Shira Fischer is an associate physician researcher at the RAND Corporation. Her research focus is health information technology research and policy. She is currently working on a project to integrate housing and medical data for patients with HIV and is involved in another large CMS contract working to standardize reporting from post-acute care settings, focusing on medication reconciliation. She recently helped design a roadmap for the Chilean Ministry of the Economy for health information technology planning in that country and completed an evaluation of a pharmacy intervention to improve medication adherence and outcomes in complex patients.
Fischer has experience designing and running focus groups and interviews as well as analyzing large datasets. Her thesis focused on a mixed-methods evaluation of laboratory monitoring of high-risk medications in the ambulatory population and HIT interventions to improve monitoring rates.
Prior to graduate school, Fischer worked at the Institute of Medicine in Washington, DC. She holds an M.M.Sc. in clinical informatics from Harvard Medical School, an M.D. and Ph.D. from the University of Massachusetts Medical School, and a degree in biochemistry from Harvard College.
Fischer S, Rose A, "Responsible e-Prescribing Needs e-Discontinuation," JAMA, 2017
Uscher-Pines L, Fischer S, Chari R., "The Promise of Direct-to-Consumer Telehealth for Disaster Response and Recovery. Prehospital and Disaster Medicine," Prehospital and Disaster Medicine, 2016
Fischer, S. H., Tjia, J., Reed, G., Peterson, D., Gurwitz, J. H. and Field, T. S., "Factors Associated with Ordering Laboratory Monitoring of High-Risk Medications," J Gen Intern Med, 2014
Fischer, S. H., Field, T. S., Gagne, S. J., Mazor, K. M., Preusse, P., Reed, G., Peterson, D., Gurwitz, J. H. and Tjia, J., "Patient Completion of Laboratory Tests to Monitor Medication Therapy: A Mixed-Methods Study," J Gen Intern Med, 28(4):513-21, 2013
Fischer, S. H., Tjia, J. and Field, T. S., "Impact of Health Information Technology Interventions to Improve Medication Laboratory Monitoring for Ambulatory Patients: A Systematic Review," J Am Med Inform Assoc, 17(6):631-6, 2010