Overview
My clinical work is conducted in Duke's SICU and Emergency Department as I am dual boarded in Emergency Medicine and Surgical Critical Care being Duke's first to span both departments. Clinical success to me is delivering top quality care to give someone the best possible outcome from the moment of injury through the ED through to the ICU care.
With prior training in Public Policy and Public Health with a focus on behavioral economics, implementation sciences and human factors, my research, education and practice interests focus on value-driven healthcare to improve the quality of care delivered to patients for the betterment of health outcomes, stewardship of resources and humane decision-making. I believe in compassionate and collaborative decision-making involving inter-disciplinary provider teams, patients and their families about which everyone can feel comfortable with the final decision and outcome. On the delivery side of healthcare, my research has focused on surge capacity planning as it relates to ED-ICU utilization and boarding as well as scaling delivery in the setting of disasters such as pandemic influenza. Current efforts are leveraging data streams within the Electronic Health Record to create data-science driven clinical solutions to complex and critical care through development of clinical decision support tools to optimize care processes.
Key interests: Critical care, health administration and public policy, health services research, quality improvement and operations management, palliative care and communication, healthcare economics value-driven healthcare, disaster planning and preparedness, and behavioral psychology and decision analysis research.
With prior training in Public Policy and Public Health with a focus on behavioral economics, implementation sciences and human factors, my research, education and practice interests focus on value-driven healthcare to improve the quality of care delivered to patients for the betterment of health outcomes, stewardship of resources and humane decision-making. I believe in compassionate and collaborative decision-making involving inter-disciplinary provider teams, patients and their families about which everyone can feel comfortable with the final decision and outcome. On the delivery side of healthcare, my research has focused on surge capacity planning as it relates to ED-ICU utilization and boarding as well as scaling delivery in the setting of disasters such as pandemic influenza. Current efforts are leveraging data streams within the Electronic Health Record to create data-science driven clinical solutions to complex and critical care through development of clinical decision support tools to optimize care processes.
Key interests: Critical care, health administration and public policy, health services research, quality improvement and operations management, palliative care and communication, healthcare economics value-driven healthcare, disaster planning and preparedness, and behavioral psychology and decision analysis research.
Current Appointments & Affiliations
Assistant Professor of Emergency Medicine
·
2023 - Present
Emergency Medicine,
Clinical Science Departments
Recent Publications
The Ethical Obligation to Treat Infectious Patients: A Systematic Review of Reasons.
Journal Article Clin Infect Dis · August 16, 2024 During pandemics, healthcare providers struggle with balancing obligations to self, family, and patients. While HIV/AIDS seemed to settle this issue, coronavirus disease 2019 (COVID-19) rekindled debates regarding treatment refusal. We searched MEDLINE, Em ... Full text Link to item CiteOutcomes by time-to-OR for penetrating abdominal trauma patients.
Journal Article Am J Emerg Med · May 2024 INTRODUCTION: Time-To-OR is a critical process measure for trauma performance. However, this measure has not consistently demonstrated improvement in outcome. STUDY DESIGN: Using TQIP, we identified facilities by 75th percentile time-to-OR to categorize sl ... Full text Link to item CiteINDIRECT CALORIMETRY OPTIMIZING ACS PATIENT NUTRITION DELIVERY
Conference CRITICAL CARE MEDICINE · 2024 CiteEducation, Training & Certifications
Brown University, Warren Alpert Medical School ·
2010
M.D.
Harvard Kennedy School of Government ·
2010
M.P.P.
Brown University ·
2004
B.A.