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Laurent G. Glance, M.D.

Anesthesiology

Clinical Interests

Cardiac

Contact Information

Phone Numbers

Office: (585) 275-2141

Fax: (585) 244-7271

URMFGA member of the University of Rochester Medical Faculty Group

groupAn Accountable Health Partner

assignmentAccepting New Patients

Biography

Dr. Glance is Professor (with tenure) and Vice-Chair for Research in the Department of Anesthesiology at the University of Rochester School of Medicine. Dr. Glance obtained his M.D. at Cornell and his undergraduate degree at Dartmouth. He is a cardiac anesthesiologist who trained at New York-Presbyterian Hospital (Cornell) for residency and Memorial Sloan-Kettering for critical care medicine. He is the past recipient of a Research Career Development Grant which focused on the optimization of risk-adjustment methodologies for measuring ICU quality.

Dr. Glance was the PI on a AHRQ-funded R01 grant which used the National Trauma Databank as a platform to determine whether providing hospitals with trauma report cards will lead to improved population outcomes in trauma. This work has led to the development of a highly innovative empiric-based approach to trauma injury scoring using either clinical data or ICD-9-CM codes. The Trauma Mortality Prediction Model, developed through this grant, has been adopted for use by the Massachusetts Department of Public Health. Dr. Glance previously completed an AHRQ-funded R01 focusing on the implications of the present-on-admission (POA) indicator in administrative data to differentiate preexisting conditions from complications. This work led to publications showing that the addition of the present-on-admission (POA) indicator enhances the ability of existing comorbidity algorithms to map ICD-9-CM codes to diagnostic categories accurately, and that the use of routine administrative data without POA information to construct hospital quality report cards may result in the misidentification of hospital quality outliers. Dr. Glance serves on the Editorial Board of Critical Care Medicine, the American Society of Anesthesiologists (ASA) Committee on Performance and Outcomes Measurement, and the Advisory Panel for the ASA-sponsored Anesthesiology Quality Institute.

Professional Background

Dr. Glance is Professor (with tenure) and Vice-Chair for Research in the Department of Anesthesiology at the University of Rochester School of Medicine. Dr. Glance obtained his M.D. at Cornell and his undergraduate degree at Dartmouth. He is a cardiac anesthesiologist who trained at New York-Presbyterian Hospital (Cornell) for residency and Memorial Sloan-Kettering for critical care medicine. He is the past recipient of a Research Career Development Grant which focused on the optimization of risk-adjustment methodologies for measuring ICU quality.

Dr. Glance was the PI on a AHRQ-funded R01 grant which used the National Trauma Databank as a platform to determine whether providing hospitals with trauma report cards will lead to improved population outcomes in trauma. This work has led to the development of a highly innovative empiric-based approach to trauma injury scoring using either clinical data or ICD-9-CM codes. The Trauma Mortality Prediction Model, developed through this grant, has been adopted for use by the Massachusetts Department of Public Health. Dr. Glance previously completed an AHRQ-funded R01 focusing on the implications of the present-on-admission (POA) indicator in administrative data to differentiate preexisting conditions from complications. This work led to publications showing that the addition of the present-on-admission (POA) indicator enhances the ability of existing comorbidity algorithms to map ICD-9-CM codes to diagnostic categories accurately, and that the use of routine administrative data without POA information to construct hospital quality report cards may result in the misidentification of hospital quality outliers. Dr. Glance serves on the Editorial Board of Critical Care Medicine, the American Society of Anesthesiologists (ASA) Committee on Performance and Outcomes Measurement, and the Advisory Panel for the ASA-sponsored Anesthesiology Quality Institute.

Research

Dr. Glance is Professor (with tenure) and Vice-Chair for Research in the Department of Anesthesiology at the University of Rochester School of Medicine. Dr. Glance obtained his M.D. at Cornell and his undergraduate degree at Dartmouth. He is a cardiac anesthesiologist who trained at New York-Presbyterian Hospital (Cornell) for residency and Memorial Sloan-Kettering for critical care medicine. He is the past recipient of a Research Career Development Grant which focused on the optimization of risk-adjustment methodologies for measuring ICU quality.

Dr. Glance was the PI on a AHRQ-funded R01 grant which used the National Trauma Databank as a platform to determine whether providing hospitals with trauma report cards will lead to improved population outcomes in trauma. This work has led to the development of a highly innovative empiric-based approach to trauma injury scoring using either clinical data or ICD-9-CM codes. The Trauma Mortality Prediction Model, developed through this grant, has been adopted for use by the Massachusetts Department of Public Health. Dr. Glance previously completed an AHRQ-funded R01 focusing on the implications of the present-on-admission (POA) indicator in administrative data to differentiate preexisting conditions from complications. This work led to publications showing that the addition of the present-on-admission (POA) indicator enhances the ability of existing comorbidity algorithms to map ICD-9-CM codes to diagnostic categories accurately, and that the use of routine administrative data without POA information to construct hospital quality report cards may result in the misidentification of hospital quality outliers. Dr. Glance serves on the Editorial Board of Critical Care Medicine, the American Society of Anesthesiologists (ASA) Committee on Performance and Outcomes Measurement, and the Advisory Panel for the ASA-sponsored Anesthesiology Quality Institute.

Credentials

Faculty Appointments

Specialties

  • Anesthesiology - American Board of Anesthesiology
  • Critical Care Medicine - American Board of Anesthesiology

Education

1981
BA | Dartmouth College
Physics

1985
MD | Cornell Univ Medical College
Medicine

Post-doctoral Training & Residency

07/01/1985 - 06/30/1986
Internship in Surgery-General at New England Medical Center Hospitals

07/01/1986 - 06/30/1989
Residency in Anesthesiology at The New York Hospital/Cornell Medical College

07/01/1989 - 06/30/1990
Fellowship in Internal Medicine: Critical Care Medicine at Memorial Sloan-Kettering Cancer Center

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Awards

2003
Research Citation Finalist, Society of Critical Care Medicine,

2001
Finalist, Ron Gabel Teaching Award

2001
Anesthesiology Specialty Award, Society of Critical Care Medicine

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Publications

Journal Articles

7/2017
Glance LG, Holloway RG. "Raising the Alarm on Brain Attacks in Surgical Patients: Are We Doing Enough to Prevent and Treat Postoperative Strokes?" Anesthesiology.. 2017 Jul 0; 127(1):3-5.

5/5/2017
Glance LG, Li Y, Dick AW. "Impact on hospital ranking of basing readmission measures on a composite endpoint of death or readmission versus readmissions alone." BMC health services research. 2017 May 5; 17(1):327. Epub 2017 May 05.

5/2017
Thirukumaran CP, Glance LG, Temkin-Greener H, Rosenthal MB, Li Y. "Impact of Medicare's Nonpayment Program on Hospital-acquired Conditions." Medical care.. 2017 May 0; 55(5):447-455.

Books & Chapters

2006
Chapter Title: Scoring: Its Definition and Practical Application in Current Therapy of Trauma Surgery and Critical Care.
Book Title: Injury Severity
Author List: Osler, T; Glance, LG; Bedrick, EJ.
Edited By: Asensio, J, Trunkey, D
Published By: Saunders/Elsevier Company2006 in Philadelphia (in press)

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