2019
Trends in Performance and Opportunities for Improvement on a Composite Measure of Acute Myocardial Infarction Care
Desai NR, Udell JA, Wang Y, Spatz ES, Dharmarajan K, Ahmad T, Julien HM, Annapureddy A, Goyal A, de Lemos JA, Masoudi FA, Bhatt DL, Minges KE, Krumholz HM, Curtis JP. Trends in Performance and Opportunities for Improvement on a Composite Measure of Acute Myocardial Infarction Care. Circulation Cardiovascular Quality And Outcomes 2019, 12: e004983. PMID: 30871375, DOI: 10.1161/circoutcomes.118.004983.Peer-Reviewed Original ResearchMeSH KeywordsAgedCardiology Service, HospitalFemaleGuideline AdherenceHealthcare DisparitiesHumansMaleMiddle AgedMyocardial InfarctionOutcome and Process Assessment, Health CarePractice Guidelines as TopicQuality ImprovementQuality Indicators, Health CareRacial GroupsRegistriesSex FactorsSocioeconomic FactorsTreatment OutcomeUnited StatesConceptsProportion of patientsAcute myocardial infarctionDefect-free careHispanic patientsAMI careOlder patientsCare measuresNational Cardiovascular Data Registry Acute Coronary TreatmentIntervention Outcomes Network RegistryAcute myocardial infarction careGuideline-recommended pharmacotherapyMedicaid insurance coverageSociodemographic groupsMyocardial infarction careSafety-net statusGreatest absolute improvementComposite measureQuality of careHospital-level performanceCessation counselingEvidence-based processReperfusion therapyCardiac rehabilitationCoronary TreatmentVentricular function
2016
Identification of Hospital Cardiac Services for Acute Myocardial Infarction Using Individual Patient Discharge Data
Chang TE, Krumholz HM, Li S, Martin J, Ranasinghe I. Identification of Hospital Cardiac Services for Acute Myocardial Infarction Using Individual Patient Discharge Data. Journal Of The American Heart Association 2016, 5: e003680. PMID: 27628573, PMCID: PMC5079029, DOI: 10.1161/jaha.116.003680.Peer-Reviewed Original ResearchMeSH KeywordsCardiac Care FacilitiesCardiology Service, HospitalHospitalizationHospitalsHumansMyocardial InfarctionPatient DischargeUnited StatesConceptsAcute myocardial infarctionPatient discharge dataCardiac servicesMyocardial infarctionAmerican Heart Association/American CollegePremier Healthcare DatabaseCurrent Procedural Terminology codesProcedural Terminology codesAmerican Hospital Association Annual SurveyDischarge dataPremier hospitalsCardiology guidelinesNinth RevisionAMI careInpatient careClinical ModificationAmerican CollegeTerminology codesInternational ClassificationHealthcare databasesCare variesCare processesHospitalHospital servicesPremier database
2014
Hospital Variation in Noninvasive Positive Pressure Ventilation for Acute Decompensated Heart Failure
Kulkarni VT, Kim N, Dai Y, Dharmarajan K, Safavi KC, Bikdeli B, Lindenauer PK, Testani J, Dries DL, Krumholz HM. Hospital Variation in Noninvasive Positive Pressure Ventilation for Acute Decompensated Heart Failure. Circulation Heart Failure 2014, 7: 427-433. PMID: 24633829, PMCID: PMC4386575, DOI: 10.1161/circheartfailure.113.000698.Peer-Reviewed Original ResearchConceptsAcute decompensated heart failureNoninvasive positive pressure ventilationDecompensated heart failureRisk-standardized mortality ratesPositive pressure ventilationHeart failureIntubation rateMortality ratePressure ventilationUse of NPPVHospital risk-standardized mortality ratesHigher intubation rateHospital practice patternsHospital-level outcomesCross-sectional studyHierarchical logistic regression modelsLogistic regression modelsNIPPV useHospital variationSuch hospitalizationsPractice patternsHospitalizationHospitalQuartileBottom quartile
2009
Mortality and Readmission for Patients With Heart Failure Among U.S. News & World Report’s Top Heart Hospitals
Mulvey GK, Wang Y, Lin Z, Wang OJ, Chen J, Keenan PS, Drye EE, Rathore SS, Normand SL, Krumholz HM. Mortality and Readmission for Patients With Heart Failure Among U.S. News & World Report’s Top Heart Hospitals. Circulation Cardiovascular Quality And Outcomes 2009, 2: 558-565. PMID: 20031893, DOI: 10.1161/circoutcomes.108.826784.Peer-Reviewed Original ResearchConceptsRisk-standardized mortality ratesRisk-standardized readmission ratesReadmission ratesHeart failureMortality rateBest HospitalsAmerica's Best HospitalsMedical administrative dataReadmission analysisHeart HospitalHeart surgeryCardiac conditionsPatientsHospitalMortality analysisReadmissionAdministrative dataHierarchical regression modelsWorld ReportRegression modelsFailureReportSurgeryMortalityRate
2008
Organizational resiliency: how top-performing hospitals respond to setbacks in improving quality of cardiac care.
Webster TR, Curry L, Berg D, Radford M, Krumholz HM, Bradley EH. Organizational resiliency: how top-performing hospitals respond to setbacks in improving quality of cardiac care. Journal Of Healthcare Management 2008, 53: 169-81; discussion 181-2. PMID: 18546919, PMCID: PMC3203950, DOI: 10.1097/00115514-200805000-00007.Peer-Reviewed Original Research
2007
ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction
Anderson JL, Adams CD, Antman EM, Bridges CR, Califf RM, Casey DE, Chavey WE, Fesmire FM, Hochman JS, Levin TN, Lincoff AM, Peterson ED, Theroux P, Wenger NK, Wright RS, Smith SC, Jacobs AK, Adams CD, Anderson JL, Antman EM, Halperin JL, Hunt SA, Krumholz HM, Kushner FG, Lytle BW, Nishimura R, Ornato JP, Page RL, Riegel B. ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction. Journal Of The American College Of Cardiology 2007, 50: e1-e157. PMID: 17692738, DOI: 10.1016/j.jacc.2007.02.013.Peer-Reviewed Original Research“America's Best Hospitals” in the Treatment of Acute Myocardial Infarction
Wang OJ, Wang Y, Lichtman JH, Bradley EH, Normand SL, Krumholz HM. “America's Best Hospitals” in the Treatment of Acute Myocardial Infarction. JAMA Internal Medicine 2007, 167: 1345-1351. PMID: 17620526, DOI: 10.1001/archinte.167.13.1345.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionStandardized mortality ratioBest HospitalsMyocardial infarctionAmerica's Best HospitalsTreatment of AMIMedicare administrative dataHeart surgeryMortality ratioLower riskMortality rateHospitalQuartile distributionPatientsRSMRInfarctionAdministrative dataOne-thirdHierarchical regression modelsRSMRsRegression modelsTreatmentSurgeryAdmissionQuartileOpening of Specialty Cardiac Hospitals and Use of Coronary Revascularization in Medicare Beneficiaries
Nallamothu BK, Rogers MA, Chernew ME, Krumholz HM, Eagle KA, Birkmeyer JD. Opening of Specialty Cardiac Hospitals and Use of Coronary Revascularization in Medicare Beneficiaries. JAMA 2007, 297: 962-968. PMID: 17341710, DOI: 10.1001/jama.297.9.962.Peer-Reviewed Original ResearchMeSH KeywordsAgedAngioplasty, Balloon, CoronaryCardiac Care FacilitiesCardiology Service, HospitalCatchment Area, HealthCoronary Artery BypassHealth Care SurveysHealth Services Needs and DemandHospitals, GeneralHumansLinear ModelsMedicareMyocardial RevascularizationPractice Patterns, Physicians'Program DevelopmentReimbursement, IncentiveUnited StatesUtilization ReviewConceptsHospital referral regionsPopulation-based ratesSpecialty cardiac hospitalsCardiac hospitalTotal revascularizationCoronary revascularizationGeneral HospitalMedicare beneficiariesCardiac programAnnual population-based ratesAcute myocardial infarctionCost-efficient careMyocardial infarctionAdjusted ratesRevascularizationReferral regionsProcedure utilizationHospitalCABGPCIPatientsLinear regression modelsRegression modelsRelative increaseHealth care marketMeasuring Performance For Treating Heart Attacks And Heart Failure: The Case For Outcomes Measurement
Krumholz HM, Normand SL, Spertus JA, Shahian DM, Bradley EH. Measuring Performance For Treating Heart Attacks And Heart Failure: The Case For Outcomes Measurement. Health Affairs 2007, 26: 75-85. PMID: 17211016, DOI: 10.1377/hlthaff.26.1.75.Peer-Reviewed Original Research
2004
Hospital-Level Performance Improvement
Bradley EH, Herrin J, Mattera JA, Holmboe ES, Wang Y, Frederick P, Roumanis SA, Radford MJ, Krumholz HM. Hospital-Level Performance Improvement. Medical Care 2004, 42: 591-599. PMID: 15167327, DOI: 10.1097/01.mlr.0000128006.27364.a9.Peer-Reviewed Original ResearchMeSH KeywordsAdrenergic beta-AntagonistsAgedAmerican Hospital AssociationCardiology Service, HospitalComorbidityDrug Utilization ReviewFemaleGeographyGuideline AdherenceHealth Care SurveysHumansLogistic ModelsMaleMiddle AgedMyocardial InfarctionPatient DischargeQuality Assurance, Health CareRegistriesSocioeconomic FactorsUnited StatesConceptsBeta-blocker useAcute myocardial infarctionHospital-level variationHospital characteristicsMyocardial infarctionBeta-blocker prescription ratesHospital-level changesHospital-level ratesAmerican Hospital Association Annual SurveyClinical characteristicsPrescription ratesNational registryAMI volumeHospital ratesRate of improvementImprovement rateTeaching statusIndividual hospitalsInfarctionHospitalNational surveyPercentage pointsTime periodUse ratesWeak predictor
2003
Characteristics of Physician Leaders Working to Improve the Quality of Care in Acute Myocardial Infarction
Holmboe ES, Bradley EH, Mattera JA, Roumanis SA, Radford MJ, Krumholz HM. Characteristics of Physician Leaders Working to Improve the Quality of Care in Acute Myocardial Infarction. The Joint Commission Journal On Quality And Patient Safety 2003, 29: 289-296. PMID: 14564747, DOI: 10.1016/s1549-3741(03)29033-x.Peer-Reviewed Original ResearchAdrenergic beta-AntagonistsAttitude of Health PersonnelCardiology Service, HospitalClinical CompetenceDrug UtilizationHospital AdministratorsHumansInterdisciplinary CommunicationInterviews as TopicLeadershipMedical Staff, HospitalMyocardial InfarctionNursing Staff, HospitalQualitative ResearchTotal Quality ManagementUnited StatesJCAHO Accreditation And Quality Of Care For Acute Myocardial Infarction
Chen J, Rathore SS, Radford MJ, Krumholz HM. JCAHO Accreditation And Quality Of Care For Acute Myocardial Infarction. Health Affairs 2003, 22: 243-254. PMID: 12674428, DOI: 10.1377/hlthaff.22.2.243.Peer-Reviewed Original ResearchMeSH KeywordsAccreditationAcute DiseaseAgedCardiology Service, HospitalFemaleHealth Care SurveysHospital MortalityHumansJoint Commission on Accreditation of Healthcare OrganizationsMaleMedicareMyocardial InfarctionOutcome Assessment, Health CareQuality Assurance, Health CareQuality Indicators, Health CareUnited States
2001
A Qualitative Study of Increasing β-Blocker Use After Myocardial Infarction: Why Do Some Hospitals Succeed?
Bradley EH, Holmboe ES, Mattera JA, Roumanis SA, Radford MJ, Krumholz HM. A Qualitative Study of Increasing β-Blocker Use After Myocardial Infarction: Why Do Some Hospitals Succeed? JAMA 2001, 285: 2604-2611. PMID: 11368734, DOI: 10.1001/jama.285.20.2604.Peer-Reviewed Original ResearchConceptsBeta-blocker useAcute myocardial infarctionMyocardial infarctionΒ-blocker useStrong physician leadershipImprovement effortsUS hospitalsQualitative studyHospitalPatientsHospital sizeImprovement initiativesInfarctionKey physiciansGreater improvementPhysician leadershipCareAdministrative supportUse ratesPerformance improvement effortsData feedbackParticipantsGeographic regionsCliniciansMortality
1999
Quality of care for patients hospitalized with heart failure at academic medical centers
Nohria A, Chen Y, Morton D, Walsh R, Vlasses P, Krumholz H. Quality of care for patients hospitalized with heart failure at academic medical centers. American Heart Journal 1999, 137: 1028-1034. PMID: 10347327, DOI: 10.1016/s0002-8703(99)70358-3.Peer-Reviewed Original ResearchConceptsLeft ventricular ejection fractionCongestive heart failureAcademic medical centerTime of dischargeStandard of careMedical CenterHeart failureACE inhibitorsAssessment of LVEFDiagnosis of CHFDaily weightEnzyme inhibitor therapyRetrospective chart reviewVentricular ejection fractionLarge clinical trialsPatient education guidelinesQuality of careHealth care policyChart reviewDietary counselingHospital dischargeEjection fractionInhibitor therapyTreatment guidelinesMedication compliance
1998
Improving the Quality of Care for Medicare Patients With Acute Myocardial Infarction: Results From the Cooperative Cardiovascular Project
Marciniak TA, Ellerbeck EF, Radford MJ, Kresowik TF, Gold JA, Krumholz HM, Kiefe CI, Allman RM, Vogel RA, Jencks SF. Improving the Quality of Care for Medicare Patients With Acute Myocardial Infarction: Results From the Cooperative Cardiovascular Project. JAMA 1998, 279: 1351-1357. PMID: 9582042, DOI: 10.1001/jama.279.17.1351.Peer-Reviewed Original ResearchMeSH KeywordsAlabamaCardiologyCardiology Service, HospitalConnecticutData CollectionHospital MortalityHospitalsHumansIowaMedicareMyocardial InfarctionPilot ProjectsProfessional Review OrganizationsQuality Assurance, Health CareQuality Indicators, Health CareStatistics, NonparametricSurvival AnalysisUnited StatesWisconsinConceptsAcute myocardial infarctionQuality of careMyocardial infarctionMedicare patientsBeta-blocker useAdministration of aspirinClinical practice guidelinesCooperative Cardiovascular ProjectLength of stayAcute care hospitalsQuality improvement projectQuality Improvement ProgramPilot statesPostinfarction mortalityAspirin useCessation counselingCare hospitalPeer review organizationsMedian lengthInpatient claimsPrincipal diagnosisPractice guidelinesInfarctionPatientsMortality comparisons
1996
A Collaborative Project in Connecticut to Improve the Care of Patients with Acute Myocardial Infarction
Meehan T, Radford M, Vaccarino L, Gottlieb L, McGovern-Hughes B, Herman M, Revkin J, Therrien M, Petrillo M, Krumholz H. A Collaborative Project in Connecticut to Improve the Care of Patients with Acute Myocardial Infarction. The Joint Commission Journal On Quality And Patient Safety 1996, 22: 751-761. PMID: 8937949, DOI: 10.1016/s1070-3241(16)30280-2.Peer-Reviewed Original ResearchConceptsConnecticut Peer Review OrganizationPeer review organizationsCare of patientsAcute myocardial infarction careChart abstraction toolUse of thrombolyticsAcute myocardial infarctionMyocardial infarction careStaff education sessionsNon-Medicare patientsBeta blockersAtrial fibrillationAppropriate medicationEmergency departmentMyocardial infarctionQI interventionsLocal hospitalImprovement interventionsEducation sessionsHospitalQI planPatientsIndividual hospitalsQI activitiesQI project