2011
Challenges and Benefits of Adding Laboratory Data to a Mortality Risk Adjustment Method
McCullough 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.Peer-Reviewed Original Research
2009
Hospital Complications: Linking Payment Reduction to Preventability
Averill 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.Peer-Reviewed Original Research
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 ResearchMeSH KeywordsDiagnosis-Related GroupsFloridaForecastingHumansPatient ReadmissionQuality of Health CareRisk Assessment
2004
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.Peer-Reviewed Original ResearchMeSH KeywordsCapitation FeeChronic DiseaseConcurrent ReviewDiagnosis-Related GroupsForecastingHealth Services Needs and DemandHealth Services ResearchHumansInsurance Claim ReviewInsurance, HealthMedicaidMedicareProgram DevelopmentReimbursement MechanismsRisk AdjustmentSeverity of Illness IndexUnited States
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