John Hughes, MD
Professor Emeritus of Medicine (General Medicine); Associate Director, Program for Biomedical Ethics
Research & Publications
Biography
News
Research Summary
Design and implementation of risk stratification/risk adjustment methods for use in analyzing computerized health care data sets.
Research Interests
Inpatients; Internal Medicine; Risk Adjustment; Healthcare Financing
Selected Publications
- DNR Orders Known at the Time of Admission Can Improve Hospital Mortality RatingsFuller R, Hughes J. DNR Orders Known at the Time of Admission Can Improve Hospital Mortality Ratings. Health Services Research 2020, 55: 96-96. PMCID: PMC7440454, DOI: 10.1111/1475-6773.13466.
- A Middle-Ground Proposal for Making Health Care Premiums More Affordable.Averill RF, Hughes JS. A Middle-Ground Proposal for Making Health Care Premiums More Affordable. The Journal Of Ambulatory Care Management 2019, 42: 188-194. PMID: 31107801, DOI: 10.1097/JAC.0000000000000288.
- Should the Positive Predictive Value be Used to Validate Complications Measures?Hughes JS. Should the Positive Predictive Value be Used to Validate Complications Measures? Medical Care 2017, 55: 87. PMID: 27870661, DOI: 10.1097/MLR.0000000000000672.
- Rethinking Medicare Payment Adjustments for QualityAverill RF, Fuller RL, McCullough EC, Hughes JS. Rethinking Medicare Payment Adjustments for Quality. Journal Of Ambulatory Care Management 2016, 39: 98-107. PMID: 26945288, PMCID: PMC4870963, DOI: 10.1097/jac.0000000000000137.
- Postadmission Sepsis as a Screen for Quality ProblemsHughes JS, Eisenhandler J, Goldfield N, Weinberg PG, Averill R. Postadmission Sepsis as a Screen for Quality Problems. American Journal Of Medical Quality 2013, 29: 499-507. PMID: 24226649, DOI: 10.1177/1062860613509002.
- Challenges and Benefits of Adding Laboratory Data to a Mortality Risk Adjustment MethodMcCullough E, Sullivan C, Banning P, Goldfield N, Hughes J. Challenges and Benefits of Adding Laboratory Data to a Mortality Risk Adjustment Method. Quality Management In Health Care 2011, 20: 253-262. PMID: 21971023, DOI: 10.1097/qmh.0b013e318231cf4f.
- Paying for Outcomes, Not Performance: Lessons from the Medicare Inpatient Prospective Payment SystemAverill RF, Goldfield N, Hughes J. Paying for Outcomes, Not Performance: Lessons from the Medicare Inpatient Prospective Payment System. The Joint Commission Journal On Quality And Patient Safety 2011, 37: 184-192. PMID: 21500719, DOI: 10.1016/s1553-7250(11)37023-7.
- Hospital Complications: Linking Payment Reduction to PreventabilityAverill R, Goldfield N, Hughes J, McCullough EC. Hospital Complications: Linking Payment Reduction to Preventability. The Joint Commission Journal On Quality And Patient Safety 2009, 35: 283-285. PMID: 19480383, DOI: 10.1016/s1553-7250(09)35040-0.
- Identifying potentially preventable readmissions.Goldfield NI, McCullough EC, Hughes JS, Tang AM, Eastman B, Rawlins LK, Averill RF. Identifying potentially preventable readmissions. Medicare & Medicaid Research Review 2008, 30: 75-91. PMID: 19040175, PMCID: PMC4195042.
- Identifying potentially preventable complications using a present on admission indicator.Hughes JS, Averill RF, Goldfield NI, Gay JC, Muldoon J, McCullough E, Xiang J. Identifying potentially preventable complications using a present on admission indicator. Medicare & Medicaid Research Review 2006, 27: 63-82. PMID: 17290649, PMCID: PMC4194950.
- Clinical Risk Groups (CRGs)Hughes JS, Averill RF, Eisenhandler J, Goldfield NI, Muldoon J, Neff JM, Gay JC. Clinical Risk Groups (CRGs). Medical Care 2004, 42: 81-90. PMID: 14713742, DOI: 10.1097/01.mlr.0000102367.93252.70.
- Can the Veterans Affairs health care system continue to care for the poor and vulnerable?Hughes JS. Can the Veterans Affairs health care system continue to care for the poor and vulnerable? The Journal Of Ambulatory Care Management 2003, 26: 344-8. PMID: 14567278, DOI: 10.1097/00004479-200310000-00008.
- Development of an Episode of Illness Classification for Population Management Using Pharmacy DataGoldfield N, Eisenhandler J, Gay J, McCullough E, Bao M, Neff J, Muldoon J, Hughes J, Mills R. Development of an Episode of Illness Classification for Population Management Using Pharmacy Data. Population Health Management 2002, 5: 175-183. DOI: 10.1089/109350702760301466.
- The Prospective Risk Adjustment SystemGoldfield N, Averill R, Eisenhandler J, Hughes J, Muldoon J, Steinbeck B, Bagadia F. The Prospective Risk Adjustment System. Journal Of Ambulatory Care Management 1999, 22: 41-52. PMID: 10387584, DOI: 10.1097/00004479-199904000-00005.