Name: Richard N. Shiffman, M.D., M.C.I.S.
Address:
(203) 737-5213
Fax: (203) 737-5708
e-mail: richard.shiffman@yale.edu
Education:
1969 B.A. (Biology)
1973 M.D.
1991 M.C.I.S. University of Denver, Denver, CO
Career/Academic Appointments:
1973–75 Pediatrics
Level 1-2, Children's
1975–76 Pediatrics
Level 3,
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
1978–90 Private Practice of Pediatrics, Arvada, CO
1978-90 Clinical Instructor in Pediatrics,
Univ. of
1990–93 Fellowship
in Medical Informatics, Harvard – MIT Division of Health Sciences and
Technology,
1993–99 Assistant
Professor of Pediatrics,
1999–2007 Associate
Professor of Pediatrics,
2007– Professor of Pediatrics
Administrative Position:
1996– Associate Director, Yale Center for Medical Informatics, Yale University School of Medicine, New Haven, CT
Board Certification:
American Board of Pediatrics, 1976
Professional Honors and Recognition:
2007 Citation
for outstanding service rendered to
2006 Elected to American Pediatric Society
2006 Byron E.
Oberst Award from the
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,
2002 Citation
for outstanding service rendered to the
2001 Elected
to
2000 Citation
in recognition of distinguished service to the
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,
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,
1976 Fellow,
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,
1994
Advisory Board of the Connecticut Health Data
Institute, University of
1994
1995 NIH-National Library of Medicine Special Emphasis Panel
1996– Liaison,
Committee on Quality Improvement,
1997–98 Program Committee, Annual Meeting of the American Medical Informatics Association
1998–2000 Chairman,
Section on Computers and Other Technology (SCOT),
1998-2000 Committee on Sections (COS),
1998–2002 Task
Force on Medical Informatics (formerly Work Group on Medical Informatics),
American
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
2000–2001 AHRQ Health Research Dissemination and Implementation Special Emphasis Panel
2000–2004 AAP/AAFP Joint Subcommittee on Acute Otitis Media
2001 Visiting Professor,
2001 National Health Service
appointment to evaluate the Prodigy decision support system in the
2001–2007 Member, Steering Committee on Quality
Improvement and Management,
2002–2005 AAP Liaison and Board Member, National
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,
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
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,
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– Elected, Board of Directors,
eHealth
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,
2006–2007 Member, International Scientific Committee, Guidelines International Network
2007 Invited expert (representing
2007 Consultant, Institute of Medicine Committee on Reviewing Evidence to Identify Highly Effective Clinical Services, Washington, DC.
Professional
Organizations
1976–
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.
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.
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.
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.
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
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.
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:
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:
15. Shiffman
RN,
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,
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;
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.,
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;
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.
Submitted
Marcy TW, Kaplan B, Conolly
S, Michel G, Shiffman R, Flynn B. Automatic prompts to use a CDSS for
tobacco use counseling: lessons learned from usability testing with physicians.
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. American Academy of Otolaryngology—Head and Neck Surgery; 2006.
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.
In Press
Shiffman RN, Marcuse EW, Moyer VA, Neuspiel DR, AAP Steering
Committee on Quality Improvement and Management. Toward transparent clinical
policies.
Rosenfeld RM, Andes D, Bhattacharya N,
et al. Clinical practice guideline: adult sinusitis. Otolaryngology.
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
Abstracts and Posters
Shiffman RN. A critique of published medical logic representation schemata: How decision tables can help. American Academy of Pediatrics, New Orleans, LA, October 1991.
Shiffman RN. Machine learning techniques for induction of clinical prediction rules. Annual Meeting of the American Academy of Pediatrics, San Francisco, CA, October 1992.
Shiffman RN. Opportunities for advanced training in informatics for pediatricians. Annual Meeting of the American Academy of Pediatrics. Washington, DC, October 1993.
Shiffman RN.Is new knowledge the major determinant of a need for guideline revision? [abstract] Med Decis Making. 14:441. 1994.
Miller DW, Shiffman RN. AsthMonitor: clinical guidelines, decision support and data capture integrated into workflow. Spring Meeting of the American Medical informatics Association, May 1995.
Shiffman RN. 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.
Navedo D, Shiffman RN. Guideline-Assisted Clinical decision Making: A portable palmtop computer for asthma management. National Organization of Nurse Practitioners Annual Conference, Savannah, GA. April 18, 1997.
Liaw Y, Shiffman RN. Challenges in handheld guideline implementation. Spring Meeting of the American Medical Informatics Association, Philadelphia, PA. May 29, 1998.
Liu JCS, Shiffman RN. Critical tedium: data quality issues in merging two structured immunization databases. Annual Meeting of the American Medical Informatics Association, Orlando, FL. November 10, 1998.
Shiffman RN, Freudigman KA, Liaw Y, Navedo D. A computer-based guideline implementation for asthma: adherence and outcomes. Annual Meeting of the Pediatric Academic Societies, San Francisco, CA. March 1, 1999.
Chen RS, Shiffman RN, Miller PL, Baker CB. Issues in implementing a guideline for depression modeled using an object-oriented state machine. In: Lorenzi NM, ed., Proceedings of the American Medical Informatics Association 1999:1040.
Karras BT, Nath SD, Corb GJ, Engles-Horton L, Shiffman RN. PalmAsthma: design of a system for the implementation of asthma guidelines on handheld computers. . In: Lorenzi NM, ed., Proceedings of the American Medical Informatics Association 1999:1095.
Agrawal A., Brandt C. A., Shiffman R. N.
Promoting Workflow Integration with Information Management Services and
GEM-Encoded Guidelines. Proc AMIA Symp 2000;:948.
Deshpande AM, Shiffman RN. Delphi rating on the internet. Musen M, ed. Proc Amer Med Informatics Assoc 2003; Washington, DC; 828.
Marcy T, Skelly J, Michel G, Connolly S, Shiffman RN, Flynn B. Exploring how to help physicians connect patients to smoking cessation resources. Addressing Tobacco in Managed Care: A National Program of The Robert Wood Johnson Foundation; Chicago, IL, May 2005
National Courses
Faculty, The Pediatric Office of the Future, AAP Annual Meeting, San Francisco, CA, Oct 19, 1998
Faculty, Advanced Computer Strategies: Telemedicine and Beyond. AAP Annual Meeting, San Francisco, CA, Oct 20, 1998
Faculty, An Introduction to the Anatomy and Physiology of Relational Databases. Pediatric Academic Societies Workshop. Toronto, ON. May 6, 2007.
Internal Medicine 184 - Selected Topics in Medical Informatics
Advanced Topics in Clinical Informatics
Computational Biology and Bioinformatics 740 – Clinical and Translational Informatics
Committees
1994–95 Liaison between Pediatrics Department and Yale-New Haven Hospital Clinical Care Support System (CCSS) for design of data entry screens
1994– Clinical Workstation User Group
1994–95 CCSS Physician Key Contact Group
1994 Children with Special Health Care Needs Planning Committee
1994–96 Advisory Board, Children with Special Health Care Needs Program at Yale
1994-96 Project Management Group, Computerized Ambulatory Scheduling System
1994 Clinical Computing Planning Group, Working Group for Outpatient Computing, Working Group for Coordination of Clinical Computing
1995–2000 SEURAT Project: Led group for development and implementation of system for ambulatory data collection in PCC using scanning technologies
1996 Co-chairman, Ambulatory Quality Improvement Council, Yale-New Haven Hospital
1996 Early Discharge Committee, Primary Care Clinic
1996–2000 Working Group for Coordination of Clinical Computing
1996–2000 Ambulatory Care Information Systems Work Group (ACIS)
1997–2000 University Computing Information Task Force (UCITF)
1997–2000 IDX Implementation Steering Committee
1997–2000 Faculty Computing Committee
1997 Clinical Data Repository Work Group
1998-99 Yale Medical Library Committee
2000– Member, Steering Committee, Logician in Primary Care Center
2000– Member, Implementation Committee, Logician in Pediatric PCC
2002– Member, Yale Medical Group Electronic Medical Record Committee
2002– 2003 Member, HIPAA Research Committee, Yale University
2004– Member YNHH-Community Medical Group Committee on Electronic Health Records
2005 - Member Sunrise Electronic Records Committee, YNHH