Featured Publications
Identifying high-value care for Medicare beneficiaries: a cross-sectional study of acute care hospitals in the USA
Herrin J, Yu H, Venkatesh AK, Desai SM, Thiel CL, Lin Z, Bernheim SM, Horwitz LI. Identifying high-value care for Medicare beneficiaries: a cross-sectional study of acute care hospitals in the USA. BMJ Open 2022, 12: e053629. PMID: 35361641, PMCID: PMC8971780, DOI: 10.1136/bmjopen-2021-053629.Peer-Reviewed Original ResearchConceptsAcute care hospitalsHigh-value careStar hospitalsCare hospitalMedicare spendingEligible Medicare patientsRetrospective observational studyCross-sectional studyNon-teaching statusHigh-quality careHigh-quality hospitalsLow-cost hospitalsHigh-cost hospitalsCharacteristics of hospitalsValue of careSecondary outcomesPrimary outcomeMedicare patientsObservational studyMedicare beneficiariesHospitalQuality careOverall star ratingHospital Value
2022
Factors Associated With Disparities in Hospital Readmission Rates Among US Adults Dually Eligible for Medicare and Medicaid
Silvestri D, Goutos D, Lloren A, Zhou S, Zhou G, Farietta T, Charania S, Herrin J, Peltz A, Lin Z, Bernheim S. Factors Associated With Disparities in Hospital Readmission Rates Among US Adults Dually Eligible for Medicare and Medicaid. JAMA Health Forum 2022, 3: e214611. PMID: 35977231, PMCID: PMC8903116, DOI: 10.1001/jamahealthforum.2021.4611.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionNon-DE patientsCommunity-level factorsHospital disparitiesHeart failureDE patientsReadmission ratesCohort studyUS hospitalsRisk-adjusted readmission ratesRetrospective cohort studyHospital readmission ratesLow-income older adultsHospital quality improvementEligible patientsHospital readmissionMedicaid eligibility policyCare transitionsMyocardial infarctionState Medicaid policiesWorse outcomesMedicare patientsMAIN OUTCOMEUS adultsPneumonia
2020
Illuminating Hospital Disparities in Readmissions for Patients with Social Risk Factors: Comparing Hospital Performance Using Two Different Approaches
Herrin J, Peltz A, Zhou S, Du C, Barbo A, Charania S, Schwartz M, Lin Z, Bernheim S. Illuminating Hospital Disparities in Readmissions for Patients with Social Risk Factors: Comparing Hospital Performance Using Two Different Approaches. Health Services Research 2020, 55: 93-94. PMCID: PMC7440563, DOI: 10.1111/1475-6773.13462.Peer-Reviewed Original ResearchSocial risk factorsAbsolute risk differenceDual eligibility statusHospital disparitiesRisk factorsDual eligibilityMedicare patientsReadmission ratesOdds ratioRisk differenceSocioeconomic disparitiesMedicare FFS patientsRetrospective cohort studyClinical risk factorsCommon clinical conditionHospitalized Medicare patientsSES indexStandard Analytic FilesVeterans Affairs hospitalEligibility statusMedicare Part AHospital outcomesCohort studyFFS patientsHospital readmissionTimely estimation of National Admission, readmission, and observation-stay rates in medicare patients with acute myocardial infarction, heart failure, or pneumonia using near real-time claims data
Li SX, Wang Y, Lama SD, Schwartz J, Herrin J, Mei H, Lin Z, Bernheim SM, Spivack S, Krumholz HM, Suter LG. Timely estimation of National Admission, readmission, and observation-stay rates in medicare patients with acute myocardial infarction, heart failure, or pneumonia using near real-time claims data. BMC Health Services Research 2020, 20: 733. PMID: 32778098, PMCID: PMC7416804, DOI: 10.1186/s12913-020-05611-w.Peer-Reviewed Original Research
2019
Risk of Readmission After Discharge From Skilled Nursing Facilities Following Heart Failure Hospitalization: A Retrospective Cohort Study
Weerahandi H, Li L, Bao H, Herrin J, Dharmarajan K, Ross JS, Kim KL, Jones S, Horwitz LI. Risk of Readmission After Discharge From Skilled Nursing Facilities Following Heart Failure Hospitalization: A Retrospective Cohort Study. Journal Of The American Medical Directors Association 2019, 20: 432-437. PMID: 30954133, PMCID: PMC6486375, DOI: 10.1016/j.jamda.2019.01.135.Peer-Reviewed Original ResearchConceptsSkilled nursing facilitiesSNF dischargeRetrospective cohort studySNF lengthHeart failureHF hospitalizationComposite outcomeCohort studyNursing facilitiesService beneficiaries 65Heart failure hospitalizationRisk of readmissionHazard rate ratiosFailure hospitalizationUnplanned readmissionHF diagnosisHospital dischargePostdischarge outcomesSNF stayMedicare patientsMedicare feeHome transitionPatientsReadmissionDay 3Measuring hospital‐specific disparities by dual eligibility and race to reduce health inequities
Lloren A, Liu S, Herrin J, Lin Z, Zhou G, Wang Y, Kuang M, Zhou S, Farietta T, McCole K, Charania S, Sheares K, Bernheim S. Measuring hospital‐specific disparities by dual eligibility and race to reduce health inequities. Health Services Research 2019, 54: 243-254. PMID: 30666634, PMCID: PMC6341208, DOI: 10.1111/1475-6773.13108.Peer-Reviewed Original ResearchConceptsAfrican American racePatient case mixDual eligibilityReadmission ratesAmerican raceRisk-standardized outcomesHigher readmission ratesDual eligibility statusAcute myocardial infarctionAfrican American patientsRisk-standardized readmission ratesAcute care hospitalsQuality of careMedicaid Services methodologyHealth care qualityHospital disparitiesCare hospitalHeart failureInpatient admissionsMyocardial infarctionAmerican patientsMedicare patientsCase mixHealth outcomesHospital
2011
Effectiveness and Cost of a Transitional Care Program for Heart Failure: A Prospective Study With Concurrent Controls
Stauffer BD, Fullerton C, Fleming N, Ogola G, Herrin J, Stafford PM, Ballard DJ. Effectiveness and Cost of a Transitional Care Program for Heart Failure: A Prospective Study With Concurrent Controls. JAMA Internal Medicine 2011, 171: 1238-1243. PMID: 21788541, DOI: 10.1001/archinternmed.2011.274.Peer-Reviewed Original ResearchConceptsTransitional care programNurse-led transitional care programHeart failureLength of stayReadmission ratesCare programHealth care systemProspective studyCare systemCause readmission rateDirect costsConcurrent controlsBaylor Health Care SystemBudget impact analysisPostintervention periodMedicare patientsPatientsReal-world settingInterventionReimbursement experienceStaySecular reductionCurrent payment systemHospitalPayment reform
2005
Quality of Care of Medicare Patients With Diabetes in a Metropolitan Fee-for-Service Primary Care Integrated Delivery System
Hollander P, Nicewander D, Couch C, Winter D, Herrin J, Haydar Z, Ballard D. Quality of Care of Medicare Patients With Diabetes in a Metropolitan Fee-for-Service Primary Care Integrated Delivery System. American Journal Of Medical Quality 2005, 20: 344-352. PMID: 16280398, DOI: 10.1177/1062860605280205.Peer-Reviewed Original ResearchConceptsHealth maintenance organizationVeterans AffairsStaff-model health maintenance organizationLow-density lipoprotein cholesterolAmerican Diabetes Association standardsClosed-panel health maintenance organizationPrimary care group practiceAnnual eye examinationsEye examination ratesQuality of careChart abstractionFoot examinationLipoprotein cholesterolBlood pressureEye examinationGlycemic controlScreening ratesExamination rateMedicare patientsMedicare claimsPatientsMaintenance organizationIntegrated delivery systemsGroup practiceControl markersSex, quality of care, and outcomes of elderly patients hospitalized with heart failure: Findings from the National Heart Failure Project
Rathore SS, Foody JM, Wang Y, Herrin J, Masoudi FA, Havranek EP, Ordin DL, Krumholz HM. Sex, quality of care, and outcomes of elderly patients hospitalized with heart failure: Findings from the National Heart Failure Project. American Heart Journal 2005, 149: 121-128. PMID: 15660043, PMCID: PMC2790278, DOI: 10.1016/j.ahj.2004.06.008.Peer-Reviewed Original ResearchConceptsAngiotensin receptor blockersNational Heart Failure ProjectLeft ventricular systolic functionQuality of careACE inhibitor prescriptionHeart Failure ProjectService Medicare patientsHeart failureInhibitor prescriptionMedicare patientsMultivariable hierarchical logistic regression modelsLower crude ratesPrescription of angiotensinLeft ventricular dysfunctionVentricular systolic functionYear of admissionHierarchical logistic regression modelsLower mortality rateLogistic regression modelsSex differencesLow overall rateMultivariable adjustmentVentricular dysfunctionElderly patientsReceptor blockers
2004
Predictors of cardiologist care for older patients hospitalized for heart failure
Foody JM, Rathore SS, Wang Y, Herrin J, Masoudi FA, Havranek EP, Radford MJ, Krumholz HM. Predictors of cardiologist care for older patients hospitalized for heart failure. American Heart Journal 2004, 147: 66-73. PMID: 14691421, DOI: 10.1016/j.ahj.2003.07.005.Peer-Reviewed Original ResearchConceptsHeart failureSpecialty careOlder patientsMultivariable hierarchical logistic regression modelsCoronary Artery Bypass GraftingChronic obstructive pulmonary diseasePercutaneous transluminal coronary angioplastyArtery Bypass GraftingHeart failure careObstructive pulmonary diseaseTransluminal coronary angioplastyHierarchical logistic regression modelsLogistic regression modelsCardiologist careBypass GraftingHospital factorsPatient characteristicsCardiology consultCoronary angioplastyCoronary diseasePulmonary diseaseClinical presentationCardiology carePatient raceMedicare patients
2000
The quality of care for medicare patients with peptic ulcer disease
Marshall B, Stevens B, Cangialose C, Bratzler D, Ballard D, FitzGerald D, Etchason J, Herrin J, Culpepper-Morgan J, Ofman J, Elward K, Alexander W. The quality of care for medicare patients with peptic ulcer disease. The American Journal Of Gastroenterology 2000, 95: 106. PMID: 10638567, DOI: 10.1111/j.1572-0241.2000.01514.x.Peer-Reviewed Original ResearchConceptsPeptic ulcer diseaseQuality of careHospitalized Medicare beneficiariesUlcer diseaseNSAID useH. pyloriUlcer patientsUlcer riskMedicare beneficiariesNonsteroidal anti-inflammatory drug useAnti-inflammatory drug useH. pylori-positive patientsMedical record reviewPylori-positive patientsMedicare claim filesSample of inpatientsAppropriate therapyEndoscopic biopsyPeer review organizationsRecord reviewOutpatient recordsCare indicatorsPrincipal diagnosisMedicare patientsPatients