Health Policy and Clinical Effectiveness

Uma R. Kotagal, MBBS, MSc

Title

Senior Vice President, Quality and Transformation; Director, 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 the Study of Health 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.

Research Grants and Contracts

Co-Investigator (P.I. – Gilbert) – Effectiveness of Multi-Drug Treatments in Tourette’s, K-23; July 2002 to June 2006, Award, $623,025.

Principal Investigator, Outcomes & Cost-Effectiveness Evaluation of Etanercept in Children with Juvenile Rheumatoid Arthritis, Arthritis Foundation, July 2002 – June 2006, $351,000.

Principal Investigator, Pursuing Perfection in Health Care, Robert Wood Johnson Foundation, Phase III, April 2004 – March 2006, $300,000

Publications, Most Recent

Robbins JM, Kotagal UR, Kini NM, Mason WH, Park JG, Kirschbaum MS. At-home recovery following hospitalization for bronchiolitis. Ambul Pediatr. 2006 Jan-Feb;6(1):8-14

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 Jun 15;55(3):378-84.

Render ML, Brungs S, Kotagal U, Nicholson M, Burns P, Ellis D, Clifton M, Fardo R, Scott M, Hirschhorn L. Evidence-based practice to reduce central line infections. Jt Comm J Qual Patient Saf. 2006 May;32(5):253-60.

Varughese AM, Byczkowski TL, Wittkugel EP, Kotagal U, Dean Kurth C. Impact of a nurse practitioner-assisted preoperative assessment program on quality. Paediatr Anaesth. 2006 Jul;16(7):723-33.

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 Aug;32(8):426-32.

Britto MT, Anderson JM, Kent WM, Mandel KE, Muething SE, 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):541-8.

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 Aug;32(9):426-32.

Luria JW, Muething SE, Schoettker PJ, Kotagal UR. Reliability science and patient safety. Pediatr Clin North Am. 2006 Dec;53(6):1121-33.

Muething SE, Kotagal UR, Schoettker PJ, Gonzalez del Rey J, DeWitt TG. Family-centered bedside rounds: a new approach to patient care and teaching. Pediatrics 2007 Apr;119(4):829-32

Gerhardt WE, Schoettker PJ, Donovan EF, Kotagal UR, Muething SE. Putting evidence-based clinical practice guidelines into practice: an academic pediatric center’s experience. Jt Comm J Qual Patient Saf 2007 Apr;33(4):226-35

Presentations, Most Recent

Co-Presenter – Minicourse: The New Basics for Getting Results: Re-Examining Improvement Science. 17th Annual Quality Forum, Institute for Healthcare Improvement, Orlando, FL, December 11-14, 2006

Co-Presenter – Poster: Pursing Perfection – Raising the Bar for Health Care Performance. 17th Annual Quality Forum, Institute for Healthcare Improvement, Orlando, FL, December 11-14, 2006

Co-Presenter – Poster: Pursuing Perfection – Raising the Bar for Health Care Performance. Institute for Healthcare Improvement’s March Milestone Meeting, Boston, MA, March 9-10, 2006

Co-Presenter – Exploratorium: Using Reliability Science to Dramatically Improve Outcomes in Pediatric Health Care (Full Day Session). National Initiative for Children’s Healthcare Quality’s 6th Annual Forum for Improving Children’s Health Care, March 19-21, 2006, Hyatt Regency-San Francisco, San Francisco, CA

Co-Facilitator – Workshop: Quality Improvement 201: Advanced Topics in Quality Improvement. National Initiative for Children’s Healthcare Quality’s 6th Annual Forum for Improving Children’s Health Care, March 19-21, 2006, Hyatt Regency-San Francisco, San Francisco, CA

Co-Presenter – Poster: A Transformational Journey: From Academic Silos to Collaboration and Moving the Big Dots. National Initiative for Children’s Healthcare Quality’s 6th Annual Forum for Improving Children’s Health Care, March 19-21, 2006, Hyatt Regency-San Francisco, San Francisco, CA

Presenter: Transforming Care At An Academic Institution. NYP Children’s Leadership Retreat: “Quality and Patient Safety: Transforming the Care of Children”. April 6-7, 2006, Rye Town Hilton, Rye, NY