UTHSCSA Faculty Profiles v1.0

Shireman, Paula K.

School of Medicine
(210) 567-5715

I am an academic vascular surgeon and clinical informatics/translational science researcher. I am a tenured Professor in the Departments of Surgery and Microbiology, Immunology and Molecular Genetics. I hold the Dielmann Chair in Surgery endowment. In my clinical role, I perform open and endovascular procedures as well as train residents and medical students. I am the principal investigator for grants from the National Institutes of Health and the Veterans Administration. Our clinical informatics and outcomes research incorporates medical, graduate and postdoctoral student training. Our clinical informatics grants determine the long-term outcomes of Service Members with extremity vascular injuries to improve battlefield treatments and transitions of care between the Department of Defense and Veterans Administration. Our U01TR002393 group focuses on the effect of frailty and social risk factors on surgical outcomes utilizing surgical quality databases, electronic health records, natural language processing, Census data to assign proxy social risk factors as well as PCORnet Clinical Data Research Networks. Our goal is to use data to transform health care and influence policy on the federal level. I am a Multi-Principal Investigator on our NIH Clinical Translational Science Award responsible for strategic partnership with our CTSA affiliated institutions, biostatistics, study design and biomedical informatics cores, and evaluation of all CTSA programs. I have extensive experience in team building, clinical informatics, research and administration. I was asked to present on two panels for the Institute of Medicine regarding sharing clinical trial data. I incorporated Lean Six Sigma methods into research administration and we have streamlined processes and increased efficiency. I serve on the National Center for Advancing Translational Sciences (NCATS) Advisory Council.
As my career progressed, I realize the importance of health care reform and programmatic sustainability to improve quality of care and outcomes. I obtained an MBA from the McCombs School of Business in UT Austin to increase my knowledge of the business side of medicine. I am convinced that medicine needs to adapt many strategies that are routine in other business sectors. I am a member of the Society for Vascular Surgery Quality and Performance Measures Committee that evaluates MACRA policies and develops measures for presentation to the Centers for Medicare & Medicaid Services. I am a member of the CMS MACRA Wave 3 Episode-based Cost Measure Clinical Subcommittee; Chronic Conditions and Disease Management and was previously on the MACRA Wave 2 Episode-Based Cost Measure Clinical Subcommittee to develop measures for Peripheral Vascular Disease Management and Chair of the Clinical Subcommittee Workgroup that developed the Hemodialysis Access Creation Episode-based Cost Measure. I believe that Academic Medical Centers must lead the way in health care reform to provide better care for our patients. I am a founding faculty member of our recently approved ACGME Fellowship in Clinical Informatics, directed by my long-time collaborator Brad Brimhall, MD, MPH. I am board-certified in Clinical Informatics and collaborate with machine learning experts at University of Texas as San Antonio and the Southwest Research Institute. I am the Co-Leader of the Augmenting Human Capability Research Thrust for the Artificial Intelligence Consortium sponsored by the University of Texas San Antonio https://ai.utsa.edu/. I was invited to the National Heart, Lung, Blood Institute (NHLBI) 4/21/19 workshop ?Predictive Analytics and Implementation Research: Charting a Research Agenda for the 21st Century? as a member of the Analytic Approaches: Tools, Techniques, Training panel and to present our U01TR002393 grant as a predictive analytics use case.

1. Strategies for Responsible Sharing of Clinical Trial Data, Institute of Medicine Workshop, May 5, 2014 Shireman presentation in SESSION 2: Strategies and Practical Approaches for Incentivizing Responsible Sharing of Clinical Trial Data: Perspectives of Investigators and Leaders of Academic Medical Centers, http://iom.nationalacademies.org/Activities/Research/SharingClinicalTrialData/2014-MAY-05/Videos/Session%202/11-Shireman-Video.aspx

2. Strategies for Responsible Sharing of Clinical Trial Data, Institute of Medicine Workshop, May 5, 2014, Shireman presentation in SESSION 3: Strategies and Practical Approaches for Responsible Sharing of Clinical Trial Data: Governance and Infrastructure, http://iom.nationalacademies.org/Activities/Research/SharingClinicalTrialData/2014-MAY-05/Videos/Session%203/23-Shireman-Video.aspx

9/2015 - Present Professor with Tenure (secondary appointment) Department of Microbiology, Immunology and Molecular Genetics, University of Texas Health Science Center, San Antonio, TX
9/2010 - Present Professor with Tenure Department of Surgery, University of Texas Health Science Center, San Antonio, TX
2/2004 - Present Faculty Barshop Institute for Longevity and Aging Studies, University of Texas Health Science Center, San Antonio, TX
10/1999 - Present Staff Physician Audie L. Murphy VA Hospital, San Antonio, TX
10/1999 - Present Staff Physician University Hospital, San Antonio, TX