Nancy Keating

{{Short description|American physician}}

{{Orphan|date=January 2022}}

{{Infobox scientist

| name = Nancy Lynn Keating

| birth_place = Maryland

| workplaces = Brigham and Women's Hospital
Harvard Medical School

| alma_mater = Virginia Tech
University of Chicago Pritzker School of Medicine
Harvard T.H. Chan School of Public Health
Brigham and Women's Hospital

}}

Nancy Keating is an American physician who works at the Brigham and Women's Hospital and is a professor at Harvard Medical School. Her research considers the factors that influence quality care for people suffering from cancer.

Early life and education

Keating grew up in Maryland. She attended Fallston High School.{{Cite web |title=FHS Class of 85 |url=http://www.geocities.ws/fhsclassof85/20YearReunionAttendanceList.html |access-date=2022-01-06 |website=www.geocities.ws}} Keating was an undergraduate student at Virginia Tech, where she majored in biochemistry.{{Cite news |date=2003-07-27 |title=WEDDINGS/CELEBRATIONS; Nancy Keating, Brian Kinney |language=en-US |work=The New York Times |url=https://www.nytimes.com/2003/07/27/style/weddings-celebrations-nancy-keating-brian-kinney.html |access-date=2022-01-06 |issn=0362-4331}} She was a medical student at the University of Chicago Pritzker School of Medicine{{Cite web |title=Nancy L. Keating |url=https://hcp.hms.harvard.edu/people/nancy-l-keating |access-date=2022-01-06 |website=hcp.hms.harvard.edu |language=en}} and completed her internships and residency at the Brigham and Women's Hospital.{{Cite web |title=Nancy Lynn Keating, MD - Brigham and Women's Hospital |url=https://physiciandirectory.brighamandwomens.org/details/1006/nancy-keating-internal_medicine-boston |access-date=2022-01-06 |website=physiciandirectory.brighamandwomens.org}} She was a medical clinical fellow at the Harvard Medical School. Alongside her fellowship in health care policy, Keating was a student in the Harvard T.H. Chan School of Public Health where she earned a Master's in public health and specialized in clinical effectiveness.

Research and career

Keating was appointed to the faculty at the Harvard Medical School in 1998.{{cn|date=January 2022}} She was awarded the Society of General Internal Medicine Outstanding Junior Investigator Award in 2005,{{Cite web |title=Alumni |url=https://www.hmsgenmedfellowship.org/alumni |access-date=2022-01-06 |website=Harvard Medical Scho |language=en}} and promoted to Professor in 2014. Her research considers healthcare equity and improving access to quality cancer care.{{Cite web |title=Quality Questions |url=https://www.cancertodaymag.org:443/Pages/Winter2021-2022/Quality-Questions.aspx |access-date=2022-01-06 |website=www.cancertodaymag.org |language=en-US}}{{Cite web |title=Nancy L. Keating, MD, MPH - DF/HCC |url=https://www.dfhcc.harvard.edu/insider/member-detail/member/nancy-l-keating-md-mph/ |access-date=2022-01-06 |website=www.dfhcc.harvard.edu}}

Keating is a member of the National Cancer Institute Cancer Care Outcomes Research and Surveillance (canCORS) consortium. CanCORS examines the treatment pathways and outcomes of patients with colorectal cancer. She analyzed the quality of cancer care for people in the Veterans Health Administration.{{Cite web |title=The American Society for Clinical Investigation |url=https://the-asci.org/contact.shtml |access-date=2022-01-06 |language=en-US}} She considered how geography, ethnicity and age impacted veteran health outcomes. She showed that cancer-related imaging was lower in the Veterans Health Administration than in the fee-for-service Medicare.{{Cite journal |last1=McWilliams |first1=J. Michael |last2=Dalton |first2=Jesse B. |last3=Landrum |first3=Mary Beth |last4=Frakt |first4=Austin B. |last5=Pizer |first5=Steven D. |last6=Keating |first6=Nancy L. |date=2014-12-02 |title=Geographic variation in cancer-related imaging: Veterans Affairs health care system versus Medicare |journal=Annals of Internal Medicine |volume=161 |issue=11 |pages=794–802 |doi=10.7326/M14-0650 |issn=1539-3704 |pmc=4251705 |pmid=25437407}} She also showed that Black veterans were considerably less likely to receive surgery for early stage lung cancer or appropriate radiotherapy than their white counterparts.{{Cite journal |last1=Samuel |first1=Cleo A. |last2=Landrum |first2=Mary Beth |author2-link=Mary Beth Landrum |last3=McNeil |first3=Barbara J. |last4=Bozeman |first4=Samuel R. |last5=Williams |first5=Christina D. |last6=Keating |first6=Nancy L. |date=Sep 2014 |title=Racial disparities in cancer care in the Veterans Affairs health care system and the role of site of care |journal=American Journal of Public Health |volume=104 |issue=Suppl 4 |pages=S562–571 |doi=10.2105/AJPH.2014.302079 |issn=1541-0048 |pmc=4151900 |pmid=25100422}}{{Cite journal |last=Stirling |first=Rob G. |date=2014-12-01 |title=Clinical Quality Registries: Engaging Effectiveness Data for Quality Improvement |journal=American Journal of Public Health |volume=104 |issue=12 |pages=e10 |doi=10.2105/AJPH.2014.302319 |issn=0090-0036 |pmc=4232116 |pmid=25320882}}

Keating is interested in end-of-life care for people who experience advanced cancer.{{Cite web |date=2018-07-09 |title=Physicians' beliefs may override cancer patients' wishes for end-of-life care, study finds|url=https://www.statnews.com/2018/07/09/cancer-patients-end-of-life-physician-beliefs/|access-date=2022-01-06|website=STAT|language=en-US}} She showed that variations in the intensity of end-of-life treatment have less to do with patients' wishes than they do with treatment availability and a physician's discomfort in speaking about end-of-life choices. Keating is committed to oncologists providing appropriate and correct information to people with cancer. She has shown that very few people with fatal cancers have an accurate understanding of their illness, with almost half not every talking to their parents about their life expectancy.{{Cite web |last=Szabo |first=Liz |date=2017-06-12 |title='How Long Have I Got, Doc?' Why Many Cancer Patients Don't Have Answers |url=https://khn.org/news/how-long-have-i-got-doc-why-many-cancer-patients-dont-have-answers/ |access-date=2022-01-06 |website=Kaiser Health News |language=en-US}} She has examined variations in the cost and quality of cancer care across Massachusetts.

Keating is evaluating the Oncology Care Model of the Centers for Medicare & Medicaid Services.{{Cite journal |last1=Zheng |first1=Qing |last2=Christian |first2=Thomas |last3=McClellan |first3=Sean |last4=Glass |first4=Roberta |last5=Keating |first5=Nancy |last6=Brooks |first6=Gabriel |last7=Hassol |first7=Andrea |date=2021 |title=Impact of the Oncology Care Model on End-of-Life Care |journal=Health Services Research |language=en |volume=56 |issue=S2 |pages=18 |doi=10.1111/1475-6773.13742 |issn=1475-6773 |pmc=8441259}}{{Cite journal |last1=Brooks |first1=Gabriel A. |last2=Jhatakia |first2=Shalini |last3=Tripp |first3=Amanda |last4=Landrum |first4=Mary Beth |last5=Christian |first5=Thomas J. |last6=Newes-Adeyi |first6=Gabriella |last7=Cafardi |first7=Susannah |last8=Hassol |first8=Andrea |last9=Simon |first9=Carol |last10=Keating |first10=Nancy L. |date=2019-10-01 |title=Early Findings From the Oncology Care Model Evaluation |journal=Journal of Oncology Practice |volume=15 |issue=10 |pages=e888–e896 |doi=10.1200/JOP.19.00265 |pmid=31393807 |s2cid=199508135 |issn=1554-7477|doi-access=free }} The Oncology Care Model provides a new approach to delivering oncology services, using new financial incentives and appropriate levels of care across the United States.{{Cite journal |last1=Keating |first1=Nancy L. |last2=Jhatakia |first2=Shalini |last3=Brooks |first3=Gabriel A. |last4=Tripp |first4=Amanda S. |last5=Cintina |first5=Inna |last6=Landrum |first6=Mary Beth |author6-link=Mary Beth Landrum |last7=Zheng |first7=Qing |last8=Christian |first8=Thomas J. |last9=Glass |first9=Roberta |last10=Hsu |first10=Van Doren |last11=Kummet |first11=Colleen M. |date=2021-11-09 |title=Association of Participation in the Oncology Care Model With Medicare Payments, Utilization, Care Delivery, and Quality Outcomes |journal=JAMA |volume=326 |issue=18 |pages=1829–1839 |doi=10.1001/jama.2021.17642 |issn=1538-3598 |pmc=8579232 |pmid=34751709}}

Awards and honors

  • 2006 Elected Fellow of the American College of Physicians
  • 2010 Elected Fellow of the American Society for Clinical Investigation
  • 2011, 2013, 2015, 2017 Harvard Medical School Excellence in Tutoring Award{{Cite web |title=Excellence in Mentoring Awards Past Recipients |url=https://dicp.hms.harvard.edu/awards/excellence-mentoring-award/past-recipients |access-date=2022-01-06 |website=The Office for Diversity Inclusion and Community Partnership at Harvard Medical School}}
  • 2015 Harvard Medical School A. Clifford Barger Excellence in Mentoring Award{{Cite web |title=Paying It Forward |url=https://hms.harvard.edu/news/paying-forward |access-date=2022-01-06 |website=hms.harvard.edu |date=16 April 2015 |language=en}}
  • 2017 Elected Fellow of the Association of American Physicians{{Cite web |title=Nancy Keating Elected to Association of American Physicians |url=https://hcp.hms.harvard.edu/news/nancy-keating-elected-association-american-physicians |access-date=2022-01-06 |website=hcp.hms.harvard.edu |date=14 March 2017 |language=en}}
  • 2018 University of Chicago Alumni Association Distinguished Service Award        
  • 2019 Health Affairs Top Ten Article of 2018{{Cite journal |title=Health Affairs In 2018: Editor's Picks {{!}} Health Affairs Forefront |url=https://www.healthaffairs.org/do/10.1377/forefront.20190110.783396/full/ |access-date=2022-01-06 |website=www.healthaffairs.org |year=2019 |language=en |doi=10.1377/forefront.20190110.783396|url-access=subscription }}

Selected publications

  • {{Cite Q|Q80285083}}
  • {{Cite Q|Q24597282}}
  • {{Cite Q|Q42636571}}

Personal life

Keating was married in 2003.

References