2019
Creating a Learning Health System through Rapid-Cycle, Randomized Testing
Horwitz LI, Kuznetsova M, Jones SA. Creating a Learning Health System through Rapid-Cycle, Randomized Testing. New England Journal Of Medicine 2019, 381: 1175-1179. PMID: 31532967, DOI: 10.1056/nejmsb1900856.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersHumansLearningNew York CityPreventive Health ServicesQuality ImprovementBending the cost curve: time series analysis of a value transformation programme at an academic medical centre
Chatfield SC, Volpicelli FM, Adler NM, Kim KL, Jones SA, Francois F, Shah PC, Press RA, Horwitz LI. Bending the cost curve: time series analysis of a value transformation programme at an academic medical centre. BMJ Quality & Safety 2019, 28: 449. PMID: 30877149, PMCID: PMC6860728, DOI: 10.1136/bmjqs-2018-009068.Peer-Reviewed Original ResearchConceptsLength of stayDiagnosis Related GroupsAcademic medical centerHospital mortalityMedical CenterMedical diagnosis related groupsSurgical diagnosis related groupsStudy periodSame-hospital readmissionsCost of careNYU Langone HealthVariable direct costsValue of healthcareSecondary outcomesHigh-value careStudy cohortOutlier patientsHealth outcomesValue careEarly increaseIntervention costsDirect costsHealthcare valueShared Savings ProgramHospitalisation
2016
Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale Readmission Reduction Program
Jenq GY, Doyle MM, Belton BM, Herrin J, Horwitz LI. Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale Readmission Reduction Program. JAMA Internal Medicine 2016, 176: 681. PMID: 27065180, DOI: 10.1001/jamainternmed.2016.0833.Peer-Reviewed Original ResearchConceptsDischarge patientsReadmissions Reduction ProgramControl populationReadmission ratesIntervention periodSame-hospital readmission ratesUrban academic medical centerTarget populationAdjusted readmission ratesOdds of readmissionHigh-risk patientsZip codesAdjusted admission ratesInterrupted time series analysisAcademic medical centerQuasi-experimental evaluationLogistic regression modelsReduction programsDischarge dispositionReadmission reduction effortsComparative interrupted time series analysisMedication reconciliationService patientsMean ageTransitional care