2017
Chronic Obstructive Pulmonary Disease Readmissions and Other Measures of Hospital Quality
Rinne ST, Castaneda J, Lindenauer PK, Cleary PD, Paz HL, Gomez JL. Chronic Obstructive Pulmonary Disease Readmissions and Other Measures of Hospital Quality. American Journal Of Respiratory And Critical Care Medicine 2017, 196: 47-55. PMID: 28145726, PMCID: PMC5519962, DOI: 10.1164/rccm.201609-1944oc.Peer-Reviewed Original ResearchConceptsCOPD readmission ratesChronic obstructive pulmonary diseaseReadmission ratesCOPD readmissionsMortality rateChronic Obstructive Pulmonary Disease ReadmissionsHospital qualityObstructive pulmonary diseaseDisease-specific outcomesAcute myocardial infarctionPatient experience measuresHigh-quality careIndividual disease outcomesHospital Compare websiteHeart failureHospital readmissionPulmonary diseaseMyocardial infarctionSurgical conditionsDisease outcomePatient reportsReadmissionMedical conditionsCare experiencesMeasures of quality
2014
Are Comparisons of Patient Experiences Across Hospitals Fair? A Study in Veterans Health Administration Hospitals
Cleary PD, Meterko M, Wright SM, Zaslavsky AM. Are Comparisons of Patient Experiences Across Hospitals Fair? A Study in Veterans Health Administration Hospitals. Medical Care 2014, 52: 619-625. PMID: 24926709, PMCID: PMC4682878, DOI: 10.1097/mlr.0000000000000144.Peer-Reviewed Original ResearchMeSH KeywordsAgedAttitude of Health PersonnelConfounding Factors, EpidemiologicContinuity of Patient CareFemaleHealth Services AccessibilityHealth Services ResearchHospitals, VeteransHumansMaleMiddle AgedMyocardial InfarctionPatient SatisfactionQuality of Health CareResidence CharacteristicsSocioeconomic FactorsSurveys and QuestionnairesUnited StatesConceptsAcute myocardial infarctionPatients' clinical characteristicsClinical characteristicsPatient characteristicsPatient experienceInitial acute myocardial infarctionPatient-reported health statusVeterans Health Administration hospitalsVeterans Affairs Medical CenterVA administrative dataPatient experience surveysPatient care experiencesComplex patientsMyocardial infarctionPatient surveyMedical recordsAdministration HospitalClinical dataHospital careMedical CenterClinical informationHOSPITAL scoreInpatient experienceHealth statusHospital
2010
Mortality among Patients with Acute Myocardial Infarction: The Influences of Patient‐Centered Care and Evidence‐Based Medicine
Meterko M, Wright S, Lin H, Lowy E, Cleary PD. Mortality among Patients with Acute Myocardial Infarction: The Influences of Patient‐Centered Care and Evidence‐Based Medicine. Health Services Research 2010, 45: 1188-1204. PMID: 20662947, PMCID: PMC2965500, DOI: 10.1111/j.1475-6773.2010.01138.x.Peer-Reviewed Original ResearchMeSH KeywordsAgedAttitude to HealthEvidence-Based MedicineFemaleHealth Care SurveysHospitals, VeteransHumansLength of StayMaleMarkov ChainsMonte Carlo MethodMultivariate AnalysisMyocardial InfarctionOutcome Assessment, Health CarePatient-Centered CarePeer Review, Health CareProportional Hazards ModelsQuality of Health CareSurveys and QuestionnairesSurvival RateUnited StatesConceptsAcute myocardial infarctionPatient-centered careMyocardial infarctionInitial acute myocardial infarctionPatient health-related behaviorsVeterans Affairs Medical CenterBetter patient-centered carePatients' sociodemographic characteristicsPatient's clinical conditionRecent prospective studiesInfluence of patientImportant clinical benefitsProportional hazards modelEvidence-based treatmentsHealth-related behaviorsEvidence-based medicinePatient-physician relationshipPicker questionnaireCardiac symptomsPatient characteristicsAMI patientsClinical benefitProspective studyAMI careClinical conditions
2007
The National Emergency Department Safety Study: Study Rationale and Design
Sullivan AF, Camargo CA, Cleary PD, Gordon JA, Guadagnoli E, Kaushal R, Magid DJ, Rao SR, Blumenthal D. The National Emergency Department Safety Study: Study Rationale and Design. Academic Emergency Medicine 2007, 14: 1182-1189. PMID: 18045895, DOI: 10.1197/j.aem.2007.07.014.Peer-Reviewed Original ResearchConceptsNational Emergency Department Safety StudyEmergency departmentCharacteristics of EDsSafety studiesAcute myocardial infarctionLarge multicenter studyMedical errorsEmergency Medicine NetworkAcute asthmaChart reviewMulticenter studyMyocardial infarctionProcedural sedationED personnelStudy rationaleComprehensive national studyMedicine NetworkFirst comprehensive national studyIdentification of factorsStaff perceptionsStaff reportsNational studyReportAsthmaInfarction
2001
National Quality Monitoring of Medicare Health Plans
Schneider E, Zaslavsky A, Landon B, Lied T, Sheingold S, Cleary P. National Quality Monitoring of Medicare Health Plans. Medical Care 2001, 39: 1313-1325. PMID: 11717573, DOI: 10.1097/00005650-200112000-00007.Peer-Reviewed Original ResearchConceptsMedicare health plansHealth plansClinical qualityHEDIS performanceCAHPS surveyHealth Plans Study (CAHPS) surveyHealth Plan Employer DataBeta-blocker useMental health hospitalizationsObservational cohort studyProportion of enrolleesHealth plan qualityGood clinical careRates of mammographyClinical quality measuresComposite measurePlan careCohort studyEye examMultivariable analysisMyocardial infarctionPersonal doctorClinical careEmployer DataConsumer AssessmentPatient‐centered Processes of Care and Long‐term Outcomes of Myocardial Infarction*
Fremont A, Cleary P, Hargraves J, Rowe R, Jacobson N, Ayanian J. Patient‐centered Processes of Care and Long‐term Outcomes of Myocardial Infarction*. Journal Of General Internal Medicine 2001, 16: 800-808. PMID: 11903758, PMCID: PMC1495308, DOI: 10.1046/j.1525-1497.2001.10102.x.Peer-Reviewed Original ResearchConceptsLong-term outcomesChest painHospital carePatient experienceOverall healthAcute myocardial infarction patientsSelf-reported overall healthPhysical healthNegative hospital experiencesPain 12 monthsObservational cohort studyShortness of breathHospital discharge abstractsMyocardial infarction patientsPatient-centered processNew Hampshire HospitalAnalytic cohortCohort studyClinical factorsCare groupPatient 1Discharge planningInfarction patientsMyocardial infarctionHospital experienceQuality of ambulatory care after myocardial infarction among medicare patients by type of insurance and region
Seddon M, Ayanian J, Landrum M, Cleary P, Peterson E, Gahart M, McNeil B. Quality of ambulatory care after myocardial infarction among medicare patients by type of insurance and region. The American Journal Of Medicine 2001, 111: 24-32. PMID: 11448657, DOI: 10.1016/s0002-9343(01)00741-0.Peer-Reviewed Original ResearchMeSH KeywordsAdrenergic beta-AntagonistsAgedAmbulatory CareAnticholesteremic AgentsAspirinCalcium Channel BlockersCaliforniaComorbidityDrug PrescriptionsEducational StatusEthnicityFee-for-Service PlansFemaleFloridaHealth Maintenance OrganizationsHumansIncomeMaleMedicareMultivariate AnalysisMyocardial InfarctionNew EnglandQuality of Health CareSurveys and QuestionnairesUnited StatesConceptsHealth maintenance organizationCholesterol-lowering agentsService patientsMyocardial infarctionCardiac medicationsCardiac rehabilitationHMO patientsMedicare patientsEffective cardiac medicationsCalcium channel blockersElderly Medicare patientsCardiac careChannel blockersAmbulatory carePatientsType of insuranceEnzyme inhibitorsService careDrug useInfarctionMaintenance organizationSimilar proportionsCareRehabilitationMedicationsValidating recommendations for coronary angiography following acute myocardial infarction in the elderly A matched analysis using propensity scores
Normand S, Landrum M, Guadagnoli E, Ayanian J, Ryan T, Cleary P, McNeil B. Validating recommendations for coronary angiography following acute myocardial infarction in the elderly A matched analysis using propensity scores. Journal Of Clinical Epidemiology 2001, 54: 387-398. PMID: 11297888, DOI: 10.1016/s0895-4356(00)00321-8.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAlgorithmsCoronary AngiographyFemaleGuideline AdherenceHumansLogistic ModelsMaleMatched-Pair AnalysisMedicareMyocardial InfarctionPatient SelectionPractice Guidelines as TopicQuality Indicators, Health CareRetrospective StudiesSurvival AnalysisTime FactorsTreatment OutcomeUnited States
1999
Perceived Risks of Heart Disease and Cancer Among Cigarette Smokers
Ayanian J, Cleary P. Perceived Risks of Heart Disease and Cancer Among Cigarette Smokers. JAMA 1999, 281: 1019-1021. PMID: 10086437, DOI: 10.1001/jama.281.11.1019.Peer-Reviewed Original ResearchConceptsMyocardial infarctionCurrent smokersHeart diseaseHeavy smokersSmoking-related health risksRisk of MIModifiable risk factorsPublic health professionalsPersonal riskLight smokersClinical factorsCigarette smokersCigarette smokingSmoking cessationMost smokersRisk factorsCardiovascular diseaseFamily historyPreventable deathsSmokers' perceptionsSmokersSelf-administered surveyHealth professionalsMultivariate analysisCancer
1997
Treatment and Outcomes of Acute Myocardial Infarction Among Patients of Cardiologists and Generalist Physicians
Ayanian J, Guadagnoli E, McNeil B, Cleary P. Treatment and Outcomes of Acute Myocardial Infarction Among Patients of Cardiologists and Generalist Physicians. JAMA Internal Medicine 1997, 157: 2570-2576. PMID: 9531225, DOI: 10.1001/archinte.1997.00440430048006.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionMyocardial infarctionGeneralist physiciansBypass surgeryPatient characteristicsCoronary angiographyCoronary angioplastyBeta-adrenergic blocking agentsPatients of cardiologistsCongestive heart failureCardiologists' patientsHeart failureThrombolytic therapyHospital characteristicsConsulting cardiologistBlocking agentMedicare beneficiariesPatientsBetter outcomesEffective drugsInfarctionHospitalCardiologistsPhysiciansMortality
1995
Physical and Psychosocial Functioning of Women and Men After Coronary Artery Bypass Surgery
Ayanian J, Guadagnoli E, Cleary P. Physical and Psychosocial Functioning of Women and Men After Coronary Artery Bypass Surgery. JAMA 1995, 274: 1767-1770. PMID: 7500506, DOI: 10.1001/jama.1995.03530220033028.Peer-Reviewed Original ResearchConceptsCoronary artery bypass surgeryArtery bypass surgeryCongestive heart failureRecent myocardial infarctionBypass surgeryHeart failureMyocardial infarctionMental healthClass IV anginaObservational cohort studySeverity of anginaTime of surgeryCoronary artery diseaseMajor teaching hospitalCohort studyArtery diseaseConsecutive patientsNurse reviewersMedical recordsTeaching hospitalInstrumental activitiesPostoperative functioningDaily livingSurgeryPsychosocial functioningVariation in the Use of Cardiac Procedures after Acute Myocardial Infarction
Guadagnoli E, Hauptman P, Ayanian J, Pashos C, McNeil B, Cleary P. Variation in the Use of Cardiac Procedures after Acute Myocardial Infarction. New England Journal Of Medicine 1995, 333: 573-578. PMID: 7623908, DOI: 10.1056/nejm199508313330908.Peer-Reviewed Original ResearchConceptsHealth-related qualityPatterns of treatmentAcute myocardial infarctionCardiac proceduresRate of useCoronary angiographyMyocardial infarctionMore metabolic equivalentsLikelihood of deathYears of ageLarge geographic differencesMetabolic equivalentsClinical subgroupsMortality ratePatientsCase mixGreater riskInfarctionAngiographyEnergy expenditureTwo-year periodFrequency of useHigh rateTreatmentPhysicians
1994
Do patients' health status reports predict future hospital stays for patients with an acute myocardial infarction?
Nelson E, Ferreira P, Cleary P, Gustafson D, Wasson J. Do patients' health status reports predict future hospital stays for patients with an acute myocardial infarction? Family Practice Research Journal 1994, 14: 119-26. PMID: 8053377.Peer-Reviewed Original ResearchConceptsPatient reportsHealth statusCardiac symptomsAMI patientsMedical historyAcute myocardial infarction patientsAcute myocardial infarctionGeneral health statusSignificant independent predictorsMyocardial infarction patientsPsychosocial health statusPatients' health statusPoor psychosocial functionPoor psychosocial functioningIndependent predictorsPrognostic valueFuture hospitalInfarction patientsMyocardial infarctionHealth care researchCommunity hospitalLongitudinal followPatientsPsychosocial functionYounger age
1991
Variations in Length of Stay and Outcomes for Six Medical and Surgical Conditions in Massachusetts and California
Cleary P, Greenfield S, Mulley A, Pauker S, Schroeder S, Wexler L, McNeil B. Variations in Length of Stay and Outcomes for Six Medical and Surgical Conditions in Massachusetts and California. JAMA 1991, 266: 73-79. PMID: 2046132, DOI: 10.1001/jama.1991.03470010077034.Peer-Reviewed Original ResearchMeSH KeywordsAdultCaliforniaCholecystectomyComorbidityConsumer BehaviorCoronary Artery BypassFemaleHip ProsthesisHospitals, TeachingHumansLength of StayMaleMassachusettsMyocardial InfarctionOutcome and Process Assessment, Health CareProstatectomySurgical Procedures, OperativeSurveys and QuestionnairesConceptsLength of stayAcute myocardial infarctionHospital dischargeTotal hip replacementMyocardial infarctionFunctional statusPatient satisfactionMedical recordsHospital careCoronary artery bypass graft surgeryHip replacementArtery bypass graft surgeryInterinstitutional differencesBypass graft surgeryProbability of readmissionPatients' medical recordsAvailable outcome dataCase-mix differencesFollow-up questionnaireHospital complicationsGraft surgeryPatient characteristicsTransurethral prostatectomyWorse outcomesSurgical conditions
1986
Do-Not-Resuscitate Orders for Critically III Patients in the Hospital: How Are They Used and What Is Their Impact?
Bedell S, Pelle D, Maher P, Cleary P. Do-Not-Resuscitate Orders for Critically III Patients in the Hospital: How Are They Used and What Is Their Impact? JAMA 1986, 256: 233-237. DOI: 10.1001/jama.1986.03380020095030.Peer-Reviewed Original ResearchResuscitate ordersChronic obstructive pulmonary diseaseAbnormal mental statusObstructive pulmonary diseaseAcute myocardial infarctionPatient progress notesPulmonary diseaseCardiopulmonary arrestDNR statusMyocardial infarctionUniversity HospitalMedical recordsMental statusCardiopulmonary resuscitationPatient's illnessPercent of familiesChart ordersPatientsMedical careProgress notesHospitalDNRResuscitationIllnessStatusDo-not-resuscitate orders for critically ill patients in the hospital. How are they used and what is their impact?
Bedell S, Pelle D, Maher P, Cleary P. Do-not-resuscitate orders for critically ill patients in the hospital. How are they used and what is their impact? JAMA 1986, 256: 233-7. PMID: 3723709, DOI: 10.1001/jama.256.2.233.Peer-Reviewed Original ResearchConceptsChronic obstructive pulmonary diseaseAbnormal mental statusObstructive pulmonary diseaseAcute myocardial infarctionPatient progress notesIll patientsPulmonary diseaseCardiopulmonary arrestDNR statusMyocardial infarctionUniversity HospitalMedical recordsMental statusCardiopulmonary resuscitationPatient's illnessPercent of familiesResuscitate ordersChart ordersPatientsMedical careProgress notesHospitalDNRResuscitationIllness