2008
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.Peer-Reviewed Original Research
2006
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.Peer-Reviewed Original ResearchConceptsSeverity of illnessPreventable complicationsComplication rateAdmission indicatorsRisk-adjusted complication ratesHospital complication ratesFrequency of complicationsHigher hospital chargesHospital complicationsHospital chargesSecondary diagnosisPOA indicatorComplicationsCalifornia hospitalsLonger lengthAdmissionStayHospitalIllness
2002
Development of an Episode of Illness Classification for Population Management Using Pharmacy Data
Goldfield 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.Peer-Reviewed Original ResearchIllness Classification SystemEpisodes of illnessPharmaceutical dataCombination of medicationsPopulation of patientsDuration of treatmentAggressive case managementCase-mix systemIndividual medicationsClaims databasePharmacy dataIllness classificationCase managementClassification systemDiseaseSpecific diseasesMedicationsEpisodesIllnessParticular diseasePatientsOutpatientsInpatientsEnrolleesSeverity
1999
The Prospective Risk Adjustment System
Goldfield 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.Peer-Reviewed Original ResearchConceptsRisk of mortalityEpisodes of illnessEpisode of careHealth care costsHealth care servicesPatient characteristicsFuture health care costsClinical episodesMedical historyDuration of serviceCare costsCare servicesClassification systemProvider profilingRisk adjustment systemSpecific diseasesEpisodesRisk adjustersIllnessMortalityDiseaseSeverityCare