Profile

Tamara D. Simon, MD, MSPH

Tamara D. Simon, MD, MSPH

Hospital Medicine

On staff since July 2010

Children's Title: Hospitalist

Academic Title: Assistant Professor of Pediatrics

Research Center: Center for Clinical and Translational Research

"As a pediatric resident, I found the inpatient care of medically complex children profoundly frustrating, probably because there was so little evidence to help guide treatment. As a fellow, I grew to appreciate and enjoy the collaboration needed when working with these children, their engaged families and their other highly dedicated care providers. As faculty, dedicating my career to improving the evidence in the inpatient care we provide to growing numbers of hospitalized medically complex children is now my academic passion as well as a privilege."

  • Tamara D. Simon, MD, MSPH is a pediatric hospitalist with a research focus on improving the quality of evidence in the inpatient health care provided to children with medical complexity.

    Tamara D. Simon, MD, MSPH graduated magna cum laude from Colgate University in 1994, served in the US Peace Corps in Ghana from 1994 to 1996, and graduated from the University of North Carolina at Chapel Hill School of Medicine with honors in 2001 (go Tarheels!). She completed a pediatrics residency in 2004, followed by a masters degree and research fellowship in 2006, at the University of Colorado/ Childrens Hospital Denver. She spent her first four years as faculty at the University of Utah/ Primary Childrens Medical Center. In July 2010, she moved to her current position in the Division of Hospital Medicine at the University of Washington/ Seattle Childrens Hospital.

    Dr. Simons main clinical research focus is on the cerebrospinal fluid (CSF) shunt infections and re-infections in children with hydrocephalus. In 2009 she obtained a 5 1/2 year-long K23 career development award from the National Institutes of Neurological Disorders and Stroke to focus on conduct of multi-center studies to determine of risk factors for cerebrospinal fluid shunt infections. She has been an active investigator in the Hydrocephalus Clinical Research Network since 2007. Through the support of her career development award, she has conducted rigorous observational multicenter studies through the Hydrocephalus Clinical Research Network, expanding upon similar work conducted using single center data and multicenter administrative databases.

    While finding relatively few patient factors are associated with risk for first CSF shunt infection, we have learned that implementation of a standardized surgical protocol reduced CSF shunt infection rates. One of Dr. Simons subsequent lines of inquiry has focused on surgical decision making in prevention of CSF shunt infection, specifically understanding the effectiveness of intrathecal antibiotics and antibiotic impregnated shunt catheters in the prevention of post-surgical CSF shunt infection. This work is currently being supported through a PEDSNet pilot proposal.

    Another of Dr. Simons subsequent lines of inquiry has focused on the microbial environment of CSF shunt infections. With new collaborators, we have described wide bacterial and fungal diversity in the CSF of children with CSF shunt infections, and are actively investigating the presence of biofilms on shunt apparatus. A grant to characterize the microbiota across the time course of shunted hydrocephalus is currently being supported through a 5 year long R01 grant from the National Institutes of Neurological Disorders and Stroke.

    Dr. Simons health service research focus is on improving the quality of care provided to children with medical complexity in the inpatient setting. It is critical to accurately identify this vulnerable population of children in order to study and better understand where evidence gaps exist in their care and to inform development of interventions to improve their care. Dr. Simon was the scientific lead of the AHRQ-funded Working Group on Identification of Medically Complex Children in Administrative data, and a driving force for the development of the Centers strategy to identify children with medical complexity in Medicaid administrative data. The resulting Pediatric Medical Complexity Algorithm (PMCA) identifies children with medical complexity with high sensitivity and specificity using hospital discharge or health plan administrative data. PMCA is now in use by multiple institutions both nationally and internationally.

    Dr. Simon is passionate about the mentorship she provides to residents, fellows, and junior faculty with specific research interests in hospital medicine and other generalist fields, specifically those interested in the physician-scientist career path in a growing field. She was named Associate Program Director for the Quality of Care Research fellowship in July 2015. She also serves as a mentor for the Clinical Research Scholar Program in the Center for Clinical and Translational Research, the Center for Clinical and Translational Research Pediatric Health Information System Working Group, and the Academic Pediatric Association Research Scholar Program.

    Dr. Simons administrative responsibilities cohere with her research and teaching interests. Because multicenter investigations are critical to identify interventions to investigate in order to eventually improve the evidence base of care for children, she served on the Pediatric Research in Inpatient Settings Executive Council from 2009 to 2012. She served as the Hospital Medicine Special Interest Group co-chair for the Academic Pediatric Association from 2009 to 2013. She served as a planning committee member on the 2011 Pediatric Hospital Medicine meeting and co-chaired the 2012 Pediatric Hospital Medicine meeting. A member of the editorial board of Hospital Pediatrics since 2010, she has been an Associate Editor since 2014.

  • Award Name Award Description Awarded By Award Date
    National Mentor Academic Pediatric Association Research Scholar Program 2013 - 2016
    Member Society for Pediatric Research 2009
    Selected Participant Association of American Medical Colleges Early Career Women Faculty Development Seminar 2008
    Pediatric Clinical and Translational Research Scholar University of Utah Department of Pediatrics 2007 - 2009
    Young Investigator Travel Award Pediatric Academic Society 2006
    Young Investigator Award One of 6 national awards Ambulatory Pediatric Association 2005
    Joseph W. St. Geme, Jr., M.D. Award For outstanding resident research in the Department of Pediatrics Children's Hospital Denver 2004
    Resident Research Grant One of 16 national awards American Academy of Pediatrics 2003
    Janet M. Glasgow Memorial Academic Achievement Citation UNC-CH School of Medicine 2000
    Alpha Omega Alpha Honor Medical Society UNC-CH School of Medicine 1999
    Research Fellowship, Lineberger Cancer Center UNC-CH School of Medicine 1998
    Coordinator, Student Health Action Coalition UNC-CH School of Medicine 1997
    Sarah M. Kenan Medical Scholarship Recipient UNC-CH School of Medicine 1996 - 1997
    Avery Prize in Molecular Biology Awarded to most promising student in department Colgate University 1994
    Phi Beta Kappa Senior Honor Society Colgate University 1994
    Selected Member, NIH Study Group Colgate University 1992
    • Kestle JR, Holubkov R, Douglas Cochrane D, Kulkarni AV, Limbrick DD Jr, Luerssen TG, Jerry Oakes W, Riva-Cambrin J, Rozzelle C, Simon TD, Walker ML, Wellons JC 3rd, Browd SR, Drake JM, Shannon CN, Tamber MS, Whitehead WE, Hydrocephalus Clinical Research Network
      A new Hydrocephalus Clinical Research Network protocol to reduce cerebrospinal fluid shunt infection.
      26684763 Journal of neurosurgery. Pediatrics , 2015 Dec. 18 - 2015 Dec. 18 : 1-6
    • Riva-Cambrin J, Kestle JR, Holubkov R, Butler J, Kulkarni AV, Drake J, Whitehead WE, Wellons JC 3rd, Shannon CN, Tamber MS, Limbrick DD Jr, Rozzelle C, Browd SR, Simon TD, Hydrocephalus Clinical Research Network
      Risk factors for shunt malfunction in pediatric hydrocephalus: a multicenter prospective cohort study.
      26636251 Journal of neurosurgery. Pediatrics , 2015 Dec. 4 - 2015 Dec. 4 : 1-9
    • Vernon MM, Powell D, Schultz AH, Simon TD, Doherty D
      Is routine preoperative transthoracic echocardiography necessary in newborns with myelomeningocele?
      26156062 Journal of perinatology : official journal of the California Perinatal Association , 2015 Oct. - 2015 Oct. : 35(10)842-5
    • Desai AD, Popalisky J, Simon TD, Mangione-Smith RM
      The Effectiveness of Family-Centered Transition Processes From Hospital Settings to Home: A Review of the Literature.
      25832977 Hospital pediatrics , 2015 Apr, : 5(4)219-231
    • Uspal NG, Klein EJ, Tieder JS, Oron AP, Simon TD
      Variation in the Use of Procedural Sedation for Incision and Drainage of Skin and Soft Tissue Infection in Pediatric Emergency Departments.
      25832973 Hospital pediatrics , 2015 Apr, : 5(4)185-192
    • Auger KA, Simon TD, Cooperberg D, Gay J, Kuo DZ, Saysana M, Stille CJ, Fisher ES, Wallace S, Berry J, Coghlin D, Jhaveri V, Kairys S, Logsdon T, Shaikh U, Srivastava R, Starmer AJ, Wilkins V, Shen MW
      Summary of STARNet: Seamless Transitions and (Re)admissions Network.
      25489017 Pediatrics , 2015 Jan. : 135(1)164-75 PMCID: PMC4279069
    • Schaffzin JK, Simon TD
      Pediatric Hospital Medicine Role in the Comanagement of the Hospitalized Surgical Patient.
      25084714 Pediatric clinics of North America , 2014 Aug. : 61(4)653-661 PMCID: PMC4119591
    • Kulkarni AV, Riva-Cambrin J, Browd SR, Drake JM, Holubkov R, Kestle JR, Limbrick DD, Rozzelle CJ, Simon TD, Tamber MS, Wellons JC 3rd, Whitehead WE, for the Hydrocephalus Clinical Research Network
      Endoscopic third ventriculostomy and choroid plexus cauterization in infants with hydrocephalus: a retrospective Hydrocephalus Clinical Research Network study.
      24995823 Journal of neurosurgery. Pediatrics , 2014 July 4 : 1-6
    • Russell CJ, Simon TD
      Care of children with medical complexity in the hospital setting.
      24977678 Pediatric annals , 2014 July 1 : 43(7)e157-62
    • Whitehead WE, Riva-Cambrin J, Wellons JC 3rd, Kulkarni AV, Browd S, Limbrick D, Rozzelle C, Tamber MS, Simon TD, Shannon CN, Holubkov R, Oakes WJ, Luerssen TG, Walker ML, Drake JM, Kestle JR,  for the Hydrocephalus Clinical Research Network
      Factors associated with ventricular catheter movement and inaccurate catheter location: post hoc analysis of the Hydrocephalus Clinical Research Network Ultrasound-Guided Shunt Placement study.
      24926971 Journal of neurosurgery. Pediatrics , 2014 June 13 : 1-6
    • Simon TD, Butler J, Whitlock KB, Browd SR, Holubkov R, Kestle JR, Kulkarni AV, Langley M, Limbrick DD Jr, Mayer-Hamblett N, Tamber M, Wellons JC 3rd, Whitehead WE, Riva-Cambrin J, Hydrocephalus Clinical Research Network
      Risk factors for first cerebrospinal fluid shunt infection: findings from a multi-center prospective cohort study.
      24661340 The Journal of pediatrics , 2014 June : 164(6)1462-8.e2 PMCID: PMC4035376
    • Simon TD, Cawthon ML, Stanford S, Popalisky J, Lyons D, Woodcox P, Hood M, Chen AY, Mangione-Smith R, for the Center of Excellence on Quality of Care Measures for Children with Complex Needs (COE4CCN) Medical Complexity Working Group
      Pediatric Medical Complexity Algorithm: A New Method to Stratify Children by Medical Complexity.
      24819580 Pediatrics , 2014 May 12
    • Simon TD, Mayer-Hamblett N, Whitlock KB, Langley M, Kestle JR, Riva-Cambrin J, Rosenfeld M, Thorell EA
      Few Patient, Treatment, and Diagnostic or Microbiological Factors, Except Complications and Intermittent Negative Cerebrospinal Fluid (CSF) Cultures During First CSF Shunt Infection, Are Associated With Reinfection.
      24567841 Journal of the Pediatric Infectious Diseases Society , 2014 Mar. : 3(1)15-22 PMCID: PMC3933045
    • Simon TD, Van Yserloo B, Nelson K, Gillespie D, Jensen R, McAllister JP 2nd, Riva-Cambrin J, Stockmann C, Daly JA, Blaschke AJ
      Use of quantitative 16S rRNA PCR to determine bacterial load does not augment conventional cerebrospinal fluid (CSF) cultures among children undergoing treatment for CSF shunt infection.
      23953744 Diagnostic microbiology and infectious disease , 2014 Feb. : 78(2)188-95 PMCID: PMC3946991
    • Simon TD, Pope CE, Browd SR, Ojemann JG, Riva-Cambrin J, Mayer-Hamblett N, Rosenfeld M, Zerr DM, Hoffman L
      Evaluation of microbial bacterial and fungal diversity in cerebrospinal fluid shunt infection.
      24421877 PloS one , 2014 : 9(1)e83229 PMCID: PMC3885436
    • Simon TD, Starmer AJ, Conway PH, Landrigan CP, Shah SS, Shen MW, Sectish TC, Spector ND, Tieder JS, Srivastava R, Willis LE, Wilson KM
      Quality improvement research in pediatric hospital medicine and the role of the Pediatric Research in Inpatient Settings (PRIS) network.
      24268086 Academic pediatrics , 2013 Nov. : 13(6 Suppl)S54-60
    • Kulkarni AV, Riva-Cambrin J, Butler J, Browd SR, Drake JM, Holubkov R, Kestle JR, Limbrick DD, Simon TD, Tamber MS, Wellons JC 3rd, Whitehead WE, Hydrocephalus Clinical Research Network
      Outcomes of CSF shunting in children: comparison of Hydrocephalus Clinical Research Network cohort with historical controls: clinical article.
      23909616 Journal of neurosurgery. Pediatrics , 2013 Oct. : 12(4)334-8
    • Simon TD
      How best to design surgical comanagement services for pediatric surgical patients?
      24313093 Hospital pediatrics , 2013 July : 3(3)242-3
    • O'Mahony L, O'Mahony DS, Simon TD, Neff J, Klein EJ, Quan L
      Medical complexity and pediatric emergency department and inpatient utilization.
      23319525 Pediatrics , 2013 Feb. : 131(2)e559-65
    • Keren R, Luan X, Localio R, Hall M, McLeod L, Dai D, Srivastava R, Pediatric Research in Inpatient Settings (PRIS) Network
      Prioritization of comparative effectiveness research topics in hospital pediatrics.
      23027409 Archives of pediatrics & adolescent medicine , 2012 Dec. : 166(12)1155-64
    • Maloney CG, Mendez SS, Quinonez RA, Bode RS, Brands CK, Eagle S, Osorio SN, Rauch D, Simon TD
      The Strategic Planning Committee report: the first step in a journey to recognize pediatric hospital medicine as a distinct discipline.
      24313023 Hospital pediatrics , 2012 Oct. : 2(4)187-90
    • Fassl BA, Nkoy FL, Stone BL, Srivastava R, Simon TD, Uchida DA, Koopmeiners K, Greene T, Cook LJ, Maloney CG
      The Joint Commission Children's Asthma Care Quality Measures and Asthma Readmissions.
      22908110 Pediatrics , 2012 Aug. 20
    • Simon TD, Whitlock KB, Riva-Cambrin J, Kestle JR, Rosenfeld M, Dean JM, Holubkov R, Langley M, Hamblett NM
      Revision surgeries are associated with significant increased risk of subsequent cerebrospinal fluid shunt infection.
      22333701 The Pediatric infectious disease journal , 2012 June - 2012 June : 31(6)551-6 PMCID: PMC3356497
    • Riva-Cambrin J, Shannon CN, Holubkov R, Whitehead WE, Kulkarni AV, Drake J, Simon TD, Browd SR, Kestle JR, Wellons JC 3rd, for the Hydrocephalus Clinical Research Network
      Center effect and other factors influencing temporization and shunting of cerebrospinal fluid in preterm infants with intraventricular hemorrhage.
      22546024 Journal of neurosurgery. Pediatrics , 2012 May : 9(5)473-481
    • Williams C, Simon TD, Riva-Cambrin J, Bratton SL
      Hyponatremia with intracranial malignant tumor resection in children.
      22546031 Journal of neurosurgery. Pediatrics , 2012 May : 9(5)524-9
    • Simon TD, Mahant S, Cohen E
      Pediatric hospital medicine and children with medical complexity: past, present, and future.
      22483081 Current problems in pediatric and adolescent health care , 2012 May : 42(5)113-9
    • Wilson KM, Shah SS, Simon TD, Srivastava R, Tieder JS
      The challenge of pediatric hospital medicine research.
      24319807 Hospital pediatrics , 2012 Jan. : 2(1)8-9
    • Simon TD, Whitlock KB, Riva-Cambrin J, Kestle JR, Rosenfeld M, Dean JM, Holubkov R, Langley M, Mayer-Hamblett N
      Association of intraventricular hemorrhage secondary to prematurity with cerebrospinal fluid shunt surgery in the first year following initial shunt placement.
      22208322 Journal of neurosurgery. Pediatrics , 2012 Jan. : 54-63
    • Shannon CN, Simon TD, Reed GT, Franklin FA, Kirby RS, Kilgore ML, Wellons JC 3rd
      The economic impact of ventriculoperitoneal shunt failure.
      22132918 Journal of neurosurgery. Pediatrics , 2011 Dec. : 593-9 PMCID: PMC3254583
    • Tuan TJ, Thorell EA, Hamblett NM, Kestle JR, Rosenfeld M, Simon TD
      Treatment and microbiology of repeated cerebrospinal fluid shunt infections in children.
      21852762 The Pediatric infectious disease journal , 2011 Sept. : 731-5
    • Kestle JR, Riva-Cambrin J, Wellons JC 3rd, Kulkarni AV, Whitehead WE, Walker ML, Oakes WJ, Drake JM, Luerssen TG, Simon TD, Holubkov R, Hydrocephalus Clinical Research Network
      A standardized protocol to reduce cerebrospinal fluid shunt infection: the Hydrocephalus Clinical Research Network Quality Improvement Initiative.
      21721884 Journal of neurosurgery. Pediatrics , 2011 July : 22-9
    • Cohen E, Kuo DZ, Agrawal R, Berry JG, Bhagat SK, Simon TD, Srivastava R
      Children with medical complexity: an emerging population for clinical and research initiatives.
      21339266 Pediatrics , 2011 Mar. : 529-38
    • Tamara D. Simon, MD, MSPH, Simon TD, Stone BL, Riva-Cambrin J, and Curtin G
      Tutorial: Gizmos
      A Practical Guide to Pediatric Emergency Medicine , 2011
    • Simon TD, Berry J, Feudtner C, Stone BL, Sheng X, Bratton SL, Dean JM, Srivastava R
      Children with complex chronic conditions in inpatient hospital settings in the United States.
      20855394 Pediatrics , 2010 Oct. : 647-55
    • Simon TD, Hall M, Dean JM, Kestle JR, Riva-Cambrin J
      Reinfection following initial cerebrospinal fluid shunt infection.
      20809713 Journal of neurosurgery. Pediatrics , 2010 Sept. : 277-85
    • Simon TD, Lamb S, Murphy NA, Hom B, Walker ML, Clark EB
      Who will care for me next? Transitioning to adulthood with hydrocephalus.
      19841113 Pediatrics , 2009 Nov. : 1431-7
    • Simon TD, Hall M, Riva-Cambrin J, Albert JE, Jeffries HE, Lafleur B, Dean JM, Kestle JR, Hydrocephalus Clinical Research Network
      Infection rates following initial cerebrospinal fluid shunt placement across pediatric hospitals in the United States. Clinical article.
      19645551 Journal of neurosurgery. Pediatrics , 2009 Aug. : 156-65
    • Wellons JC, Shannon CN, Kulkarni AV, Simon TD, Riva-Cambrin J, Whitehead WE, Oakes WJ, Drake JM, Luerssen TG, Walker ML, Kestle JR, Hydrocephalus Clinical Research Network
      A multicenter retrospective comparison of conversion from temporary to permanent cerebrospinal fluid diversion in very low birth weight infants with posthemorrhagic hydrocephalus.
      19569911 Journal of neurosurgery. Pediatrics , 2009 July : 50-5
    • Nkoy FL, Fassl BA, Simon TD, Stone BL, Srivastava R, Gesteland PH, Fletcher GM, Maloney CG
      Quality of care for children hospitalized with asthma.
      18977987 Pediatrics , 2008 Nov. : 1055-63
    • Simon TD, Emsermann CB, DiGuiseppi C, Davidson AJ, Hambidge SJ
      Latino families report lower child injury rates than white families.
      18821378 International journal of injury control and safety promotion , 2008 Sept. : 141-50
    • Simon TD, Riva-Cambrin J, Srivastava R, Bratton SL, Dean JM, Kestle JR, Hydrocephalus Clinical Research Network
      Hospital care for children with hydrocephalus in the United States: utilization, charges, comorbidities, and deaths.
      18352782 Journal of neurosurgery. Pediatrics , 2008 Feb. : 131-7
    • Simon TD, Eilert R, Dickinson LM, Kempe A, Benefield E, Berman S
      Pediatric hospitalist comanagement of spinal fusion surgery patients.
      17274045 Journal of hospital medicine : an official publication of the Society of Hospital Medicine , 2007 Jan. : 23-30
    • Simon TD, Phibbs S, Dickinson LM, Kempe A, Steiner JF, Davidson AJ, Hambidge SJ
      Less anticipatory guidance is associated with more subsequent injury visits among infants.
      17116604 Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association , 2006 Nov. : 318-25
    • Tamara D. Simon, MD, MSPH
      Lower rates of emergency department visits in the United States: no association with health insurance
      Injury Prevention , 2006 Aug. : 248-252
    • Simon TD, Bublitz C, Hambidge SJ
      Emergency department visits among pediatric patients for sports-related injury: basic epidemiology and impact of race/ethnicity and insurance status.
      16714957 Pediatric emergency care , 2006 May : 309-15
    • Simon TD, Soep JB, Hollister JR
      Pernio in pediatrics.
      16140694 Pediatrics , 2005 Sept. : e472-5
    • Simon TD, Bublitz C, Hambidge SJ
      External causes of pediatric injury-related emergency department visits in the United States.
      15466146 Academic emergency medicine : official journal of the Society for Academic Emergency Medicine , 2004 Oct. : 1042-8
    • Tamara D. Simon, MD, MSPH, Simon TD and Riva-Cambrin J.
      Cerebrospinal Fluid (CSF) Shunts: Acute Complications
      American Academy of Pediatrics Pediatric Hospital Medicine Manual

  • Presentations Title Event Location Date
    Surgical approach to treatment of first cerebrospinal fluid (CSF) shunt infection is associated with reinfection (Platform presentation) Pediatric Academic Societies meeting Baltimore, Maryland May 3, 2016
    Adherence to guidelines in treatment for first cerebrospinal fluid (CSF) shunt infection (Poster presentation) Pediatric Academic Societies meeting Baltimore, Maryland May 1, 2016
    Pediatric Shunt Infection "Hydrocephalus 2015", the 7th annual meeting of the International Society of Hydrocephalus and CSF Disorders Banff, Alberta, Canada Sept. 19, 2015
    Effectiveness of an outpatient Comprehensive Case Management Service (CCMS): a randomized control trial (Platform presentation) Pediatric Hospital Medicine meeting San Antonio, Texas July 25, 2015
    Meet the expert table leader, topic "Research" Pediatric Hospital Medicine 2015 meeting San Antonio, Texas July 25, 2015
    Knowledge caf table leader, topic "Women in hospital medicine" Pediatric Hospital Medicine 2015 meeting San Antonio, Texas July 24, 2015
    Finding your place in pediatric hospital medicine: developing a niche 7th Biennial Academic Pediatric Association Leadership meeting: Developing Leaders in Pediatric Hospital Medicine July 22, 2015 - July 23, 2015
    Invited Co-Moderator, Children with Special Health Care Needs: Interventions and Measures to Promote Quality of Care PAS/APA annual meeting San Diego, California April 28, 2015
    Invited Co-Moderator, Hospital Medicine II PAS/APA annual meeting San Diego, California April 26, 2015
    Effectiveness of an outpatient Comprehensive Case Management Service (CCMS): a randomized control trial Academic Pediatric Association Quality Improvement Research Conference San Diego, California April 24, 2015
    Using the hospital experience to advance our clinical knowledge of cerebrospinal fluid (CSF) shunt infections University of Wisconsin Department of Pediatrics Grand Rounds Madison, Wisconsin Nov. 13, 2014
    20. Invited Speaker on Prevention and Treatment of Neurosurgical Shunt Infections, Symposium "Surgical Device Infections in Children" ID Week Philadelphia, Pennsylvania Oct. 10, 2014
    Health care utilization trends for patients admitted to children's hospitals stratified by medical complexity using the Pediatric Medical Complexity Algorithm (PMCA) Pediatric Hospital Medicine Research Plenary Lake Buena Vista, Florida July 26, 2014
    Invited Moderator for Oral Abstract Presentations: Health Services/Epidemiology Research Pediatric Hospital Medicine meeting Lake Buena Vista, Florida July 26, 2014
    Invited Speaker on Shunt Infections 13th Annual Hydrocephalus Association meeting Portland, Oregon July 11, 2014
    Using the hospital experience to advance our clinical knowledge of cerebrospinal fluid (CSF) shunt infections Childrens Hospital Colorado Aurora, Colorado June 4, 2014
    Health care utilization trends for patients admitted to childrens hospitals stratified by medical complexity using the Pediatric Medical Complexity Algorithm Pediatric Academic Societies meeting Vancouver, British Columbia May 6, 2014
    Invited Co-Moderator, Hospital Medicine II PAS/APA annual meeting Vancouver, Canada May 5, 2014
    Co-Moderator, Region IX and X breakfast PAS/APA annual meeting Vancouver, Canada May 4, 2014
    14. Invited Co-Moderator, General Pediatrics - Hospital Medicine I PAS/APA annual meeting Vancouver, British Columbia, Canada May 3, 2014
    13. Invited Moderator for Research Platform Session: Health Services Research Pediatric Hospital Medicine meeting New Orleans, Louisiana Aug. 2, 2013
    Cerebrospinal fluid shunt revisions, far more than patient factors, confer risk of shunt infection (Platform Presentation) Pediatric Academic Societies meeting Washington, D.C. May 5, 2013
    Development of a methodology to stratify children by level of medical complexity using hospital discharge and Medicaid claims data. (Platform presentation) Pediatric Academic Societies meeting Washington, D.C. May 4, 2013
    COE4CCN Transition Working Group activities and Synthesis and Gaps in Pediatric Transition Research Seamless Transitions and Readmissions Network Nov. 30, 2012
    Problematic initial shunt placement and initial infection are associated with CSF shunt reinfection NINDS/ANA Career Development Symposium Boston, Massachusetts Oct. 6, 2012
    Creating scholarship from the work you already do. 5th Annual Academic Pediatric Association Leadership meeting: Developing Leaders in Pediatric Hospital Medicine July 18, 2012 - July 19, 2012
    Revision surgeries are associated with significant increased risk of subsequent cerebrospinal fluid shunt infection. (Platform presentation) Pediatric Academic Societies meeting Boston, Massachusetts April 28, 2012
    Moderator for Feedback Session Pediatric Hospital Medicine meeting Kansas City, Missouri July 31, 2011
    Risk factors for CSF shunt infection in patients undergoing CSF shunt placement (Poster presentation) Pediatric Hospital Medicine 2011 meeting Kansas City, Missouri July 30, 2011 - July 31, 2011
    Invited Moderator for Research Platform Session: Health Services Research/Practice Management Pediatric Hospital Medicine meeting Kansas City, Missouri July 30, 2011
    Risk factors for CSF shunt infection in patients undergoing CSF shunt placement. (Poster presentation) Pediatric Academic Societies Denver, Colorado May 3, 2011
    Repeated cerebrospinal fluid (CSF) shunt infections in children. (Oral presentation) AANS/CNS Section on Pediatric Neurological Surgery Cleveland, Ohio Dec. 2, 2010
    Technical Trouble-Shooting: The role of the hospitalist in managing technological devices. (Workshop) Pediatric Hospital Medicine meeting Minneapolis, Minnesota July 24, 2010
    Development and Implementation of a Multi-Center Registry for Children with Hydrocephalus: The HCRN Core Data Project. (Platform presentation) Pediatric Hospital Medicine meeting Minneapolis, Minnesota July 24, 2010
    Invited Co-Moderator, Hospital Medicine II PAS/APA annual meeting Vancouver, Canada May 4, 2010
    Development and Implementation of a Multi-Center Registry for Children with Hydrocephalus: The HCRN Core Data Project. (Poster presentation) Pediatric Academic Societies Vancouver, British Columbia May 4, 2010
    Children with Complex Chronic Conditions in Inpatient Hospital Settings in the U.S. (Oral presentation) Pediatric Academic Societies Vancouver, British Columbia May 1, 2010
    Re-Infection following initial cerebrospinal fluid (CSF) shunt infection. (Oral presentation) AANS/CNS Section on Pediatric Neurological Surgery Boston, Massachusetts Dec. 3, 2009
    Who will care for me next? Transitioning to adulthood with hydrocephalus. (Oral presentation) Hydrocephalus 2009 meeting Baltimore, Maryland Sept. 18, 2009
    Hospital care for children with hydrocephalus in the U.S. (Oral presentation) Hydrocephalus 2009 meeting Baltimore, Maryland Sept. 18, 2009
    Research Studies and Quality Improvement Projects Pediatric Hospital Medicine meeting Tampa, Florida July 25, 2009 - July 26, 2009
    Invited Moderator for Research Plenary Session Pediatric Hospital Medicine meeting Tampa, Florida July 25, 2009
    Invited Co-Moderator, Hospital Medicine II PAS/APA annual meeting Baltimore, Maryland May 5, 2009
    CSF Shunt Infections Across U.S. Hospitals. (Poster presentation) Child Neurology Society meeting Santa Clara, California Nov. 6, 2008
    CSF Shunt Infections Across U.S. Hospitals. (Platform presentation) Pediatric Hospital Medicine meeting Denver, Colorado July 26, 2008
    CSF Shunt Infections Across U.S. Hospitals. (Poster presentation) Pediatric Academic Societies meeting Honolulu, Hawaii May 3, 2008
    Pediatric Surgery for the Hospitalist. Pediatric Hospital Medicine meeting Salt Lake City, Utah Aug. 3, 2007
    Morbidity and Mortality for Children with Hydrocephalus in the U.S. (Poster presentation) Pediatric Academic Societies Toronto, Canada May 8, 2007
    Clinician Anticipatory Guidance for Injury Prevention and Subsequent Injury Visits in a Safety-Net Setting. (Platform presentation) Pediatric Academic Societies San Francisco, California April 29, 2006
    Pediatric Hospitalist Co-Management of Spine Fusion Surgery Patients. (Poster presentation at Hospital Medicine Special Interest Group) Pediatric Academic Societies San Francisco, California April 29, 2006
    The Effect of Latino Race/Ethnicity and Insurance on Injury-Related Emergency Department Visits Among Pediatric Patients. (Oral presentation) National Research Service Award annual meeting, Section on Child Health Boston, Massachusetts June 25, 2005
    Emergency Department Use for Injury Related Visits Among Pediatric Patients: Race/Ethnicity and Insurance as Predictors. (Poster and oral presentation) American Academy of Pediatrics annual meeting, Section on Epidemiology San Francisco, California Oct. 2004
    Emergency department use for injury related visits among pediatric patients: race/ethnicity and insurance as predictors. (Poster presentation) Pediatric Academic Societies San Francisco, California May 3, 2004
    External causes of Pediatric injury-related emergency department visits in the United States. (Poster presentation) Pediatric Academic Societies Seattle, Washington May 4, 2003
    Regulation of the hematopoietic stem/progenitor cell subsets in mouse bone marrow by the CDK inhibitor p18INK4c. (Poster presentation) International Society of Experimental Haemotology Meeting Tampa, Florida July 8, 2000 - July 11, 2000
  • Grant Title Grantor Amount Award Date
    Targeting the CSF microbiota to optimize CSF shunt infection treatment Research Project Grant (R-01) (Principal Investigator) National Institute of Neurological Disorders and Stroke $2,043,343 2016 - 2021
    Adolescents with Special Health Care Needs in Patient-Centered Medical Homes: Utilization and transition outcomes in all-payer claims data (R03) (Co-investigator) Agency of Healthcare Research and Quality $5,961 2016 - 2017
    Prevention of CSF Shunt Infections (Principal Investigator) PEDSNet pilot proposal 2015 - 2016
    Pediatric Respiratory Illness Measurement System (PRIMES) Study (R01) (Co-investigator) National Heart, Lung, and Blood Institute 2013 - 2017
    Center of Excellence on Quality of Care Measures for Children with Complex Needs (U18) (Co-investigator) Agency for Healthcare Research and Quality and Centers for Medicare and Medicaid Services 2011 - 2015
    Pediatric Research in Inpatient Settings Network (Co-investigator) Child Health Corporation of America $1,300,000 2010 - 2012
    Research Support (Principal Investigator) Center for Clinical and Translational Research $165,000 2010 - 2017
    Salary Support (Principal Investigator) Center for Clinical and Translational Research $225,000 2010 - 2017
    Multi-center Studies of Pediatric CSF Shunt Infections (K23 Mentored Patient-Oriented Research Career Development Award) (Principal Investigator) National Institute of Neurological Disease and Stroke $893,592 2009 - 2015
    Molecular quantification of CSF bacterial pathogens for patients undergoing CSF shunt infection (Principal Investigator) Seeking Techniques in Advancing Research in Shunts- kids $50,000 2009 - 2011
    Hydrocephalus Clinical Research Network: A consortium for pediatric hydrocephalus (Co-investigator) National Institutes of Health Challenge Grant for Consortia Building for Comparative Effectiveness Research in Clinical Neuroscience 2009 - 2010
    Molecular quantification of CSF bacterial pathogens for patients undergoing CSF shunt infection treatment (Co-Principal Investigator) Clinical Center for Translational Science Pilot Project $25,000 2008 - 2010
    Risk Factors in Children with Asthma (Co-investigator) Primary Childrens Medical Center Foundation 2008 - 2009
    Ventriculoperitoneal Shunt Infections: Risk Factors and Costs (Principal Investigator) Primary Childrens Medical Center Foundation $50,000 2007 - 2009
    Hydrocephalus Clinical Research Network (Co-investigator) Various philanthropic sources supporting network infrastructure $275,000 2006
    Preventing Pediatric Ambulatory Injury Visits Using A Telephone-Based Intervention: A Feasibility Study (Principal Investigator) Colorado Injury Control Research Center $15,000 2005 - 2006
    Ambulatory Injury in Latino Children: The Role of Socioeconomic Status, Mechanisms of Injury, and Health-Seeking Behavior (Principal Investigator) Ambulatory Pediatric Association Young Investigator Award $8,219 2005 - 2006
    Emergency Department Use for Injury Related Visits Among Pediatric Patients: Race/Ethnicity and Insurance as Predictors (Resident researcher) American Academy of Pediatrics Resident Research Award $2,000 2003 - 2004
    The Role of CDK Inhibitor p18 in the Immune System (Medical student researcher) Fellowship for a One Year Research Experience for Medical Students, University of North Carolina School of Medicine $9,000 1998 - 1999
    The Role of CDK Inhibitor p18 in the Immune System (Medical student researcher) Alpha Omega Alpha Honor Medical Society $3,500 1998 - 1999
    Co-Receptor Expression in HIV Pathogenesis Model SCID-HU Thy/Liv (Medical student researcher) National Institutes of Health Short Term Research Training $2,050 1997

Overview

Board Certification(s)

Pediatrics

Medical/Professional School

University of North Carolina at Chapel Hill School of Medicine, Chapel Hill
University of Colorado Health Sciences Center, Aurora

Residency

Pediatrics, University of Colorado - The Children's Hospital - Denver, Aurora

Fellowship

Primary Care Research, University of Colorado, Aurora

Clinical Interests

Inpatient care for children with medical complexity

Research Description

Improving the medical and surgical care provided to children with complex chronic conditions. Current focus is on the treatment of CSF shunt infections.