Dr. Lee A. Green

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University of Michigan
Medical School
Family Medicine
ProfessorAppointed: 2006
Great Lakes Research In Practice Network
DirectorAppointed: 2003
University of Michigan
Units/Centers/Institutes/Programs
Decision Consortium
Interdisciplinary Decision Science
Associate CoordinatorAppointed: 1999
University of Michigan
Public Health
Health Management & Policy
LecturerAppointed: 1988
Professional Headshot of Lee A. Green

Mailing Address

Family Medicine
1018 Fuller
University of Michigan
Ann Arbor, Michigan 48109-0708
United States

Contact Information

Phone: (734) 998-7120
Fax: (734) 998-7335
greenla@umich.edu
http://www.med.umich.edu/fammed/research/faculty.htm

Qualifications

American Academy of Family Practice, Clinical Policies Analysis, 1992.
M.P.H., University of Michigan, Health Services Management and Policy, 1988.
Board Certification, University of Michigan, Family Practice Residency, 1986.
M.D., University of Michigan, Medicine, 1983.

Expertise and Research Interests

Primary interest is clinical (phase II) translational research, particularly the cognitive aspects of physician practice change, and their implications for improving the quality of routine primary care practice. Other interests: patient centeredness in primary care, use of information supports to improve quality of primary care, maintenance of practice based research networks, office treatment of hypertension, and outcomes of asthma management.

Other Expertise

Evidence-based medicine, evidence-based practice guidelines, information systems and database design and administration

Future Research

Application of cognitive science to changing established physician practice patterns. (Knowledge utilization, or clinical translational science.)

Conduct of research in primary care practice settings. (Practice-based research network activities.)

Keywords

COS Keywords:

Asthma, Computer Technology (medical), Database Management, Decision Sciences, Family Medicine, Health Care Administration, Health Care Planning Or Policy.

Additional Terms:

Asthma, Chest Pain, Physician Decision-making, Quality of Medical Care.

Languages

(Reading, Writing, Speaking)

German: (Basic, Basic, Basic)

Memberships

Academy Health
American Academy of Family Physicians
Michigan Academy of Family Physicians
North American Primary Care Research Group
Society for Medical Decision Making

Honors and Awards

1994, Residents' Teaching Award, Family Practice, University of Michigan
1986, Resident Teaching Award, Society of Teachers of Family Medicine

Previous Positions

1997-2005, Clinical Lead, University of Michigan, Units/Centers/Institutes/Programs, University of Michigan Health System, UMH MDRTC Clinical Implementation Core
1996-2006, Associate Professor, University of Michigan, Medical School, Family Medicine
1989-1996, Assistant Professor, University of Michigan, Medical School, Family Medicine
1986-1989, Lecturer, University of Michigan, Medical School, Family Medicine

Funding Received

  • NIH-NHLBI: NIH-Roadmap; Michigan Clinical Research Collaboratory (MCRC) Project: An Integrated Academic-Community Research Enterprise, 2004 to 2007.
  • NIH/National Institute of Child Health and Human Development, Centers for Disease Control, National Institute of Environmental Health Sciences, and Environmental Protection Agency: National Children's Study: NCS Pilot Study In Primary Care PBRNs, 2004 to 2005.
  • Association of American Medical Colleges, DHHS-CDC: Family Assessment of Risk Evaluation (FARE) Trial, 2003 to 2006.
  • Agency for Health Care Quality and Research: Infrastructure for Translational Research in a PBRN (GRIPS: The GRIN, Great Lakes Research in Practice Network), 2003 to 2006.
  • National Institute of Health, National Cancer Institute: Prompting and Reminding at Encounters for Prevention (PREP), 2003 to 2006.
  • Veterans' Administration Health Services Research and Development: A Custom Approach to Implementation of Diabetes Hypertension Guidelines, 2001 to 2005.
  • Informatics for the National Heart Attack Alert Program: National Heart, Lung, and Blood Institute, 1999 to 2000.
  • Blue Cross Blue Shield of Michigan Foundation: Utility of the Bimanual Examination in Asymptomatic Young Women, 1998 to 1999.
  • USQA Foundation, American Academy of Family Physicians: Medication, Management, and Outcomes of Asthma, 1998 to 2002.
  • Blue Cross Blue Shield of Michigan Foundation: Validation of Prescribing Pattern as Outcome Related Measure of Quality of Care for Asthma, 1995 to 1996.
  • National Center for Human Genome Research: Genome Technology and Reproduction: Values and Public Policy, 1994 to 1997.
  • US Public Health Service, National Heart, Lung, and Blood Institute: Social Support in the Management of Congestive Heart Failure, 1991 to 1993.
  • US Public Health Service, Agency for Health Care Policy and Research: Diagnostic Uncertainty and Variation in Use of Services, 1991 to 1993.
  • Michigan Health Care Education and Research Foundation: Effect of a Priori Estimation of the Probability of Acute Cardiac Ischemia upon Cardiac Care Unit Admission Practices in a Rural Family Practice, 1987 to 1988.
  • American Academy of Family Physicians: Michigan Consortium for Family Practice Research (MCFPR), 1/1/99 to 2009.

Publications

  • Van Harrison R, Standiford CJ, Green LA, Bernstein SJ (2006) Integrating education into primary care quality and cost improvement at an academic medical center, J Contin Educ Health Prof, 26 (4), 268-84
  • Schwenk, T. (2006) The Michigan Clinical Research Collaboratory: Following the NIH Roadmap to the Community, Ann Fam Med, 4 (Supp1), S49-54
  • Zoschnick LB, Brackbill EL, Green LA, Van Harrison R, Schumacher RE (2006) Prenatal Care Guideline, University of Michigan Health System, Ann Arbor, MI
  • Green LA, Baldwin JL, Brinley FJ, Freer JA, Grum CM, Hurwitz ME, Johnson CE, Song B (2006) Asthma Practice Guideline, University of Michigan Health System, Ann Arbor, MI, http://guidelines.gov/summary/summary.aspx?doc_id=9003&nbr=004879&string=asthma
  • Qaseem A, Snow V, Barry P, Hornbake ER, Segal J, Weiss KB, Green L, Owens DK, Rodnick JE, Tobolic T, Ireland B (2006) Management of Venous Thromboembolism in primary care: A clinical practice guideline from the American Academy of Family Physicians and the American College of Physicians, Annals of Internal Medicine, In Press
  • Green LA, Wyszewianski L, Kowalski C, Lowery J (2006) Impact of Institutional Review Board Practice Variation on Observational Health Services Research, Health Serv Res, 41 (1), 214-30
  • Green L, Benefits of early invasive treatment for acute coronary syndromes: lost in translation?, BMJ (clinical Research Ed.), 330(7500), E351-2, May 2005 Abstract
  • Green LA (2005) The importance of cognitive outcomes (invited editorial). The Value of Diagnostic Information to Patients with Chest Pain Suggestive of Coronary Artery Disease, Med Decis Making, 25, 146
  • Green LA, Nease DE Jr., Barry H, Hudson B, White L (2005) Infrastructure Requirements for Practice-Based Research Networks, Ann Fam Med, 3 (Suppl 1), S5-11
  • Green LA, Seifert CM (2005) Translation of research into practice: why we can't "just do it", J Am Board Fam Pract, 18 (6), 541-45
  • Campbell-Scherer D, Green LA (2005) Hypertension, Prim Care, 32 (4), 1011-25
  • Green L, The importance of cognitive outcomes., Medical Decision Making : an International Journal of the Society for Medical Decision Making., 25(2), 146, Mar-Apr 2005 Abstract
  • Green L, Prehypertension, patient outcomes, and the knowledge base of family medicine., Annals of Family Medicine, 3(4), 292-3, Jul-Aug 2005 Abstract
  • Green L, The importance of cognitive outcomes., Medical Decision Making : an International Journal of the Society for Medical Decision Making., 25(2), 146, Mar-Apr 2005 Abstract
  • Christensen RE, Fetters MD, Green LA (Mar-Apr 2005) Opening the black box: cognitive strategies in family practice, Annals of Family Medicine, 3 (2), 144-50
  • Falkner B, Daniels SR (Oct 2004) Summary of the Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents, Hypertension, 44 (4), 387-8
  • Antman EM, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M, Hochman JS, Krumholz HM, Kushner FG, Lamas GA, Mullany CJ, Ornato JP, Pearle DL, Sloan MA, Smith SC Jr (Aug 2004) ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction--executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee, Journal of the American College of Cardiology, 44 (3), 671-719
  • Snow V, Weiss KB, LeFevre M, McNamara R, Bass E, Green LA, Michl K, Owens DK, Susman J, Allen DI, Mottur-Pilson C (Dec 2003) Management of newly detected atrial fibrillation: a clinical practice guideline from the American Academy of Family Physicians and the American College of Physicians, Annals of Internal Medicine, 139 (12), 1009-17
  • Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ (Dec 2003) Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, Hypertension, 42 (6), 1206-52
  • Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ (May 2003) The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report, Jama : the Journal of the American Medical Association, 289 (19), 2560-72
  • Nease DE Jr, Green LA (Mar-Apr 2003) ClinfoTracker: a generalizable prompting tool for primary care, The Journal of the American Board of Family Practice / American Board of Family Practice., 16 (2), 115-23
  • Nease DE Jr, Green LA (Mar-Apr 2003) ClinfoTracker: a generalizable prompting tool for primary care, The Journal of the American Board of Family Practice / American Board of Family Practice., 16 (2), 115-23
  • Green LA, Gorenflo DW, Wyszewianski L (Nov 2002) Validating an instrument for selecting interventions to change physician practice patterns: a Michigan Consortium for Family Practice Research study, The Journal of Family Practice, 51 (11), 938-42
  • Green LA (2002) Ischemic Heart Disease In Taylor RB (eds), Manual of Family Practice, Second Edition, Philadelphia, Lippincontt, Williams and Wilkins (bookchapter)
  • Cabana M, Bruckman D, Rushton JL, Bratton SL, Green L (Nov-Dec 2002) Receipt of asthma subspecialty care by children in a managed care organization, Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association, 2 (6), 456-61
  • Green L (2001) Summarizing the Results: When to Believe a Subgroup Analysis In Guyatt G, Rennie D (eds), Users' Guides to the Medical Literature: A Manual for Evidence-Based Practice, Chicago, AMA Press (bookchapter)
  • Green L (2001) Therapy and Applying the Results: Qualitative Research In Guyatt G, Rennie D (eds), Users' Guides to the Medical Literature: A Manual for Evidence-Based Practice, Chicago, AMA Press (bookchapter)
  • Rodgers P, Green LA (2001) Chest Pain In Sloane P, Slatt L, Curtis P (eds), Essentials of Family Medicine, Second Edition, Baltimore, Williams and Wilkins (bookchapter)
  • Guyatt G, Haynes B, Jaeschke R, Cook D, Greenhalgh T, Meade M, Green L, Naylor D, Wilson M, McAlister F, Richardson S (2001) Introduction: The Philosphy of Evidence-Based Medicine In Guyatt G, Rennie D (eds), Users' Guides to the Medical Literature: A Manual for Evidence-Based Practice, Chicago, AMA Press (bookchapter)
  • Guyatt G, Hayward R, Richardson WS, Green L, Wilson M, Sinclair J, Cook D, Glasziuo P, Detsky A, Bass E (2001) Moving from Evidence to Action In Guyatt G, Rennie D (eds), Users' Guides to the Medical Literature: A Manual for Evidence-Based Practice, Chicago, AMA Press (bookchapter)
  • Guyatt G, Haynes B, Jaeschke R, Cook D, Greenhalgh T, Meade M, Green L, Naylor D, Wilson M, McAlister F, Richardson S (2001) Expanded Philosophy of Evidence-Based Medicine: Parallet but Separate Goals - Evidence-Based Practitioners and Evidence-Based Care In Guyatt G, Rennie D (eds), Users' Guides to the Medical Literature: A Manual for Evidence-Based Practice, Chicago, AMA Press (bookchapter)
  • Green L (2001) Therapy and Validity: Computer Decision Support Systems In Guyatt G, Rennie D (eds), Users' Guides to the Medical Literature: A Manual for Evidence-Based Practice, Chicago, AMA Press (bookchapter)
  • Kim F, Green L (2001) Approach to the patient with acute or new-onset chest pain, Best Practice of Medicine, New York, Praxis Press (bookchapter)
  • Guyatt GH, Haynes RB, Jaeschke RZ, Cook DJ, Green L, Naylor CD, Wilson MC, Richardson WS (Sep 2000) Users' Guides to the Medical Literature: XXV. Evidence-based medicine: principles for applying the Users' Guides to patient care. Evidence-Based Medicine Working Group, Jama : the Journal of the American Medical Association, 284 (10), 1290-6
  • Valenstein M, Ritsema T, Green L, Blow FC, Mitchinson A, McCarthy JF, Barry KL, Hill E (Aug 2000) Targeting quality improvement activities for depression. Implications of using administrative data, The Journal of Family Practice, 49 (8), 721-8
  • Green LA (2000) National High Blood Pressure Education Program Working Group Report on High Blood Pressure in Pregnancy, Am J Obstet Gynecol, 183, S1-22
  • Green L (Jun 1998) Using evidence-based medicine in clinical practice, Primary Care, 25 (2), 391-400
  • Green LA (1998) Chest Pain In Sloane P, Slatt L, Curtis P (eds), Essentials of Family Medicine, Baltimore, Williams and Wilkins (bookchapter)
  • Green LA (1998) Fine Needle Aspiration Biopsy In Pfenninger J (eds), Office Procedures for Primary Care Physicians, Second Edition, St. Louis, C.V. Mosby (bookchapter)
  • Green L, Mehr DR, What alters physicians'' decisions to admit to the coronary care unit? [see comments, Journal of Family Practice, 45(3), 219-26, 1997 Abstract
  • Green L, Mehr DR (Sep 1997) What alters physicians' decisions to admit to the coronary care unit?, The Journal of Family Practice, 45 (3), 219-26
  • Green LA (1997) The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VI), Arch Intern Med, 157, 2413-46
  • Green LA (1996) Ischemic Heart Disease: Angina and Myocardial Infarction In Pfenninger J (eds), Manual of Family Practice, Boston, Little, Brown (bookchapter)
  • with J. Yates, Influence of pseudodiagnostic information on the evaluation of ischemic coronary disease, Annals of Emergency Medicine, 25, 451-457, 1995
  • Green LA, Ruffin MT 4th, A closer examination of gender bias in the treatment of ischemic cardiac disease [see comments, Journal of Family Practice, 39(4), 331-6, October 1994 Abstract
  • with M. Becker, Physician decision-making and variation in hospital admission rates for suspected acute ischemic heart disease: A tale of two towns, Medical Care, 32(11), 1086-1097, 1994
  • with M. Ruffin, A closer examination of gender bias in the treatment of ischemic cardiac disease, Journal of Family Practice, 39, 331-336, 1994
  • Green LA (1994) Fine Needle Aspiration Biopsy In Taylor R (eds), Office Procedures for Primary Care Physicians, St. Louis, C.M. Mosby (bookchapter)
  • Wyszewianski L, Green LA, Kowalski C, Lowery J, Does Implementation of Evidence Based Guidelines Follow the Available Evidence? : Implementation of Hypertension Guidelines at Veterans Affairs Medical Centers, Quality Management in Healthcare, In Press
  • Boyd A. Hosner C, Hunscher D, Athey BD, Clauw DJ, Green LA, An 'Honest Broker' mechanism to maintain privacy for patient care and academic medical research, Int J Med Inform, In Press

Profile Details

Last Updated: 2/28/2008

COS Expertise ID #419790
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