During 30 years of hands-on responsibility for the direct care of patients, Dr. Hilary C. Siebens MD, Principal, was compelled to develop an efficient system for guiding her thinking about each patient, from straightforward care to extremely complicated needs.
Dr. Siebens created a model to consider the patient from four crucial perspectives, making it possible to:
get a clear picture of overall health
identify actionable topics and problems
create viable treatment plans
communicate with referring physicians, other team members, and insurers
track the status of treatment over time
She based this work on personal and professional experiences, medical literature, and feedback from colleagues, patients, and care providers.
The Siebens Domain Management Model™ (SDMM™) has been successfully disseminated through several clinical applications. Studies from use in rehabilitation team conferences provided evidence for improved clinical outcomes while saving on resources.
For patients, this approach is extended with a personal Siebens Health Care Notebook. Patients add their essential health information within the four domains. The Notebook helps patients and/or care partners self-manage and prepare for better interactions with multiple health care providers.
The Siebens Health Care Notebook is currently being researched in two clinical programs.
Education, Training, and Clinical Appointments
Yale College, Biology, Magna Cum Laude with Distinction in Biology
Harvard Medical School
Johns Hopkins Hospital (internal medicine residency)
Harvard Medical School (geriatric medicine fellowship)
Tufts University/New England Medical Center (physical medicine and rehabilitation residency)
Clinical Attending Physician Appointments
Cedars-Sinai Medical Center, Los Angeles, CA
Spaulding Rehabilitation Hospital, Boston, MA
Massachusetts General Hospital, Boston, MA
University of California Irvine Medical Center, Irvine, CA
Veterans Affairs Health System, West Los Angeles and Long Beach, CA