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Michael Schull

(Canada) Professor, Division of Emergency Medicine University of Toronto President and CEO Institute for Evaluative Sciences Toronto

Harkness Project Title: Shared Care and Outcomes Following Emergency Department Visits for Exacerbations of Chronic Disease: Variation Across Ontario’s Virtual Networks and Association with Integration

Mentor: Elliott Fisher, M.D., Professor and Director, Center for Health Policy Research, Dartmouth Medical School

Biography at time of Harkness Fellowship: Michael Schull, Dr.Med., a 2010-11 Canadian Harkness Associate, is director, division of emergency medicine, and associate professor in the departments of medicine and health policy, management, and evaluation, at the University of Toronto. He also serves as senior scientist at the Institute for Clinical Evaluative Sciences (ICES) and at the Sunnybrook Health Sciences Centre Research Institute. Since 2007, Schull also co-chairs the National Emergency Department Performance Stakeholder Group and chairs the Emergency Room Expert Panel, an advisory committee to the Ontario Ministry of Health and Long-Term Care. He has authored 81 peer-reviewed journal articles, including publications in the BMJ, Medical Care, and the Canadian Medical Association Journal. Schull is recipient of numerous awards as well as an honorary doctor of science from Queen's University. He received a master of sciences in epidemiology and biostatistics from McGill University and a doctor of medicine from Queen's University, where he received the University Medal in Medicine, the Bryan George Blair Memorial Prize in Internal Medicine, and the Victor Lyall Goodwill Memorial Prize in Internal Medicine.

Project: Michael Schull analyzed transitioning health care systems that are moving towards more integrated delivery systems. In particular, he explored whether more integrated or “shared” care is associated with improved health outcomes.  A quantitative study was undertaken, using Ontario’s health administrative databases, to analyze outcomes associated with shared care for patients with chronic obstructive pulmonary disease, congestive heart failure, and diabetes patients following an ER visit relating to their chronic illness.   

Current positions:

  • Professor of Medicine, Division of Emergency Medicine, University of Toronto (Updated July 2013)
  • President and CEO, Core Scientist, Institute for Clinical Evaluative Sciences, Toronto (September 2013)

Email: [email protected]

Selected Publications

Bhayana R, Vermeulen MJ, Li Q, Hellings CR, Berdahl C, Schull MJ. Socioeconomic status and the use of computed tomography in the emergency department. CJEM. 2014 Jul 1;16(4):288-95. 

Vermeulen MJ, Stukel TA, Guttmann A, Rowe BH, Zwarenstein M, Golden B, Nigam A, Anderson G, Bell RS, Schull MJ; ED Investigator Team. Evaluation of an Emergency Department Lean Process Improvement Program to Reduce Length of Stay. Ann Emerg Med. 2014 Jul 3. 

Bhayana R, Vermeulen MJ, Li Q, Hellings CR, Berdahl C, Schull MJ. Socioeconomic status and the use of computed tomography in the emergency department. CJEM. 2014 Feb 1;16(2):1-8. 

Schuur JD, Hsia RY, Burstin H, Schull MJ, Pines JM. Quality measurement in the emergency department: past and future. Health Aff. 2013 Dec;32(12):2129-38. 

Berdahl CT, Vermeulen MJ, Larson DB, Schull MJ. Emergency department computed tomography utilization in the United States and Canada. Ann Emerg Med. 2013 Nov;62(5):486-494.e3. 

Vaillancourt S, Schultz SE, Leaver C, Stukel TA, Schull MJ. Effect of a brief  emergency medicine education course on emergency department work intensity of family physicians. CJEM. 2013 Jan;15(1):34-41. 

Atzema CL, Schull MJ, Kurdyak P, Menezes NM, Wilton AS, Vermuelen MJ, Austin PC. Wait times in the emergency department for patients with mental illness. CMAJ. 2012 Dec 11;184(18):E969-76. 

Maskalyk J, Landes M, Azaj A, Teklu S, Letovsky E, Schull MJ. Development of emergency medicine in ethiopia. CJEM. 2012 Jul;14(4):211. 

Schull MJ, Vermeulen MJ, Stukel TA, Guttmann A, Leaver CA, Rowe BH, Sales A. Evaluating the effect of clinical decision units on patient flow in seven Canadian emergency departments. Acad Emerg Med. 2012 Jul;19(7):828-36

Gruneir A, Bronskill S, Bell C, Gill S, Schull M, Ma X, Anderson G, Rochon PA. Recent health care transitions and emergency department use by chronic long term care residents: a population-based cohort study. J Am Med Dir Assoc. 2012 Mar;13(3):202-6. Epub 2011 Nov 6. 

Pines JM, Hilton JA, Weber EJ, Alkemade AJ, Al Shabanah H, Anderson PD, Bernhard M, Bertini A, Gries A, Ferrandiz S, Kumar VA, Harjola VP, Hogan B, Madsen B, Mason S, Ohlén G, Rainer T, Rathlev N, Revue E, Richardson D, Sattarian M, Schull MJ. “International perspectives on emergency department crowding.” Acad Emerg Med. 2011 Dec;18(12):1358-70. 

Salkeld E, Leaver CA, Guttmann A, Vermeulen MJ, Rowe BH, Sales A, Schull MJ. Barriers and facilitators to the implementation of Ontario's emergency department clinical decision unit pilot program: a qualitative study. CJEM. 2011 Nov 1;13(6):363-71. 

Schull MJ, Guttmann A, Leaver CA, Vermeulen M, Hatcher CM, Rowe BH, Zwarenstein M, Anderson GM. Prioritizing performance measurement for emergency department care: consensus on evidence-based quality of care indicators. CJEM. 2011 Sep;13(5):300-9, E28-43. 

Khan Y, Glazier RH, Moineddin R, Schull MJ. A population-based study of the association between socioeconomic status and emergency department utilization in Ontario, Canada. Acad Emerg Med. 2011 Aug;18(8):836-43. 

Guttman A, Schull MJ, Vermeulen MJ, et al., "Association Between Waiting Times and Short Term Mortality and Hospital Admission After Departure from Emergency Department: Population Based Cohort Study from Ontario, Canada," BMJ, published online June 1, 2011.