Gary M. Franklin, MD, MPH
About
Dr. Gary Franklin is a Research Professor in the UW Department of Environmental & Occupational Health Sciences and in the Department of Medicine (Neurology), as well as an Adjunct Research Professor in the UW Department of Health Systems and Population Health. Dr. Franklin has served as the Medical Director of the Washington State Department of Labor & Industries (L&I) from 1988 to the present, developing and administering workers’ compensation health care policy and conducting outcomes research. He has served as Director or Co-Director of the NIOSH-funded ERC Occupational Health Services Research training program since its inception.
Dr. Franklin is also Director of the Occupational Epidemiology and Health Outcomes Program at the UW. This program houses and facilitates primary research as well as the secondary use of workers' compensation data in order to improve medical care and reduce disability related to occupational injuries and illnesses. Because of his dual directorship roles, he is in a unique position to conduct policy-relevant health services research and provide leadership in this area.
Dr. Franklin’s research has focused on (1) evaluating a major quality improvement program within L&I to reduce worker disability and improve outcomes; (2) identifying predictors of long-term disability among workers with back sprain and carpal tunnel syndrome; (3) assessing the risks associated with opiate use for chronic pain; and (4) evaluating outcomes of lumbar fusion. In addition, since the epidemic of opioid deaths became apparent earlier in the decade, Dr. Franklin has conducted several studies related to opioid prescribing practices, has translated this research directly back into state health care policy, and is leading a statewide effort to educate physicians about best practice use of opioids for chronic non-cancer pain.
Education
- MD, George Washington University
- MPH, University of California (Berkeley)
- BA, Franklin & Marshall College
Affiliations
Mentorship
Not available to mentor new PhD and Master's students.
DEOHS Students Mentored
Opioid and Benzodiazepine Use and Risk of Occupational Injury
Esi Wusuwa Nkyekyer | MPH | 2017 | View
Lumbar Fusion Outcome in Washington State Workers' Compensation
Sham Juratli | MPH | 2005 | View
Predictors of Outcome in Surgically and Non-surgically Treated Work Related Ulnar Neuropathy at the Elbow
Marilyn Nayan | MPH | 2003 | View
Research
Interests: Occupational injury. Neurological epidemiology. Outcomes research. Occupational and environmental medicine. Occupational disease statistics. Occupational and environmental epidemiology. Occupational exposure. Opiate use. Surveillance of occupational illnesses and injuries. Workers' compensation issues.
Projects
Occupational health innovations and best practices. The Occupational Epidemiology and Health Outcomes Program has had more than 15 years of contracts with the Washington state Department of Labor & Industries to develop and test new occupational health quality indicators and best practices. The research group has been involved in the creation and evaluation of Centers of Occupational Health and Education. The current contract is to develop a community-based collaborative care treatment model for chronic pain and behavioral health services for injured workers, to analyze risk scoring tools used by L&I to predict injured workers’ risk of long-term disability and to investigate structured physical medicine best practices.
Prospective study of predictors of long-term disability. Statistical models were used to predict chronic work disability from data obtained from administrative databases and worker interviews soon after a work injury in this large prospective study. A brief instrument, the Functional Recovery Questionnaire, was developed to screen injured workers for chronic disability risk soon after injury.
Publications
Selected publications
- Surveillance of Opioid Prescribing as a Public Health Intervention: Washington State Bree Collaborative Opioid Metrics.
- Opioid Overdose Hospitalization Trajectories in States With and Without Opioid-Dosing Guidelines.
- Prescription Opioid Use and the Risk of Disability