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
Assistant Director, Center for Healthcare Improvement and Patient Safety, Department of Medicine (Core faculty, 2013-2016; Leadership team, 2016-present)
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.
Fellow in Healthcare Improvement and Patient Safety, University of Pennsylvania Perelman School of Medicine, Center for Healthcare Improvement and Patient Safety, 2011-2013.
Postdoctoral Research Fellow in Anesthesiology, University of Pennsylvania Perelman School of Medicine, Department of Anesthesiology and Critical Care, 2011-2013.
Systems Engineering Initiative for Patient Safety Short Course, University of Wisconsin - Madison Center for Quality & Performance Improvement, 2015-2015.
Mixed Methods Research Certificate, University of Nebraska, Lincoln, 2016-present.
Implementation Science Certificate Program, UCSF, 2017-2018.
Scholar, Research in Implementation Science for Equity, NIH NHLBI Programs Programs to Increase Diversity Among Individuals Engaged in Health-Related Research, 2017-present.
Certifications
Advanced Cardiovascular Life Support, 2011.
American Board of Anesthesiology, 2011.
American Board of Anesthesiology (Critical Care Medicine), 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

Gutsche J, Vernick W, Miano T, and Penn Lung Rescue collaborators: Mikkelsen M, Ramakrishna H, McCarthy F, Atluri P, Vallabhajosyula P, Bermudez C, Augoustides J, Patel P, Williams M, Haddle J, Cannon J, Raiten J, Lane-Fall, M, O’Donnell M, Szeto W: One-year Experience with a Mobile Extracorporeal Life Support Service. Annals of Thoracic Surgery 104(5), November 2017.

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 45(9): 1472-1480, September 2017 Notes: Accompanying editorial: "Organizing Intensive Care for Patients Undergoing Cardiac Surgery" by J. Kahn (PMID: 28816844).

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 92(7), July 2017.

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 J, 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.

Lane-Fall M, Davis J, Clapp J, Myers S, Riesenberg L: What every graduating resident needs to know about quality and safety: A content analysis of 26 sets of ACGME milestones. Academic Medicine 2017 Notes: Electronically published ahead of print in September 2017.

Gutsche J, Miano T, Vernick W, Raiten J, Bermudez C, Vallabhajosyula P, Chiu C, Milewski K, Lane-Fall M, Williams M, Patel P, Mikkelsen M, Cannon J, Ramakrishna H, Augoustides J, Szeto W.: Does a Mobile ECLS Program Reduce Mortality for Patients Transported for ECLS Therapy for Severe acute respiratory failure? Journal of Cardiothoracic and Vascular Anesthesia 2017 Notes: Accepted for publication.

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.

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Last updated: 11/18/2017
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