Laurence F. McMahon, Jr., MD, MPH

Chief, Division of General Medicine
Co-Director, Robert Wood Johnson Clinical Scholars Program
Professor of Internal Medicine
Professor of Health Services Management, School of Public Health

High School

Xavier School, Concord, MA

BS-Chemistry, Carnegie-Mellon University, Pittsburgh, PA 1969-1973

MD, University of Vermont, Burlington, VT  1975-1979

Health Systems Management Group, Yale School of Organization & Management, 1982-1985

National Fund for Medical Education, Department of Medicine, Yale School of Medicine, 1984-1985

Assistant Professor - Internal Medicine, Medical School, University of Michigan, 1985-1990

Assistant Professor - Health Services Management and Policy, School of
Public Health, University of Michigan, 1986-1990

Chief, Division of General Medicine, Department of Internal Medicine,
University of Michigan,1988-present

Associate Professor - Internal Medicine, Medical School, University of Michigan, 1990-1996

Associate Professor - Health Services Management and Policy, School of
Public Health, University of Michigan, 1990-1996

Professor - Internal Medicine, Medical School, University of Michigan, 1996-present

Professor - Health Services Management and Policy, School of Public Health,
University of Michigan, 1996-present

Acting Chairman, Department of Internal Medicine, University of Michigan, 2000 - 2001

Puter Associates, Inc., Health Care Consulting Systems, New Haven, CT. (Part-time) 1974

Administrative Resident, Center for the Study of Health Services, Institution
for Social and Policy Studies, Yale University January 1975-May 1975

Research Assistant, Center for the Study of Health Services, Institution
for Social and Policy Studies, Yale University June 1975-August 1975

Research Assistant, Center for the Study of Health Services, Institution
for Social and Policy Studies, Yale University June 1976-August 1976

AETNA Life Insurance Company, Expert Consultant 1990 - 1991

Commission on Professional and Hospital Activities (CPHA) 1986-1991

Member of Technical Advisory Committee. DRG Refinement with Diagnostic Specific Comorbidities and Complications Robert B. Fetter (Principal Investigator) 1986-1988

Member of Committee on Epidemiology and Veterans Follow-up Studies. Institute of Medicine 1988-present

Scientific Activities:

Medical Care, Deputy Editor 1988-1996

Journal of Clinical Gastroenterology 1988-2000

Journal of General Internal Medicine 1994-1997

Association of University Programs in Health Administration Press, Health Administration Press 1998-2001

Veterans Administration Health Services Research and Development Large Grants Study Section 1992-1998

Blue Cross Blue Shield Foundation

Analyses of Variation in Health Care Use in Michigan; John R.C. Wheeler, PI; 4/1/01-9/30/01; $44,863; 2% effort

Robert Wood Johnson Foundation

Robert Wood Johnson – Cohort 99-01; Principal Investigator; 7/1/99–6/30/01; $384,996; 0% effort

Robert Wood Johnson Foundation

Robert Wood Johnson – Clinical Scholars Program at the University of Michigan; Co-Director; 7/1/98-6/30/01; $1,199,999; 20% effort

National Cancer Institute

Increasing Mammography: Older, Minority and Rural Women; Co-Principal Investigator; 5/1/96-4/30/01; $821,601; 20% effort

Robert Wood Johnson Foundation

Robert Wood Johnson Clinical Scholars – Cohort 98-00 at the University of Michigan; Co-Director; 7/1/99-6/30/00; $510,000; 0% effort

AETNA US Healthcare

University of Pennsylvania; Principal Investigator; 9/1/97-8/31/00; $114,822; 10% effort

Robert Wood Johnson Foundation

Robert Wood Johnson Clinical Scholars – Cohort 97-99 at the University of Michigan; Co-Director; 7/1/97-6/30/99; $640,000; 0% effort

AHRQ

Health Services Research Training; Co-Program Director; 7/1/92-6/30/00; total cost budget $1,042,000; 0% effort

Robert Wood Johnson Foundation

Robert Wood Johnson Clinical Scholars Program; Principal Investigator; 7/01-6/30/05; $1,651,376 total direct costs; 20% effort

NIH (AHRQ)

Targeting Interventions to Reduce Errors; Chair, Internal Planning Committee; 9/30/01-9/29/04; $600,000 total costs; 5% effort

Robert Wood Johnson Foundation

Robert Wood Johnson Cohort 01-03; Principal Investigator; 7/01-6/30/03; $664,220 total direct costs; 0% effort

Robert Wood Johnson Foundation

Robert Wood Johnson Cohort 00-02; Principal Investigator; 7/00-6/30/03; $362,666 total direct costs; 0% effort

NIH

Colon Cancer Testing in Michigan; Principal Investigator; 1/1/03-12/31/06; $1,723,307 total costs; 30% effort

Medical Licensure

State of Connecticut
State of New York
State of Michigan (4301-048806)
Federal DEA (AM2331685)

Faculty

Making Choices for Health Care Systems: Models and Tools?
International Working Conference, Rennes, France June, 1991

Faculty

International Conference on the Management and Financing of Hospital Services 1986-1989

Faculty

Health Care Management Program, Advanced Management Studies, Yale School of Organization and Management, Yale University 1983-1988

Attending

General Medicine Clinic University of Michigan Medical Center 1985-present

Attending

Gastrointestinal and Liver Disease Clinic, Ann Arbor Veterans Administration Medical Center 1985-present

Attending

Gastrointestinal Procedures Unit, Ann Arbor Veterans Administration Medical Center 1985-1988

Attending

Gastrointestinal and Liver Consultation Service, Ann Arbor Veterans Administration Medical Center 1985-1988

Attending

General Medicine Consultation Service, University of Michigan 1988-1995

Attending

General Medicine Inpatient Service, University of Michigan 1985-1995

Lecturer

Pathophysiology Course, GI Section, Yale Medical School 1983-1985

Lecturer

Resident Conferences, University of Michigan Department of Internal Medicine 1985-present

Lecturer

Hospitals Administration, Department of Health Services Management and Policy, School of Public Health, University of Michigan 1986-1988

Lecturer

General Medicine Clinical Conferences, Department of Internal Medicine, University of Michigan 1988-present

Lecturer

General Medicine Research Conferences, Department of Internal Medicine, University of Michigan 1985-present

Lecturer

Basic Science Conference, Division of Gastroenterology, Department of Internal Medicine, University of Michigan 1985-1990

Lecturer

OJ/OC Clinical Epidemiology and Research Design, Department of Biostatistics, School of Public Health, University of Michigan 1990-present

1988-1989

Ann Ferris, MD

1989-1990

Abdulhay Kadri, MD

1989-1991

Timothy Hofer, MD, MS

1990-1992

Susan Goold, MD, MHSA

1993-1994

Harriet Jakob, MD

1993-1995

Yvonne Kuczynski, MD, JD

1994-1996

Kristin Alline, MD

1995-1997

Sandeep Vijan, MD

1996-1998

Anne Boyd, MD

1997-1998

Lawrence An, MD

1998-present

Bramajee Nallamothu, MD

1995-1997

Lawrence An, MD

1995-1997

Catherine Caldicott, MD

1995-1997

Kevin Chung, MD

1995-1997

Jonathan Metzl, MD

1995-1997

Lisa Richardson, MD

1996-1998

James Gordon, MD

1996-1998

Sara Pendleton, MD

1996-1998

Diedre Spicer, MD

1997-1999

Michael Farrell, MD

1997-1999

Kenneth Langa, MD

1995-1996

Wendy Larson, MD

1997-1999

David Kent, MD

1997-1998

Andrew Michaels, MD

1997-1999

Sara Warber, MD

1997-1999

John Wei, MD

1998-2000

Brent Asplin, MD, MPH

1998-2000

Lisa Harris, MD

1998-2000

Maureen Phipps, MD, MPH

1998-2000

Andrew Rosenberg, MD

2002-2004

Tracy Richmond, MD

1991-1993

Mark Edlund, Medical Scientist Training Program Student

Mills L, Pallett P, McMahon LF. Patient Centered Evaluation. Annual Society for Computer Medicine Meeting, Chicago, November, 1975

McMahon LF. DRGs: Defects and Remedies. National Seminar of the American College of Utilization Review Physicians. New Orleans, October 26, 1984

Smits HL, Fetter RB, McMahon LF. Variation in Resource Use Within DRGs; the Severity Issue. National Meeting American Public Health Association, Anaheim, California, 11/14/1984

McMahon LF. Symposium: Emerging Technology: Patient Protection vs. Proliferation. Yale Medical School, New Haven, CT, May, 1985

McMahon LF. Quality Outcome Variation Research: Severity Wars and What the Data Mean (Panel Member). American Medical Peer Review Association. Twelfth Annual Session. St. Louis, Missouri, 9/29/1986

McMahon LF. Use of Case-mix Measures for Quality Assurance in a Clinical Setting. National Meeting of ORSA/TIMS. New Orleans, LA, 5/5/1987

McMahon LF. Managing Clinical Practice: The Integrated Inpatient Management Model. Health Systems Management Group Colloquium. Yale School of Organization and Management, New Haven, CT, 12/3/1987

McMahon LF. Management of Clinical Practice Using DRGs. Annual Meeting of Yale University Hospital Administration Alumni Association. New Haven, CT, 6/10/1988

McMahon LF. Harvard Resource Based Relative Value System and Academic Medical Centers - an Internist's Perspective. American Association of Medical Colleges. National Meeting. Chicago, IL, 11/12/1988

McMahon LF. Small Area Analysis of Gastrointestinal Disease Hospital Variation: Are the Poor at Risk? American Public Health Association. National Meeting. Boston, MA, 11/13/1988

McMahon LF, Panzer R. The Measurement and Management of Inpatient Clinical Practice (Workshop) National Society of General Internal Medicine Meeting, 4/28/1989

McMahon LF. Review of the Harvard Based Relative Value Scale for Physician Payment. Keynote Address. Perspectives in Medicine, University of Vermont, 5/12/1989

McMahon LF. Hospital Utilization Review. The Third International Conference on The Management and Financing of Hospital Services. Washington, D.C., 5/26/1989

McMahon LF. Defining Severity of Illness. Sixth Annual Meeting of the Association for Health Services Research. Chicago, Illinois, 6/19/1989

McMahon LF. The Integrated Inpatient Management Model. Lutheran General Hospital, Parkridge, Illinois, 10/23/1989

McMahon LF. The University of Michigan's Integrated Inpatient Management Model. University of Alabama at Birmingham, Birmingham, Alabama, 2/26/1990

McMahon LF. The Integrated Inpatient Management Model Clinical Firm Conference. National Institutes of Health. Bethesda, Maryland, 4/30/1990

McMahon LF. Outcomes Research: The End-Result Idea Revisited. Research Symposium, American Society for Gastrointestinal Endoscopy. Digestive Disease Week, San Antonio, Texas, 5/15/1990

Wolfe RA, McMahon LF, Griffith JR. Poisson Regression Methods in Small Area Analysis. Presented at the Annual American Public Health Association Meeting. New York, New York, 10/1/1990

McMahon LF. Prospective Payment--An Overview. Advances in Internal Medicine. University of Michigan, 5/16/1986

McMahon LF. Can DRGs be Improved? The Role of Academic Medicine. Medical Grand Rounds. University of Michigan, 6/13/1986

McMahon LF. Quality Assurance and Prospective Payment for Ambulatory Care. Sisters of Mercy Health Corporation. Fourth Annual Medical Care Symposium. Novi, Michigan, 9/26/1986

McMahon LF. DRGs and the Effect on Medicine. Medical Grand Rounds. Catherine McAuley Medical Center, Ann Arbor, Michigan, 12/3/1986

McMahon LF. The Decision to Terminate. Conference on Decision Making for the Critically Ill Elderly. University of Michigan, Ann Arbor, MI, 9/23/1987

McMahon LF. The Use of Instruments Like APACHE II to Facilitate Decision Making for the Critically Ill. Conference on Decision Making for the Critically Ill Elderly. University of Michigan, Ann Arbor, MI, 9/23/1987

McMahon LF. The Harvard Resource Based Relative Value System For Physician Payment - What Does It Mean For Academic Medicine? Medical Grand Rounds. University of Michigan, 12/2/1988

McMahon LF. Physician Payment. Advances in Internal Medicine, University of Michigan, 5/17/1989

McMahon LF. Physician Payment Reform: The Harvard Resource Based Relative Value Scale. Flint Osteopathic Hospital, Flint, Michigan, 12/18/1989

McMahon LF, Bernard AM, Hayward RH, Anderson JE. The Integrated Inpatient Management Model in the Department of Medicine. Presented to the University of Michigan Hospitals' Executive Board. Ann Arbor, Michigan, 6/5/1990

McMahon LF. Socioeconomic Influences on Hospital Utilization in Michigan. Oakland University, Rochester, Michigan, 6/6/1990

McMahon LF. Variation in Clinical Practice: Why is it Important? The Case of Colon Cancer. Presented at Medical Grand Rounds, University of Michigan Medical Center, Ann Arbor, Michigan, 10/5/1992

McMahon LF. Clinical Practice Management. Bi-annual Institute of Health Services Management and Policy, 10/1/1993

McMahon LF. Clinical Practice Management. Clinical Scholars Program, 11/15/1995

McMahon LF. Methods to Assess Clinical Practice. The Health Management and Policy Seminar, Department of Health Management and Policy, 2/26/1996

McMahon LF.  To Err is Human: Building a Safer Health System.  Institute of Medicine Report., February 2000

Housestaff, Negotiation Committee, 1989

Ancillary Services Management Committee, 1990-1991

Clinical Practice Assessment Committee, 1993-1995

Health Policy Monitoring Committee, 1993-present

Health Services Research Coordinating Committee, 1993-1995

Member, Search Committee, Zuidema Chair in Health Services Research, Department of Surgery, 1994-present

Member, Search Committee, VA Health Services Research Field Program Director, 1994-1995

Member, Board of Directors, Faculty Group Practice, 1996-1998

Member, Finance Committee, Faculty Group Practice, 1996-1997

Member, Cost per Case Committee, 1997-1998

Member, Health Services Research Committee, 1997-1998

Chair, Health Services Research Search Committee, 1998-present

Medical School Representative, University of Michigan Health Services Research Oversight Committee, 1998-present

Member, Primary Care Payment Committee, 1998-present

Member, Faculty Group Practice Planning Committee, 1998-present

Member, Research Committee, University of Michigan Health System Strategic Planning Initiative, 1999-present

Drug Utilization Review Committee, 1985-present

Ancillary Service Utilization, Co-Chairman, 1990-1991

Integrated Inpatient Management Model, Director, 1989-present

Small Grants Program Committee, 1993-present

Cost Associated with Transfer Patients, Co Chairman, 1995-1996

Quality Assurance and Cost Containment Committee of the Integrated Inpatient Management Model, 1986-1991

Executive Update Committee of the Integrated Inpatient Management Model, 1986-1991

Member, Search Committee for the Chief, Division of General Medicine, 1987

Member, Departmental Internal Review Committee,1988-1989

Member, Evaluation Committee of Residents, 1988-1995

Member, Department Awards Committee1988-1993; 1996-present

Member, Search Committee for the Chief, Division of Gastroenterology, 1990

Member, Research Review Committee, 1991-present

Member, Departmental Contingency Committee, 1994-1996

Member, Search Committee for the Chairman, Division of Health Services Management and Policy, 1986-1988

Member, Health Services Management and Policy Research Committee, 1993-present

Health Services Management and Policy Postdoctoral Program Committee, Chair, 1993; 1993-present

Member, Health and Health Services Discipline Committee, 1994-present

AGA Abstract Selection Committee Clinical Epidemiology, 1988-1991

Chairman,1990

Committee on Epidemiology and Veterans Follow-up Studies, Institute of Medicine, 1988-present

Research and Development Committee, American Society for Gastrointestinal Endoscopy, 1990-1992

Clinical Care Committee, American Gastrointestinal Association, 1990-present

Public Policy Committee, American Gastrointestinal Association, 1990-1993

AFCR, Abstract Selection Committee, Clinical Epidemiology and Health Care Research, 1990-1991

AGA, SKF Clinical Research Award Selection Committee,1991-present

Secretarial Appointee on the Department of Veterans Affairs (VA) Scientific Review and Evaluation Board for Health Services Research and Development (HSR & D) Services, 1992-present

Residency Training Review Committee. Health Resources and Services Administration, 1991

Society for General Medicine, Abstract Selection Committee, Health Services Research, 1993; 1996; 1999

Society for General Medicine, Glaser Award Committee, 1994

AGA, Patient Care Committee, 1990-present

AGA, Outcomes Research Task Force, 1994-present

Society for General Internal Medicine, Chair, Abstract Selection Committee, Health Services Research, 1995

AGA, Clinical Outcomes Task Force, 1995-2000

Gastrointestinal Clinical Epidemiology Training Advisory Committee, University of Pennsylvania, May 1995-present

American Digestive Health Foundation Outcomes and Clinical Research Panel, 1995-present

American Digestive Health Foundation Subcommittee on Clinical Outcomes Research, March 1998 - December 1999

American Digestive Health Foundation Research Policy Committee, May 1998 - May 2001

Saint S, Rose J, Lichter AS, Forrest S, McMahon LF. The potential of cost shifting from high cost to low cost diagnosis-related groups. Evaluation in the Health Professions . 2002; 25(3):259-269.

Alderman AK , McMahon LF, Wilkins EG. The national utilization of immediate and early delayed breast reconstruction and the impact of sociodemographic factors. Journal of Plastic and Reconstructive Surgery . 2003; 111(2):695-703.

Harrison RV, Janz NK, Wolfe RA, Tedeschi PJ, Chernew M, Stross JK, Huang X, McMahon, Jr. LF. Tailored personalized letter increases mammography among long-term noncompliant Medicare beneficiaries: A randomized trial. Medical Care . 2003; 41(3):375-385.

Williams KL, Fendrick AM, Farr P, Polk AT, Plan B, Hoffman RE, Gibble E, Round LA, Richards C, McMahon, Jr. LF. A comparison of mandatory reporting and voluntary reporting for identifying serious care-related injuries. In Press . Joint Commission Journal on Quality and Safety.

Parekh V, Saint SK , Furney S, Kaufman S, McMahon LF. Who should care for hospitalized Medicaid Patients: Specialists or Generalists? Presented at the Society of General Internal Medicine 26 th Annual Meeting, May 2003. Journal of General Internal Medicine; 2003;18(April Supplement):227.

Williams LK, Pladevail M, Fendrick AM, Elson-Lafata J, McMahon LF. Differences in the reporting of care-related patient injuries to existing reporting systems. Journal of General Internal Medicine 2003;18(April Supplement):298.

Fletcher E, Davis SQ, Underwood W, Mangrulkar RS, McMahon LF, Saint S. The effects of interventions to decrease resident fatigue, hours, and sleep deprivation: A systematic review of the literature presented at the Society of General Internal Medicine 26 th Annual Meeting, May 2003. Journal of General Internal Medicine; 2003;18(April Supplement):240.