Laurent G Glance
Datos Biográficos
| ID | 5533772 |
|---|---|
| NOMBRE | Laurent G Glance |
| NOMBRES | Laurent G |
| APELLIDO | Glance |
| FIRMA | GLANCE L G |
| AFILIACIONES | University of Rochester |
| ORCID | 0000-0003-3381-699X |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 20 |
| TOTAL DE CITAS | 9 |
| TOTAL COMO AUTOR | 20 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2006 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
Trends and Disparities in Post-acute Care Utilization After Hospitalization for Sepsis in the United States
BACKGROUND: Post-acute care (PAC) utilization following sepsis hospitalization remains understudied, particularly concerning racial and ethnic and urban-rural disparities. OBJECTIVES: To examine trends and disparities in PAC utilization after sepsis hospitalization, focusing on race, ethnicity, and rurality. METHODS: A comprehensive search of databases (PubMed, CINAHL, Embase, Web of Science, and Scopus) was conducted for eligible studies using d…
The Unequal Burden of Covid-19 Deaths in Counties With High Proportions of Black and Hispanic Residents
BACKGROUND: Understanding the current burden of coronavirus disease 2019 (COVID-19) deaths in vulnerable populations will help inform efforts by policymakers to address disparities in COVID-19 outcomes. OBJECTIVE: The objective of this study was to examine the association between COVID-19 deaths and the county-level proportions of non-Hispanic Black and Hispanic residents. RESEARCH DESIGN AND METHODS: A retrospective study using COVID-19 mortalit…
Impact of Medicare’s Nonpayment Program on Hospital-acquired Conditions
BACKGROUND: Medicare's Nonpayment Program of 2008 (hereafter called Program) withholds hospital reimbursement for costs related to hospital-acquired conditions (HACs). Little is known whether a hospital's Medicare patient load [quantified by the hospital's Medicare utilization ratio (MUR), which is the proportion of inpatient days financed by Medicare] influences its response to the Program. OBJECTIVE: To determine whether the Program was associa…
Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays
BACKGROUND: Increasing surgical access to previously underserved populations in the United States may require a major expansion of the use of operating rooms on weekends to take advantage of unused capacity. Although the so-called weekend effect for surgery has been described in other countries, it is unknown whether US patients undergoing moderate-to-high risk surgery on weekends are more likely to experience worse outcomes than patients undergo…
Disparities in 30-Day Rehospitalization Rates Among Medicare Skilled Nursing Facility Residents by Race and Site of Care
OBJECTIVES: To examine racial and site-of-care disparities in all-cause and potentially avoidable 30-day rehospitalization rates among a national cohort of Medicare skilled nursing facility (SNF) residents. METHODS: We analyzed the 2012 Minimum Data Set, Medicare inpatient claims, and other data. Multivariable logistic regressions were used to adjust for resident demographic, functional, and diagnostic characteristics, as well as observed SNF and…
Does Mandating Nursing Home Participation in Quality Reporting Make a Difference? Evidence From Massachusetts
BACKGROUND: Quality report cards have been shown to be effective in influencing patients' referrals and promoting quality improvement in some instances and not others. In this study, we investigate one of the mechanisms that may detract from their effectiveness: voluntary versus mandatory participation of nursing homes in public quality reporting. OBJECTIVES: To answer 2 questions: (1) Were the nursing homes choosing not to participate low-qualit…
Trends in Family Ratings of Experience With Care and Racial Disparities Among Maryland Nursing Homes
BACKGROUND: Providing equitable and patient-centered care is critical to ensuring high quality of care. Although racial/ethnic disparities in quality are widely reported for nursing facilities, it is unknown whether disparities exist in consumer experiences with care and how public reporting of consumer experiences affects facility performance and potential racial disparities. METHODS: We analyzed trends of consumer ratings publicly reported for …
Racial Disparities in Rehospitalization Among Medicare Patients in Skilled Nursing Facilities
Objectives. We examined racial disparities in rehospitalization rates among a cohort of non-Hispanic White and Black Medicare beneficiaries admitted to skilled nursing facilities for postacute care. Methods. We analyzed the 2008 national Nursing Home Minimum Data Set, augmented with other databases. We used multivariable logistic regression to estimate overall racial disparities in rehospitalization rates within 30 days and 90 days of nursing fac…
Association Between Leapfrog Safe Practices Score and Hospital Mortality in Major Surgery
BACKGROUND: The Leapfrog Group reports on hospitals' adoption of the National Quality Forum Patient Safety Practices. However, it is unknown whether hospital compliance with these safe practices is associated with improved outcomes in patients undergoing major surgery. METHODS: We analyzed the association between hospital mortality and Leapfrog Safe Practices among patients undergoing coronary artery bypass graft surgery (n=18,565), abdominal aor…
Measuring Quality for Public Reporting of Health Provider Quality
Public quality reports of hospitals, health plans, and physicians are being used to promote efficiency and quality in the health care system. Shrinkage estimators have been proposed as superior measures of quality to be used in these reports because they offer more conservative and stable quality ranking of providers than traditional, nonshrinkage estimators. Adopting the perspective of a patient faced with choosing a local provider on the basis …
The Volume-Outcome Relationship in Nursing Home Care
BACKGROUND: Extensive evidence has demonstrated a relationship between patient volume and improved clinical outcomes in hospital care. This study sought to determine whether a similar association exists between nursing home volume of long-term care residents and rates of decline in physical function. METHODS: We conducted retrospective analyses on the 2004 and 2005 Minimum Data Set files that contain 605,433 eligible long-term residents in 9336 n…
How Well Do Hospital Mortality Rates Reported in the New York State Cabg Report Card Predict Subsequent Hospital Performance
BACKGROUND: The use of mortality report cards as the basis for hospital choice assumes that a hospital's current performance is predicted by its past performance. OBJECTIVE: To assess the accuracy of hospital risk-adjusted mortality rates reported in the New York State (NYS) coronary artery bypass graft (CABG) report card for predicting subsequent hospital mortality. METHODS: We performed a retrospective study based on hospital mortality measures…
Mental Illness and Hospitalization for Ambulatory Care Sensitive Medical Conditions
BACKGROUND: Hospitalization due to ambulatory care sensitive (ACS) medical conditions is widely used as an indicator of poor primary care access and effectiveness. It is unknown whether patients with mental disorders have higher ACS admission rate, compared with patients without mental disorders. OBJECTIVE: To compare the ACS admission pattern and its resultant hospital cost and length of stay (LOS) between medical patients with and without coexi…
Does Risk Adjustment of the CMS Quality Measures for Nursing Homes Matter
BACKGROUND: The Centers for Medicare and Medicaid Services (CMS) publish a report card for nursing homes with 19 clinical quality measures (QMs). These measures include minimal risk adjustment. OBJECTIVES: To develop QMs with more extensive risk adjustment and to investigate the impact on quality rankings. RESEARCH DESIGN: Retrospective analysis of individual level data reported in the Minimum Data Set (MDS). Random effect logistic models were us…
Impact of the Present-on-Admission Indicator on Hospital Quality Measurement
BACKGROUND: The Agency for Healthcare Research and Quality (AHRQ) has constructed Inpatient Quality Indicator (IQI) mortality measures to measure hospital quality using routinely available administrative data. With the exception of California, New York State, and Wisconsin, administrative data do not include a present-on-admission (POA) indicator to distinguish between preexisting conditions and complications. The extent to which the lack of a PO…
Are Patients With Coexisting Mental Disorders More Likely to Receive Cabg Surgery From Low-Quality Cardiac Surgeons
BACKGROUND: Presence of a mental disorder has been shown to be associated with reduced access to medical and surgical services. Little is known, however, about the relationship between mental disorders and the quality of medical/surgical care received. METHODS: We analyzed New York State hospital discharge data between 2001 and 2003 and New York's publicly-released Cardiac Surgery Report of surgeons' risk-adjusted mortality rate, to evaluate whet…
Nurse Working Conditions and Patient Safety Outcomes
BACKGROUND: System approaches, such as improving working conditions, have been advocated to improve patient safety. However, the independent effect of many working condition variables on patient outcomes is unknown. OBJECTIVE: To examine effects of a comprehensive set of working conditions on elderly patient safety outcomes in intensive care units. DESIGN: Observational study, with patient outcome data collected using the National Nosocomial Infe…
Gender Differences in Healthcare-Seeking Behavior for Urinary Incontinence and the Impact of Socioeconomic Status
BACKGROUND: Despite the gender difference in etiology, prevalence and management of urinary incontinence (UI) among community-living older adults, little is known about the effect of gender on their healthcare-seeking behaviors. OBJECTIVE: To determine gender differences in professional care seeking, receipt of UI treatment, and the impact of age and socioeconomic status. RESEARCH DESIGN: National survey of Medicare managed care enrollees in 2003…
Use of a Matching Algorithm to Evaluate Hospital Coronary Artery Bypass Grafting Performance as an Alternative to Conventional Risk Adjustment
BACKGROUND: Although public reporting of hospital and physician performance is a cornerstone of the effort to improve health care quality, the optimal approach to risk adjustment is unknown. OBJECTIVE: We sought to assess hospital quality using a matching algorithm based on a generalized distance metric and to compare this approach to the more traditional regression-based approach. DESIGN/ DATA SOURCE: This was a retrospective study using the New…
Impact of Changing the Statistical Methodology on Hospital and Surgeon Ranking
BACKGROUND: Risk adjustment is central to the generation of health outcome report cards. It is unclear, however, whether risk adjustment should be based on standard logistic regression, fixed-effects or random-effects modeling. OBJECTIVE: The objective of this study was to determine how robust the New York State (NYS) Coronary Artery Bypass Graft (CABG) Surgery Report Card is to changes in the underlying statistical methodology. METHODS: Retrospe…
Racial Disparities in Rehospitalization Among Medicare Patients in Skilled Nursing Facilities
Objectives. We examined racial disparities in rehospitalization rates among a cohort of non-Hispanic White and Black Medicare beneficiaries admitted to skilled nursing facilities for postacute care. Methods. We analyzed the 2008 national Nursing Home Minimum Data Set, augmented with other databases. We used multivariable logistic regression to estimate overall racial disparities in rehospitalization rates within 30 days and 90 days of nursing fac…
Measuring Quality for Public Reporting of Health Provider Quality
Public quality reports of hospitals, health plans, and physicians are being used to promote efficiency and quality in the health care system. Shrinkage estimators have been proposed as superior measures of quality to be used in these reports because they offer more conservative and stable quality ranking of providers than traditional, nonshrinkage estimators. Adopting the perspective of a patient faced with choosing a local provider on the basis …
Impact of Changing the Statistical Methodology on Hospital and Surgeon Ranking
BACKGROUND: Risk adjustment is central to the generation of health outcome report cards. It is unclear, however, whether risk adjustment should be based on standard logistic regression, fixed-effects or random-effects modeling. OBJECTIVE: The objective of this study was to determine how robust the New York State (NYS) Coronary Artery Bypass Graft (CABG) Surgery Report Card is to changes in the underlying statistical methodology. METHODS: Retrospe…
Are Patients With Coexisting Mental Disorders More Likely to Receive Cabg Surgery From Low-Quality Cardiac Surgeons
BACKGROUND: Presence of a mental disorder has been shown to be associated with reduced access to medical and surgical services. Little is known, however, about the relationship between mental disorders and the quality of medical/surgical care received. METHODS: We analyzed New York State hospital discharge data between 2001 and 2003 and New York's publicly-released Cardiac Surgery Report of surgeons' risk-adjusted mortality rate, to evaluate whet…
Nurse Working Conditions and Patient Safety Outcomes
BACKGROUND: System approaches, such as improving working conditions, have been advocated to improve patient safety. However, the independent effect of many working condition variables on patient outcomes is unknown. OBJECTIVE: To examine effects of a comprehensive set of working conditions on elderly patient safety outcomes in intensive care units. DESIGN: Observational study, with patient outcome data collected using the National Nosocomial Infe…
Gender Differences in Healthcare-Seeking Behavior for Urinary Incontinence and the Impact of Socioeconomic Status
BACKGROUND: Despite the gender difference in etiology, prevalence and management of urinary incontinence (UI) among community-living older adults, little is known about the effect of gender on their healthcare-seeking behaviors. OBJECTIVE: To determine gender differences in professional care seeking, receipt of UI treatment, and the impact of age and socioeconomic status. RESEARCH DESIGN: National survey of Medicare managed care enrollees in 2003…
Use of a Matching Algorithm to Evaluate Hospital Coronary Artery Bypass Grafting Performance as an Alternative to Conventional Risk Adjustment
BACKGROUND: Although public reporting of hospital and physician performance is a cornerstone of the effort to improve health care quality, the optimal approach to risk adjustment is unknown. OBJECTIVE: We sought to assess hospital quality using a matching algorithm based on a generalized distance metric and to compare this approach to the more traditional regression-based approach. DESIGN/ DATA SOURCE: This was a retrospective study using the New…
Mental Illness and Hospitalization for Ambulatory Care Sensitive Medical Conditions
BACKGROUND: Hospitalization due to ambulatory care sensitive (ACS) medical conditions is widely used as an indicator of poor primary care access and effectiveness. It is unknown whether patients with mental disorders have higher ACS admission rate, compared with patients without mental disorders. OBJECTIVE: To compare the ACS admission pattern and its resultant hospital cost and length of stay (LOS) between medical patients with and without coexi…
Does Risk Adjustment of the CMS Quality Measures for Nursing Homes Matter
BACKGROUND: The Centers for Medicare and Medicaid Services (CMS) publish a report card for nursing homes with 19 clinical quality measures (QMs). These measures include minimal risk adjustment. OBJECTIVES: To develop QMs with more extensive risk adjustment and to investigate the impact on quality rankings. RESEARCH DESIGN: Retrospective analysis of individual level data reported in the Minimum Data Set (MDS). Random effect logistic models were us…
Impact of the Present-on-Admission Indicator on Hospital Quality Measurement
BACKGROUND: The Agency for Healthcare Research and Quality (AHRQ) has constructed Inpatient Quality Indicator (IQI) mortality measures to measure hospital quality using routinely available administrative data. With the exception of California, New York State, and Wisconsin, administrative data do not include a present-on-admission (POA) indicator to distinguish between preexisting conditions and complications. The extent to which the lack of a PO…
Measuring Quality for Public Reporting of Health Provider Quality
Public quality reports of hospitals, health plans, and physicians are being used to promote efficiency and quality in the health care system. Shrinkage estimators have been proposed as superior measures of quality to be used in these reports because they offer more conservative and stable quality ranking of providers than traditional, nonshrinkage estimators. Adopting the perspective of a patient faced with choosing a local provider on the basis …
The Volume-Outcome Relationship in Nursing Home Care
BACKGROUND: Extensive evidence has demonstrated a relationship between patient volume and improved clinical outcomes in hospital care. This study sought to determine whether a similar association exists between nursing home volume of long-term care residents and rates of decline in physical function. METHODS: We conducted retrospective analyses on the 2004 and 2005 Minimum Data Set files that contain 605,433 eligible long-term residents in 9336 n…
How Well Do Hospital Mortality Rates Reported in the New York State Cabg Report Card Predict Subsequent Hospital Performance
BACKGROUND: The use of mortality report cards as the basis for hospital choice assumes that a hospital's current performance is predicted by its past performance. OBJECTIVE: To assess the accuracy of hospital risk-adjusted mortality rates reported in the New York State (NYS) coronary artery bypass graft (CABG) report card for predicting subsequent hospital mortality. METHODS: We performed a retrospective study based on hospital mortality measures…
Racial Disparities in Rehospitalization Among Medicare Patients in Skilled Nursing Facilities
Objectives. We examined racial disparities in rehospitalization rates among a cohort of non-Hispanic White and Black Medicare beneficiaries admitted to skilled nursing facilities for postacute care. Methods. We analyzed the 2008 national Nursing Home Minimum Data Set, augmented with other databases. We used multivariable logistic regression to estimate overall racial disparities in rehospitalization rates within 30 days and 90 days of nursing fac…
Association Between Leapfrog Safe Practices Score and Hospital Mortality in Major Surgery
BACKGROUND: The Leapfrog Group reports on hospitals' adoption of the National Quality Forum Patient Safety Practices. However, it is unknown whether hospital compliance with these safe practices is associated with improved outcomes in patients undergoing major surgery. METHODS: We analyzed the association between hospital mortality and Leapfrog Safe Practices among patients undergoing coronary artery bypass graft surgery (n=18,565), abdominal aor…
Trends in Family Ratings of Experience With Care and Racial Disparities Among Maryland Nursing Homes
BACKGROUND: Providing equitable and patient-centered care is critical to ensuring high quality of care. Although racial/ethnic disparities in quality are widely reported for nursing facilities, it is unknown whether disparities exist in consumer experiences with care and how public reporting of consumer experiences affects facility performance and potential racial disparities. METHODS: We analyzed trends of consumer ratings publicly reported for …
Disparities in 30-Day Rehospitalization Rates Among Medicare Skilled Nursing Facility Residents by Race and Site of Care
OBJECTIVES: To examine racial and site-of-care disparities in all-cause and potentially avoidable 30-day rehospitalization rates among a national cohort of Medicare skilled nursing facility (SNF) residents. METHODS: We analyzed the 2012 Minimum Data Set, Medicare inpatient claims, and other data. Multivariable logistic regressions were used to adjust for resident demographic, functional, and diagnostic characteristics, as well as observed SNF and…
Does Mandating Nursing Home Participation in Quality Reporting Make a Difference? Evidence From Massachusetts
BACKGROUND: Quality report cards have been shown to be effective in influencing patients' referrals and promoting quality improvement in some instances and not others. In this study, we investigate one of the mechanisms that may detract from their effectiveness: voluntary versus mandatory participation of nursing homes in public quality reporting. OBJECTIVES: To answer 2 questions: (1) Were the nursing homes choosing not to participate low-qualit…
Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays
BACKGROUND: Increasing surgical access to previously underserved populations in the United States may require a major expansion of the use of operating rooms on weekends to take advantage of unused capacity. Although the so-called weekend effect for surgery has been described in other countries, it is unknown whether US patients undergoing moderate-to-high risk surgery on weekends are more likely to experience worse outcomes than patients undergo…
Impact of Medicare’s Nonpayment Program on Hospital-acquired Conditions
BACKGROUND: Medicare's Nonpayment Program of 2008 (hereafter called Program) withholds hospital reimbursement for costs related to hospital-acquired conditions (HACs). Little is known whether a hospital's Medicare patient load [quantified by the hospital's Medicare utilization ratio (MUR), which is the proportion of inpatient days financed by Medicare] influences its response to the Program. OBJECTIVE: To determine whether the Program was associa…
The Unequal Burden of Covid-19 Deaths in Counties With High Proportions of Black and Hispanic Residents
BACKGROUND: Understanding the current burden of coronavirus disease 2019 (COVID-19) deaths in vulnerable populations will help inform efforts by policymakers to address disparities in COVID-19 outcomes. OBJECTIVE: The objective of this study was to examine the association between COVID-19 deaths and the county-level proportions of non-Hispanic Black and Hispanic residents. RESEARCH DESIGN AND METHODS: A retrospective study using COVID-19 mortalit…
Trends and Disparities in Post-acute Care Utilization After Hospitalization for Sepsis in the United States
BACKGROUND: Post-acute care (PAC) utilization following sepsis hospitalization remains understudied, particularly concerning racial and ethnic and urban-rural disparities. OBJECTIVES: To examine trends and disparities in PAC utilization after sepsis hospitalization, focusing on race, ethnicity, and rurality. METHODS: A comprehensive search of databases (PubMed, CINAHL, Embase, Web of Science, and Scopus) was conducted for eligible studies using d…
Medicine (19 obras) · Internal Medicine (10 obras) · Internal Medicine (10 obras) · Nursing (10 obras) · Emergency Medicine (9 obras) · Emergency Medicine (9 obras) · Health care (8 obras) · Confidence interval (7 obras) · Geriatric Care and Nursing Homes (7 obras) · Logistic regression (7 obras)