Personal Information Name Andrew Auerbach, MD, MPH Current Academic Rank and Series Assistant Professor of Medicine, In Residence Administrative Title(s) at UCSF Attending Physician, Department of Medicine Physician Director of Perioperative Performance Improvement Initiative, Moffitt-Long Hospital (Tentative, June 2004)   Education 1988 A.B. Biochemistry, Cum Laude, Bowdoin College, Brunswick, Maine. 1992 M.D., Dartmouth Medical School, Hanover, New Hampshire 1998 M.P.H., Clinical Effectiveness, Harvard School of Public Health, Boston, Massachusetts   Licensure and Certifications 1998 California Medical License: G084782 1995 DEA: BA4537683 1995 Internal Medicine Board Certification 1992 National Board of Medical Examiners Certification   Employment      Principal Positions Held 1998- Attending Physician. Moffitt-Long Hospitals, San Francisco, California 1996-1998 Clinical Fellow. Beth Israel Deaconess Medical Center, Boston, Massachusetts 1996-1998 Emergency Room Physician. Milton Hospital, Milton, Massachusetts 1995-1996 Physician and Co-Director.Student Health Services, University of New Haven, New Haven Connecticut 1995-1996 Hospitalist Physician. Hospital of Saint Raphael, New Haven, Connecticut 1994-1996 Admitting Officer. West Haven Veterans Administration Hospital, West Haven, Connecticut      Clinical Training and Experience 1992-1993 Internship in Internal Medicine. Yale-New Haven Hospital, New Haven, Connecticut 1993-1995 Residency in Internal Medicine. Yale-New Haven Hospital, New Haven, Connecticut 1996-1998 Fellowship in General Internal Medicine. Harvard Faculty Development and Fellowship Program. Beth Israel-Deaconess Medical Center, Boston, Massachusetts   Employment (continued)      Academic Appointments 1998- Assistant Professor of Medicine in Residence, University of California, San Francisco 1996-1998 Clinical Fellow. Harvard Medical School, Boston Massachusetts 1995-1996 Clinical Instructor. Yale University School of Medicine, New Haven, Connecticut   Awards and Honors 2004 Society of Hospital Medicine Young Investigator Award 2001-2003 Annals of Internal Medicine Top Rated (Top 30%) Reviewer 1997 Mack Lipkin, Sr. Associates' Award for Outstanding Research Presentation, Society of General Internal Medicine 1992 Rolf Syvertsen Scholar, Dartmouth Medical School 1990-1991 Frank J. Scallon Memorial Scholarship 1988 Garcelon and Merritt Scholarship for Medical Education, Bowdoin College 1988 Robert B. Miller Trophy, Bowdoin College   Professional Activities:      Membership in Professional Organizations 1999- Society of Hospital Medicine 1996- American Medical Association 1994- Associate, American College of Physicians 1994- Society of General Internal Medicine      Work for Professional Societies 2004- Chair, Society of Hospital Medicine Research Committee 2002- Co-Chair, Society for Hospital Medicine (SHM) Perioperative Medicine Curriculum Committee 2003-2004 Member, Hospital Medicine Residency Curriculum Steering Committee, Society of General Internal Medicine 2000- Member, Society of Hospital Medicine Awards Committee 2002- Annual Meeting Scientific Abstract Reviewer - Society of Hospital Medicine 2002, 2004 Annual Meeting Scientific Abstract Reviewer - Society of General Internal Medicine      Service to Professional Publications 2004- Deputy Editor, Journal of General Internal Medicine Reviewing at least one article per week for the Society of General Internal Medicine's flagship journal Will Edit or Co-Edit 2 Special Issues planned for 2004-6 (both titles tentative): Getting evidence to the bedside: Methods for translating research into practice Inpatient focused generalist research: Improving access, quality, and outcomes 2004- Editorial Consultant, Perioperative Medicine Module, Physicians' Information and Education Resource (PIER) of the American College of Physicians Review and edit perioperative cardiac risk stratification and risk reduction module (quarterly) 1998- Peer Reviewer, American Journal of Medicine, Annals of Internal Medicine, Journal of General Internal Medicine, American Journal of Managed Care, Archives of Internal Medicine, Journal of the American Medical Association.   Invited Lectures and Presentations      Local and Regional Presentations March 2004 Los Angeles VA Medical Center, Department of Medicine Grand Rounds: From prediction to prevention: The new frontier in perioperative medicine. March 2004 UCSF Department of Otolaryngology and Head and Neck Surgery Grand Rounds: From prediction to prevention: Appropriate, effective use of strategies to improve surgical outcomes. February 2004 UCSF Moffitt-Long Department of Medicine Grand Rounds: From prediction to prevention: The new frontier in perioperative medicine. February 2004 UCSF San Francisco General Hospital Department of Medicine Grand Rounds: From prediction to prevention: The new frontier in perioperative medicine October 2003 Dartmouth Medical School Student Seminar: "New pathways in generalism: Careers in hospital medicine." October 2003 UCSF Updates in Perioperative Medicine and Medical Consultation: "Perioperative beta-blockers: An evidence-based approach" October 2003 UCSF Update in the Care of the Hospitalized Patient: "The Medical Consultant's Role in Improving Patient Safety" September 2003 UCSF Departments of Anesthesia and Surgery Combined Grand Rounds. 'Perioperative insulin therapy: Evidence and clinical approach.' June 2003 Clinical Plenary Keynote lecture, California State Surgical Infection Prevention Project Learning Session 2, Sacramento CA. 'Key processes for reducing surgical site infections: Evidence and continuous quality improvement methods.' June 2003 Invited Lecturer: St. Peter/Providence Healthcare System, Olympia Washington. 'Perioperative Beta-Blockers: Evidence and a Clinical Approach,' and 'Perioperative Beta-Blockers: Practice Implementation Pearls' April 2003 UCSF-Fresno Department of Medicine Grand Rounds: "Perioperative Beta-Blockers and Intensive Insulin Therapy: Ready for prime time?" March 2003 Clinical Plenary Keynote lecture, California State Surgical Infection Prevention Project Learning Session 1, Sacramento CA. "National SIP Collaborative: Overview," and "Perioperative Insulin therapy: Evidence for tight control in surgical patients" Nov 2002 Highland Hospital, Department of Medicine Grand Rounds, Oakland CA: "Perioperative Beta-Blockers and Intensive Insulin Therapy: Ready for prime time?" Nov 2002 Invited Lecturer: Lee Hospital System (Fort. Myers Fla.) "Practical, effective implementation of perioperative beta blockers." October 2002 UCSF Updates in Perioperative Medicine and Medical Consultation: "Perioperative beta-blockers: An evidence-based approach" Nov 2000 Orthopedic Surgery Grand Rounds: "Introduction to the hospitalist and comanagement models of care." February 2000 California Regional Meeting, Society of General Internal Medicine. 'Challenges and future directions for future research into the hospitalist model and inpatient care.' Lecturer and group discussion leader.      National Presentations April 2004 Course Co-Director - "Implementing surgical comanagement programs" SHM National Meeting. April 2004 Course Co-Director - "From quality improvement to research" SHM National Meeting. April 2003 Course Co-Director - "Research for the non-academic hospitalist" SHM National Meeting. October 2003 Keynote Speaker, Best Practices In Implementing Hospitalist Systems National Conference, New York, New York. 'Implementing hospitalist systems at teaching hospitals.' April 2003 NAIP National Meeting. "Update in inpatient medicine 2002-3," San Diego, CA April 2003 SHM-ASIM National Meeting. "Update in inpatient medicine 2002-3" San Diego, CA May 2002 SGIM National Meeting Research Plenary Session: Implementation of a hospitalist service at a community teaching hospital: Evolution of resource use and patient outcomes.' March 2001 SHM National Meeting Research Plenary Session: "The hospitalist movement 4 years later: Results from a repeat survey of the National Association of Inpatient Physicians" April 2000 SHM National Meeting Research Plenary Session: Implementation of a hospitalist service at a community teaching hospital: Impact on patient outcomes.' April 2000 SHM National Meeting - 'Implementation of effective clinical practice guidelines. Co-lecturer and group discussion leader.' NAIP National Meeting, Philadelphia PA May 2000 Society of General Internal Medicine national meeting. 'Career paths in hospitalist medicine.' Co-lecturer and group discussion leader. Boston, MA   Administrative Responsibilities and Service      University Service 2004- Physician Director of Performance Improvement, Moffitt-Long Hospitals, San Francisco, California (4-6 hours/week) 2003- Department of Surgery Quality Improvement Committee. Moffitt-Long Hospitals, San Francisco, California (1 hour/month) 2001- Perioperative Beta-Blocker Practice Implementation Committee, Moffitt-Long Hospital (2 hours/month) 1998-2002 Clinical Practice Guidelines Committee. Moffitt-Long Hospitals, San Francisco, California (2 hours/month) 1998-03 Surgical Case and Hospital Mortality Review Committee. Moffitt-Long Hospitals, San Francisco, California (2 hours/Month)      Community/Public Service 2002-2004 California State Surgical Site Infection Prevention (SIP) Collaborative Physician Chairman of statewide, Medicare-sponsored initiative to improve rates of use of appropriate measures to prevent surgical site infections. Ran 5 statewide conferences, led numerous learning groups and planning committees, designed evidence guides. 2001- Rolf Syvertsen Scholarship Executive Board and Candidate Selection Committees, Dartmouth Medical School Selection of candidates for scholarship considered the highest individual honor at Dartmouth Medical School, as well as fundraising to support monetary awards to recipients 1998- Alumni Mentor, Dartmouth Medical School Assist 1-2 Dartmouth 4th year students each year with selection of medical residencies, review of personal statements, career counseling. 2000- Dartmouth Medical School Class of 1992 Class Secretary and Class Agent 1997- Alumni Mentor, Bowdoin College Career guidance to 1-2 graduating Bowdoin students with an interest in medicine or medical research   Teaching Activities      Formal Teaching Roles 1998- Faculty mentor and discussant, Categorical Medical Residents' Journal Club (1 session/year) 1998- Attending physician, medical ward 1998- Attending physician, medical consultation service 1999 Clinical skills preceptor, UCSF School of Nursing Nursing Practitioner program (3 months) 1998-01 Clinic preceptor, Ambulatory Care Center 1998-2002 Preceptor, Screening and Acute Care Clinic 1999-2001 Lecturer, Primary care residency core curriculum 1998-2002 Lecturer, Hospitalist medicine elective core curriculum 1998- Faculty Mentor, Hospitalist Research Fellowship 1998- Faculty Mentor, UCSF Medical Resident Research block      Postgraduate or Continuing Medical Education Courses Sponsored by UCSF 2003 UCSF Updates in Perioperative Medicine and Medical Consultation. Course Co-director 2002 UCSF Updates in Perioperative Medicine and Medical Consultation. Course Co-director      UCSF Mentorship Roles 2004- Mentor, Anisa Nayeem. Nephrology Felow. Comparison of nephrologist and non-nephrologist care of hospitalized dialysis patients. 2003- Mentor, Rebekah Gardner (Current UCSF Medicine Resident). Gender differences in evaluation and diagnosis among elders with abdominal pain. 2003- Mentor, Alan Schroeder (Current UCSF Pediatric Hospitalist Fellow). Implementation of a daytime physician-assistant program: Impact on patient outcomes. 2002- Mentor, Sumant Ranji (UCSF Hospitalist Fellow) 'Bayesian analysis of Helical CT use and predictive value,' also 'Inpatient management of diabetes mellitus: Quality of care and impact on patient outcomes': Current Position: Clinical Instructor, UCSF Department of Medicine Hospitalist Group 2001- Mentor, Michael Ong (Past UCSF Medicine Resident) 'Impact of housestaff team structure on patient outcomes.' Current Position: Fellow, Stanford University Center for Health Policy 2001-2003 Mentor, Arpana Vidyarthi (Hospitalist Fellow) 'Houseofficer impressions of workload modification.' Current Position: Assistant Professor of Medicine UCSF Department of Medicine, Director of Worklife Research, UCSF School of Medicine 2000-2002 Mentor, Robert Trowbridge MD (Hospitalist fellow) 'Temporal trends in use of and predictive value of helical CT to diagnose pulmonary embolism'. Current Position: Maine Medical Center Hospitalist Group, Portland ME, Assistant Professor of Medicine University of Vermont School of Medicine 1999-2001 Mentor, Tracy Minichiello MD (Hospitalist fellow): 'Reorganization of the workday on an academic medical service. Current Position: Assistant Professor of Medicine, UCSF Department of Medicine, Associate Program Director UCSF Categorical Medicine Residency Program   Clinical Research Program:      Major Research Foci Utility of biomarkers in predicting risk for postoperative complications and return to function. Outcomes research in perioperative medicine. Studies of physician specialties and care systems, especially the hospitalist model of care. Quality of end-of-life care.   Publications      Manuscripts Published in Peer-Reviewed Journals Auerbach AD, Hamel M, Davis R, et. al. Effect of physician specialty upon resource utilization and survival among seriously ill patients with congestive heart failure. Ann Intern Med 2000; 132:191-200 Auerbach AD, Hamel MB, Califf RM, et al. Patient characteristics associated with care by a cardiologist among adults hospitalized with severe congestive heart failure. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments. J Am Coll Cardiol 2000; 36:2119-25. Auerbach AD, Nelson EA, Lindenauer PK, Pantilat SZ, Katz PP, Wachter RM. Physician attitudes toward and prevalence of the hospitalist model of care: results of a national survey. Am J Med 2000; 109:648-53. Auerbach AD, Davis R, Phillips RS. Physician attitudes towards the care of inpatients and the hospitalist model of care: Results from a physician survey J Gen Intern Med 2001; 16:116-119 Minichiello T, Auerbach AD, Wachter RM. Caregivers' perceptions of barriers to discharge at an academic teaching hospital. Eff Clin Practice 2001; 4: 250-255. Rosbe KW, Jones DT, Rahbar R, Lahiri T, Auerbach AD. Endoscopic sinus surgery in cystic fibrosis: do patients benefit from surgery? Int J Pediatr Otorhinolaryngol. 2001; 61:113-9. Auerbach AD, Goldman L. beta-Blockers and reduction of cardiac events in noncardiac surgery: clinical applications. JAMA 2002; 287:1445-7. Auerbach AD, Goldman L. beta-Blockers and reduction of cardiac events in noncardiac surgery: scientific review. JAMA 2002; 287:1435-44 Auerbach AD, Wachter RM, Katz PK, Showstack JS, Baron RB, Goldman L. Implementation of a hospitalist service at a community teaching hospital: Evolution of clinical services. Ann Intern Med 2002; 137:859-865 Araoz P, Gotway M , Trowbridge B, Bailey R, Auerbach AD, Reddy G, Higgins C. Helical CT angiography predictors of inpatient morbidity and mortality in patients with acute pulmonary embolism. Jour of Thoracic Imaging. 2003;18:207.216 Auerbach AD, Davis R, Phillips RS. Anticipation vs. reality: How physicians perceive hospitalist services after implementation. Arch Intern Med 2003;163: 2330-2336 Rosbe KR, Kenna M, Auerbach AD. Gastroesophageal and nasopharyngeal reflux in children with upper respiratory symptoms: A systematic review of the literature. Arch Otolaryngol Head Neck Surg. 2003 Nov;129(11):1213-20 Trowbridge B, Shojania K, Araoz P, Gotway M, Auerbach AD. The impact of helical computed tomography on diagnostic and treatment strategies in patients with suspected pulmonary embolism. Am J Med. 2004 Jan 15; 116(2): 84-90. Auerbach AD, Kleinbart J. Update in Hospital Medicine. Ann Intern Med 2004 Mar 2;140(5):363-9 Auerbach AD, Pantilat SZ. End of life care in a community teaching hospital: A comparison of hospital and community-based physicians. Am J Med. 2004 May 15;116(10):669-75. Auerbach AD, Hambleton J, Sanders G. Cost effectiveness of screening and treatment strategies in patients with hypercoagulable diseases. Am J Med. 2004 Jun 15;116(12):816-28. Auerbach AD. Practical, effective use of perioperative beta-blockers to improve patient outcomes. Pharmacy and Therapeutics 2004 June, 29 (6): 380-386 Srivastava R, Norlin C, James BC, Muret-Wagstaff S, Young P, Auerbach AD. Community and hospital-based physicians' attitudes regarding pediatrics hospitalist systems. In Press, Pediatrics Hauer K, Woo G, McCulloch CE, Wachter RM, Auerbach AD. Effects of hospitalist attendings on trainee satisfaction with teaching and with internal medicine rotations. In press, Archives of Internal Medicine Fang M, Minichiello T, Auerbach AD. Cost considerations in choice of anticoagulants. In press, Cleveland Clinic Journal of Medicine.      Book Chapters Auerbach AD. 'Prevention of surgical site infection' (includes subchapters on antibiotic prophylaxis, normothermia, oxygenation, and intensive insulin therapy) In: Shojania KG, Duncan BW, McDonald KM, Wachter RM, et al., eds. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Evidence Report/Technology Assessment No. 43 (Prepared by the University of California at San Francisco-Stanford Evidence-based Practice Center under Contract No. 290-97-0013), AHRQ Publication No. 01-E058, Rockville, MD: Agency for Healthcare Research and Quality. July 2001. Auerbach AD. 'The volume-outcomes relationship: Implications for patient safety' In: Shojania KG, Duncan BW, McDonald KM, Wachter RM, et al., eds. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Evidence Report/Technology Assessment No. 43 (Prepared by the University of California at San Francisco-Stanford Evidence-based Practice Center under Contract No. 290-97-0013), AHRQ Publication No. 01-E058, Rockville, MD: Agency for Healthcare Research and Quality. July 2001. Auerbach AD. 'Perioperative beta-blockers and reduction of perioperative cardiac events' In: Shojania KG, Duncan BW, McDonald KM, Wachter RM, et al., eds. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Evidence Report/Technology Assessment No. 43 (Prepared by the University of California at San Francisco-Stanford Evidence-based Practice Center under Contract No. 290-97-0013), AHRQ Publication No. 01-E058, Rockville, MD: Agency for Healthcare Research and Quality. July 2001. Gibbs V, Auerbach AD. 'Learning curves for new procedures: The case of laparoscopic cholecystectomy.' In: Shojania KG, Duncan BW, McDonald KM, Wachter RM, et al., eds. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Evidence Report/Technology Assessment No. 43 (Prepared by the University of California at San Francisco-Stanford Evidence-based Practice Center under Contract No. 290-97-0013), AHRQ Publication No. 01-E058, Rockville, MD: Agency for Healthcare Research and Quality. July 2001. Gibbs V, Auerbach AD. 'The retained surgical sponge.' In: Shojania KG, Duncan BW, McDonald KM, Wachter RM, et al., eds. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Evidence Report/Technology Assessment No. 43 (Prepared by the University of California at San Francisco-Stanford Evidence-based Practice Center under Contract No. 290-97-0013), AHRQ Publication No. 01-E058, Rockville, MD: Agency for Healthcare Research and Quality. July 2001. Auerbach AD, Islam S, Murff H. 'Preanesthesia checklists to improve patient safety' In: Shojania KG, Duncan BW, McDonald KM, Wachter RM, et al., eds. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Evidence Report/Technology Assessment No. 43 (Prepared by the University of California at San Francisco-Stanford Evidence-based Practice Center under Contract No. 290-97-0013), AHRQ Publication No. 01-E058, Rockville, MD: Agency for Healthcare Research and Quality. July 2001. Auerbach AD, Islam S, Murff H. 'Impact of intraoperative monitoring on patient safety' In: Shojania KG, Duncan BW, McDonald KM, Wachter RM, et al., eds. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Evidence Report/Technology Assessment No. 43 (Prepared by the University of California at San Francisco-Stanford Evidence-based Practice Center under Contract No. 290-97-0013), AHRQ Publication No. 01-E058, Rockville, MD: Agency for Healthcare Research and Quality. July 2001.      Manuscripts in preparation or under review Trowbridge B, Shojania K, Araoz P, Gotway M, Auerbach AD. Extraarterial findings in patients undergoing helical CT evaluation for pulmonary embolism. Under Review, Thorax. Vidyarthi A, Katz PK, Wachter RM, Auerbach AD. Impacts of duty hour reductions on resident education. Under Review, Journal of General Internal Medicine Ranji S, Shojania K, Trowbridge R, Auerbach AD. Overdiagnosis of pulmonary embolism with helical CT: A Bayesian analysis. Under review, Chest. Auerbach AD, Fang M, Minichiello T, Sanders G. What should convenience cost? A cost-effectiveness analysis of ximelagatran therapy. Under Review, Annals of Internal Medicine Ong M, Bostrom A, Vidyarthi A, McCulloch C, Auerbach AD. More time, more work: Team structure and workload effects on patient outcomes in an academic general medicine inpatient service. In preparation Vidyarthi A, Katz PK, Wachter RM, Auerbach AD. Impacts of duty hour reductions on patient safety: Results from survey of medical residents. In preparation Lindenauer PK, Auerbach AD. Quality improvement strategies in perioperative medicine: Pearls and pitfalls. In preparation Auerbach AD, Chlouber R, Singler J. Generalism is dead . long live generalism: Trends in internal-medicine employment advertisements, 1997-2003. In preparation Auerbach AD, Saint SJ. Meeting the research and training requirements of inpatient-focused general medicine. In preparation   Research Support      Active Awards Project Title: A Multi-Center Trial of Academic Hospitalists R01 HS10597 AHRQ (Subcontract from the University of Chicago) PI: Meltzer, David, UCSF PI: Auerbach, Andrew 7/25/01 - 6/30/04 (10% effort)   The major goal of this project, the first multicenter examination of the hospitalist model, is to determine the effects of a hospitalist system upon patient outcomes and satisfaction at 6 academic medical centers. Dr. Auerbach has been site PI for this project since 2001, and has overseen all aspects of work at UCSF including enrollment of patients, training and management of research assistants, as well as collection of administrative data, analysis of data and preparation of manuscripts resulting from this work.   Project Title: Medical-Surgical Comanagement: Evaluating a new paradigm PI: Andrew Auerbach MD MPH University of California, San Francisco 1/1/03 - 12/31/07 $112,750 Annual Direct costs (75% Effort)   Proposal # 1K08HS11416-0 Project Goals: The major goals of this research and training grant are to determine the effects of closer medical care by internists - 'comanagement' upon outcomes and satisfaction of patients undergoing orthopedic or neurosurgical procedures. This grant will also allow the PI to gain further training in statistical methods and organizational theory.   Project Title: Novel Biomarkers of Perioperative Cardiac Risk PI: Andrew Auerbach MD MPH Project Period: 7/1/04-6/30/06 Proposal Number # 0355003Y (AHA Western states affiliates) 25% Effort (Overlap with KO8), 5% salary support $50,000 annual direct costs   Project Goals: The major goals of this grant are to 1) Assemble a biological specimen bank and clinical database of patients undergoing major noncardiac surgery at Moffitt-Long Hospital, 2) Determine whether high-sensitivity C-reactive protein is associated with perioperative myocardial infarctions, and 3) Provide pilot data for future extramural funding efforts. Funds from this grant mechanism will be used for material costs (i.e. lab costs) only.   Project Title: Novel Biomarkers of Perioperative Cardiac Risk PI: Auerbach, Andrew 7/1/02 - 9/30/04, $11,780 annual direct costs, 5% Effort (Overlap with KO8)   Proposal # (REAC Grant) Project Goals: The major goals of this grant are to 1) Assemble a biological specimen bank and clinical database of patients undergoing major noncardiac surgery at Moffitt-Long Hospital, 2) Determine whether high-sensitivity C-reactive protein is associated with perioperative myocardial infarctions, and 3) Provide pilot data for future extramural funding efforts. Funds from this grant mechanism are being used for material costs (i.e. lab costs) only.   Project Title: Novel Biomarkers of Perioperative Cardiac Risk PI: Auerbach, Andrew 11/1/03-10/31/04, $50,000 annual direct costs, 5% Effort (Overlap with KO8)   Proposal # Hellmann family foundation Project Goals: The major goals of this grant are to 1) Assemble a biological specimen bank and clinical database of patients undergoing major noncardiac surgery at Moffitt-Long Hospital, 2) Determine whether high-sensitivity C-reactive protein is associated with perioperative myocardial infarctions, and 3) Provide pilot data for future extramural funding efforts.   Project Title: Understanding and improving perioperative quality of care PI: Auerbach, Andrew 7/1/04-6/30/06, $150,000 annual direct costs, 25% Effort (Overlap with KO8)   Proposal # NA (UCSF Medical Center Project Goals: The major goals of this grant are two-fold: 1) to provide risk adjusted process-adherence and outcome data which will be used to benchmark service, floor, and physician performance, and assess quality improvement efforts, and 2) to understand patient, physician, and service-level predictors of adverse outcomes following surgery. 1,200 patients undergoing major non-cardiac surgery will be enrolled in this study between July 1 2004 and June 30, 2006.   Project Title: Videoconferencing Medical Interpretation Program Proposal #20023080 - The California Endowment 2/1/03-1/31/05,2.5% effort, $500,000 Annual Direct costs   PI: Perez-Stable, Eliseo The major goal of this project is to determine the impact of a video-conferencing translation method on outcomes of hospitalized patients. Role on Project: Co- Investigator      Pending Awards   Project Title: Impact of inpatient care organizations on quality and outcomes PI: Andrew Auerbach MD MPH Project Period: : 10/1/04 - 4/30/07 Proposal Number # R01 HS013673-01 - AHRQ 15% Effort, $989,000 annual direct costs   Project Goals: The major goals of this grant are to fund analysis of data collected from more than 100 hospitals which use a private data management company (CareScience, Inc) to manage their inpatient information systems. The major goal of the study is to determine whether physicians who are physically located in the hospital (such as intensivists and hospitalists) provide higher quality care, and whether interactions between the two forms of specialists provides additional advantages or disadvantages in terms of costs, length of stay, mortality, readmissions, and use of appropriate therapy (i.e. aspirin and beta-blockade for acute transmural MI).   Project Title: Biomarkers of surgical outcomes in elderly patients PI: Andrew Auerbach MD MPH 35% effort (via overlap with K), $2,800,000 Total Direct costs   Proposal # RO1, NIA (Proposal # pending) Project Goals: The major goals of this grant are to extend the preliminary study .Novel Biomarkers of Perioperative Risk. currently being supported by funds from the American Heart Association, Hellman Award, and Dr. Auerbach.s K award. This 5-year study will seek to understand whether preoperative measurement of several biomarkers (High-sensitivity C-reactive protein, interleukin-6, myeloperoxidase, fibrinogen, and d-dimer) and add to current methods for prediction of postoperative complications such as delirium, respiratory failure, myocardial infarction, and return to full function.   Project Title: Improving care for Older Americans PI: (Subcontract from the University of Chicago, PI: Meltzer, David, UCSF Site PI PI: Auerbach, Andrew) 12/1/04-11/30/09, $112,000 Annual Direct costs (15% effort)   Proposal # NIA -- 1 PO1 AG023343-O1A1 Project Goals: The major goals of this program project grant are to evaluate the impact of 4 specific elements of inpatient care on the outcomes of elders hospitalized at 6 academic medical centers: 1) Experience and expertise of the attending physician, 2) availability of nursing, specifically nurse-staffing ratios and nurse skill mix, 3) use of pharmacists to coordinate discharge medications and detect medication errors, and 4) availability of palliative care services. Dr. Auerbach will be the UCSF Site PI for the overall data and administrative cores, as well as the UCSF project PI for research projects 1 and 2 listed above. Bio | Hospital Medicine Faculty