Timothy I. Morgenthaler, M.D.

  1. Pulmonologist
  2. Sleep Medicine Specialist

Departments

Specialty Groups

Location

  1. Rochester, Minnesota

Languages

English

Main clinical interests

  • Sleep-disordered breathing
  • Venous thromboembolism prevention and management

Main research interests

  • Complex sleep apnea syndrome
  • Healthcare delivery
  • Analytics for patient safety

Sleep medicine research

I have two main areas of research and academic interest: sleep-disordered breathing and patient safety. In sleep medicine, I have concentrated on special kinds of sleep-disordered breathing. Most sleep clinicians are familiar with the Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS) and two syndromes with cyclic non-obstructive breathing patterns — the Central Sleep Apnea-Hypopnea Syndrome and the Cheyne-Stokes Breathing Syndrome (CSBS). A primary interest of my group has been a complex-pattern breathing abnormality that has been noted for many years but not previously described in terms of clinical behavior and implications, cause, and treatment. Patients exhibiting this disorder appear at first to have purely obstructive sleep apnea, but after the application of CPAP, they develop problematic central sleep apnea or Cheyne-Stokes breathing pattern. Little is known about this unclassified group of patients; they lack a common syndromic definition, clinical or pathophysiologic description. For our purposes, we term this type of sleep-disordered breathing "Complex Sleep Apnea Syndrome" (CompSAS). We have published a description of the clinical characteristics of this group of patients. Ongoing work includes studies to determine the underlying pathophysiology, the long term clinical sequellae, and the study of novel breathing assistance devices such as Adaptive Servo Ventilation that appear to show promise to treat this complex breathing pattern. Since the pattern resembles central sleep apnea syndrome (CSA) once the patient is treated with CPAP, we also have been adapting what we learn about treating CompSAS to our substantial population of patients who have CSA.

Patient safety research

I have been interested in the development of data analytics that help inform a practice on priority areas for improvement and that obtain an ability to be both predictive and prescriptive. Intrinsic in this work is developing the capability to measure important components of patient safety, such as preventable harm, aggregated near-miss analysis, and relationship between risk conditions and serious harm events.

Rochester

Rochester, Minnesota

  1. 1994
    Fellow - Thoracic Diseases and Critical Care MedicineMayo Graduate School of Medicine, Mayo Clinic College of Medicine
  2. 1991
    Resident - Internal MedicineMayo Graduate School of Medicine, Mayo Clinic College of Medicine
  3. 1985
    Internship - General SurgeryNaval Hospital, San Diego, CA
  4. 1984
    MDDartmouth Medical School
  5. 1980
    BS - Chemical engineeringMassachusetts Institute of Technology

Certifications

  1. 2007
    Sleep MedicineAmerican Board of Internal Medicine
  2. 1997
    Sleep MedicineAmerican Board of Sleep Medicine
  3. 1994
    Pulmonary DiseaseAmerican Board of Internal Medicine

Awards and honors

  1. 2015
    Excellence in Teaching RecognitionGraduate Medical Training, Internal Medicine Residency Committee, Department of Internal Medicine
  2. 2013
    Excellence in Teaching RecognitionGraduate Medical Training, Internal Medicine Residency Committee, Department of Internal Medicine
  3. 2011
    First Place, Clinical Research AbstractSociety of Anesthesia and Sleep Medicine
  4. 2010
    Excellence in Teamwork AwardMayo Clinic in Rochester
  5. 2008
    Excellence in Teaching RecognitionGraduate Medical Training, Internal Medicine Residency Committee, Department of Internal Medicine
  6. 2005
    Excellence in Inpatient TeachingGraduate Medical Training, Internal Medicine Residency Committee, Department of Internal Medicine
  7. 2003
    Excellence in Teaching RecognitionGraduate Medical Training, Internal Medicine Residency Committee, Department of Internal Medicine

Professional memberships

  1. 2021 - present
    ChairInternational Quality Oversight Group
  2. 2020 - present
    MemberInternational Clinical Practice Committee
  3. 2020 - present
    Active MemberClinical Practice Committee, Mayo Clinic International
  4. 2019 - present
    Active MemberMayo Clinic Clinical Decision Support
  5. 2017
    Co-DirectorMayo Clinic Care Network COPD Readmission Reduction Collaborative
  6. 2017 - 2019
    MemberClinical Documentation Improvement Subcommittee, Mayo Clinic Hospital Care Delivery Platform Committee
  7. 2015 - 2018
    ChairVenous Thromboembolism Prophylaxis Spread Team, Clinical Practice Quality Oversight Subcommittee - Rochester, Clinical Practice Committee - Rochester
  8. 2013 - 2014
    President-ElectAmerican Academy of Sleep Medicine
  9. 2011 - 2019
    Adjunct MemberHospital and Hospital Outpatient Accredation Committee, Mayo Clinic Rochester Committees
  10. 2011 - 2019
    MemberMayo Clinic Quality Care Subcommittee, Clinical Practice Advisory Group, Mayo Clinic Committees
  11. 2011 - present
    MemberSociety of Anesthesia and Sleep Medicine
  12. 2011 - present
    MemberSociety of Anesthesia Sleep Medicine
  13. 2010 - 2019
    ChairPatient Safety Officer's Workgroup
  14. 2010 - 2013
    Secretary/TreasurerAmerican Academy of Sleep Medicine
  15. 2010 - 2013
    Secretary/TreasurerAmerican Board of Sleep Medicine
  16. 2010 - 2013
    Secretary/TreasurerAmerican Sleep Medicine Foundation
  17. 2010
    MemberMayo Clinic Quality Academy
  18. 2009 - 2019
    MemberMorbidity and Mortality Council, Clinical Practice Quality Oversight Subcommittee - Rochester, Clinical Practice Committee - Rochester
  19. 2009 - 2012
    MemberQuality Academy Advisor Group, Mayo Clinic College of Medicine and Science, Department of Education Administration
  20. 2008 - 2010
    Associate Chair, QualityDepartment of Internal Medicine
  21. 2008 - 2019
    MemberClinical Practice Quality Oversight Subcommittee - Rochester, Clinical Practice Committee - Rochester, Mayo Clinic Rochester Committees
  22. 2008 - 2011
    ConsultantStandard of Practice Committee, American Academy of Sleep Medicine
  23. 2008
    ChairSurgery + Opioid = Narcan Respiratory Event Abatement Work Group, Clinical Practice Quality Oversight Subcommittee - Rochester, Clinical Practice Committee - Rochester
  24. 2008
    MemberSurgery + Opioid = Narcan Respiratory Event Abatement Work Group, Clinical Practice Quality Oversight Subcommittee - Rochester, Clinical Practice Committee - Rochester
  25. 2007 - 2016
    DirectorAmerican Academy of Sleep Medicine
  26. 2005 - 2009
    MemberQUEST Outcomes Research Group, Department of Internal Medicine
  27. 2005 - 2008
    ChairStandard of Practice Committee, American Academy of Sleep Medicine
  28. 2005 - 2007
    ChairWeb Oversight Committee, Mayo Clinic Chapter, Sigma Xi, The Scientific Research Society
  29. 2004 - 2006
    MemberMedical Records Subcommittee, Mayo Clinic Rochester Committees
  30. 2004
    RepresentativeNational Summit on Medical Abbreviations
  31. 2004 - 2006
    MemberAbbreviations Workgroup, Mayo Clinic Rochester Workgroups
  32. 2004 - present
    FellowAmerican College of Physicians
  33. 2003 - 2006
    Vice ChairCoordinating Committee, Mayo Clinic Rochester Committees
  34. 2003 - 2008
    MemberSigma Xi, The Scientific Research Society
  35. 2002 - 2006
    MemberCoordinating Committee, Mayo Clinic Rochester Committees
  36. 2002 - 2005
    MemberStandard of Practice Committee, American Academy of Sleep Medicine
  37. 2002 - 2004
    PresidentMayo Clinic Thoracic Society, Mayo Clinic Rochester Societies
  38. 2002 - present
    MemberPlummer Society, Mayo Clinic Rochester Societies
  39. 2001 - 2004
    MemberSHARE Technology Work Group, Department of Internal Medicine
  40. 2001
    MemberCOPD Exacerbation Guidelines Divisional Work Group, Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine
  41. 2001 - present
    FellowAmerican Academy of Sleep Medicine
  42. 1997 - 2013
    FellowAmerican College of Chest Physicians
  43. 1997 - 2000
    RepresentativeMiddle Tennessee Sleep Association
  44. 1997 - 2000
    MemberMiddle Tennessee Sleep Association
  45. 1994 - 2000
    MemberCenter for Sleep Health, Columbia Summit Medical Center
  46. 1994 - 2000
    MemberAmerican Sleep Disorders Association
  47. 1994 - 1997
    MemberEndoscopy Committee, Columbia Summit Medical Center
  48. 1994 - 1996
    MemberMedical Records Committee, Columbia Summit Medical Center
  49. 1994 - 1996
    MemberInfection Control Committee, Columbia Summit Medical Center
  50. 1994 - 1996
    MemberAmerican Society of Critical Care Medicine
  51. 1992 - 2013
    MemberAmerican Thoracic Society
  52. 1992 - 1997
    MemberAmerican College of Physicians
  53. 1991 - 1994
    MemberResident Evaluation Committee, Mayo Graduate School of Medicine, Mayo Clinic College of Medicine and Science
  54. 1991 - 1994
    MemberThoracic Diseases Education Committee, Mayo Graduate School of Medicine, Mayo Clinic College of Medicine and Science
  55. 1990 - 1991
    Co-organizerInternal Medicine Journal Club, Mayo Graduate School of Medicine, Mayo Clinic College of Medicine and Science
  56. 1990 - 1991
    MemberInternal Medicine Journal Club, Mayo Graduate School of Medicine, Mayo Clinic College of Medicine and Science
  57. 1990 - 1992
    MemberElectronic retrieval information systems users group, Mayo Clinic Committees
  58. 1986 - 1988
    MemberUndersea Medical Society, United States Navy
  59. 1984 - 1988
    MemberAssociation of Military Surgeons of the United States
  60.  
    ChairAbbreviations Workgroup, Mayo Clinic Rochester Workgroups
  61.  
    ChairMedical Records Subcommittee, Mayo Clinic Rochester Committees
  62.  
    Committee MemberPlummer Project Steering Committee