Richard D. Zorowitz, MD

Richard D. Zorowitz, MD, is an attending physician at MedStar National Rehabilitation Hospital and a Professor of Clinical Rehabilitation Medicine at Georgetown University. He serves as the Chief Medical Informatics Officer at MedStar National Rehabilitation Hospital, where he is also the chairman of the Credentials Committee and the secretary of the Medical Executive Committee.

Dr. Zorowitz focuses his clinical activities on the rehabilitation of stroke, traumatic brain injury, spinal cord injury, and other neurological conditions. He specializes in the management of spasticity, including oral medications, botulinum toxin injections, and intrathecal baclofen.

Dr. Zorowitz is a fellow of the American Academy of Physical Medicine and Rehabilitation. He is a member of the board of directors of the PCPI Foundation. He is a member of the editorial boards of the Archives of Physical Medicine and Rehabilitation, Topics in Stroke Rehabilitation, and Stroke.

Dr. Zorowitz has received numerous awards including: Visionary in Practice Society, National Stroke Association (2001); Central Nervous System Council Outstanding Service Award, American Academy of Physical Medicine and Rehabilitation (2011); Golden Goniometer Award, The Johns Hopkins University School of Medicine, Department of Physical Medicine and Rehabilitation (2012); America’s Top Physicians, Consumer’s Research Council of America (2015, 2018); and Outstanding Contributions in the Training and Education of the Resident Staff, MedStar National Rehabilitation Network/Georgetown University Department of Rehabilitation Medicine (2016); Top Doctors in Physical Medicine and Rehabilitation in Washington, DC (2017); and 2018 Albert Nelson Marquis Lifetime Achievement Award.

Dr. Zorowitz has published numerous articles in peer-reviewed journals and has written chapters about stroke rehabilitation internationally. He is a co-editor of the textbook, Stroke Recovery and Rehabilitation (2015). He participated on consensus panels of The Joint Commission (TJC) Primary Stroke Centers, the Commission on Accreditation of Rehabilitation Facilities (CARF) Stroke Subspecialty Program, and the Physician Consortium for Performance Improvement (PCPI) Stroke and Stroke Rehabilitation Workgroup. He has contributed to a number of clinical practice guidelines, including the Veterans Affairs/Department of Defense Clinical Practice Guideline for the Management of Adult Stroke Rehabilitation Care (2005); and the American Stroke Association Writing Groups for Recommendations for the Establishment of Stroke Systems of Care (2005), Metrics of Comprehensive Stroke Centers (2005), Comprehensive Overview of Nursing and Interdisciplinary Rehabilitation Care of the Stroke Patient (2010), Metrics for Measuring Quality of Care in Comprehensive Stroke Centers: Detailed Follow-up to Brain Attack Coalition Comprehensive Stroke Center Recommendations (2011), Palliative and End-of-Life Care in Stroke (2014), and Adult Stroke Rehabilitation and Recovery (2016). He currently serves on the writing group to update the Stroke Systems of Care guideline.

Dr. Zorowitz is a graduate of the Tulane University School of Medicine. He completed an internship in internal medicine at the Long Island Jewish Medical Center, New Hyde Park, NY, and a residency in physical medicine and rehabilitation at the Rehabilitation Institute of Chicago, Northwestern University, IL. He is board-certified in Physical Medicine and Rehabilitation, Spinal Cord Injury Medicine, and Brain Injury Medicine.

Research Interests

Dr. Zorowitz’s research activities focus on stroke rehabilitation, including:

  • Motor recovery
  • Hemiplegic shoulder pain
  • Dysphagia
  • Spasticity
  • Pseudobulbar affect
  • Functional outcomes

Selected Research

A Screening Tool to Identify Spasticity in Need of Treatment
This research sought to develop a clinical tool for providers to use in patient interactions to provide data in making a determination of spasticity for treatment. DOI: 10.1097/PHM.0000000000000605

ICU-Acquired Weakness: A Rehabilitation Perspective of Diagnosis, Treatment, and Functional Management
This research highlighted the risk factors and causes of ICU-acquired weakness, along with potential treatment options for patients.
DOI: 10.1016/j.chest.2016.06.006

View Dr. Zorowitz’s publications on PubMed.

Visit Dr. Zorowitz’s clinical practice page.

  • Research Areas
  • Neuroscience
  • Physical Medicine and Rehabilitation

Diego A. Medvedofsky

Diego A. Medvedofsky, MD, is the associate director of Cardiac Imaging Research and a physician scientist at the Cardiovascular Core Laboratory, MedStar Health Research Institute and MedStar Washington Hospital Center. Dr. Medvedofsky specializes in cardiac imaging.

His areas of research include three-dimensional (3D) echocardiography, myocardial deformation (strain) analysis, contrast echocardiography, computed tomography, magnetic resonance imaging, and the role of cardiac imaging in valvular heart disease and heart failure. He is currently focusing his research efforts on myocardial deformation (strain) analysis. Specifically, he is collaborating to incorporate the use of strain methodologies in transcatheter device placement to treat mitral regurgitation, transcatheter aortic valve replacement, and potential treatments for patients with advanced heart failure.

Dr. Medvedofsky has published his research on novel approaches to cardiac imaging in more than 30 articles in peer-reviewed journals, including the Journal of the American College of Cardiology, Journal of the American Society of Echocardiography, Journal of Cardiac Failure, Hypertension, Journal of Cardiology, American Journal of Cardiology, and others. In addition, he reviews manuscripts for Catheterization and Cardiovascular Interventions and Cardiovascular Revascularization Medicine. Dr. Medvedofsky is fluent in English, Spanish, and Hebrew.

His medical degree is from the University of Buenos Aires Medical School. He completed a residency in internal medicine at Meir General Hospital and a fellowship in cardiology at Sheba Medical Center, both in Israel. He then completed a 3-year fellowship in advanced non-invasive cardiac imaging at the University of Chicago Medical Center.

Research Interests

Dr. Medvedofsky’s research interests include the following:

  • 3D echocardiography, including volumetric analysis, automaticity, strain, rotational mechanics, shape, and dynamic assessment
  • Myocardial deformation (strain) analysis
  • Contrast echocardiography
  • Cardiac computed tomography
  • Cardiac magnetic resonance imaging
  • Cardiovascular devices
  • Novel approaches to cardiac imaging

Selected Research 

2D and 3D Echocardiography-Derived Indices of Left Ventricular Function and Shape: Relationship with Mortality

 

In this study, Dr. Medvedofsky and colleagues showed the improved performance of 3D over 2D echocardiography for left ventricular volumetric assessment and the advantage of 2D and 3D left ventricular longitudinal strain analysis over ejection fraction. Three-dimensional shape analysis provided additional risk information. This work has been published in JACC: Cardiovascular Imaging (2017, Nov 10. Doi: 10.1016/j.jcmg.2017.08.023).

 

3D Echocardiographic Quantification of the Left-Heart Chambers Using an Automated Adaptive Analytics Algorithm

 

Dr. Medvedofsky led this multinational trial to validate a new automated 3D echocardiographic volumetric analysis. The results of this work have been published in European Heart Journal Cardiovascular Imaging (2018;19:47-58).

 

3D Echocardiographic Quantification of Right Ventricular Volume and Function

 

Echocardiographic assessment of the right ventricle is challenging because of its complex shape. Dr. Medvedofsky and colleagues have described the acquisition and analysis of a new approach for volumetric assessment in the Journal of the American Society of Echocardiography (2015;28:1222-1231).

 

View Dr. Medvedofsky’s publications on PubMed. 

  • Research Areas
  • Cardiovascular
  • Core Services

Kristen E. Miller

Kristen E. Miller, DrPH, CPPS, is a senior research scientist, MedStar Institute for Innovation (MI2), National Center for Human Factors in Healthcare. In this role, she applies systems theory and human factors engineering to clinical research to support the delivery of high quality care. Her work incorporates both industrial engineering and cognitive psychology components and takes into account the entire system, from cultural components to characteristics of individual patients.

Dr. Miller excels in bridging the gap between research and operations, using human factors engineering to identify barriers to compliance with evidence-based guidelines, improve compliance to guidelines, and design interventions to improve patient safety. She has dedicated her career to creating safe, effective healthcare through pragmatic research. Her research has focused on medical decision making and behavior and on assessment of medical interventions and practices, with an emphasis on health information technology, usability, human error and patient safety, and evaluation through simulation.

Dr. Miller is experienced in a wide range of analytical techniques, including usability testing, simulation, and assessment of health information technology interventions and practices. She is skilled in the integration of technological innovations, such as continuous monitoring and connected systems, and she has expertise in risk perception and information processing from the point of view of both patients and providers.

Her service in the wider community includes work as a technical expert for patient safety/health information technology for the Agency for Healthcare Research and Quality and as a senior key advisor for the Dental Patient Safety Foundation. She reviews human factors engineering grants for the National Science Foundation and the National Institutes of Health.

Dr. Miller is a peer reviewer for Simulation in Healthcare and the Joint Commission Journal on Quality and Patient Safety. Her work has been published in JAMA Surgery, the Journal of the American Medical Informatics Association, and the Journal of Nursing Care Quality, among others. She is member of the American Association of University Women, the Association for Computing Machinery, the Society for Clinical Research Sites, and the Human Factors and Ergonomics Society. She frequently presents her research at professional meetings ranging from medical grand rounds to international conferences.

Her teaching experience includes serving as an adjunct faculty in the Department of Public Health and Health Sciences, University of Michigan, and as an invited faculty for an international summer school on mobile healthcare sponsored by the Association for Computing Machinery and held in Dublin, Ireland, and Stockholm, Sweden.

Dr. Miller earned a DrPH in Epidemiology and Environmental Health, with specialized training in Human Factors Engineering and Ergonomics, at Texas A&M University. She then completed a fellowship in Advanced Patient Safety at the Department of Veterans Affairs National Center for Patient Safety. Most recently, she earned the Certified Professional in Patient Safety (CPPS) credential from the National Patient Safety Foundation.

Research Interests

Dr. Miller’s research interests include the following:

  • Clinical decision making
  • Human information processing and attention
  • Biomedical informatics
  • User-centered design
  • Clinical support tools for treatment of sepsis
  • Virtual medical team training
  • Human factors engineering and patient safety

Selected Research

Signaling Sepsis:  Developing a Framework to Optimize Alert Design

As principal investigator on this project, Dr. Miller is developing and testing enhanced visual display models, which will integrate patient data into validated sepsis staging scores. This research will provide evidence-based principles and design recommendations to support the development of a clinical decision tool for treatment of sepsis. This research is being sponsored by an RO1 grant from the National Library of Medicine.

Early Prediction Support for Sepsis

As a co-investigator on this multi-institutional project, Dr. Miller is using data mining, machine learning, predictive analytics and optimization algorithms to identify undiagnosed patients at risk of or currently developing sepsis; patients with diagnosed sepsis; and patient outcomes and personalized therapeutic interventions. This research is being sponsored by National Science Foundation’s Smart and Connected Health program.

Characters Allowing Rehearsal and Assessment of Communication in Team Emergency Response (CHARACTER) Efforts

Although current programs for medical team training increase patient safety and improve treatment outcomes, the time commitment required by these training programs has limited their use. As a co-principal investigator on this study, Dr. Miller is developing requirements for a serious game to improve medical team skills and reduce medical errors in high-intensity trauma treatment. This research is being sponsored by the U.S. Department of Defense.

View Dr. Miller’s publications.

  • Research Areas
  • Health Services/Quality/Outcomes

Rachel M. Wynn

Rachel M. Wynn, PhD, is a postdoctoral research fellow in MedStar’s National Center for Human Factors in Healthcare. In this position, Dr. Wynn uses her expertise in cognitive psychology to collaborate with research teams to create innovative solutions to healthcare challenges.

Dr. Wynn has experience with all parts of the research process, from identifying questions and appropriate experimental designs to analyzing data and communicating the results. At the National Center for Human Factors in Healthcare, she applies her knowledge and expertise to conduct research into efficient solutions to patient care problems. Dr. Wynn’s previous experience includes work as a research fellow in the Mayo Clinic’s Human Cognitive Neurophysiology Laboratory and as a graduate research assistant at George Washington University.

Some of Dr. Wynn’s current research is focused on applying human factors research to further patient and family-centered care, investigating the impact of interruptions on interpretation of chest radiography, and integrating quantitative and qualitative approaches to improve the clinical utility of predictive models in chorioamnionitis.

Dr. Wynn is a student member of the Vision Sciences Society, the Psychonomic Society, and the Association for Psychological Science. An experienced presenter, she has presented her research on topics including heuristic usability evaluation of molecular diagnostic reports in  cancer, individual differences in susceptibility to irrelevant environmental influences in prediction of visual search performance, and the lingering effects of response inhibition.

Dr. Wynn earned her PhD in Psychology/Cognitive Neuroscience at George Washington University, where she focused on executive function processes that allow goal-oriented behavior.

Research Interests

Dr. Wynn’s research interests include the following:

  • Executive functions
  • Cognitive control
  • Working memory
  • Theory of mind

Selected Research

Advancing Guideline Implementation Through a Learning Engine for Clinical Decision Support (AGILE CDS)

Dr. Wynn will be participating in research activities for this Agency for Healthcare Research and Quality-sponsored project.

View Dr. Wynn’s publications on PubMed.

  • Research Areas
  • Health Services/Quality/Outcomes
  • Neuroscience

Bryan W. Cunningham

Bryan W. Cunningham, PhD, is the director of the MedStar Health Musculoskeletal Education and Research Institute, located in the Division of Orthopaedic Research, Department of Orthopaedic Surgery at MedStar Union Memorial Hospital. In this position, Dr. Cunningham is responsible for formulating and executing the Institute’s annual scientific and research strategy and for developing and maintaining a multidisciplinary research center capable of conducting biomechanical testing, histologic and radiographic studies, in-vivo biological modeling, and clinical research.

Dr. Cunningham supervises all basic science projects performed at the Musculoskeletal Education and Research Institute and assists his MedStar colleagues in forming and implementing research strategies. In addition, he collaborates with academic leaders, institutions, and private industry worldwide. His patents include the “Compression-Distraction Spinal Fixation System” (U.S. Patent No. 8,864,800 B2) and the “Compression-Distraction Spinal Fixation System and Kit” (U.S. Patent No. 8,968,367). He has other patents pending.  

Dr. Cunningham has published more than 130 articles in peer-reviewed journals. His published research has been on topics such as spinal reconstructive surgery, biomechanical fixation, and surgical techniques. He is associate editor of Spine Deformity, and he reviews manuscripts for Spine, Journal of Clinical Orthopaedics and Related ResearchThe Spine Journal, European Spine Journal, and the Journal of Orthopaedic Research. His work has been published in SpineJournal of Neurosurgery: SpineClinical Spine Surgery, and other prominent journals.

His educational responsibilities include developing and incorporating the non-clinical research fellowship program for the Musculoskeletal Education and Research Institute and providing research guidance to medical school students and orthopaedic residents, fellows, and attending physicians. He has mentored more than 15 PhD-level fellows in spinal research. In addition, he holds an appointment as an adjunct professor, Menzies Health Institute, Queensland School of Medical Science, Griffith University, Queensland, Australia.

Dr. Cunningham has received numerous research awards, including an award for “Best Podium Presentation in Translational Research” from the European Orthopaedic Research Society and a “Basic Science Resident Research Award” from the Cervical Spine Research Society. He is a member of the Scoliosis Research Society, the Orthopaedic Research Society, the North American Spine Society, and the International Society for the Advancement of Spine Surgery. He has presented his research at more than 500 specialty society meetings, giving presentations for the Scoliosis Research Society, North American Spine Society, Cervical Spine Research Society, Orthopaedic Research Society, American Academy of Orthopaedic Surgeons, International Meeting of Advanced Spine Techniques, International Society for the Advancement of Spine Surgery, and others.

Dr. Cunningham received his PhD in Musculoskeletal Spinal Research from the School of Medical Science, Center for Musculoskeletal Research, Griffith University, Brisbane, Australia.

Research Interests

Dr. Cunningham’s research interests include the following:

  • Spinal reconstructive surgery
  • Intersegmental motion preservation systems
  • Innovative surgical techniques

Selected Research

  • Biomechanical and Radiographic Evaluation of an Articulating Interbody Fusion Device for Transforaminal Lumbar Interbody Fusion
  • Biomechanical Properties of Direct Lateral Interbody Fusion with Supplemental Posterior Instrumentation for Adjacent Level Reconstruction
  • Multidirectional Flexibility and Fixation Properties of Occipital Bolt versus Plate Stabilization Systems

View Dr. Cunningham’s publications on PubMed.

 

  • Research Areas
  • Orthopedics/Sports Health

Saumil S. Doshi

Dr. Saumil S. Doshi, MD, is a board-certified infectious diseases physician and program director for the Infectious Diseases fellowship at MedStar Washington Hospital Center (MWHC). Dr. Doshi specializes in general infectious diseases, with a focus on management of human immunodeficiency virus (HIV) and hepatitis C.

Dr. Doshi’s expertise is in epidemiology and public health. As an Epidemic Intelligence Service officer at the Centers for Disease Control (CDC), he investigated the incidence, distribution, and control of the 2009 influenza pandemic. Using the public health skills he acquired at the CDC, he chaired the Infection Control Committee at Howard University Hospital for five years. While there, he also served as the site principal investigator for the DC Cohort Study, a city-wide longitudinal cohort study of patients with HIV.

Dr. Doshi has experience teaching and mentoring in areas such as emerging infectious diseases and caring for the critically ill HIV patient. He is an expert in infection control, Ebola, influenza, tuberculosis, central line-associated bloodstream infections, and bloodborne exposures. His previous appointments include Assistant Professor, Division of Infectious Diseases, Howard University College of Medicine; Clinical Instructor, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine; and Uniformed Service lieutenant commander, U.S. Public Health Service, Centers for Disease Control and Prevention.

His public health experience has taken him to California, Bangladesh, and South Africa, where he led teams of pandemic influenza investigators, conducted case/contact investigations, and evaluated surveillance of severe acute respiratory illness. His research has been published in several peer-reviewed journals, including The Journal of Infectious Diseases, Tropical Medicine & International Health, American Journal of Epidemiology, and BMC Infectious Diseases. He reviews manuscripts for the International Journal of Environmental Research and Public Health.

Dr. Doshi is a member of the Infectious Diseases Society of America. He is frequently invited to share his expertise in person, through webinars, and on the radio. Topics of his presentations have included HIV antiretroviral resistance, Zika, Ebola, and opportunistic infections. Dr. Doshi is board certified in Infectious Diseases, and he is fluent in Gujarati and English.

His medical degree is from Temple University. He completed an internship and residency at New York University – Bellevue Medical Center and fellowships at the Centers for Disease Control and Emory University Hospital.

Research Interests 

Dr. Doshi’s research interests include the following:

  • Influenza
  • Candidemia
  • Infection control and prevention
  • Human immunodeficiency virus (HIV)

Selected Research

AIDS Education and Training Center National Multicultural Center

Dr. Doshi served as medical director for this project sponsored by the AIDS Education and Training Center, Howard University College of Medicine.

A case-control study to investigate how household hand-washing behavior and indoor air pollution are associated with childhood influenza infection and pneumonia in an urban slum community in Dhaka, Bangladesh

Retrospective chart review to study the incidence of and risk factors for tuberculin skin test conversion among HIV-infected patients in a New York hospital clinic

Ongoing analysis of DC Cohort data to study adherence to guidelines for monitoring of hepatitis B among patients with HIV and hepatitis B co-infection in Washington, DC

View Dr. Doshi’s publications on PubMed. 

  • Research Areas
  • Other Medical

Kitty S. Chan

Kitty S. Chan, PhD, is the Scientific Director of MedStar-Georgetown Surgical Outcomes Research. In this position, Dr. Chan is responsible for advancing surgical outcomes research activities across MedStar Health. She also promotes the surgery initiatives of MedStar’s District of Columbia region through grant solicitations, publications, and mentorship.

Dr. Chan is an experienced health services researcher with expertise in outcomes research and measurement and health disparities. She is known for her work in psychometrics and measurement methodology, particularly for the application of item response theory to patient-reported outcomes. Her measurement work has contributed to the availability of numerous validated measures on health-related quality of life, healthcare overuse, team functioning, and mentorship. Her research has also addressed emerging measurement issues, including computerized adaptive testing and the equivalence of health measures across cultures and contexts. 

Dr. Chan’s disparities research has focused on how social determinants of health, including the characteristics of place, influence health and healthcare outcomes. Her work has examined disparities related to patient ethnicity, gender, and language as well as community characteristics, such as residential segregation.   

Dr. Chan has served as principal, co-principal investigator, and co-investigator of numerous National Institutes of Health (NIH)- and foundation-funded projects. She has more than 70 publications in high-impact peer-reviewed journals, including the American Journal of Public HealthMedical CareMedical Care Research and ReviewAmerican Journal of Managed Care, and Critical Care Medicine. Dr. Chan has served on study sections for NIH and Veterans Affairs and is a member of the Education Council at AcademyHealth.

Prior to her appointment at MedStar, Dr. Chan was an Associate Professor with the Department of Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health, where she taught graduate-level courses on research methodology. Dr. Chan has advised and mentored more than 25 master’s and PhD-level students and has served as Associate Director of the Agency for Healthcare Research and Quality’s T32 pre-doctoral training program in health services research. Before joining the faculty at Johns Hopkins, where she maintains an appointment as Adjunct Associate Professor, Dr. Chan was an Associate Policy Researcher with RAND Corporation. 

Dr. Chan received her PhD in health services research from the Johns Hopkins School of Public Health.

Research Interests

Dr. Chan’s research interests include the following:

  • Disparities in health and healthcare outcomes
  • Patient-reported outcomes
  • Psychometrics and item response theory

Selected Research

Why Place Matters

Dr. Chan is the principal investigator for this project funded by the National Institute on Minority Health and Health Disparities. This project is designed to examine the role of community characteristics, including rurality and income segregation, on healthcare access and disparities in health outcomes and healthcare utilization.

Reliability and Responsiveness of Patient-Reported Outcomes Measurement Information System (PROMIS) tools in Orthopaedic Trauma Patients

Dr. Chan was the co-principal investigator of this project funded by the National Institute of Arthritis and Musculoskeletal and Skin Diseases. This project evaluated the psychometric properties of PROMIS tools for orthopaedic trauma patients.

Harmonizing Cognitive Assessment in International Surveys on Aging

Dr. Chan led this work to harmonize measures of cognitive performance and patient functioning across international surveys of aging. The results of this research have been published in the Journal of Aging and Health (2015;27:1392-414; doi: 10.1177/0898264315583054) and the Journals of Gerontology Series B: Psychological Sciences and Social Sciences (2012;67:121-32; doi: 10.1093/geronb/gbr133).

View Dr. Chan’s publications.

  • Research Areas
  • Health Services/Quality/Outcomes

Aviram M. Giladi

Aviram M. Giladi, MD, MS, is research director and surgeon at the Curtis National Hand Center at MedStar Union Memorial Hospital. He also holds an appointment as an instructor in the Department of Plastic Surgery at Georgetown University. 

As research director at the Hand Center, Dr. Giladi coordinates basic science, animal, biomechanics, and clinical outcomes studies, as well as collaborative efforts across specialties and institutions. His clinical focus is on reconstructive techniques for hand and upper extremity trauma, nerve and vascular problems, and arthritis care. His research efforts center on the interactions among upper extremity treatment outcomes, patient satisfaction, care delivery and costs, and how these elements contribute to the quality and value of surgical care. 

Dr. Giladi serves as a reviewer for Plastic and Reconstructive Surgery, and he serves on the Committee for Evidence-Based Medicine, American Society for Surgery of the Hand. His research has been published in peer-reviewed journals, including the Journal of Bone and Joint Surgery, Journal of Hand Surgery, Journal of the American College of Surgeons, American Journal of Surgery, and Hand Clinics. Topics he has written on include surgical outcomes, post-traumatic impairment and disability, Medicaid expansion, upper extremity surgical care, and the effects of these elements on care implementation and policy. He has presented his research nationally at meetings of professional societies, and he regularly serves as a mentor to new surgeons specializing in hand and upper extremity surgery.

Currently, Dr. Giladi is forming a comprehensive repository of hand and upper extremity data to allow for research on pain management, opioid use, and clinical outcomes among patients. This work is targeted to enable prediction of high-risk users and potential interventions. His other research projects include the effects of Medicaid expansion on trauma volume, payer mix, and referrals in Maryland; clinical outcomes related to distance of transfer and insurance coverage; and patient-reported and clinical parameter outcomes among wrist reconstruction patients. He also is preparing to conduct a clinical trial to track the effectiveness of conservative management versus various surgical approaches in patients with carpometacarpal arthritis.  

Dr. Giladi completed his medical degree at Vanderbilt University and an integrated plastic and reconstructive surgery residency at the University of Michigan. During his residency, he completed a master’s degree in Health and Health Care Research through the Robert Wood Johnson Clinical Scholars Program at the University of Michigan. He then completed a hand and upper extremity fellowship, in the Department of Orthopaedics at Beth Israel Deaconess Medical Center, as part of the Harvard University Combined Orthopaedic Training Programs.

Research Interests

Dr. Giladi’s research interests include the following:

  • Hand and upper extremity surgery
  • Patient outcomes
  • Healthcare delivery
  • Care implementation and health policy
  • Disability
  • Health services research
  • Resource utilization

Selected Research

Effect of Opioid Prescribing on Patient-Reported Outcomes and Satisfaction after Hand and Upper Extremity Surgery

Dr. Giladi is principal investigator on this project to study the effect of opioid prescribing on patient satisfaction after hand and upper extremity surgery. As principal investigator, Dr. Giladi supervises and assists with patient recruitment, outcomes testing, statistical analysis, and writing. This MedStar Health Research Institute-funded project will collect preliminary data about the relationship between patient factors, outcomes, satisfaction, and opioid prescribing. 

Outcomes and Impairment after Finger Amputations

Dr. Giladi served as principal investigator for this project. The goal of this project was to evaluate functional and patient-reported outcomes after finger and thumb amputation and to assess associated impairment ratings and disability allocation. This work was funded by a fellowship grant from the Plastic Surgery Foundation.

View Dr. Giladi’s publications on PubMed.

View Dr. Giladi’s clinical practice page.

  • Research Areas
  • Health Services/Quality/Outcomes
  • Other Surgical

Derek M. DeLia

Derek M. DeLia, PhD, is Director of Health Economics and Health Systems Research, MedStar Health Research Institute. His research focuses on healthcare payment and delivery reform, federal and state health policy, performance measurement for accountable care organizations (ACOs), shared savings arrangements, coordination of care for complex patients, emergency medical care, healthcare access, and health insurance coverage.

Dr. DeLia’s research has been published in peer-reviewed journals such as Health Affairs, Annals of Emergency Medicine, Medical Care, and Health Services Research. His work on ACOs has been profiled by CMS in its Meet the Author Discussion Group and featured in Accountable Care News. He has provided expert commentary on healthcare issues for NJN Public Television, National Public Radio, and several other media outlets including Modern Healthcare, NJ101.5, and the Newark Star-Ledger.

Dr. DeLia currently serves on the Agency for Healthcare Research and Quality (AHRQ) Health Systems and Value Research Study Section and has served on other scientific review committees for AHRQ, the National Institutes of Health (NIH), and the Patient-Centered Outcomes Research Institute (PCORI). He led a savings certification project to help administer a shared savings contract between United Healthcare and a Medicaid ACO. For seven years, Dr. DeLia provided evaluation technical assistance to grantees of the New York State Health Foundation.

Dr. DeLia has presented research and provided policy analysis for the U.S. Department of Health and Human Services, the Congressional Budget Office, the Government Accountability Office, the Medicare Payment Advisory Commission, the National ACO Summit, the National Medicaid Congress, the New Jersey Department of Health, and the Medicaid Office in the New Jersey Division of Medical Assistance and Health Services. In 2009, Dr. DeLia led the organization of a national research conference on the integration of Emergency Medical Services with broader health services research and health policy. He also served on the New Jersey Healthcare Access Study Commission and a Subcommittee of the Governor's Commission on Rationalizing Health Care Resources. In 2007, he served on a project for the National Assessment of Educational Progress (the Nation’s Report Card) to create standardized tests for high school economics classes.

Prior to joining MedStar, Dr. DeLia was a research professor and senior health economist at Rutgers Center for State Health Policy. He also held research positions at the United Hospital Fund of New York and taught Health Economics, Econometrics, and Statistics at Rutgers University, Columbia University, New York University, and the City University of New York. Dr. DeLia earned a PhD in Economics at Cornell University, Ithaca, NY.

Research Interests

Dr. DeLia’s research interests include the following:

  • Healthcare payment and delivery reform
  • Federal and state health policy
  • Organization and financing of complex care
  • Applied health econometrics
  • Accountable care
  • Emergency medical care
  • Healthcare access
  • Health insurance coverage

Selected Research

Development and Performance of Medicaid ACOs

Dr. DeLia is principal investigator of this project funded by the Agency for Healthcare Research and Quality. This project will measure the impact of Medicaid ACOs in NJ on healthcare spending and quality, assess the accuracy and statistical reliability of alternative methods used to establish savings associated with Medicaid ACO activities, describe how NJ ACOs respond to key organizational challenges, and inform decision making about accountable care policy and practice in NJ and nationally. The project receives additional support from The Nicholson Foundation for enhanced qualitative analysis of ACO operations and care management strategies.

Evaluation Design and Implementation for the Transforming Complex Care (TCC) Initiative

Dr. DeLia is the principal investigator of this project funded by the Center for Health Care Strategies through the Robert Wood Johnson Foundation, which provides technical assistance to help six sites across the nation track performance in their complex care initiatives. The project also supports in-depth rigorous evaluations for a subset of the sites.

Medicaid Policy and the Supply of Primary Care

Dr. DeLia is the principal investigator for this project funded by the Robert Wood Johnson Foundation. This project will analyze how negotiated prices and other factors affect the supply of primary care delivered to Medicaid patients, especially those who are homeless or have severe mental illness.

Understanding Which Injured Older Adults Benefit from Triage to a Trauma Center

Dr. DeLia is dual-principal investigator (with Kit Delgado from University of Pennsylvania) for this project, which is funded by the National Institute on Aging.  The project will determine which clinical subgroups of injured older adults benefit most from triage to a trauma center vs. a non-trauma center and determine whether rates of complications and death after the development of complications for older adults differ by trauma center status and injury severity.

View Dr. DeLia’s publication on PubMed.

  • Research Areas
  • Health Services/Quality/Outcomes

Cynthia M. Carver DeKlotz

Cynthia M. Carver DeKlotz, MD, specializes in Adult and Pediatric Dermatology at MedStar Washington Hospital Center (MWHC) and MedStar Georgetown University Hospital. In addition to her clinical responsibilities, she is an assistant professor of Clinical Medicine and Pediatrics; director of the Orthopedics, Rheumatology, and Dermatology module; and co-director of the Immunology, Rheumatology, and Dermatology module at Georgetown University School of Medicine.

Dr. DeKlotz is board certified in dermatology, pediatric dermatology, and internal medicine. In her clinical practice, she specializes in genetic skin disease as well as general medical pediatric dermatology. She is skilled in laser treatment of birthmarks, laser scar revisions, acne surgery, Botox injection, chemical peels, and dermal fillers.

As the director of the Orthopedics, Rheumatology, and Dermatology module and co-director of the Immunology, Rheumatology, and Dermatology module at Georgetown University School of Medicine, Dr. DeKlotz spends time teaching and mentoring medical students. To further contribute to advances in evidence-based practice, she reviews manuscripts for JAMA Dermatology, and she has participated as a principal investigator and subinvestigator on studies of pharmaceutical treatments for dermatology patients. Her research has been published in the Journal of the American Academy of Dermatology, Archives of Disease in Childhood, Pediatric Dermatology, and other peer-reviewed publications.

Dr. DeKlotz is an experienced presenter who is frequently invited to speak at local and national dermatology meetings and conferences, in addition to regularly lecturing medical students and residents. Topics she has presented have included rare genetic conditions, such as tuberous sclerosis and incontinentia pigmenti, as well as common childhood infectious diseases and reactive rashes and management of acne. 

She graduated summa cum laude from Georgetown University School of Medicine with a degree in medicine, where she was a member of Alpha Omega Alpha. She completed an internship and residency in internal medicine/dermatology at Georgetown University Hospital/MedStar Washington Hospital Center. She then completed a fellowship in pediatric dermatology at Rady Children's Hospital/University of California, San Diego. Dr. DeKlotz also has a master’s degree in advanced mathematics from the University of Cambridge, Cambridge, England.

Research Interests

Dr. DeKlotz’s research interests include the following:

  • Genetic skin diseases (genodermatoses)
  • Laser treatment (particularly fractional CO2 laser)
  • Safety and efficacy of topical ointments

Selected Research

Efficacy and Safety of Dupilumab Monotherapy in Adolescents with Moderate-to-Severe Atopic Dermatitis

Dr. DeKlotz is a site principal investigator on this study of a treatment for moderate-to-severe eczema in adolescents. This randomized, double-blind, placebo-controlled study is sponsored by Regeneron Pharmaceuticals.

Evaluation of the Long-Term Safety of Zorblisa (SD-101-6.0) in Patients with Epidermolysis Bullosa (ESSENCE Study)

Dr. DeKlotz is a site principal investigator on this phase 3, multi-center, randomized, double-blind, placebo-controlled study to assess the efficacy and safety of SD-101-6.0 cream in the treatment of patients with epidermolysis bullosa. This study is sponsored by Scioderm/Amicus Therapeutics.

Evaluation of the Safety, Tolerability, and Pharmacokinetics of Kerydin (tavaborole) Topical Solution, 5%, in the Treatment of Onychomycosis of the Toenail in Children

Dr. DeKlotz served as site principal investigator on this study of a treatment for toenail fungus.  

Systemic Retinoids and Epidermal Growth Factor Inhibitors:  Effects on Cancer Cell Lines    

Dr. DeKlotz served as a principal investigator on this MWHC-funded study.

View Dr. DeKlotz's publications on PubMed.

View Dr. DeKlotz's complete list of published work in MyBibliography. 

View Dr. DeKlotz's clinical practice page. 

  • Research Areas
  • Other Medical