Bio

Clinical Focus


  • Clinical Informatics
  • Global Health
  • Pediatric Emergency Medicine

Academic Appointments


Administrative Appointments


  • Physician Lead of Web Informatics, Lucile Packard Children's Hospital (2009 - 2010)
  • Interim Chief Resident, Stanford University (2008 - 2008)

Honors & Awards


  • Letter of Distinction for Teaching, Stanford University Medical School (2007-9)
  • Medical Economics Scholar Activity, CWRU SOM & CWRU Weatherhead School of Management (2000-2004)

Professional Education


  • Board Certification: Pediatrics, American Board of Pediatrics (2007)
  • Fellowship, Boston Medical Center, Pediatric Emergency Medicine (2013)
  • Residency:Lucile Packard Children's Hospital (2007) CA
  • Medical Education:Case Western Reserve University School of Medicine (2004) OH
  • MD, Case Western Reserve University, Medicine (2004)
  • BA, Miami University, Zoology (2000)
  • BA, Miami University, Economics (2000)

Community and International Work


  • Under the Baobab Tree, Namaso Bay, Malawi

    Topic

    Global Health/HIV

    Populations Served

    Eastern Malawi

    Location

    International

    Ongoing Project

    Yes

    Opportunities for Student Involvement

    Yes

  • Cap-Haitian, Haiti - Living Hope, Cap-Haitian and Northern Haiti

    Topic

    Pediatric Health and Pediatric Resident Training

    Partnering Organization(s)

    ICC/Living Hope Mission

    Populations Served

    Rural Underserved Communities

    Location

    International

    Ongoing Project

    Yes

    Opportunities for Student Involvement

    Yes

Research & Scholarship

Current Research and Scholarly Interests


I am interested in understanding the impact of sensors measuring human health behaviors when that data is tied to meaningful outcomes and commitment contracts.

Publications

Journal Articles


  • Bronchiolitis Pediatric Emergency Medicine Reports Migliaccio, D., Imler, D., Wang,, N. 2015; 20 (5)
  • Development of DASH Mobile: A mHealth Lifestyle Change Intervention for the Management of Hypertension MEDINFO 2013: PROCEEDINGS OF THE 14TH WORLD CONGRESS ON MEDICAL AND HEALTH INFORMATICS, PTS 1 AND 2 Mann, D. M., Kudesia, V., Reddy, S., Weng, M., Imler, D., Quintiliani, L. 2013; 192: 973-973

    Abstract

    Several landmark studies based on the DASH diet have established the effectiveness of a lifestyle approach to blood pressure control that emphasizes a diet rich in fruits and vegetables with moderate portions of low-fat dairy and lean protein along with increased physical activity and reduced sodium intake. However, this evidence base remains underused due feasibility limitations of implementing these intense in-person interventions and poor engagement with desktop computer based versions. Mobile technologies such as smartphones and wireless sensors have the ability to deliver behavioral interventions in-the-moment and with reduced user burden. DASH Mobile is a new mHealth system being developed to deliver this evidence-based lifestyle intervention to hypertensive patients. The system consists of an Android based "app" that facilitates easy tracking of DASH food portions, integrated Bluetooth blood pressure, weight and pedometer monitoring, goal setting, simple data visualizations and multimedia video clips to train patients in the basic concepts of the lifestyle change plan. At present, the system is undergoing usability testing with a pilot clinical trial planned for Spring 2013.

    View details for DOI 10.3233/978-1-61499-289-9-973

    View details for Web of Science ID 000341021700241

    View details for PubMedID 23920747

  • Improved physician work flow after integrating sign-out notes into the electronic medical record. Joint Commission journal on quality and patient safety / Joint Commission Resources Bernstein, J. A., Imler, D. L., Sharek, P., Longhurst, C. A. 2010; 36 (2): 72-78

    Abstract

    In recent years, electronic sign-out notes have been identified as a means of enhancing the effective transfer of patient care between providers. Such a tool was developed and implemented within the electronic medical record (EMR) system, and its impact on physician work flow was assessed.A printable sign-out report was implemented within the EMR system at a tertiary academic children's hospital. Month 1 post go-live survey data were collected in June and July 2006, and 6-month post go-live survey data were collected in November and December 2006. Use of the sign-out form to document handoff data between go-live and Month 16 (September 2007) was measured using log data from the EMR. Housestaff physicians were asked to report the impact of the tool on their work flow and satisfaction with the sign-out process through a Web-based survey.The sign-out report was steadily adopted following its introduction. Between the first and second surveys, use of EMR-integrated sign-out increased from 37% to 81% of respondents for day-to-night sign-out (chi2 = 12.79, p < .001) and from 14% to 39% for night-to-day sign-out (chi 2 = 5.08, p < .05). With increased use of the report, housestaff reported less time devoted to redundant data entry and increased satisfaction with the sign-out process.EMR-integrated sign-out documents offer the advantages of other electronic network-accessible systems and can also incorporate information already in the medical record in an automated manner. Although the primary motivation for introducing standardized, EMR-integrated sign-out documents is to enhance the safety of patient handoffs, the perception of improved physician work flow is also a benefit of such an intervention.

    View details for PubMedID 20180439

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