Jonathan Siff, MD, MBA, FACEP

Emergency Medicine

Does Not Accept Appointments

About Me

Joined MetroHealth: 1997
Academic Affiliations: Professor, Case Western Reserve University School of Medicine

Dr. Jonathan E. Siff is a Professor in the Department of Emergency Medicine at The MetroHealth System and Case Western Reserve University (CWRU) School of Medicine. Dr. Siff also serves as the Chief Medical Informatics Officer for The MetroHealth System.

He is on faculty within the Center for Clinical Informatics Research and Education within the Population Health Research Institute at The MetroHealth System. Dr. Siff is a practicing informatician and emergency physician holding board certifications in both Emergency Medicine and Clinical Informatics. His professional and research interests lie in the areas of clinical informatics, health information technology, substance use disorder, emergency medicine treatment and operations, legal issues in health care, and provider experience in the health care system.

PUBLICATIONS

https://www.ncbi.nlm.nih.gov/myncbi/jonathan.siff.1/bibliography/public/

PROFESSIONAL SOCIETY MEMBERSHIPS

American Medical Informatics Association
American College of Emergency Medicine
Healthcare Information Management and Systems Society 

Clinical Informatics Fellowship Program Information

Informatics Role – Chief Medical Informatics Officer

Role in Fellowship Program – Assistant Program Director and Co-Director of Advanced Core Rotation

Brief Description – Dr. Siff’s primary areas of interest include electronic health records to improve health and patient safety, clinical decision support around compliance related issues and opioid abuse, emergency informatics, and clinical informatics education. Dr. Siff also leads the Associate and Assistant Directors of Informatics Program at MetroHealth and is a Senior Scholar at the Center for Health Care Research and Policy.

SPECIFIC RESEARCH INTERESTS  

  • Clinical Informatics
  • Provider Experience and Efficiency in Electronic Health Records
  • Substance Use Disorders
  • Emergency Medicine Operations and Evaluation / Treatment 

Selected Recent Projects

Development of Substance Use Disorder tools in Epic and beyond: The scope of the opioid epidemic and other substance use related morbidity and mortality continue to grow in the US.  The Informatics / IT Opioid Strike Force in conjunction with the larger Informatics and IS teams works with stakeholders to enhance tools and resources to improve the care of these patients and reduce ongoing risk using EHR and other informatics tools.  We are also partnering with the State of Ohio to pilot the next generation of their PDMP review software.

Creation of a registry for emergency general surgery patient: Working with surgical partners looking to develop a registry of patients engaged by the emergency general surgery team for research and operational tracking.

Implementation of a behavioral health emergency department: As a follow up to opening a behavioral health (BH) hospital we are opening a new BH Emergency Department.  This department is a hybrid between ED and inpatient types of care with unique informatics challenges.

Publications

Reed, E., Papp, J., Oh, Y., LeVine, K., Tarabichi Y., Bastian, E., Pollock, K., Wilson, L., Siff J., Piktel, J.  Evaluation of an emergency department-based approach to reduce subsequent opioid overdoses. JACEP Open. 2024;5:e13304. https://doi.org/10.1002/emp2.13304.  

Deverakonda D, Kishawi S, Lapinski M, Adomshick V, Siff J,  Brown L, Ho V.  What If We Do Not Operate? Outcomes of Nonoperatively Managed Emergency General Surgery Patients.  J Surg Res. 2023;284:29-36. https://doi.org/10.1016/j.jss.2022.11.058.  

Wang C, Siff J, Greco P, Warren E, Thronton J, Tarabichi  Y.  The Impact of an Electronic Health Record Intervention on Spirometry Completion in Patients with Chronic Obstructive Pulmonary Disease. COPD. 2022;19(1):142-8.
https://doi.org/10.1080/15412555.2022.2049736.   PMID 35392743.

Tarabichi Y, Cheng A, Bar-Shain D, McCrate B, Reese L, Emerman C, Siff J, Wang C, Kaelber D, Watts B, Hecker M.  Improving Timeliness of Antibiotic Administration Using a Provider and Pharmacist Facing Sepsis Early Warning System in the Emergency Department Setting: A Randomized Controlled Quality Improvement Initiative. Crit. Care Med.  2022;50(3):418-427.https://doi.org/10.1097/ccm.0000000000005267. PMID 34415866.

Emerman C, Tracy D, Siff J.  Nicotine Patch Prescription Fulfillment Rate for Emergency Department Patients. West J Emerg Med. 2021;22(3)648-652. doi: 10.5811/westjem.2021.2  PMID: 34125041

Siff J, Margolius D, Papp J, Boulanger B, Watts B. A Healthcare System-Level Intervention to Increase Naloxone Availability for Patients With Opioid Prescriptions.  Am J Addict. 2021;30(2):179-182.https://doi.org/10.1111/ajad.13136 PMID: 33378097

Margolius D, Siff J, Teng K, Einstadter D, Gunzler D, Bolen, S. Primary Care Physician Factors Associated with Inbox Message Volume.  Journal of the American Board of Family Medicine.  2020;33(3):460-462.   DOI: https://doi.org/10.3122/jabfm.2020.03.190360. PMID 32430380.

Siff J, Emerman C. A computer-assisted process to reduce discharge of emergency department patients with abnormal vital signs.  Journal of Clinical Outcomes Management.  2016; 23(11): 505-508.

Glauser, J., Siff, J., Emerman, C. Emergency Patient Saf. 2014; 10(3):154-8. doi:10.1097/PTS.0b013e31829a07ba 

Hecker MT, Fox CJ, Son AH, Cydulka RK, Siff JE, et al. Effect of a stewardship intervention on adherence to uncomplicated cystitis and pyelonephritis guidelines in an emergency department setting. PLoS One. 2014 Feb 3;9(2):e87899. doi: 10.1371/journal.pone.0087899. eCollection 2014.
            
Siff, JE. Sudden Illness after dental procedure. Emergency Physician Monthly 2014;21(9):5-6. Wickline D, Siff J, Poponick J.  Ventricular Tachycardia in Acute Myocardial Infarction.  Consultant: Consultations in Primary Care 2007; 47:750-752.

Siff JE, Meldon SW, Tomassoni AJ.  Usefulness of the total iron binding capacity in the evaluation and treatment of acute iron overdose.  Ann Emerg Med 1999;33:73-76.  doi: 10.1016/s0196-0644(99)70420-8. PMID: 9867890

Stewart M, Siff J, Cydulka R.  Evaluation the patient with sore throat, earache and sinusitis:  An evidence based approach, in Fontanarosa P (ed):  Emergency Medicine Clinics of North America, February 1999; 17(1):153-187.
doi: 10.1016/s0733-8627(05)70051-1. PMID: 10101345 

Siff JE and Jouriles NJ.  Henoch-Schonlein Purpura (Disease and Trauma Monograph for Acute Care), In: Honigman B, Rumack BH, and Silverstein S (eds): EMERGINDEX ® System MICROMEDEX. Micromedex, Inc. Colorado.

Education & Training

Education

Medical Education

University of Cincinnati College of Medicine (Ohio) MD

Internship

MetroHealth Medical Center (Ohio) – Emergency Medicine

Residency

MetroHealth Medical Center (Ohio) – Emergency Medicine

Board Certifications

American Board of Preventive Medicine - Clinical Informatics
American Board of Emergency Medicine - Emergency Medicine

Clinical Expertise

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