Bio

Clinical Focus


  • Pediatrics
  • Medical Informatics
  • Infant care
  • Urgent Care

Academic Appointments


Administrative Appointments


  • Physician Lead for Ambulatory Training, Clinical Informatics (2014 - Present)
  • Physician Champion, Clinical Informatics (2012 - 2014)

Honors & Awards


  • Pediatric Clerkship Teaching Honor Roll, Stanford University School of Medicine (2012-2013, 2014-2015)
  • Member, Alpha Omega Alpha (Inducted 2009)

Boards, Advisory Committees, Professional Organizations


  • Board Member, Pediatric Primary Care Steering Board, Epic (2015 - Present)

Professional Education


  • Residency:Stanford University - Dept of Pediatrics (2009) CA
  • Internship:Stanford University - Dept of Pediatrics (2009) CA
  • Board Certification: Pediatrics, American Board of Pediatrics (2012)
  • Medical Education:Tulane University School of Medicine (2009) LA
  • BS, University of Michigan, Cell and Molecular Biology, French and Francophone Studies, MI (2005)

Research & Scholarship

Current Research and Scholarly Interests


Clinical Informatics is the scientific field concerned with the application of information technology to the delivery of healthcare services. In my current role as a lead physician in this department, I work with my colleagues to evaluate the best ways to implement and optimize health information technology to benefit the patients we serve at Stanford Children's Health. Specific areas of focus include: Improving EMR education for clinicians and merging Health IT with medical education.

Publications

Journal Articles


  • Successful Physician Training Program for Large Scale EMR Implementation. Applied clinical informatics Pantaleoni, J. L., Stevens, L. A., Mailes, E. S., Goad, B. A., Longhurst, C. A. 2015; 6 (1): 80-95

    Abstract

    End-user training is an essential element of electronic medical record (EMR) implementation and frequently suffers from minimal institutional investment. In addition, discussion of successful EMR training programs for physicians is limited in the literature. The authors describe a successful physician-training program at Stanford Children's Health as part of a large scale EMR implementation. Evaluations of classroom training, obtained at the conclusion of each class, revealed high physician satisfaction with the program. Free-text comments from learners focused on duration and timing of training, the learning environment, quality of the instructors, and specificity of training to their role or department. Based upon participant feedback and institutional experience, best practice recommendations, including physician engagement, curricular design, and assessment of proficiency and recognition, are suggested for future provider EMR training programs. The authors strongly recommend the creation of coursework to group providers by common workflow.

    View details for DOI 10.4338/ACI-2014-09-CR-0076

    View details for PubMedID 25848415

  • The Value of Clinical Teachers for EMR Implementations and Conversions. Applied clinical informatics Stevens, L. A., Pantaleoni, J. L., Longhurst, C. A. 2015; 6 (1): 75-79

    Abstract

    Effective physician training is an essential aspect of EMR implementation. However, it can be challenging to find instructors who can present the material in a clinically relevant manner. The authors describe a unique physician-training program, utilizing medical students as course instructors. This approach resulted in high learner satisfaction rates and provided significant cost-savings compared to alternative options.

    View details for DOI 10.4338/ACI-2014-09-IE-0075

    View details for PubMedID 25848414

  • Immunization registries in the EMR Era. Online journal of public health informatics Stevens, L. A., Palma, J. P., Pandher, K. K., Longhurst, C. A. 2013; 5 (2): 211-?

    Abstract

    The CDC established a national objective to create population-based tracking of immunizations through regional and statewide registries nearly 2 decades ago, and these registries have increased coverage rates and reduced duplicate immunizations. With increased adoption of commercial electronic medical records (EMR), some institutions have used unidirectional links to send immunization data to designated registries. However, access to these registries within a vendor EMR has not been previously reported.To develop a visually integrated interface between an EMR and a statewide immunization registry at a previously non-reporting hospital, and to assess subsequent changes in provider use and satisfaction.A group of healthcare providers were surveyed before and after implementation of the new interface. The surveys addressed access of the California Immunization Registry (CAIR), and satisfaction with the availability of immunization information. Information Technology (IT) teams developed a "smart-link" within the electronic patient chart that provides a single-click interface for visual integration of data within the CAIR database.Use of the tool has increased in the months since its initiation, and over 20,000 new immunizations have been exported successfully to CAIR since the hospital began sharing data with the registry. Survey data suggest that providers find this tool improves workflow and overall satisfaction with availability of immunization data. (p=0.009).Visual integration of external registries into a vendor EMR system is feasible and improves provider satisfaction and registry reporting.

    View details for DOI 10.5210/ojphi.v5i2.4696

    View details for PubMedID 23923096

  • Clinical Report A Male With Down Syndrome, Fragile X Syndrome, and Autism JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS Stevens, L., Tartaglia, N., Hagerman, R., Riley, K. 2010; 31 (4): 333-337

    Abstract

    A case of a 14-year-old boy with both fragile X syndrome and Down syndrome is described. This is the third reported case of a patient with fragile X syndrome plus Down syndrome and the first reported case in a male. Facial features are generally consistent with Down syndrome; however, a prominent forehead and jaw and maccroorchidism were consistent with fragile X syndrome. Joint laxity is also present, which is consistent with both disorders. Cognitive impairment is more significant than in his siblings with fragile X syndrome, and he meets criteria for autistic disorder. Ongoing behavioral dysregulation has been significant, leading to disruption of home and school environments despite many attempted psychopharmacologic and behavioral strategies and a supportive family. Identification and treatment of underlying medical problems (esophagitis) led to improvements in sleep and behavior. We emphasize discussion of challenges in his behavioral management and present a collaborative approach to behavioral management.

    View details for DOI 10.1097/DBP.0b013e3181d5aa56

    View details for Web of Science ID 000277769600010

    View details for PubMedID 20453578

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