Adolescent Medicine

Maria T. Britto, MD, MPH

Appointment

Professor of Pediatrics and Internal Medicine, University of Cincinnati College of Medicine

Email

maria.britto@cchmc.org

Phone

513-636-4681

Fax

513-636-0727

Bio

Dr. Maria Britto is Professor of Pediatrics in the Division of Adolescent Medicine, and Assistant Vice President, Chronic Care Systems. She has led disease-specific and system-wide improvement in chronic disease care at Cincinnati Children's Hospital Medical Center since 2001. She currently is co-leading the integration of quality into Cincinnati Children's Epic electronic health record implementation.

Her research focuses on health care needs and preferences of adolescents with chronic conditions and on interventions to improve health outcomes. She is the Director of the Center for Innovation in Chronic Disease Care, which seeks to accelerate improvement in outcomes for children and adolescents with chronic conditions by developing and evaluating new methods of care delivery and by applying innovative approaches to quality improvement in chronic diseases.

Credentials

M.D.: 1987, University of Virginia, Charlottesville, VA

M.P.H.: Epidemiology, 1995, University of North Carolina, Chapel Hill, NC

Residency: Medicine/Pediatrics, University of North Carolina Hospitals, Chapel Hill, NC, 1987 to 1991.

Chief Resident: Pediatrics, Department of Pediatrics, University of North Carolina Hospitals, Chapel Hill, NC, 1991 to 1992.

Robert Wood Johnson Clinical Scholars Program: University of North Carolina, Chapel Hill, NC, 1993 to 1995. Mentor, Gordon DeFriese, PhD.

Graduate Certificate: Biomedical Informatics, 2008, Oregon Health and Science University, Portland, OR

Board Certifications: American Board of Internal Medicine, 1991; Recertified 2001; American Board of Pediatrics, 1992; Recertified 1999, 2006; American Board of Pediatrics, Certification in Adolescent Medicine, 1997; Recertified 2004.

Licensure: Ohio, July 1995.

Position History

Director, Center for Innovation in Chronic Disease Care, 2006-present

Assistant Vice President, Chronic Care Systems, 2007-present

Awards and Honors

Phi Beta Kappa, University of Virginia, 1982

Alpha Omega Alpha, University of Virginia, 1986

Edgar Shannon Award for Academic Excellence in the School of Medicine, University of Virginia, 1987
Curnan Book Award, University of North Carolina, Department of Pediatrics, 1992
Pediatric Housestaff Teaching Award, University of Massachusetts, 1993
Fifth Third Bank/Charlotte R. Schmidlapp Women Scholars Award, 1999
Society for Adolescent Medicine Young Investigator Award Finalist, 2000
Robert Wood Johnson Generalist Physician Faculty Scholars Program Award, 2000
Best Doctors in America, 2001 – 2008
International Who’s Who of Professional and Business Women, 2003
Society for Pediatric Research, 2003

Research

Chronic illness in adolescents
Health care quality
Quality of life
Health care preferences of adolescents with chronic illness

Research Grants and Contracts

Developing an In Vivo Adherence Intervention
Objective is to develop and pilot test a tailored multimodal behavioral intervention to overcome barriers to adherence in adolescents with moderate and severe persistent asthma.
Dates: 05/01/08 – 04/30/13
Role: Co-Investigator

Determinants of healthrelated quality of life for children with JIA
The project will provide critical conceptual data to support the development of effective interventions to improve quality of life for children and adolescents with arthritis.
Dates: 05/01/08 – 04/30/13
Role: Co-Investigator

Outcomes Research Award – Cincinnati Children's Hospital Medical Center (CCHMC)
Evaluation of Pediatric Patient Portals
The study will evaluate feasibility of patient portals and provide critical information to guide further portal development and investment at CCHMC and elsewhere.
Dates: 01/01/08 – 12/31/08
Role: Principal Investigator

Outcomes Research Award – Cincinnati Children's Hospital Medical Center (CCHMC)
A strategy to improve STI testing and results notification for adolescents
The goal is to increase STI screening and notification of results for adolescents seen in the ED by improving the STI results reporting system and initiating a universal STI screening form.
Dates: 07/01/08 – 06/30/10
Role: Co-Investigator.

Completed Research Support

Evaluation of Pediatric Patient Portals.
Senior scientist biomedical informatics training and research project involving multi-method pilot evaluation of web-based patient access to their medical records.
Dates: 09/01/05 – 08/31/07
Role: Principal Investigator

Publications, Most Recent

Britto MT, DeVellis RF, Hornung RW, DeFriese GH, Atherton HD, Slap GB. Health care preferences and priorities of adolescents with chronic conditions. Pediatrics, 2004 114(5):1272-80.

Yi MS, Tsevat J, Wilmott RW, Kotagal UR, Britto MT. The impact of treatment of pulmonary exacerbations on the health-related quality of life of patients with cystic fibrosis: foes hospitalization make a difference. J Pediatr, 2004; 144(6):711-718.

Bonny AE, Britto MT, Huang B, Succop P, Slap GB. Predictors of weight gain among adolescent females on depot medroxyprogesterone acetate (DMPA). J Pediatr Adolesc Gynecol, 17(2):109-115.

Johnston J, Yi M, Britto MT, Mrus J. Importance of organ dysfunction in determining hospital outcomes in children. J Pediatr, 2004; 144(5)595-601.

Muething S, Gerhardt WE, Schoettker PJ, Britto MT, Kotagal UR. Decreasing overuse of therapies in the treatment of bronchiolitis by incorporating evidence at the point of care. J Pediatr, 2004; 144(6) 703-110.

Conway E, Schoettker P, Rich K, Kotagal UR, Britto MT. Empowering Respiratory Therapists to Take a More Active Role in Delivering Quality Care for Infants with Bronchiolitis. Respir Care, 2004; 49(6):589-599.

Byczkowski TL, Kotagal UR, Britto MT, Wilmott RW. Perceptions of the value of routine care among patients with cystic fibrosis and their families. Pediatr Pulmonol, 2004; 37(3)210-216.

Britto MT, Kotagal UR, Chenier T, Tsevat J, Atherton HD, Wilmott RW. Differences between adolescents' and parents' reports of health related quality of life in cystic fibrosis. Pediatr Pulmonol, 2004; 37(2)165-171.

Tivorsak TL, Britto MT, Klostermann BK, Nebrig DM, Slap GB. Are outpatient settings adolescent friendly? An exploration of attitudes and preferences. Clin Pediatr, 2004; 43:55-61.

Bucuvalas JC, Britto MT. Health-related quality of life after liver transplantation: It's not all about the liver. J Pediatr Gastroenterol Nutr, 2003; 37:106-108.

Rosen DS, Blum RW, Britto MT, Sawyer SM, Siegel DM. Transition to Adult Health care for Adolescents and Young Adults with Chronic Conditions. Position paper of The Society for Adolescent Medicine. J Adolesc Health, 2003;33.

Weiland J, Schoettker P, Byczkowski T, Britto MT, Pandzik G, Kotagal UR. Individualized daily schedules for hospitalized adolescents with cystic fibrosis. J Pediatr Health Care, Nov. 17, 2003; (6):284-289.

Gerhardt CA, Britto MT, Mills L, Biro FM, Rosenthal SL. Stability and predictors of health-related quality of life in urban female adolescents. J Dev and Behav Ped, June 2003;24(3):189-194.

Yi M, Britto MT, Wilmott RW, Kotagal UR, Eckman M, Nielson D, Kociela RN, Tsevat J. Health values of adolescents with cystic fibrosis. Journal of Pediatr, 2003;142:133-140.

Bucuvalas JC, Britto MT, Krug S, Ryckman FC, Atherton H, Alonso MP, Balistreri WF, Kotagal UR. Health-related quality of life in pediatric liver transplant recipients: a single center study. Liver Transplantation, Jan. 2003; 62-71.

Knopf JM, Hornung RW, Slap GB, DeVellis RF, DeFriese GH, Britto MT. Views of treatment decision-making from adolescents with chronic illnesses and their parents: A pilot study. Health Expect; 2008 Oct-Dec;17(4):320-329.

Tuchman LK, Slap GB, Britto MT. Transition to adult care: experience and expectations of adolescents with a chronic illness. Child Care Health Dev 2008 Jan; 34(5):557-63.

Szilagyi P, Rand CM, McLaurin J, Tan L, Britto M, Francis A, Dunne E, Rickert D. Delivering adolescent vaccinations in the medical home: A new era? Pediatrics 2008; 121(Supp1); S15-24.

Tercyak KP, Britto MT, Hanna KM, Hollen PJ, Hudson MM. Prevention of tobacco use among medically at-risk children and adolescents: Clinical and research opportunities in the interest of public health. J Pediatr Psychol 2008 Mar;33(2):119-32. Epub 2007 Dec 27.

Britto M, Schoettker PJ, Pandzik G, Weiland J, Mandel K. Improving influenza immunization for high risk children and adolescents. Qual Saf Health Care 2007 Oct; 16(5):363-8.

Britto MT, Slap GB, DeVellis RF, Hornung RW, Atherton HD, Knopf JM, DeFriese GH. Specialists understanding of the health care preferences of chronically ill adolescents. J Adolesc Health 2007; 40(4):334-41.

Sawyer SM, Drew S, Yeo MS, Britto MT. Adolescents with chronic conditions: challenges living, challenges treating. Lancet 2007; 369(9571):1481-89.

Brinkman WB, Geraghty SR, Lamphear BP, Khoury JC, Gonzales del Rey JA, DeWitt TG, Britto MT. Effect of a multi-source feedback on resident communication skills and professionalism. A randomized controlled trial. Arch Pediatr Adolesc Med 2007;161:44-49.

Britto MT, Anderson JM, Kent WM, Mandel KE, Muething SM, Kaminski GM, Schoettker PJ, Pandzik G, Carter LA, Kotagal UR. Cincinnati Children’s Hospital Medical Center: Transforming care for children and families. Jt Comm J Qual Patient Saf 2006 Oct;32(10):541-548.

Brinkman WB, Geraghty SR, Lamphear BP, Khoury JC, Gonzalez del Rey JA, DeWitt TG, Britto MT. Evaluation of resident communication skills and professionalism: A matter of perspective? Pediatrics 2006;118:1371-1379.

Britto MT, Pandzik GM, Meeks CS, Kotagal UR. Combining evidence and diffusion of innovation theory to enhance influenza immunization. Jt Comm J Qual Patient Saf 2006; 32(8): 426-432.

Brunner HI, Taylor J, Britto MT, Corcoran MS, Kramer SL, Melson PG, Kotagal UR, Graham TB, Passo MH. Differences in disease outcomes between Medicaid and privately insured children: Possible health disparities in juvenile rheumatoid arthritis. Arthritis Rheum 2006; 55(3) 378-384.

Arrington-Sanders R, Yi MS, Tsevat J, Wilmott RW, Mrus JM, Britto MT. Gender differences in health-related quality of life of adolescents with cystic fibrosis. Health Qual Life Outcomes 2006; 4:5.

Klostermann BK, Slap GB, Nebrig DM, Tivorsak T, Britto MT. Earning trust and losing it: adolescents'’ views on trusting physicians.J Fam Pract 2005; 54(7):679-687.

Presentations, Most Recent

Britto, M, Byczkowski T, Knopf J, Vockell A, Schambach A, Yi M. Adolescents overestimate their asthma control. Presentation at 2008 Pediatric Academic Societies’ Annual Meeting (PAS) May 2-6, 2008, Honolulu, HI

Formal Usability Testing Finds New Problems for Novice Users of Pediatric Portals. NLM. Stanford University, June 25-27, 2008; Palo Alto, CA.

Muething S, Byczkowski T, Britto M. Impact of two strategies to achieve extremely high guideline adherence. Presentation at 2006 Pediatric Academic Societies' Annual Meeting (PAS) Apr 29 - May 2, 2006, San Francisco, CA.

Brinkman W, Geraghty S, Lamphear B, Khoury J, Gonzalez del Rey J, DeWitt T, Britto M. A randomized controlled trial of multi-source feedback. Presentation at 2006 Pediatric Academic Societies' Annual Meeting (PAS) Apr 29 - May 2, 2006, San Francisco, CA.

Elkeeb D, Patel A, Chan M, Kala K, Brinkman W, Kim J, Britto M. Incident of IVIG-related adverse events in Kawaski disease. Presentation at 2006 Pediatric Academic Societies’ Annual Meeting (PAS) Apr 29 - May 2, 2006, San Francisco, CA.

Britto, MT, Kotagal U, Mandel K, Meeks C, Pandzik G, Weiland J. Scaling up influenza immunization: Collaborating to move from hundreds of patients to more than 20,000. Presentation at the National Association of Children's Hospitals and Related Institutions (NACHRI) 2005 Annual Meeting, October 2005, Indian Wells, CA.

Brinkman W, Geraghty S, Lamphear B, Khoury J, Gonzales-Del-Rey J, DeWitt T, Britto M. Evaluation of resident communication skills and professionalism: A matter of perspective? Presentation at the 2005 Pediatric Academic Societies’ Annual Meeting (PAS) May 2005, Washington, DC.

Byczkowski TL, Kollar LM, Kotagal UR, Slap GB, Britto MT. Family experiences with outpatient care: Do teens and parents have the same perceptions? Presentation at the 2005 Pediatric Academic Societies’ Annual Meeting (PAS) May 2005, Washington, DC.

Britto M, Hornung R, Atherton H, Slap G. Do subspecialists understand adolescent perceptions of high quality health care? Presentation at the 2005 Pediatric Academic Societies’ Annual Meeting (PAS) May 2005, Washington, DC.

Britto MT, Hornung R, Atherton H, Slap GB. Health care preferences of adolescents with chronic illness as perceived by subspecialists. Presentation at the Society for Adolescent Medicine Annual Meeting (SAM). March 2005, Los Angeles, CA.