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Association of Hospital Payment Profiles With Variation in 30-Day Medicare Cost for Inpatients With Heart Failure or Pneumonia.

Krumholz HM, Wang Y, Wang K, Lin Z, Bernheim SM, Xu X, Desai NR, Normand ST.

JAMA Netw Open. 2019 Nov 1;2(11):e1915604. doi: 10.1001/jamanetworkopen.2019.15604.


Development and Testing of Improved Models to Predict Payment Using Centers for Medicare & Medicaid Services Claims Data.

Krumholz HM, Warner F, Coppi A, Triche EW, Li SX, Mahajan S, Li Y, Bernheim SM, Grady J, Dorsey K, Desai NR, Lin Z, Normand ST.

JAMA Netw Open. 2019 Aug 2;2(8):e198406. doi: 10.1001/jamanetworkopen.2019.8406.


Comparative Effectiveness of New Approaches to Improve Mortality Risk Models From Medicare Claims Data.

Krumholz HM, Coppi AC, Warner F, Triche EW, Li SX, Mahajan S, Li Y, Bernheim SM, Grady J, Dorsey K, Lin Z, Normand ST.

JAMA Netw Open. 2019 Jul 3;2(7):e197314. doi: 10.1001/jamanetworkopen.2019.7314.


Variation in and Hospital Characteristics Associated With the Value of Care for Medicare Beneficiaries With Acute Myocardial Infarction, Heart Failure, and Pneumonia.

Desai NR, Ott LS, George EJ, Xu X, Kim N, Zhou S, Hsieh A, Nuti SV, Lin Z, Bernheim SM, Krumholz HM.

JAMA Netw Open. 2018 Oct 5;1(6):e183519. doi: 10.1001/jamanetworkopen.2018.3519.


Association of the Hospital Readmissions Reduction Program With Mortality During and After Hospitalization for Acute Myocardial Infarction, Heart Failure, and Pneumonia.

Khera R, Dharmarajan K, Wang Y, Lin Z, Bernheim SM, Wang Y, Normand ST, Krumholz HM.

JAMA Netw Open. 2018 Sep 7;1(5):e182777. doi: 10.1001/jamanetworkopen.2018.2777.


Association of Racial and Socioeconomic Disparities With Outcomes Among Patients Hospitalized With Acute Myocardial Infarction, Heart Failure, and Pneumonia: An Analysis of Within- and Between-Hospital Variation.

Downing NS, Wang C, Gupta A, Wang Y, Nuti SV, Ross JS, Bernheim SM, Lin Z, Normand ST, Krumholz HM.

JAMA Netw Open. 2018 Sep 7;1(5):e182044. doi: 10.1001/jamanetworkopen.2018.2044.


Trends in 30-Day Readmission Rates for Medicare and Non-Medicare Patients in the Era of the Affordable Care Act.

Angraal S, Khera R, Zhou S, Wang Y, Lin Z, Dharmarajan K, Desai NR, Bernheim SM, Drye EE, Nasir K, Horwitz LI, Krumholz HM.

Am J Med. 2018 Nov;131(11):1324-1331.e14. doi: 10.1016/j.amjmed.2018.06.013. Epub 2018 Sep 7.


Association Between Postdischarge Emergency Department Visitation and Readmission Rates.

Venkatesh AK, Wang C, Wang Y, Altaf F, Bernheim SM, Horwitz L.

J Hosp Med. 2018 Sep 1;13(9):589-594. doi: 10.12788/jhm.2937. Epub 2018 Mar 15.


Promoting Health Equity And Eliminating Disparities Through Performance Measurement And Payment.

Anderson AC, O'Rourke E, Chin MH, Ponce NA, Bernheim SM, Burstin H.

Health Aff (Millwood). 2018 Mar;37(3):371-377. doi: 10.1377/hlthaff.2017.1301.


Hospital Characteristics Associated With Postdischarge Hospital Readmission, Observation, and Emergency Department Utilization.

Horwitz LI, Wang Y, Altaf FK, Wang C, Lin Z, Liu S, Grady J, Bernheim SM, Desai NR, Venkatesh AK, Herrin J.

Med Care. 2018 Apr;56(4):281-289. doi: 10.1097/MLR.0000000000000882.


Variation in the Diagnosis of Aspiration Pneumonia and Association with Hospital Pneumonia Outcomes.

Lindenauer PK, Strait KM, Grady JN, Ngo CK, Parisi ML, Metersky M, Ross JS, Bernheim SM, Dorsey K.

Ann Am Thorac Soc. 2018 May;15(5):562-569. doi: 10.1513/AnnalsATS.201709-728OC.


Defining Multiple Chronic Conditions for Quality Measurement.

Drye EE, Altaf FK, Lipska KJ, Spatz ES, Montague JA, Bao H, Parzynski CS, Ross JS, Bernheim SM, Krumholz HM, Lin Z.

Med Care. 2018 Feb;56(2):193-201. doi: 10.1097/MLR.0000000000000853.


Age Differences in Hospital Mortality for Acute Myocardial Infarction: Implications for Hospital Profiling.

Dharmarajan K, McNamara RL, Wang Y, Masoudi FA, Ross JS, Spatz EE, Desai NR, de Lemos JA, Fonarow GC, Heidenreich PA, Bhatt DL, Bernheim SM, Slattery LE, Khan YM, Curtis JP.

Ann Intern Med. 2017 Oct 17;167(8):555-564. doi: 10.7326/M16-2871. Epub 2017 Sep 26.


Incorporating Stroke Severity Into Hospital Measures of 30-Day Mortality After Ischemic Stroke Hospitalization.

Schwartz J, Wang Y, Qin L, Schwamm LH, Fonarow GC, Cormier N, Dorsey K, McNamara RL, Suter LG, Krumholz HM, Bernheim SM.

Stroke. 2017 Nov;48(11):3101-3107. doi: 10.1161/STROKEAHA.117.017960. Epub 2017 Sep 27.


Hospital-Readmission Risk - Isolating Hospital Effects from Patient Effects.

Krumholz HM, Wang K, Lin Z, Dharmarajan K, Horwitz LI, Ross JS, Drye EE, Bernheim SM, Normand ST.

N Engl J Med. 2017 Sep 14;377(11):1055-1064. doi: 10.1056/NEJMsa1702321.


Association of Changing Hospital Readmission Rates With Mortality Rates After Hospital Discharge.

Dharmarajan K, Wang Y, Lin Z, Normand ST, Ross JS, Horwitz LI, Desai NR, Suter LG, Drye EE, Bernheim SM, Krumholz HM.

JAMA. 2017 Jul 18;318(3):270-278. doi: 10.1001/jama.2017.8444.


Hospital Characteristics Associated With Risk-standardized Readmission Rates.

Horwitz LI, Bernheim SM, Ross JS, Herrin J, Grady JN, Krumholz HM, Drye EE, Lin Z.

Med Care. 2017 May;55(5):528-534. doi: 10.1097/MLR.0000000000000713.


Association Between Hospital Penalty Status Under the Hospital Readmission Reduction Program and Readmission Rates for Target and Nontarget Conditions.

Desai NR, Ross JS, Kwon JY, Herrin J, Dharmarajan K, Bernheim SM, Krumholz HM, Horwitz LI.

JAMA. 2016 Dec 27;316(24):2647-2656. doi: 10.1001/jama.2016.18533.


Readmission Rates: The Authors Reply.

Bernheim SM, Krumholz HM, Lin Z.

Health Aff (Millwood). 2016 Nov 1;35(11):2152. No abstract available.


Hospital Use of Observation Stays: Cross-sectional Study of the Impact on Readmission Rates.

Venkatesh AK, Wang C, Ross JS, Altaf FK, Suter LG, Vellanky S, Grady JN, Bernheim SM.

Med Care. 2016 Dec;54(12):1070-1077.


Discerning quality: an analysis of informed consent documents for common cardiovascular procedures.

Shahu A, Schwartz J, Perez M, Bernheim SM, Krumholz HM, Spatz ES.

BMJ Qual Saf. 2017 Jul;26(7):569-571. doi: 10.1136/bmjqs-2016-005663. Epub 2016 Aug 18. No abstract available.


Accounting For Patients' Socioeconomic Status Does Not Change Hospital Readmission Rates.

Bernheim SM, Parzynski CS, Horwitz L, Lin Z, Araas MJ, Ross JS, Drye EE, Suter LG, Normand SL, Krumholz HM.

Health Aff (Millwood). 2016 Aug 1;35(8):1461-70. doi: 10.1377/hlthaff.2015.0394.


Declining Admission Rates And Thirty-Day Readmission Rates Positively Associated Even Though Patients Grew Sicker Over Time.

Dharmarajan K, Qin L, Lin Z, Horwitz LI, Ross JS, Drye EE, Keshawarz A, Altaf F, Normand SL, Krumholz HM, Bernheim SM.

Health Aff (Millwood). 2016 Jul 1;35(7):1294-302. doi: 10.1377/hlthaff.2015.1614.


Risk-standardized Acute Admission Rates Among Patients With Diabetes and Heart Failure as a Measure of Quality of Accountable Care Organizations: Rationale, Methods, and Early Results.

Spatz ES, Lipska KJ, Dai Y, Bao H, Lin Z, Parzynski CS, Altaf FK, Joyce EK, Montague JA, Ross JS, Bernheim SM, Krumholz HM, Drye EE.

Med Care. 2016 May;54(5):528-37. doi: 10.1097/MLR.0000000000000518.


Association of Admission to Veterans Affairs Hospitals vs Non-Veterans Affairs Hospitals With Mortality and Readmission Rates Among Older Men Hospitalized With Acute Myocardial Infarction, Heart Failure, or Pneumonia.

Nuti SV, Qin L, Rumsfeld JS, Ross JS, Masoudi FA, Normand SL, Murugiah K, Bernheim SM, Suter LG, Krumholz HM.

JAMA. 2016 Feb 9;315(6):582-92. doi: 10.1001/jama.2016.0278.


Development of a Hospital Outcome Measure Intended for Use With Electronic Health Records: 30-Day Risk-standardized Mortality After Acute Myocardial Infarction.

McNamara RL, Wang Y, Partovian C, Montague J, Mody P, Eddy E, Krumholz HM, Bernheim SM.

Med Care. 2015 Sep;53(9):818-26. doi: 10.1097/MLR.0000000000000402.


Development and Validation of an Algorithm to Identify Planned Readmissions From Claims Data.

Horwitz LI, Grady JN, Cohen DB, Lin Z, Volpe M, Ngo CK, Masica AL, Long T, Wang J, Keenan M, Montague J, Suter LG, Ross JS, Drye EE, Krumholz HM, Bernheim SM.

J Hosp Med. 2015 Oct;10(10):670-7. doi: 10.1002/jhm.2416. Epub 2015 Jul 7.


An administrative claims measure of payments made for Medicare patients for a 30-day episode of care for acute myocardial infarction.

Kim N, Bernheim SM, Ott LS, Han L, Spivack SB, Xu X, Volpe M, Liu A, Krumholz HM.

Med Care. 2015 Jun;53(6):542-9. doi: 10.1097/MLR.0000000000000361.


The role of socioeconomic status in hospital outcomes measures.

Krumholz HM, Bernheim SM.

Ann Intern Med. 2015 May 5;162(9):670. doi: 10.7326/L15-5087-2. No abstract available.


Improvements in the distribution of hospital performance for the care of patients with acute myocardial infarction, heart failure, and pneumonia, 2006-2011.

Nuti SV, Wang Y, Masoudi FA, Bratzler DW, Bernheim SM, Murugiah K, Krumholz HM.

Med Care. 2015 Jun;53(6):485-91. doi: 10.1097/MLR.0000000000000358.


Considering the role of socioeconomic status in hospital outcomes measures.

Krumholz HM, Bernheim SM.

Ann Intern Med. 2014 Dec 2;161(11):833-4. doi: 10.7326/M14-2308. No abstract available.


Development and use of an administrative claims measure for profiling hospital-wide performance on 30-day unplanned readmission.

Horwitz LI, Partovian C, Lin Z, Grady JN, Herrin J, Conover M, Montague J, Dillaway C, Bartczak K, Suter LG, Ross JS, Bernheim SM, Krumholz HM, Drye EE.

Ann Intern Med. 2014 Nov 18;161(10 Suppl):S66-75. doi: 10.7326/M13-3000.


Payments for acute myocardial infarction episodes-of-care initiated at hospitals with and without interventional capabilities.

Ben-Josef G, Ott LS, Spivack SB, Wang C, Ross JS, Shah SJ, Curtis JP, Kim N, Krumholz HM, Bernheim SM.

Circ Cardiovasc Qual Outcomes. 2014 Nov;7(6):882-8. doi: 10.1161/CIRCOUTCOMES.114.000927. Epub 2014 Nov 11.


Readmissions after hospitalization for heart failure, acute myocardial infarction, or pneumonia among young and middle-aged adults: a retrospective observational cohort study.

Ranasinghe I, Wang Y, Dharmarajan K, Hsieh AF, Bernheim SM, Krumholz HM.

PLoS Med. 2014 Sep 30;11(9):e1001737. doi: 10.1371/journal.pmed.1001737. eCollection 2014 Sep.


Hospital cardiovascular outcome measures in federal pay-for-reporting and pay-for-performance programs: a brief overview of current efforts.

Spivack SB, Bernheim SM, Forman HP, Drye EE, Krumholz HM.

Circ Cardiovasc Qual Outcomes. 2014 Sep;7(5):627-33. doi: 10.1161/CIRCOUTCOMES.114.001364. Epub 2014 Sep 9. Review. No abstract available.


Place of residence and outcomes of patients with heart failure: analysis from the telemonitoring to improve heart failure outcomes trial.

Bikdeli B, Wayda B, Bao H, Ross JS, Xu X, Chaudhry SI, Spertus JA, Bernheim SM, Lindenauer PK, Krumholz HM.

Circ Cardiovasc Qual Outcomes. 2014 Sep;7(5):749-56. doi: 10.1161/CIRCOUTCOMES.113.000911. Epub 2014 Jul 29.


National patterns of risk-standardized mortality and readmission after hospitalization for acute myocardial infarction, heart failure, and pneumonia: update on publicly reported outcomes measures based on the 2013 release.

Suter LG, Li SX, Grady JN, Lin Z, Wang Y, Bhat KR, Turkmani D, Spivack SB, Lindenauer PK, Merrill AR, Drye EE, Krumholz HM, Bernheim SM.

J Gen Intern Med. 2014 Oct;29(10):1333-40. doi: 10.1007/s11606-014-2862-5. Epub 2014 May 14.


Measuring quality and enacting policy: readmission rates and socioeconomic factors.

Bernheim SM.

Circ Cardiovasc Qual Outcomes. 2014 May;7(3):350-2. doi: 10.1161/CIRCOUTCOMES.114.001037. Epub 2014 May 13. No abstract available.


Hospital discharge and the transition home for poor patients: "I knew I couldn't do what they were asking me".

Bernheim SM, Ross JS.

J Gen Intern Med. 2014 Feb;29(2):269-70. doi: 10.1007/s11606-013-2698-4. No abstract available.


Hospital readmission performance and patterns of readmission: retrospective cohort study of Medicare admissions.

Dharmarajan K, Hsieh AF, Lin Z, Bueno H, Ross JS, Horwitz LI, Barreto-Filho JA, Kim N, Suter LG, Bernheim SM, Drye EE, Krumholz HM.

BMJ. 2013 Nov 20;347:f6571. doi: 10.1136/bmj.f6571.


Development, validation, and results of a risk-standardized measure of hospital 30-day mortality for patients with exacerbation of chronic obstructive pulmonary disease.

Lindenauer PK, Grosso LM, Wang C, Wang Y, Krishnan JA, Lee TA, Au DH, Mularski RA, Bernheim SM, Drye EE.

J Hosp Med. 2013 Aug;8(8):428-35. doi: 10.1002/jhm.2066. Epub 2013 Jul 26.


Digging deep: teaching hospitals and pay-for-performance.

Curtis JP, Bernheim SM.

Med Care. 2013 Jul;51(7):565-6. doi: 10.1097/MLR.0b013e31829d4d86. No abstract available.


Relationship between hospital readmission and mortality rates for patients hospitalized with acute myocardial infarction, heart failure, or pneumonia.

Krumholz HM, Lin Z, Keenan PS, Chen J, Ross JS, Drye EE, Bernheim SM, Wang Y, Bradley EH, Han LF, Normand SL.

JAMA. 2013 Feb 13;309(6):587-93. doi: 10.1001/jama.2013.333.


Diagnoses and timing of 30-day readmissions after hospitalization for heart failure, acute myocardial infarction, or pneumonia.

Dharmarajan K, Hsieh AF, Lin Z, Bueno H, Ross JS, Horwitz LI, Barreto-Filho JA, Kim N, Bernheim SM, Suter LG, Drye EE, Krumholz HM.

JAMA. 2013 Jan 23;309(4):355-63. doi: 10.1001/jama.2012.216476.


Based on key measures, care quality for Medicare enrollees at safety-net and non-safety-net hospitals was almost equal.

Ross JS, Bernheim SM, Lin Z, Drye EE, Chen J, Normand SL, Krumholz HM.

Health Aff (Millwood). 2012 Aug;31(8):1739-48. doi: 10.1377/hlthaff.2011.1028.


Regional associations between Medicare Advantage penetration and administrative claims-based measures of hospital outcomes.

Kulkarni VT, Shah SJ, Bernheim SM, Wang Y, Normand SL, Han LF, Rapp MT, Drye EE, Krumholz HM.

Med Care. 2012 May;50(5):406-9. doi: 10.1097/MLR.0b013e318245a0f9.


Skilled nursing facility referral and hospital readmission rates after heart failure or myocardial infarction.

Chen J, Ross JS, Carlson MD, Lin Z, Normand SL, Bernheim SM, Drye EE, Ling SM, Han LF, Rapp MT, Krumholz HM.

Am J Med. 2012 Jan;125(1):100.e1-9. doi: 10.1016/j.amjmed.2011.06.011.


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.

Health Aff (Millwood). 2011 Dec;30(12):2301-9. doi: 10.1377/hlthaff.2011.0255.


National performance on door-in to door-out time among patients transferred for primary percutaneous coronary intervention.

Herrin J, Miller LE, Turkmani DF, Nsa W, Drye EE, Bernheim SM, Ling SM, Rapp MT, Han LF, Bratzler DW, Bradley EH, Nallamothu BK, Ting HH, Krumholz HM.

Arch Intern Med. 2011 Nov 28;171(21):1879-86. doi: 10.1001/archinternmed.2011.481.

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