2019
Development and Testing of Improved Models to Predict Payment Using Centers for Medicare & Medicaid Services Claims Data
Krumholz HM, Warner F, Coppi A, Triche EW, Li SX, Mahajan S, Li Y, Bernheim SM, Grady J, Dorsey K, Desai NR, Lin Z, Normand ST. Development and Testing of Improved Models to Predict Payment Using Centers for Medicare & Medicaid Services Claims Data. JAMA Network Open 2019, 2: e198406. PMID: 31411709, PMCID: PMC6694388, DOI: 10.1001/jamanetworkopen.2019.8406.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionHeart failurePopulation-based programsPOA codesSingle diagnostic codeDiagnostic codesComparative effectiveness research studyPublic reportingIndex admission diagnosisDays of hospitalizationClinical Modification codesService claims dataAcute care hospitalsMultiple care settingsPatient-level modelsAdmission diagnosisTotal hospitalizationsCare hospitalPrevious diagnosisNinth RevisionMyocardial infarctionCandidate variablesCare settingsClaims dataMAIN OUTCOME
2010
The performance of US hospitals as reflected in risk‐standardized 30‐day mortality and readmission rates for medicare beneficiaries with pneumonia
Lindenauer PK, Bernheim SM, Grady JN, Lin Z, Wang Y, Wang Y, Merrill AR, Han LF, Rapp MT, Drye EE, Normand S, Krumholz HM. The performance of US hospitals as reflected in risk‐standardized 30‐day mortality and readmission rates for medicare beneficiaries with pneumonia. Journal Of Hospital Medicine 2010, 5: e12-e18. PMID: 20665626, DOI: 10.1002/jhm.822.Peer-Reviewed Original ResearchConceptsRisk-standardized mortality ratesReadmission ratesHospital referral regionsReferral regionsMedicare beneficiariesMortality rateRisk-standardized readmission ratesNonfederal acute care hospitalsNational quality improvement effortsPattern of hospitalAcute care hospitalsCross-sectional studyService Medicare beneficiariesQuality improvement effortsMedian hospitalHospital dischargeElderly patientsHospital admissionCare hospitalReadmission analysisOutpatient MedicareLeading causePrincipal diagnosisPneumoniaPatients
2001
Quality of Care for Hospitalized Medicare Patients at Risk for Pressure Ulcers
Lyder C, Preston J, Grady J, Scinto J, Allman R, Bergstrom N, Rodeheaver G. Quality of Care for Hospitalized Medicare Patients at Risk for Pressure Ulcers. JAMA Internal Medicine 2001, 161: 1549-1554. PMID: 11427104, DOI: 10.1001/archinte.161.12.1549.Peer-Reviewed Original ResearchMeSH KeywordsAge DistributionAgedAged, 80 and overCase-Control StudiesCohort StudiesFemaleGuideline AdherenceHospital UnitsHumansIncidenceLength of StayMaleMedicarePressure UlcerProcess Assessment, Health CareQuality Indicators, Health CareRetrospective StudiesRisk AssessmentSex DistributionUnited StatesConceptsProcess of careDaily skin assessmentPressure ulcersPressure ulcer predictionNutritional consultationSkin assessmentMedicare patientsPressure-reducing devicesUS hospitalsMulticenter retrospective cohort studyStage 1 pressure ulcersState's peer review organizationKaplan-Meier survival analysisNutritional risk factorsRetrospective cohort studyCongestive heart failureMedical record abstractionAcute care hospitalsPressure ulcer developmentQuality of careCohort studyCare hospitalHeart failureRecord abstractionPeer review organizations