Laurent G Glance MD

Summary

• Dr. Glance is Professor (with tenure) and Vice-Chair for Research in the Department of Anesthesiology at the University of Rochester School of Medicine. Dr. Glance obtained his M.D. at Cornell and his undergraduate degree at Dartmouth. He is a cardiac anesthesiologist who trained at New York-Presbyterian Hospital (Cornell) for residency and Memorial Sloan-Kettering for critical care medicine. He is the past recipient of a Research Career Development Grant (K08 HS11295) from AHRQ, which focused on the optimization of risk-adjustment methodologies for measuring Intensive Care Unit quality. Dr. Glance was the PI on an AHRQ-funded R01 grant (R01 HS016737) (2007-2013). This grant uses the National Trauma Databank as a platform to determine whether providing hospitals with trauma report cards will lead to improved population outcomes in trauma. This work has led to the development of a highly innovative empiric-based approach to trauma injury scoring using either clinical data or ICD-9-CM codes, published in the Annals of Surgery, as an alternative to the expert-based injury severity scoring system currently in use. The Trauma Mortality Prediction Model, developed through this grant, has been adopted for use by the Massachusetts Department of Public Health. To address one of the primary limitations of trauma registry data, this project also validated the use of multiple imputation for handling missing data in the context of quality measurement. This grant also examined whether higher-quality trauma care is associated with lower cost and whether failure-to-rescue is an important mechanism driving outcome differences across trauma center. The project also explored the relationship between (1) National Quality Forum safety practices and trauma outcomes; and (2) American College of Surgeons Committee on Trauma Quality Indicators and trauma outcomes. The PI previously completed an AHRQ-funded project (R01 HS 13617) focusing on the implications of the present-on-admissio