Gary E Rosenthal

Biographic Data

ID200403
NAMEGary E Rosenthal
GIVEN NAMESGary E
FAMILY NAMERosenthal
SIGNATUREROSENTHAL G E
AFFILIATIONSUniversity of Iowa
ORCID0000-0003-3449-5200
VERIFIEDYes
TOTAL WORKS27
TOTAL CITATIONS22
AUTHOR COUNT27
EDITOR COUNT0
FIRST PUBLICATION YEAR1992
LATEST PUBLICATION YEAR2023
H-INDEX3

  • The Academic Learning Health System: A Framework for Integrating the Multiple Missions of Academic Medical Centers

    Open AccessGary E Rosenthal, Donald A McClain et al.ARTICLEAcademic Medicine2023

    The learning health system (LHS) has emerged over the past 15 years as a concept for improving health care delivery. Core aspects of the LHS concept include: promoting improved patient care through organizational learning, innovation, and continuous quality improvement; identifying, critically assessing, and translating knowledge and evidence into improved practices; building new knowledge and evidence around how to improve health care and health…

  • Perspectives on Electronic Informed Consent From Patients Underrepresented in Research in the United States: A Focus Group Study

    Open AccessChristian Simon, Helen A Schartz et al.ARTICLEJournal of Empirical Research on…2018Cited by: 2References: 1

    Digital informed consent may better inform individuals about health research and increase participation. In the United States and elsewhere, minorities and rural populations are underrepresented in health research and may benefit from well-designed electronic informed consent (eIC). Seven focus groups were conducted with 50 Caucasian, African American, and rural patients in the United States. Participants were asked their preferences for a paper …

  • Gatekeepers as Care Providers: The Care Work of Patient-centered Medical Home Clerical Staff

    Open AccessSamantha L Solimeo, Sarah S Ono et al.ARTICLEMedical Anthropology Quarterly2017Cited by: 9References: 36

    International implementation of the patient-centered medical home (PCMH) model for delivering primary care has dramatically increased in the last decade. A majority of research on PCMH's impact has emphasized the care provided by clinically trained staff. In this article, we report our ethnographic analysis of data collected from Department of Veterans Affairs staff implementing PACT, the VA version of PCMH. Teams were trained to use within-team …

  • Use of Mechanical and Noninvasive Ventilation in Black and White Chronic Obstructive Pulmonary Disease Patients Within the Veterans Administration Health Care System

    Katrina T Cannon, Mary Vaughan Sarrazin et al.ARTICLEMedical Care2009References: 23

    BACKGROUND: Black patients are more likely than white patients to prefer and receive more life-sustaining interventions in advanced stages of disease. However, little is known about potential racial differences in use of mechanical ventilation (MV), and the newer modality of noninvasive ventilation (NIV), in treatment of chronic obstructive pulmonary disease (COPD). OBJECTIVE: To determine if rates of MV and NIV use differ among black and white p…

  • An Interpersonal Continuity of Care Measure for Medicare Part B Claims Analyses

    Fredric D Wolinsky, Thomas R Miller et al.ARTICLEThe Journals of Gerontology…2007Cited by: 3References: 1

    Researchers can measure interpersonal continuity of care using Medicare Part B claims. Replication of these findings and further construct validation, however, are needed prior to widespread adoption of this method

  • Hospital Episodes and Physician Visits: The Concordance Between Self-Reports and Medicare Claims

    Fredric D Wolinsky, Thomas R Miller et al.ARTICLEMedical Care2007References: 31

    BACKGROUND: Health services use typically is examined using either self-reports or administrative data, but the concordance between the 2 is not well established. OBJECTIVE: We evaluated the concordance of hospital and physician utilization data from self-reports and claims data, and identified factors associated with disagreement. METHODS: We performed a secondary analysis on linked observational and administrative data. A national sample of 431…

  • Conflicts and Concordance Between Measures of Medication Prescribing Quality

    Michael A Steinman, Gary E Rosenthal et al.ARTICLEMedical Care2007References: 25

    BACKGROUND: Several instruments commonly are used to assess the quality of medication prescribing. However, little is known about the relationship between these instruments or the concordance of their quality assessments when applied to the same group of patients. METHODS: We assessed 3 indicators of prescribing quality in a cohort of 196 veterans age 65 and older who were taking 5 or more medications. These 3 indicators assessed whether each pat…

  • Predicting Resource Utilization in a Veterans Health Administration Primary Care Population: Comparison of Methods Based on Diagnoses and Medications

    Terry L Wahls, Mitchell J Barnett et al.ARTICLEMedical Care2004References: 23

    BACKGROUND: Valid methods of predicting resource utilization in primary care populations are needed. We compared the predictive validity of a method based on diagnoses from administrative data (Adjusted Clinical Groups [ACGs]) and a method using medication profiles (Chronic Disease Index [CDI]). METHODS: This retrospective cohort study included 31,212 primary care patients in a Veterans Health Administration (VA) network who received outpatient m…

  • Differences in Length of Stay in Veterans Health Administration and Other United States Hospitals: Is the Gap Closing

    Gary E Rosenthal, Peter J Kaboli et al.ARTICLEMedical Care2003References: 25

    OBJECTIVES: Compare risk-adjusted length of stay (LOS) in VA and other United States (non-VA) hospitals and determine if relative differences in LOS have changed in recent years. RESEARCH DESIGN: Retrospective cohort study. PATIENTS: Patients with ten common medical diagnoses admitted to all VA hospitals and to non-VA hospitals included in the National Hospital Discharge Survey (NHDS) during 1996 through 1999. DATA: Comparable data elements were …

  • In-Hospital Mortality Following Coronary Artery Bypass Graft Surgery in Veterans Health Administration and Private Sector Hospitals

    Gary E Rosenthal, Mary Vaughan Sarrazin et al.ARTICLEMedical Care2003References: 32

    OBJECTIVES: Compare severity-adjusted in-hospital mortality in patients undergoing coronary artery bypass graft surgery (CABG) in VA and private sector hospitals in two geographic regions. RESEARCH DESIGN: Retrospective Cohort Study. SUBJECTS: Consecutive male patients undergoing CABG from October 1993 to December 1996 in: 43 VA hospitals with cardiac surgery programs (n = 19,266); 32 hospitals in New York (NY) State (n = 44,247); and 10 hospital…

  • Provider Profiling and Quality Improvement Efforts in Coronary Artery Bypass Graft Surgery: The Effect on Short-Term Mortality Among Medicare Beneficiaries

    Edward L Hannan, Mary S Vaughn Sarrazin et al.ARTICLEMedical Care2003References: 17

    CONTEXT: In the last decade, a few states or regions in the United States have initiated efforts to publicly disseminate coronary artery bypass graft (CABG) surgery outcomes and/or formally initiate quality improvement programs for CABG surgery. OBJECTIVE: To compare CABG mortality rates and changes in CABG mortality rates in regions with quality improvement/public dissemination efforts with the remainder of the country. DESIGN, SETTING, AND PATI…

  • Reliability of Birth Certificate Data: A Multi-Hospital Comparison to Medical Records Information

    Open AccessDavid L DiGiuseppe, David C Aron et al.ARTICLEMaternal and Child Health Journal2002

  • Day of the Week of Intensive Care Admission and Patient Outcomes: A Multisite Regional Evaluation

    Mitchell J Barnett, Peter J Kaboli et al.ARTICLEMedical Care2002References: 29

    BACKGROUND: Relationships between day of the week of admission to hospitals and hospital outcomes have been poorly studied. Intensive care units (ICUs) appear to be uniquely suited to examine such a question given the unpredictability of ICU admissions and the clinical instability of their patient populations. METHODS: This retrospective cohort study included 156,136 patients admitted to 38 ICUs in 28 hospitals in a large Midwestern metropolitan …

  • Length of Stay as a Source of Bias in Comparing Performance in VA and Private Sector Facilities: Lessons Learned from a Regional Evaluation of Intensive Care Outcomes

    Peter J Kaboli, Mitchell J Barnett et al.ARTICLEMedical Care2001References: 30

    OBJECTIVES: Compare intensive care unit (ICU) mortality and length of stay (LOS) in a VA hospital and private sector hospitals and examine the impact of hospital utilization on mortality comparisons. RESEARCH DESIGN: Retrospective cohort study. SUBJECTS: Consecutive ICU admissions to a VA hospital (n = 1,142) and 27 private sector hospitals (n = 51,249) serving the same health care market in 1994 to 1995. MEASURES: Mortality and ICU LOS were adju…

  • Variations in Risk-Adjusted Cesarean Delivery Rates According to Race and Health Insurance

    David C Aron, H Scott Gordon et al.ARTICLEMedical Care2000References: 52

    OBJECTIVE: To assess the association between race and insurance and Cesarean delivery rates after adjusting for clinical risk factors that increase the likelihood of cesarean delivery. DESIGN: Retrospective cohort study in 21 hospitals in northeast Ohio. SUBJECTS: 25,697 women without prior cesarean deliveries admitted for labor and delivery January 1993 through June 1995. METHODS: Demographic and clinical data were abstracted from patients' medi…

  • Are Readmissions to the Intensive Care Unit a Useful Measure of Hospital Performance

    Gregory S Cooper, Carl A Sirio et al.ARTICLEMedical Care1999References: 13

    BACKGROUND: Although patients readmitted to intensive care units (ICUs) typically have poor outcomes, ICU readmission rates have not been studied as a measure of hospital performance. OBJECTIVES: To determine variation in ICU readmission rates across hospitals and associations of readmission rates with other ICU-based measures of hospital performance. RESEARCH DESIGN: Observational cohort study. SUBJECTS: One hundred three thousand nine hundred e…

  • The Relationship of Gender and In-Hospital Death: Increased Risk of Death in Men

    H Scott Gordon, Gary E RosenthalARTICLEMedical Care1999References: 36

    OBJECTIVES: The prognostic importance of gender in hospitalized patients has been poorly studied. The current study compared in-hospital death rates between men and women after adjusting for severity of illness. DESIGN: Retrospective cohort study. PATIENTS: 89,793 eligible patients with 6 common nonsurgical diagnoses who were discharged from 30 hospitals in Northeast Ohio in 1991 to 1993. METHODS: Admission severity of illness (ie, predicted risk…

  • Increased Risk of Death in Patients With Do-Not-Resuscitate Orders

    Laura B Shepardson, Stuart J Youngner et al.ARTICLEMedical Care1999References: 26

    BACKGROUND: Whereas studies have shown higher mortality rates in patients with do-not-resuscitate (DNR) orders, most have not accounted for confounding factors related to the use of DNR orders and/or factors related to the risk of death. OBJECTIVE: To determine the relationship between the use of DNR orders and in-hospital mortality, adjusting for severity of illness and other covariates. DESIGN: Retrospective cohort study. PATIENTS: There were 1…

  • Associations Between the Use of Do-Not-Resuscitate Orders and Length of Stay in Patients With Stroke

    Laura B Shepardson, Amy C Justice et al.ARTICLEMedical Care1998References: 21

    OBJECTIVES: The study sought to describe the association between do-not-resuscitate (DNR) orders and length of hospital stay (LOS), and how the association varies according to in-hospital mortality, timing of the DNR order, and admission severity of illness. METHODS: The authors conducted a retrospective cohort analysis involving standardized review of patients' medical records. The study was performed at 30 acute care hospitals in a large metrop…

  • Patient and Hospital Characteristics Associated With Patient Assessments of Hospital Obstetrical Care

    Beth S Finkelstein, Jagdip Singh et al.ARTICLEMedical Care1998References: 23

    OBJECTIVES: The goals of this study were to examine the relationship of patient assessments of hospital care with patient and hospital characteristics. In addition, the authors sought to assess relationships between patient assessments and other patient-derived measures of care (eg, how much they were helped by the hospitalization and amount of pain experienced). METHODS: The authors surveyed 16,051 women (response rate, 58%) discharged after lab…

  • Variations in Standardized Hospital Mortality Rates for Six Common Medical Diagnoses: Implications for Profiling Hospital Quality

    Gary E Rosenthal, Amrik Shah et al.ARTICLEMedical Care1998References: 27

    OBJECTIVES: The authors determined whether standardized hospital mortality rates varied for six common medical diagnoses. METHODS: The retrospective cohort study included 89,851 patients aged 18 years and older discharged from 30 hospitals in a large metropolitan area in 1991 to 1993 with a principal diagnosis of acute myocardial infarction, congestive heart failure, pneumonia, stroke, obstructive lung disease, or gastrointestinal hemorrhage. For…

  • The Effectiveness of Early Endoscopy for Upper Gastrointestinal Hemorrhage: A Community-Based Analysis

    Gregory S Cooper, Amitabh Chak et al.ARTICLEMedical Care1998References: 23

    OBJECTIVES: The effectiveness of upper endoscopy in unselected patients with upper gastrointestinal hemorrhage has not been well studied. This study was undertaken to identify factors associated with the performance of early endoscopy (ie, within 1 day of hospitalization) and, after adjusting for these factors, to determine associations between early endoscopy and in-hospital mortality, length of stay, and performance of surgery. METHODS: Subject…

  • Weak associations between hospital mortality rates for individual diagnoses: Implications for profiling hospital quality

    Gary E RosenthalARTICLEAmerican Journal of Public Health1997Cited by: 8References: 23

    OBJECTIVES: This study examined the consistency of hospital mortality rates across different diagnoses. METHODS: Standardized mortality ratios for patients discharged in 1991 from US hospitals were determined via the Medicare Hospital Information Report. RESULTS: Correlations between standardized mortality ratios for different diagnoses were relatively weak, ranging from .03 to .34. Agreement between hospital rankings (based on standardized morta…

  • An Evaluation of the Impact of Nonresponse Bias on Patient Satisfaction Surveys

    Rebecca J Lasek, William M Barkley et al.ARTICLEMedical Care1997References: 17

    Lasek, Rebecca J. PhD; Barkley, William PhD; Harper, Dwain L. DO; Rosenthal, Gary E. MD Author Information

  • The Use of Patient Perceptions in the Evaluation of Health-Care Delivery Systems

    Gary E Rosenthal, Sarah E ShannonARTICLEMedical Care1997References: 46

    OBJECTIVES: Patient perceptions are increasingly used to measure quality of care in a diversity of health-care delivery settings. The goals of this article are to review the current use of patient perceptions and to review what is known about the sensitivity of patient perceptions for discerning variations in care across delivery systems. METHODS: This article first provides a rationale for using patient perceptions to evaluate delivery systems a…