Health Policy and Clinical Effectiveness

Uma R. Kotagal, MBBS, MSc

Title

Senior Vice President for Quality and TransformationDirector, Health Policy and Clinical Effectiveness

Appointment

Professor of Pediatrics, Obstetrics and Gynecology

Email

uma.kotagal@cchmc.org

Phone

513-636-0178

Fax

513-636-0171

Bio

Uma Kotagal is Senior Vice President for Quality and Transformation and Director of Health Policy and Clinical Effectiveness at Cincinnati Children's Hospital Medical Center and Senior Research Associate at The Institute for Health Policy and Health Services Research at the University of Cincinnati.

As Director of the Health Policy and Clinical Effectiveness Program, Dr. Kotagal oversees the development of disease management teams and development and institution of evidence-based clinical practice guidelines.

The primary purpose of the Health Policy and Clinical Effectiveness Program is to develop and foster clinical effectiveness research with the goal of measuring and improving the quality of health care delivery and improving the health-related quality of life.

Dr. Kotagal is a practicing neonatologist and was director of the Neonatal Intensive Care Units at the University Hospital and at Cincinnati Children's Hospital Medical Center for several years.

More recently, she has broadened her interests, and obtained additional training receiving her Master of Science Degree in Clinical Epidemiology and Clinical Effectiveness from the Harvard School of Public Health.

Dr. Kotagal has recently been a visiting scholar at the Center for Risk Analysis at the Harvard School of Public Health and a visiting professor at the Tufts New England Medical Center, in the Division of Clinical Decision Making, receiving additional training in the field of decision analysis and cost effectiveness analysis.

Dr. Kotagal is principal investigator of the Choice Care Foundation Grant; Center for the Promotion of Lifelong Health; MEDTAPP Grant from the Ohio Department of Human Services; Predictors of Inappropriate Emergency Room Use During Early Infancy; Faculty Development Grant from the University of Cincinnati, "Use of Decision Analysis and Cost Effectiveness Analysis in Pediatric Health Care"; The Greater Cincinnati Foundation Grant; Identification of Maternal Knowledge and Attitudes Towards Infant Care; and March of Dimes Grant; Evaluation of Incentive Prenatal Care.

Dr. Kotagal has published extensively in the field of neonatal outcomes research, including studies on neonatal cost models, and early discharge of newborns. She published the first landmark paper on early discharge programs in the NICU setting.

Dr. Kotagal was born in Bombay, India where she received her undergraduate and her MBBS from the University of Bombay. She did a rotating internship at the University of Bombay from 1970-1971 and another rotating internship at Detroit General Hospital from 1971-1972.

Dr. Kotagal did her pediatric residency at Children"s Hospital of Michigan from 1972-1974, went on to do a fellowship in Neonatology at Children's Hospital of Michigan from 1974-1975, and a fellowship in neonatal physiology at the University of Cincinnati from 1975-1977.

Dr. Kotagal is board-certified from the American Academy of Pediatrics in Pediatrics and Neonatal-Perinatal Medicine. She is a also a member of the Society for Pediatric Research, Midwest Society for Pediatric Research, Ohio Perinatal Society, Ohio Perinatal Association, and the Cincinnati Pediatric Society.

Dr. Kotagal is also a member of various local, regional, and national committees in the area of child health.

Credentials

MBBS: Grant Medical College, University of Bombay, Bombay, India, 1970.

MSc: Clinical Epidemiology, Harvard School of Public Health, Boston, Mass., 1996.

Residency: Children's Hospital of Michigan, Detroit, Mich.

Fellowship: Neonatology, Children's Hospital of Michigan, Detroit, Mich.; Neonatal Physiology, University of Cincinnati College of Medicine, Cincinnati, Ohio.

Certification: Pediatrics, 1975; Neoonatal-Perinatal Medicine, 1977.

Publications, Most Recent

Kotagal, U.R.; Atherton, H.D.; Bragg, E.; Lippert, C.; Donovan, E.F.; Perlstein, P.H.: Use of hospital based resources in the first three months of life – impact of an early discharge program.Journal of Pediatrics, 130:250-256, 1997.

Perlstein, P.H.; Atherton, H.D.; Donovan, E.F.; Richardson, D.K.; Kotagal, U.R.: Physician variation and the ancillary costs of neonatal intensive care.Health Services Research, 32(3):299-311, 1997.

Kotagal, U.R.; Perlstein, P.H.; Donovan, E.F.; Atherton, H.D.: The influence of day of life in predicting the inpatient costs for providing care to very low birth weight infants.The American Journal of Managed Care, 3:217-225, 1997.

Perlstein, P.H.; Kotagal, U.R.; Atherton, H.D.: Suitability of case mix adjustment models for accurately predicting expected lengths of stay (LOS) and hospital charges for inpatient newborn infants.Society for Pediatric Research, 1997 (A).

Pettinichi, S.; Smith, S.; Kulick, R.; Kotagal, U.: Impact of "respiratory therapist-driven" acute asthma guidelines in a pediatric emergency department – A preliminary report.Respiratory Care Open Forum, 1997 (A).

Warner, B.W.; Kulick, R.M.; Stoops, M.M.; Mehta, S.; Stephan, M.; Kotagal, U.R.: An evidence-based clinical pathway for acute appendicitis: Decreases hospital duration and cost.J Pediatr Surg 33:1371-1375, 1998.

Pesce, J.; Rashkin, M.; Kotagal, U.: Standards of laboratory practice: Theophylline and caffeine monitoring.Clinical Chemistry, 44:1124-1128, 1998.

Kotagal, U.R.; Atherton, H.D.; Perlstein, P.H.; Agabalogun, R.: Impact of changes in health care system on Emergency Room (ER) use in early infancy by the Medicaid population.Society for Pediatric Research, 1998 (A).

Kotagal, U.R.; Atherton, H.D.; Agabalogun, R.; Perlstein, P.H.: Quality of care for early discharge Medicaid newborns.Society for Pediatric Research, 1998 (A).

Mehta, S.; Dooley, P.; Atherton, H.D.; Hornung, R.W.; Perlstein, P.H.; Kotagal, U.R.: Intrastate variations in site of delivery (SOD) for infants with major congenital malformations and very low birth weight. Society for Pediatric Research, 1998 (A).

Tsevat, J; Kotagal, U.R.: Management of sore throats in children: A cost effectiveness analysis.Archives of Pediatric and Adolescent Medicine, 153:681-688, 1999.

Special Interests

  • Outcomes research
  • Outcomes and cost of early discharge of newborn care
  • Cost effectiveness of neonatal intensive care
  • Cost effectiveness of prenatal care

Presentations, Most Recent

  • Visiting Professor, All India Institute of Medical Sciences, Delhi, India, 1997.
  • Northwestern University, Department of Pediatrics, 1998.
  • Speaker, National Association of Children's Hospitals and Related Institutions, "Using Performance Measures in Day-to-Day Operations" Orlando, Fla., December 1998.
  • Speaker, Pediatric Health Information System, Child Health Corporation of America, "Developing Clinical Pathways" Orlando, Florida, March 1999.
  • Speaker, American Academy of Pediatrics Spring Session".
  • "Case Studies in the Nursery: Problematic Discharges" Chicago, Ill., April 1999.

Related Areas

This person works in these other areas at Cincinnati Children's Hospital Medical Center: