Edward L. Hannan, Ph.D.
Distinguished Professor , Dept. Of Health Policy, Management, and Behavior, School of Public Health
Associate Dean for Research, School of Public Health
Department of Public Administration and Policy, Nelson A Rockefeller College of Public Affairs and Policy
Phone: (518) 402-0333
Dept. Of Health Policy
Management, and Behavior
School of Public Health
University at Albany
One University Place
Rensselaer, NY 12144-3456
Fax: (518) 402-0414
HOW DID YOU BEGIN YOUR CAREER IN PUBLIC HEALTH?
“Although I received my PhD in Industrial Engineering and Operations Research, I became involved with public health as a graduate student assistant. At the time, I developed a computer simulation of the queuing process to analyze hospital emergency departments. Later, I worked as a Bureau Director in the NYS Department of Health in charge of Research and Evaluation.”
WHY ARE YOU PASSIONATE ABOUT PUBLIC HEALTH?
“I am passionate about public health because it is so important to everyone in our country, as well as around the world. The longevity and quality of our lives are completely dependent on the quality of health care we receive, our health behaviors and our access to care. I am particularly passionate about the need to supply health insurance to all of our citizens, although this is not the subject of most of my research.”
WHAT MOTIVATES YOU TO DO OUTSTANDING RESEARCH IN YOUR FIELD?
“I am motivated by the opportunity to impact on the quality of health
care we receive by evaluating quality and informing those who can either
directly or indirectly improve that quality—health care providers, policy
makers and patients.”
- Ph.D. University of Massachusetts at Amherst, Industrial Engineering and Operations Research, 1973
- M.S. Union College, Operations Research, 1970
- M.S. Syracuse University, Mathematics, 1966
- B.S. Union College, Massachusetts, 1964
Courses Frequently Taught:
- Health outcome assessment
- Quality assurance and assessment
- Access to health care
- Evaluation of health programs and policies
- Decision analysis
- Medical decision making
For the last several years, Dr. Hannan has been involved in the development and use of clinical databases for cardiac surgery, coronary angioplasty, carotid endarterectomy, and trauma care. These databases have been used to identify risk factors related to mortality and complications, to predict the occurrence of these adverse events, and to assess provider performance after having adjusted for differences in the pre-procedural risk of patients. Articles describing this work have appeared in the Journal of the American Medical Association, the New England Journal of Medicine, Medical Care, the Annals of Thoracic Surgery, the Journal of Trauma, Health Services Research, the Journal of the American College of Cardiology, Surgery, the American Heart Journal, and various other journals.
Selected Publications (from a total of more than 160):
Hannan EL, Wu C, Bennett EV, Carlson RE, Culliford AT, Gold JP, Higgins RSD, Smith CR, Jones RH. A Risk Index for Predicting In-Hospital Mortality for Cardiac Valve Surgery. Annals of Thoracic Surgery. 2007;83:921-930.
Hannan EL. Evaluating and Improving the Quality of Care for Acute Myocardial Infarction: Can Regionalization Help?, invited Editorial. Journal of the American Medical Association. 2006;295;18:2177-2179.
Hannan EL, Racz M, Holmes DR, King SB III, Walford G, Ambrose JA, Sharma S, Katz S, Clark LT, Jones RH. The Impact of Completeness of Revascularization on Long-Term Outcomes in the Stent Era. Circulation. 2006;113(20):2406-2412.
Hannan EL, Wu C, Bennett EV, Carlson RV, Culliford AT, Gold JP, Higgins RSD, Isom OW, Smith CR, Jones RH. Risk Stratification of In-Hospital Mortality for Coronary Artery Bypass Graft Surgery. Journal of the American College of Cardiology. 2006;47(3):661-668.
Hannan EL, Wu C, DeLong ER, Raudenbush SW. Predicting Risk-Adjusted Mortality for CABG Surgery: Logistic vs. Hierarchical Logistic Models. Medical Care. 2005;43:726-735.
Hannan EL, Wu C, Walford G, King SB III, Holmes DR, Ambrose JA, Sharma S, Katz S, Clark LT, Jones RH. Volume-Outcome Relationships for Percutaneous Coronary Interventions in the Stent Era. Circulation. 2005;112:1171-1179.
Hannan EL, Racz MJ, Walford G, Jones RH, Ryan TH, Bennett E, Culliford AT, Isom OW, Gold JP, Rose EA. Long-Term Outcomes for Coronary Artery Bypass Graft Surgery vs. Stent Implantation. New England Journal of Medicine. 2005;352(21):2174-2183.
Hannan EL, Farrell LS, Cooper M, Simon B, Simon R, Physiologic Trauma Triage Criteria in Adult Trauma Patients: Are They Effective in Saving Lives by Transporting Patients to Trauma Centers? Journal of the American College of Surgeons. 2005;200(4):584-592.
Hannan EL, Waller CH, Farrell LS, Cayten CG. A Comparison of the Ability of Various Injury Severity Measures to Predict Mortality With and Without Accompanying Physiologic Information. Journal of Trauma. 2005;58(2):244-251.
Hannan EL. Trauma Risk-Adjustment with Administrative Data. Invited editorial, Journal of Trauma. 2004;57:140.
Hannan EL. Readmissions for CABG Surgery: An Important Supplemental Outcome, invited editorial. Italian Heart Journal. 2003;4(11):735-738.
Hannan EL, Racz MJ, Walford G, Ryan TJ, Isom OW, Bennett E, Jones RH. Predictors of Readmission for Complications of Coronary Artery Bypass Graft Surgery in New York State. Journal of the American Medical Association. 2003;290:773-780.
Hannan EL, Wu C, Ryan TJ, Bennett E, Culliford AT, Gold JP, Hartman A, Isom OW, Jones RH, McNeil B, Rose EA, Subramanian VA. Do Hospitals and Surgeons with Higher CABG Surgery Volumes Still Experience Lower Risk-adjusted Mortality Rates? Circulation. 2003;108:795-801.
Hannan EL, Waller CH, Farrell LS, Rosati C. Elderly Trauma Patients in New York State: 1994-1998. Journal of Trauma . 2004;56:1297-1304.
Hannan EL, Sarrazin MSV, Doran DR, Rosenthal GE. Provider Profiling and Quality Improvement Efforts in CABG Surgery: The Effects on Short-Term Mortality Among Medicare Beneficiaries. Medical Care. 2003;41(10):1164-1172.
Hannan EL, Wu C. Assessing Quality and Outcomes for PCI: Choosing Statistical Models, Outcomes, Time Periods, and Patient Populations. Invited editorial, American Heart Journal . 2003;145:571-574.
Hannan EL, Popp AJ, Feustel P, Halm E, Bernardini G, Waldman J, Shah D, Chassin MR. The Association of Surgical Specialty and Processes of Care with Patient Outcomes for Carotid Endarterectomy. Stroke . 2001;32:2890-2897.
Hannan EL, Radyzner M, Rubin D, Dougherty J, Brennan MF. The Influence of Hospital and Surgeon Volume on In-Hospital Mortality for Colectomy, Gastrectomy, and Lung Lobectomy in Patients with Cancer. Surgery. 2002;131:6-15.
Hannan EL, Magaziner J, Wang JJ, Eastwood EA, Silberzweig SB, Gilbert M, Morrison RS, McLaughlin MA, Orosz GM, Siu AL. Mortality and Locomotion Six Months After Hospitalization for Hip Fracture: Risk Factors and Risk-Adjusted Outcomes. Journal of the American Medical Association . 2001;285:2736-2742.
Hannan EL, Farrell LS, Mottley L. Motor Vehicle Crashes in New York State: The Importance of Accounting for Emergency Department Deaths When Assessing Differences in In-Hospital Mortality by Level of Care. Journal of Trauma. 2001;50:1117-1124.
Hannan EL. The Continuing Quest for Measuring and Improving Access to Necessary Care. Invited editorial, Journal of the American Medical Association. 2000;284(18): 2374-2376.
Hannan EL, Farrell LS, Bessey PQ, Cayten CG, Cooper A, Mottley L. Accounting for Intubation Status in Predicting Mortality for Victims of Motor Vehicle Crashes. Journal of Trauma. Vol. 28, No. 1, January 2000.
Hannan EL. Percutaneous Coronary Interventions: Heed the ACC Volume Recommendations, but Strive to Improve Quality. Invited editorial, Journal of the American College of Cardiology. 1999;34(5).
Hannan EL. The Relation Between Volume and Outcome in Health Care. Invited editorial, New England Journal of Medicine. 1999;340.
Hannan EL. Commentary on 'Health Maintenance Organizations and Hospital Quality for Coronary Artery Bypass Surgery', by Escarce et al. Invited editorial, Medical Care Research and Review. 1999;56.
Hannan, EL, Farrell, LS, Gorthy SH, Bessey PQ, Cayten CG, Cooper A, Mottley L. Predictors of Mortality in Adult Patients with Blunt Injuries in New York State: A Comparison of TRISS and ASCOT. Journal of Trauma. 1999;47(1).
Hannan EL, Imperato PJ, Nenner RP, Starr H. Laparoscopic and Open Cholecystectomy in New York State: Mortality, Complications, and Choice of Procedure. Surgery. 1999;125.
Hannan EL, Racz MJ, McCallister BD, Ryan TJ, Arani DT, Isom OW, Jones RH. A Comparison of Three-Year Survical Following Coronary Artery Bypass Graft Surgery and Percutaneouos Transluminal Coronary Angioplasty. Journal of American College of Cardiology. 1999;33.
Tu JV, Hannan EL, Anderson GM, Iron K, Wu K, Vranizan K, Popp AJ, Grumbach K. The Fall and Rise of Carotid Endarterectomy in the US and Canada. New England Journal of Medicine. 1998;339(20).
Hannan EL, Popp AJ, Tranmer B, Fuestel P, Waldman J, Shah D. The Relationship Between Provider Volume and Mortality for Carotid Endarterectomies in New York State. Stroke. 1998;29(11).
Hannan EL, Public Disclosure: A Researcher's Perspective. Invited chapter in the book, Physician Profiling and Risk Adjustment, edited by N. Goldfield, Aspen Publishers, 1999.
Hannan EL, van Ryn M, Burke J, Stone D, Kumar D, Arani D, Pierce W, Rafii S, Sanborn T, Sharma S, Slater J, DeBuono BA. Access to Coronary Artery Bypass Surgery by Race/Ethnicity and Gender Among Patients Who Are Appropriate for Surgery. Medical Care. 1999;37(1).
Block PC, Peterson EC, Krone R, Kesler K, Hannan EL, O'Connor GT, Detre K, Identification of Variables Needed to Risk-Adjust Outcomes of Coronary Interventions: Evidence-Based Guidelines for Efficient Data Collection, & quot; Journal of American College of Cardiology. 1998;32(1).
Hannan EL, Racz M, Kavey R-E, Quaegebeur JM, Williams R. Pediatric Cardiac Surgery: The Effect of Hospital and Surgeon Volume on In-Hospital Mortality. Pediatrics. 1998;101(6).
Hannan EL, Farrell LS, Cayten CG. Predicting Survival of Victims of Motor Vehicle Crashes in New York State. Injury . 1997; 28(9-10).
Chassin MR, Hannan EL, Spencer FC. Improving the Outcomes of Coronary Bypass Surgery. In press, chapter in the book, Cardiac Anesthesia .
Hannan EL, Stone CC, Biddle TL, DeBuono BA. Public Release of Cardiac Surgery Outcomes Data in New York: What Do New York State Cardiologists Think Of It? American Heart Journal. 1997;134.
Hannan EL, Kumar D and the IHD PORT. Geographic Variation in the Utilization and Choice of Procedures for Treating Coronary Artery Disease in New York State. Journal of Health Services Research and Policy. 1997;2(3).
Hannan EL, Racz M, Ryan TJ, McCallister BD, Johnson LW, Arani DT, Guerci AD, Sosa J, Topol EJ. Coronary Angioplasty Volume-Outcome Relationships for Hospitals and Cardiologists. Journal of the American Medical Association. 1997; 277(11).
Tu JV, Naylor CD, Kumar D, DeBuono BA, McNeil BJ, Hannan EL. Coronary Artery Bypass Surgery in Ontario and New York State: Which Rate Is Right? Annals of Internal Medicine . 1997;126(1).
Hannan EL, Racz MJ, Jollis JG, Peterson ED. Using Medicare Claims Data to Assess Provider Quality for CABG Surgery: Does It Work Well Enough? Health Services Research. 1997;31(7).
Hannan EL, Siu AL, Kumar D, Racz M, Pryor DB, Chassin MR. Assessment of Coronary Artery Bypass Graft Surgery Performance in New York: Is There a Bias Against Taking High-Risk Patients? Medical Care. 1997;35,(1).
Hannan EL. Report Cards: Are They Passing or Failing? Clinical Performance and Quality Health Care. 1996;4(4).
Jones RH, Hannan EL, Hammermeister KE, DeLong ER, O'Connor GT, et al. Identification of Preoperative Variables Needed to Risk-Adjust Short-Term Mortality After Coronary Artery Bypass Grafting. Journal of the American College of Cardiology. 1996;28(6).
Altmann DB, Racz M, Battleman DS, Bergman G, Spokojny A, Hannan EL, Sanborn TA. Reduction in Angioplasty Complications Following the Introduction of Coronary Stents: Results From a Consecutive Series of 2,242 Patients. American Heart Journal. 1996;132(3).
Cayten CG, Hannan EL. Invited Editorial for the paper Improved Predictions from a Severity Characterization of Trauma (ASCOT) over Trauma and Injury Severity Score (TRISS): Results of an Independent Evaluation. Journal of Trauma. 1996;40(1).
Chassin MR, Hannan EL, DeBuono BA. Reporting Medical Outcomes Publicly: Benefits and Hazards. New England Journal of Medicine. 1996;334(6).
Hannan EL, Mendeloff J, Farrell LS, Cayten CG, Murphy JG. Multivariate Models for Predicting Survival of Trauma Patients with Low Falls: The Impact of Gender and Pre-Existing Conditions. Journal of Trauma. 1995;38(5).
Hannan EL, Mendeloff J, Farrell LS, Cayten CG, Murphy JG. Validation of TRISS and ASCOT Using a Non-MTOS Trauma Registry. Journal of Trauma. 1995;38(1).
Hannan EL, Kumar D, Racz M, Siu AL, Chassin MR. New York State's Cardiac Surgery Reporting System: Four Years Later. The Annals of Thoracic Surgery. 1994;58.
Hannan EL, Burke J. The Impact of Age on Mortality in Coronary Artery Bypass Surgery in New York State: 1991-1992. American Heart Journal. 1994;128.
Hannan EL, Siu AL, Kumar D, Kilburn H Jr, Chassin MR. The Decline in Coronary Arter Bypass Graft Surgery Mortality in New York State: The Role of Surgeon Volume. Journal of the American Medical Association. 1995;273(18).
Hannan EL, Kilburn H Jr, Racz M, Shields E, Chassin MR. Improving the Outcomes of Coronary Artery Bypass Surgery in New York State. Journal of the American Medical Association. 1994;271(10).
Hannan EL, Arani DT, Johnson LW, Kemp HG, Lukacik G. Percutaneous Transluminal Coronary Angioplasty in New York State From 1/1/91 to 6/30/91: Risk Factors and Outcomes for 5827 Patients in 30 Hospitals. Journal of the American Medical Association. 1992;268(21).
Hannan EL, Kilburn H Jr, Lindsey ML, Lewis R. Clinical Versus Administrative Data Bases for CABG Surgery: Does It Matter? Medical Care. 1992;30(10).
Hannan EL, Kilburn H Jr, O'Donnell JF, Bernard H, Shields EP, Lindsey M, Yazici A. A Longitudinal Analysis of the Relationship Between In-Hospital Mortality and the Volume of Abdominal Aortic Aneurysms Performed in New York State. Health Services Research. 1992;27(4).
Hannan EL, Bernard HR, Kilburn HC, O'Donnell JF. Gender Differences in Mortality Rates for Coronary Artery Bypass Surgery. American Heart Journal. 1992;123.
Hannan EL, Kilburn H Jr, O'Donnell JF, Lukacik G, Shields EP. Interracial Access to Selected Cardiac Procedures for Patients Hospitalized with Coronary Artery Disease in New York State. Medical Care . 1991;29(5).
Hannan EL, Kilburn H Jr, Bernard H, O'Donnell, Lukacik, Shields EP. Coronary Artery Bypass Surgery: The Relationship Between In-Hospital Mortality Rate and Surgical Volume After Controlling for Clinical Risk Factors. Medical Care . 1991;29(11).
Selected Professional Honors:
Appointed Distinguished Professor by the State University of New York; 2003
Elected Fellow of the American College of Cardiology (FACC), 2002
Named First Distinguished Visiting Clinical Research Scientist by Duke University Clinical Research Institute (1998)
Named in Top 5% of All Reviewers for the Journal of the American Medical Association:1999
Named in Top 5% of All Reviewers for Medical Care for 6/96-6/01
Named in Top 30% of All Reviewers for Annals of Internal Medicine:2005
Delta Omega (National Public Health Honorary Society)
Kappa Mu Epsilon (National Mathematics Honorary Society)
Alpha Pi Mu (National Industrial Engineering Honorary Society)
1995-96 University at Albany Award for Excellence in Research
Selected Presentations (Post-1995):
Hannan EL,"Measuring Risk-Adjusted Outcomes and Improving Quality of Care for Cardiac Surgery: The New York Experience," invited talk at the Cambridge Health Resources Conference Cardiac Surgery: Improving Outcomes and Reducing Costs, Chicago, May 13-14, 1998.
Hannan EL, "The New York State CABG Experience: A State Government Approach," invited talk at the Anthem Blue Cross Conference Building Quality Cardiac Networks: Managed Care, State, and Federal Approaches, Columbus, Ohio, December 10, 1997.
Hannan EL, "Cardiac Surgery Report Cards: The New York Experience," invited talk at the New Jersey Cardiac Surgery report Card Conference, New Brunswick, New Jersey, November 19, 1997.
Hannan EL, "Using Data to Facilitate Improvement," invited talk at the conference Improving Utilization for Patients Needing Coronary Revascularization, New York City, sponsored by the New York State Department of Health, October 24, 1997.
Hannan EL, "Use of Mortality Data for Risk Adjustment," invited talk at the conference Measures That Matter, sponsored by the Institute for Research and Education, HealthSystem Minnesota, Minneapolis, October 23, 1997.
Hannan EL, "Clinical Usefulness of Risk-Stratified Outcome Analysis in Cardiac Surgery," invited talk at the meeting Organizzatione Della Lista di Attesa E Quantificazione Del Rischio Operatorio in Cardiochirurgia, University of Verona, Verona, Italy, October 17, 1997.
Hannan EL, "Carotid Endarterectomy: Pattern Analysis of Utilization and Mortality", invited talk at the meeting of the IPRO Health Care Quality Improvement Program, May 21, 1997.
Hannan EL, Invited Panelist in the Session "Putting Report Cards to the Test: What Research and Experience Tell Us About the Relevance of Hospital Report Cards," at the conference Will Hospital Report Cards Make the Grade, sponsored by the Center for Studying Health System Change, Alexandria, Virginia, May 7, 1997.
Hannan EL, "Assessing Outcomes for CABG Surgery in New York State: Methods, Results, and Challenges," invited talk at the Annual Meeting of the Northern California Chapter of the American College of Surgeons, San Francisco, May 10, 1997.
Hannan EL, "Measuring Quality of Care for Cardic Surgery," invited talk at Healthcare Quality in New York: Where Are We Going?, sponsored by the Island Peer Review Organizaton, New York December 13, 1996.
Hannan EL, Testimony before Pennsylvania House of Representatives, Select Committee to Review Open Heart Surgery, October 10, 1996.
Hannan EL, "Report Cards: Passing or Failing- The New York State Experience," invited talk at Second National Healthcare Conference on Measuring Performance and Implementing Improvement: A Practical Approach, Washington, D.C., June 3, 1996.
Hannan EL, "Impact of a Public System on Quality of Care: The New York State Approach," invited talk at John F. Kennedy School of Government, Harvard University, Coping With the Health Care Revolution: An Executive Program for Physicians and Health Care Leaders, May 19, 1996.
Hannan EL, "Assessing Outcomes for Coronary Artery Bypass Surgery in New York: Methods, Results, and Challenges," invited talk at the Health Policy and Administration Consortium of the Capital District, Troy, NY, March 18, 1996.
Hannan EL, "The Cardiac Surgery Reporting System - Methods, Results, and Challenges," invited talk at the Capital District Medical Decision Making Group, Albany, NY, March 19, 1996.
Hannan EL, "Report Cards for Cardiac Surgery in New York: How Has the System Changed and Where Do We Go From Here?'" invited talk at St. Peter's Hospital, Albany, NY, March 15, 1996.
Hannan EL, Farrell LS, Cayten CG. "Beyond TRISS and ASCOT in Predicting Survival of Victims of Motor Vehicle Crashes in New York State", chosen for presentation at the Eastern Association for the Surgery of Trauma, Ninth Scientific Assembly, Orlando, Florida, January 10-13, 1996.
Hannan EL, "Cardiac Surgery by the Numbers," invited talk at CHEST 1995, the 61st Annual International Scientific Assembly of the American College of Chest Physicians, November 1-3, 1995.
Hannan EL, "Disease Specific Measures for Variation in Quality and Outcomes of Care," invited talk at Scientific Basis of Health Services, London, October 2-4, 1995.
Hannan EL, " New York's Cardiac Outcomes Reports: Leading the Way," invited talk at Local, State, and National Initiatives in Outcomes-Based Reporting and Purchasing, Chicago, August 17-18, 1995.
Hannan EL, "Severity of Illness Adjustment for CABG Surgery in New York," invited talk at the Medical Outcomes Research Conference, Boston, June 15- 16, 1995.
Hannan EL, "Administrative vs. Clinical Data for Risk-Adjustment," invited talk at The National Association for Health Services Research/Foundation for Health Services Research Meeting Health Services Research:Implications for Policy Management and Clinical Practice Chicago, June 4-6, 1995.
Hannan EL, "The Impact of Report Cards for CABG Surgery in New York," invited talk at the National Symposium on Outcomes and Quality Assessment: State of the Art and Future Directions, sponsored by the Pennsylvania Health Care Cost Containment Council, Harrisburg, PA, May 31- June 2, 1995.
Hannan EL, "Scorecards in Cardiovascular Medicine: The Impact on Outcomes and Referrals," invited talk presented at the National Meeting of The American College of Cardiology, New Orleans, March 18,1995.
Advisory Board Membership (Post-1995):
Steering Committee, FederalHealth Care Financing Administration, Medicare Quality Indicator System (1994-1996).
Advisory Board, United States General Accounting Office, Study of Medicare Risk Plans, Managed Care Arrangements, and Health Care Quality (1996- present)
Advisory Board, Veterans Administration, Study on Relation Between Quality and Processes of Care for Cardiac Surgery (1994-present)
Steering Committee, Island Peer Review Organization Health Care Quality Improvement Program (1994-present)
Technical Advisory Board, Island Peer Review Organization, Center for Quality Management and Improvement (1996-present).
National Cardiac Advisory Panel, Blue Cross/Blue Shield Association (1997-present).