Dr. Cowan is a developmental pediatrician providing clinical service through the Autism Clinic at Children's (Bellevue) and the Neurodevelopment Clinic at Seattle Children's in addition to inpatient services and consultation. His work includes resident and medical student teaching on neurodevelopmental topics and supervision of postdoctoral fellows rotating through the Autism Clinic in Bellevue. Dr. Cowan supervises the hospitalist programs at both Evergreen Hospital and at Providence Evergreen and he serves as the Medical Director for the Kindering Center, a developmental preschool in Bellevue at which he serves as a volunteer. In the next year he plans to expand the Providence Hospitalist programs.
Dr. Cowan's other areas of work include quality improvement work directed at improving standardization and coordination of care in the hospital. He is the clinical lead for use of the Pediatric Health Information System (PHIS) database. His work in this area has focused on improved hospital practices for asthma and brochiolitis. This coming year such work will focus on development of clinical pathways for urinary tract infections, appendectomy, ventricular peritoneal shunts and gastroenteritis. He is also leading a hospital wide effort at medication reconciliation, a JCAHO national patient safety initiative.
Dr. Cowan has recently completed research related to variation and utilization patterns in bronchiolitis and is a co-author on a paper with Dr. Dimitri Christakis entitled "Variation in Inpatient Diagnostic Testing and Management of Bronchiolitis." He has additional clinical research in progress looking at bladder augmentation in spina bifida and plans studies using computers to aid in the diagnosis of autism.