Department of Anesthesiology and Critical Care

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Meghan Brooks Lane-Fall, MD, MSHP

Assistant Professor of Anesthesiology and Critical Care at the Hospital of the University of Pennsylvania
Member, Institute for Translational Medicine and Therapeutics
Senior Fellow, Leonard Davis Institute of Health Economics
Co-Director, Center for Perioperative Outcomes Research and Transformation, Penn Anesthesiology and Critical Care
Co-chair, Graduate medical education handoff task force, Hospital of the University of Pennsylvania
Assistant Director, Center for Healthcare Improvement and Patient Safety, Department of Medicine (Core faculty, 2013-2016; Leadership team, 2016-2017)
Core faculty, Palliative and Acute Illness Research Center, University of Pennsylvania
Department: Anesthesiology and Critical Care

Contact information
Anesthesiology and Critical Care
309 Blockley Hall
423 Guardian Drive
http://www.lanefall.info
Philadelphia, PA 19104-4865
Office: 215-573-7399
Fax: 215-662-7106
Education:
AB (Molecular and Cell Biology / Interdisciplinary Studies)
University of California, Berkeley, 2001.
MD
Yale University School of Medicine, 2006.
MSHP (Health Policy Research)
University of Pennsylvania, 2013.
Post-Graduate Training
Categorical Resident in Anesthesiology, Hospital of the University of Pennsylvania, 2006-2010.
Fellow in Critical Care Medicine (Anesthesiology), Hospital of the University of Pennsylvania, 2010-2011.
Postdoctoral Research Fellow in Anesthesiology, University of Pennsylvania Perelman School of Medicine, Department of Anesthesiology and Critical Care, 2011-2013.
Fellow in Healthcare Improvement and Patient Safety, University of Pennsylvania Perelman School of Medicine, Center for Healthcare Improvement and Patient Safety, 2011-2013.
Systems Engineering Initiative for Patient Safety Short Course, University of Wisconsin - Madison Center for Quality & Performance Improvement, 2015-2015.
Scholar, Research in Implementation Science for Equity, NIH NHLBI Programs Programs to Increase Diversity Among Individuals Engaged in Health-Related Research, 2016-present.
Mixed Methods Research Certificate, University of Nebraska, Lincoln, 2016-present.
Certifications
Advanced Cardiovascular Life Support, 2011.
American Board of Anesthesiology (Critical Care Medicine), 2011.
American Board of Anesthesiology, 2011.
Institute for Healthcare Improvement (basic certification), 2012.
Advanced Trauma Life Support, 2014.
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Description of Clinical Expertise

Critical care medicine
Anesthesiology

Description of Research Expertise

I am a critical care anesthesiologist and health services researcher whose scholarly focus is improving clinical outcomes for patients experiencing life-threatening illness. Within this broad area, I am particularly interested in improving healthcare provider communication at times of transition or handoff across sites of care. I employ implementation and dissemination research strategies to develop evidence about effective communication strategies that incorporate human factors principles and that support clinician workflow.

As part of this area of scholarship, I am also interested in understanding how to facilitate transitions of care for patients surviving critical illness. To do this, I have begun to define patient-centered outcomes after severe traumatic injury and critical illness.

My extensive experience in the design and execution of health services and quality improvement research supports my research endeavors. I have advanced training in biostatistics and research methods, primary and secondary data collection, mixed methods research and implementation science research. I have expertise in the use of qualitative and mixed methods to study teamwork and communication between clinicians caring for these critically ill patients.

Having merged my clinical and research expertise into a productive research agenda, I am uniquely equipped to investigate questions about healthcare provider communication and about patient-centered outcomes after critical illness.

TOPIC AREAS
-Handoffs, handovers, care transitions
-Post-intensive care syndrome
-Patient safety
-Quality improvement and QI research
-Training in quality improvement and patient safety
-Outcomes
-Healthcare IT

METHODOLOGY
-Qualitative research
-Mixed methods research
-Secondary data analysis

Selected Publications

Lane-Fall M, Miano T, Aysola J, Augoustides J: Diversity in the Emerging Critical Care Workforce: Analysis of Demographic Trends in Critical Care Fellows from 2004-2014. Critical Care Medicine 45(5): 822-827, May 2017.

Gutsche J, Mikkelsen M, McCarthy F, Miano T, Vernick W, Ramakrishna H, Patel P, Augoustides Y, Szeto W, Desai N, Lane-Fall M, Williams M: Veno-Venous Extracorporeal Life Support in Hemodynamically Unstable Patients With ARDS. Anesthesia and Analgesia 124(3): 846-48, March 2017.

Hochman B, Barry M, Lane-Fall M, Allen S, Holena D, Smith B, Kaplan L, Pascual J: Handoffs in the intensive care unit: are off hours a vulnerable time? American Journal of Medical Quality March/April 2017.

Barry M, Hochman B, Lane-Fall M, Zappile D, Holena D, Smith B, Kaplan L, Huffenberger A, Reilly P, Pascual J: Leveraging telemedicine infrastructure to monitor operating room to intensive care unit handoffs. Academic Medicine February 2017 Notes: Electronically published ahead of print.

Lane-Fall M, Ramaswamy T, He X, Brown S, Gutsche J, Fleisher L, Neuman M: Structural, nursing, and physician characteristics and 30-day mortality for patients undergoing cardiac surgery in Pennsylvania. Critical Care Medicine 2017 Notes: Electronically published ahead of print.

Lane-Fall M, Collard M, Turnbull A, Halpern S, Shea J: ICU attending handoff practices: results from a national survey of academic intensivists. Critical Care Medicine 44(4): 690-8, April 2016.

Pieczynski L, Raiten J, Lane-Fall M: From root cause to action plan: how an adverse event uncovered differences in resident knowledge of sedation policies and practices. Anesthesia & Analgesia Case Reports 6(6): 163-71, March 2016.

Martin N, Pisa M, Collins T, Robertson M, Sicoutris C, Bushan N, Saucier J, Martin A, Reilly P, Lane-Fall M, Kohl B: Advanced practitioner-driven critical care outreach to reduce intensive care unit readmission mortality. International Journal of Academic Medicine 1(1): 3-8, December 2015.

Guidi J, Clark K, Upton M, Faust H, Umscheid C, Lane-Fall M, Mikkelsen M, Schweickert W, Vanzandbergen C, Betesh J, Tait G, Hanish A, Smith K, Feeley D, Fuchs B: Clinician perception of the effectiveness of an automated early warning and response system for sepsis in an academic medical center. Annals of the American Thoracic Society 12(10): 1514-9, October 2015.

Lane-Fall M, Speck R, Ibrahim S, Shea J, McCunn M, Bosk C: Are attendings different? Intensivists explain their handoff ideals, perceptions and practices. Annals of the American Thoracic Society 11(3): 360-66, March 2014.

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Last updated: 07/02/2017
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