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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

Wong ES, Maciejewski ML, Hebert PL, Batten A, Nelson KM, Fihn SD, Liu CF. Did Massachusetts Health Reform Affect Veterans Affairs Primary Care Use? Med Care Res Rev. 2018 Feb;75(1):33-45. doi: 10.1177/1077558716669432. Epub 2016 Sep 20.  PMID: 27650421

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 Nov;55(11):965-969. doi: 10.1097/MLR.0000000000000806.  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 Jul;32(7):760-766. doi: 10.1007/s11606-017-4011-4. Epub 2017 Feb 23.  PMID: 28233221    PMCID: PMC5481228
PubMed Central

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.