Dr. Thomas Vaughn

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University of Iowa
College of Public Health
Health Management & Policy
Associate ProfessorAppointed: 2003
University of Iowa
College of Public Health
Health Management & Policy
Director of Masters ProgramsAppointed: 2005
VA Center of Excellence
Iowa VAMC
Senior Research ScientistAppointed: 2004
University of Iowa
College of Nursing
Nursing - Administration
Organizations, Systems, and Community Health Area
Associate ProfessorAppointed: 2003
Professional Headshot of Thomas Vaughn

Mailing Address

E230 General Hospital
University of Iowa
Iowa City, Iowa 52242
United States

Qualifications

Ph.D., University of Michigan, Health Services Organization and Policy, 1993.
M.H.S.A., University of Michigan, 1978.
B.S., Eastern Michigan University, Philosophy, 1974.

Expertise and Research Interests

Areas of Research Interest

1. Organizational strategy and organizational change.

2. Organizational factors' effect on quality of care.

3. Professionals in organizations especially related to strategy.

4. Leadership and quality of care in hospitals.

5. Nurse staffing and quality of care.


Current Projects

1. Nursing staffing related to quality of care.

2. Role of governance and leadership in hospital quality initiatives.

3. Effectiveness of intervention to improve team functioning

4. Effectiveness of restructuring services for children with severe mental illness

Other Expertise

I have served as co-author of the following chapter.
  • D'Aunno T, Zuckerman H, Vaughn T. The Strategies and Autonomy of University Hospitals in Competitive Environment. In: The University Hospital in the Academic Health Center: Finding the Right Relationship. FC Munson, TA D'Aunno, Eds. Washington DC: Association of Academic Health Centers and Association of American Medical Colleges, 1987.

Keywords

COS Keywords:

Hospital Administration, Nursing, Organizational Theory and Behavior, Public Health.

Memberships

Academy of Management
American College of Healthcare Executives
American Public Health Association
Iowa Public Health Association
Medical Group Management Association

Previous Positions

2000-2003, Assistant Professor, University of Iowa, College of Nursing, Organizations, Systems, and Community Health
1999-2003, Associate Professor, University of Iowa, College of Public Health, Health Management & Policy
1996-1999, Assistant Professor, University of Iowa, Carver College of Medicine, Graduate Program in Hospital & Health Administration
1995-1996, Associate, University of Iowa, Carver College of Medicine, Graduate Program in Hospital & Health Administration
1994-1994, Instructor, University of Michigan, Health Services Management and Policy
1993-1995, Health Services Researcher / Postdoctoral Fellow, Veterans Administration, Ann Arbor, MI, Health Services Research and Development
1991-1993, Teaching Assistant, University of Michigan
1990-1990, Instructor, University of Michigan
1987-1993, Research Assistant, University of Michigan
1983-1986, Director, St. Joseph Mercy Hospital, Clinton, IA, Strategic Planning and Marketing
1979-1983, Division Director, Hillcrest Hospital, Mayfield Heights, OH, Staff Projects
1977-1979, Division Director, Hillcrest Hospital, Mayfield Heights, OH, Patient Care Services
1973-1975, Wage & Salary Specialist / Personnel Specialist, St. Joseph Mercy Hospital, Ann Arbor, Michigan
1970-1973, Respirtaory Therapy Technician / Certified Respiratory Therapy Technician, St. Joseph Mercy Hospital, Ann Arbor, Michigan

Funding Received

  • Substance Abuse and Mental Health Services Administration: Co-Investigator, Case Management for Rural Substance Abuse, James Hall, PI, $1,563,664, Sep 30, 1999 to Mar 29, 2003.
  • AHCPR / University of Nebraska: Iowa Principal Investigator, Program of Rural Health Demonstration Activities, $307,622, Sep 30, 1994 to Sep 30, 2000.
  • Health Resources Services Administration: Co-Investigator, Improving the Research Infrastructure of Family Medicine and General Internal Medicine, Cynda Johnson, PI, $619,920, Sep 1, 2000 to Aug 31, 2003.
  • AHCPR: Co-Investigator, Program of Rural Health Demonstration Activities, James R. Rohrer, PI, $1,985,242, Sep 1, 1994 to Dec 31, 1996.
  • Association of Schools of Public Health / Centers for Disease Control and Prevention: Co-Investigator, Improving Patient Safety and Health Outcomes, Christopher Atchison, PI, $549,405, Oct 1, 2000 to Sep 30, 2002.
  • National Institutes of Health / University of Colorado: Iowa Principal Investigator, Nurse Staffing and Quality of Care, Mary Blegen (Colorado), PI, $127,933, Jul 1, 2000 to Jun 30, 2002.
  • Department of Veterans Affairs: Principal Investigator, Epidemiology and Control of Antimicrobial Resistance in Hospitals / Determinants of Clinical Guidelines Implementation Effectiveness, $85,373, Jul 1, 1999 to Jun 30, 2003.
  • The Robert Wood Johnson Foundation: Co-Investigator, Improving the Quality of Hospital Care Programs, Charles Helms, PI, $985,000, Feb 1, 1992 to Jan 31, 1997.
  • Agency for Healthcare Research and Quality: TeamSTEPPS Adoption in Action RFTO #10, Marcia Ward, PI, $249,994, 2007 to 2009.
  • The Robert Wood Johnson Foundation: Co-Investigator, Quality Care on Acute Inpatient Units, Mary Blegen PI, $300,000, 2006 to 2008.
  • Substance Abuse and Mental Health Services: Administration, Systems of Care for Children with Mental Illness, Anne Wallis, PI, $10,333,500, 2006 to 2012.
  • VA/HSR&D: Co-Investigator, Center for Research in the Implementation of Innovative Strategies for Practice (CRIISP), $3,600,000, 2004 to 2009.
  • AHRQ: Co-Investigator, Health Information Technology Value in Rural Hospitals, $891,955, 2004 to 2008.
  • Mercy North Iowa and Trinity Health/AHRQ: Co-Investigator, Rural Iowa Redesign of Care Delivery with EHR Functions, $1,500,000, 2004 to 2007.
  • Island Peer Review Organization, Inc/Centers for Medicare and Medicaid Services: Co-Investigator, Joint Study of Hospital Governance and Leadership: An Assessment of QI Relationships, $78,476, 2004 to 2005.
  • Wesley Retirement Services: Principal Investigator, The ECHO Culture Change Initiative, $18,159, 12/1/02 to 3/1/03.

Publications

  • Vartak S, Ward MM, Vaughn TE (Jan 2008) Do postoperative complications vary by hospital teaching status?, Medical care, 46 (1), 25-32 Abstract
  • Blegen MA, Vaughn TE, Vojir CP (2008) Nurse staffing levels: Impact of organizational characteristics and RN supply, Health Services Research, In Press
  • Flanagan M, Ramanujam R, Sutherland J, Vaughn T, Diekema D, Doebbeling BN (2007) Development and validation of measures to assess prevention and control of AMR in hospitals, Med Care, 45 (6), 537-44
  • Subramanian U, Sutherland J, McCoy KD, Welke KF, Vaughn TE, Doebbeling BN (2007) Doebbeling BN. Facility-level factors influencing chronic heart failure care process performance in a national integrated health delivery system, Medical Care, 45 (1), 28-45
  • Levey S, Vaughn TE, Koepke M, Moore D, Lehman W, Sinha S (2007) Hospital leadership and quality improvement: Rhetoric versus reality, Journal of Patient Safety, 3 (1), 9-15
  • Doebbeling BN, Vaughn TE, McCoy KD, Glassman P (2007) Doebbeling BN, Vaughn TE, McCoy KD, Glassman P. Informatics implementation in the Veterans Health Administration (VHA) healthcare system to improve quality of care, JAMIA, In Press
  • Schneider JE, Peterson NA, Vaughn TE, Mooss EN, Doebbeling BN (2006) Clinical practice guidelines and organizational adaptation: a framework for analyzing economic effects, Int J Technol Assess Health Care, 22 (1), 58-66
  • Zillich AJ, Sutherland JM, Wilson SJ, Diekema DJ, Ernst EJ, Vaughn TE, Doebbeling BN (2006) Antimicrobial use control measures to prevent and control antimicrobial resistance in US hospitals, Infection Control and Hospital Epidemiology, 27 (10), 1088-95
  • Wolinsky FD, Miller TR, An H, Brezinski PR, Vaughn TE, Rosenthal GE (2006) Dual use of Medicare and the Veterans Health Administration: are there adverse health outcomes?, BMC Health Services Research, 6 (131), 11
  • Vaughn T, Koepke M, Kroch E, Lehrman W, Sinha S, Levey S (2006) Engagement of leadership in quality improvement initiatives: Executive quality improvement survey results, J Patient Saf, 2 (1), 2-9
  • Kroch E, Vaughn T, Koepke M, Roman S, Foster D, Sinha S, Levey S (2006) Hospital boards and quality dashboards, J Patient Saf, 2 (1), 10-19
  • Saleh SS, Vaughn T, Levey S, Fuortes L, Uden-Holman T (2006) Cost-effectiveness of case management in substance abuse treatment, Research on Social Work Practice, 16 (1), 38-47
  • Ward MM, Yankey JW, Vaughn TE, BootsMiller BJ, Flach SD, Watrin S, Doebbeling BN, Provider Adherence to COPD Guidelines: Relationship to Organizational Factors, Journal of Evaluation in Clinical Practice, 11(4), 379-87, Aug 2005
  • Lyons SS, Tripp-Reimer T, Sorofman BA, DeWitt JE, BootsMiller BJ, Vaughn TE, Doebbeling BN, Information Technology for Clinical Guideline Implementation: Perceptions of Multidisciplinary Stakeholders, Journal of the American Medical Informatics Association, 12(1), 64-71, Jan 2005
  • Flach SD, Diekema DJ, Yankey JW, BootsMiller BJ, Vaughn TE, Ernst EJ, Ward MM, Doebbeling BN, Variation in the Use of Procedures to Monitor Antimicrobial Resistance in US Hospitals, Infection Control & Hospital Epidemiology, 26(1), 31-8, Jan 2005
  • Ward MM, Diekema DJ, Yankey JW, Vaughn TE, BootsMiller BJ, Pendergast JF, Doebbeling BN, Implementation of Strategies to Prevent and Control the Emergence and Spread of Antimicrobial-resistant Microorganisms in US Hospitals, Infection Control & Hospital Epidemiology, 26(1), 21-30, Jan 2005
  • Flach SD, Diekema DJ, Yankey JW, BootsMiller BJ, Vaughn TE, Ernst EJ, Ward MM, Doebbeling BN (Jan 2005) Variation in the use of procedures to monitor antimicrobial resistance in U.S. hospitals, 26 (1), 31-8
  • Bergus GR, Hartz AJ, Noyes R, Ward MM, James PA, Vaughn T, Kelley PL, Sinift SD, Bentler S, Tilman E (2005) The limited effect of screening for depressive symptoms with the PHQ-9 in rural family practices, Journal of Rural Health, 21 (4), 303-9
  • Flach SD, McCoy KD, Vaughn TE, Ward MM, BootsMiller BJ, Doebbeling BN, Does patient-centered care improve provision of preventive services, Journal of General Internal Medicine, 19(10), 1019-26, Oct 2004
  • Ward MM, Yankey JW, Vaughn TE, BootsMiller BJ, Flach SD, Welke KF, Pendergast JF, Perlin J, Doebbeling BN, Physician process and patient outcome measures for diabetes care: relationships to organizational characteristics, Medical Care, 42(9), 840-50, September 2004 Abstract
  • Vaughn TE, McCoy KD, Beekmann SE, Woolson RE, Torner JC, Doebbeling BN, Factors promoting consistent adherence to safe needle precautions among hospital workers, Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America., 25(7), 548-55, July 2004 Abstract
  • Ernst EJ, Diekema DJ, BootsMiller BJ, Vaughn T, Yankey JW, Flach SD, Ward MM, Franciscus CL, Acosta E, Pfaller MA, Doebbeling BN, Are United States hospitals following national guidelines for the analysis and presentation of cumulative antimicrobial susceptibility data?, Diagnostic Microbiology and Infectious Disease, 49(2), 141-5, June 2004 Abstract
  • Diekema DJ, BootsMiller BJ, Vaughn TE, Woolson RF, Yankey JW, Ernst EJ, Flach SD, Ward MM, Franciscus CLJ, Pfaller MA, Doebbeling BN, Antimicrobial resistance trends and outgreak frequency in United States hospitals, Clinical Infectious Diseases, 38(1), 78-85, 1 January 2004
  • BootsMiller BJ, Yankey JW, Flach SD, Ward MM, Vaughn TE, Welke KF, Doebbeling BN, Classifying the directiveness of veterans affairs guideline implementation approaches, American Journal of Medical Quality, 19(6), 248-54, 2004
  • Stratton KM, Blegen MA, Pepper G, Vaughn TE (2004) Reporting of medication errors by pediatric nurses, Journal of Pediatric Nursing, 19 (6), 385-92
  • Blegen MA, Vaughn TE, Pepper G, Vojir C, Stratton K, Boyd M, Armstrong G (2004) Patient and staff safety: Voluntary reporting, American Journal of Medical Quality, 19 (2), 67-74
  • Huber DL, Sarrazin MV, Vaughn T, Hall JA, Evaluating the impact of case management dosage, Nursing Research, 52(5), 276-88, 2003 Abstract
  • Welke KF, BootsMiller BJ, McCoy KD, Vaughn TE, Ward MM, Flach SD, Peloso PM, Sorofman BA, Tripp-Reimer T, Doebbeling BN, What factors influence provider knowledge of a congestive heart failure guideline in a national health care system?, American Journal of Medical Quality, 18(3), 122-7, June 2003
  • Ward MM, Doebbeling BN, Vaughn TE, Uden-Holman T, Clarke WR, Woolson RF, Letuchy E, Branch LG, Perlin J, Effectiveness of a nationally implemented smoking cessation guideline on provider and patient practices, Preventive Medicine, 36(3), 265-71, March 2003
  • Doebbeling BN, Vaughn TE, McCoy KD, Beekmann SE, Woolson RF, Ferguson KJ, Torner JC (2003) Percutaneous injury, blood exposure and adherence to standard precautions: Are hospital-based heath care providers still at risk?, Clinical Infectious Diseases, 37 (8), 1006-13
  • Vaughn TE, McCoy KD, BootsMiller BJ, Woolson RF, Sorofman B, Tripp-Reimer T, Perlin J, Doebbeling BN, Organizational predictors of adherence to ambulatory care screening guidelines, Medical Care, 40(12), 1172-85, December 2002 Abstract
  • Vaughn T, Sarrazin MV, Saleh SS, Huber DL, Hall JA, Participation and retention in drug abuse treatment services research, Journal of Substance Abuse Treatment, 23(4), 389-99, December 2002
  • Saleh SS, Vaughn T, Rohrer JE, The effect of governing board composition on rural hospitals' involvement in provider-sponsored managed care organizations, Journal of Healthcare Management / American College of Healthcare Executives., 47(5), 321-33; discussion 3, 2002 Abstract
  • Doebbeling BN, Vaughn TE, Woolson RF, Peloso PM, Ward MM, Letuchy E, BootsMiller BJ, Tripp-Reimer T, Branch LG, Benchmarking Veterans Affairs Medical Centers in the delivery of preventive health services: comparison of methods, Medical Care, 40(6), 540-54, June 2002 Abstract
  • Ward MM, Vaughn TE, Uden-Holman T, Doebbeling BN, Clarke WR, Woolson RF, Physician knowledge, attitudes and practices regarding a widely implemented guideline, Journal of Evaluation in Clinical Practice, 8(2), 155-62, May 2002 Abstract
  • Vaughn TE, Ward MM, Doebbeling BN, Uden-Holman T, Clarke WR, Woolson RF, Organizational and provider characteristics fostering smoking cessation practice guideline adherence: an empirical look, Journal of Ambulatory Care Management, 25(2), 17-31, April 2002
  • Vaughn T, McCoy K, BootsMiller B, Sorofman B, Tripp-Reimer T, Perlin J, Doebbeling BN, Organizational Predictors of Adherence to Ambulatory Care Screening Guidelines, Medical Care, 40(12), 1172-85, 2002
  • Wakefield BJ, Blegen MA, Uden-Holman T, Vaughn T, Chrischilles E, Wakefield DS, Organizational culture, continuous quality improvement, and medication administration error reporting, American Journal of Medical Quality : the Official Journal of the American College of Medical Quality, 16(4), 128-34, 2001 Abstract
  • Saleh SS, Vaughn T, Rohrer JE, Rural hospitals and the adoption of managed care strategies, The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association, 17(3), 210-9, Summer 2001 Abstract
  • Saleh SS, Fuortes L, Vaughn T, Bauer EP, Epidemiology of occupational injuries and illnesses in a university population: a focus on age and gender differences, American Journal of Industrial Medicine, 39(6), 581-6, June 2001 Abstract
  • Beekmann SE, Vaughn TE, McCoy KD, Ferguson KJ, Torner JC, Woolson RF, Doebbeling BN, Hospital bloodborne pathogens programs: program characteristics and blood and body fluid exposure rates, Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America, 22(2), 73-82, February 2001 Abstract
  • McCoy KD, Beekmann SE, Ferguson KJ, Vaughn TE, Torner JC, Woolson RF, Doebbeling BN, Monitoring adherence to Standard Precautions, American Journal of Infection Control, 29(1), 24-31, February 2001 Abstract
  • Blegen MA, Vaughn TE, Goode CJ, Nurse experience and education: effect on quality of care, Journal of Nursing Administration, 31(1), 33-9, Jan 2001 Abstract
  • Alexander JA, Vaughn TE, Burns LR, The effects of structure, strategy and market conditions on the operating practices of physician-organization arrangements, Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration / Hsmc, Aupha, 13(4), 231-43, November 2000 Abstract
  • Borders TF, Rohrer JE, Vaughn TE, Limitations of secondary data for strategic marketing in rural areas, Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration / Hsmc, Aupha, 13(4), 216-22, November 2000 Abstract
  • Rohrer JE, Vaughn T, Knott A, Westermann J, Health status and health professional visits in a rural area, Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration / Hsmc, Aupha, 13(2), 127-32, May 2000 Abstract
  • Hall JA, Vaughan MS, Vaughn T, Block R, Schut A, Iowa Case Management for rural drug abuse. Preliminary results, Care Management Journals : Journal of Case Management; the Journal of Long Term Home Health Care, 1(4), 232-43, Autumn 1999 Abstract
  • D'Aunno T, Vaughn TE, McElroy P, An institutional analysis of HIV prevention efforts by the nation's outpatient drug abuse treatment units, Journal of Health and Social Behavior, 40(2), 175-92, June 1999 Abstract
  • Wakefield DS, Wakefield BJ, Borders T, Uden-Holman T, Blegen M, Vaughn T, Understanding and comparing differences in reported medication administration error rates, American Journal of Medical Quality, 14(2), 73-80, 1999 Abstract
  • Wakefield DS, Wakefield BJ, Uden-Holman T, Borders T, Blegen M, Vaughn T, Understanding why medication administration errors may not be reported, American Journal of Medical Quality, 14(2), 81-8, 1999 Abstract
  • Rohrer J, Vaughn T, Westermann J, Mission-Driven Marketing: A Rural Example, Journal of Healthcare Management, 44(2), 103-116, 1999
  • Rohrer JE, Urdaneta M, Vaughn T, Merchant JA, Physician visits in a farming-dependent county, Journal of Rural Health, 14(4), 338-45, 1998 Abstract
  • Blegen MA, Vaughn T, A multisite study of nurse staffing and patient occurrences, Nursing Economics, 16(4), 196-203, 1998 Abstract
  • Alexander J, Burns L, Zuckerman H, Vaughn T, Anderson R, Torrens P, Hilberman D, An Exploratory Analysis of Market-Based Physician-Organization Arrangements, Hospital and Health Services Administration, 41(3), 311-329, 1996
  • Alexander J, Vaughn T, Burns L, Zuckerman H, Anderson R, Torrens P, Hilberman D, Organizational Approaches to Integrated Healthcare Delivery, Medical Care Research and Review, 53(1), 71-93, 1996
  • D'Aunno T, Vaughn TE, An organizational analysis of service patterns in outpatient drug abuse treatment units, Journal of Substance Abuse, 7(1), 27-42, 1995 Abstract
  • D'Aunno T, Vaughn TE, Variations in methadone treatment practices. Results from a national study, JAMA: The Journal of the American Medical Association, 267(2), 253-8, 1992 Abstract
  • Zuckerman H, D'Aunno T, Vaughn T, The Strategies and Autonomy of University Hospitals in Competitive Environments, Hospital and Health Services Administration, 35(1), 103-120, 1990

Profile Details

Last Updated: 9/12/2008

COS Expertise ID #862957
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