2020
2020 Update to the 2016 ACC/AHA Clinical Performance and Quality Measures for Adults With Atrial Fibrillation or Atrial Flutter: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures
Members W, Heidenreich P, Estes N, Fonarow G, Jurgens C, Kittleson M, Marine J, McManus D, McNamara R. 2020 Update to the 2016 ACC/AHA Clinical Performance and Quality Measures for Adults With Atrial Fibrillation or Atrial Flutter: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures. Circulation Cardiovascular Quality And Outcomes 2020, 14: e000100. PMID: 33284642, DOI: 10.1161/hcq.0000000000000100.Peer-Reviewed Original Research
2017
Contemporary risk model for inhospital major bleeding for patients with acute myocardial infarction: The acute coronary treatment and intervention outcomes network (ACTION) registry®–Get With The Guidelines (GWTG)®
Desai NR, Kennedy KF, Cohen DJ, Connolly T, Diercks DB, Moscucci M, Ramee S, Spertus J, Wang TY, McNamara RL. Contemporary risk model for inhospital major bleeding for patients with acute myocardial infarction: The acute coronary treatment and intervention outcomes network (ACTION) registry®–Get With The Guidelines (GWTG)®. American Heart Journal 2017, 194: 16-24. PMID: 29223432, DOI: 10.1016/j.ahj.2017.08.004.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionIntervention Outcomes Network RegistryAcute Coronary TreatmentInhospital major bleedingMajor bleedingRisk scoreCoronary TreatmentValidation cohortMyocardial infarctionHigh riskLower riskContemporary risk modelsProspective risk stratificationSimplified risk scoreHospital quality assessmentRisk adjustment methodsBaseline hemoglobinCardiogenic shockCreatinine clearanceFrequent complicationDerivation cohortHeart failureRisk stratificationSignificant morbidityCardiac arrest
2015
Development of a Hospital Outcome Measure Intended for Use With Electronic Health Records
McNamara RL, Wang Y, Partovian C, Montague J, Mody P, Eddy E, Krumholz HM, Bernheim SM. Development of a Hospital Outcome Measure Intended for Use With Electronic Health Records. Medical Care 2015, 53: 818-826. PMID: 26225445, DOI: 10.1097/mlr.0000000000000402.Peer-Reviewed Original ResearchConceptsElectronic health recordsOutcome measuresClinical dataMortality rateClinical practiceFuture quality improvement measuresRisk-standardized mortality ratesHospital risk-standardized mortality ratesLow-mortality hospitalsHealth recordsSystolic blood pressureOdds of mortalityClinical registry dataAcute myocardial infarctionHigh-mortality hospitalsHospital outcome measuresEHR dataFinal risk modelCurrent clinical practiceStandard clinical practiceFirst outcome measureNational Quality ForumCurrent electronic health recordsQuality improvement measuresChart abstraction
2014
International comparisons of the management of patients with non-ST segment elevation acute myocardial infarction in the United Kingdom, Sweden, and the United States: The MINAP/NICOR, SWEDEHEART/RIKS-HIA, and ACTION Registry-GWTG/NCDR registries
McNamara RL, Chung SC, Jernberg T, Holmes D, Roe M, Timmis A, James S, Deanfield J, Fonarow GC, Peterson ED, Jeppsson A, Hemingway H. International comparisons of the management of patients with non-ST segment elevation acute myocardial infarction in the United Kingdom, Sweden, and the United States: The MINAP/NICOR, SWEDEHEART/RIKS-HIA, and ACTION Registry-GWTG/NCDR registries. International Journal Of Cardiology 2014, 175: 240-247. PMID: 24882696, PMCID: PMC4112832, DOI: 10.1016/j.ijcard.2014.04.270.Peer-Reviewed Original ResearchConceptsNon-ST segment elevation myocardial infarctionPercutaneous coronary interventionManagement of patientsMyocardial infarctionRIKS-HIAAcute non-ST segment elevation myocardial infarctionNon-ST segment elevation acute myocardial infarctionEnzyme inhibitors/angiotensin receptor blockersSegment elevation acute myocardial infarctionElevation acute myocardial infarctionSegment elevation myocardial infarctionFuture comparative effectiveness researchAngiotensin receptor blockersPrior heart failureDual antiplatelet agentsElevation myocardial infarctionAcute myocardial infarctionComparative effectiveness researchCoronary interventionDischarge medicationsOngoing registryReceptor blockersHeart failureAntiplatelet agentsClinical registry
2005
Hospital Improvement in Time to Reperfusion in Patients With Acute Myocardial Infarction, 1999 to 2002
McNamara RL, Herrin J, Bradley EH, Portnay EL, Curtis JP, Wang Y, Magid DJ, Blaney M, Krumholz HM, Investigators N. Hospital Improvement in Time to Reperfusion in Patients With Acute Myocardial Infarction, 1999 to 2002. Journal Of The American College Of Cardiology 2005, 47: 45-51. PMID: 16386663, PMCID: PMC1475926, DOI: 10.1016/j.jacc.2005.04.071.Peer-Reviewed Original ResearchConceptsST-segment elevation myocardial infarctionBalloon timeMin/yearNeedle timeMyocardial infarctionHospital characteristicsAcute ST-segment elevation myocardial infarctionPercutaneous coronary intervention cohortPercutaneous coronary intervention volumeElevation myocardial infarctionPercutaneous coronary interventionRetrospective observational studyFour-year study periodRapid reperfusionCoronary interventionFibrinolytic therapyHospital arrivalTherapy cohortReperfusion timeIntervention cohortNational registryIntervention volumeObservational studyHospital improvementPatients
2001
Evidence-based Practice Centers: Production of Evidence Report on Management of Atrial Fibrillation
Robinson K, McNamara R, Bass E, Powe N. Evidence-based Practice Centers: Production of Evidence Report on Management of Atrial Fibrillation. AACN Advanced Critical Care 2001, 12: 618-627. PMID: 11759433, DOI: 10.1097/00044067-200111000-00018.Peer-Reviewed Original ResearchConceptsEvidence-based Practice CenterEvidence reportPractice centerAtrial fibrillationJohns Hopkins EvidenceEvidence-based careEvidence-based healthcareSpecific clinicSynthesis of evidenceSpecific patientHealthcare ResearchHealthcare practitionersIndividual basisFibrillationEvidence-based productsReportData abstractionPatientsSpecialty of principal care physician and Medicare expenditures in patients with coronary artery disease: impact of comorbidity and severity.
McNamara R, Powe N, Thiemann D, Shaffer T, Weller W, Anderson G. Specialty of principal care physician and Medicare expenditures in patients with coronary artery disease: impact of comorbidity and severity. The American Journal Of Managed Care 2001, 7: 261-6. PMID: 11258143.Peer-Reviewed Original ResearchConceptsPrincipal care physicianCoronary artery diseaseAcute myocardial infarctionArtery diseaseCare physiciansUnstable anginaMean expenditureMyocardial infarctionChronic coronary artery diseaseMedicare expendituresProportion of patientsImpact of comorbiditiesLevel of comorbiditySeverity of diagnosisCharlson indexElderly patientsLow comorbidityPhysician typeAcute diagnosisChronic conditionsAcute diseaseChronic diseasesRetrospective analysisComorbiditiesPatients
1998
Capitation for cardiologists: Accepting risk for coronary artery disease under managed care
McNamara R, Powe N, Shaffer T, Thiemann D, Weller W, Anderson G. Capitation for cardiologists: Accepting risk for coronary artery disease under managed care. The American Journal Of Cardiology 1998, 82: 1178-1182. PMID: 9832090, DOI: 10.1016/s0002-9149(98)00602-x.Peer-Reviewed Original ResearchConceptsCoronary artery diseaseMean annual expenditureArtery diseaseMedicare populationDemographic factorsGeneral Medicare populationCapitation ratesCertain chronic illnessesHigher mean expendituresMeasures of severityAnnual expenditureCharlson indexClinical factorsChronic diseasesChronic illnessDiseases codesClinical measuresCare plansInternational ClassificationPatientsNational random sampleMean expenditureDiseaseHigher expendituresComorbidities