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The James M. Anderson Center for Health Systems Excellence is home to specialists with a wide variety of backgrounds and areas of focus. Learn more about our faculty.
Uma R. Kotagal, MBBS, MSc Senior Vice President, Quality, Safety and Transformation
Senior Vice President, Quality, Safety and Transformation
Executive Director, James M. Anderson Center for Health Systems Excellence
Professor, UC Department of Pediatrics
Outcomes research; outcomes and cost of early discharge of newborn care; cost effectiveness of neonatal intensive care; cost effectiveness of prenatal care
Uma Kotagal is senior vice president for quality, safety and transformation and executive director of the James M. Anderson Center for Health Systems Excellence at Cincinnati Children’s Hospital Medical Center.
As director of the Anderson Center, Dr. Kotagal oversees the development of disease management teams and development and institution of evidence-based clinical practice guidelines.
The primary purpose of the Anderson Center is to foster health services research and system transformation with the goal of improving the quality of healthcare delivery, translating knowledge into practice, and building the next generation of improvement leaders.
Dr. Kotagal was director of the neonatal intensive care units at the University Hospital and at Cincinnati Children’s for several years. While practicing, Dr. Kotagal recognized that care and outcomes improvement were a system property. She completed additional training, receiving her master’s of science in clinical epidemiology and clinical effectiveness from the Harvard School of Public Health, and refocused her clinical efforts on quality transformation at a systems level. She was also 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, completing further training in the field of decision and cost effectiveness analyses.
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.
At Children’s Hospital of Michigan, Dr. Kotagal completed her pediatric residency from 1972-1974 and went on to do a fellowship in neonatology from 1974-1975. She completed a fellowship in neonatal physiology at the University of Cincinnati from 1975-1977.
Dr. Kotagal is a senior faculty member of the Institute for Healthcare. She also serves as chair of the quality steering team of the Ohio Children’s Hospital Association, as a member of the advisory committee of the Toronto Patient Safety Center, as an associate editor of BMJ Quality and Safety and as a member of the Institute of Medicine.
Dr. Kotagal is also a member of various local, regional and national committees in the area of child health.
Ryckman FC, Yelton PA, Anneken AM, Kiessling PE, Schoettker PJ, Kotagal UR. Redesigning intensive care unit flow using variability management to improve access and safety. Jt Comm J Qual Patient Saf. 2009 Nov;35(11):535-43.
Mandel KE, Muething SE, Schoettker PJ, Kotagal UR. Transforming safety and effectiveness in pediatric hospital care locally and nationally. Pediatr Clin North Am. 2009 Aug;56(4):905-18.
Ryckman FC, Schoettker PJ, Hays KR, Connelly BL, Blacklidge RL, Bedinghaus CA, Sorter ML, Friend LC, Kotagal UR. Reducing surgical site infections at a pediatric academic medical center. Jt Comm J Qual Patient Saf. 2009 Apr;35(4):192-8.
Yi MS, Britto MT, Sherman SN, Moyer MS, Cotton S, Kotagal UR, Canfield D, Putnam FW, Carlton-Ford S, Tsevat J. Health values in adolescents with or without inflammatory bowel disease. J Pediatr. 2009 Apr;154(4):527-34.
Britto MT, Byczkowski TL, Anneken AM, Hausfeld J, Schoettker PJ, Farrell MK, Kotagal UR. Improving access to pediatric subspecialty care: initial failures and lessons learned. Qual Manag Health Care. 2008 Oct-Dec;17(4):320-9.
Sparling KW, Ryckman FC, Schoettker PJ, Byczkowski TL, Helpling A, Mandel K, Panchanathan A, Kotagal UR. Financial impact of failing to prevent surgical site infections. Qual Manag Health Care. 2007 Jul-Sep;16(3):219-25.
Mandel KE, Kotagal UR. Pay for performance alone cannot drive quality. Arch Pediatr Adolesc Med. 2007 Jul;161(7):650-5.
Blacklidge M, Kotagal UR, Lazaron L, Schoettker PJ, Kennedy MR, Stultz M, Muething S. Challenges to performance-based assessment for community physicians. J Healthc Qual. 2005 Sep-Oct;27(5):20-7.
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.
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.
Evaline A. Alessandrini, MD, MSCE Director, Quality Scholars Program
Director, Quality Scholars Program
Evaline Alessandrini, MD, MSCE, is an attending physician in the Division of Emergency Medicine at Cincinnati Children’s Hospital Medical Center and a professor of pediatrics at the University of Cincinnati College of Medicine. She is director of the Quality Scholars Program in Health Care Transformation in the James M. Anderson Center for Health Systems Excellence where she leads training for health care faculty to innovate to improve care and rigorously apply quality improvement methods.
Dr. Alessandrini’s research defines outcomes of quality emergency care and develops interventions to improve delivery of emergency care to children. She served as the American Academy of Pediatrics representative to the National Quality Forum’s Steering Committee on Hospital-based Emergency Care and currently serves as the NACHRI representative to the National Quality Forum’s Steering Committee on Ambulatory Care.
MD: Jefferson Medical College, 1988.
BS: Marquette University (Biology, Summa Cum Laude), 1984.
MSCE: Master of Science in Clinical Epidemiology, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, 1999.
Residency: Children’s National Medical Center, Washington, D.C., 1988 -1991.
Chief Residency: Children’s National Medical Center, Washington, D.C., 1991- 1992.
Fellow: Pediatric Emergency Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, 1992-1995.
Alessandrini EA, Varadarajan K, Alpern ER, Gorelick MH, Shaw KN, Ruddy RM, Chamberlain JM; Pediatric Emergency Care Applied Research Network. Emergency department quality: an analysis of existing pediatric measures. Academ Emerg Medi. 2011 May;18(5):519-26.
Fiks AG, Alessandrini EA, Forrest CB, Khan S, Localio AR, Gerber A. Electronic medical record use in pediatric primary care. J Am Med Inform Assoc. 2011 Jan 1;18(1):38-44.
Topjian AA, Localio AR, Berg RA, Alessandrini EA, Meaney PA, Pepe PE, Larkin GL, Peberdy MA, Becker LB, Nadkarni VM; American Heart Association National Registry of Cardiopulmonary Resuscitation Investigators. Women of child-bearing age have better inhospital cardiac arrest survival outcomes than do equal-aged men. Crit Care Med. 2010 May;38(5):1254-60.
Alessandrini EA, Alpern ER, Chamberlain JM, Shea JA, Gorelick MH. A New ICD-based Diagnosis Grouping System for Child ED Visits. Acedem Emerg Med. 2010 Feb;17(2):204-13.
Fiks AG, Hunter KF, Localio AR, Grundmeier RW, Bryant-Stephens T, Luberti AA, Bell LM, Alessandrini EA. Impact of Electronic Health Record-based Primary Care Clinical Alerts on Influenza Vaccination for Children and Adolescents with Asthma: A Cluster Randomized Trial. Pediatrics. 2009 Jul;124(1):159-169.
Hibbs AM, Walsh CM, Martin RJ, Truog WE, Lorch SA, Alessandrini EA, Cnaan A, Palermo L, Wadlinger SR, Coburn CE, Ballard PL, Ballard RA. One-Year Respiratory Outcomes of Preterm Infants Enrolled in the Nitric Oxide (to Prevent) Chronic Lung Disease Trial. J Pediatr. 2008 Jun;153 (4):525-529.
Fiks AG, Grundmeier RW, Biggs LM, Localio AR, Alessandrini EA. Impact of clinical alerts within an electronic health record on routine subsequent well child care. Pediatrics. 2008 May; 121:898-905..
Flores AI, Bilker WB, Alessandrini EA. The Effect of Continuity of Care in Infancy on Receipt of Lead, Anemia and Tuberculosis Screening. Pediatrics. 2008 Mar;121(3):e399-406.
Gorelick MH, Alessandrini EA, Cronan K, Shults J. Revised Pediatric Emergency Assessment Tool (RePEAT): A Severity Index for Pediatric Emergency Care. Academic Emergency Medicine. 2007 Apri 14(4):316-23.
Gorelick MH, Knight S, Alessandrini EA, Stanley RM, Chamberlain JM, Kuppermann N, Alpern ER. Pediatric Emergency Care Applied Research Network. Lack of agreement in pediatric emergency department discharge diagnoses from clinical and administrative data sources. Academic Emergency Medicine. 2007;14(7):646-52.
EMSC Network Development Demonstration Project. Co-investigator. Sep 2008 - Sep 2011.
Julia S. Anixt, MD Pediatrician, Division of Developmental and Behavioral Pediatrics
is a developmental-behavioral pediatrician conducting clinical research on Attention Deficit/ Hyperactivity Disorder (ADHD). In particular her work focuses on improving the quality of care for ADHD diagnosis and treatment for children in underserved communities and assessing the impact of parent and youth perceptions about ADHD on treatment decisions.
Pediatrician, Division of Developmental and Behavioral Pediatrics
Assistant Professor, UC Department of Pediatrics
Attention deficit / hyperactivity disorder (ADHD); autism spectrum disorders (ASD); learning difficulties; developmental and behavioral issues in underserved populations; developmental outcomes in children with congenital heart disease
ADHD; use of shared decision making for the treatment of challenging behavior in children with ASD; the diagnosis and management of behavioral and mental health issues in primary care settings; access to care for underserved populations
Julia Anixt, MD, is a developmental-behavioral pediatrician conducting clinical research on attention deficit/ hyperactivity disorder (ADHD). In particular her work focuses on improving the quality of care for ADHD diagnosis and treatment for children in underserved communities and assessing the impact of parent and youth perceptions about ADHD on treatment decisions. Her research also focuses on implementing shared decision making (SDM) in the clinical setting for families of children with autism spectrum disorders (ASD) contemplating the use of medication to target challenging behaviors.
BS: Haverford College, Haverford, PA, 1996.
MD: University of Maryland School of Medicine, Baltimore, MD, 2001. Residency: Pediatrics, Yale New-Haven Hospital, New Haven, CT, 2004. Fellowship: Robert Wood Johnson Clinical Scholars Program, Johns Hopkins University, Baltimore, MD, 2006; Developmental-Behavioral Pediatrics, University of Maryland, Baltimore, MD, 2008. Certification: General Pediatrics, American Board of Pediatrics, 2004; Developmental and Behavioral Pediatrics, American Board of Pediatrics, 2011.
Froehlich TE, Delgado SV, Anixt JS. Expanding Medication Options for Pediatric ADHD. Current Psychiatry. 2013 Dec;12(12): 20-9.
Anixt JS, Copeland-Linder N, Haynie D, Cheng TL. Burden of Unmet Mental Health Needs in Assault-Injured Youths Presenting to the Emergency Department. Acad Pediatr. 2012 Mar-Apr;12(2):125-30.
Froehlich TE, Anixt JS, Loe IM, Chirdkiatgumchai V, Kuan L, Gilman RC. Update on Environmental Risk Factors for Attention-Deficit/Hyperactivity Disorder. Curr Psychiatry Rep. 2011 Oct;13(5):333-44.
Lipkin PH, Anixt JS. Attention Deficit/ Hyperactivity Disorder (ADHD). In: ACP Smart Medicine [online database]. Philadelphia, American College of Physicians, 2014. Evidence-based, peer-reviewed ADHD diagnostic and treatment guidelines for American College of Physicians Smart Medicine; co-author and co-editor of ADHD module. Original publication date 2009; most recent edition 1/30/2014.
Olaniyan O, dosReis S, Garriett V, Mychailyszyn MP, Anixt J, Rowe PC, Cheng TL. Community Perspectives of Childhood Behavioral Problems and ADHD among African-American Parents. Ambul Pediatr. 2007 May-Jun;7(3):226-31.
dosReis S, Butz A, Lipkin PH, Anixt JS, Weiner CL, Chernoff R. Attitudes About Stimulant Medication for Attention-Deficit/Hyperactivity Disorder Among African American Families in an Inner City Community. J Behav Health Serv Res. 2006 Oct;33(4):423-30.
Keyser E, Peralta L, Cade T, Miller S, Anixt J. Functional Aerobic Impairment in Adolescents Seropositive for HIV: A Quasiexperimental Analysis. Arch Phys Med Rehabil. 2000 Nov;81(11):1479-84.
Interventions for children with Attention and Reading Disorders. Co-Investigator. National Institutes of Health. Dec 2009-Nov 2014. R01 HD060617.
Shared Decision Making to Improve Care and Outcomes for Children with Autism. Principal Investigator. Cincinnati Children’s Hospital Medical Center Place Outcomes Research Award. Jul 2013 - Jun 2015.
William B. Brinkman, MD, MEd, MSc Director of Research Section, Division of General and Community Pediatrics
researches shared decision-making between patients/parents and clinicians to promote high value care that is evidence-based and family-centered. He collaborates to develop interventions to facilitate shared decision-making across a wide-range of clinical contexts and is building an infrastructure to support shared decision-making throughout Cincinnati Children's.
Director of Research Section, Division of General and Community Pediatrics
Methods Expert, Evidence and Measures Team, James M. Anderson Center for Health Systems Excellence
Research Director, Cincinnati Pediatric Research Group
Attending Physician, Division of Hospital Medicine
Associate Professor, UC Department of Pediatrics
Dr. Brinkman researches shared decision-making between patients, parents, and clinicians to promote high value care that is evidence-based and family-centered. He collaborates to develop interventions to facilitate shared decision-making across a wide-range of clinical contexts.
Dr. Brinkman serves as director of the Research Section in the Division of General & Community Pediatrics and the research director for the Cincinnati Pediatric Research Group, a practice-based research network. He also serves as a methods expert for the James M. Anderson Center Evidence & Measures team. In this role, he is building an infrastructure to support shared decision-making throughout Cincinnati Children's.
MD: St. Louis University, St. Louis, MO, 1999.
Residency: Pediatrics, The Children's Memorial Hospital, Northwestern University, Feinberg School of Medicine, Chicago, IL, 2002.
Chief Residency: Pediatrics, The Children's Memorial Hospital, Chicago, IL, 2003.
Fellowship: NRSA Primary Care Research Fellowship, General & Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2006.
MEd: University of Cincinnati, Cincinnati, OH, 2006.
MSc: University of Cincinnati, Cincinnati, OH, 2013.
Certification: Pediatrics, 2002.
Brady PW, Brinkman WB, Simmons JM, Yau C, White CM, Kirkendall ES, Schaffzin JK, Conway PH, Vossmeyer MT. Oral antibiotics at discharge for children with acute osteomyelitis: a rapid cycle improvement project. BMJ Qual Saf Online First. Dec 17, 2013.
Lipstein EA, Brinkman WB, Sage J, Lannon CM, Morgan DeWitt E. Understanding treatment decision making in juvenile idiopathic arthritis: a qualitative assessment. Pediatr Rheumatol Online J. 2013 Sep 30; 11(1):34.
Brinkman WB, Hartl Majcher J, Poling L, Shi G, Zender M, Sucharew H, Britto MT, Epstein JN. Shared Decision-Making to Improve Attention-Deficit/Hyperactivity Disorder Care. Patient Educ Couns. 93 (2013) 95–101.
Jerardi KE, Elkeeb D, Weiser J, Brinkman WB. Rapid Implementation of Evidence Based Guidelines for Imaging after First Urinary Tract Infection. Pediatrics. 2013;132:e749–e755.
Brinkman WB, Sherman SN, Zmitrovich AR, Visscher MO, Crosby LE, Phelan KJ, Donovan EF. In their own words: Adolescent views on ADHD and their evolving role managing medication. Acad Pediatr. 2012 Jan; 12(1):53-61.
Brinkman WB, Hartl J, Rawe L, Sucharew H, Britto MT, Epstein JN. Physicians’ Shared Decision Making Behaviors in Attention-Deficit/Hyperactivity Disorder Care. Arch Pediatr Adolesc Med. 2011 Nov; 165(11):1013-9.
Lipstein EA, Brinkman WB, Britto MT. What Is Known about Parent’s Treatment Decisions? A Narrative Review of Pediatric Decision Making. Med Decis Making. 2012 Mar-Apr;32(2):246-58.
Brinkman WB, Sherman SN, Zmitrovich AR, Visscher MO, Crosby LE, Phelan KJ, Donovan EF. Parental Angst Making and Revisiting ADHD Treatment Decisions. Pediatrics. 2009 Aug; 124: 580-9.
Brinkman WB, Geraghty SR, Lanphear BP, Khoury JC, Gonzalez del Rey JA, DeWitt TG, Britto MT. Effect of Multi-Source Feedback on Resident Communication Skills and Professionalism. A Randomized Controlled Trial. Arch Pediatr Adolesc Med. 2007 Jan; 161: 44-9.
Brinkman WB, Geraghty SR, Lanphear BP, Khoury JC, Gonzalez del Rey JA, DeWitt TG, Britto MT. Evaluation of Resident Communication Skills and Professionalism: A Matter of Perspective?Pediatrics. 2006 Oct; 18: 1371-9.
Medication Continuity in Children Treated for ADHD. Principal Investigator. Mentored Patient-Oriented Research Career Development Award, National Institute of Mental Health. Jan 2010–Nov 2014.
Developing New Technologies to Improve ADHD Medication Continuity. R34, National Institute of Mental Health. Apr 2014–Mar 2017.
Shared Decision Making to Improve Care and Outcomes for Children with Autism. Co-Principal Investigator. Cincinnati Children’s Place Research Outcomes Award. Jul 2013 – Jun 2015.
Testing and Spread of Shared Decision Making Tools across Learning Networks. Co-Principal Investigator. Subproject on Agency for Healthcare Research and Quality Cincinnati Children’s Center for Education and Research on Therapeutics (CERTs). Sep 2013-Aug 2015.
Partnering with Parents to Support Decision-Making About Hydroxyurea in Pediatric Sickle Cell Disease. Co-Principal Investigator. Subproject on Agency for Healthcare Research and Quality Cincinnati Children’s Center for Education and Research on Therapeutics (CERTs). Sep 2013-Aug 2015.
Evaluation of an Intervention for Improving Community-Based Pediatric ADHD Care. (PI: Epstein) Co-Investigator. National Institute of Mental Health. Aug 2010-May 2015.
Collaborative Ohio Inquiry Networks (COIN) Research Center. (PI: Werner) Co-investigator. Agency for Healthcare Research and Quality. Sep 2012-Aug 2017.
Adam C. Carle, MA, PhD
Adam Care, MA, PhD, is a clinically and quantitatively trained investigator who uses advanced statistical methods to study health disparities among adults and children, especially children with special health care needs.
Dr. Carle uses latent variable models like item response theory, confirmatory factor analysis, structural equation modeling, and multilevel models to examine health disparities across traditionally underserved and underrepresented groups (e.g., US minorities). He seeks to better understand individual and contextual variables in comparative effectiveness research, health disparities, and public policy for children at individual, local, state, and national levels.
Dr. Carle received his PhD in 2003 from Arizona State University. Following his doctoral degree, Dr. Carle completed a a two-year post-doctoral appointment at the US Census Bureau. He spent three years as an assistant professor of psychology at the University of North Florida before joining Cincinnati Children’s Hospital Medical Center.
Visit the Carle Lab site.
Fairbrother GL, Carle AC, Cassedy A, Newacheck PW. The impact of parental job loss on children's health insurance coverage. Health Aff (Millwood). 2010 Jul;29(7):1343-9.
Carle AC. Mitigating systematic measurement error in comparative effectiveness research in heterogeneous populations. Med Care. 2010 Jun;48(6 Suppl):S68-74.
Carle AC, Simpson LA. Identifying child health priorities for comparative effectiveness research from the IOM's Report. Acad Pediatr. 2010 May-Jun;10(3):155-8.
Carle AC, Blumberg SJ, Poblenz C. Internal Psychometric Properties of the Children with Special Health Care Needs Screener. Acad Pediatr. 2010 Mar 13.
Bethell C, Simpson L, Stumbo S, Carle AC, Gombojav N. National, state, and local disparities in childhood obesity. Health Aff (Millwood). 2010 Mar-Apr;29(3):347-56.
Carle AC. Interpreting the Results of Studies Using Latent Variable Models to Assess Data Quality: An Empirical Example Using Confirmatory Factor Analysis. Quality & Quantity. 2010; 44(3):483-497.
Blumberg SJ, Carle AC. The Well-Being of the Health Care Environment for Children with Special Health Care Needs and Their Families: A Latent Variable Approach. Pediatrics. 2009 Dec;124 Suppl 4:S361-7.
Carle AC, Blumberg SJ, Poblenz C. Psychometric properties of the Children with Special Health Care Needs Screener in the collective population: Evidence for reliability as fielded in the National Survey of Children with Special Health Care Needs. Academic Pediatrics. 2009 Dec;124 Suppl 4:S375-83.
Kasehagen L, Kane D, Punyko J, Carle AC, Penziner A, Thorson S. What factors are associated with receipt of the services necessary to make transitions to all aspects of adult life relative to states’ ranking? Pediatrics. 2009 Dec;124 Suppl 4:S375-83.
Carle AC. Fitting multilevel models in complex survey data with design weights: Recommendations. BMC Medical Research Methodology 2009 Jul;9:49.
Nancy M. Daraiseh, PhD
is an industrial engineer specializing in occupational safety and health. Her research focuses on utilizing human factors and systems principles to examine work-related safety and health outcomes, patient safety and quality of care.
Occupational health and safety; human factors; patient safety; health outcomes; stress
Nancy Daraiseh, PhD, specializes in occupational safety and health with over 13 years of experience and 20 publications focusing on studying workload and the work environment and their impact on health outcomes in employees in various industries. Dr. Daraiseh has obtained four pilot grants from the Centers for Disease Control and Prevention/National Institute for Occupational Safety and Health to investigate work-related musculoskeletal symptoms and other health outcomes in nursing personnel. As a post-doctoral fellow at the University of Cincinnati, she was awarded a grant to conduct a comprehensive risk assessment of engineering laboratories’ safety and best practices at a regional university. She is currently collaborating with the Division of Child Psychiatry to examine interventions to improve both staff and patient safety. Dr. Daraiseh is also studying the effectiveness of patient handling equipment in a pediatric-care population by examining the impact on staff injuries and patient outcomes.
Dr. Daraiseh is a member of the Institute of Industrial Engineers, The Human Factors & Ergonomics Society and the Society for Health Systems. She is a reviewer for the International Journal of Industrial Ergonomics, Human Factors & Ergonomic Society, Ergonomics and The Institute of Industrial Engineers.
PhD: University of Cincinnati, College of Engineering, Cincinnati, OH, 2004.
MS: University of Cincinnati, College of Engineering, Cincinnati, OH, 1999.
Schaffer P, Daraiseh N, Daum L, Mendez E, Lin L, Huth M. Pediatric inpatient falls and injuries: A descriptive analysis of risk factors. Journal for Specialists in Pediatric Nursing. 2012;17(1), 10-18.
Chen J, Davis LS, Davis K, Pan W, Daraiseh N. Physiological and Behavioral Response Patterns at Work among Hospital Nurses. Journal of Nursing Management. 2011; 19, 57-68.
Daraiseh N, Cronin S, Davis LS, Shell R, Karwowski W. Low back symptoms among hospital nurses, associations to individual factors and pain in multiple body regions. International Journal of Industrial Ergonomics. 2010; 40, 19-24.
Dabke S, Salem O, Genaidy A, Daraiseh N. Job satisfaction of women in construction trades. Journal of Construction Engineering and Management. 2008;134(3), 205-216.
Moayed F, Daraiseh N, Shell R, Salem S. Workplace Bullying: A systematic review of risk factors and outcomes. Theoretical Issues in Ergonomics Science. 2006;7(3), 311-327.
Edward F. Donovan, MD Director, Child Policy Research Center
Director, Child Policy Research Center
Emeritus, UC Department of Pediatrics
Population health; quality improvement research; perinatal epidemiology
Kaplan HC, Lannon C, Walsh MC, Donovan EF; Ohio Perinatal Quality Collaborative. Ohio statewide quality-improvement collaborative to reduce late-onset sepsis in preterm infants. Pediatrics. 2011 Mar;127(3):427-35.
Kaplan HC, Tabangin ME, McClendon D, Meinzen-Derr J, Margolis PA, Donovan EF. Understanding variation in vitamin A supplementation among NICUs. Pediatrics. 2010 Aug;126(2):e367-73.
Donovan EF, Besl J, Paulson J, Rose B, Iams J; Ohio Perinatal Quality Collaborative. Infant death among Ohio resident infants born at 32 to 41 weeks of gestation. Am J Obstet Gynecol. 2010 Jul;203(1):58.e1-5.
SUPPORT Study Group of the Eunice Kennedy Shriver NICHD Neonatal Research Network, Finer NN, Carlo WA, Walsh MC, Rich W, Gantz MG, Laptook AR, Yoder BA, Faix RG, Das A, Poole WK, Donovan EF, Newman NS, Ambalavanan N, Frantz ID 3rd, Buchter S, Sánchez PJ, Kennedy KA, Laroia N, Poindexter BB, Cotten CM, Van Meurs KP, Duara S, Narendran V, Sood BG, O'Shea TM, Bell EF, Bhandari V, Watterberg KL, Higgins RD. Early CPAP versus surfactant in extremely preterm infants. N Engl J Med. 2010 May 27;362(21):1970-9.
Donovan EF, Lannon C, Bailit J, Rose B, Iams JD, Byczkowski T; Ohio Perinatal Quality Collaborative Writing Committee. A statewide initiative to reduce inappropriate scheduled births at 36.0 - 38.0 weeks' gestation. Am J Obstet Gynecol. 2010 Mar;202(3):243.e1-8.
Morris BH, Oh W, Tyson JE, Stevenson DK, Phelps DL, O'Shea TM, McDavid GE, Perritt RL, Van Meurs KP, Vohr BR, Grisby C, Yao Q, Pedroza C, Das A, Poole WK, Carlo WA, Duara S, Laptook AR, Salhab WA, Shankaran S, Poindexter BB, Fanaroff AA, Walsh MC, Rasmussen MR, Stoll BJ, Cotten CM, Donovan EF, Ehrenkranz RA, Guillet R, Higgins RD; NICHD Neonatal Research Network. Aggressive vs. conservative phototherapy for infants with extremely low birth weight. N Engl J Med. 2008 Oct 30;359(18):1885-96. Donovan EF, Ammerman RT, Besl J, Atherton H, Khoury JC, Altaye M, Putnam FW, Van Ginkel JB. Intensive home visiting is associated with decreased risk of infant death. Pediatrics. 2007 Jun;119(6):1145-51.
Fanaroff AA, Stoll BJ, Wright LL, Carlo WA, Ehrenkranz RA, Stark AR, Bauer CR, Donovan EF, Korones SB, Laptook AR, Lemons JA, Oh W, Papile LA, Shankaran S, Stevenson DK, Tyson JE, Poole WK; NICHD Neonatal Research Network. Trends in neonatal morbidity and mortality for very low birthweight infants. Am J Obstet Gynecol. 2007 Feb;196(2):147.el-8.
Clark E, Donovan E, Schoettker P. From outdated to updated, keeping clinical guidelines valid. Int J Qual Health Care. 2006 Jun;18(3):165-6.
Gerry Fairbrother, PhD
Adjunct Professor, UC Department of Pediatrics
Gerry Fairbrother, PhD, is a senior fellow at Academy Health and an adjunct professor of pediatrics at the University of Cincinnati. Dr. Fairbrother ‘s research areas include measuring quality of care, impact of churning in Medicaid and CHIP on measurement of quality. She is currently an evaluator for one of the CHIPRA demonstration projects (in Colorado and New Mexico) and as such is examining the impact of an improvement intervention on four core quality measures. She is also currently the evaluator on a Beacon Communities project, examining the impact of the health information technology on performance on selected asthma measures. She is currently on the technical assistance faculty for the National Association of State Health Policy. Dr. Fairbrother has led investigations on gaps and patterns of enrollment in child health insurance, barriers and cost to enroll in these programs, impact of Medicaid managed care on preventive screening for children, and impact of financial incentives on physician behavior.
Fairbrother G, Simpson LA. Measuring and reporting quality of health care for children: CHIPRA and beyond. Acad Pediatr. 2011 May-Jun;11(3 Suppl):S77-84.
Fairbrother GL, Carle AC, Cassedy A, Newacheck PW. The impact of parental job loss on children's health insurance coverage. Health Aff (Millwood). 2010 Jul;29(7):1343-9.Fairbrother G, Cassedy A, Ortega-Sanchez IR, Szilagyi PG, Edwards KM, Molinari NA, Donauer S, Henderson D, Ambrose S, Kent D, Poehling K, Weinberg GA, Griffin MR, Hall CB, Finelli L, Bridges C, Staat MA; New Vaccine Surveillance Network (NVSN). High costs of influenza: Direct medical costs of influenza disease in young children. Vaccine. 2010 Jul 12;28(31):4913-9. Simpson L, Fairbrother G, Touschner J, Guyer J. How federal implementation choices can maximize the impact of CHIPRA on health care of children with developmental and behavioral needs. J Dev Behav Pediatr. 2010 Apr;31(3):238-43. Payne DC, Szilagyi PG, Staat MA, Edwards KM, Gentsch JR, Weinberg GA, Hall CB, Curns AT, Clayton H, Griffin MR, Fairbrother G, Parashar UD. Secular variation in United States rotavirus disease rates and serotypes: implications for assessing the rotavirus vaccination program. Pediatr Infect Dis J. 2009 Nov;28(11):948-53. Erratum in: Pediatr Infect Dis J. 2010 Mar;29(3):287-8. Simpson LA, Fairbrother G. How health policy influences quality of care in pediatrics. Pediatr Clin North Am. 2009 Aug;56(4):1009-21.Fairbrother G, Simpson LA. It is time! Accelerating the use of child health information systems to improve child health. Pediatrics. 2009 Jan;123 Suppl 2:S61-3. Cassedy A, Fairbrother G, Newacheck PW. The impact of insurance instability on children's access, utilization, and satisfaction with health care. Ambul Pediatr. 2008 Sep-Oct;8(5):321-8. Szilagyi PG, Fairbrother G, Griffin MR, Hornung RW, Donauer S, Morrow A, Altaye M, Zhu Y, Ambrose S, Edwards KM, Poehling KA, Lofthus G, Holloway M, Finelli L, Iwane M, Staat MA; New Vaccine Surveillance Network. Influenza vaccine effectiveness among children 6 to 59 months of age during 2 influenza seasons: a case-cohort study. Arch Pediatr Adolesc Med. 2008 Oct;162(10):943-51. Fairbrother G, Broder K, Staat MA, Schwartz B, Heubi C, Hiratzka S, Walker FJ, Morrow AL. Pediatricians' adherence to pneumococcal conjugate vaccine shortage recommendations in 2 national shortages. Pediatrics. 2007 Aug;120(2):e401-9.
David M. Hartley, PhD, MPH
investigates the factors governing the emergence and transmission of infectious diseases by applying mathematical modeling and computer simulation methods. He is also interested in data analytic and information technology approaches for understanding and improving communications in healthcare settings and improving patient safety.
Infectious disease epidemiology; public health surveillance; mathematical and computer modeling
PhD: University of Maryland Baltimore County, Baltimore, MD, 1996.
MPH: George Washington University, Washington, DC, 2006.
Smith DL, Perkins TA, Reiner Jr RC, Barker CM, Niu T, Chaves LF, Ellis AM, George DB, Le Menach A, Pulliam J, Bisanzio D, Buckee C, Chiyaka C, Cummings DAT, Garcia AJ, Gatton ML, Gething PW, Hartley DM, Johnston G, Klein EY, Michael E, Lindsay SW, Lloyd AL, Pigott DM, Reisen WK, Ruktanonchai N, Singh B, Stoller J, Tatem AJ, Kitron U, Hay SI, Scott TW. Recasting the Theory of Mosquito-Borne Pathogen Transmission Dynamics and Control. Trans R Soc Trop Med Hyg. 2014 Apr;108(4):185-87.
Hartley DM. Using social media and other Internet data for public health surveillance: The importance of talking. Milbank Q. 2014 Mar;92(1):34-9.
Barboza P, Vaillant L, Le Strat Y, Hartley DM, Nelson NP, Mawudeku A, Madoff LC, Linge JP, Collier N, Brownstein JS, Astagneau P. Factors influencing performance of Internet-based biosurveillance systems used in epidemic intelligence for early detection of infectious diseases outbreaks. PLoS One. 2014 Mar 5;9(3):e90536.
Hartley DM, Nelson NP, Arthur RR, Barboza P, Collier N, Lightfoot N, Linge JP, van der Goot E, Mawudeku A, Madoff LC, Vaillant L, Walters R, Yangarber R, Mantero J, Corley CD, Brownstein JS. An overview of Internet biosurveillance. Clin Microbiol Infect. 2013 Nov;19(11):1006-13.
Barker CM, Niu T, Reisen WK, Hartley DM. Data-driven modeling to assess receptivity for Rift Valley fever virus. PLoS Negl Trop Dis. 2013 Nov 14;7(11): e2515.
Nelson NP, Brownstein J, Hartley DM. Event-based biosurveillance of respiratory disease in Mexico, 2007-2009: Connection to influenza A(H1N1)v? Euro Surveill. 2010 Jul 29;15(30).
Nelson NP, Yang L, Reilly AR, Hardin JE, Hartley DM. Event-based Internet Biosurveillance: Relation to Epidemiological Observation. Emerg Themes Epidemiol. 2012 Jun 18;9(1):4.
Hartley DM, Barker CM, Le Menach A, Niu T, Gaff HD, Reisen WK. The effects of temperature on the emergence and seasonality of West Nile virus in California. Am J Trop Med Hyg. 2012 May;86(5):884-94.
Hartley DM, Morris JG Jr, Smith DL. Epidemiological Implications of Hyperinfectivity: A critical element in the ability of V. Cholerae to cause epidemics? PloS Med. 2006 Jan;3(1):e7.
Niu T, Gaff HD, Papelis YE, Hartley DM. An epidemiological model of Rift Valley fever with spatial dynamics. Comput Math Methods Med. 2012;2012:138757.
Heather C. Kaplan, MD, MSCE Attending Neonatologist, Neonatology and Pulmonary Biology
focuses on understanding variations in evidence-based care practices across hospitals and identifying strategies for increasing the implementation of evidence and other innovations into practice. She recently began a line of investigation aimed at building the evidence base for quality improvement so that QI can be used more effectively as a strategy for improving quality and patient outcomes.
Attending Neonatologist, Neonatology and Pulmonary Biology
Heather Kaplan conducts research focusing on understanding variations in evidence-based care practices across hospitals and examining strategies for increasing the implementation of evidence into practice in perinatal care. She uses a systems lens to understand and ultimately change behavior at the individual, group, organizational, and environmental levels of the health care system.
Kaplan HC, Lorch SA, Pinto-Martin J, Putt M, Silber JH. Assessment of surfactant use in preterm infants as a marker of neonatal intensive care unit quality. BMC Health Serv Res. 2011 Jan 31;11:22.
Kaplan HC, Brady PW, Dritz MC, Hooper DK, Linam WM, Froehle CM, Margolis P. The influence of context on quality improvement success in health care: a systematic review of the literature. Milbank Q. 2010 Dec;88(4):500-59.
Kaplan, HC, Tabangin ME, McClendon D, Meinzen-Derr J, Margolis PA, Donovan EF. Understanding Variation in Vitamin A Supplementation Among NICUs. Pediatrics. 2010 Aug;126(2):e367-73.
Carole Lannon, MD, MPH Director, Learning Networks
focuses on translational research involving multisite clinical networks which use data for research and improvement. She wants to learn how to build and optimize sustainable collaborative networks that enable patients and families, clinicians, researchers, and communities to work together in a compelling process of quality improvement, innovation and discovery that measurably improves care and outcomes for children.
Director, Learning Networks
Quality improvement; pediatrics
Lannon, CM, Peterson L, and Goudie A. Quality Measures for the Care of Children with Otitis Media with Effusion. Pediatrics. 2011;127:e1490-97.
Iyer S, Anderson JB, Slicker J, Beekman RH and Lannon CM. Using Statistical Process Control to Identify Early Growth Failure Among Infants with Hypoplastic Left Heart Syndrome. World Journal for Pediatric Congenital Heart Surgery. 2011;2(4):576-85.
Schidlow DN, Anderson JB, Klitzner TS, Beekman Iii RH, Jenkins KJ, Kugler JD, Martin GR, Neish SR, Rosenthal GL, Lannon C; For the JCCHD National Pediatric Cardiology Quality Improvement Collaborative. Variation in Interstage Outpatient Care after the Norwood Procedure: A Report from the Joint Council on Congenital Heart Disease National Quality Improvement Collaborative. Congenit Heart Dis. 2011 Mar;6(2):98-107.
Simpson LA, Peterson L, Lannon CM, Murphy SB, Goodman C, Ren Z, Zajicek A. Special challenges in comparative effectiveness research on children's and adolescents' health. Health Aff (Millwood). 2010 Oct;29(10):1849-56.
Donovan EF, Lannon C, Bailit J, Rose B, Iams JD, Byczkowski T; Ohio Perinatal Quality Collaborative Writing Committee. A statewide initiative to reduce inappropriate scheduled births at 360/7-386/7 weeks' gestation. Am J Obstet Gynecol. 2010 Jun;202(6):603.
Rothman RL, Yin HS, Mulvaney S, Co JP, Homer C, Lannon C. Health literacy and quality: focus on chronic illness care and patient safety. Pediatrics. 2009 Nov;124 Suppl 3:S315-26.
Kugler JD, Beekman RH, III, Rosenthal GL, Jenkins KJ, Klitzner TS, Martin G, Neish SR, Lannon C. Development of a pediatric cardiology quality improvement collaborative: from inception to implementation. Congenit Heart Dis 2009;4:318-328.
Lazorick S, Crowe V, Dolins J, Lannon CM. Structured Intervention Utilizing State Professional Societies to Foster Quality Improvement in Practice. J Continu Educ Health Prof. 2008; 28 (3): 131-9.
Lannon CM, Flower K, Duncan P, Moore KS, Stuart J, Bassewitz J. The Bright Futures Training Intervention Project: implementing systems to support preventive and developmental services in practice. Pediatrics. 2008 Jul;122(1):e163-71.
Center for Education, Research and Therapeutics: Pursuing Perfection in Pediatric Therapeutics, Agency for Healthcare Research and Quality. Principal Investigator. Sep 2011 - Sep 2016.
Evaluation of an Intervention for Improving Community-Based Pediatric ADHD Care. Co-Investigator. National Institute of Health. Aug 2010 - July 2015.
Peter A. Margolis, MD, PhD Co-Director, Center for Health Care Quality
Co-Director, Center for Health Care Quality
Director of Research, James M. Anderson Center
Peter Margolis, MD, PhD, is professor of Pediatrics and director of Research at the James M. Anderson Center for Health System Excellence at Cincinnati Children’s Hospital Medical Center. His work encompasses the application and study of quality improvement methods in a broad range of areas including primary and sub-specialty care, communities and public health settings to improve the health outcomes of children, families and communities. Dr. Margolis obtained his MD from New York University and his pediatric training at the University of Colorado, where he also served as chief resident in Pediatrics. He subsequently spent three years in the National Health Service Corps in Rochester, NY, and Los Angeles, CA before pursuing a fellowship in clinical epidemiology. He was a Robert Wood Johnson Clinical Scholar at the University of North Carolina at Chapel Hill where he also earned his PhD in Epidemiology. In 1994, Dr. Margolis was named a Robert Wood Johnson Generalist Faculty Scholar at UNC where he also served on the faculty between 1991 and 2005. In 2006, Dr. Margolis' joined Cincinnati Children’s Hospital Medical Center to create a new center focused on Health Care Quality.
Dr. Margolis has worked extensively with the certifying Boards and Specialty Societies to assist them in designing programs that will enable physicians to meet new Maintenance of Certification requirements focused on systems thinking and performance in practice. He also devotes considerable time to teaching quality improvement methods. He is principle investigator of an NIH Roadmap transformative research grant on redesigning systems for chronic illness care.
Crandall W, Kappelman MD, Colletti RB, Leibowitz I, Grunow JE, Ali S, Baron HI, Berman JH, Boyle B, Cohen S, del Rosario F, Denson LA, Duffy L, Integlia MJ, Kim SC, Milov D, Patel AS, Schoen BT, Walkiewicz D, Margolis P. ImproveCareNow: The development of a pediatric inflammatory bowel disease improvement network. Inflamm Bowel Dis. 2011 Jan;17(1):450-7.
Kappelman MD, Crandall WV, Colletti RB, Goudie A, Leibowitz IH, Duffy L, Milov DE, Kim SC, Schoen BT, Patel AS, Grunow J, Larry E, Fairbrother G, Margolis P; on behalf of the ImproveCareNow Collaborative for Pediatric IBD. Short pediatric Crohn's disease activity index for quality improvement and observational research. Inflamm Bowel Dis. 2011 Jan;17(1):112-7.
Kaplan HC, Brady PW, Dritz MC, Hooper DK, Linam WM, Froehle CM, Margolis P. The influence of context on quality improvement success in health care: a systematic review of the literature. Milbank Q. 2010 Dec;88(4):500-59.
Margolis PA, DeWalt DA, Simon JE, Horowitz S, Scoville R, Kahn N, Perelman R, Bagley B, Miles P. Designing a large-scale multilevel improvement initiative: the improving performance in practice program. J Contin Educ Health Prof. 2010 Summer;30(3):187-96.
Kaplan HC, Tabangin ME, McClendon D, Meinzen-Derr J, Margolis PA, Donovan EF. Understanding variation in vitamin A supplementation among NICUs. Pediatrics. 2010 Aug;126(2):e367-73.
Miller MR, Griswold M, Harris JM 2nd, Yenokyan G, Huskins WC, Moss M, Rice TB, Ridling D, Campbell D, Margolis P, Muething S, Brilli RJ. Decreasing PICU catheter-associated bloodstream infections: NACHRI's quality transformation efforts. Pediatrics. 2010 Feb;125(2):206-13.
Margolis P, Halfon N. Innovation networks: a strategy to transform primary health care. JAMA. 2009 Oct 7;302(13):1461-2.
Colletti RB, Baldassano RN, Milov DE, Margolis PA, Bousvaros A, Crandall WV, Crissinger KD, D'Amico MA, Day AS, Denson LA, Dubinsky M, Ebach DR, Hoffenberg EJ, Kader HA, Keljo DJ, Leibowitz IH, Mamula P, Pfefferkorn MD, Qureshi MA. Pediatric IBD Network for Research and Improvement. Variation in care in pediatric Crohn disease. J Pediatr Gastroenterol Nutr. 2009 Sep;49(3):297-303.
Margolis P, Provost LP, Schoettker PJ, Britto MT. Quality improvement, clinical research, and quality improvement research--opportunities for integration. Pediatr Clin North Am. 2009 Aug;56(4):831-41.
Linam WM, Margolis PA, Staat MA, Britto MT, Hornung R, Cassedy A, Connelly BL. Risk factors associated with surgical site infection after pediatric posterior spinal fusion procedure. Infect Control Hosp Epidemiol. 2009 Feb;30(2):109-16.
Center for Education and Research in Therapeutics. Co-Investigator. Agency for Health Care Research and Quality. Sep 2007 – Aug 2011.
Transforming Early Childhood Systems. Co-Investigator. Kellogg Foundation. Apr 2009 – Mar 2012.
Open Source Science: Transforming Chronic Illness Care. National Institute of Diabetes & Digestion & Kidney Disease. Principal Investigator. Sep 2009 – Augu 2014.
Kieran J. Phelan, MD, MSc
is a general pediatrician and epidemiologist with a focus in injury epidemiology and control and evidence-based practice. He also has extensive experience in clinical practice guidelines and development. His federally-funded research is focused on preventing the leading cause of morbidity and mortality in younger US children: unintentional injury in the home environment.
General pediatrics; community-based preventative medicine; public health trials
Kieran Phelan, MD, MSc, is a board certified general pediatrician, an experienced injury epidemiologist and residential injury control researcher. He has been active in the fields of injury epidemiology and residential injury control for over 8 years.
His experience and success in this field includes multiple grants and publications, as well as the New Investigator Award from the National Center for Injury Prevention, control at the CDC, and an RO1-funded project. He has also has experience with the Cincinnati Home Injury Prevention (CHIP) and literacy promotion program and the National Institute of Child Health and Development (NICHD), which focuses on preventing injury and promoting literacy in a population of low-income mothers and their infants who were enrolled in a regional home visitation program. Lastly, he has experience with Every Child Succeeds (ECS), which tries to reduce residential injury and promote literacy in children from birth through 36 months of age.
BS: The University of Notre Dame, Notre Dame, IL, 1986.
MD: Northwestern University Medical School, Chicago, IL, 1991.
Residency: Children’s Memorial Hospital, Northwestern University Medical School, 1994.
MSc: Department of Epidemiology & Biostatistics, School of Environmental Health, 2001.
Certification: American Board of Pediatrics, 2008; Pediatric Advanced Life Support, 2009.
Samir S. Shah, MD, MSCE Director, Division of Hospital Medicine
focuses on improving the efficiency and quality of care of children hospitalized with common, serious infections such as pneumonia and meningitis. Ongoing projects include studies of comparative effectiveness of different antibiotics for childhood pneumonia and developing novel databases to conduct comparative effectiveness research. He receives research support from the National Institutes of Health, the Agency for Healthcare Research and Quality, and the Patient-Centered Outcomes Research Institute.
Director, Division of Hospital Medicine
Pediatric infectious diseases; pediatric hospital medicine; community-acquired pneumonia; bacterial meningitis; observational study designs; administrative data sources
Samir S. Shah, MD, MSCE, is a pediatric infectious diseases and pediatric hospital medicine physician whose research focuses on improving the efficiency and quality of care of children hospitalized with common, serious infections such as pneumonia and meningitis. Ongoing projects include studying the comparative effectiveness of different antibiotics in the treatment of community-acquired pneumonia and developing novel databases to conduct comparative effectiveness research.
Dr. Shah served as associate chair of the National Pneumonia Guidelines Committee, jointly sponsored by the Infectious Diseases Society of America and the Pediatric Infectious Diseases Society. He is also an executive council member of the Pediatric Research in Inpatient Settings (PRIS) Network.
Dr. Shah is deputy editor of the Journal of Hospital Medicine, the official journal of the Society of Hospital Medicine. He also serves as associate editor of the Journal of the Pediatric Infectious Diseases Society and on the editorial board of JAMA Pediatrics. In addition, he is editor or co-editor of 9 books in the fields of pediatrics and infectious diseases including The Philadelphia Guide: Inpatient Pediatrics (Lippincott Williams & Wilkins), and Symptom-Based Diagnosis in Pediatrics (McGraw-Hill Education).
Dr. Shah has received several prestigious research awards, including the Society of Hospital Medicine Excellence in Research Award, the Pediatric Infectious Diseases Society Young Investigator Award, and the Society of Hospital Medicine Teamwork in Quality Improvement Award.
Mittal V, Hall M, Morse R, Wilson KM, Mussman G, Hain P, Montalbano A, Parikh K, Mahant S, Shah SS. Impact of institutional bronchiolitis clinical practice guideline implementation on tests and treatments. J Pediatr. 2014;165:570-576.
Neuman MI, Hall M, Gay JC, Blaschke AJ, Williams DJ, Parikh K, Hersh AL, Brogan TV, Gerber JS, Grijalva CG, Shah SS. Readmissions among children previously hospitalized with pneumonia. Pediatrics. 2014;134:100-109.
Queen MA, Myers AL, Hall M, Shah SS, Williams DJ, Auger KA, Jerardi KE, Statile AM, Tieder JS. Comparative effectiveness of empiric antibiotics for children hospitalized with community-acquired pneumonia. Pediatrics. 2014;133:e23-e29.
Williams DJ, Hall M, Shah SS, Parikh K, Tyler A, Neuman MI, Hersh AL, Brogan TV, Blaschke AJ, Grijalva CG. Narrow vs. broad-spectrum antimicrobial therapy for children hospitalized with pneumonia. Pediatrics. 2013;132:e1141-e1148.
Florin TA, French B, Zorc JJ, Alpern ER, Shah SS. Variation in emergency department diagnostic testing and association with outcomes in children with community-acquired pneumonia. Pediatrics. 2013;132:237-244.
Myers AL, Hall M, Tieder JS, Jerardi K, Auger K, Wiggleton C, Statile A, Williams DJ, McClain L, Shah SS. Prevalence of bacteremia in hospitalized pediatric patients with community-acquired pneumonia. Pediatr Infect Dis. J 2013;32:736-740.
Blaschke AJ, Byington CL, Ampofo K, Pavia AT, Heyrend C, Rankin SC, McGowan KL, Harris MC, Shah SS. Species-specific PCR improves detection of bacterial pathogens in parapneumonic empyema compared with 16S PCR and culture. Pediatr Infect Dis J. 2013;32:302-303.
Neuman MI, Hall M, Hersh AL, Brogan TV, Parikh K, Newland JG, Blaschke AJ, Williams DJ, Grijalva CG, Tyler A, Shah SS. Influence of hospital guidelines on management of children hospitalized with pneumonia. Pediatrics. 2012;130:e823-e830.
Ambroggio LV, Taylor JA, Tabb LP, Newschaffer CJ, Evans AA, Shah SS. Comparative effectiveness of beta-lactam monotherapy and beta-lactam-macrolide combination therapy in children hospitalized with community-acquired pneumonia. J Pediatr. 2012;161:1097-1103.
Brogan TV, Hall M, Williams DJ, Neuman MI, Grijalva CG, Farris RWD, Shah SS. Variability in processes of care and outcomes among children hospitalized with community-acquired pneumonia. Pediatr Infect Dis J. 2012;31:1036-1041.
Understanding quality and costs in congenital heart surgery. Co-Investigator. National Heart, Lung, and Blood Institute (NHLBI). April 2014-March 2019.
Improving post-discharge outcomes by facilitating family-centered transitions from hospital to home. Principal Investigator. Patient-Centered Outcomes Research Institute. May 2014-Jan 2017.
Reduced variability in the management of community-acquired pneumonia. Principal Investigator. Place Outcomes Award. July 2013-June 2015
Comparative effectiveness of home intravenous vs. oral antibiotic therapy for serious bacterial infections. Site Principal Investigator. Patient-Centered Outcomes Research Institute. Jan 2013-Jan 2016.
Jeffrey M. Simmons, MD Associate Director of Clinical Operations and Quality, Division of Hospital Medicine
is a pediatric hospitalist who uses classical clinical research methods and quality improvement science to accelerate the integration of research findings into the general inpatient wards. He focuses on better understanding socioeconomic disparities among children hospitalized for asthma and on redesigning the clinical care system to better address those disparities. He also directs the fellowship in pediatric hospital medicine.
Associate Director of Clinical Operations and Quality, Division of Hospital Medicine
Director, Pediatric Hospitalist Medicine Fellowship
Associate Safety Officer, James M. Anderson Center for Health Services Excellence
Quality improvement of care for underserved children with asthma; improving care delivery and medical education through family-centered care; resident and fellow education in pediatric hospital medicine
Predictors of hospital readmission for asthma; interventions to decrease rates of admission and readmission for asthma; measuring the impact of material hardship on health outcomes
Jeffrey M. Simmons, MD, is finishing an NRSA research fellowship and master's degree in clinical epidemiology. He has obtained both internal and external funding to complete his fellowship asthma cohort project, and plans to pursue further external funding. He intends to blend health services and quality improvement methods to study inpatient care delivery and transitions in care. Clinically, Dr. Simmons works on the General Inpatient Service (GIS) as a pediatric hospitalist. He serves as the associate director of GIS, focusing on developing the group’s research program and fellowship training program.
MD: Wake Forest University School of Medicine, 2000.
Residency: Cincinnati Children's Hospital Medical Center, 2000-2003.
Chief Residency: Cincinnati Children's Hospital Medical Center, 2003-2004.
Certification: Pediatrics, 2003.
Kathleen E. Walsh, MD, MSc Director of Patient Safety Research, James M. Anderson Center for Health Systems Excellence
is a general pediatrician and health services researcher with experience studying medication safety in children in a variety of settings. She has led several multisite studies describing adverse drug events and medication errors in hospitalized children, children with chronic conditions, and in-home care. Her secondary focus is on health information technology and patient safety.
Director of Patient Safety Research, James M. Anderson Center for Health Systems Excellence
Pediatric hospital medicine
Patient safety; medication use; adverse drug events; quality improvement; chronic disease care; home care
Dr. Walsh is director of patient safety research and associate professor of pediatrics at Cincinnati Children’s. She has extensive experience in the qualitative and quantitative measurement of medication errors and adverse drug events among children in the hospital, clinic, and home. She has performed several studies of medication use in the homes of children with chronic conditions. She has developed and evaluated health information technology interventions to support medication use. Dr. Walsh is a general pediatrician with clinical research fellowship training, including a Masters in Epidemiology.
With funding from the Robert Wood Johnson Foundation, Dr. Walsh developed methods to measure mistakes in home medication use, using home visits. She visited the homes of children with sickle cell disease, cancer, and epilepsy in single site and multisite studies to quantify and describe errors. She also led failure modes and effects analyses with parents of children with cancer to identify failures in home medication use. In collaboration with parents of children with chronic conditions, she has participated in the development, implementation, and testing of information technology interventions to improve home medication use. Her research has been funded by the Food and Drug Administration, the National Institutes of Health, the Agency for Healthcare Research and Quality, and the Robert Wood Johnson Foundation.
Undergraduate: Cornell University, Ithaca, NY, 1992.
MD: Georgetown Medical School, Washington DC, 1998.
Residency: Pediatrics, Brown Medical School, 2001.
Chief Residency: Pediatrics, Brown Medical School, 2002.
Fellowship: General Academic Pediatrics, Boston University School of Medicine, 2005.
Master of Science: Epidemiology, Boston University School of Public Health, 2005.
Walsh KE, Cutrona SL, Foy S, Baker MA, Forrow S, Shoaibi A, Pawloski PA, Conroy M, Fine AM, Nigrovic LE, Selvam N, Selvan MS, Cooper WO, Andrade S. Validation of Anaphylaxis in the Food and Drug Administration’s Mini-Sentinel. Pharmacoepidemiology and Drug Safety. In press.
Walsh KE, Roblin DW, Weingart SN, Houlahan SN, Degar B, Billett A, Keuker C, Biggins C, Li J, Wasilewski K, Mazor KM. Medication errors in the home: A multisite study of children with cancer. Pediatrics. 2013;131:e1405-e1413.
Bradley CK, Fischer MA, Walsh KE. Trends in Medical Error Education: Are We Failing Our Residents?Academic Pediatrics. 2012;13:59-64.
Walsh KE, Mazor KM, Roblin D, Biggins C, Wagner JL, Houlahan K, Li J, Keuker C, Wasilewski-Masker K, Donovan J, Kanaan A, Weingart SN. A Multisite Parent-Centered Risk Assessment to Reduce Pediatric Oral Chemotherapy Errors. Journal of Oncology Practice. 2013;9(1):e1-e7.
Walsh KE, Mazor KM, Stille CJ, Torres I, Wagner JL, Moretti J, Chysna K, Stine CD, Usmani GN, Gurwitz JH. Medication Errors in the Homes of Children with Chronic Conditions. Archives of Disease in Childhood. 2011;6:581-6.
Mazor KM, Goff SL, Dodd K, Venton S, Walsh KE. Parents Perceptions of Medication Errors. Journal of Patient Safety. 2010;6:102-107.
Walsh KE, Dodd KS, Seetharaman K, Roblin DW, Herrinton LJ, Von Worley A, Usmani GN, Baer D, Gurwitz JH. Medication Errors among Adults and Children with Cancer in the Outpatient Setting. Journal of Clinical Oncology. 2009. 27: 891-6.
Walsh KE, Stille CJ, Mazor KM, Gurwitz JH. Using home visits to understand medication errors in children. In: Henriksen K., Battles JB, Keyes MA, Grady ML, eds. Advances in Patient Safety: New Directions and Alternative Approaches. Vol. 4: Technology and Medication Safety. AHRQ Pub. No. 08-0034-4. Rockville, MD: Agency for Healthcare Research and Quality; 2008.
Sard BE, Walsh KE, Doros G, Hannon M, Moschetti W, Bauchner H. A Retrospective Evaluation of a Computerized Physician Order Entry Adaptation to Prevent Prescribing Errors in a Pediatric Emergency Department. Pediatrics. 2008. 122 (4): 782-7.
Walsh KE, Landrigan CP, Adams WG, Vinci RJ, Chessare JB, Cooper MR, Hebert PH, Schainker EG, Bauchner H. Medication Errors Caused by Computer Order Entry. Pediatrics. 2008; 121(3): e4.
Denise L. White, PhD, MBA Efficiency/Productivity Consultant, Quality and Transformation Analytics, James M. Anderson Center for Health Systems Excellence
performs research in the area of capacity management, scheduling and patient flow. Her work originated in the area of outpatient operations management and has expanded to include inpatient and peri-op scheduling and flow.
Efficiency/Productivity Consultant, Quality and Transformation Analytics, James M. Anderson Center for Health Systems Excellence
Denise White, PhD, MBA, is an assistant professor and efficiency/productivity consultant in quality and transformation analytics in the James M. Anderson Center for Health Systems Excellence at Cincinnati Children’s Hospital Medical Center. Dr. White is a graduate from the University of Cincinnati’s College of Business where she received her PhD in operations management with a focus on healthcare operations. She holds a BS degree in mathematics and computer science and has secured her master’s in business administration (MBA) along with a certification as a project management professional (PMP). Dr. White’s research interests lie in the area of capacity management, hospital flow, and scheduling. She has participated in efforts to improve resource utilization across the organization and partners with the University of Cincinnati to deliver graduate and undergraduate courses in healthcare operations management.
BS: Computer Science and Mathematics, Wilmington College, Wilmington, OH, 1987.
MBA: Northern Kentucky University, Highland Heights, KY, 1995.
Master's Certification: Project Management, George Washington University, Steven's Institute of Technology, Washington, DC, 1997.
PhD: Business (Operations Management), College of Business, University of Cincinnati, 2010.
Froehle CM, White DL. Interruptions and Forgetting in Knowledge Intensive Service Environments. Production and Operations Management. 2013 18 Oct;1-19.
Kirkendall ES, Kloppenborg E, Papp J, White D, Frese C, Hacker D, Schoettker PJ, Muething S, Kotagal U. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Pediatrics. 2012 Nov;130(5):e1206-14.
White DL, Froehle CM, Klassen K. The Effect of Integrated Scheduling and Capacity Policies on Clinical Efficiency. Production and Operations Management. 2011;20(3): 442-455.
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