Health Services, Outcomes, and Policy

The Health Services, Outcomes, and Policy program seeks to characterize and improve the outcomes of patients with pulmonary disease and critical illness, and to understand and improve quality, safety, and effectiveness of health care delivered to such patients at the national, state, and local level. For example, members of the Division have been instrumental in providing leadership to the Michigan Health and Hospitals Association Keystone ICU project - a groundbreaking collaborative involving the intensive care units of the University hospital which has led the country in demonstrated important reductions in central line infectionsventilator-associated pneumoniaICU mortality, as well as significant improvements in practice culture.

Others are leaders in defining the new field of survivorship after critical illness, particularly defining long-term outcomes after severe sepsis. Another focus of the program aims to understand the drivers of ICU admission and characterize the causes and consequences of over or under use of this expensive resource. Health Services, Outcomes, and Policy work currently focuses on critical illness. We are particularly active around ARDS, severe sepsis, mechanical ventilation, delirium, sedation, nosocomial infections, early mobility, and the effective organization of ICU care. This research program has a diversified and robust portfolio of multiple federal, non-profit, and industry-sponsored projects.

We are intensely interdisciplinary, closely integrating with other health services researchers including biostatisticians, health economists, implementation scientists, and sociologists from across the University of Michigan. Our research activities span the spectrum including clinical epidemiology, clinical trials, cost-effectiveness analysis, econometric analysis, multilevel modeling and secondary data analysis, network analysis, organizational science, policy analysis, qualitative research, survey research, and rigorous quality improvement. Faculty within this program are also closely affiliated with other centers, including the University of Michigan's:

The program also provides opportunities for training in the methods of clinical and health services research including the internationally renowned U-M School of Public Health (SPH) and the U-M Institute for Healthcare Policy & Innovation (IHPI) Clinician Scholars Program. Graduates of the programs obtain a Master's Degree in Clinical Research Design and Statistical Analysis (SPH) or a Master's Degree in Health and Healthcare Research (IHPI), and have successfully won NIH and foundation career development awards.

Affiliated Faculty

Colin Cooke, MD, MSc, MS
Robert Hyzy, MD
Theodore Iwashyna, PhD, MD
Hallie Prescott, MD, MSc
Michael Sjoding, MD, MSc
Thomas Valley, MD, MSc