2016
Association between payments from manufacturers of pharmaceuticals to physicians and regional prescribing: cross sectional ecological study
Fleischman W, Agrawal S, King M, Venkatesh AK, Krumholz HM, McKee D, Brown D, Ross JS. Association between payments from manufacturers of pharmaceuticals to physicians and regional prescribing: cross sectional ecological study. The BMJ 2016, 354: i4189. PMID: 27540015, PMCID: PMC4989280, DOI: 10.1136/bmj.i4189.Peer-Reviewed Original ResearchConceptsHospital referral regionsOral anticoagulantsReferral regionsDiabetes drugsDrug classesGreater prescribingMedicare Part D beneficiariesAdditional daysPart D beneficiariesMedicare Part D prescriptionsCross-sectional analysisSectional ecological studyMedicare Part DPart D prescriptionsManufacturers of pharmaceuticalsPrescribingAnticoagulantsPhysiciansDrugsPart DEducational materialsSectional analysisStudy limitationsConsulting feesAssociation
2015
Hospital Variation in Quality of Discharge Summaries for Patients Hospitalized With Heart Failure Exacerbation
Al-Damluji MS, Dzara K, Hodshon B, Punnanithinont N, Krumholz HM, Chaudhry SI, Horwitz LI. Hospital Variation in Quality of Discharge Summaries for Patients Hospitalized With Heart Failure Exacerbation. Circulation Cardiovascular Quality And Outcomes 2015, 8: 77-86. PMID: 25587091, PMCID: PMC4303507, DOI: 10.1161/circoutcomes.114.001227.Peer-Reviewed Original ResearchConceptsDays of dischargeDischarge summary qualityDischarge summariesHeart failureHeart Failure Outcome StudyHeart failure exacerbationHospital-level variationHospital-level performanceSingle-site studyMedian hospitalHospital courseDischarge weightHospital variationVolume statusAdverse outcomesOutcome studiesConsensus conferencePatientsHospitalCare toolsPhysiciansInadequate qualityDaysExacerbationSummary
2014
Descriptions and Interpretations of the ACCORD-Lipid Trial in the News and Biomedical Literature: A Cross-Sectional Analysis
Downing NS, Cheng T, Krumholz HM, Shah ND, Ross JS. Descriptions and Interpretations of the ACCORD-Lipid Trial in the News and Biomedical Literature: A Cross-Sectional Analysis. JAMA Internal Medicine 2014, 174: 1176-1182. PMID: 24796406, PMCID: PMC4124903, DOI: 10.1001/jamainternmed.2014.1371.Peer-Reviewed Original ResearchConceptsACCORD lipid trialACCORD-LipidFibrate useTrial interpretationImproved cardiovascular outcomesCross-sectional studyCross-sectional analysisStatin therapyCardiovascular outcomesCardiovascular riskDiabetes (ACCORD) trialDiabetes mellitusConflicts of interestTrialsPatientsFenofibrateAuthor conflictsLipid componentsMellitusTherapyPhysiciansMonths
2013
Quality collaboratives and campaigns to reduce readmissions: What strategies are hospitals using?
Bradley EH, Sipsma H, Curry L, Mehrotra D, Horwitz LI, Krumholz H. Quality collaboratives and campaigns to reduce readmissions: What strategies are hospitals using? Journal Of Hospital Medicine 2013, 8: 601-608. PMID: 24038927, PMCID: PMC4029612, DOI: 10.1002/jhm.2076.Peer-Reviewed Original ResearchMeSH KeywordsContinuity of Patient CareCooperative BehaviorCross-Sectional StudiesHealth Care SurveysHealth Plan ImplementationHumansInformation DisseminationInternetLogistic ModelsMedication ReconciliationMultivariate AnalysisPatient DischargePatient ReadmissionQuality Assurance, Health CareQuality Indicators, Health CareUnited StatesConceptsQuality collaborativesCardiac rehabilitation servicesMultivariable logistic regressionSkilled nursing facilitiesHospital readmissionMedication reconciliationTreating physicianPatient dischargePatient referralOutpatient physiciansMultivariable modelNursing facilitiesStandard frequency analysisHospitalRehabilitation servicesWeb-based surveyReadmissionLogistic regressionQuality InitiativeHospital strategiesPhysiciansCurrent useCollaborativesPatientsSTAARComprehensive quality of discharge summaries at an academic medical center
Horwitz LI, Jenq GY, Brewster UC, Chen C, Kanade S, Van Ness P, Araujo KL, Ziaeian B, Moriarty JP, Fogerty RL, Krumholz HM. Comprehensive quality of discharge summaries at an academic medical center. Journal Of Hospital Medicine 2013, 8: 436-443. PMID: 23526813, PMCID: PMC3695055, DOI: 10.1002/jhm.2021.Peer-Reviewed Original ResearchConceptsDays of dischargeDischarge summariesAcute coronary syndromeProspective cohort studyAdvanced practice nursesImproved patient outcomesAcademic medical centerDischarge summary qualityCoronary syndromeCohort studyOutpatient cliniciansHeart failureOutside physiciansPractice nursesOutpatient physiciansPatient outcomesMedical CenterConsensus conferenceJoint CommissionMedical societiesPatientsSafe transitionTotalPhysiciansDaysWhen Choosing Statin Therapy: The Case for Generics
Green JB, Ross JS, Jackevicius CA, Shah ND, Krumholz HM. When Choosing Statin Therapy: The Case for Generics. JAMA Internal Medicine 2013, 173: 229-232. PMID: 23303273, DOI: 10.1001/jamainternmed.2013.1529.Commentaries, Editorials and Letters
2012
2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons
Fihn SD, Gardin JM, Abrams J, Berra K, Blankenship JC, Dallas AP, Douglas PS, Foody JM, Gerber TC, Hinderliter AL, King SB, Kligfield PD, Krumholz HM, Kwong RY, Lim MJ, Linderbaum JA, Mack MJ, Munger MA, Prager RL, Sabik JF, Shaw LJ, Sikkema JD, Smith CR, Smith SC, Spertus JA, Williams SV. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Journal Of The American College Of Cardiology 2012, 60: e44-e164. PMID: 23182125, DOI: 10.1016/j.jacc.2012.07.013.Peer-Reviewed Original ResearchMeSH KeywordsAcute Coronary SyndromeAdrenergic beta-AntagonistsAlcohol DrinkingAngina PectorisBody WeightCholesterol, LDLClopidogrelComorbidityCost of IllnessDepressionDiabetes ComplicationsDisease ManagementElectrocardiographyExerciseExercise TestGlycated HemoglobinHealth BehaviorHumansHypertensionLife StyleMyocardial InfarctionMyocardial IschemiaMyocardial RevascularizationPhysical ExaminationPlatelet Aggregation InhibitorsPractice Guidelines as TopicQuality of LifeRisk AssessmentRisk FactorsRisk Reduction BehaviorSmoking CessationTiclopidineConceptsAmerican CollegeAmerican Heart Association Task ForcePreventive Cardiovascular Nurses AssociationCardiology Foundation/American Heart Association Task ForceManagement of patientsThoracic surgeryPractice guidelinesCardiovascular AngiographyThoracic surgeonsSTS guidelinesA ReportNurses AssociationAmerican AssociationTask ForceAssociationGuidelinesPatientsSurgeryAngiographyPhysiciansDiagnosisSurgeons2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease: Executive Summary A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons
Fihn SD, Gardin JM, Abrams J, Berra K, Blankenship JC, Dallas AP, Douglas PS, Foody JM, Gerber TC, Hinderliter AL, King SB, Kligfield PD, Krumholz HM, Kwong RY, Lim MJ, Linderbaum JA, Mack MJ, Munger MA, Prager RL, Sabik JF, Shaw LJ, Sikkema JD, Smith CR, Smith SC, Spertus JA, Williams SV. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease: Executive Summary A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Journal Of The American College Of Cardiology 2012, 60: 2564-2603. PMID: 23182124, DOI: 10.1016/j.jacc.2012.07.012.Peer-Reviewed Original ResearchAmerican CollegeAmerican Heart Association Task ForcePreventive Cardiovascular Nurses AssociationStable ischemic heart diseaseCardiology Foundation/American Heart Association Task ForceIschemic heart diseaseManagement of patientsThoracic surgeryHeart diseasePractice guidelinesCardiovascular AngiographyThoracic surgeonsSTS guidelinesA ReportNurses AssociationAmerican AssociationTask ForceAssociationGuidelinesPatientsSurgeryAngiographyDiseaseDiagnosisPhysicians
2011
US Cardiologist Workforce From 1995 To 2007: Modest Growth, Lasting Geographic Maldistribution Especially In Rural Areas
Aneja S, Ross JS, Wang Y, Matsumoto M, Rodgers GP, Bernheim SM, Rathore SS, Krumholz HM. US Cardiologist Workforce From 1995 To 2007: Modest Growth, Lasting Geographic Maldistribution Especially In Rural Areas. Health Affairs 2011, 30: 2301-2309. PMID: 22147857, PMCID: PMC3332098, DOI: 10.1377/hlthaff.2011.0255.Peer-Reviewed Original ResearchConceptsPrimary care physiciansCare physiciansGeographic maldistributionChronic cardiovascular diseaseHospital referral regionsUse of telemedicineCardiology workforceNumber of cardiologistsTotal physician workforceCardiovascular diseaseCardiovascular careReferral regionsElderly populationUS populationTotal physiciansCardiologistsPhysiciansAge sixtyPhysician workforceDisadvantaged areasPercentRural areasPopulationDiseaseVariety of strategiesPromoting transparency in pharmaceutical industry-sponsored research.
Ross JS, Gross CP, Krumholz HM. Promoting transparency in pharmaceutical industry-sponsored research. American Journal Of Public Health 2011, 102: 72-80. PMID: 22095335, PMCID: PMC3319748, DOI: 10.2105/ajph.2011.300187.Commentaries, Editorials and LettersConceptsClinical trial researchTrial researchIndividual clinical decisionsGuideline recommendationsEvidence-based practiceTRIAL REGISTRATIONSystematic reviewClinical decisionInvestigator contributionsTrial outcomesMedical literaturePublic healthSelective publicationClinical trial data analysisHealthTrial data analysisIndustry-sponsored researchPatientsPhysicians
2009
Race/Ethnicity and Workplace Discrimination: Results of a National Survey of Physicians
Nunez-Smith M, Pilgrim N, Wynia M, Desai MM, Jones BA, Bright C, Krumholz HM, Bradley EH. Race/Ethnicity and Workplace Discrimination: Results of a National Survey of Physicians. Journal Of General Internal Medicine 2009, 24: 1198. PMID: 19727966, PMCID: PMC2771235, DOI: 10.1007/s11606-009-1103-9.Peer-Reviewed Original Research
2008
Influence of Patients’ Socioeconomic Status on Clinical Management Decisions: A Qualitative Study
Bernheim SM, Ross JS, Krumholz HM, Bradley EH. Influence of Patients’ Socioeconomic Status on Clinical Management Decisions: A Qualitative Study. The Annals Of Family Medicine 2008, 6: 53-59. PMID: 18195315, PMCID: PMC2203396, DOI: 10.1370/afm.749.Peer-Reviewed Original ResearchConceptsClinical management decisionsPatients' socioeconomic statusClinical managementSocioeconomic statusPatient sPatient outcomesPrimary care physiciansStandard of careInfluence of patientLow socioeconomic statusVaried practice settingsHealth care qualitySES influencesCare physiciansHispanic ethnicityPhysician perspectivesPractice settingsCare qualityPatientsPhysiciansPatient interestMinority racial backgroundsInterview guideFinancial strainOutcomes
2006
Physician Board Certification and the Care and Outcomes of Elderly Patients with Acute Myocardial Infarction
Chen J, Rathore SS, Wang Y, Radford MJ, Krumholz HM. Physician Board Certification and the Care and Outcomes of Elderly Patients with Acute Myocardial Infarction. Journal Of General Internal Medicine 2006, 21: 238-244. PMID: 16637823, PMCID: PMC1828098, DOI: 10.1111/j.1525-1497.2006.00326.x.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionBoard-certified physiciansPhysician board certificationMyocardial infarctionFamily practitionersInternal medicineBoard certificationHigher useUse of aspirinQuality of careMultivariate regression analysisBoard-certified internistsElderly patientsHospitalized patientsClinical guidelinesMedicare patientsAspirinPatientsMortalityPhysiciansFamily practiceCareInfarctionRegression analysisCardiologists
2005
Physician specialty and mortality among elderly patients hospitalized with heart failure
Foody JM, Rathore SS, Wang Y, Herrin J, Masoudi FA, Havranek EP, Krumholz HM. Physician specialty and mortality among elderly patients hospitalized with heart failure. The American Journal Of Medicine 2005, 118: 1120-1125. PMID: 16194643, DOI: 10.1016/j.amjmed.2005.01.075.Peer-Reviewed Original ResearchConceptsHeart failureFamily physiciansGeneral physiciansSpecialty careDay of admissionCause mortalityCardiology consultationElderly patientsPrimary outcomePhysician specialtyMedicare beneficiariesMortality ratePatientsCardiologistsPhysiciansMortalityInternistsCareOutcomesConsultationFailureDaysSpecialtiesAdmissionFrom Adversary to Partner: Have Quality Improvement Organizations Made the Transition?
Bradley EH, Carlson MD, Gallo WT, Scinto J, Campbell MK, Krumholz HM. From Adversary to Partner: Have Quality Improvement Organizations Made the Transition? Health Services Research 2005, 40: 459-476. PMID: 15762902, PMCID: PMC1361151, DOI: 10.1111/j.1475-6773.2005.0y368.x.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelBenchmarkingCenters for Medicare and Medicaid Services, U.S.Cross-Sectional StudiesHealth PromotionHospital AdministratorsHospitalsHumansMyocardial InfarctionOrganizational InnovationPhysician ExecutivesProfessional Review OrganizationsQuality Indicators, Health CareTotal Quality ManagementUnited StatesConceptsQuality Improvement OrganizationQuality of careAcute myocardial infarctionImprovement organizationsPeer review organizationsMyocardial infarctionHospital performance dataTarget physiciansNational random sampleSpecific interventionsHospitalHospital administrationQuality improvement directorsInterventionCareReview organizationsPhysiciansRandom sampleAdministrationOne-quarterManagement directorsInfarctionEducational materialsPatientsRespondents
2003
Detection of Errors by Attending Physicians on a General Medicine Service
Chaudhry SI, Olofinboba KA, Krumholz HM. Detection of Errors by Attending Physicians on a General Medicine Service. Journal Of General Internal Medicine 2003, 18: 595-600. PMID: 12911640, PMCID: PMC1494901, DOI: 10.1046/j.1525-1497.2003.20919.x.Peer-Reviewed Original ResearchConceptsGeneral medicine serviceAdverse eventsClinical careMedicine serviceRoutine clinical careHealth care workersHealth care providersAcademic hospitalDrug errorsHospitalist physiciansHospitalist serviceCare providersCare workersProspective identificationPatientsPhysiciansHospitalistsStatistical significanceHouse staffCommon typeCareLaboratory techniciansMedical errorsNear missesSpectrum of errorsAligning quality and payment for heart failure care: Defining the challenges
Havranek EP, Krumholz HM, Dudley RA, Adams K, Gregory D, Lampert S, Lindenfeld J, Massie BM, Pina I, Restaino S, Rich MW, Konstam MA. Aligning quality and payment for heart failure care: Defining the challenges. Journal Of Cardiac Failure 2003, 9: 251-254. PMID: 13680543, DOI: 10.1054/jcaf.2003.30.Peer-Reviewed Original ResearchConceptsHigh-quality careQuality careHeart Failure SocietyHeart failure careHeart failure patientsQuality of careFailure patientsHeart failureReadmission ratesRecent roundtable discussionDisease severityInterests of patientsCarePatientsHospitalReimbursement systemReimbursement schemesEmpty bedsPhysiciansWhat Are Hospitals Doing to Increase Beta-Blocker Use?
Bradley EH, Holmboe ES, Wang Y, Herrin J, Frederick PD, Mattera JA, Roumanis SA, Radford MJ, Krumholz HM. What Are Hospitals Doing to Increase Beta-Blocker Use? The Joint Commission Journal On Quality And Patient Safety 2003, 29: 409-415. PMID: 12953605, DOI: 10.1016/s1549-3741(03)29049-3.Peer-Reviewed Original ResearchConceptsBeta-blocker useQuality improvement interventionsMyocardial infarctionCare coordinatorsClinical pathwayImprovement interventionsAcute myocardial infarctionCross-sectional analysisQuality improvement staffQuality improvement effortsNational registryMedian numberHospitalTelephone surveyInfarctionReminder FormInterventionImprovement effortsRegistryPrevalencePathwayPhysicians
2002
Regional differences in quality of care for heart failure: the role of patient, physician, and hospital characteristics
Havranek E, Wolfe P, Masoudi F, Krumholz H, Rathore S, Stevens B, Ordin D. Regional differences in quality of care for heart failure: the role of patient, physician, and hospital characteristics. Journal Of The American College Of Cardiology 2002, 39: 452-453. DOI: 10.1016/s0735-1097(02)82033-2.Peer-Reviewed Original Research
2001
Physician characteristics and the initiation of beta-adrenergic blocking agent therapy after acute myocardial infarction in a managed care population.
Fehrenbach SN, Budnitz DS, Gazmararian JA, Krumholz HM. Physician characteristics and the initiation of beta-adrenergic blocking agent therapy after acute myocardial infarction in a managed care population. The American Journal Of Managed Care 2001, 7: 717-23. PMID: 11464429.Peer-Reviewed Original ResearchConceptsBeta-adrenergic blocking agentsAcute myocardial infarctionBeta-adrenergic blocking agent therapyRegion of hospitalizationFamily practice physiciansPhysician characteristicsBlocking agentMyocardial infarctionHospital dischargeAgent therapyPractice physiciansPercent of patientsRetrospective administrative data analysisPatient agePatient characteristicsMedication claimsStudy cohortCare populationCardiac treatmentAdministrative data analysisInfarctionMultivariate modelPhysiciansHospitalizationCare organizations