Featured Publications
Trends in Racial and Ethnic Disparities in Barriers to Timely Medical Care Among Adults in the US, 1999 to 2018
Caraballo C, Ndumele CD, Roy B, Lu Y, Riley C, Herrin J, Krumholz HM. Trends in Racial and Ethnic Disparities in Barriers to Timely Medical Care Among Adults in the US, 1999 to 2018. JAMA Health Forum 2022, 3: e223856. PMID: 36306118, PMCID: PMC9617175, DOI: 10.1001/jamahealthforum.2022.3856.Peer-Reviewed Original ResearchConceptsTimely medical careSerial cross-sectional studyNational Health Interview SurveyCross-sectional studyHealth Interview SurveyMedical careLack of transportationEthnic disparitiesHispanics/LatinosWhite individualsEthnicity groupsInterview SurveyCost of careSelf-reported raceStudy cohortClinic hoursMAIN OUTCOMEMedical officesCarePrevalenceLatino individualsBlack individualsSignificant differencesSignificant increasePopulation groups
2021
Provider Perspectives on the Acceptability, Appropriateness, and Feasibility of Teleneonatology
Fang JL, Umoren R, Whyte H, Limjoco J, Makkar A, Yankanah R, McCoy M, Lo MD, Colby CE, Herrin J, Jacobson RM, Demaerschalk BM. Provider Perspectives on the Acceptability, Appropriateness, and Feasibility of Teleneonatology. American Journal Of Perinatology 2021, 40: 1521-1528. PMID: 34583392, DOI: 10.1055/a-1656-6363.Peer-Reviewed Original ResearchConceptsNeonatal intensive care unitTertiary neonatal intensive care unitNeonatal careNewborn nurseryCommunity hospitalLevel II special care nurseryProvider perspectivesSpecial care nurseryIntensive care unitYears of experiencePercent of respondentsSurvey response rateCare unitLevel IResponse rateMedian scoreTeleneonatologyHospitalSmall hospitalsProfessional roleMean scoreScoresLevel of experienceCareHigher scoresProvider Perspectives on the Acceptability, Appropriateness, and Feasibility of Teleneonatology
Fang J, Umoren R, Whyte H, Limjoco J, Makkar A, Yankanah R, McCoy M, Lo M, Colby C, Herrin J, Jacobson R, Demaerschalk B. Provider Perspectives on the Acceptability, Appropriateness, and Feasibility of Teleneonatology. American Journal Of Perinatology 2021 DOI: 10.1055/s-0041-1736587.Peer-Reviewed Original ResearchNeonatal intensive care unitTertiary neonatal intensive care unitNeonatal careCommunity hospitalLevel II special care nurseryProvider perspectivesSpecial care nurseryIntensive care unitPercent of respondentsSurvey response rateCare unitNewborn nurseryLevel IResponse rateMedian scoreTeleneonatologyConclusion ProvidersYears of experienceMean scoreHospitalScoresLevel of experienceCareHigher scoresAcceptability
2020
Evaluation of Cancer Care After Medicaid Expansion Under the Affordable Care Act
Salazar MC, Canavan ME, Walters SL, Herrin J, Schwartz JL, Leapman M, Boffa DJ. Evaluation of Cancer Care After Medicaid Expansion Under the Affordable Care Act. JAMA Network Open 2020, 3: e2017544. PMID: 32990734, PMCID: PMC7525361, DOI: 10.1001/jamanetworkopen.2020.17544.Peer-Reviewed Original Research
2019
Association of Racial Bias With Burnout Among Resident Physicians
Dyrbye L, Herrin J, West CP, Wittlin NM, Dovidio JF, Hardeman R, Burke SE, Phelan S, Onyeador IN, Cunningham B, van Ryn M. Association of Racial Bias With Burnout Among Resident Physicians. JAMA Network Open 2019, 2: e197457. PMID: 31348503, PMCID: PMC6661712, DOI: 10.1001/jamanetworkopen.2019.7457.Peer-Reviewed Original ResearchConceptsSymptoms of burnoutResident physiciansFT scoreRacial disparitiesDose-response associationHealth careDirect patient interactionResident physician trainingCohort studyBlack patientsMultivariable analysisPhysician respondentsHigh prevalenceMAIN OUTCOMEWhite raceMedical careBurnout itemsSymptomsPhysiciansPatient interactionsMaslach Burnout InventoryPhysician trainingTime pointsCareScarce evidenceAssociation Between Degrees of Separation in Physician Networks and Surgeons’ Use of Perioperative Breast Magnetic Resonance Imaging
Shi Y, Pollack CE, Soulos PR, Herrin J, Christakis NA, Xu X, Gross CP. Association Between Degrees of Separation in Physician Networks and Surgeons’ Use of Perioperative Breast Magnetic Resonance Imaging. Medical Care 2019, 57: 460-467. PMID: 31008899, PMCID: PMC6522278, DOI: 10.1097/mlr.0000000000001123.Peer-Reviewed Original ResearchConceptsBreast magnetic resonance imagingMagnetic resonance imagingPerioperative magnetic resonance imagingMRI useResonance imagingSurgeons' useBreast cancer carePatient-sharing networksPractice of surgeonsPairs of surgeonsUnproven benefitRetrospective studyPhysician pairsCancer carePractice patternsBreast cancerMRI utilizationMedicare dataSurgical colleaguesPatientsSurgeonsStudy periodPhysician networksCareAssociation
2018
Identifying county characteristics associated with resident well-being: A population based study
Roy B, Riley C, Herrin J, Spatz ES, Arora A, Kell KP, Welsh J, Rula EY, Krumholz HM. Identifying county characteristics associated with resident well-being: A population based study. PLOS ONE 2018, 13: e0196720. PMID: 29791476, PMCID: PMC5965855, DOI: 10.1371/journal.pone.0196720.Peer-Reviewed Original ResearchConceptsCounty-level factorsClinical careCross-sectional studyQuality of lifeBetter health outcomesMulti-dimensional assessmentHealth outcomesBeing IndexGallup-Sharecare WellUS residentsCareCounty characteristicsSurvey participantsResident wellUS countiesScoresCounty equivalentsAssessmentFactorsCohort
2017
Impact of Telemonitoring on Health Status
Jayaram NM, Khariton Y, Krumholz HM, Chaudhry SI, Mattera J, Tang F, Herrin J, Hodshon B, Spertus JA. Impact of Telemonitoring on Health Status. Circulation Cardiovascular Quality And Outcomes 2017, 10: e004148. PMID: 29237746, PMCID: PMC5776725, DOI: 10.1161/circoutcomes.117.004148.Peer-Reviewed Original ResearchConceptsKansas City Cardiomyopathy QuestionnaireUsual careHealth statusHeart failureKCCQ overall summary scoreRecent heart failure hospitalizationDisease-specific health statusKCCQ overall summaryHeart failure hospitalizationWeeks of dischargeRandomized clinical trialsOverall summary scoreKCCQ scoresNoninvasive TelemonitoringFailure hospitalizationBaseline characteristicsSecondary outcomesTreatment armsClinical trialsSummary scoresPatientsSubscale scoresCareHospitalizationScores
2015
The Role of Patient Factors, Cancer Characteristics, and Treatment Patterns in the Cost of Care for Medicare Beneficiaries with Breast Cancer
Xu X, Herrin J, Soulos PR, Saraf A, Roberts KB, Killelea BK, Wang SY, Long JB, Wang R, Ma X, Gross CP. The Role of Patient Factors, Cancer Characteristics, and Treatment Patterns in the Cost of Care for Medicare Beneficiaries with Breast Cancer. Health Services Research 2015, 51: 167-186. PMID: 26119176, PMCID: PMC4722219, DOI: 10.1111/1475-6773.12328.Peer-Reviewed Original ResearchConceptsBreast cancer careHospital referral regionsCancer careMedicare expendituresBreast cancerRadiation therapyTreatment factorsMean Medicare expendituresEnd Results-MedicareSpecific treatment modalitiesContribution of patientCost of careHighest spending quintilePatient factorsTreatment patternsTumor characteristicsCancer characteristicsTreatment modalitiesReferral regionsMedicare beneficiariesQuintilePatientsCancerCareTherapyAssessing Community Quality of Health Care
Herrin J, Kenward K, Joshi MS, Audet AM, Hines SJ. Assessing Community Quality of Health Care. Health Services Research 2015, 51: 98-116. PMID: 26096649, PMCID: PMC4722214, DOI: 10.1111/1475-6773.12322.Peer-Reviewed Original ResearchConceptsHospital service areasNursing homesHospital measuresHospital qualityHigh hospital qualityHealth system factorsAgreement of measuresHigh-quality careHigh-quality hospitalsHome health agenciesDimensions of careComposite quality measureGeneral practitionersCare settingsNH careHealth agenciesQuality hospitalsHospitalCareHealth careSystem factorsAvailable quality measuresQuality measuresHigh differSettingOlder Women With Localized Breast Cancer: Costs And Survival Rates Increased Across Two Time Periods
Feinstein AJ, Long J, Soulos PR, Ma X, Herrin J, Frick KD, Chagpar AB, Krumholz HM, Yu JB, Ross JS, Gross CP. Older Women With Localized Breast Cancer: Costs And Survival Rates Increased Across Two Time Periods. Health Affairs 2015, 34: 592-600. PMID: 25847641, DOI: 10.1377/hlthaff.2014.1119.Peer-Reviewed Original ResearchConceptsStage II diseaseStage III diseaseCancer-related costsCancer careBreast cancerMedian costSurvival rateEnd Results Program-MedicareFive-year survivalCancer care costsBreast surgerySurvival outcomesImproved outcomesOlder womenRadiation therapyCare costsStage IIDiseaseStudy periodWomenCancerCareSignificant national attentionOutcomesPercent
2014
Community Factors and Hospital Readmission Rates
Herrin J, St. Andre J, Kenward K, Joshi MS, Audet A, Hines SC. Community Factors and Hospital Readmission Rates. Health Services Research 2014, 50: 20-39. PMID: 24712374, PMCID: PMC4319869, DOI: 10.1111/1475-6773.12177.Peer-Reviewed Original ResearchConceptsHospital readmission ratesReadmission ratesAcute myocardial infarctionHeart failureRisk-standardized readmission ratesHigher readmission ratesCommunity factorsCounty characteristicsNursing Home CompareArea Resource FileMultivariable analysisMeasures of accessMyocardial infarctionCounty demographicsHospitalStrong associationStudy sampleResource FilePneumoniaInfarctionPatientsFactorsNational variationsCareRateImpact of an EHR-Based Diabetes Management Form on Quality and Outcomes of Diabetes Care in Primary Care Practices
Herrin J, da Graca B, Aponte P, Stanek HG, Cowling T, Fullerton C, Hollander P, Ballard DJ. Impact of an EHR-Based Diabetes Management Form on Quality and Outcomes of Diabetes Care in Primary Care Practices. American Journal Of Medical Quality 2014, 30: 14-22. PMID: 24399633, DOI: 10.1177/1062860613516991.Peer-Reviewed Original ResearchConceptsPrimary care practicesAspirin prescriptionBlood pressureOptimal careCare practicesLow-density lipoprotein cholesterolChronic disease careDelivery of careElectronic health recordsDMF useFoot examsInsulin useLipoprotein cholesterolPrimary outcomeLDL cholesterolDisease careDiabetes careDiabetes patientsEvidence-based targetsHealth information technologyMicroalbumin testNumber of visitsLess improvementPatientsCare
2011
Quality of Palliative Care at US Hospices
Carlson MD, Barry C, Schlesinger M, McCorkle R, Morrison RS, Cherlin E, Herrin J, Thompson J, Twaddle ML, Bradley EH. Quality of Palliative Care at US Hospices. Medical Care 2011, 49: 803-809. PMID: 21685811, PMCID: PMC3161163, DOI: 10.1097/mlr.0b013e31822395b2.Peer-Reviewed Original ResearchConceptsNational Quality ForumSelf-reported implementationPercent of hospicesNational cross-sectional surveyCross-sectional surveyFirst national dataQuality palliativeHospice Care QualityPreferred practicesPalliative careCare quality improvementHospice servicesHealth care quality improvementHospice careUS hospicesLarge hospiceSmaller hospicesQuality ForumHospiceCare qualityHospice characteristicsCareNational dataPatientsRandom sampleAccess and quality of rural healthcare: Ethiopian Millennium Rural Initiative
Bradley E, Thompson JW, Byam P, Webster TR, Zerihun A, Alpern R, Herrin J, Abebe Y, Curry L. Access and quality of rural healthcare: Ethiopian Millennium Rural Initiative. International Journal For Quality In Health Care 2011, 23: 222-230. PMID: 21467077, DOI: 10.1093/intqhc/mzr013.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedCommunity Health CentersDelivery of Health CareDelivery, ObstetricEthiopiaFemaleHealth Services AccessibilityHealth Services Needs and DemandHIV InfectionsHumansLongitudinal StudiesMaleMiddle AgedPostnatal CarePrenatal CareQuality of Health CareRural PopulationYoung AdultConceptsPrimary healthcare unitsAntenatal care coverageHealth centersAntenatal careCare coverageHealth post levelOutpatient visit ratesHealthcare unitsHealthcare servicesHealth postsRural careUnmet needVisit ratesHIVFocus group participantsRural initiativesOutpatient volumeSystems-based approachGroup participantsRural settingsCareSignificant increaseRural healthcare servicesRural healthcareFocus group data
2010
Racial Disparities in Health Literacy and Access to Care Among Patients With Heart Failure
Chaudhry SI, Herrin J, Phillips C, Butler J, Mukerjhee S, Murillo J, Onwuanyi A, Seto TB, Spertus J, Krumholz HM. Racial Disparities in Health Literacy and Access to Care Among Patients With Heart Failure. Journal Of Cardiac Failure 2010, 17: 122-127. PMID: 21300301, PMCID: PMC3053061, DOI: 10.1016/j.cardfail.2010.09.016.Peer-Reviewed Original ResearchConceptsHeart failure patientsHealth literacyFailure patientsHeart failureInsurance statusWorse health literacyOutpatient medical careRacial differencesImportant racial differencesNoncardiac comorbiditiesUnadjusted analysesBlack raceCare existMedical homePatientsMedical careRacial disparitiesSocioeconomic statusStrong associationPotential mediatorsHealth carePoor accessCareSocial supportStatus
2007
Cost and Effects of Performance Feedback and Nurse Case Management for Medicare Beneficiaries with Diabetes A Randomized Controlled Trial
Herrin J, Cangialose CB, Nicewander D, Ballard DJ. Cost and Effects of Performance Feedback and Nurse Case Management for Medicare Beneficiaries with Diabetes A Randomized Controlled Trial. Population Health Management 2007, 10: 328-336. PMID: 18163861, DOI: 10.1089/dis.2007.106719.Peer-Reviewed Original ResearchConceptsNurse case managementDiabetes careCase management modelCase managementModel health maintenance organizationMedicare perspectiveNurse case management modelProcess of carePrimary care networkHealth maintenance organizationHealthTexas Provider NetworkClinical outcomesIntervention armResource nursesBaseline differencesMedicare beneficiariesMedical clinicsMaintenance organizationCare networkSimilar interventionsClinical qualityCareSignificant differencesDiabetesTrials
2005
A Randomized Outpatient Trial of a Decision-Support Information Technology Tool
Apkon M, Mattera JA, Lin Z, Herrin J, Bradley EH, Carbone M, Holmboe ES, Gross CP, Selter JG, Rich AS, Krumholz HM. A Randomized Outpatient Trial of a Decision-Support Information Technology Tool. JAMA Internal Medicine 2005, 165: 2388-2394. PMID: 16287768, DOI: 10.1001/archinte.165.20.2388.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAttitude of Health PersonnelCost-Benefit AnalysisDecision Support Systems, ClinicalFemaleFloridaHealth ResourcesHospitals, MilitaryHumansKentuckyMaleMass ScreeningMultivariate AnalysisOutcome and Process Assessment, Health CarePatient SatisfactionPreventive MedicineQuality of Health CareConceptsProvider satisfactionAmbulatory clinic visitsUsual care patientsDays of enrollmentQuality process measuresQuality of careProportion of opportunitiesUsual careClinic visitsOutpatient trialSecondary outcomesPrimary outcomeAcute carePatient satisfactionIntervention groupHealth care opportunitiesPatientsClinical decisionCare opportunitiesPharmacy resourcesPreventive measuresProcess measuresCareMedical resourcesModest improvementPhysician specialty and mortality among elderly patients hospitalized with heart failure
Foody JM, Rathore SS, Wang Y, Herrin J, Masoudi FA, Havranek EP, Krumholz HM. Physician specialty and mortality among elderly patients hospitalized with heart failure. The American Journal Of Medicine 2005, 118: 1120-1125. PMID: 16194643, DOI: 10.1016/j.amjmed.2005.01.075.Peer-Reviewed Original ResearchConceptsHeart failureFamily physiciansGeneral physiciansSpecialty careDay of admissionCause mortalityCardiology consultationElderly patientsPrimary outcomePhysician specialtyMedicare beneficiariesMortality ratePatientsCardiologistsPhysiciansMortalityInternistsCareOutcomesConsultationFailureDaysSpecialtiesAdmission