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Marion R Sills

TitleProfessor
InstitutionUniversity of Colorado Denver - Anschutz Medical Campus
DepartmentSOM-PEDS
Phone303 7242553

    Collapse Overview 
    Collapse 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.


    Collapse Research 
    Collapse research activities and funding
    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

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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    1. 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 Jun 30. PMID: 28671930.
      View in: PubMed
    2. 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 May 02. PMID: 28476461.
      View in: PubMed
    3. 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.
      View in: PubMed
    4. 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 Jan; 180:163-169.e1. PMID: 27769549.
      View in: PubMed
    5. Arnold DH, Sills MR, Walsh CG. The asthma prediction rule to decrease hospitalizations for children with asthma. Curr Opin Allergy Clin Immunol. 2016 Jun; 16(3):201-9. PMID: 26918532.
      View in: PubMed
    6. 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.
      View in: PubMed
    7. 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.
      View in: PubMed
    8. 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.
      View in: PubMed
    9. 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.
      View in: PubMed
    10. 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.
      View in: PubMed
    11. 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.
      View in: PubMed
    12. 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; PMCID: PMC4371502.
    13. 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.
      View in: PubMed
    14. 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.
      View in: PubMed
    15. 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.
      View in: PubMed
    16. 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.
      View in: PubMed
    17. 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; PMCID: PMC3269108.
    18. 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.
      View in: PubMed
    19. 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.
      View in: PubMed
    20. 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.
      View in: PubMed
    21. 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; PMCID: PMC3320222.
    22. 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; PMCID: PMC3163108.
    23. 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.
      View in: PubMed
    24. 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.
      View in: PubMed
    25. 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.
      View in: PubMed
    26. 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; PMCID: PMC3631895.
    27. 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; PMCID: PMC2913552.
    28. 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.
      View in: PubMed
    29. 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.
      View in: PubMed
    30. 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.
      View in: PubMed
    31. 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.
      View in: PubMed
    32. 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.
      View in: PubMed
    33. 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.
      View in: PubMed
    34. 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.
      View in: PubMed
    35. Sills MR, Bland SD. Summary statistics for pediatric psychiatric visits to US emergency departments, 1993-1999. Pediatrics. 2002 Oct; 110(4):e40. PMID: 12359813.
      View in: PubMed
    36. 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.
      View in: PubMed
    37. 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.
      View in: PubMed
    38. Sills MR, Boenning D. Chloramphenicol. Pediatr Rev. 1999 Oct; 20(10):357-8. PMID: 10512892.
      View in: PubMed
    39. Sills MR. Cinderella's road map. Ann Emerg Med. 1998 Jun; 31(6):788-9. PMID: 9624326.
      View in: PubMed
    40. Sills MR. Frontline footage. Ann Emerg Med. 1997 Dec; 30(6):834-5. PMID: 9398788.
      View in: PubMed
    41. Sills MR, Zinkham WH. Methylene blue-induced Heinz body hemolytic anemia. Arch Pediatr Adolesc Med. 1994 Mar; 148(3):306-10. PMID: 8130867.
      View in: PubMed
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