Scott A. Lorch, MD, MSCE

Scott A. Lorch, MD, MSCE

Scott A. Lorch, MD, is an attending neonatologist and Director of the Neonatal-Perinatal Medicine Fellowship at Children's Hospital of Philadelphia.

Locations: Main Campus; CHOP Newborn Care at the Hospital of the University of Pennsylvania
Appointments and Referrals: 1-800-TRY-CHOP (1-800-879-2467)

Background

Scott A. Lorch, MD, MSCE, is an associate professor of pediatrics at the Perelman School of Medicine at the University of Pennsylvania, with appointments in the Center for Clinical Epidemiology and Biostatistics, and a senior fellow of the Leonard Davis Institute of Health Economics at the University of Pennsylvania. He also serves as director of the Neonatal-Perinatal Medicine Fellowship program, and is the Harriet and Ronald Lassin Endowed Chair in Pediatric Neonatology at The Children's Hospital of Philadelphia.

Dr. Lorch received his Master of Science degree in Clinical Epidemiology (MSCE) from the Center for Clinical Epidemiology and Biostatistics at the University of Pennsylvania and has been a faculty investigator at the Center for Outcomes Research centrally involved with projects concerning health economics and quality of care research in both adult and pediatric settings.

Dr. Lorch is the director of the Center for Perinatal and Pediatric Health Disparities Research and is the principal investigator on four federally funded projects. Currently he is the principal investigator of a study entitled Parental Trust and Racial Disparities in the Care of Discharged Premature Infants, funded by the National Institute of Child Health and Human Development (Grant Number 1R01HD57168); a study entitled Aggregated Complication Measure for Neonatal Quality of Care funded by the Maternal and Child Health Bureau (Grant Number R40MC05474), a three-year study funded by the Agency for Healthcare Research and Quality entitled Perinatal Regionalization and Quality of Care (Grant Number 1R01HS015696-01A2); and a four-year study funded by the Agency for Healthcare Research and Quality entitled Impact of Obstetric Unit Closures on Pregnancy Outcomes (R018661).

Dr. Lorch is also an investigator in the Pediatric Quality Metric Consortium site at The Children's Hospital of Philadelphia. He was worked with Pennsylvania and New York pediatric discharge data to examine the effects of hospital occupancy on the efficiency of pediatric hospital care, and the difference between urban and rural hospitals in terms of treatment of children. These outcomes studies were conducted at the Center for Outcomes Research, working with the COR research staff.

His work has investigated various measures of infant quality of care and analyses of systems for delivering neonatal care, specifically using an instrumental variables approach and other methods to reduce systematic biases in these types of studies.

Education and Training

Medical School

MD - Northwestern University School of Medicine, Chicago, IL

Internship

Vanderbilt University School of Medicine, Nashville, TN

Residency

Pediatrics - Vanderbilt University School of Medicine, Nashville, TN

Fellowship

Neonatal-Perinatal Medicine - The Children's Hospital of Philadelphia, Philadelphia, PA

Board Certification

Neonatal-Perinatal Medicine
Pediatrics

Titles and Academic Titles

Attending Neonatologist

Director, Neonatal-Perinatal Medicine Fellowship

Harriet and Ronald Lassin Endowed Chair in Pediatric Neonatology

Director, Center for Perinatal and Pediatric Health Disparities Research

Associate Professor of Pediatrics, Perelman School of Medicine at the University of Pennsylvania

Departments and Services

Research Interests

Measurement of the quality of neonatal intensive care and pediatric care using hospital and state-level data
Economics of new technologies in neonatology

Also see my research profile on the CHOP Research Institute website

Publications

Papers

2018

Phibbs CS, Lorch SA. Choice of Hospital as a Source of Racial/Ethnic Disparities in Neonatal Mortality and Morbidity Rates. JAMA Pediatr. 2018 Jan 2. doi: 10.1001/jamapediatrics.2017.4917. [Epub ahead of print] No abstract available. PMID: 29297051

2017

Goyal MK, Johnson TJ, Chamberlain JM, Casper TC, Simmons T, Alessandrini EA, Bajaj L, Grundmeier RW, Gerber JS, Lorch SA, Alpern ER. Pediatric Care Applied Research Network (PECARN). Racial and Ethnic Differences in Antibiotic Use for Viral Illness in Emergency Departments. Pediatrics. 2017 Sep 5. pii: e20170203. doi: 10.1542/peds.2017-0203. [Epub ahead of print]

Lorch SA. Health Equity and Quality of Care Assessment: A Continuing Challenge. Pediatrics. 2017 Sep;140(3). pii: e20172213. doi: 10.1542/peds.2017-2213.

Lorch SA. Perinatal legislative policies and health outcomes. Semin Perinatol. 2017 Aug 28. pii: S0146-0005(17)30078-2. doi: 10.1053/j.semperi.2017.07.006. [Epub ahead of print]

Lorch SA. Understanding pregnancy outcomes using epidemiology and health services research. Semin Perinatol. 2017 Aug 28. pii: S0146-0005(17)30080-0. doi: 10.1053/j.semperi.2017.07.008. [Epub ahead of print]

Jensen EA, Lorch SA. Association between off-peak hour birth and neonatal morbidity and mortality among very low birth weight infants. J Pediatr. 2017;186:41-48

2016

Bamat NA, Tharakan SJ, Connelly JT, Hedrick HL, Lorch SA, Rintoul NE, Williams SB, Dysart D’Agostino JA KC. Venoarterial extracorporeal life support for neonatal respiratory failure: indications and impact on mortality. ASAIO J. 2016 Dec 13. Doi:10.1097/MAT.0000000000000495 [Epub ahead of print]

Martin AE, D'Agostino JA, Passarella M, Lorch SA. Racial differences in parental satisfaction with neonatal intensive care unit nursing care. J Perinatol. 2016 Nov;36(11):1001-1007. doi: 10.1038/jp.2016.142.

Peltz A, Wu CL, White ML, Wilson KM, Lorch SA, Thurm C, Hall M, Berry JG. Characteristics of Rural Children Admitted to Pediatric Hospitals. sp;Pediatrics. 2016 May;137(5). pii: e20153156. doi: 10.1542/peds.2015-3156. Epub 2016 Apr 11. PMID: 27244794.

Zubizarreta JR, Lorch SA, Marshall G, D'Apremont I, Tapia JL. Effect of prophylactic CPAP in very low birth weight infants in South America. J Perinatol. 2016 Apr 7. doi: 10.1038/jp.2016.56. [Epub ahead of print] PMID: 27054844.

Kozhimannil KB, Hung P, Casey MM, Lorch SA. Factors associated with high-risk rural women giving birth in non-NICU hospital settings. J Perinatol. 2016 Feb 18. doi: 10.1038/jp.2016.8.

2015

Jensen EA, Lorch SA. Effects of a Birth Hospital's Neonatal Intensive Care Unit Level and Annual Volume of Very Low-Birth-Weight Infant Deliveries on Morbidity and Mortality. JAMA Pediatr. 2015 Aug 3;169(8):e151906. doi: 10.1001/jamapediatrics.2015.1906. Epub 2015 Aug 3. PMID: 26237466

Tucker Edmonds B, Mckenzie F, Macheras M, Srinivas SK, Lorch SA. Morbidity and mortality associated with mode of delivery for breech periviable deliveries. Am J Obstet Gynecol. 2015 Mar 3. pii: S0002-9378(15)00196-9. doi: 10.1016/j.ajog.2015.03.002. [Epub ahead of print] PMID: 25747545 [PubMed - as supplied by publisher]

Lorch SA. The Clinical and Policy Implications of New Measures of Premature Infant Growth. Pediatrics. 2015 Feb 16. pii: peds.2014-3774. [Epub ahead of print]

2014

Lorch SA. Ensuring Access to the Appropriate Healthcare Professionals: Regionalization and Centralization of Care in a New Era of Healthcare Financing and Delivery. JAMA Pediatr. 2014 Nov 10. doi: 10.1001/jamapediatrics.2014.2468. [Epub ahead of print]

Rabner M, Meurling J, Ahlberg C, Lorch SA: The impact of growth curves changes in assessing premature infant growth. J Perinatol 34: 49-53, Jan 2014.

Liu Y, Traskin M, Lorch SA, George E, Small D: Ensemble of trees approaches to risk adjustment for evaluating a hospital's performance. Special Issues: Health Analytics of Healthcare Manag Sci Page: [Epub ahead of print] Apr 2014.

Tucker Edmonds B, Ahlberg C, McPherson K, Srinivas S, Lorch SA: Predictors and adverse pregnancy outcomes associated with antepartum discharge against medical advice. Matern Child Health J 18(3): 640-647, Apr 2014.

DeMauro SB, Abbasi S, Lorch SA: Enteral feeding strategies in low birth weight infants: A retrospective analysis. J Perinatol in press.

Enlow E, Herbert S, Jovel I, Lorch SA, Anderson C, Chamberlain L: Neonatal Intensive Care Unit to home: The transition from parent and pediatrician perspectives, a Prospective Cohort Study. J Perinatol in press.

Kozhimannil K, Macheras M, Lorch SA: Trends in childbirth before 39 weeks' gestation without medical indication. Med Care in press.

Patrick S, Kaplan H, Passarella M, Davis M, Lorch SA: Variation in treatment of neonatal abstinence syndrome in US children's hospitals, 2004-2011. J Perinatol in press.

Yang F, Lorch SA, Small DS: Estimation of causal effects using instrumental variables with nonignorable missing covariates: Application to effect of type of delivery NICU on premature infants. Ann Appl Stat in press.

2013

Goyal N, Zubizarreta JR, Small DS, Lorch SA: Length of stay and readmissions among late preterm infants: an instrumental variable approach. Hospital Pediatrics 38(1): 7-15, Jan 2013.

Lorch SA, Srinivas SK, Ahlberg C, Small DS: The impact of obstetric unit closures on maternal and infant pregnancy outcomes. Health Serv Res 48(2 Pt 1): 455-75, Apr 2013.

Ray KN and Lorch SA: Hospitalization of early preterm, late preterm, and term infants during the first year of life by gestational age. Hospital Pediatrics 3(3): 194-203, Jul 2013.

Srinivas SK, Fager C, Lorch SA: Variations in postdelivery infection and thrombosis by hospital teaching status. Am J Obstet Gynecol 209(6): e1-7, Dec 2013.

Zubizarreta JR, Small DS, Goyal N, Lorch SA, and Rosenbaum PR: Stronger instruments via integer programming in an observational study of late preterm birth outcomes. Ann Appl Stat 7(1): 25-50, 2013.

Books

Chapters

2013

Lorch SA: Quality measurements in pediatrics: What do they assess? JAMA Pediatr 167(1): 89-90, January 2013.

2012

Lorch SA: Neonatology enters the 21st century for healthcare oversight: The public reporting of healthcare outcomes. J Perinatol 32(4): 245-246, April 2012.

2011

Lorch SA, Mollen T: Part II. Fetal Development. Chapter 8. Non-immune hydrops. Avery's Diseases of the Newborn, 9th Edition. Gleason CA, Devaskar S (eds.). Philadelphia: Elsevier, Page: 67-74, 2011.

2007

Lorch SA: BIOETHICS: The most fragile of newborns. Science 316(5823): 374-375, April 2007.

2005

Lorch SA, Mollen TJ, Ballard RA: Part II. Fetal Development. Chapter 8. Non-immune hydrops. In: Avery's Diseases of the Newborn, 8th ed. Taeusch HW, Ballard RA, Gleason CA. (eds.). Philadelphia: Elsevier, Page: 63-71, 2005.

2001

Souza JM, Chen Q, Blanchard-Fillion B, Lorch SA, Hertkorn C, Lightfoot R, Weisse M, Friel T, Paxinou E, Themistocleous M, Chov S, Ischiropoulos H: Reactive nitrogen species and proteins: biological significance and clinical relevance. Adv Exp Med Biol 500: 169-174, 2001.

Editorial and Academic Positions

Editorial positions

Editorial Board

  • 2013-present, Pediatrics
  • 2013-present, Open Journal of Pediatrics

Reviewer

  • 2010-present, Archives of Pediatrics and Adolescent Medicine
  • 2009-present, Medical Care
  • 2009-present, JAMA
  • 2009-present, American Journal of Public Health
  • 2009-present, Medical Decision Making
  • 2007-present, Academic Pediatrics
  • 2006-present, Journal of Pediatrics
  • 2004-present, Health Services Research
  • 2003-present, Pediatrics

Academic and institutional committees

2012-present, Member, Neonatology Innovation Committee, CHOP Strategy Planning Committee
2009-present, Reviewer: Pilot Projects Program, Center for Pediatric Clinical Effectiveness
2007-present, Career Advisor: Department of Pediatrics
2007-present, Member: Clinical Research Committee, Division of Neonatology