Lisa Rotenstein, MD, MBA, MSc, awarded R01 from AHRQ to study EHR-optimization interventions
Lisa Rotenstein, MD, MBA, MSc, was recently awarded an R01 for $2 million over five years from the Agency for Healthcare Research and Quality (AHRQ) for a study in collaboration with David Bates, MD, MSc, chief of the Division of General Medicine at Brigham and Women’s Hospital.
Health system leaders are grappling with the challenge of finding effective solutions to address physician burnout caused by electronic health record (EHR) use, while also striving to better understand its impact on physicians' overall experience and well-being.
To address this gap, Dr. Rotenstein’s research will analyze data from both community-based and academic primary care practices. The study will evaluate the impact of three EHR-optimization interventions on primary care physicians (PCPs) and patient outcomes, while also assessing their cost-effectiveness.
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“This award from AHRQ will help us generate evidence critically needed by clinical and operational leaders across the US about how to enhance the work lives of PCPs while simultaneously ensuring high quality and satisfying primary care delivery. Primary care is foundational to our health system but faces multiple, ongoing threats. This award will enable rigorous evaluation of strategies to support the long-term health of the primary care system.”
Lisa Rotenstein, MD, MBA, MSc
Director, Center to Advance Digital Physician Practice Transformation (ADAPT)
Assistant Professor, Division of Clinical Informatics and Digital Transformation (DoC-IT)
Medical Director of Ambulatory Quality and Safety, UCSF Health
The results will help health system leaders identify interventions that alleviate EHR-related challenges affecting PCPs, while enhancing the benefits of EHRs for physicians, patients, and health systems. This grant will generate critical evidence to improve the PCP work experience and maximize the benefits of EHRs for patients.
Sites included in the grant include UCSF, Brigham and Women’s Hospital, the Northeast Medical Group, the Cedars Sinai Medical Network, Massachusetts General Hospital, and Mass General Brigham Community Physicians.
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About Lisa Rotenstein, MD, MBA
Dr. Rotenstein, a primary care physician, researcher, and healthcare leader, specializes in ambulatory care delivery, physician well-being, gender issues in medicine, and the impact of electronic health records on medical practice around these topics. Her research has been widely published, such as her work on physician and trainee mental health – published in JAMA, JAMA Health Forum, and the Journal of General Internal Medicine – has fostered increased awareness of the epidemic of depression and burnout in medical students and physicians and catalyzed action to address this public health burden. Her research on the electronic health record (EHR), published in JAMA Internal Medicine, JAMA Network Open, and JAMIA, have deepened the field’s understanding of the role of the EHR in physician experience.
Among her many achievements, Dr. Rotenstein has been named a 2022 Modern Healthcare Top 25 Emerging Leader, the 2022 New England Region SGIM Investigator of the Year, and a 2024 member of the New Voices of the National Academies of Sciences, Engineering, and Medicine.
About the Center to Advance Digital Physician Practice Transformation (ADAPT)
The UCSF Division of Clinical Informatics and Digital Transformation (DoC-IT) recently launched the UCSF Center to Advance Digital Physician Practice Transformation (ADAPT). The new center will foster a collaborative community of researchers and leaders focused on advancing the understanding of how physicians’ interactions with technology shape practice patterns and patient experiences. By convening researchers and health system leaders, ADAPT will advance studies at the intersection of technology and physician work. The center’s initial efforts will focus on examining how physicians’ interactions with cutting-edge tools impact their practice patterns and patient experiences. Through this focus, the center aims to drive innovative solutions and enhance healthcare delivery.
About the UCSF Division of Clinical Informatics and Digital Transformation (DoC-IT)
DoC-IT serves as the academic home for applied clinical informatics researchers within the UCSF Department of Medicine. We also serve as a coordinating entity with key internal and external digital stakeholders across all UCSF mission areas, schools, departments, and divisions. Clinical informatics is approached as a multidisciplinary field that involves the use of technology by a broad spectrum of health professionals, patients, and other stakeholders.
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