010..Automated telephone outreach with speech recognition (ATO-SR) is used extensively by health plans. Whether ATO-SR can increase rates of colorectal cancer (CRC) screening is unknown... - Physicians' use of key functions in electronic health records from 2005 to 2007: a statewide surveySteven R Simon
MPH Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
J Am Med Inform Assoc 16:465-70. 2009..System refinements, certification efforts, and health policies, including standards development, should address the gaps in both EHR adoption and the use of key functions... - Patients' attitudes toward electronic health information exchange: qualitative studySteven R Simon
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Med Internet Res 11:e30. 2009..In many countries, there has been substantial progress in establishing the electronic transmission of patients' health information between health care providers, but little is known about how best to engage patients in the process... - Clinical and nonclinical correlates of adherence to prescribing guidelines for hypertension in a large managed care organizationPhilip C Skelding
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Clin Hypertens (Greenwich) 8:414-9. 2006..48-0.91). Patient age was not a significant correlate of adherence to guidelines (OR, 1.01; 95% CI, 0.94-1.09). Understanding these observations may lead to strategies to improve guideline adherence and reduce health care disparities... - Relationship between use of electronic health record features and health care quality: results of a statewide surveyEric G Poon
Division of General Medicine, Brigham and Women s Hospital, Boston, MA, USA
Med Care 48:203-9. 2010..However, evidence regarding their effectiveness for this purpose is mixed, and existing studies have generally considered EHR usage a binary factor and have not considered the availability and use of specific EHR features... - The relationship between electronic health record use and quality of care over timeLi Zhou
Clinical Informatics Research and Development, Partners HealthCare System, Inc, Wellesley, MA, USA
J Am Med Inform Assoc 16:457-64. 2009..Future studies should examine the relationship between the extent to which physicians use key EHR functions and their performance on quality measures over time... - Factors associated with difficult electronic health record implementation in office practiceMarshall Fleurant
Boston Medical Center, Boston University School of Medicine, Section of General Internal Medicine, 801 Massachusetts Avenue, 2nd Floor, Boston, MA 02118, USA
J Am Med Inform Assoc 19:541-4. 2012..4, 95% CI 0.2 to 0.8). Physicians who own their practice may need more external support for EHR implementation than those who do not. Innovative clinical support staff may ease the EHR implementation process and contribute to its success... - Economic analysis of a randomized trial of academic detailing interventions to improve use of antihypertensive medicationsSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School, Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Clin Hypertens (Greenwich) 9:15-20. 2007..Information on costs of academic detailing could assist with health plan decision making in developing interventions to improve prescribing... - Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use?Jennifer S Love
Partners HealthCare, Clinical and Quality Analysis Information Systems, Boston, Massachusetts, USA
J Am Med Inform Assoc 19:610-4. 2012.... - Clinician attitudes towards prescribing and implications for interventions in a multi-specialty group practiceRobert J Fortuna
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Eval Clin Pract 14:969-73. 2008..Although numerous factors influence prescribing, resources to support unbiased evidence-based prescribing are not widely available... - Reducing the prescribing of heavily marketed medications: a randomized controlled trialRobert J Fortuna
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
J Gen Intern Med 24:897-903. 2009..Prescription drug costs are a major component of health care expenditures, yet resources to support evidence-based prescribing are not widely available... - Physician attitudes toward health information exchange: results of a statewide surveyAdam Wright
Brigham and Women s Hospital, Boston, Massachusetts 02120, USA
J Am Med Inform Assoc 17:66-70. 2010..Objective: To assess physicians' attitudes toward health information exchange (HIE) and physicians' willingness to pay to participate in HIE... - Characteristics of medicine-pediatrics practices: results from the national ambulatory medical care surveyRobert J Fortuna
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Acad Med 84:396-401. 2009..A more comprehensive understanding of med-peds practices is important to inform medical students and guide evolving curricula and accreditation standards... - How do precepting physicians select patients for teaching medical students in the ambulatory primary care setting?Steven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
J Gen Intern Med 18:730-5. 2003..To study how clinical preceptors select patients for medical student teaching in ambulatory care and to explore key factors they consider in the selection process... - Baseline laboratory monitoring of cardiovascular medications in elderly health maintenance organization enrolleesSteven R Simon
HMO Research Network Center for Education and Research in Therapeutics and Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
J Am Geriatr Soc 53:2165-9. 2005..To identify correlates of laboratory monitoring errors in elderly health maintenance organization (HMO) members at the initiation of therapy with cardiovascular medications... - Electronic health records and malpractice claims in office practiceAnunta Virapongse
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, Sixth Floor, Boston, MA 02215, USA
Arch Intern Med 168:2362-7. 2008..Electronic health records (EHRs) may improve patient safety and health care quality, but the relationship between EHR adoption and settled malpractice claims is unknown... - Massachusetts e-Health Project increased physicians' ability to use registries, and signals progress toward better careMarshall Fleurant
Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, and Brigham and Women s Hospital, Boston, MA, USA
Health Aff (Millwood) 30:1256-64. 2011..This statewide project may be a viable model for regional efforts to expand health information technology and improve the quality of care... - Electronic health records: use, barriers and satisfaction among physicians who care for black and Hispanic patientsAshish K Jha
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
J Eval Clin Pract 15:158-63. 2009..Given that a small group of providers care for most racial/ethnic minorities, we sought to determine whether minority-serving providers adopt EHR systems at comparable rates to other providers... - Community-wide implementation of health information technology: the Massachusetts eHealth Collaborative experienceAllan H Goroll
Harvard Medical School and Massachusetts General Hospital, Medical Service, 15 Parkman Street, Suite 645, Boston, MA 02114, USA
J Am Med Inform Assoc 16:132-9. 2009..This article describes the formation and implementation phases of the Collaborative, focusing on barriers identified, lessons learned, and policy issues... - Ability to generate patient registries among practices with and without electronic health recordsAdam Wright
Clinical Informatics Research and Development, Partners HealthCare System, Boston, MA, USA
J Med Internet Res 11:e31. 2009..However, it is not known how many providers have the ability to generate such registries... - Group versus individual academic detailing to improve the use of antihypertensive medications in primary care: a cluster-randomized controlled trialSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue 6th Floor, Boston, MA 02215, USA
Am J Med 118:521-8. 2005..To compare group versus individual academic detailing to increase diuretic or beta-blocker use in hypertension... - Simulation Suggests that medical group mergers won't undermine the potential utility of health information exchangesRobert S Rudin
RAND Corporation, Boston, Massachusetts, USA
Health Aff (Millwood) 31:548-59. 2012.... - Failure of Internet-based audit and feedback to improve quality of care delivered by primary care residentsSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
Int J Qual Health Care 17:427-31. 2005..To determine the effectiveness of Internet-based audit and feedback to physicians to improve care for diabetes and hypertension... - Understanding the decisions and values of stakeholders in health information exchanges: experiences from MassachusettsRobert S Rudin
Partners HealthCare System Inc, Boston, MA, USA
Am J Public Health 99:950-5. 2009..Our aim was to understand how these kinds of information exchanges can be made viable... - Protecting an endangered species: training physicians to conduct clinical researchMary Ellen J Goldhamer
Massachusetts General Hospital, Bulfinch Medical Group, Boston, MA 02114, USA
Acad Med 84:439-45. 2009..The authors sought to evaluate the research careers of physician graduates and to determine correlates of National Institutes of Health (NIH) grant funding... - Using health information technology to improve drug monitoring: a systematic reviewGeoffrey L Hayward
Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA
Pharmacoepidemiol Drug Saf 18:1232-7. 2009..To conduct a systematic review of current evidence regarding the use of health information technology (HIT) interventions to improve drug monitoring in ambulatory care... - Potentially inappropriate medication use by elderly persons in U.S. Health Maintenance Organizations, 2000-2001Steven R Simon
HMO Research Network, Center for Education and Research on Therapeutics, Harvard Pilgrim Health Care and Harvard Medical School, Boston, Massachusetts 02215, USA
J Am Geriatr Soc 53:227-32. 2005..To determine rates of potentially inappropriate medication use in elderly persons in managed care plans in the United States in 2000-2001... - Medical students' knowledge of the U.S. health care system and their preferences for curricular change: a national surveyJaya R Agrawal
Department of Medicine, Brigham and Women s Hospital, Boston, MA 02215, USA
Acad Med 80:484-8. 2005..To measure medical students' knowledge of central issues in the U.S. health care system and to understand their perception of the importance and quality of health policy curricula at their medical schools... - Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older peopleSteven R Simon
HMO Research Network Center for Education and Research in Therapeutics, Harvard Medical School and Harvard Pilgrim Healthcare, Boston, MA 02215, USA
J Am Geriatr Soc 54:963-8. 2006.... - Implementation and use of an electronic health record within the Indian Health ServiceThomas D Sequist
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120, USA
J Am Med Inform Assoc 14:191-7. 2007..There are limited data regarding implementing electronic health records (EHR) in underserved settings. We evaluated the implementation of an EHR within the Indian Health Service (IHS), a federally funded health system for Native Americans... - Evaluating the impact of point- of-care decision support tools in improving diagnosis of obese children in primary careChristine R Ayash
Obesity Prevention Program, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA
Obesity (Silver Spring) 21:576-82. 2013.... - Evaluating the implementation of expert committee recommendations for obesity assessmentMona Sharifi
Obesity Prevention Program, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA 02115, USA
Clin Pediatr (Phila) 52:131-8. 2013.... - Rationale and design of the STAR randomized controlled trial to accelerate adoption of childhood obesity comparative effectiveness researchElsie M Taveras
Obesity Prevention Program, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, United States
Contemp Clin Trials 34:101-8. 2013.... - Teaching population health as a basic science at Harvard Medical SchoolJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Acad Med 83:332-7. 2008..Preclinical courses represent a progressive step in developing a workforce of physicians who embrace their responsibility to improve the health of the population as a whole, as well as the health of the patient in front of them... - The relationship between perceived practice quality and quality improvement activities and physician practice dissatisfaction, professional isolation, and work-life stressMariah A Quinn
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Med Care 47:924-8. 2009..However, little is known about how physicians' self-reported quality improvement (QI) activities and quality of care are related to their practice dissatisfaction, professional isolation, and work-life stress... - Health information technology to guide pediatric obesity managementJulia McDonald
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 133 Brookline Avenue, 3rd Floor, Boston, MA 02215, USA
Clin Pediatr (Phila) 50:543-9. 2011..Concerns included "alert fatigue," distraction, and disruption of workflow. Suggestions for future electronic functions included tailored educational materials and physical activity resources customized by patient address... - Impact of vendor computerized physician order entry in community hospitalsAlexander A Leung
Division of General Internal Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120 1613, USA
J Gen Intern Med 27:801-7. 2012..It is uncertain if computerized physician order entry (CPOE) systems are effective at reducing adverse drug event (ADE) rates in community hospitals, where mainly vendor-developed applications are used... - The relationship between medical practice characteristics and quality of care for cardiovascular diseaseBruce E Landon
Harvard Medical School, Boston, USA
Med Care Res Rev 65:167-86. 2008.... - The relationship between second-year medical students' OSCE scores and USMLE Step 2 scoresSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Eval Clin Pract 13:901-5. 2007.... - Drug therapy in the elderly: improving quality and accessSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, MA, USA
Clin Pharmacol Ther 73:387-93. 2003 - Quality and correlates of medical record documentation in the ambulatory care settingCarlos M Soto
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
BMC Health Serv Res 2:22. 2002..We therefore undertook the present study to measure the rates of documentation of quality of care measures in an outpatient primary care practice setting that utilizes an electronic medical record... - "Stealth" alerts to improve warfarin monitoring when initiating interacting medicationsKate E Koplan
Harvard Vanguard Medical Associates, Atrius Health, 275 Grove Street, Suite 3 300, Auburndale, Newton, MA 02466, USA
J Gen Intern Med 27:1666-73. 2012..We aimed to determine whether these "stealth" alerts increased the frequency of anticoagulation monitoring following the co-prescription of warfarin and a potentially interacting medication... - Variation in predictors of primary care career choice by year and stage of trainingMaureen T Connelly
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass 02215, USA
J Gen Intern Med 18:159-69. 2003..It is not known whether factors associated with primary care career choice affect trainees differently at different times or stages of medical education... - Decline in fish consumption among pregnant women after a national mercury advisoryEmily Oken
Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, Massachusetts, USA
Obstet Gynecol 102:346-51. 2003..We endeavored to estimate the extent to which pregnant women changed fish consumption habits after dissemination of this national advisory... - Geriatrics training in general internal medicine fellowship programs: current practice, barriers, and strategies for improvementSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School, Harvard Pilgrim Health Care, and Hebrew Rehabilitation Center for Aged, Boston, Massachusetts 02215, USA
Ann Intern Med 139:621-7. 2003.... - Universal health care and reform of the health care system: views of medical students in the United StatesJeffrey Huebner
Department of Family Medicine, University of Washington, Seattle, Washington 98103, USA
Acad Med 81:721-7. 2006..Recent studies have documented physicians' support for various remedies, including universal health care. The authors undertook this study to assess medical students' views on these topics... - Improved therapeutic monitoring with several interventions: a randomized trialAdrianne C Feldstein
Center for Health Research, Kaiser Permanente, Portland, OR, USA
Arch Intern Med 166:1848-54. 2006..Differences between guideline recommendations and actual frequency of therapeutic laboratory monitoring are substantial. This study evaluated interventions to improve laboratory monitoring at initiation of medication therapy... - Web-based learning versus standardized patients for teaching clinical diagnosis: a randomized, controlled, crossover trialMichael K Turner
Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota, USA
Teach Learn Med 18:208-14. 2006..Start-up costs were comparable, but the ongoing costs of the WB format were less expensive, suggesting that WB teaching may be a viable strategy... - The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluationDavid H Smith
Kaiser Permanente Center for Health Research, Portland, OR 97227, USA
Arch Intern Med 166:1098-104. 2006..The objective of this study was to examine the effects of computerized provider order entry with clinical decision support in reducing the use of potentially contraindicated agents in elderly persons... - Reducing warfarin medication interactions: an interrupted time series evaluationAdrianne C Feldstein
Center for Health Research, Kaiser Permanente, 3800 N Interstate Avenue, Portland, OR 97227, USA
Arch Intern Med 166:1009-15. 2006..The usefulness of academic detailing to enhance the effectiveness of medication interaction alerts also is uncertain... - Health plan members' views about disclosure of medical errorsKathleen M Mazor
Meyers Primary Care Institute, University of Massachusetts Medical School, and Fallon Foundation, Worcester, Massachusetts 01605, USA
Ann Intern Med 140:409-18. 2004..In some circumstances, the desire to seek legal advice may not diminish despite full disclosure... - How to design computerized alerts to safe prescribing practicesAdrianne Feldstein
Center for Health Research, Kaiser Permanente, Portland, Oregon, USA
Jt Comm J Qual Saf 30:602-13. 2004..This study was designed to develop and evaluate medication safety alerts and processes for educating prescribers about the alerts... - Academic detailing to improve laboratory testing among outpatient medication usersJennifer Elston Lafata
Department of Internal Medicine, Center for Health Services Research, Henry Ford Health System, Detroit, Michigan, USA
Med Care 45:966-72. 2007..To determine whether group academic detailing with performance feedback increases recommended laboratory monitoring among outpatients dispensed medications...
Research Grants
- Improving Laboratory Monitoring in Community Practices: A Randomized TrialSteven Simon; Fiscal Year: 2007..This practical clinical trial will evaluate the effectiveness of promoting clinicians' use of commercially available healthcare information technology to improve medication safety in the ambulatory care setting. ..