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School of Public Health

Stephan D. Fihn

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

Education

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

Contact Info

email:   sfihn@uw.edu

address:
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

address:
Harborview Medical Center
325 Ninth Ave
Seattle, WA 98104

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

About

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



Maynard C, Batten A, Liu CF, Nelson K, Fihn SD. The Burden of Mental Illness Among Veterans: Use of VHA Health Care Services by Those With Service-connected Conditions. Med Care. 2017 Sep 19. doi: 10.1097/MLR.0000000000000806. [Epub ahead of print]  PMID: 28930889
  


Wong ES, Liu CF, Hernandez SE, Augustine MR, Nelson K, Fihn SD, Hebert PL. Longer wait times affect future use of VHA primary care. Healthc (Amst). 2017 Jul 29. pii: S2213-0764(16)30268-8. doi: 10.1016/j.hjdsi.2017.07.003. [Epub ahead of print]  PMID: 28760602
  


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
  


Helfrich CD, Simonetti JA, Clinton WL, Wood GB, Taylor L, Schectman G, Stark R, Rubenstein LV, Fihn SD, Nelson KM. The Association of Team-Specific Workload and Staffing with Odds of Burnout Among VA Primary Care Team Members. J Gen Intern Med. 2017 Feb 23. doi: 10.1007/s11606-017-4011-4. [Epub ahead of print]  PMID: 28233221    PMCID: PMC5481228
   


Nelson K, Hebert P, Fihn SD. Evaluating Patient-Centered Medical Homes. Health Aff (Millwood). 2017 Jul 1;36(7):1346. doi: 10.1377/hlthaff.2017.0665.  PMID: 28679826
  


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.