Ted Melnick, MD, MHS
Associate Professor of Emergency Medicine and of Biostatistics (Health Informatics)Cards
Additional Titles
Interim Section Chief for Research, Emergency Medicine
Director, Clinical Informatics Fellowship
Publications Overview
- 77 Publications
- 1,793 Citations
- 48 Yale Co-Authors
Melnick Lab
Additional Titles
Interim Section Chief for Research, Emergency Medicine
Director, Clinical Informatics Fellowship
Publications Overview
- 77 Publications
- 1,793 Citations
- 48 Yale Co-Authors
Melnick Lab
Additional Titles
Interim Section Chief for Research, Emergency Medicine
Director, Clinical Informatics Fellowship
Publications Overview
- 77 Publications
- 1,793 Citations
- 48 Yale Co-Authors
Melnick Lab
About
Titles
Associate Professor of Emergency Medicine and of Biostatistics (Health Informatics)
Interim Section Chief for Research, Emergency Medicine; Director, Clinical Informatics Fellowship
Biography
Dr. Melnick completed his medical degree at the Georgetown University School of Medicine and his emergency medicine residency at the Mount Sinai School of Medicine. Dr. Melnick's research focuses on improving EHR usability as a means to achieve the quadruple aim to improve healthcare delivery. He is currently launching a five-year National Institute on Drug Abuse R33 award as Principal Investigator of the ADAPT project to refine and evaluate the uptake, usability, and equity of a nationally disseminated multicomponent clinical decision support intervention previously developed by his team to increase treatment initiation in the emergency care of people with opioid use disorder. That previous tool was a five-year UG3/UH3 award to develop, disseminate, implement, and test a user-centered decision support system to facilitate ED-initiation of buprenorphine for individuals suffering from opioid use disorder. Dr. Melnick is in his fifth year of funding by the American Medical Association to study EHR use and its relationship to physician professional burnout and retention. From 2013-2018, Dr. Melnick completed a five-year K08 career development award with the Agency for Healthcare Research and Quality. As the Interim Research Section Chief and Program Director for the Yale/VA Clinical Informatics Fellowship and the Informatics Track for the Yale School of Medicine Master of Health Science Degree Program degree, Dr. Melnick plays an active role in education and research mentorship for junior faculty, informatics fellows, emergency medicine residents, and Yale School of Medicine students. Double board-certified in Emergency Medicine and Clinical Informatics, Dr. Melnick works clinically as an attending physician in the Emergency Department at Yale-New Haven Hospital’s York Street and Shoreline campuses.
Appointments
Emergency Medicine
Associate Professor on TermPrimaryBiomedical Informatics & Data Science
Associate Professor on TermSecondaryBiostatistics
Associate Professor on TermSecondary
Other Departments & Organizations
- Biomedical Informatics & Data Science
- Biostatistics
- Center for Biomedical Data Science
- Center for Medical Informatics
- Computational Biology and Biomedical Informatics
- Emergency Medicine
- Emergency Medicine York Street Campus Faculty
- Melnick Informatics Lab
- Yale Combined Program in the Biological and Biomedical Sciences (BBS)
- Yale Medicine
- Yale School of Public Health
Education & Training
- MHS
- Yale University School of Medicine, Clinical Informatics (2014)
- Health Research and Health Policy Training Associate
- Yale School of Medicine (2014)
- Chief Resident
- Mount Sinai School of Medicine (2008)
- Resident
- Mount Sinai School of Medicine (2008)
- Intern
- Mount Sinai School of Medicine (2005)
- MD
- Georgetown University School of Medicine (2004)
- BA
- Williams College (1999)
Research
Overview
Medical Subject Headings (MeSH)
- View Lab Website
Melnick Lab
Research at a Glance
Yale Co-Authors
Publications Timeline
Research Interests
Bidisha Nath, MBBS, MPH
Gail D'Onofrio, MD, MS
Hyung Paek, MD, MSEE
Arjun Venkatesh, MD, MBA, MHS
James Dziura, MPH, PhD
Long H. Tu, MD, PhD
Electronic Health Records
Publications
2024
Trends in the Prescribing of Buprenorphine for Opioid Use Disorder, 2019-2023
Savitz S, Stevens M, Nath B, D’Onofrio G, Melnick E, Jeffery M. Trends in the Prescribing of Buprenorphine for Opioid Use Disorder, 2019-2023. Mayo Clinic Proceedings Innovations Quality & Outcomes 2024, 8: 308-320. PMID: 38841599, PMCID: PMC11152959, DOI: 10.1016/j.mayocpiqo.2024.04.004.Peer-Reviewed Original ResearchCitationsConceptsOpioid use disorderTreat alcohol use disorderAlcohol use disorderUse disorderX-waiverMedicare Advantage enrolleesTreat opioid use disorderRate ratiosEvaluate trendsPrescribing of buprenorphineOptumLabs Data WarehouseDaily doseCommercial enrolleesCoronavirus diseasePrescription fillsBuprenorphineDays supplyBuprenorphine prescribingFilling patternBuprenorphine accessImprove buprenorphine accessStudy periodResponse to coronavirus diseasePrescriber typePrescribingVirtual Scribes and Physician Time Spent on Electronic Health Records
Rotenstein L, Melnick E, Iannaccone C, Zhang J, Mugal A, Lipsitz S, Healey M, Holland C, Snyder R, Sinsky C, Ting D, Bates D. Virtual Scribes and Physician Time Spent on Electronic Health Records. JAMA Network Open 2024, 7: e2413140. PMID: 38787556, PMCID: PMC11127114, DOI: 10.1001/jamanetworkopen.2024.13140.Peer-Reviewed Original ResearchAltmetricMeSH Keywords and ConceptsConceptsEHR timeElectronic health recordsHealth recordsPhysician timePre-post quality improvement studyPrimary care specialtiesQuality improvement studyFactors associated with changesAssociated with significant decreasesAssociated with burnoutMultivariate linear regression modelAcademic medical centerCare specialtiesImprovement studyLinear regression modelsMedical specialistsMedical specialtiesOutpatient settingStudy sampleSignificant decreasePhysiciansMedical CenterParticipation episodesAppointmentWomen's HospitalReply to "Considering Health Systems Worldwide: Point of View From a Middle-Income Country".
Tu L, Melnick E, Venkatesh A, Sheth K, Navaratnam D, Yaesoubi R, Forman H, Mahajan A. Reply to "Considering Health Systems Worldwide: Point of View From a Middle-Income Country". American Journal Of Roentgenology 2024, 222: e2430900. PMID: 38294162, DOI: 10.2214/ajr.24.30900.Peer-Reviewed Original ResearchFormative evaluation of an emergency department clinical decision support system for agitation symptoms: a study protocol
Wong A, Nath B, Shah D, Kumar A, Brinker M, Faustino I, Boyce M, Dziura J, Heckmann R, Yonkers K, Bernstein S, Adapa K, Taylor R, Ovchinnikova P, McCall T, Melnick E. Formative evaluation of an emergency department clinical decision support system for agitation symptoms: a study protocol. BMJ Open 2024, 14: e082834. PMID: 38373857, PMCID: PMC10882402, DOI: 10.1136/bmjopen-2023-082834.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsComputerised clinical decision supportED treatRestraint useExperiences of restraint useMental health-related visitsEmergency departmentPrevent agitationSystems-related factorsImprove patient experienceClinical decision support systemsRegional health systemClinical decision supportDe-escalation techniquesRandomised controlled trialsFormative evaluationPeer-reviewed journalsBest-practice guidanceAt-risk populationsCDS toolsThematic saturationED cliniciansPatient experienceED sitesHealth systemED physiciansStructure and Funding of Clinical Informatics Fellowships: A National Survey of Program Directors
Patel T, Chaise A, Hanna J, Patel K, Kochendorfer K, Medford R, Mize D, Melnick E, Hron J, Youens K, Pandita D, Leu M, Ator G, Yu F, Genes N, Baker C, Bell D, Pevnick J, Conrad S, Chandawarkar A, Rogers K, Kaelber D, Singh I, Levy B, Finnell J, Kannry J, Pageler N, Mohan V, Lehmann C. Structure and Funding of Clinical Informatics Fellowships: A National Survey of Program Directors. Applied Clinical Informatics 2024, 15: 155-163. PMID: 38171383, PMCID: PMC10881258, DOI: 10.1055/a-2237-8309.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsProgram directorsAmerican BoardCommunity health care systemAccreditation Council for Graduate Medical EducationAmerican Board of Medical SpecialtiesAdministrative supportFunding sourcesOnline REDCap surveyHealth care systemFunding modelsGraduate Medical EducationAmerican Board of Preventive MedicineHospital information technologyMedical education officeGraduate medical education officeSurvey of program directorsFellowship training programsFamily medicineFellowship program directorsEmergency medicineHealth systemSurveyed program directorsCare systemNational survey of program directorsInformatics practice
2023
Cost-Effectiveness of CT, CTA, MRI, and Specialized MRI for Evaluation of Patients Presenting to the Emergency Department With Dizziness.
Tu L, Melnick E, Venkatesh A, Sheth K, Navaratnam D, Yaesoubi R, Forman H, Mahajan A. Cost-Effectiveness of CT, CTA, MRI, and Specialized MRI for Evaluation of Patients Presenting to the Emergency Department With Dizziness. American Journal Of Roentgenology 2023, 222: e2330060. PMID: 37937837, DOI: 10.2214/ajr.23.30060.Peer-Reviewed Original ResearchCitationsAltmetricConceptsQuality-adjusted life yearsEvaluation of patientsSecondary prevention measuresEmergency departmentProbabilistic sensitivity analysesConventional MRICumulative quality-adjusted life yearsCost-effective strategyIncremental costNoncontrast CT headAcute stroke treatmentSpecialized MRISelection of patientsHigher quality-adjusted life yearsConventional brain MRIMarkov decision-analytic modelNon-contrast CTNoncontrast head CTHealthcare system perspectiveUse of MRIBase-case analysisPrevention measuresDecision analytic modelGreater quality-adjusted life yearsDeterministic sensitivity analysesAdoption of Emergency Department–Initiated Buprenorphine for Patients With Opioid Use Disorder
Gao E, Melnick E, Paek H, Nath B, Taylor R, Loza A. Adoption of Emergency Department–Initiated Buprenorphine for Patients With Opioid Use Disorder. JAMA Network Open 2023, 6: e2342786. PMID: 37948075, PMCID: PMC10638655, DOI: 10.1001/jamanetworkopen.2023.42786.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsHealth care systemED initiationOpioid use disorderBuprenorphine initiationCare systemUse disordersEmergency Department-Initiated BuprenorphineSecondary analysisClinician's roleEmergency department initiationClinical decision support interventionClinical decision support toolProportional hazard modelingCare of patientsNetwork of cliniciansDecision support interventionsAdvanced practice practitionersDose-dependent mannerUnique cliniciansTime-dependent covariatesTrial interventionNonintervention groupED clustersMore effective interventionsNumber of exposuresWhy Do Physicians Depart Their Practice? A Qualitative Study of Attrition in a Multispecialty Ambulatory Practice Network
O'Connell R, Hosain F, Colucci L, Nath B, Melnick E. Why Do Physicians Depart Their Practice? A Qualitative Study of Attrition in a Multispecialty Ambulatory Practice Network. The Journal Of The American Board Of Family Medicine 2023, 36: 1050-1057. PMID: 37857441, DOI: 10.3122/jabfm.2023.230052r2.Peer-Reviewed Original ResearchCitationsAltmetricQuantifying EHR and Policy Factors Associated with the Gender Productivity Gap in Ambulatory, General Internal Medicine
Li H, Rotenstein L, Jeffery M, Paek H, Nath B, Williams B, McLean R, Goldstein R, Nuckols T, Hoq L, Melnick E. Quantifying EHR and Policy Factors Associated with the Gender Productivity Gap in Ambulatory, General Internal Medicine. Journal Of General Internal Medicine 2023, 39: 557-565. PMID: 37843702, PMCID: PMC10973284, DOI: 10.1007/s11606-023-08428-5.Peer-Reviewed Original ResearchCitationsAltmetricConceptsElectronic health recordsWork relative value unitsPhysician genderPractice characteristicsWomen physiciansMen physiciansGeneral internal medicine physiciansEHR useInternal medicine physiciansPhysician productivityGeneral internal medicineMultivariable adjustmentPatient counselingCare discussionsPhysician ageClinical activityMedicine physiciansIdentifying and Addressing Barriers to Implementing Core Electronic Health Record Use Metrics for Ambulatory Care: Virtual Consensus Conference Proceedings
Levy D, Moy A, Apathy N, Adler-Milstein J, Rotenstein L, Nath B, Rosenbloom S, Kannampallil T, Mishuris R, Alexanian A, Sieja A, Hribar M, Patel J, Sinsky C, Melnick E. Identifying and Addressing Barriers to Implementing Core Electronic Health Record Use Metrics for Ambulatory Care: Virtual Consensus Conference Proceedings. Applied Clinical Informatics 2023, 14: 944-950. PMID: 37802122, PMCID: PMC10686750, DOI: 10.1055/a-2187-3243.Peer-Reviewed Original ResearchCitationsAltmetric
Academic Achievements and Community Involvement
honor Young Investigator Award
National AwardSociety for Academic Emergency MedicineDetails05/17/2017United Stateshonor Plenary Session
National AwardSociety for Academic Emergency Medicine (SAEM) Annual MeetingDetails05/13/2015United Stateshonor AHRQ Mentored Clinical Scientist Research Career Development Award (K08)
National AwardAgency for Healthcare Research & QualityDetails05/01/2013United Stateshonor Service to Section Award
National AwardAmerican College of Emergency PhysiciansDetails09/01/2010United Stateshonor Informatics Section Grant
National AwardAmerican College of Emergency PhysiciansDetails07/01/2008United States
Clinical Care
Overview
Clinical Specialties
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Concussion Testing
Learn More on Yale Medicine
Board Certifications
Clinical Informatics
- Certification Organization
- AB of Preventive Medicine
- Original Certification Date
- 2016
Emergency Medicine
- Certification Organization
- AB of Emergency Medicine
- Original Certification Date
- 2009
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News
- March 08, 2024
Yale Emergency Medicine Ranks First for Third Year in NIH Funding According to National Report
- November 10, 2023Source: YaleNews
Physicians Prescribing Opioid Use Treatment Influence Others to Follow Suit
- October 19, 2023Source: YaleNews
Study Reveals Steps to Improve Physician Productivity and Gender Equity
- March 29, 2023
Yale Emergency Medicine Ranks First for NIH Grants Funding According to National Report