Robert Thombley, IV
Director of Data and Analytics
Medicine
School of Medicine

Data scientist working to understand the impact of Clinical Informatics on patient outcomes as part of the CLIIR Team.

Websites

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• Center for Clinical Informatics and Improvement Research (medicine.ucsf.edu)

Publications (28)

Top publication keywords:
DocumentationPrescriptionsElectronic Health RecordsWorkflowTask Performance and AnalysisInsurance CarriersHealth Services for the AgedAsthmaMetadataEmergency Service, HospitalPhysiciansAcademic Medical CentersWorkloadComputer GraphicsClinical Coding

• Differences in physician electronic health record use by telemedicine intensity: evidence from 2 academic medical centers.
  Journal of the American Medical Informatics Association : JAMIA 2025 Kim S, Thombley R, Eiden E, Lou S, Adler-Milstein J, Kannampallil T, Holmgren AJ
• Outcomes Associated With an Age-Friendly Emergency Department Intervention.
  Annals of emergency medicine 2025 Adler-Milstein J, Rosenthal SW, Thombley R, Erickson M, James TC, Rogers SE, Hardy J, Raven M, Degesys NF
• Exploring Task Patterns in EHR Workflows Using Action Sequence Embedding and Graph-Based Analysis.
  Studies in health technology and informatics 2025 Kim S, Kannampallil T, Wick BD, Holmgren AJ, Thombley R, Lou SS
• Education Research: Exploring the Impact of Standardized, Condition-Specific Note Templates on Quality Metrics and Efficiency in Multiple Resident Clinics.
  Neurology. Education 2025 Breithaupt A, Mohan S, Thombley R, Pimentel SD, Douglas VC
• Primary Care Physician Perceptions of the Impact of CMS E/M Coding Changes and Associations with Changes in EHR Time.
  Journal of general internal medicine 2025 Maisel N, Thombley R, Sinsky CA, Blake K, Overhage JM, Grumbach K, Willard-Grace R, Carlasare L, Adler-Milstein J

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• 4 Steps to 4Ms: A Navigation Guide for a Hospital-Based Composite Measure of 4Ms Care and the Implications for Outcomes Assessment.
  Inquiry : a journal of medical care organization, provision and financing 2025 Rosner B, Thombley R, Rogers S, Adler Milstein J
• Guidance for reporting analyses of metadata on electronic health record use.
  Journal of the American Medical Informatics Association : JAMIA 2024 Rule A, Kannampallil T, Hribar MR, Dziorny AC, Thombley R, Apathy NC, Adler-Milstein J
• Assessing Equitable Adherence to the Age-Friendly Health System's 4Ms Framework in an Academic Inpatient Setting.
  Inquiry : a journal of medical care organization, provision and financing 2024 Adler-Milstein J, Thombley R, Rosenthal S, Rosner B, Rogers S
• Developing electronic health record-based measures of the 4Ms to support implementation and evidence generation for Age-Friendly Health Systems.
  Journal of the American Geriatrics Society 2023 Thombley RL, Rogers SE, Adler-Milstein J
• Changes in Physician Electronic Health Record Use With the Expansion of Telemedicine.
  JAMA internal medicine 2023 Holmgren AJ, Thombley R, Sinsky CA, Adler-Milstein J
• Physician Electronic Health Record Use After Changes in US Centers for Medicare & Medicaid Services Documentation Requirements.
  JAMA health forum 2023 Maisel N, Thombley R, Overhage JM, Blake K, Sinsky CA, Adler-Milstein J
• Team is brain: leveraging EHR audit log data for new insights into acute care processes.
  Journal of the American Medical Informatics Association : JAMIA 2022 Rose C, Thombley R, Noshad M, Lu Y, Clancy HA, Schlessinger D, Li RC, Liu VX, Chen JH, Adler-Milstein J
• On-Call Junior Neurosurgery Residents Spend 9 hours of Their On-Call Shift Actively Using the Electronic Health Record.
  Neurosurgery 2022 Patel A, Mummaneni PV, Zheng J, Rosner BI, Thombley R, Sorour O, Theodosopoulos PV, Aghi MK, Berger MS, Chang EF, Chou D, Manley GT, DiGiorgio AM
• Development and Testing of an Emergency Department Quality Measure for Pediatric Suicidal Ideation and Self-Harm.
  Academic pediatrics 2022 Parast L, Burkhart Q, Bardach NS, Thombley R, Basco WT, Barabell G, Williams DJ, Mitchel E, Machado E, Raghavan P, Tolpadi A, Mangione-Smith R
• Follow-Up After Asthma Emergency Department Visits and Its Relationship With Subsequent Asthma-Related Utilization.
  Academic pediatrics 2022 Bardach NS, Harder VS, McCulloch CE, Thombley R, Shaw JS, Hart VC, Cabana MD
• Weekend Versus Weekday Asthma-Related Emergency Department Utilization.
  Academic pediatrics 2021 Mahony T, Harder VS, Ang N, McCulloch CE, Shaw JS, Thombley R, Cabana MD, Kleinman LC, Bardach NS
• Ask About What Matters: An Intervention to Improve Accessible Advance Care Planning Documentation.
  Journal of pain and symptom management 2021 Kantor MA, Scott BS, Abe-Jones Y, Raffel KE, Thombley R, Mourad M
• Context is Key: Using the Audit Log to Capture Contextual Factors Affecting Stroke Care Processes.
  AMIA ... Annual Symposium proceedings. AMIA Symposium 2021 Noshad M, Rose CC, Thombley R, Chiang J, Corbin CK, Nguyen M, Liu VX, Adler-Milstein J, Chen JH
• Changes in Drug List Prices and Amounts Paid by Patients and Insurers.
  JAMA network open 2020 Yang EJ, Galan E, Thombley R, Lin A, Seo J, Tseng CW, Resneck JS, Bach PB, Dudley RA
• Using diagnosis codes in claims data to identify cohorts of breast cancer patients following initial treatment.
  The breast journal 2020 Franc BL, Thombley R, Luo Y, John Boscardin W, Rugo HS, Seidenwurm D, Dudley RA
• Long-Term Trends in Postoperative Opioid Prescribing, 1994 to 2014.
  Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews 2020 Chen CL, Jeffery MM, Krebs EE, Thiels CA, Schumacher MA, Schwartz AJ, Thombley R, Finlayson E, Rodriguez-Monguio R, Ward D, Dudley RA
• Identifying tests related to breast cancer care in claims data.
  The breast journal 2019 Franc BL, Thombley R, Luo Y, Boscardin WJ, Rugo HS, Seidenwurm D, Dudley RA
• Age- and Lesion-Related Comorbidity Burden Among US Adults With Congenital Heart Disease: A Population-Based Study.
  Journal of the American Heart Association 2019 Agarwal A, Thombley R, Broberg CS, Harris IS, Foster E, Mahadevan VS, John A, Vittinghoff E, Marcus GM, Dudley RA
• Depression, Anxiety, and Emergency Department Use for Asthma.
  Pediatrics 2019 Bardach NS, Neel C, Kleinman LC, McCulloch CE, Thombley R, Zima BT, Grupp-Phelan J, Coker TR, Cabana MD
• Validation of Prediction Models for Critical Care Outcomes Using Natural Language Processing of Electronic Health Record Data.
  JAMA network open 2018 Marafino BJ, Park M, Davies JM, Thombley R, Luft HS, Sing DC, Kazi DS, DeJong C, Boscardin WJ, Dean ML, Dudley RA
• Geographic and Patient Characteristics Associated With Election of Prophylactic Mastectomy in Young Breast Cancer Patients With Early Disease.
  American journal of clinical oncology 2018 Franc BL, Copeland TP, Thombley R, Park M, Marafino B, Dean M, Boscardin WJ, Rugo HS, Dudley RA
• Trends in Hospitalization, Readmission, and Diagnostic Testing of Patients Presenting to the Emergency Department With Syncope.
  Annals of emergency medicine 2018 Anderson TS, Thombley R, Dudley RA, Lin GA
• Geographic Variation in Postoperative Imaging for Low-Risk Breast Cancer.
  Journal of the National Comprehensive Cancer Network : JNCCN 2018 Franc BL, Copeland TP, Thombley R, Park M, Marafino B, Dean ML, Boscardin WJ, Rugo HS, Seidenwurm D, Sharma B, Johnston SR, Dudley RA