2020
Physician trajectories of abandoning long‐course breast radiotherapy and their cost impact
Xu X, Soulos PR, Herrin J, Wang S, Pollack CE, Evans SB, Yu JB, Gross CP. Physician trajectories of abandoning long‐course breast radiotherapy and their cost impact. Health Services Research 2020, 56: 497-506. PMID: 33070305, PMCID: PMC8143683, DOI: 10.1111/1475-6773.13572.Peer-Reviewed Original ResearchConceptsPhysician peer groupsWhole breast irradiationCF-WBIRisk-adjusted ratesBreast radiotherapyPractice patternsLow useChronic Conditions Data WarehouseDistinct practice patternsPatients' clinical characteristicsSetting of radiotherapyAdjuvant breast radiotherapyYears of ageDistinct trajectoriesImportant cost implicationsHigher useAdjuvant radiotherapyClinical characteristicsEligible womenBreast cancerCost implicationsLatent class growth analysisService beneficiariesMedicare programRadiotherapyTimely estimation of National Admission, readmission, and observation-stay rates in medicare patients with acute myocardial infarction, heart failure, or pneumonia using near real-time claims data
Li SX, Wang Y, Lama SD, Schwartz J, Herrin J, Mei H, Lin Z, Bernheim SM, Spivack S, Krumholz HM, Suter LG. Timely estimation of National Admission, readmission, and observation-stay rates in medicare patients with acute myocardial infarction, heart failure, or pneumonia using near real-time claims data. BMC Health Services Research 2020, 20: 733. PMID: 32778098, PMCID: PMC7416804, DOI: 10.1186/s12913-020-05611-w.Peer-Reviewed Original Research
2019
Measuring hospital‐specific disparities by dual eligibility and race to reduce health inequities
Lloren A, Liu S, Herrin J, Lin Z, Zhou G, Wang Y, Kuang M, Zhou S, Farietta T, McCole K, Charania S, Sheares K, Bernheim S. Measuring hospital‐specific disparities by dual eligibility and race to reduce health inequities. Health Services Research 2019, 54: 243-254. PMID: 30666634, PMCID: PMC6341208, DOI: 10.1111/1475-6773.13108.Peer-Reviewed Original ResearchConceptsAfrican American racePatient case mixDual eligibilityReadmission ratesAmerican raceRisk-standardized outcomesHigher readmission ratesDual eligibility statusAcute myocardial infarctionAfrican American patientsRisk-standardized readmission ratesAcute care hospitalsQuality of careMedicaid Services methodologyHealth care qualityHospital disparitiesCare hospitalHeart failureInpatient admissionsMyocardial infarctionAmerican patientsMedicare patientsCase mixHealth outcomesHospital
2018
An empiric approach to identifying physician peer groups from claims data: An example from breast cancer care
Herrin J, Soulos PR, Xu X, Gross CP, Pollack CE. An empiric approach to identifying physician peer groups from claims data: An example from breast cancer care. Health Services Research 2018, 54: 44-51. PMID: 30488484, PMCID: PMC6338298, DOI: 10.1111/1475-6773.13095.Peer-Reviewed Original ResearchMeSH KeywordsAlgorithmsBreast NeoplasmsFemaleHumansInsurance Claim ReviewMedicareOutcome and Process Assessment, Health CarePeer ReviewUnited StatesConceptsPhysician peer groupsClaims dataEnd Results-MedicareBreast cancer careAdministrative claims dataHospital-based groupEmpiric approachCancer careBreast cancerHospital groupPatientsPatient volumePhysiciansEmpirical groupGroup reliabilityPhysician inclusionPercentGroupMedian overlapT1CancerPeer groupEpidemiology
2017
Trends in readmission rates for safety net hospitals and non-safety net hospitals in the era of the US Hospital Readmission Reduction Program: a retrospective time series analysis using Medicare administrative claims data from 2008 to 2015
Salerno AM, Horwitz LI, Kwon JY, Herrin J, Grady JN, Lin Z, Ross JS, Bernheim SM. Trends in readmission rates for safety net hospitals and non-safety net hospitals in the era of the US Hospital Readmission Reduction Program: a retrospective time series analysis using Medicare administrative claims data from 2008 to 2015. BMJ Open 2017, 7: e016149. PMID: 28710221, PMCID: PMC5541519, DOI: 10.1136/bmjopen-2017-016149.Peer-Reviewed Original ResearchConceptsHospital Readmissions Reduction ProgramNon-safety net hospitalsSafety-net hospitalMedicare administrative claims dataReadmission ratesAdministrative claims dataNet hospitalReadmissions Reduction ProgramRetrospective time series analysisSafety netClaims dataTime series analysisSocioeconomic statusUnplanned readmission ratePrincipal discharge diagnosisLow socioeconomic statusInterrupted time seriesReduction programsFive-digit zip codeSeries analysisHRRP penaltiesIndex admissionHospital proportionDischarge diagnosisService patientsImpact of treatment regimen on acute care use during and after adjuvant chemotherapy for early-stage breast cancer
Ruddy KJ, Van Houten HK, Sangaralingham LR, Freedman RA, Thompson CA, Hashmi SK, Jemal A, Haddad TC, Mougalian S, Herrin J, Gross C, Shah N. Impact of treatment regimen on acute care use during and after adjuvant chemotherapy for early-stage breast cancer. Breast Cancer Research And Treatment 2017, 164: 515-525. PMID: 28493045, DOI: 10.1007/s10549-017-4280-y.Peer-Reviewed Original ResearchConceptsAcute care useEarly-stage breast cancerCare useBreast cancerAdjuvant chemotherapyContemporary adjuvant chemotherapyAcute care needsCommercial insurance databaseEmergency department visitsED visit ratesRate of hospitalizationOncology Care ModelChemotherapy initiationChemotherapy regimenEligible patientsED visitsDepartment visitsTreatment regimenAcute careInsurance databaseAdministration periodAdjusted ratesCare modelCare needsVisit rates
2015
Long-term Outcomes After Stepping Down Asthma Controller Medications A Claims-Based, Time-to-Event Analysis
Rank MA, Johnson R, Branda M, Herrin J, van Houten H, Gionfriddo MR, Shah ND. Long-term Outcomes After Stepping Down Asthma Controller Medications A Claims-Based, Time-to-Event Analysis. CHEST Journal 2015, 148: 630-639. PMID: 25997080, PMCID: PMC4556120, DOI: 10.1378/chest.15-0301.Peer-Reviewed Original ResearchMeSH KeywordsAdministration, InhalationAgedAged, 80 and overAnti-Asthmatic AgentsAsthmaComorbidityDrug Administration ScheduleEmergency Service, HospitalFemaleHospitalizationHumansInsurance Claim ReviewMaleMedicare Part CMedication AdherenceRecurrenceRetrospective StudiesRisk FactorsTreatment OutcomeUnited StatesConceptsAsthma controller medicationsAsthma exacerbationsLong-term outcomesController medicationsAsthma stabilityAsthma medicationsHealth-care provider guidanceFirst asthma exacerbationED visitsPrimary outcomeAdherence lapsesMedicationsExacerbationFour-month intervalsProvider guidanceStudy settingEvent analysisRetrospective timeMonthsAsthmaOutcomesIndividualsHospitalizationPeriodMonth stabilityChanging trends in type 2 diabetes mellitus treatment intensification, 2002-2010.
McCoy RG, Zhang Y, Herrin J, Denton BT, Mason JE, Montori VM, Smith SA, Shah ND. Changing trends in type 2 diabetes mellitus treatment intensification, 2002-2010. The American Journal Of Managed Care 2015, 21: e288-96. PMID: 26167776.Peer-Reviewed Original ResearchMeSH KeywordsAdministration, OralAdolescentAdultAge FactorsAgedBlood GlucoseComorbidityDiabetes Mellitus, Type 2Drug Therapy, CombinationFemaleGlycated HemoglobinHumansHypoglycemic AgentsIncretinsInsurance Claim ReviewMaleMetforminMiddle AgedResidence CharacteristicsRetrospective StudiesSex FactorsSocioeconomic FactorsSulfonylurea CompoundsUnited StatesYoung AdultConceptsTreatment intensificationCox proportional hazards regression analysisNational administrative data setProportional hazards regression analysisRetrospective secondary data analysisDiabetes treatment intensificationOptimal diabetes careHazards regression analysisDiabetes-related complicationsAdults 18 yearsTreatment-naïve adultsNon-Hispanic whitesComorbidity burdenMetformin monotherapySulfonylurea useMetformin prescriptionThiazolidinedione useGlycemic controlKaplan-MeierMean ageDiabetes careSignificant confoundersSecondary data analysisAdministrative data setsDiabetes therapy
2014
Development and use of an administrative claims measure for profiling hospital-wide performance on 30-day unplanned readmission.
Horwitz LI, Partovian C, Lin Z, Grady JN, Herrin J, Conover M, Montague J, Dillaway C, Bartczak K, Suter LG, Ross JS, Bernheim SM, Krumholz HM, Drye EE. Development and use of an administrative claims measure for profiling hospital-wide performance on 30-day unplanned readmission. Annals Of Internal Medicine 2014, 161: s66-75. PMID: 25402406, PMCID: PMC4235629, DOI: 10.7326/m13-3000.Peer-Reviewed Original ResearchConceptsUnplanned readmissionReadmission measuresReadmission ratesReadmission riskMedicare feeHospital-wide readmission measureRisk-standardized readmission ratesPayer dataAdministrative Claims MeasureRisk-standardized ratesAverage-risk patientsUnplanned readmission rateDays of dischargeHospital risk-standardized readmission ratesAdult hospitalizationsComorbid conditionsPrincipal diagnosisClaims dataService claimsService beneficiariesReadmissionMeasure development studiesMedicaid ServicesRisk adjustmentHospital
2008
An Administrative Claims Measure Suitable for Profiling Hospital Performance on the Basis of 30-Day All-Cause Readmission Rates Among Patients With Heart Failure
Keenan PS, Normand SL, Lin Z, Drye EE, Bhat KR, Ross JS, Schuur JD, Stauffer BD, Bernheim SM, Epstein AJ, Wang Y, Herrin J, Chen J, Federer JJ, Mattera JA, Wang Y, Krumholz HM. An Administrative Claims Measure Suitable for Profiling Hospital Performance on the Basis of 30-Day All-Cause Readmission Rates Among Patients With Heart Failure. Circulation Cardiovascular Quality And Outcomes 2008, 1: 29-37. PMID: 20031785, DOI: 10.1161/circoutcomes.108.802686.Peer-Reviewed Original ResearchConceptsRisk-standardized readmission ratesCause readmission rateReadmission ratesHeart failureHospital-level readmission ratesAdjusted readmission ratesAdministrative Claims MeasureUnadjusted readmission ratesHeart failure patientsHospital risk-standardized readmission ratesMedical record dataProfiling Hospital PerformanceHierarchical logistic regression modelsUse of MedicareMedical record modelNational Quality ForumLogistic regression modelsCause readmissionClaims-based modelsHospital dischargeFailure patientsC-statisticPreventable eventsPatientsQuality Forum
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 ResearchMeSH KeywordsAgedCase ManagementCost-Benefit AnalysisDiabetes MellitusFamily PracticeFemaleHumansInsurance Claim ReviewMaleMedicareUnited StatesConceptsNurse 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