Dr. Michael S. Klinkman

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University of Michigan
Medical School
Family Medicine
Associate ProfessorAppointed: 1998
University of Michigan
Medical School
Psychiatry
Associate ProfessorAppointed: 2001
Professional Headshot of Michael S. Klinkman

Mailing Address

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

Contact Information

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

Qualifications

M.S., Case Western Reserve University, Family Medicine, 1987.
M.D., University of Michigan, Medicine, 1982.
B.S., University of Michigan, Zoology, 1978.

Expertise and Research Interests

1. To examine medical decision making in ambulatory settings. I am studying the process of decision making, determining resources used in evaluating primary care complaints, the level of comfort that exists with uncertainty, and the influence of economic factors such as method of payment. I am using encounter-based medical information as recorded on a modified billing document, linking reason for encounter to lab studies ordered, ancillary services requested, and diagnosis. My objective is to describe the process of decision making for common complaints (or RFEs), and to evaluate the effectiveness of decision making and patient management strategies. A related interest is the development of a computer-based, research-oriented information system for a primary care office. We have designed and implemented a Macintosh-based system that integrates billing and research functions and performs quality assurance screening.

2. To determine the process involved in quality assurance in primary care and to link it to outcomes through explicit and implicit "quality" measurement.

3. To determine how changes in health care economics affect the patient/physician relationship. I have developed a model for choice of health provider, incorporating the employers who make many ofthese decisions.

Other Expertise

1. Physician Advisory Board, CIGNA Healthplan of Northeast Ohio (1987-1989)
2. Member and Chair, Quality Assurance Committee, University Family Practice, Cleveland (1989)
3. Hospital Quality Assurance Committee, University of Michigan Hospitals
4. Quality Assurance/Information Management Committees, Department of Family Practice
5. Chair, Information Systems Task Force, North American Primary Care Research Group

Keywords

COS Keywords:

Ambulatory Care, Family Medicine, Health Care, Health Services Delivery, Medical Decision Making, Medical Informatics, Patient Care Management, Probability, Psychiatry, Statistics, Surveys and Survey Research.

Additional Terms:

Family Practice, Health Care Delivery Systems, Healthcare Surveys, Medical Care Organization, Medical Decision-making, Patient Management Strategies, Physician/Patient Interaction, Probability and Statistics.

Languages

(Reading, Writing, Speaking)

French: (None, None, Basic)

Memberships

GRIN Steering Committee
Great Lakes Research into Practice Network
MIRNET Steering Committee
Michigan Academy of Family Physicians
Michigan Research Network
North American Primary Care Research Group
Society of Teachers of Family Medicine
World Organization of Family Doctors

Honors and Awards

2005-2006, Graham Center Scholar, The Robert Graham Center for Policy Studies in Family Medicine and Primary Care
1998-1998, Volunteer Physician of the Year, Hope Medical Clinic, Hope Medical Clinic, Ypsilanti, Michigan
1994-1995, Faculty Appreciation Senior Resident Award, Department of Family Medicine, University of Michigan Medical School, Outstanding Clinical Teacher Award
1991-1992, Faculty Appreciation Senior Resident Award, Department of Family Medicine, University of Michigan Medical School, Outstanding Clinical Teacher Award
1987-1988, Kenneth G. Reeb Award for Excellence in Clinical Teaching, Department of Family Medicine, Case Western Reserve University
1977, Phi Beta Kappa, University Of Michigan
1974-1978, James B. Angell Scholar, University Of Michigan
1973, Regents Alumni Scholar, University Of Michigan
1973-1977, National Merit Scholar, University Of Michigan

Previous Positions

1991-1998, Assistant Professor, University of Michigan, Medical School, Family Practice
1989-1991, Lecturer, University of Michigan, Medical School, Family Practice
1987-1989, Assistant Professor, Case Western Reserve University, School of Medicine, Family Medicine
1985-1987, Clinical Instructor, Case Western Reserve University, Family Medicine

Funding Received

  • University of Texas: Sequenced Treatment Alternatives to Relieve Depression (STAR*D)-Briarwood Family Practice, UM ID# 02-0636, 4/1/01 to 2006.
  • Eli Lilly Foundation: The University of Michigan Depression Center: Reengineering the Nation's Primary Care, 2006 to 2008.
  • Eli Lilly Foundation: Development and Validation of Rimission Tool, 2005 to 2006.
  • National Insitte of Mental Health/NIH: Michigan Clinical Research Collaborative (MCRC) Project, 2004 to 2007.
  • Johnson, Robert Wood, Foundation: Integrated Depression Management in Primary Care, UM ID# 02-0930, 2003 to 2006.
  • Merck Disease Management in Primary Care: Feasibility of Depression Disease Management in Primary Care, 2003 to 2003.
  • U.S. Department of Health and Human Services: Academic Administrative units in Primary Care: Development of an Episode-Oriented Clinical Information System, 2002 to 2006.
  • University of Michigan: Collaborative Health Services Research for Practice Improvements Initiative: Compurter-Prompted Active Depression Management in Primary Care, 2002 to 2003.
  • Agency for Healthcare Research and Quality: Great Lakes Research into Practice Network (GRIN), 2000 to 2001.
  • University of Michigan Health System Academic Venture Fund: Using the Centralized Mental Health Interview to Identify Patients At-Risk for High Utilization, 1999 to 2001.
  • Michigan Blue Cross/Blue Shield Foundation: Collaborative Care of Depression in the Community, 1996 to 1997.
  • Michigan Department of Social Services: Modified Physician Sponsor Plan in Washtenaw County, 1992 to 1994.
  • Michigan Health Care Education and Research Foundation: Clinical Decision-Making and the Use of Medical Resources for Episodes of Chest Pain in Primary Care, 1991 to 1992.
  • Federal Residency Training Grant: The Development and Implementation of a Quality Assurance/Medical Decision-Making Curriculum for Residency Training, 1989 to 1991.
  • Health and Human Services, Department of-National Institutes of Health: Greater Flint Depression in Primary Care Partnership, UM ID# 07-3635, 12/07/2007 to 11/30/2009.
  • Blue Cross Blue Shield of Michigan Foundation: The Value of Quality Indicators in Primary Care Practice: A Survey of Michigan Primary Care Physicians, UM ID# 04-2759, 09/01/2004 to 2006.
  • Blue Cross Blue Shield of Michigan Foundation: Secondary Screening for Comorbid Mental Health Problems in Depressed Primary Care Patients, UM ID# 05-0587, 07/01/2005 to 06/30/2007.

Publications

  • Graizer KL, Klinkman MS (2006) The economics of integrated depression care: the university of michigan study, Adm Policy Ment Health, 33 (1), 25-9, Unpublished
  • Kilbourne AM, Flanders G, Klinkman MS, Belnap BH, Thomas M (2006) The role of clinical information technology in depression care management., Adm Policy Ment Health, 33 (1), 59-69
  • Nease DE Jr, Klinkman MS, Aikens JE (2005) Severity and criteria based prompting for treatment of depressed patients., International Journal of Psychiatry in Medicine, 35 (2), 149-59 Abstract
  • Aikens JE, Nease DE Jr, Nau DP, Klinkman MS, Schwenk TL (Jan-Feb 2005) Adherence to maintenance-phase antidepressant medication as a function of patient beliefs about medication., Annals of Family Medicine, 3 (1), 23-30 Abstract
  • Gaynes BN, Rush AJ, Trivedi M, Wisniewski SR, Balasubramani GK, Spencer DC, Petersen T, Klinkman M, Warden D, Schneider RK, Castro DB, Golden RN (Mar-Apr 2005) A direct comparison of presenting characteristics of depressed outpatients from primary vs. specialty care settings: preliminary findings from the STAR*D clinical trial., General Hospital Psychiatry, 27 (2), 87-96 Abstract
  • Klinkman MS (2003) The role of algorithms in the detection and treatment of depression in primary care., The Journal of Clinical Psychiatry, 64 Suppl 2, 19-23 Abstract
  • Nease DE, Klinkman MS, Volk RJ (Dec 2002) Improved detection of depression in primary care through severity evaluation., The Journal of Family Practice, 51 (12), 1065-70 Abstract
  • Coyne JC, Thompson R, Klinkman MS, Nease DE Jr (Jun 2002) Emotional disorders in primary care., Journal of Consulting and Clinical Psychology, 70 (3), 798-809 Abstract
  • Pingitore D, Snowden L, Sansone RA, Klinkman M (2001) Persons with depressive symptoms and the treatments they receive: a comparison of primary care physicians and psychiatrists., International Journal of Psychiatry in Medicine, 31 (1), 41-60 Abstract
  • Valenstein M, Klinkman M, Becker S, Blow FC, Barry KL, Sattar A, Hill E (Mar 1999) Concurrent treatment of patients with depression in the community: provider practices, attitudes, and barriers to collaboration., The Journal of Family Practice, 48 (3), 180-7 Abstract
  • Klinkman MS, Okkes I (Nov 1998) Mental health problems in primary care. A research agenda., The Journal of Family Practice, 47 (5), 379-84 Abstract
  • Zazove P, Klinkman MS (Aug 1998) Developing a CQI program in a family medicine department., The Joint Commission Journal On Quality Improvement, 24 (8), 391-406 Abstract
  • Coyne JC, Gallo SM, Klinkman MS, Calarco MM, Effects of recent and past major depression and distress on self-concept and coping., Journal of Abnormal Psychology, 107(1), 86-96, 1998 Abstract
  • Coyne JC, Klinkman MS, Anderson K, Schwenk TL (1998) Differences between depressed primary care and psychiatric patients: A 52-month perspective., Int J Psychiatry Med (28), 383
  • Klinkman MS, Okkes I (1998) Mental health problems in primary care: a research agenda., International Journal of Psychiatry in Medicine, 28 (4), 361-74 Abstract
  • Schwenk TL, Klinkman MS, Coyne JC (1998) Depression in the family physician's office: what the psychiatrist needs to know: the Michigan Depression Project., The Journal of Clinical Psychiatry, 59 Suppl 20, 94-100 Abstract
  • Klinkman MS, Coyne JC, Gallo S, Schwenk TL (Sep-Oct 1998) False positives, false negatives, and the validity of the diagnosis of major depression in primary care., Archives of Family Medicine, 7 (5), 451-61 Abstract
  • Klinkman MS, Gorenflo DW, Ritsema TS, The effects of insurance coverage on the quality of prenatal care., Archives of Family Medicine, 6(6), 557-66, November 1997 Abstract
  • Klinkman MS, Coyne JC, Gallo S, Schwenk TL, Can case-finding instruments be used to improve physician detection of depression in primary care?, Archives of Family Medicine, 6(6), 567-73, November 1997 Abstract
  • Klinkman MS, Schwenk TL, Coyne JC (Nov 1997) Depression in primary care--more like asthma than appendicitis: the Michigan Depression Project., Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie, 42 (9), 966-73 Abstract
  • Coyne JC, Klinkman MS, Gallo SM, Schwenk TL, Short-term outcomes of detected and undetected depressed primary care patients and depressed psychiatric patients., General Hospital Psychiatry, 19(5), 333-43, 1997 Abstract
  • Coyne JC, Klinkman MS, Gallo SM, Schwenk TL (Sep 1997) Short-term outcomes of detected and undetected depressed primary care patients and depressed psychiatric patients., General Hospital Psychiatry, 19 (5), 333-43 Abstract
  • Klinkman MS, Competing demands in psychosocial care. A model for the identification and treatment of depressive disorders in primary care [see comments, General Hospital Psychiatry, 19(2), 98-111, 1997 Abstract
  • Coyne JC, Klinkman MS (1997) Undetected depression is not ntreted depression: A report from the Michigan Depression Project., Int J Psychiatry Med (27), 309-310
  • Parkerson GR Jr, Bridges-Webb C, Gervas J, Hofmans-Okkes I, Lamberts H, Froom J, Fischer G, Meyboom-de Jong B, Bentsen B, Klinkman M, de Maeseneer J (Jun 1996) Classification of severity of health problems in family/general practice: an international field trial., Family Practice, 13 (3), 303-9 Abstract
  • Klinkman MS (May 1996) Episodes of care for abdominal pain in a primary care practice., Archives of Family Medicine, 5 (5), 279-85 Abstract
  • Klinkman MS, Green LA (Jul-Aug 1995) Using ICPC in a computer-based primary care information system., Family Medicine, 27 (7), 449-56 Abstract
  • Klinkman MS, Stevens D, Gorenflo DW, Episodes of care for chest pain: a preliminary report from MIRNET. Michigan Research Network., Journal of Family Practice, 38(4), 345-52, 1994 Abstract
  • Zazove P, Mehr DR, Ruffin MT 4th, Klinkman MS, Peggs JF, Davies TC (Mar 1992) A criterion-based review of preventive health care in the elderly. Part 2. A geriatric health maintenance program., The Journal of Family Practice, 34 (3), 320-47 Abstract
  • Klinkman MS, Zazove P, Mehr DR, Ruffin MT 4th (Feb 1992) A criterion-based review of preventive health care in the elderly. Part 1. Theoretical framework and development of criteria., The Journal of Family Practice, 34 (2), 205-9, 213-8, 221-4 Abstract
  • Klinkman MS (Fall 1991) The process of choice of health care plan and provider: development of an integrated analytic framework., Medical Care Review, 48 (3), 295-330 Abstract
  • Garrett RE, Klinkman M, Post L (May-Jun 1987) If you meet Buddha on the road, take a genogram: Zen and the art of family medicine., Family Medicine, 19 (3), 225-6 Abstract

Profile Details

Last Updated: 2/14/2008

COS Expertise ID #319550
Reference this profile directly: http://myprofile.cos.com/klinkmam50