Marion R Sills
Title | Professor |
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Institution | University of Colorado Denver - Anschutz Medical Campus |
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Department | SOM-PEDS |
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Phone | 303/724-2553 |
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Overview I have been in clinical practice since completing my Pediatrics training in 1996 and my Pediatric Emergency Medicine training in 1999. Since 1999, I have cared for patients and taught trainees in the emergency department (ED) at the Children’s Hospital Colorado, the tertiary referral center and pediatric trauma center for a 7-state region, serving 75,000 children each year. I also work in Children’s Colorado’s Network of Care, which treats an additional 75,000 patients annually.
While caring for patients, I provide bedside teaching for fellows and residents from pediatrics, emergency medicine, family medicine and dentistry.
In my research, I have conducted grant-funded research in ED crowding, the quality of care provided to children, and healthcare delivery system characteristics that optimize care to patients with chronic conditions. Mentoring trainees and faculty in research is one of the things I love most about my job.
My research has focused on using electronic health data methods to define and model systems- and patient-level factors associated with process and outcome measures of health care quality. This work has assessed variation in quality of care for various conditions, and has demonstrated the importance of rigorous methods in selecting and implementing quality metrics. These publications have highlighted the importance of the following in quality measurement: (1) selecting process measures only when they have demonstrated association with outcomes of value; (2) using risk-adjustment that extends beyond adjustment for the severity of the acute condition to encompass chronic medical complexity and social determinants of health; and (3) incorporating adjustment for structural measures of quality, including crowding and occupancy measures.
Research R03HS016418 (SILLS, MARION RUTH)Jun 1, 2007 - May 31, 2010 AHRQ EMERGENCY DEPARTMENT OVERCROWDING AND QUALITY OF ACUTE ASTHMA CARE FOR CHILDREN Role: Principal Investigator |
| R21HL123589 (SILLS, MARION RUTH)Aug 15, 2014 - Jul 31, 2016 NIH/NHLBI Evaluation of the Colorado Asthma Toolkit Program in Primary Care using SAFTINEt Role: Principal Investigator |
| R41HD101158 (SILLS, MARION RUTH)Sep 18, 2019 - Aug 31, 2020 NIH/NICHD Optimizing Usability of the Orally Rehydrate Children at Home Mobile Application - Optimize ORCAH Role: Principal Investigator |
Bibliographic
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Kaiser SV, Kornblith AE, Richardson T, Pantell MS, Fleegler EW, Fritz CQ, Parikh K, Zagel A, Sills MR, De Souza HG, Goyal MK, Hogan AH, Heller KR, DeLaroche AM, Cooper JN, Puls HT. Emergency Visits and Hospitalizations for Child Abuse During the COVID-19 Pandemic. Pediatrics. 2020 Dec 30. PMID: 33380432.
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DeLaroche AM, Rodean J, Aronson PL, Fleegler EW, Florin TA, Goyal M, Hirsch AW, Jain S, Kornblith AE, Sills MR, Wells JM, Neuman MI. Pediatric Emergency Department Visits at US Children's Hospitals During the COVID-19 Pandemic. Pediatrics. 2020 Dec 23. PMID: 33361360.
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Rao S, Kwan BM, Curtis D, Swanson A, Bakel LA, Bajaj L, Boguniewicz J, Lockwood J, Ogawa K, Katherine P, Fuhlbrigge RC, Brumbaugh D, Givens P, Grayck EN, Sills MR. Implementation of a Rapid Evidence Assessment Infrastructure during the COVID-19 Pandemic to Develop Policies, Clinical Pathways, Stimulate Academic Research, and Create Educational Opportunities. J Pediatr. 2020 Oct 19. PMID: 33091418.
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Russell H, Hall M, Morse RB, Cutler GJ, Macy M, Bettenhausen JL, Lopez MA, Shah SS, Sills MR. Longitudinal Trends in Costs for Hospitalizations at Children's Hospitals. Hosp Pediatr. 2020 Sep; 10(9):797-801. PMID: 32747333.
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Lopez MA, Hall M, Auger KA, Bettenhausen JL, Colvin JD, Cutler GJ, Fieldston E, Macy ML, Morse R, Raphael JL, Russell H, Shah SS, Sills MR. Care of Pediatric High-Cost Hospitalizations Across Hospital Types. Hosp Pediatr. 2020 03; 10(3):206-213. PMID: 32024665.
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Jang H, Ozkaynak M, Amura CR, Ayer T, Sills MR. Analysis of medication patterns for pediatric asthma patients in emergency department: Does the sequence placement of glucocorticoids administration matter? J Asthma. 2019 Oct 12; 1-10. PMID: 31607182.
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Morrato EH, Hamer MK, Sills M, Kwan B, Schilling LM. Applying a Commercialization-Readiness Framework to Optimize Value for Achieving Sustainability of an Electronic Health Data Research Network and Its Data Capabilities: The SAFTINet Experience. EGEMS (Wash DC). 2019 Aug 29; 7(1):48. PMID: 31523697.
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Colborn KL, Helmkamp L, Bender BG, Kwan BM, Schilling LM, Sills MR. Colorado Asthma Toolkit Implementation Improves Some Process Measures of Asthma Care. J Am Board Fam Med. 2019 Jan-Feb; 32(1):37-49. PMID: 30610140.
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Jang H, Ozkaynak M, Ayer T, Sills MR. Factors Associated With First Medication Time for Children Treated in the Emergency Department for Asthma. Pediatr Emerg Care. 2018 Oct 02. PMID: 30281550.
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Sills MR, Macy ML, Kocher KE, Sabbatini AK. Return Visit Admissions May Not Indicate Quality of Emergency Department Care for Children. Acad Emerg Med. 2018 03; 25(3):283-292. PMID: 28960666.
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Adelgais KM, Brent A, Wathen J, Tong S, Massanari D, Deakyne S, Sills MR. Intranasal Fentanyl and Quality of Pediatric Acute Care. J Emerg Med. 2017 Nov; 53(5):607-615.e2. PMID: 28967529.
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Jonas JA, Shah SS, Zaniletti I, Hall M, Colvin JD, Gottlieb LM, Sills MR, Bettenhausen J, Morse RB, Macy ML, Fieldston ES. Regional Variation in Standardized Costs of Care at Children's Hospitals. J Hosp Med. 2017 10; 12(10):818-825. PMID: 28991947.
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Torres JM, Lawlor J, Colvin JD, Sills MR, Bettenhausen JL, Davidson A, Cutler GJ, Hall M, Gottlieb LM. ICD Social Codes: An Underutilized Resource for Tracking Social Needs. Med Care. 2017 09; 55(9):810-816. PMID: 28671930.
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Sills MR, Hall M, Cutler GJ, Colvin JD, Gottlieb LM, Macy ML, Bettenhausen JL, Morse RB, Fieldston ES, Raphael JL, Auger KA, Shah SS. Adding Social Determinant Data Changes Children's Hospitals' Readmissions Performance. J Pediatr. 2017 07; 186:150-157.e1. PMID: 28476461.
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Walsh CG, Sills MR, Arnold DH. Time-dependent severity change during treatment of pediatric patients hospitalized for acute asthma exacerbations. Ann Allergy Asthma Immunol. 2017 Feb; 118(2):226-227. PMID: 27865715.
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Brittan M, Richardson T, Kenyon C, Sills MR, Fieldston E, Hall M, Fox D, Shah S, Berry J. Association between Postdischarge Oral Corticosteroid Prescription Fills and Readmission in Children with Asthma. J Pediatr. 2017 01; 180:163-169.e1. PMID: 27769549.
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Arnold DH, Sills MR, Walsh CG. The asthma prediction rule to decrease hospitalizations for children with asthma. Curr Opin Allergy Clin Immunol. 2016 06; 16(3):201-9. PMID: 26918532.
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Sills MR, Hall M, Colvin JD, Macy ML, Cutler GJ, Bettenhausen JL, Morse RB, Auger KA, Raphael JL, Gottlieb LM, Fieldston ES, Shah SS. Association of Social Determinants With Children's Hospitals' Preventable Readmissions Performance. JAMA Pediatr. 2016 Apr; 170(4):350-8. PMID: 26881387.
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Kwan BM, Sills MR, Graham D, Hamer MK, Fairclough DL, Hammermeister KE, Kaiser A, de Jesus Diaz-Perez M, Schilling LM. Stakeholder Engagement in a Patient-Reported Outcomes (PRO) Measure Implementation: A Report from the SAFTINet Practice-based Research Network (PBRN). J Am Board Fam Med. 2016 Jan-Feb; 29(1):102-15. PMID: 26769882.
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Zonfrillo MR, Zaniletti I, Hall M, Fieldston ES, Colvin JD, Bettenhausen JL, Macy ML, Alpern ER, Cutler GJ, Raphael JL, Morse RB, Sills MR, Shah SS. Socioeconomic Status and Hospitalization Costs for Children with Brain and Spinal Cord Injury. J Pediatr. 2016 Feb; 169:250-5. PMID: 26563534.
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Brittan MS, Sills MR, Fox D, Campagna EJ, Shmueli D, Feinstein JA, Kempe A. Outpatient follow-up visits and readmission in medically complex children enrolled in Medicaid. J Pediatr. 2015 Apr; 166(4):998-1005.e1. PMID: 25641248.
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Brogan TV, Hall M, Sills MR, Fieldston ES, Simon HK, Mundorff MB, Fagbuyi DB, Shah SS. Hospital Readmissions Among Children With H1N1 Influenza Infection. Hosp Pediatr. 2014 Nov; 4(6):348-58. PMID: 25362076.
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Piña IL, Cohen PD, Larson DB, Marion LN, Sills MR, Solberg LI, Zerzan J. A framework for describing health care delivery organizations and systems. Am J Public Health. 2015 Apr; 105(4):670-9. PMID: 24922130.
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Sills MR, Kwan BM, Yawn BP, Sauer BC, Fairclough DL, Federico MJ, Juarez-Colunga E, Schilling LM. Medical home characteristics and asthma control: a prospective, observational cohort study protocol. EGEMS (Wash DC). 2013; 1(3):1032. PMID: 25848577.
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Fieldston ES, Zaniletti I, Hall M, Colvin JD, Gottlieb L, Macy ML, Alpern ER, Morse RB, Hain PD, Sills MR, Frank G, Shah SS. Community household income and resource utilization for common inpatient pediatric conditions. Pediatrics. 2013 Dec; 132(6):e1592-601. PMID: 24276839.
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Morse RB, Hall M, Fieldston ES, Goodman DM, Berry JG, Gay JC, Sills MR, Srivastava R, Frank G, Hain PD, Shah SS. Children's hospitals with shorter lengths of stay do not have higher readmission rates. J Pediatr. 2013 Oct; 163(4):1034-8.e1. PMID: 23683748.
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Rappaport LD, Deakyne S, Carcillo JA, McFann K, Sills MR. Age- and sex-specific normal values for shock index in National Health and Nutrition Examination Survey 1999-2008 for ages 8 years and older. Am J Emerg Med. 2013 May; 31(5):838-42. PMID: 23478110.
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Bagdure D, Rewers A, Campagna E, Sills MR. Epidemiology of hyperglycemic hyperosmolar syndrome in children hospitalized in USA. Pediatr Diabetes. 2013 Feb; 14(1):18-24. PMID: 22925225.
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Sills MR, Ginde AA, Clark S, Camargo CA. Multicenter analysis of quality indicators for children treated in the emergency department for asthma. Pediatrics. 2012 Feb; 129(2):e325-32. PMID: 22250025.
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Sills MR, Fairclough DL, Ranade D, Mitchell MS, Kahn MG. Emergency department crowding is associated with decreased quality of analgesia delivery for children with pain related to acute, isolated, long-bone fractures. Acad Emerg Med. 2011 Dec; 18(12):1330-8. PMID: 22168199.
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Morse RB, Hall M, Fieldston ES, McGwire G, Anspacher M, Sills MR, Williams K, Oyemwense N, Mann KJ, Simon HK, Shah SS. Hospital-level compliance with asthma care quality measures at children's hospitals and subsequent asthma-related outcomes. JAMA. 2011 Oct 05; 306(13):1454-60. PMID: 21972307.
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Sills MR, Fairclough D, Ranade D, Kahn MG. Emergency department crowding is associated with decreased quality of care for children. Pediatr Emerg Care. 2011 Sep; 27(9):837-45. PMID: 21926882.
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Sills MR, Hall M, Fieldston ES, Hain PD, Simon HK, Brogan TV, Fagbuyi DB, Mundorff MB, Shah SS. Inpatient capacity at children's hospitals during pandemic (H1N1) 2009 outbreak, United States. Emerg Infect Dis. 2011 Sep; 17(9):1685-91. PMID: 21888795.
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Fieldston ES, Hall M, Shah SS, Hain PD, Sills MR, Slonim AD, Myers AL, Cannon C, Pati S. Addressing inpatient crowding by smoothing occupancy at children's hospitals. J Hosp Med. 2011 Oct; 6(8):462-8. PMID: 21612012.
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Sills MR, Fairclough D, Ranade D, Kahn MG. Emergency department crowding is associated with decreased quality of care for children with acute asthma. Ann Emerg Med. 2011 Mar; 57(3):191-200.e1-7. PMID: 21035903.
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Sills MR, Hall M, Simon HK, Fieldston ES, Walter N, Levin JE, Brogan TV, Hain PD, Goodman DM, Fritch-Levens DD, Fagbuyi DB, Mundorff MB, Libby AM, Anderson HO, Padula WV, Shah SS. Resource burden at children's hospitals experiencing surge volumes during the spring 2009 H1N1 influenza pandemic. Acad Emerg Med. 2011 Feb; 18(2):158-66. PMID: 21314775.
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Sills MR, Ginde AA, Clark S, Camargo CA. Multicenter study of chronic asthma severity among emergency department patients with acute asthma. J Asthma. 2010 Oct; 47(8):920-8. PMID: 20831467.
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Schilling LM, Crane LA, Kempe A, Main DS, Sills MR, Davidson AJ. Perceived frequency and impact of missing information at pediatric emergency and general ambulatory encounters. Appl Clin Inform. 2010; 1(3):318-30. PMID: 23616844.
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Fieldston ES, Hall M, Sills MR, Slonim AD, Myers AL, Cannon C, Pati S, Shah SS. Children's hospitals do not acutely respond to high occupancy. Pediatrics. 2010 May; 125(5):974-81. PMID: 20403931.
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Weiss SJ, Ernst AA, Sills MR, Quinn BJ, Johnson A, Nick TG. Development of a novel measure of overcrowding in a pediatric emergency department. Pediatr Emerg Care. 2007 Sep; 23(9):641-5. PMID: 17876254.
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Sills MR, Shetterly S, Xu S, Magid D, Kempe A. Association between parental depression and children's health care use. Pediatrics. 2007 Apr; 119(4):e829-36. PMID: 17403826.
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Gutierrez G, Sills M, Bublitz CD, Westfall JM. Sports-related injuries in the United States: who gets care and who does not. Clin J Sport Med. 2006 Mar; 16(2):136-41. PMID: 16603883.
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Sills MR, Libby AM, Orton HD. Prehospital and in-hospital mortality: a comparison of intentional and unintentional traumatic brain injuries in Colorado children. Arch Pediatr Adolesc Med. 2005 Jul; 159(7):665-70. PMID: 15997001.
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Valuck RJ, Libby AM, Sills MR, Giese AA, Allen RR. Antidepressant treatment and risk of suicide attempt by adolescents with major depressive disorder: a propensity-adjusted retrospective cohort study. CNS Drugs. 2004; 18(15):1119-32. PMID: 15581382.
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Libby AM, Sills MR, Thurston NK, Orton HD. Costs of childhood physical abuse: comparing inflicted and unintentional traumatic brain injuries. Pediatrics. 2003 Jul; 112(1 Pt 1):58-65. PMID: 12837868.
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Newman K, Ponsky T, Kittle K, Dyk L, Throop C, Gieseker K, Sills M, Gilbert J. Appendicitis 2000: variability in practice, outcomes, and resource utilization at thirty pediatric hospitals. J Pediatr Surg. 2003 Mar; 38(3):372-9; discussion 372-9. PMID: 12632352.
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Sills MR, Bland SD. Summary statistics for pediatric psychiatric visits to US emergency departments, 1993-1999. Pediatrics. 2002 Oct; 110(4):e40. PMID: 12359813.
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Sills MR, Chamberlain JM, Teach SJ. The associations among pediatricians' knowledge, attitudes, and practices regarding emergency contraception. Pediatrics. 2000 Apr; 105(4 Pt 2):954-6. PMID: 10742353.
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Sills MR, Huang ZJ, Shao C, Guagliardo MF, Chamberlain JM, Joseph JG. Pediatric Milliman and Robertson length-of-stay criteria: are they realistic? Pediatrics. 2000 Apr; 105(4 Pt 1):733-7. PMID: 10742312.
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Sills MR, Boenning D. Chloramphenicol. Pediatr Rev. 1999 Oct; 20(10):357-8. PMID: 10512892.
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Sills MR. Cinderella's road map. Ann Emerg Med. 1998 Jun; 31(6):788-9. PMID: 9624326.
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Sills MR. Frontline footage. Ann Emerg Med. 1997 Dec; 30(6):834-5. PMID: 9398788.
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Sills MR, Zinkham WH. Methylene blue-induced Heinz body hemolytic anemia. Arch Pediatr Adolesc Med. 1994 Mar; 148(3):306-10. PMID: 8130867.
This graph shows the total number of publications by year, by first, middle/unknown, or last author.
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Year | Publications |
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1994 | 1 | 1997 | 1 | 1998 | 1 | 1999 | 1 | 2000 | 2 | 2002 | 1 | 2003 | 2 | 2004 | 1 | 2005 | 1 | 2006 | 1 | 2007 | 2 | 2010 | 3 | 2011 | 7 | 2012 | 2 | 2013 | 4 | 2014 | 2 | 2015 | 2 | 2016 | 5 | 2017 | 5 | 2018 | 1 | 2019 | 3 | 2020 | 5 |
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