Education & Training
- MD, University of Washington School of Medicine, Seattle, WA (1980)
- Internship and Residency in Internal Medicine, University of Colorado Affiliated Hospitals, Boulder, CO (1980–1983)
- Inaugural Chief of Medicine Award, UWMC (2012)
- Top Doctor Award, Seattle Met Magazine (2012)
- Elected to Fellowship, Royal College of Physicians of Edinburgh (2010)
- UW School of Medicine Service Excellence Award (2008)
- Elected to Fellowship, American College of Physicians and American College of Medical Informatics (2001)
- Public Service Recognition Award from Seattle Federal Executive Board (2000)
- Special Contribution Award, Department of Veterans Affairs (1997–1998)
- National Library of Medicine Training Grant (1987–1989)
- Alpha Omega Alpha (1980)
- Phi Beta Kappa (1976)
- Clinical computing
- Computerized practitioner order entry
- Notes in computer-based medical records and their content
- The use of electronic health records in patient care, clinical research, and quality improvement
Using EHR content to prevent breast and ovarian cancer
Breast and ovarian cancer risk-factor information stored in the electronic health record is fragmented across many locations: notes written by many authors over many years, test and imaging study requisitions and reports, and scanned and linked documents from other facilities where the patient has received care. Our question is how we can find and use this information identify women who meet criteria for referral for further genetic risk evaluation who have not yet been referred.
- Study of Electronic Health Records Demonstrates Value of Data in Referring Patients for Genetic Testing
- Electronic health records contain dispersed risk factor information that could be used to prevent breast and ovarian cancer - PubMed
- Searching the PDF Haystack: Automated Knowledge Discovery in Scanned EHR Documents - PubMed
OpenNotes: Improving Health through a Culture of Transparency
The goal of this project is to better understand the effects of permitting patients to view their notes both on their health outcomes and on the care team, including note authors. We also are piloting methods for patients to contribute to their notes, called OurNotes. Dr. Payne is the UW principal investigator for this large, multi-center effort based at Boston Beth Israel.
Select Concluded Projects
Inpatient progress notes on Medicine: Analysis of current practice and development and piloting of a plan to improve them
With co-investigators at Harborview and UW Medical Center, we are studying the length, composition, and amount of content that persists from the prior days’ note, and utilization of notes by other members of the care team. Informed by this and by focus groups of note users, creators, and clinical leaders, we are are piloting new ways to create hospital progress notes.
- Payne TH, Keller C, Arora P, Brusati A, Levin J, Salgaonkar M, Li X, Zech J, Lees AF. Writing Practices Associated With Electronic Progress Notes and the Preferences of Those Who Read Them: Descriptive Study. J Med Internet Res. 2021 Oct 6;23(10):e30165. doi: 10.2196/30165. PMID: 34612825.
- Zhao LP, Lybrand TP, Gilbert PB, Hawn TR, Schiffer JT, Stamatatos L, Payne TH, Carpp LN, Geraghty DE, Jerome KR. Tracking SARS-CoV-2 Spike Protein Mutations in the United States (January 2020–March 2021) Using a Statistical Learning Strategy. Viruses 2022, 14, 9. https://doi.org/10.3390/v14010009.
- Payne TH, Zhao LP, Le C, Wilcox P, Yi T, Hinshaw J, Hussey D, Kostrinsky-Thomas A, Hale M, Brimm J, Hisama FM. Electronic health records contain dispersed risk factor information that could be used to prevent breast and ovarian cancer. J Am Med Inform Assoc. 2020 Jul 1;27(9):1443-1449. doi: 10.1093/jamia/ocaa152. PMID: 32940694
- Payne TH. EHR-related alert fatigue: minimal progress to date, but much more can be done. BMJ Qual Saf. 2019 Jan;28(1):1-2. PMID: 30297378.
- Payne TH, Alonso WD, Markiel JA, Lybarger K, Lordon R, Yetisgen M, Zech JM, White AA. Using voice to create inpatient progress notes: Effects on note timeliness, quality, and physician satisfaction. JAMIA Open 2018; 1(2):218–226, https://doi.org/10.1093/jamiaopen/ooy036.
- Payne TH. The electronic health record as a catalyst for quality improvement in patient care. Heart. 2016 Aug 8.