Hilary C Siebens MD, Principal, has many years
of hands-on responsibility for the direct care
of patients. Some had few medical problems.
However, many have been complex. Many have had
disabilities. In the process of seeing her
patients, she was forced to create an efficient
way to guide her thinking about each patient.
She created a 4-domain model, each domain
looking at a patient from a different
This was crucial to:
- Get a clearer picture of what was going on,
- Identify actionable problems,
- Create viable treatment plans,
- Communicate with referring physicians, other team members, and insurers and
- Track the status of treatment over space
and time (days, weeks, months, years).
She based this work on her own experiences, the
medical literature, and feedback from patients,
their families and her colleagues.
This approach, the Siebens Domain Management
Model (SDMM), has now been successfully
disseminated into several clinical applications.
More recently colleagues and she have researched
the model. Studies of one specific application,
use in rehabilitation team conferences, is among
the first to provide evidence for improved
clinical outcomes while saving on resources.
For patients, this approach is extended with a
Siebens Health Care Notebook.
Patients add their essential health information
using the same 4 domains. The Notebook helps
patients, and/or their care partners,
self-manage. Another benefit is helping patient
to be prepared for better interactions with
their multiple health care providers. This
Notebook is now used in two clinical programs
and the updated version will be available soon.
Education and Training
Dr. Hilary Siebens is board certified as a
medical doctor and is the founder of Siebens
Patient Care Communications. Prior to attending
medical school she received her undergraduate
degree at Yale College. She received her
medical degree from Harvard Medical School.
Following medical school, she completed her
internal medicine residency at the Johns Hopkins
Hospital, a geriatric medicine fellowship at
Harvard, and her physical medicine and
rehabilitation residency at Tufts University/New
England Medical Center.
Dr. Siebens' clinical attending
physician appointments include:
- 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
- Associate Clinical Professor, UCLA
- Lecturer, Harvard Medical School
- Professor of Medicine, UCI
- Professor of Physical Medicine and Rehabilitation (PM&R), UCI
- Visiting Professor, PM&R, University of Virginia
Founding Medical Directorships
- Skilled Nursing and Assessment Center, Cedars-Sinai Medical Center, Los Angeles, CA
- MEEI Rehabilitation Unit, Spaulding Rehabilitation Hospital, Boston, MA
- UCI SeniorHealth Center, University of Irvine Medical Center, Irvine, CA
National Expert Panels
- Post Stroke Rehabilitation Practice Guidelines (1995)
- CARF stroke rehab standards – contributing to creation of new CARF portable profile
standard, now focused on person served’s personal health information (2004)
Research and References