Scott A. Lorch, MD, MSCE
Scott A. Lorch, MD, MSCE
Assistant Professor of Pediatrics
Department: Pediatrics
Contact information
The Children's Hospital of Philadelphia
Center for Outcomes Research
3535 Market Street, Suite 1029
Philadelphia, PA 19104
Center for Outcomes Research
3535 Market Street, Suite 1029
Philadelphia, PA 19104
Office: 215-590-1714
Fax: 215-590-2378
Fax: 215-590-2378
Email:
lorch@email.chop.edu
lorch@email.chop.edu
Education:
BA (Political Science)
Northwestern University, 1992.
MD
Northwestern University, 1996.
MS (Clinical Epidemiology)
University of Pennsylvania, 2003.
Permanent linkBA (Political Science)
Northwestern University, 1992.
MD
Northwestern University, 1996.
MS (Clinical Epidemiology)
University of Pennsylvania, 2003.
Description of Research Expertise
My area of expertise is health services research, perinatal epidemiology, and health economics. Our research group is focused on answering the question, “why do children have different outcomes”, whether those outcomes are health care use, morbidity and mortality, or neurocognitive outcomes. Our group focuses in three specific areas of research:1) Quality Assessment and Measurement: We are part of the CHOP center for pediatric quality metrics, one of 7 AHRQ funded sites in the US tasked to define and validate various measures of quality. We have experience using large datasets to assess various measures of pediatric and neonatal care, including the use of hospital readmissions; neonatal complications; and neonatal mortality.
2) Racial/ethnic disparities in care: We have extensive experience quantifying the differences in outcomes between children of different racial/ethnic groups, and to use a number of sophisticated techniques to help define the factors that mediate these differences, including mediation analyses and other techniques we are developing to use on large administrative datasets and longitudinal cohort studies. We have also begun to examine how racial/ethnic disparities may explain, or not explain, observed differences in care delivered by hospitals with similar structures, such as level of NICU.
3) Organization of perinatal and pediatric care: We have several Federally-funded grants to evaluate the impact of structures of health care on perinatal outcomes, from the hospital level to the larger state level.
In addition, we are interested in factors that may explain differences in the processes of care delivered by different hospitals, and how these differences translate into differences in outcomes.
Description of Clinical Expertise
neonatal-perinatal medicineSelected Publications
Goyal N, Fager C, Lorch SA: Adherence to discharge guidelines for late-preterm newborns. Pediatrics 128(1): 62-71, July 2011.Lorch SA, Maheshwari P, Even-Shoshan O: The impact of certificate of need programs on neonatal intensive care units. J Perinatol 32(1): 39-44, January 2012.
Tucker Edmonds B, Srinivas S, Fager C, Lorch S: Predictors of cesarean delivery for periviable neonates. Obstet Gynecol 118(1): 49-56, July 2011.
Lorch SA, Srinivasan L, Escobar GJ: Epidemiology of apnea and bradycardia resolution in premature infants. Pediatrics 128(2): e366-e373, August 2011.
Tucker Edmonds B, Fager C, Srinivas S, Lorch SA: Racial and ethnic differences in utilization of intubation for periviable neonates. Pediatrics 127(5): e1120-e1127, April 2011.
Lorch SA, Myers S, Carr B: The regionalization of pediatric health care: A state of the art review. Pediatrics 126: 1182-1190, 2010.
Srinivas SK, Fager C, Lorch SA: Evaluating risk-adjusted cesarean delivery rate as a measure of obstetric quality. Obstet Gynecol 115(5): 1007-1013, May 2010.
Lorch SA, Baiocchi M, Silber JH, Even-Shoshan, O, Escobar GJ, Small DS: The role of outpatient facilities in explaining variations in risk-adjusted readmission rates between hospitals. Hlth Serv Res 45(1): 24-41, 2010.
Lorch SA, Wade KC, Bakewell-Sachs S, Medoff-Cooper B. Silber JH, Escobar GJ: Antibiotic Use in premature infants after discharge from the Neonatal Intensive Care Unit. Clin Pediatr 49(3): 249-257, 2010.
Bakewell-Sachs S, Medoff-Cooper B, Escobar GJ, Silber JH, Lorch SA: Infant functional status: The timing of physiologic maturation of premature infants. Pediatrics 123: e878-e886, 2009.
Lorch SA, Silber JH, Even-Shoshan O, Millman A: Use of prolonged travel to improve pediatric risk adjustment models. Health Serv Res 44(2, Part I): 519-541, April 2009.
Silber JH, Lorch SA, Rosenbaum PR, Medoff-Cooper B, Bakewell-Sachs S, Millman A, Mi L, Even-Shoshan O, Escobar GJ: Time to send the preemie home? Additional maturity at discharge and subsequent healthcare costs and outcomes. Health Serv Res 44(2, Part I): 444-463, April 2009.
Lorch SA, Millman AM, Zhang X, Even-Shoshan O, Silber JH: Impact of admission-day crowding on the length of stay of pediatric hospitalizations. Pediatrics 121: e718-e730, Apr 2008.
Lorch SA, Wade KC, Bakewell-Sachs S, Medoff-Cooper B, Escobar GJ, Silber JH: Racial differences in the use of respiratory medications in premature infants after discharge from the Neonatal Intensive Care Unit. J Pediatr 151: 604-610, Dec 2007.
Lorch SA, Zhang X, Rosenbaum PR, Evan-Shoshan O, Silber JH: Equivalent lengths of stay in pediatric patients hospitalized in rural and non-rural hospitals. Pediatrics 114(4): e400-e408, Oct 2004.