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School of Public Health
block W logo University of Washington

Stephan D. Fihn

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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


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

Hernandez SE, Sylling PW, Mor MK, Fine MJ, Nelson KM, Wong ES, Liu CF, Batten AJ, Fihn SD, Hebert PL. Developing an Algorithm for Combining Race and Ethnicity Data Sources in the Veterans Health Administration. Mil Med. 2019 Oct 11. pii: usz322. doi: 10.1093/milmed/usz322. [Epub ahead of print]  PMID: 31603222

Rivara FP, Fihn SD. JAMA Network Open-The Year in Review, 2019. JAMA Netw Open. 2020 Mar 2;3(3):e203017. doi: 10.1001/jamanetworkopen.2020.3017.  PMID: 32196101

Reddy A, Gunnink E, Taylor L, Wong E, Batten AJ, Fihn SD, Nelson KM. Association of High-Cost Health Care Utilization With Longitudinal Changes in Patient-Centered Medical Home Implementation. JAMA Netw Open. 2020 Feb 5;3(2):e1920500. doi: 10.1001/jamanetworkopen.2019.20500.  PMID: 32022880

Schuttner L, Gunnink E, Sylling P, Taylor L, Fihn SD, Nelson K. Components of the Patient-Centered Medical Home Associated with Perceived Access to Primary Care. J Gen Intern Med. 2020 Jan 28. doi: 10.1007/s11606-020-05668-7. [Epub ahead of print]  PMID: 31993947

Rivara FP, Fihn SD. Severe Maternal Morbidity and Mortality: JAMA Network Open Call for Papers. JAMA Netw Open. 2020 Jan 3;3(1):e200045. doi: 10.1001/jamanetworkopen.2020.0045.  PMID: 31995206

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.