Publications

Manuscripts & Editorials

Janke, AT, Haimovich AD, Mangus CW, Fung C, Kamdar N, Mahajan PV, Kocher KE. Characterizing Acute Pulmonary Embolism Cases Diagnosed at an Emergency Department Revisit Using a Statewide Clinical Registry. Annals of Emergency Medicine. 2024 July.

Salhi RA, Macy ML, Samuels-Kalow ME, Hogikyan M, Kocher KE. Frequency of Discordant Documentation of Patient Race and Ethnicity. JAMA Network Open. 2024 March;7(3).

Mullan PC, Levasseur KA, Bajaj L, Nypaver M, Chamberlain JM, Thull-Freedman J, Ostrow O, Jain S.  Recommendations for Choosing Wisely in Pediatric Emergency Medicine: Five opportunities to improve value.  Annals of Emergency Medicine, Accepted January 4, 2024, in Press. 

Janke AT, Mangus CW, Fung CM, Kamdar N, Macy ML, Nypaver MN, Kocher KE. Emergency Department Care for Children During the 2022 Viral Respiratory Illness Surge. JAMA Network Open. 2023 December;6(12).

O'Hare C, Grace KA, Schaeffer WJ, Nabeel Hyder S, Stover M, Liles AL, Khaja MS, Cranford JA, Kocher KE, Barnes GD, Greineder CF. Adverse Clinical Outcomes Among Patients With Acute Low-risk Pulmonary Embolism and Concerning Computed Tomography Imaging Findings. JAMA Network Open. 2023 May;6(5).

Khidir H, Salhi R, Sabbatini AK, Franks NM, Green A, Richardson LD, Terry A, Vasquez N, Goyal P, Kocher K, Venkatesh AK, Lin MP. A Quality Framwork to Address Racial and Ethnic Disparities in Emergency Department Care. Ann Emerg Med. 2023 Jan;81(1):47-56.

Solnick RE, Scott KW, Li KY, Cutter CM, Kirch M, Kullgren JT, Malani PN, Singer DC, Solway E, Kocher KE. Older Adult's Perspectives on Emergency Department Costs During COVID-19. Am J Manag Care. 2023; 29(4): In Press.

Dahlem CH, Myers M, Goldstick J, Stevenson JG, Gray G, Rockhill S, Dora-Laskey A, Kellenberg J, Brummett CM, Kocher KE. Factors associated with naloxone availability and dispensing through Michigan's pharmacy standing order. American Journal of Drug and Alcohol Abuse. 2022 April 11.

Dora-Laskey A, Kellenberg J, Dahlem CH, English E, Gonzalez Walker M, Brummett CM, Kocher KE. Piloting a statewide emergency department take-home naloxone program: Improving the quality of care for patients at risk of opioid overdose. Acad Emerg Med. 2022.

Gettel CJ, Han CR, Granovsky MA, Berdahl CT, Kocher KE, Mehrotra A, Schuur JD, Aldeen AZ, Griffey RT, Venkatesh AK. Emergency clinician participation and performance in the Centers for Medicare & Medicaid Services Merit-based Incentive Payment System. Acad Emerg Med 2022 Jan;29(1):64-72.

Greenwood-Ericksen M, Kamdar N, Lin P, George N, Myaskovsky L, Crandall C, Mohr NM, Kocher KE. Association of Rural and Critical Access Hospital Status With Patient Outcomes After Emergency Department Visits Among Medicare Beneficiaries. JAMA Netw Open. 2021 Nov 19.

Chua KP, Dahlem CHY, Nguyen TD, Brummett CM, Conti RM, Bohnert AS, Dora-Laskey AD, Kocher KE. Naloxone and Buprenorphine Prescribing Following US Emergency Department Visits for Suspected Opioid Overdose: August 2019 to April 2021. Ann Emerg Med. 2021 Nov 18.

Kocher KE. From Evidence to Action for Emergency Department Chest Pain Hospitalization Practices. Circulation: Cardiovascular Quality and Outcomes. 2021 Jan 12.

Arora R, White EN, Niedbala D, Ravichandran Y, Sethuraman U, Radovic N, Watson K, Nypaver M. Reducing Computed Tomography Scan Utilization for Pediatric Minor Head Injury in the Emergency Department: A Quality Improvement Initiative. Acad Emerg Med. 2020 Dec 27.

Kocher KE & Macy ML. Emergency Department Patients in the Early Months of the Coronavirus Disease 2019 (COVID-19) Pandemic—What Have We Learned? JAMA Health Forum, 2020.

Kocher KE, Arora R, Bassin BS, Benjamin LS, Bolton M, Dennis BJ, Ham JJ, Krupp SS, Levasseur KA, Macy ML, O’Neil BJ, Pribble JM, Sherwin RL, Sroufe NS, Uren BJ, Nypaver MM. Baseline performance of real world clinical practice within a statewide emergency medicine quality network: the Michigan Emergency Department Improvement Collaborative (MEDIC). Annals of Emergency Medicine, 2019;75(2):192-205.

Greenwood-Ericksen MB, Macy ML, Ham JJ, Nypaver MM, Zochowski M, Kocher KE. Are rural and urban emergency departments equally equipped to reduce avoidable admissions? Western Journal of Emergency Medicine, 2019;20(3):477-84.

Schechtman M, Kocher KE, Ham JJ, Nypaver MM, Zochowski M, Macy MM. Michigan emergency department leader attitudes toward and experiences with clinical pathways to guide admission decisions: a mixed-methods study. Academic Emergency Medicine, 2019;26(4):384-393.

Abstracts, Posters & Presentations

Guarnaccia C, Norris M, Nypaver M, Kocher K, Radden C, Scott A. The Michigan Emergency Department Improvement Collaborative (MEDIC) "All in for Kids" Campaign Intervention. Michigan Medicine Quality Week 2024. Ann Arbor, MI. 

Faraone H, Fagan T, Joseph J, MacDonald N, Manteuffel J. "Opioid Harm Reduction: Increasing Naloxone Distribution at ED Discharge." Henry Ford Health System Quality Expo 2024, Detroit, MI, United States.

Fagan T, Joseph J, Faraone H, Miller J, Loszewski C, Manteuffel J. "Opioid Harm Reduction: Increasing Naloxone Distribution at ED Discharge." Society of Academic Emergency Medicine Convention 2024, Phoenix, AZ, United States.

Ager EE, Janke A, Seiler K, Solnick R, Dalton V, Kocher K, Fung C. "Emergency Department Visits for Early Pregnancy Complications: A Statewide Registry-Based Study". Society of Academic Emergency Medicine Convention 2024, Phoenix, AZ, United States.

Greco JA, Nypaver MN, Kocher KE, Macy ML, Seiler K. "Implementation of an educational toolkit and incentive program is associated with decreased chest x-ray utilization for asthma, bronchiolitis and croup in a statewide emergency department network." Pediatric Academic Societies; Toronto, ON; May 2-6, 2024.

VanOverloop M, Port C, Cummings T, Kuhl N, Scott A, Mullennix S. "Population Health: The Impact of Optimizing Multi-modal Smoking Cessation Education for High-Risk Individuals in an Emergency Department Setting". Michigan Emergency Nurses Association; Traverse City, MI; April 30- May 1, 2024.

Anes K, Mullennix S, VanOverloop M, Port C, Skinner A, Pillai A. "Improving Provider Documentation of Glasgow Coma Scale Scores for Minor Adult
Head Injuries: Is One Series of Education Sufficient?" Michigan Emergency Nurses Association; Traverse City, MI; April 30- May 1, 2024.

Kocher KE. MEDIC: A Story of Quality Improvement in the Emergency Department. Grand Rounds, University of Iowa, Healthcare; April 18, 2024.

Benjamin L, Gafni-Pappas G, Morrow S, Hoerauf P, Laskaska J, Martin A, Wu N. "Pediatric Chest X-Ray Utilization and Impact on Operational Efficiency in the Emergency Department." 30th Annual Resident Research Forum; Trinity Health; April 2024. 

El-Azab S, Whiteus T, Hogikyan M, Macy M, Nypaver M, Kocher KE. "Understanding Sociodemographic Data Collection Workflows in Emergency Department Settings: A Qualitative Study." America Medical Informatics Association; New Orleans, LA; November 11-15, 2023.

Benjamin L, Gafni-Pappas G, Sielaff A, Hoerauf P, Laskaska J, Martin A, Wu N. "Investigation of Pediatric Chest X-Ray Utilization in the Emergency Department." MEDIC-HMS Collaborative Wide Meeting; November 1, 2023.

Mullan PC, Levasseur K, Nypaver M, Chamberlain J, Bajaj L, Ostrow O, Thull-Freedman J, Rutman L, Jain S. "Choosing Wisely in Pediatric Emergency Medicine: Five Opportunities to Improve Value and Outcomes." Pediatric Academic Societies; Washington DC; April 27 - May 1, 2023.

Shieh A, Brooks MA. "An Initiative to Reduce Chest Radiograph Usage in Asthma Exacerbations at a Pediatric Emergency Department." Pediatric Academic Societies; Washington DC; April 27 - May 1, 2023.

Guarnaccia C, Nypaver M, Hogikyan M, Kocher K, Macy M, Mangus C, Scott A, Radden C. "The Michigan Emergency Department Improvement Collaborative (MEDIC) Secret Sauce: Alignment of Incentives?" Michigan Medicine Quality Month; Ann Arbor MI; October 18, 2022.

Ramseyer J, Hawkins P, Bethea T, Archer T. "Munson Medical Center Low Risk Chest Pain Project Transition to High Sensitivity Troponin (hs-Tnl) Assay." MEDIC Collaborative-Wide Meeting; October 7, 2022.

Van Overloop M, Davenport J, Guarnaccia C, Port C, Cummings T, Marku D, Flohr S, Saunders T, Mullennix S. "Implementation of a Standardized Scoring Tool to Promote Safe Discharge of Low-Risk Chest Pain Patients in the Emergency Department." MEDIC Collaborative-Wide Meeting; October 7, 2022. NAHQ; September 12-14, 2022. ENA Regional Conference; May 3-4, 2022. 

Van Overloop M, Mullennix S, Chassee T, Cummings T, Bilbrey C, Skinner A, Saunders T, Port C. "The Impact of Standardized Use of Head CT Decision Rules on Computed Tomography Imaging Utilization in Adult Minor Head Trauma." MEDIC Collaborative-Wide Meeting; October 7, 2022.

El-Azab S, Hogikyan M, Macy M, Nypaver M, Scott A, Stone A, Kocher K. "Variation in Collection of Demographic Data within a Statewide Emergency Department Quality Network: Implications for Measuring and Improving Care Disparities.” AcademyHealth Annual Research Meeting; Washington DC; June 4-7, 2022.

Paxton J, White E, Macy ML, Ehrman R, O’Neil B, Krupp S, Kocher KE, Nypaver MM. “The Diagnostic Yield of Alternative Findings on Computed Tomography for Pulmonary Embolism.” Society for Academic Emergency Medicine; Denver, CO; May 12-15, 2020.

Krupp S, Dennis B, Kocher KE, Nypaver MM, Bolton M, Macy ML, White E. “Adherence to Canadian CT Head Rule is Associated with Improved Hospital Performance Metrics.” Society for Academic Emergency Medicine; Denver, CO; May 12-15, 2020.

Kocher KE, White E, Arora R, Benjamin L, Macy ML, Nypaver MM. “Effectiveness of the Michigan Emergency Department Improvement Collaborative (MEDIC) Quality Network.” Society for Academic Emergency Medicine; Denver, CO; May 12-15, 2020.

Krupp S, Szafranski J, Slezak M, Faraone H, Kocher KE, Griffith B, Bussa R, Tang A, Mitchell G, Nypaver MM, White E. “Implementing the Canadian CT Head Rule in an Urban US ED: A Retrospective Chart Review.” Society for Academic Emergency Medicine; Denver, CO; May 12-15, 2020.

Nypaver MM, Macy ML, Arora R, Benjamin L, White E, Kocher KE. “Evaluation of the Michigan Emergency Department Improvement Collaborative (MEDIC), an integrated adult and pediatric quality network, on reducing pediatric imaging.” Pediatric Academic Societies; Philadelphia, PA; May 2-5, 2020.

Kocher KE, Arora R, Bassin BS, Benjamin LS, Bolton M, Dennis BJ, Ham JJ, Krupp SS, Levasseur KA, Macy ML, O’Neil BJ, Pribble JM, Sherwin RL, Sroufe NS, Uren BJ, Nypaver MM. “Emergency Care Quality Imaging Benchmarks in a Statewide Collaborative: Estimated Excess and Associated Spending.” Society for Academic Emergency Medicine; Las Vegas, NV; May 14-17, 2019.

Nypaver MM, Macy ML, Arora R, Benjamin LS, Bolton M, Borgialli D, Levasseur KA, Sherwin RL, Sroufe NS, White E, Kocher KE. “Factors Associated with Emergency Department Chest X-Ray Use in Children with Asthma, Bronchiolitis, and Croup.” Society for Academic Emergency Medicine; Las Vegas, NV; May 14-17, 2019.

Nypaver M, Macy M, Arora R, Benjamin L, Bolton M, Borgialli D, Levasseur K, Sherwin R, Sroufe N, White E, Kocher K. “Factors Associated with Chest X-Ray Use in the Emergency Department for Children with Asthma, Bronchiolitis, and Croup: An Observational Study from the Michigan Emergency Department Improvement Collaborative (MEDIC) Registry.” Pediatric Academic Societies; Baltimore, MD; April 24-May 1, 2019.

Kocher KE, Arora R, Benjamin LS, Dennis B, Ham J, Macy M, Pribble JM, Sroufe NS, Uren BJ, Nypaver MM. “Measuring Baseline Performance and Practice Variation in a Novel, Statewide, Physician-Payer Quality Network Partnership for Opportunities to Improve Emergency Care Quality: Benchmarking the Michigan Emergency Department Improvement Collaborative (MEDIC).” AcademyHealth; Seattle, WA; June 24-26, 2018.

Kocher K, Arora R, Benjamin L, Dennis B, Ham J, Macy M, Pribble J, Sroufe N, Uren B, Nypaver M. “Measuring Baseline Performance and Practice Variation within a Novel, Statewide, Physician-Payer Quality Network Partnership for Opportunities to Improve Emergency Care Quality and Cost Effectiveness: Benchmarking the Michigan Emergency Department Improvement Collaborative.” Society for Academic Emergency Medicine; Indianapolis, IN; May 15-18, 2018.

Nypaver M, Arora R, Benjamin L, Levasseur K, Macy M, Sroufe N, Kocher K. “Practice Variation in Emergency Department Chest X-ray Use for Children with Common Respiratory Illnesses: Baseline Performance from the Michigan Emergency Department Improvement Collaborative, a Clinical Registry of Children’s and General Hospitals.” Society for Academic Emergency Medicine; Indianapolis, IN; May 15-18, 2018.

Nypaver M, Arora R, Benjamin L, Levasseur K, Macy M, Sroufe N, Kocher K. “Practice Variation in Emergency Department Chest X-ray Use for Children with Common Respiratory Illnesses: Baseline Performance from the Michigan Emergency Department Improvement Collaborative (MEDIC), a Clinical Registry of Children’s and General Hospitals.” Pediatric Academic Societies; Toronto, CA; May 5-8, 2018.

Kocher KE, Pribble JM, Uren BJ, Macy ML, Ham JJ, Proudlock AL, Didyk JS, White EN, Nypaver MM. “Creating a Regional Quality Collaborative in Emergency Medicine: the Michigan Emergency Department Improvement Collaborative.” American College of Emergency Physicians Annual Meeting; Washington, DC; October 29-November 1, 2017.

Nypaver M, Macy M, Pribble J, Uren B, Levine G, Kocher K. “The Michigan Emergency Department Improvement Collaborative (MEDIC): A Novel Model for Implementing Large Scale Change in Pediatric Emergency Care.” American Academy of Pediatrics Annual Meeting; Chicago, IL; September 15-19, 2017.

Greenwood-Ericksen M, Kocher K, Nypaver M, Ham J, Zochowski M, Macy M. “Are Rural and Urban EDs Equally Equipped to Reduce Avoidable Hospitalizations?: A Statewide Survey of Michigan Emergency Departments.” AcademyHealth; New Orleans, LA; June 25-27, 2017.

Kocher KE, Nypaver M, Ham J, Zochowski M, Macy M. “An Assessment of Needs and Resources Related to Developing Alternatives to Hospitalization: A Statewide Survey of Michigan Emergency Departments.” Society for Academic Emergency Medicine Annual Meeting; Orlando, FL; May 17-20, 2017.

Greenwood-Ericksen M, Kocher KE, Nypaver M, Ham J, Zochowski M, Macy M. “Are Rural and Urban Emergency Departments Equally Equipped to Reduce Avoidable Hospitalizations?: A Statewide Survey of Michigan Emergency Departments.” Society for Academic Emergency Medicine Annual Meeting; Orlando, FL; May 17-20, 2017.

MEDIC in the News

Salhi, R. Frequency of Discordant Documentation of Patient Race and Ethnicity. Massachusetts General Hospital Research Spotlight, April 1, 2024.

Gavin, K. Same ER. Same patient. Different visit. Different race and ethnicity?. IHPI News & Briefs, March 12, 2024.

Agarwal, D. Addressing Disparities: Calls for Pediatric Care Readiness. Medscape, December 18, 2023.

Roy, T. The 'tripledemic' surge. Health Lab, IHPI News & Briefs, Newswise, December 12, 2023.

Stewart, J. MEDIC Helps EDs in Michigan Improve Care for Adults, Children. MVC Blog, August 18, 2023. 

Fromson, N. 'Concerning CT scans may cause unnecessary hospitalization for some pulmonary embolism patients', Newswise, June 15, 2023.

Reinheimer, D. Collaborative Quality Initiatives Continue to Influence National Care Protocols. Value Partnerships Update, April 2023.

Cost Concerns Keep Older Adults From Seeking Emergency Care. Insurance News Net, December 2022.

Fromson, N. Opioids: 4 ways to reduce harm, overdose and death. M Health Lab Blog, Medical Xpress, Newswise, The Good Men Project, June-July 2022.

Smolcic Larson, L. Barriers to getting overdose-reversing drugs remain, University of Michigan study finds. MLive, April 2022.

Kovanis, G. Opioid overdose crisis: Getting Narcan from a pharmacy is not as easy as you may think. Detroit Free Press, April 2022.

Fromson, N. Just over half of Michigan pharmacies offer overdose-fighting naloxone without prescription. M Health Lab Blog, April 2022.

Kovanis, G. Narcan 101: how to use it, why it works and how to get it. Detroit Free Press, February 2022.

Fromson, N. Patients in Rural ERs Fare Just as Well as Those In Urban Hospitals. Futurity, 2021.

Fromson, N. Rural ERs, despite closure threats, save lives at similar rate as urban hospitals. M Health Lab Blog, 2021.

Kocher K, Cutter C, Li K, Solnick R, Kullgren J, Singer D, Solway E, Kirch M, Malani P. Emergency Department Use Among Older Adults: Experiences & Perspectives. University of Michigan National Poll on Healthy Aging. December 2020. Available at: http://hdl.handle.net/2027.42/163714 .

Urban, K. “Costs, COVID-19 risk and delays top older adults’ concerns about seeking emergency care, poll finds.” IHPI News, 2020.

Urban, K. “Use of Emergency Departments Plummets During COVID-19.” M Health Lab Blog, 2020.

Urban, K. “Emergency Departments Across Michigan Collaborate on COVID-19 Response.” M Health Lab Blog, 2020.

Brooks, D. Michigan EDs Collaborative to Reduce Excess Use of Certain Imaging Tests. ED Management, 2019; 31(10):113-115.

Urban, K. “Reducing Overtesting in the Emergency Department Could Save Millions.” M Health Lab Blog, 2019.

BCBSM Value Partnerships. “Reducing excessive imaging in the emergency room can save millions, per CQI study.” Value Partnerships Blog, 2019.