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 ResearchMeSH KeywordsAgedCross-Sectional StudiesHospital CostsHospitalsHumansMedicareQuality of Health CareUnited StatesConceptsAcute 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
2024
Calculation of Overall Hospital Quality Star Ratings With and Without Inclusion of the Peer Grouping Step
Gettel C, Bagshaw K, Qin L, Lin Z, Rothenberg E, Omotosho P, Goutos D, Herrin J, Suter L, Schreiber M, Fleisher L, Myers R, Spivack S, Venkatesh A. Calculation of Overall Hospital Quality Star Ratings With and Without Inclusion of the Peer Grouping Step. JAMA Network Open 2024, 7: e2411933. PMID: 38753326, PMCID: PMC11099678, DOI: 10.1001/jamanetworkopen.2024.11933.Peer-Reviewed Original ResearchMeSH KeywordsCenters for Medicare and Medicaid Services, U.S.Cross-Sectional StudiesHospitalsHumansQuality Indicators, Health CareQuality of Health CareUnited StatesConceptsCenters for Medicare & Medicaid ServicesCross-sectional studyHospital characteristicsHigher star ratingsStar ratingsOverall hospital qualityLowest-performing hospitalsOverall star ratingQuality star ratingsHospital star ratingsStar Ratings scoresHospital qualityHospital performanceStratified hospitalsMedicaid ServicesMain OutcomesFace validityPeer groupPeer group approachPrimary outcomePeer comparisonHospitalRating scoresPeerMeasurement groupMeasuring Equity in Readmission as a Distinct Assessment of Hospital Performance
Nash K, Weerahandi H, Yu H, Venkatesh A, Holaday L, Herrin J, Lin Z, Horwitz L, Ross J, Bernheim S. Measuring Equity in Readmission as a Distinct Assessment of Hospital Performance. JAMA 2024, 331: 111-123. PMID: 38193960, PMCID: PMC10777266, DOI: 10.1001/jama.2023.24874.Peer-Reviewed Original ResearchConceptsBlack patientsPatient populationHospital characteristicsHospital-wide readmission measureDual-eligible patientsHospital patient populationCross-sectional studyMeasures of hospitalHealth care qualityPatient demographicsReadmission ratesClinical outcomesPatient raceEligible hospitalsReadmissionMAIN OUTCOMEReadmission measuresMedicare dataUS hospitalsHospitalCare qualityPatientsMedicaid ServicesOutcomesLower percentage
2019
Measuring 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
2018
HCAHPS Scores and Community Factors
Herrin J, Mockaitis KG, Hines S. HCAHPS Scores and Community Factors. American Journal Of Medical Quality 2018, 33: 461-471. PMID: 29739233, DOI: 10.1177/1062860618765977.Peer-Reviewed Original ResearchMeSH KeywordsHospitals, CommunityMedicaidMedicarePatient Outcome AssessmentQuality of Health CareUnited StatesConceptsHCAHPS scoresCommunity factorsPrimary care physiciansHospital Consumer AssessmentCare physiciansCare factorsPatient experienceSystem scoreHealthcare providersHospitalization experienceMeasures of qualityConsumer AssessmentCounty factorsCounty-level variationScoresAfrican AmericansSmall percentagePossible effectsHigher numberFactors
2016
American College of Rheumatology White Paper on Performance Outcome Measures in Rheumatology
Suter LG, Barber CE, Herrin J, Leong A, Losina E, Miller A, Newman E, Robbins M, Tory H, Yazdany J. American College of Rheumatology White Paper on Performance Outcome Measures in Rheumatology. Arthritis Care & Research 2016, 68: 1390-1401. PMID: 27159835, PMCID: PMC5550018, DOI: 10.1002/acr.22936.Peer-Reviewed Original Research
2015
Assessing Community Quality of Health Care
Herrin J, Kenward K, Joshi MS, Audet AM, Hines SJ. Assessing Community Quality of Health Care. Health Services Research 2015, 51: 98-116. PMID: 26096649, PMCID: PMC4722214, DOI: 10.1111/1475-6773.12322.Peer-Reviewed Original ResearchConceptsHospital service areasNursing homesHospital measuresHospital qualityHigh hospital qualityHealth system factorsAgreement of measuresHigh-quality careHigh-quality hospitalsHome health agenciesDimensions of careComposite quality measureGeneral practitionersCare settingsNH careHealth agenciesQuality hospitalsHospitalCareHealth careSystem factorsAvailable quality measuresQuality measuresHigh differSetting
2014
Impact of an EHR-Based Diabetes Management Form on Quality and Outcomes of Diabetes Care in Primary Care Practices
Herrin J, da Graca B, Aponte P, Stanek HG, Cowling T, Fullerton C, Hollander P, Ballard DJ. Impact of an EHR-Based Diabetes Management Form on Quality and Outcomes of Diabetes Care in Primary Care Practices. American Journal Of Medical Quality 2014, 30: 14-22. PMID: 24399633, DOI: 10.1177/1062860613516991.Peer-Reviewed Original ResearchConceptsPrimary care practicesAspirin prescriptionBlood pressureOptimal careCare practicesLow-density lipoprotein cholesterolChronic disease careDelivery of careElectronic health recordsDMF useFoot examsInsulin useLipoprotein cholesterolPrimary outcomeLDL cholesterolDisease careDiabetes careDiabetes patientsEvidence-based targetsHealth information technologyMicroalbumin testNumber of visitsLess improvementPatientsCare
2012
The Effectiveness of Implementing an Electronic Health Record on Diabetes Care and Outcomes
Herrin J, da Graca B, Nicewander D, Fullerton C, Aponte P, Stanek G, Cowling T, Collinsworth A, Fleming NS, Ballard DJ. The Effectiveness of Implementing an Electronic Health Record on Diabetes Care and Outcomes. Health Services Research 2012, 47: 1522-1540. PMID: 22250953, PMCID: PMC3401397, DOI: 10.1111/j.1475-6773.2011.01370.x.Peer-Reviewed Original ResearchConceptsPrimary care practicesBlood pressureDiabetes careOptimal careCare practicesDiastolic blood pressureSystolic blood pressureYears of ageElectronic health record implementationElectronic health recordsAspirin prescriptionUnexposed patientsAspirin useCare bundleInsulin usePatient ageLipid controlPrimary outcomeClinical outcomesLDL cholesterolSmoking cessationChart auditDiabetes measuresDiabetes patientsPatients
2011
How Good Are the Data? Feasible Approach to Validation of Metrics of Quality Derived From an Outpatient Electronic Health Record
Benin AL, Fenick A, Herrin J, Vitkauskas G, Chen J, Brandt C. How Good Are the Data? Feasible Approach to Validation of Metrics of Quality Derived From an Outpatient Electronic Health Record. American Journal Of Medical Quality 2011, 26: 441-451. PMID: 21926280, DOI: 10.1177/1062860611403136.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAmbulatory CareChildChild, PreschoolGuideline AdherenceHumansInfantMass ScreeningMedical Records Systems, ComputerizedOutcome and Process Assessment, Health CareOutpatientsPatient SafetyPediatricsPractice Guidelines as TopicQuality Indicators, Health CareQuality of Health CareReproducibility of ResultsQuality of Care in the US Territories
Nunez-Smith M, Bradley EH, Herrin J, Santana C, Curry LA, Normand SL, Krumholz HM. Quality of Care in the US Territories. JAMA Internal Medicine 2011, 171: 1528-1540. PMID: 21709184, PMCID: PMC3251926, DOI: 10.1001/archinternmed.2011.284.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionRisk-standardized readmission ratesRisk-standardized mortality ratesHeart failureMortality rateReadmission ratesProcess measuresHospital characteristicsHighest risk-standardized mortality ratesPrincipal discharge diagnosisQuality of careHealth care qualityDischarge diagnosisService patientsMyocardial infarctionTerritorial HospitalNonfederal hospitalsUS territoriesMedicare feePneumoniaHospitalCare qualityPatientsPerformance of hospitalsUS statesAccess and quality of rural healthcare: Ethiopian Millennium Rural Initiative
Bradley E, Thompson JW, Byam P, Webster TR, Zerihun A, Alpern R, Herrin J, Abebe Y, Curry L. Access and quality of rural healthcare: Ethiopian Millennium Rural Initiative. International Journal For Quality In Health Care 2011, 23: 222-230. PMID: 21467077, DOI: 10.1093/intqhc/mzr013.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedCommunity Health CentersDelivery of Health CareDelivery, ObstetricEthiopiaFemaleHealth Services AccessibilityHealth Services Needs and DemandHIV InfectionsHumansLongitudinal StudiesMaleMiddle AgedPostnatal CarePrenatal CareQuality of Health CareRural PopulationYoung AdultConceptsPrimary healthcare unitsAntenatal care coverageHealth centersAntenatal careCare coverageHealth post levelOutpatient visit ratesHealthcare unitsHealthcare servicesHealth postsRural careUnmet needVisit ratesHIVFocus group participantsRural initiativesOutpatient volumeSystems-based approachGroup participantsRural settingsCareSignificant increaseRural healthcare servicesRural healthcareFocus group data
2009
Evaluating Obstetrical Residency Programs Using Patient Outcomes
Asch DA, Nicholson S, Srinivas S, Herrin J, Epstein AJ. Evaluating Obstetrical Residency Programs Using Patient Outcomes. JAMA 2009, 302: 1277-1283. PMID: 19773562, DOI: 10.1001/jama.2009.1356.Peer-Reviewed Original ResearchMeSH KeywordsAdultCesarean SectionClinical CompetenceComorbidityConfounding Factors, EpidemiologicDelivery, ObstetricExtraction, ObstetricalFemaleFloridaGynecologyHumansInternship and ResidencyMaleMothersNew YorkObstetricsOdds RatioOutcome Assessment, Health CarePhysicians, WomenPostpartum HemorrhagePuerperal InfectionQuality of Health CareResearch DesignRetrospective StudiesSurgical Wound InfectionConceptsMaternal complication ratesComplication rateCesarean deliveryPatient outcomesResidency programsGynecology training programsAdjusted complication rateQuality of careExamination scoresGynecology residency programsMaternal complicationsNonclinical measuresHospital dischargeVaginal deliveryCesarean birthRetrospective analysisComplicationsUS residency programsPatientsObstetriciansBottom quintileTop quintileHemorrhageObstetricsOne-third
2007
A Hospital-Randomized Controlled Trial of an Educational Quality Improvement Intervention in Rural and Small Community Hospitals in Texas Following Implementation of Information Technology
Filardo G, Nicewander D, Hamilton C, Herrin J, Galimbretti P, Tietze M, McBride S, Gunderson J, Haydar Z, Williams J, Ballard DJ. A Hospital-Randomized Controlled Trial of an Educational Quality Improvement Intervention in Rural and Small Community Hospitals in Texas Following Implementation of Information Technology. American Journal Of Medical Quality 2007, 22: 418-427. PMID: 18006422, DOI: 10.1177/1062860607307995.Peer-Reviewed Original ResearchConceptsCongestive heart failureSmall community hospitalCommunity-acquired pneumoniaCommunity hospitalQuality improvement interventionsHeart failureControlled TrialsControl groupImprovement interventionsYears postinterventionHospitalTexas hospitalsBaseline rateComposite scoreFollowing ImplementationQI educationTrialsPoor qualityQuality improvementQuality benchmarkingReview toolPneumoniaGroupPostinterventionCohortQuality Of Care For Acute Myocardial Infarction At Urban Safety-Net Hospitals
Ross JS, Cha SS, Epstein AJ, Wang Y, Bradley EH, Herrin J, Lichtman JH, Normand SL, Masoudi FA, Krumholz HM. Quality Of Care For Acute Myocardial Infarction At Urban Safety-Net Hospitals. Health Affairs 2007, 26: 238-248. PMID: 17211034, DOI: 10.1377/hlthaff.26.1.238.Peer-Reviewed Original ResearchAcute DiseaseAgedAged, 80 and overFemaleHealth Care SurveysHealth Services AccessibilityHospital MortalityHospitals, UrbanHumansMaleMedicareMyocardial InfarctionPatient AdmissionPatient TransferProspective Payment SystemQuality of Health CareReimbursement, Disproportionate ShareRetrospective StudiesRisk AssessmentUnited StatesVulnerable Populations
2006
Relation Between Hospital Specialization With Primary Percutaneous Coronary Intervention and Clinical Outcomes in ST-Segment Elevation Myocardial Infarction
Nallamothu BK, Wang Y, Magid DJ, McNamara RL, Herrin J, Bradley EH, Bates ER, Pollack CV, Krumholz HM. Relation Between Hospital Specialization With Primary Percutaneous Coronary Intervention and Clinical Outcomes in ST-Segment Elevation Myocardial Infarction. Circulation 2006, 113: 222-229. PMID: 16401769, DOI: 10.1161/circulationaha.105.578195.Peer-Reviewed Original ResearchConceptsST-segment elevation myocardial infarctionElevation myocardial infarctionHospital mortalityBalloon timePPCI volumeFibrinolytic therapyClinical outcomesMyocardial infarctionPrimary percutaneous coronary intervention capabilityPercutaneous coronary intervention capabilityPrimary percutaneous coronary interventionHierarchical multivariable regressionMyocardial infarction 4Hospital-level factorsPercutaneous coronary interventionHospital specializationSTEMI patientsCoronary interventionHighest quartileShorter doorHospital characteristicsNational registryLowest quartileRelative riskMultivariable regression
2005
A Randomized Outpatient Trial of a Decision-Support Information Technology Tool
Apkon M, Mattera JA, Lin Z, Herrin J, Bradley EH, Carbone M, Holmboe ES, Gross CP, Selter JG, Rich AS, Krumholz HM. A Randomized Outpatient Trial of a Decision-Support Information Technology Tool. JAMA Internal Medicine 2005, 165: 2388-2394. PMID: 16287768, DOI: 10.1001/archinte.165.20.2388.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAttitude of Health PersonnelCost-Benefit AnalysisDecision Support Systems, ClinicalFemaleFloridaHealth ResourcesHospitals, MilitaryHumansKentuckyMaleMass ScreeningMultivariate AnalysisOutcome and Process Assessment, Health CarePatient SatisfactionPreventive MedicineQuality of Health CareConceptsProvider satisfactionAmbulatory clinic visitsUsual care patientsDays of enrollmentQuality process measuresQuality of careProportion of opportunitiesUsual careClinic visitsOutpatient trialSecondary outcomesPrimary outcomeAcute carePatient satisfactionIntervention groupHealth care opportunitiesPatientsClinical decisionCare opportunitiesPharmacy resourcesPreventive measuresProcess measuresCareMedical resourcesModest improvementSex, 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
2003
Race, Quality of Care, and Outcomes of Elderly Patients Hospitalized With Heart Failure
Rathore SS, Foody JM, Wang Y, Smith GL, Herrin J, Masoudi FA, Wolfe P, Havranek EP, Ordin DL, Krumholz HM. Race, Quality of Care, and Outcomes of Elderly Patients Hospitalized With Heart Failure. JAMA 2003, 289: 2517-2524. PMID: 12759323, DOI: 10.1001/jama.289.19.2517.Peer-Reviewed Original ResearchMeSH KeywordsAgedAngiotensin-Converting Enzyme InhibitorsBlack or African AmericanFee-for-Service PlansFemaleHeart FailureHospitalsHumansMaleMedicareMultivariate AnalysisOutcome Assessment, Health CarePatient ReadmissionQuality of Health CareRetrospective StudiesSurvival AnalysisUnited StatesVentricular Function, LeftWhite PeopleConceptsLeft ventricular ejection fractionQuality of careACE inhibitor useWhite patientsBlack patientsHeart failureYear of dischargeACE inhibitorsMultivariable adjustmentInhibitor useLVEF assessmentCrude rateMedicare beneficiariesMortality rateAngiotensin receptor blocker useNational Heart Failure ProjectBlack Medicare patientsHeart Failure ProjectPrescription of angiotensinReceptor blocker useHigh rateVentricular ejection fractionYear of admissionHigher crude ratesService Medicare beneficiaries
2002
The relation between methods and recommendations in clinical practice guidelines for hypertension and hyperlipidemia.
Fretheim A, Williams JW, Oxman AD, Herrin J. The relation between methods and recommendations in clinical practice guidelines for hypertension and hyperlipidemia. The Journal Of Family Practice 2002, 51: 963-8. PMID: 12485552.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedEvaluation Studies as TopicEvidence-Based MedicineFamily PracticeFemaleGuideline AdherenceHealth Planning GuidelinesHumansHyperlipidemiasHypertensionMaleMiddle AgedPractice Guidelines as TopicPractice Patterns, Physicians'Quality of Health CareRisk AssessmentSensitivity and SpecificitySeverity of Illness IndexVirginiaConceptsClinical practice guidelinesPractice guidelinesDrug selectionTreatment thresholdSpecialty societiesInitial drug selectionCholesterol screeningGuideline developersSystematic reviewHypertensionHyperlipidemiaAggressive recommendationsGuidelinesWide variationGuideline methodsRecommendationsCriteria