Research Overview

My primary academic focus is quality improvement and patient safety in neonatal intensive care. I am particularly interested in innovative approaches to quality improvement.  As the Quality Improvement Director for the BIDMC Department of Neonatology, I lead several improvement and safety initiatives within the NICU, and I am chair of the Neonatal Quality Improvement Collaborative of Massachusetts (NeoQIC), a collaboration of the level III NICUs in Massachusetts that focuses on the use of open sharing of data and practices to improve health outcomes for newborns across the state. My research interests include examination of clinical determinants of chronic lung disease, use of physiologic data for outcome prediction, and neonatal infection prevention.

 

Education

Undergraduate School

Harvard University
1992 Cambridge MA

Medical School

Stanford University School of Medicine
1997 Stanford CA

Internship

Boston Combined Residency Program (BCRP)
1998 Boston MA

Residency

Pediatrics Boston Combined Residency Program (BCRP)
1998 Boston MA

Residency

Pediatrics Boston Combined Residency Program (BCRP)
2001 Boston MA

Fellowship

Harvard Neonatal-Perinatal Medicine Training Program
2004 Boston MA

Graduate School

MMSc Harvard Medical School
2004 Boston MA

Publications

  1. High-Dose TXA Is Associated with Less Blood Loss Than Low-Dose TXA without Increased Complications in Patients with Complex Adult Spinal Deformity. J Bone Joint Surg Am. 2024 Dec 04; 106(23):2205-2214. View Abstract
  2. Thoracolumbar fusions for adult lumbar deformity show superior QALY gain and lower costs compared with upper thoracic fusions. Spine Deform. 2024 Nov; 12(6):1783-1791. View Abstract
  3. Perinatal quality improvement: Progress, challenges, and future directions. Semin Perinatol. 2024 Apr; 48(3):151909. View Abstract
  4. Measuring practice preference variation for quality improvement in neonatal respiratory care. J Perinatol. 2024 Jul; 44(7):1001-1008. View Abstract
  5. Short term outcomes of neonatal opioid withdrawal syndrome: a comparison of two approaches. J Perinatol. 2024 Aug; 44(8):1137-1145. View Abstract
  6. Neonatal respiratory care practice among level III and IV NICUs in New England. J Perinatol. 2024 Sep; 44(9):1291-1299. View Abstract
  7. Measuring practice preference variation for quality improvement: development of the Neonatology Survey of Interdisciplinary Groups in Healthcare Tool (NSIGHT). BMJ Open Qual. 2023 12 14; 12(4). View Abstract
  8. Establishing a regional registry for neonatal encephalopathy: impact on identification of gaps in practice. Pediatr Res. 2024 Jan; 95(1):213-222. View Abstract
  9. Challenging Cases in Statistical Process Control for Quality Improvement in Neonatal Intensive Care. Clin Perinatol. 2023 06; 50(2):321-341. View Abstract
  10. A Tipping Point for Quality Improvement in Neonatal Intensive Care. Clin Perinatol. 2023 06; 50(2):xix-xxi. View Abstract
  11. Return to work after adult spinal deformity surgery. Spine Deform. 2023 01; 11(1):197-204. View Abstract
  12. Patient satisfaction after multiple revision surgeries for adult spinal deformity. J Neurosurg Spine. 2023 01 01; 38(1):75-83. View Abstract
  13. Length of Stay Among Infants with Neonatal Abstinence Syndrome and Risk of Hospital Readmission. Matern Child Health J. 2022 Oct; 26(10):2020-2029. View Abstract
  14. Quality improvement for neonatal resuscitation and delivery room care. Semin Perinatol. 2022 10; 46(6):151629. View Abstract
  15. Neonatal Opioid Withdrawal Syndrome: A Comparison of As-Needed Pharmacotherapy. Hosp Pediatr. 2022 05 01; 12(5):530-538. View Abstract
  16. Associations of insulin pump and continuous glucose monitoring use with pregnancy-related outcomes in women with type 1 diabetes. Diabetes Res Clin Pract. 2022 May; 187:109854. View Abstract
  17. Assessment of Adult Spinal Deformity Complication Timing and Impact on 2-Year Outcomes Using a Comprehensive Adult Spinal Deformity Classification System. Spine (Phila Pa 1976). 2022 Mar 15; 47(6):445-454. View Abstract
  18. Low-Density Pedicle Screw Constructs Are Associated with Lower Incidence of Proximal Junctional Failure in Adult Spinal Deformity Surgery. Spine (Phila Pa 1976). 2022 Mar 15; 47(6):463-469. View Abstract
  19. Comparing and Contrasting the Clinical Utility of Sagittal Spine Alignment Classification Frameworks: Roussouly Versus SRS-Schwab. Spine (Phila Pa 1976). 2022 Mar 15; 47(6):455-462. View Abstract
  20. Perinatal Opioid Use Disorder Research, Race, and Racism: A Scoping Review. Pediatrics. 2022 03 01; 149(3). View Abstract
  21. Establishing consensus: determinants of high-risk and preventative strategies for neurological events in complex spinal deformity surgery. Spine Deform. 2022 07; 10(4):733-744. View Abstract
  22. Adult Spinal Deformity Surgery Is Associated with Increased Productivity and Decreased Absenteeism From Work and School. Spine (Phila Pa 1976). 2022 Feb 15; 47(4):287-294. View Abstract
  23. Impact of Coronavirus Disease-2019 on Hospital Care for Neonatal Opioid Withdrawal Syndrome. J Pediatr. 2022 06; 245:47-55. View Abstract
  24. Examination of Adult Spinal Deformity Patients Undergoing Surgery with Implanted Spinal Cord Stimulators and Intrathecal Pumps. Spine (Phila Pa 1976). 2022 Feb 01; 47(3):227-233. View Abstract
  25. Variation in United States COVID-19 newborn care practices: results of an online physician survey. BMC Pediatr. 2022 01 21; 22(1):55. View Abstract
  26. Maternal language disparities in neonatal intensive care unit outcomes. J Perinatol. 2022 06; 42(6):723-729. View Abstract
  27. Leveraging the Massachusetts perinatal quality collaborative to address the COVID-19 pandemic among diverse populations. J Perinatol. 2021 11; 41(11):2674-2683. View Abstract
  28. Predictors of pharmacologic therapy for neonatal opioid withdrawal syndrome: a retrospective analysis of a statewide database. J Perinatol. 2021 06; 41(6):1381-1388. View Abstract
  29. Racial and Ethnic Disparities in Maternal and Infant Outcomes Among Opioid-Exposed Mother-Infant Dyads in Massachusetts (2017-2019). Am J Public Health. 2020 12; 110(12):1828-1836. View Abstract
  30. Counseling Guidelines for Anticipated Postsurgical Improvements in Pain, Function, Mental Health, and Self-image for Different Types of Adult Spinal Deformity. Spine (Phila Pa 1976). 2020 Aug 15; 45(16):1118-1127. View Abstract
  31. Identification of Substance-Exposed Newborns and Neonatal Abstinence Syndrome Using ICD-10-CM - 15 Hospitals, Massachusetts, 2017. MMWR Morb Mortal Wkly Rep. 2020 Jul 24; 69(29):951-955. View Abstract
  32. A quality improvement initiative to implement the eat, sleep, console neonatal opioid withdrawal syndrome care tool in Massachusetts' PNQIN collaborative. J Perinatol. 2020 10; 40(10):1560-1569. View Abstract
  33. Human milk feeding and physical growth in very low-birth-weight infants: a multicenter study. J Perinatol. 2020 08; 40(8):1246-1252. View Abstract
  34. Time trends in pregnancy-related outcomes among women with type 1 diabetes mellitus, 2004-2017. J Perinatol. 2020 08; 40(8):1145-1153. View Abstract
  35. Caring for Newborns Born to Mothers With COVID-19: More Questions Than Answers. Pediatrics. 2020 08; 146(2). View Abstract
  36. A glass half-full: defining ventilator-associated pneumonia in the neonatal intensive care unit. Pediatr Res. 2020 06; 87(7):1155-1156. View Abstract
  37. Measurement for quality improvement: using data to drive change. J Perinatol. 2020 06; 40(6):962-971. View Abstract
  38. The relationship between patient safety and quality improvement in neonatology. Semin Perinatol. 2019 12; 43(8):151173. View Abstract
  39. Addressing Disparities in Mother's Milk for VLBW Infants Through Statewide Quality Improvement. Pediatrics. 2019 07; 144(1). View Abstract
  40. Timing of First Milk Expression to Maximize Breastfeeding Continuation Among Mothers of Very Low-Birth-Weight Infants. Obstet Gynecol. 2019 06; 133(6):1208-1215. View Abstract
  41. Timing of First Milk Expression to Maximize Breastfeeding Continuation Among Mothers of Very Low-Birth-Weight Infants. Obstet Gynecol. 2019 May 09. View Abstract
  42. Preparing for Discharge From the Neonatal Intensive Care Unit. Pediatrics. 2019 06; 143(6). View Abstract
  43. Role of Genetic Susceptibility in the Development of Bronchopulmonary Dysplasia. J Pediatr. 2018 12; 203:234-241.e2. View Abstract
  44. Association of Patient-Reported Narcotic Use With Short- and Long-Term Outcomes After Adult Spinal Deformity Surgery: Multicenter Study of 425 Patients With 2-year Follow-up. Spine (Phila Pa 1976). 2018 Oct 01; 43(19):1340-1346. View Abstract
  45. Racial and Ethnic Disparities in the Use of Mother's Milk Feeding for Very Low Birth Weight Infants in Massachusetts. J Pediatr. 2019 01; 204:134-141.e1. View Abstract
  46. Correction: Epidemiology of patient monitoring alarms in the neonatal intensive care unit. J Perinatol. 2018 Aug; 38(8):1124. View Abstract
  47. Epidemiology of patient monitoring alarms in the neonatal intensive care unit. J Perinatol. 2018 08; 38(8):1030-1038. View Abstract
  48. Implementation of safe sleep practices in Massachusetts NICUs: a state-wide QI collaborative. J Perinatol. 2018 05; 38(5):593-599. View Abstract
  49. Hospital Variation in Neonatal Abstinence Syndrome Incidence, Treatment Modalities, Resource Use, and Costs Across Pediatric Hospitals in the United States, 2013 to 2016. Hosp Pediatr. 2018 01; 8(1):15-20. View Abstract
  50. Racial differences in neonatal hypoglycemia among very early preterm births. J Perinatol. 2018 03; 38(3):258-263. View Abstract
  51. Implementation of a Guideline to Decrease Use of Acid-Suppressing Medications in the NICU. Pediatrics. 2017 Dec; 140(6). View Abstract
  52. Using Statistical Process Control to Drive Improvement in Neonatal Care: A Practical Introduction to Control Charts. Clin Perinatol. 2017 09; 44(3):627-644. View Abstract
  53. Improving Quality Improvement in Neonatal-Perinatal Care. Clin Perinatol. 2017 09; 44(3):xvii-xix. View Abstract
  54. Introduction. Semin Perinatol. 2017 04; 41(3):141. View Abstract
  55. State-based perinatal quality collaboratives: Pursuing improvements in perinatal health outcomes for all mothers and newborns. Semin Perinatol. 2017 04; 41(3):195-203. View Abstract
  56. Outcomes of Operative and Nonoperative Treatment for Adult Spinal Deformity: A Prospective, Multicenter, Propensity-Matched Cohort Assessment With Minimum 2-Year Follow-up. Neurosurgery. 2016 Jun; 78(6):851-61. View Abstract
  57. Improving Care for Neonatal Abstinence Syndrome. Pediatrics. 2016 05; 137(5). View Abstract
  58. The effect of adopting the IADPSG screening guidelines on the risk profile and outcomes of the gestational diabetes population. J Matern Fetal Neonatal Med. 2016; 29(7):1141-5. View Abstract
  59. Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. Acad Pediatr. 2014 Jan-Feb; 14(1):47-53. View Abstract
  60. Low urine vascular endothelial growth factor levels are associated with mechanical ventilation, bronchopulmonary dysplasia and retinopathy of prematurity. Neonatology. 2013; 104(1):56-64. View Abstract
  61. Building collaborative teams in neonatal intensive care. BMJ Qual Saf. 2013 May; 22(5):374-82. View Abstract
  62. A survey of infection control practices for influenza in mother and newborn units in US hospitals. Am J Obstet Gynecol. 2011 Jun; 204(6 Suppl 1):S77-83. View Abstract
  63. Impact of clinical and histologic correlates of maternal and fetal inflammatory response on gestational age in preterm births. J Matern Fetal Neonatal Med. 2007 Jan; 20(1):39-46. View Abstract

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