Laurent G. Glance, M.D.

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