Michelle R. Hribar, Ph.D., M.S.

  • Assistant Professor of Medical Informatics and Clinical Epidemiology, School of Medicine

Biography

My research focuses on the secondary use of electronic health record (EHR) data to research in both operational and clinical domains.  Some examples of research projects have included using audit log data for studying and improving clinical workflows, studying EHR documentation, using clinical data for predictive modeling, and studying the quality of EHR data.  This research combines my educational background in mathematics, operations research, and computer science, my IT experience working with clinicians, and my training as a National Library of Medicine (NLM) postdoctoral fellow.  After studying high performance computing and parallel algorithms in graduate school, my professional career started with building parallel software tools for high performance computers at NASA and continued later with developing clinical informatics applications at Oregon Health & Science University. Throughout my professional career I have taught at the undergraduate and graduate levels, focusing on improving students’ problem solving, research, and project management skills.

Education and training

  • Degrees

    • M.S., 1994, Northwestern University
    • Ph.D., 1997, Northwestern University

  • Fellowship

    • NLM Clinical Informatics Fellowship, OHSU, 2013 - 2015

Areas of interest

  • Clinic Informatics
  • Data Science
  • Operations Research
  • Discrete Event Simulation
  • Machine Learning
  • Data Visualization
  • Usability

Honors and awards

  • 2014 AMIA Student Design Competition Winner
  • 2015 AMIA Student Design Competition Winner
  • 2015 - 2020 NIH/NLM K99-R00 Pathway to Independence Award

Publications

Selected publications

  • a.    Hribar MR, Read-Brown S, Goldstein IH, Reznick LG, Lombardi L, Parikh M, Chamberlain W, Chiang MF. Secondary use of electronic health record data for clinical workflow analysis. J Am Med Inform Assoc. 2018 Jan 1;25(1):40-46. doi: 10.1093/jamia/ocx098. PubMed PMID: 29036581
  • a.    Read-Brown S, Hribar MR, Reznick LG, Lombardi LH, Parikh M, Chamberlain WD, Bailey ST, Wallace JB, Yackel TR, Chiang MF. Time Requirements for Electronic Health Record Use in an Academic Ophthalmology Center. JAMA Ophthalmol. 2017 Nov 1;135(11):1250-1257. doi: 10.1001/jamaophthalmol.2017.4187. PubMed PMID: 29049512; PubMed Central PMCID: PMC5710390.
  • a.    Goldstein IH, Hribar MR, Read-Brown S, Chiang MF. Association of the Presence of Trainees With Outpatient Appointment Times in an Ophthalmology Clinic. JAMA Ophthalmol. 2018 Jan 1;136(1):20-26. doi: 10.1001/jamaophthalmol.2017.4816. PubMed PMID: 29121175; PubMed Central PMCID: PMC5766373.

Publications

  • Guidance for reporting analyses of metadata on electronic health record use

    Journal of the American Medical Informatics Association
    1. Adam Rule
    2. Thomas Kannampallil
    3. Michelle R. Hribar
    4. Adam C. Dziorny
    5. Robert Thombley
    6. Nate C. Apathy
    7. Julia Adler-Milstein

  • Prediction of multiclass surgical outcomes in glaucoma using multimodal deep learning based on free-text operative notes and structured EHR data

    Journal of the American Medical Informatics Association
    1. Wei Chun Lin
    2. Aiyin Chen
    3. Xubo Song
    4. Nicole G. Weiskopf
    5. Michael F. Chiang
    6. Michelle R. Hribar

  • Similar Risk of Kidney Failure among Patients with Blinding Diseases Who Receive Ranibizumab, Aflibercept, and Bevacizumab

    Ophthalmology Retina
    1. Cindy X. Cai
    2. Akihiko Nishimura
    3. Mary G. Bowring
    4. Erik Westlund
    5. Diep Tran
    6. Jia H. Ng
    7. Paul Nagy
    8. Michael Cook
    9. Jody Ann McLeggon
    10. Scott L. DuVall
    11. Michael E. Matheny
    12. Asieh Golozar
    13. Anna Ostropolets
    14. Evan Minty
    15. Priya Desai
    16. Fan Bu
    17. Brian Toy
    18. Michelle Hribar
    19. Thomas Falconer
    20. Linying Zhang
    21. Laurence Lawrence-Archer
    22. Michael V. Boland
    23. Kerry Goetz
    24. Nathan Hall
    25. Azza Shoaibi
    26. Jenna Reps
    27. Anthony G. Sena
    28. Clair Blacketer
    29. Joel Swerdel
    30. Kenar D. Jhaveri
    31. Edward Lee
    32. Zachary Gilbert
    33. Scott L. Zeger
    34. Deidra C. Crews
    35. Marc A. Suchard
    36. George Hripcsak
    37. Patrick B. Ryan

  • The Impact of Documentation Workflow on the Accuracy of the Coded Diagnoses in the Electronic Health Record

    Ophthalmology Science
    1. Thomas S. Hwang
    2. Merina Thomas
    3. Michelle Hribar
    4. Aiyin Chen
    5. Elizabeth White

  • Advancing Toward a Common Data Model in Ophthalmology

    Ophthalmology Science
    1. Cindy X. Cai
    2. William Halfpenny
    3. Michael V. Boland
    4. Harold P. Lehmann
    5. Michelle Hribar
    6. Kerry E. Goetz
    7. Sally L. Baxter

  • Identifying and Addressing Barriers to Implementing Core Electronic Health Record Use Metrics for Ambulatory Care

    Applied Clinical Informatics
    1. Deborah R. Levy
    2. Amanda J. Moy
    3. Nate Apathy
    4. Julia Adler-Milstein
    5. Lisa Rotenstein
    6. Bidisha Nath
    7. S. Trent Rosenbloom
    8. Thomas Kannampallil
    9. Rebecca G. Mishuris
    10. Aram Alexanian
    11. Amber Sieja
    12. Michelle R. Hribar
    13. Jigar S. Patel
    14. Christine A. Sinsky
    15. Edward R. Melnick

  • Development of an Open-Source Annotated Glaucoma Medication Dataset From Clinical Notes in the Electronic Health Record

    Translational Vision Science and Technology
    1. Jimmy S. Chen
    2. Wei Chun Lin
    3. Sen Yang
    4. Michael F. Chiang
    5. Michelle R. Hribar

  • Discrepancies in Ophthalmic Medication Documentation for Glaucoma Patients

    Ophthalmology Science
    1. Jimmy S. Chen
    2. Wei Chun Lin
    3. Joel V. Kaluzny
    4. Aiyin Chen
    5. Michael F. Chiang
    6. Michelle R. Hribar

  • Frequent but fragmented

    Journal of the American Medical Informatics Association
    1. Adam Rule
    2. Michelle R. Hribar

  • Pediatric Ophthalmology Provider and Staff Attitudes and Patient Satisfaction in Telehealth Implementation during COVID-19

    Telemedicine and e-Health
    1. Allison I. Summers
    2. Annie Kuo
    3. Tosha Zaback
    4. Allison R. Loh
    5. Mitchell V. Brinks
    6. Michelle R. Hribar

  • Clinical Documentation during Scribed and Nonscribed Ophthalmology Office Visits

    Ophthalmology Science
    1. Haley L. Dusek
    2. Isaac H. Goldstein
    3. Adam Rule
    4. Michael F. Chiang
    5. Michelle R. Hribar

  • Comparing Scribed and Non-scribed Outpatient Progress Notes

    AMIA ... Annual Symposium proceedings. AMIA Symposium
    1. Adam Rule
    2. Sarah T. Florig
    3. Steven Bedrick
    4. Vishnu Mohan
    5. Jeffrey A. Gold
    6. Michelle R. Hribar

  • Extraction of Active Medications and Adherence Using Natural Language Processing for Glaucoma Patients

    AMIA ... Annual Symposium proceedings. AMIA Symposium
    1. Wei Chun Lin
    2. Jimmy S. Chen
    3. Joel Kaluzny
    4. Aiyin Chen
    5. Michael F. Chiang
    6. Michelle R. Hribar

  • Human Factors and Organizational Issues Section Synopsis IMIA Yearbook 2021

    Yearbook of medical informatics
    1. Yalini Senathirajah
    2. Michelle Hribar

  • Length and redundancy of outpatient progress notes across a decade at an academic medical center

    JAMA Network Open
    1. Adam Rule
    2. Steven Bedrick
    3. Michael F. Chiang
    4. Michelle R. Hribar

  • Measures of electronic health record use in outpatient settings across vendors

    Journal of the American Medical Informatics Association
    1. Sally L. Baxter
    2. Nate C. Apathy
    3. Dori A. Cross
    4. Christine Sinsky
    5. Michelle R. Hribar

  • Application of Machine Learning to Predict Patient No-Shows in an Academic Pediatric Ophthalmology Clinic

    AMIA ... Annual Symposium proceedings. AMIA Symposium
    1. Jimmy Chen
    2. Isaac H. Goldstein
    3. Wei Chun Lin
    4. Michael F. Chiang
    5. Michelle R. Hribar

  • Applications of artificial intelligence to electronic health record data in ophthalmology

    Translational Vision Science and Technology
    1. Wei Chun Lin
    2. Jimmy S. Chen
    3. Michael F. Chiang
    4. Michelle R. Hribar

  • Electronic Health Records in Ophthalmology

    American journal of ophthalmology
    1. Bradley S. Henriksen
    2. Isaac H. Goldstein
    3. Adam Rule
    4. Abigail E. Huang
    5. Haley Dusek
    6. Austin Igelman
    7. Michael F. Chiang
    8. Michelle R. Hribar

  • Methods for Large-Scale Quantitative Analysis of Scribe Impacts on Clinical Documentation

    AMIA ... Annual Symposium proceedings. AMIA Symposium
    1. Michelle R. Hribar
    2. Haley L. Dusek
    3. Isaac H. Goldstein
    4. Adam Rule
    5. Michael F. Chiang

  • Promoting Quality Face-to-Face Communication during Ophthalmology Encounters in the Electronic Health Record Era

    Applied Clinical Informatics
    1. Sally L. Baxter
    2. Helena E. Gali
    3. Michael F. Chiang
    4. Michelle R. Hribar
    5. Lucila Ohno-Machado
    6. Robert El-Kareh
    7. Abigail E. Huang
    8. Heather E. Chen
    9. Andrew S. Camp
    10. Don O. Kikkawa
    11. Bobby S. Korn
    12. Jeffrey E. Lee
    13. Christopher A. Longhurst
    14. Marlene Millen

  • Redundancy of Progress Notes for Serial Office Visits

    Ophthalmology
    1. Michelle R. Hribar
    2. Adam Rule
    3. Abigail E. Huang
    4. Haley Dusek
    5. Isaac H. Goldstein
    6. Brad Henriksen
    7. Wei Chun Lin
    8. Austin Igelman
    9. Michael F. Chiang

  • Registered Nurse Strain Detection Using Ambient Data

    Applied Clinical Informatics
    1. Dana M. Womack
    2. Michelle R. Hribar
    3. Linsey M. Steege
    4. Nancy H. Vuckovic
    5. Deborah H. Eldredge
    6. Paul N. Gorman

  • Changes in Electronic Health Record Use Time and Documentation over the Course of a Decade

    Ophthalmology
    1. Isaac H. Goldstein
    2. Thomas Hwang
    3. Sowjanya Gowrisankaran
    4. Ryan Bales
    5. Michael F. Chiang
    6. Michelle R. Hribar