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6. Standards for Measures Used for Public Reporting of Efficiency in Health Care: A Scientific Statement From the American Heart Association Interdisciplinary Council on Quality of Care and Outcomes Research and the American College of Cardiology Foundation

Author

Krumholz, Harlan M., Keenan, Patricia S., Brush, John E., Jr, Bufalino, Vincent J., Chernew, Michael E., Epstein, Andrew J., Heidenreich, Paul A., Ho, Vivian, Masoudi, Frederick A., Matchar, David B., Normand, Sharon-Lise T., Rumsfeld, John S., Schuur, Jeremiah D., Smith, Sidney C., Jr, Spertus, John A., and Walsh, Mary Norine

Published
2008
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7. Trends in length of stay and short-term outcomes among Medicare patients hospitalized for heart failure, 1993-2006

Author

Bueno, Hector, Ross, Joseph S., Yun Wang, Chen, Jersey, Vidan, Maria T., Normand, Sharon-Lise T., Curtis, Jeptha P., Drye, Elizabeth E., Lichtman, Judith H., Keenan, Patricia S., Kosiborod, Mikhail, and Krumholz, Harlan M.

Subjects
Hospital care -- Analysis, Heart failure -- Care and treatment, Heart failure -- Patient outcomes, Heart failure -- Risk factors, Hospital patients -- Care and treatment
Abstract

A study was conducted to evaluated the association between length of stay and short-term outcomes among Medicare older patients hospitalized for heart failure. Results indicated that with a reduced length of hospital stay 30-day mortality decreased; however, posthospital readmission and mortality risk increased.

Published
2010

8. Hospital volume and 30-day mortality for three common medical conditions

Author

Ross, Joseph S., Normand, Sharon-Lise T., Yun Wang, Ko, Dennis T., Chen, Jersey, Drye, Elizabeth E., Keenan, Patricia S., Lichtman, Judith H., Bueno, Hector, Schreinder, Geoffrey C., and Krumholz, Harlan M.

Subjects
Bacterial pneumonia -- Care and treatment, Bacterial pneumonia -- Statistics, Pneumonia -- Care and treatment, Pneumonia -- Statistics, Mortality -- United States, Mortality -- Statistics, Mortality -- Analysis, Heart attack -- Care and treatment, Heart attack -- Statistics, Heart failure -- Care and treatment, Heart failure -- Statistics, Hospitals -- Admission and discharge, Hospitals -- Statistics, Medical care -- Quality management, Medical care -- Analysis
Abstract

Cross-sectional analyses of data from Medicare administrative claims for all fee-for-service beneficiaries hospitalized between 2004 and 2006 in acute care hospitals in US was conducted to determine the association between hospital volume threshold and the death rate for patients hospitalized for acute myocardial infarction, heart failure, or pneumonia. Admission to higher-volume hospitals was found to be associated with a reduction in mortality for acute myocardial infarction, heart failure, and pneumonia, but volume threshold above which an increased condition-specific hospital was not significantly associated with reduced mortality.

Published
2010

16. Increasing Health Insurance Costs and the Decline in Health Insurance Coverage

Author

Chernew, Michael, Cutler, David, and Keenan, Patricia S.

Subjects
health care economics and organizations
Abstract

Objective. To determine the impact of rising health insurance premiums on coverage rates. Data Sources & Study Setting. Our analysis is based on two cohorts of nonelderly Americans residing in 64 large metropolitan statistical areas (MSAs) surveyed in the Current Population Survey in 1989–1991 and 1998–2000. Measures of premiums are based on data from the Health Insurance Association of America and the Kaiser Family Foundation/Health Research and Educational Trust Survey of Employer-Sponsored Health Benefits. Study Design. Probit regression and instrumental variable techniques are used to estimate the association between rising local health insurance costs and the falling propensity for individuals to have any health insurance coverage, controlling for a rich array of economic, demographic, and policy covariates. Principal Findings. More than half of the decline in coverage rates experienced over the 1990s is attributable to the increase in health insurance premiums (2.0 percentage points of the 3.1 percentage point decline). Medicaid expansions led to a 1 percentage point increase in coverage. Changes in economic and demographic factors had little net effect. The number of people uninsured could increase by 1.9–6.3 million in the decade ending 2010 if real, per capita medical costs increase at a rate of 1–3 percentage points, holding all else constant. Conclusions. Initiatives aimed at reducing the number of uninsured must confront the growing pressure on coverage rates generated by rising costs.

Published
2005

17. Recent National Trends in Readmission Rates After Heart Failure Hospitalization

Author

Ross, Joseph S., primary, Chen, Jersey, additional, Lin, Zhenqiu, additional, Bueno, Héctor, additional, Curtis, Jeptha P., additional, Keenan, Patricia S., additional, Normand, Sharon-Lise T., additional, Schreiner, Geoffrey, additional, Spertus, John A., additional, Vidán, Maria T., additional, Wang, Yongfei, additional, Wang, Yun, additional, and Krumholz, Harlan M., additional

Published
2010
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20. Standards for Measures Used for Public Reporting of Efficiency in Health Care

Author

Krumholz, Harlan M., primary, Keenan, Patricia S., additional, Brush, John E., additional, Bufalino, Vincent J., additional, Chernew, Michael E., additional, Epstein, Andrew J., additional, Heidenreich, Paul A., additional, Ho, Vivian, additional, Masoudi, Frederick A., additional, Matchar, David B., additional, Normand, Sharon-Lise T., additional, Rumsfeld, John S., additional, Schuur, Jeremiah D., additional, Smith, Sidney C., additional, Spertus, John A., additional, and Walsh, Mary Norine, additional

Published
2008
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21. An Administrative Claims Measure Suitable for Profiling Hospital Performance on the Basis of 30-Day All-Cause Readmission Rates Among Patients With Heart Failure

Author

Keenan, Patricia S., primary, Normand, Sharon-Lise T., additional, Lin, Zhenqiu, additional, Drye, Elizabeth E., additional, Bhat, Kanchana R., additional, Ross, Joseph S., additional, Schuur, Jeremiah D., additional, Stauffer, Brett D., additional, Bernheim, Susannah M., additional, Epstein, Andrew J., additional, Wang, Yongfei, additional, Herrin, Jeph, additional, Chen, Jersey, additional, Federer, Jessica J., additional, Mattera, Jennifer A., additional, Wang, Yun, additional, and Krumholz, Harlan M., additional

Published
2008
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22. Mortality and Readmission for Patients With Heart Failure Among U.S. News & World Report's Top Heart Hospitals.

Author

Mulvey, Gregory K., Yun Wang, Zhenqiu Lin, Wang, Oliver J., Chen, Jersey, Keenan, Patricia S., Drye, Elizabeth E., Rathore, Saif S., Normand, Sharon-Lise T., and Krumholz, Harlan M.

Subjects
REGRESSION analysis, HEART disease related mortality, HOSPITAL admission & discharge, RATINGS of hospitals, HEART failure
Abstract

The article discusses a study on the use of hierarchical regression models in assessing the rates of risk-standardized mortality and readmission of patients with heart failure in hospitals identified in the "America's Best Hospitals" ranking by the periodical "U.S. News & World Report" and in those non-ranked facilities. The study noted there was a reduced mean rate of in-hospital mortality in ranked hospitals, compared to non-ranked ones. It is said that ranked hospitals have not shown enough evidence of superiority for readmission.

Published
2009
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23. Mortality and Readmission for Patients With Heart Failure Among U.S. News & World Report’sTop Heart Hospitals

Author

Mulvey, Gregory K., Wang, Yun, Lin, Zhenqiu, Wang, Oliver J., Chen, Jersey, Keenan, Patricia S., Drye, Elizabeth E., Rathore, Saif S., Normand, Sharon-Lise T., and Krumholz, Harlan M.

Abstract

The rankings of “America’s Best Hospitals” by U.S.News & World Reportare influential, but the performance of ranked hospitals in caring for patients with routine cardiac conditions such as heart failure is not known.

Published
2009
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