Richard Mularski, MD, MSHS, MCR

Richard Mularski

Dr. Richard Mularski is an academic physician who leads research at the Center for Health Research and practices pulmonary and critical care medicine for Northwest Permanente, where he is also regional clinical quality lead for COPD (chronic obstructive pulmonary disease) and medical director for Pulmonary Care Management.

Dr. Mularski is board certified in pulmonary, critical care, and palliative medicine. He has expertise in research methodology, quality measurement and improvement, translating findings from research into clinical practice, and implementing evidence-based medicine in the areas of obstructive lung disease, dyspnea, palliative care, and end-of-life care.

He has performed evidence-based reviews and performance measure development for multiple pulmonary and palliative projects. He led the RAND Health pulmonary quality review for the QA Tools project and was lead author on a consensus statement for 18 quality measures for palliative and end-of-life care for critically ill, hospitalized patients.

Dr. Mularski serves as site principal investigator on a number of clinical trials in COPD, including the ASPIRE AeriSeal and IBV Valve trials, co-investigator on the NHLBI Long-term Oxygen Treatment Trial, and site principal investigator for a multi-center collaboration, the COPD Outcomes-based Network for Clinical Effectiveness & Research Translation (CONCERT).

He was the inaugural chair of the American Thoracic Society’s Quality Improvement Committee, currently chairs the society’s Ad Hoc Committee on Dyspnea Crisis and serves as its voting representative to the American Medical Association’s Physician Consortium for Performance Improvement. He is an officer in succession for president of the Oregon Thoracic Society.

Dr. Mularski graduated from the University of Arizona College of Medicine and trained in internal medicine, pulmonary disease, and critical care at OHSU. He completed clinical research training and practical clinical training in hospice and palliative medicine, as well as training in health services research, before joining the Permanente Medical Group in 2006. Dr. Mularski is an adjunct associate professor of medicine at OHSU.


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Recent Publications

Carson SS, Goss CH, Patel SR, Anzueto A, Au DH, Elborn S, Gerald JK, MD, Gerald LB, Kahn JM, Malhotra A, Mularski RA, Riekert K, Rubenfeld G, Weaver T, Krishnan JA. Official ATS research statement: Comparative effectiveness research in pulmonary, critical care, and sleep medicine. American Journal of Respiratory and Critical Care Medicine 2013 Nov; 188(10):1253-61. PMID 24160906   PubMed abstract
Lin F, Pickard AS, Krishnan JA, Joo MJ, Au DH, Carson SS, Gillespie S, Henderson AG, Lindenauer PK, McBurnie MA, Mularski RA, Naureckas ET, Vollmer WM, Lee TA on behalf of the CONCERT Consortium. Measuring health-related quality of life in chronic obstructive pulmonary disease: properties of the EQ-5D-5L and PROMIS-43 Short Form. BMC Medical Research Methodology 2014 Jun 16;14(1):78. PMCID: PMC4072614   Full text
Saft HL, Richman PS, Berman AR, Mularski RA, Kvale PA, Ray DE, Selecky P, Ford DW, Asch SM. Impact of critical care medicine training programs’ palliative care education and bedside tools on ICU use at the end of life. Journal of Graduate Medical Education. J Grad Med Educ. 2014 Mar;6(1):44-9. doi: 10.4300/JGME-06-01-38.   PubMed abstract
Wysham NG, Mularski RA, Schmidt DM, Nord SC, Louis DL, Shuster E, Curtis JR, Mosen DM. Long-term persistence of quality improvements for an ICU communication initiative using the VALUE strategy. J Crit Care. 2014 Jun;29(3):450-4. doi: 10.1016/j.jcrc.2013.12.006. Epub 2013 Dec 21.   PubMed abstract
Ganzini L, Rakoski A, Cohn S, Mularski RA. Family members' views on the benefits of harp music vigils for terminally-ill or dying loved ones. Palliat Support Care. Epub 2013 Oct 16:1-4.   PubMed abstract
Krishnan J, Lindenauer P, Au D, Carson S, Lee T, McBurnie MA, Naureckas E, Vollmer W, Mularski R. Stakeholder priorities for comparative effectiveness research in chronic obstructive pulmonary disease: a workshop report. American Journal of Respiratory and Critical Care Medicine 2013 Feb 1;187(3):320-6. [Epub 2012 Nov 15] PMC3603554   Full text
Lindenauer PK, Grosso P, Wang C, Wang Y, Krishnan JA, Lee TA, Au DH, Mularski RA, Bernheim S, Drye E. Development, validation, and results of a risk-standardized measure of hospital 30-day mortality for patients with exacerbation of COPD. J Hosp Med. 2013 Aug; 8(8):428-35. doi: 10.1002/jhm.2066. Epub 2013 Jul 26   PubMed abstract
Mularski RA, Reinke LF, Carrieri-Kohlman V, Fischer MD, Campbell ML, Rocker G, Schneidman A, Jacobs SS, Arnold R, Benditt JO, Booth S, Byock I, Chan GK, Curtis JR, Donesky D, Hansen-Flaschen J, Heffner J, Klein R, Limberg TM, Manning HL, Morrison RS, Ries AL, Schmidt GA, Selecky PA, Truog RD, Wang ACC, White DB for the ATS Crisis Dyspnea Ad Hoc Committee. An official American Thoracic Society Workshop Report: assessment and palliative management of dyspnea crisis. Ann Am Thorac Soc. 2013 Oct;10(5):S98-S106.   PubMed abstract
Wysham NG, Mularski RA, Schmidt DM, Nord SC, Louis DL, Shuster E, Curtis JR, Mosen DM. Long-term persistence of quality improvements for an intensive care unit communication initiative using the VALUE strategy. J Crit Care. 2013 Dec 21. pii: S0883-9441(13)00474-7. [Epub 2013 Dec 21]  
Fellows JL, Mularski R, Waiwaiole L, Funkhouser K, Mitchell J, Arnold K, Luke S. Health and economic effects from linking bedside and outpatient tobacco and outpatient tobacco cessation services for hospitalized smokers in two large hospitals: study protocol for a randomized controlled trial. Trials 2012 Aug 1; 13(1):129. PMC3517349   Full text

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