2024
Inclusion of Veterans Health Administration hospitals in Centers for Medicare & Medicaid Services Overall Hospital Quality Star Ratings
Bagshaw K, Gettel C, Qin L, Lin Z, Suter L, Rothenberg E, Omotosho P, Duseja R, Krabacher J, Schreiber M, Nakashima T, Myers R, Venkatesh A. Inclusion of Veterans Health Administration hospitals in Centers for Medicare & Medicaid Services Overall Hospital Quality Star Ratings. Journal Of Hospital Medicine 2024 PMID: 39434547, DOI: 10.1002/jhm.13523.Peer-Reviewed Original ResearchVeterans Health Administration hospitalsNon-VHA hospitalsVeterans Health AdministrationCenters for Medicare & Medicaid ServicesQuality star ratingsStar ratingsQuality measure scoresAcute care hospitalsInformed healthcare decisionsOverall star ratingVHA hospitalsHealthcare decisionsRate hospitalsHealth AdministrationMedicaid ServicesMeasure scoresCare hospitalFive-star ratingAdministration HospitalMatching analysisQuality ratingsHospitalVeteransOverall analysisHigher ratesProcessing and validation of inpatient Medicare Advantage data for use in hospital outcome measures
Kyanko K, Sahay K, Wang Y, Schreiber M, Hager M, Myers R, Johnson W, Zhang J, Yen B, Suter L, Triche E, Li S. Processing and validation of inpatient Medicare Advantage data for use in hospital outcome measures. Health Services Research 2024 PMID: 38961668, DOI: 10.1111/1475-6773.14350.Peer-Reviewed Original ResearchCenters for Medicare & Medicaid ServicesMedicare Advantage OrganizationsHospital outcome measuresPrincipal diagnosis codeOutcome measuresInpatient claimsDiagnosis codesMedicare AdvantageNational Provider IdentifierMedicare Advantage dataAcute careIntegrated data repositoryProvider IdentifierMedicaid ServicesMedicare dischargesMA claimsDuplicate claimsMA dataDemographic characteristicsCertificate numberMedicareHospitalEnrollment dataCompare diagnosesAdmissionIncorporating Medicare Advantage Admissions Into the CMS Hospital-Wide Readmission Measure
Kyanko K, Sahay K, Wang Y, Li S, Schreiber M, Hager M, Myers R, Johnson W, Zhang J, Krumholz H, Suter L, Triche E. Incorporating Medicare Advantage Admissions Into the CMS Hospital-Wide Readmission Measure. JAMA Network Open 2024, 7: e2414431. PMID: 38829614, PMCID: PMC11148674, DOI: 10.1001/jamanetworkopen.2024.14431.Peer-Reviewed Original ResearchConceptsCenters for Medicare & Medicaid ServicesSpecialty subgroupsPerformance quintileMedicare AdvantageReadmission ratesRisk-standardized readmission ratesHospital-wide readmission measureHospital outcome measuresTest-retest reliabilityRisk-adjustment variablesMeasurement reliabilityAdministrative claims dataReadmission measuresImprove measurement reliabilityIntegrated data repositoryMA beneficiariesQuintile rankingsMedicare beneficiariesMedicaid ServicesAll-causePublic reportingStudy assessed differencesClaims dataOutcome measuresMA cohortCalculation of Overall Hospital Quality Star Ratings With and Without Inclusion of the Peer Grouping Step
Gettel C, Bagshaw K, Qin L, Lin Z, Rothenberg E, Omotosho P, Goutos D, Herrin J, Suter L, Schreiber M, Fleisher L, Myers R, Spivack S, Venkatesh A. Calculation of Overall Hospital Quality Star Ratings With and Without Inclusion of the Peer Grouping Step. JAMA Network Open 2024, 7: e2411933. PMID: 38753326, PMCID: PMC11099678, DOI: 10.1001/jamanetworkopen.2024.11933.Peer-Reviewed Original ResearchConceptsCenters for Medicare & Medicaid ServicesCross-sectional studyHospital characteristicsHigher star ratingsStar ratingsOverall hospital qualityLowest-performing hospitalsOverall star ratingQuality star ratingsHospital star ratingsStar Ratings scoresHospital qualityHospital performanceStratified hospitalsMedicaid ServicesMain OutcomesFace validityPeer groupPeer group approachPrimary outcomePeer comparisonHospitalRating scoresPeerMeasurement groupPre-COVID-19 hospital quality and hospital response to COVID-19: examining associations between risk-adjusted mortality for patients hospitalised with COVID-19 and pre-COVID-19 hospital quality
Peter D, Li S, Wang Y, Zhang J, Grady J, McDowell K, Norton E, Lin Z, Bernheim S, Venkatesh A, Fleisher L, Schreiber M, Suter L, Triche E. Pre-COVID-19 hospital quality and hospital response to COVID-19: examining associations between risk-adjusted mortality for patients hospitalised with COVID-19 and pre-COVID-19 hospital quality. BMJ Open 2024, 14: e077394. PMID: 38553067, PMCID: PMC10982775, DOI: 10.1136/bmjopen-2023-077394.Peer-Reviewed Original ResearchConceptsHospital qualityPatient experiencePre-COVID-19Medicare patientsShort-term acute care hospitalsCritical access hospitalsAcute care hospitalsFuture public health emergenciesHigher odds of mortalityIn-hospitalRisk-adjusted mortalityOdds of mortalityCare deliveryAccess hospitalsEffective careCOVID-19-related deathsAssociated with mortalityCare structuresHospital characteristicsPublic health emergencySummary scoreMedicare beneficiariesHigher oddsHospital responseRSMRs
2023
Patient-Reported Outcome-Based Performance Measures in Alternative Payment Models: Current Use, Implementation Barriers, and Principles to Succeed
Gettel C, Suter L, Bagshaw K, Sheares K, Balestracci K, Lin Z, Venkatesh A. Patient-Reported Outcome-Based Performance Measures in Alternative Payment Models: Current Use, Implementation Barriers, and Principles to Succeed. Value In Health 2023, 27: 199-205. PMID: 38042334, PMCID: PMC10872237, DOI: 10.1016/j.jval.2023.10.017.Peer-Reviewed Original ResearchLeveraging Quality Measurement to Achieve Best Practice Rheumatology Care: Can Pediatrics Lead Us?
Jatwani S, Suter L. Leveraging Quality Measurement to Achieve Best Practice Rheumatology Care: Can Pediatrics Lead Us? Arthritis Care & Research 2023, 75: 2420-2422. PMID: 37458090, DOI: 10.1002/acr.25195.Peer-Reviewed Original ResearchImplementation of a Best Practice Advisory to Improve Infection Screening Prior to New Prescriptions of Biologics and Targeted Synthetic Drugs
Baker H, Fine R, Suter F, Allore H, Hsiao B, Chowdhary V, Lavelle E, Chen P, Hintz R, Suter L, Danve A. Implementation of a Best Practice Advisory to Improve Infection Screening Prior to New Prescriptions of Biologics and Targeted Synthetic Drugs. Arthritis Care & Research 2023 PMID: 37382043, DOI: 10.1002/acr.25181.Peer-Reviewed Original ResearchBest practice advisoryHepatitis B virusAutoimmune rheumatic diseasesBPA implementationSynthetic disease-modifying antirheumatic drugsDisease-modifying antirheumatic drugsHepatitis C virus infectionHepatitis B surface antigenC virus infectionUse of biologicsB surface antigenQuality improvement initiativesElectronic health recordsEligible patientsAntirheumatic drugsRheumatic diseasesRheumatology practiceSociety guidelinesB virusPractice advisoryComputerized decision support systemVirus infectionRoutine screeningPatient screeningPatientsDevelopment of American College of Rheumatology Quality Measures for Systemic Lupus Erythematosus: A Modified Delphi Process With Rheumatology Informatics System for Effectiveness (RISE) Registry Data Review
Bartels C, Jorge A, Feldman C, Zell J, Bermas B, Barber C, Duarte‐García A, Garg S, Haseley L, Jatwani S, Johansson T, Limanni A, Rodgers W, Rovin B, Santiago‐Casas Y, Suter L, Barnado A, Ude J, Aguirre A, Li J, Schmajuk G, Yazdany J. Development of American College of Rheumatology Quality Measures for Systemic Lupus Erythematosus: A Modified Delphi Process With Rheumatology Informatics System for Effectiveness (RISE) Registry Data Review. Arthritis Care & Research 2023, 75: 2295-2305. PMID: 37165898, PMCID: PMC10615706, DOI: 10.1002/acr.25143.Peer-Reviewed Original ResearchConceptsSystemic lupus erythematosusRheumatology Informatics SystemLupus erythematosusDelphi processAmerican CollegeMultidisciplinary Delphi panelPhenotyping of patientsUS rheumatology practicesUrine protein excretionQuality Improvement ProgramReview of guidelinesSLE expertsGlucocorticoid useHydroxychloroquine useKidney functionProtein excretionGlucocorticoid reductionRheumatology practiceEffectiveness (RISE) registryClinical careKidney monitoringEuropean guidelinesErythematosusValidity testingData review
2022
Cost‐Effectiveness of Surgical Weight‐Loss Interventions for Patients With Knee Osteoarthritis and Class III Obesity
Kostic A, Leifer V, Gong Y, Robinson M, Collins J, Neogi T, Messier S, Hunter D, Selzer F, Suter L, Katz J, Losina E. Cost‐Effectiveness of Surgical Weight‐Loss Interventions for Patients With Knee Osteoarthritis and Class III Obesity. Arthritis Care & Research 2022, 75: 491-500. PMID: 35657632, PMCID: PMC9827536, DOI: 10.1002/acr.24967.Peer-Reviewed Original ResearchConceptsIncremental cost-effectiveness ratioLaparoscopic sleeve gastrectomyClass III obesityUsual careLifetime costsHealth care sector perspectiveProbabilistic sensitivity analysesCost-effectiveness ratioQuality-adjusted life expectancyOsteoarthritis Policy ModelSurgical weight loss interventionsLong-term clinical benefitKnee OA patientsKnee osteoarthritis patientsSensitivity analysisSustainable weight lossWeight loss interventionWorse knee painKnee replacement outcomesPolicy modelSector perspectiveTotal knee replacement outcomesGastric bypassKnee painOpioid use
2021
Adaptation of American College of Rheumatology Rheumatoid Arthritis Disease Activity and Functional Status Measures for Telehealth Visits
England BR, Barber CEH, Bergman M, Ranganath VK, Suter LG, Michaud K. Adaptation of American College of Rheumatology Rheumatoid Arthritis Disease Activity and Functional Status Measures for Telehealth Visits. Arthritis Care & Research 2021, 73: 1809-1814. PMID: 32813284, PMCID: PMC7461171, DOI: 10.1002/acr.24429.Peer-Reviewed Original ResearchConceptsFunctional status measuresRA disease activityRheumatoid arthritis disease activityArthritis disease activityDisease activityStatus measuresTelehealth settingsJoint countTelehealth visitsAmerican CollegeFormal joint countsPatient-reported itemsTender joint countAcute phase reactantsHigh-quality clinical careClinical careExpert panelScoring modificationsStaff administrationVisitsLaboratory testingAssessment measuresACRSettingCountSocioeconomic Disparities in Functional Status in a National Sample of Patients With Rheumatoid Arthritis
Izadi Z, Li J, Evans M, Hammam N, Katz P, Ogdie A, Suter LG, Yazdany J, Schmajuk G. Socioeconomic Disparities in Functional Status in a National Sample of Patients With Rheumatoid Arthritis. JAMA Network Open 2021, 4: e2119400. PMID: 34347058, PMCID: PMC8339935, DOI: 10.1001/jamanetworkopen.2021.19400.Peer-Reviewed Original ResearchConceptsMultidimensional Health Assessment QuestionnaireRheumatoid arthritisRheumatology Informatics SystemFunctional statusFunctional declineArea Deprivation IndexSocioeconomic statusADI quintilesDisease activityCohort studyRheumatology careFS scoresHealth Assessment Questionnaire Disability IndexHealth Assessment Questionnaire-IIHealth Assessment QuestionnaireWorse functional statusRheumatology's Rheumatology Informatics SystemLow socioeconomic statusNon-Hispanic whitesLowest SES quintileHighest SES quintileDisability IndexMultilevel multivariate regressionAdult patientsRA diagnosisIdentification of Hospitals That Care for a High Proportion of Patients With Social Risk Factors
Matty R, Heckmann R, George E, Barthel AB, Suter LG, Ross JS, Bernheim SM. Identification of Hospitals That Care for a High Proportion of Patients With Social Risk Factors. JAMA Health Forum 2021, 2: e211323. PMID: 35977204, PMCID: PMC8796989, DOI: 10.1001/jamahealthforum.2021.1323.Peer-Reviewed Original ResearchConceptsSocial risk factorsIdentification of hospitalsProportion of patientsRisk factorsCross-sectional studyHospital performance measuresPatient populationHospital Readmissions Reduction ProgramAfrican American raceProportion of hospitalsDisadvantaged patient populationsReadmissions Reduction ProgramHigher proportionSocioeconomic status scoresSame hospitalStatus scoreCrowded householdsMAIN OUTCOMEMedicaid coverageAmerican racePatientsHospitalHealthcare ResearchDisadvantaged populationsSuch hospitals
2020
Quality of informed consent documents among US. hospitals: a cross-sectional study
Spatz ES, Bao H, Herrin J, Desai V, Ramanan S, Lines L, Dendy R, Bernheim SM, Krumholz HM, Lin Z, Suter LG. Quality of informed consent documents among US. hospitals: a cross-sectional study. BMJ Open 2020, 10: e033299. PMID: 32434934, PMCID: PMC7247389, DOI: 10.1136/bmjopen-2019-033299.Peer-Reviewed Original ResearchConceptsInformed consent documentsHOSPITAL scoreUS hospitalsMean hospital scoresRetrospective observational studyConsent documentsCross-sectional studyEight-item instrumentService patientsElective proceduresProcedure typeObservational studySurgical proceduresMedicare feeHospitalHospital qualityMeasure scoresInformed consentMost hospitalsSpearman correlationScoresFace validityIndependent ratersOutcomesStakeholder feedback
2018
Disparities in Total Knee Replacement: Population Losses in Quality‐Adjusted Life‐Years Due to Differential Offer, Acceptance, and Complication Rates for African Americans
Kerman HM, Smith SR, Smith KC, Collins JE, Suter LG, Katz JN, Losina E. Disparities in Total Knee Replacement: Population Losses in Quality‐Adjusted Life‐Years Due to Differential Offer, Acceptance, and Complication Rates for African Americans. Arthritis Care & Research 2018, 70: 1326-1334. PMID: 29363280, PMCID: PMC6057850, DOI: 10.1002/acr.23484.Peer-Reviewed Original ResearchDevelopment of the American College of Rheumatology Electronic Clinical Quality Measures for Gout
FitzGerald JD, Mikuls TR, Neogi T, Singh JA, Robbins M, Khanna PP, Turner AS, Myslinski R, Suter LG. Development of the American College of Rheumatology Electronic Clinical Quality Measures for Gout. Arthritis Care & Research 2018, 70: 659-671. PMID: 29649348, DOI: 10.1002/acr.23500.Peer-Reviewed Original ResearchConceptsRheumatology Informatics SystemElectronic clinical quality measuresClinical quality measuresElectronic health recordsAmerican CollegeProportion of patientsManagement of goutQuality of careTreatment of goutNational Quality ForumQuality Reporting ProgramGout guidelinesGout careHealth care stakeholdersHealth registriesEffectiveness (RISE) registrySerum urateClinical sitesQuality ForumNational endorsementCare stakeholdersGoutHealth recordsProcess measuresCare
2016
Projecting Lifetime Risk of Symptomatic Knee Osteoarthritis and Total Knee Replacement in Individuals Sustaining a Complete Anterior Cruciate Ligament Tear in Early Adulthood
Suter LG, Smith SR, Katz JN, Englund M, Hunter DJ, Frobell R, Losina E. Projecting Lifetime Risk of Symptomatic Knee Osteoarthritis and Total Knee Replacement in Individuals Sustaining a Complete Anterior Cruciate Ligament Tear in Early Adulthood. Arthritis Care & Research 2016, 69: 201-208. PMID: 27214559, PMCID: PMC5121085, DOI: 10.1002/acr.22940.Peer-Reviewed Original ResearchConceptsTotal knee replacementSymptomatic knee osteoarthritisAnterior cruciate ligament tearsACL injuryCruciate ligament tearsKnee osteoarthritisLifetime riskMeniscal tearsACL tearsInjury cohortLigament tearsMT cohortKnee replacementComplete anterior cruciate ligament tearsConcomitant meniscal tearsGreater lifetime riskInjury prevention interventionsAge 25 yearsOsteoarthritis Policy ModelCumulative incidenceKnee injuriesIncident injuryTreatment modalitiesPrevention interventionsOsteoarthritisAmerican College of Rheumatology White Paper on Performance Outcome Measures in Rheumatology
Suter LG, Barber CE, Herrin J, Leong A, Losina E, Miller A, Newman E, Robbins M, Tory H, Yazdany J. American College of Rheumatology White Paper on Performance Outcome Measures in Rheumatology. Arthritis Care & Research 2016, 68: 1390-1401. PMID: 27159835, PMCID: PMC5550018, DOI: 10.1002/acr.22936.Peer-Reviewed Original Research
2014
National Patterns of Risk-Standardized Mortality and Readmission After Hospitalization for Acute Myocardial Infarction, Heart Failure, and Pneumonia: Update on Publicly Reported Outcomes Measures Based on the 2013 Release
Suter LG, Li SX, Grady JN, Lin Z, Wang Y, Bhat KR, Turkmani D, Spivack SB, Lindenauer PK, Merrill AR, Drye EE, Krumholz HM, Bernheim SM. National Patterns of Risk-Standardized Mortality and Readmission After Hospitalization for Acute Myocardial Infarction, Heart Failure, and Pneumonia: Update on Publicly Reported Outcomes Measures Based on the 2013 Release. Journal Of General Internal Medicine 2014, 29: 1333-1340. PMID: 24825244, PMCID: PMC4175654, DOI: 10.1007/s11606-014-2862-5.Peer-Reviewed Original ResearchConceptsRisk-standardized mortality ratesAcute myocardial infarctionHeart failurePneumonia mortalityMyocardial infarctionMedian risk-standardized mortality rateHospital-level mortalityUnplanned readmission ratePrincipal discharge diagnosisHospital performanceRisk-Standardized MortalityHF mortalityReadmission resultsReadmission ratesDischarge diagnosisOutcome measuresAMI mortalityReadmission measuresPneumoniaMortality rateService MedicareHierarchical logistic modelsMortalityMedicaid ServicesReadmission
2013
Placing a Price on Medical Device Innovation: The Example of Total Knee Arthroplasty
Suter LG, Paltiel AD, Rome BN, Solomon DH, Thornhill TS, Abrams SK, Katz JN, Losina E. Placing a Price on Medical Device Innovation: The Example of Total Knee Arthroplasty. PLOS ONE 2013, 8: e62709. PMID: 23671626, PMCID: PMC3646021, DOI: 10.1371/journal.pone.0062709.Peer-Reviewed Original Research