Rita Mangione-Smith, MD, MPH

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“Doing research in integrated health systems like ours gives us a 360-degree view of care, allowing us to comprehensively assess quality and work toward better health outcomes.” 

Rita Mangione-Smith, MD, MPH

Vice President, Research and Health Care Innovation, Kaiser Foundation Health Plan of Washington
Executive Director and Senior Investigator, Kaiser Permanente Washington Health Research Institute
Professor, Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine

Biography

Rita Mangione-Smith, MD, MPH, was appointed vice president for research and health care innovation at Kaiser Permanente Washington and executive director of Kaiser Permanente Washington Health Research Institute (KPWHRI) in August 2019. She is also a senior investigator at the institute, pursuing research on improving care for children and others throughout the life course.

A pediatrician, Dr. Mangione-Smith’s research to date has focused primarily on assessing quality of care and then developing, evaluating, and implementing quality improvement interventions in areas such as transitions between sites of care and hospital-based care for respiratory illness and mental health.

She has also conducted extensive research on doctor-parent communication, studying how interactions influence the decision to prescribe antibiotics for acute respiratory illness in pediatric outpatient settings. Based on this work, she has developed a multifaceted quality improvement intervention for outpatient providers called Dialogue Around Respiratory Illness treatment (DART).

Dr. Mangione-Smith has a passion for developing learning health systems where scientists and clinicians collaborate on research programs that can drive the improvement of health care delivery, quality, and cost.

Before her work at Kaiser Permanente Washington, Dr. Mangione-Smith served as an investigator in the Center for Child Health, Behavior, and Development at Seattle Children’s Research Institute and chief of the Division of General Pediatrics and Hospital Medicine in the University of Washington (UW) Department of Pediatrics. She was also director of the Quality Improvement Scholars Program at the UW Department of Pediatrics and Seattle Children’s Hospital.

An accomplished organizational leader, Dr. Mangione-Smith is recognized for her work as an active teacher and mentor. At the UW, she established a division-wide mentorship program for junior faculty that has been highly successful. She also developed several collaborative working groups across the UW Division of General Pediatrics and Hospital Medicine focused on enhancing the quality and safety of care across six outpatient and six inpatient clinical sites.

In 2018, AcademyHealth, the nation’s premiere health services association, honored Dr. Mangione-Smith with its “Child Health Interest Group Life Time Achievement Award,” recognizing her significant and lasting contributions to child health services research. She also received the 2017 Academic Pediatric Association Research Award, the organization’s highest award for research excellence and achievement.

Dr. Mangione-Smith is an affiliate professor in the Department of Health Services at the UW School of Public Health.

She is also a professor in the Department of Health System Science at Kaiser Permanente Bernard J. Tyson School of Medicine.

RESEARCH INTERESTS AND EXPERIENCE

Publications

Parast L, Burkhart Q, Bardach NS, Thombley R, Basco WT Jr, Barabell G, Williams DJ, Mitchel E, Machado E Jr, Raghavan P, Tolpadi A, Mangione-Smith R. Development and testing of an emergency department quality measure for pediatric suicidal ideation and self-harm. Acad Pediatr. 2022;22(3S):S92-S99. doi: 10.1016/j.acap.2021.03.005. PubMed

Leyenaar JK, Esporas M, Mangione-Smith R. How Does Pediatric Quality Measure Development Reflect the Real World Needs of Hospitalized Children? Acad Pediatr. 2022;22(3S):S70-S72. doi: 10.1016/j.acap.2021.01.019. PubMed

Mangione-Smith R, Robinson JD, Zhou C, Stout JW, Fiks AG, Shalowitz M, Gerber JS, Burges D, Hedrick B, Warren L, Grundmeier RW, Kronman MP, Shone LP, Steffes J, Wright M, Heritage J. Fidelity evaluation of the dialogue around respiratory illness treatment (DART) program communication training. LID - S0738-3991(22)00104-5 [pii] LID - 10.1016/j.pec.2022.03.011 [doi] Patient Educ Couns. 2022 Mar 14:S0738-3991(22)00104-5. doi: 10.1016/j.pec.2022.03.011 [Epub ahead of print] PubMed

Naimi I, Slee AE, Kourtidou S, Mangione-Smith RM, Portman MA. Long-term impact of hospitalization for Kawasaki disease on health-related quality of life. Hosp Pediatr. 2022 Mar 1;12(3):248-257. doi: 10.1542/hpeds.2021-006308. PubMed

Tyler A, Bryan MA, Zhou C, Mangione-Smith R, Williams D, Johnson DP, Kenyon CC, Rasooly I, Neubauer HC, Wilson KM. Variation in dexamethasone dosing and use outcomes for inpatient croup. Hosp Pediatr. 2022;12(1):22-29. doi: 10.1542/hpeds.2021-005854. PubMed

 

Pediatric research

A Physician Examining Her Patient

Improving child health and care with quality measures

KPWHRI Executive Director Rita Mangione-Smith, MD, MPH, talks about her research to advance pediatric care

1-year anniversary

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Looking back: Our COVID-19 vaccine trial at 1 year

Dr. Rita Mangione-Smith reflects on the year since KPWHRI launched the world's first clinical trial for a COVID-19 vaccine.

research

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Medication in pregnancy: Better data for healthier kids

Researchers need much bigger data sets to find outcomes that matter, Dr. Sascha Dublin and colleagues write in Pediatrics.

KPWHRI In the Media

When does your child need antibiotics?

How do I know if my kid needs antibiotics?

New York Times, Apr 17, 2020