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School of Public Health
block W logo University of Washington

Stephan D. Fihn

faculty photo
Professor, Health Services
Professor, Medicine - General Internal Medicine (primary appt.)


MPH   University of Washington, 1981   (Health Services)
MD   St Louis University, 1977
BS   , 1973   (Chemistry)

Contact Info


VA Health Services R&D
Center of Excellence
1100 Olive Way, Suite 1400
Seattle, WA 98101

voice:   206-764-2651
fax:   206-768-5412

office:   10EH33

Harborview Medical Center
325 Ninth Ave
Seattle, WA 98104

campus box:   359780
voice:   206-731-3391
fax:   206-731-6988


Professor Fihn is a general internist with interests in measurement and and evaluating models of health care delivery. He also serves as Head of the Division of General Internal Medicine in the Department of Medicine and as Director of the Office of Analytics and Business Intelligence for the Department of Veterans Affairs. In the past he studied interventions to improve quality of care and outcomes for a variety of clinical conditions including urinary tract infections, chronic anticoagulation and ischemic heart disease. His recent work addresses developing and evaluating system-level interventions to enhance primary care delivery and population health such as the Patient Centered Medical Home in the VA system.

Quality of care particularly in the outpatient setting and in health measurement; clinical topics including heart disease, COPD, UTI, anticoagulation

Augustine MR, Nelson KM, Fihn SD, Wong ES. How Are Patients Accessing Primary Care Within the Patient-Centered Medical Home? Results From the Veterans Health Administration. J Ambul Care Manage. 2018 Jul/Sep;41(3):194-203. doi: 10.1097/JAC.0000000000000241.  PMID: 29847406

Krishnamurthi N, Francis J, Fihn SD, Meyer CS, Whooley MA. Leading causes of cardiovascular hospitalization in 8.45 million US veterans. PLoS One. 2018 Mar 22;13(3):e0193996. doi: 10.1371/journal.pone.0193996. eCollection 2018.  PMID: 29566396    PMCID: PMC5864414
PubMed Central

Waldo SW, Gokhale M, O'Donnell CI, Plomondon ME, Valle JA, Armstrong EJ, Schofield R, Fihn SD, Maddox TM. Temporal Trends in Coronary¬†Angiography and Percutaneous¬†Coronary¬†Intervention: Insights From the VA Clinical Assessment, Reporting, and Tracking Program. JACC Cardiovasc Interv. 2018 May 14;11(9):879-888. doi: 10.1016/j.jcin.2018.02.035.  PMID: 29747919

Meo N, Wong E, Sun H, Curtis I, Batten A, Fihn SD, Nelson K. Elements of the Veterans Health Administration Patient-Centered Medical Home are Associated with Greater Adherence to Oral Hypoglycemic Agents in Patients with Diabetes. Popul Health Manag. 2017 Jul 5. doi: 10.1089/pop.2017.0039. [Epub ahead of print]  PMID: 28677990

Maynard C, Trivedi R, Nelson K, Fihn SD. Disability Rating, Age at Death, and Cause of Death in U.S. Veterans with Service-Connected Conditions. Mil Med. 2018 Mar 26. doi: 10.1093/milmed/usy040. [Epub ahead of print]  PMID: 29590473

Risk Factors for Urinary Tract Infections in Postmenopausal Women

Cohort study conducted at Group Health of Puget Sound

Population-Based Assessments of Health and Satisfaction Using ACQUIP

Secondary analyses of a large, longtitudinal dataset containing information on over 30,000 primary care patients from 7 VA medical centers.

Quality Enhancement Research Initiative (QUERI), Ischemic Heart Disease Coordinating Center

Coordinating center for several quality improvement/research projects in the Dept. of Veteran Affairs.