Jeremy M Kahn
Biographic Data
| ID | 4217758 |
|---|---|
| NAME | Jeremy M Kahn |
| GIVEN NAMES | Jeremy M |
| FAMILY NAME | Kahn |
| SIGNATURE | KAHN J M |
| AFFILIATIONS | University of Pittsburgh |
| ORCID | 0000-0001-9688-5576 |
| VERIFIED | Yes |
| TOTAL WORKS | 11 |
| TOTAL CITATIONS | 0 |
| WORKS AS AUTHOR | 11 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2008 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 0 |
Association Between Medicare’s Sepsis Reporting Policy (SEP-1) and the Documentation of a Sepsis Diagnosis in the Clinical Record
STUDY DESIGN: Interrupted time series analysis of a retrospective, electronic health record cohort. OBJECTIVE: To determine the association between the implementation of Medicare's sepsis reporting measure (SEP-1) and sepsis diagnosis rates as assessed in clinical documentation. BACKGROUND: The role of health policy in the effort to improve sepsis diagnosis remains unclear. PATIENTS AND METHODS: Adult patients hospitalized with suspected infectio…
Advanced Practice Provider-inclusive Staffing Models and Patient Outcomes in Pediatric Critical Care
BACKGROUND: Pediatric intensive care units (PICUs) are increasingly staffed with advanced practice providers (APPs), supplementing traditional physician staffing models. OBJECTIVES: We evaluate the effect of APP-inclusive staffing models on clinical outcomes and resource utilization in US PICUs. RESEARCH DESIGN: Retrospective cohort study of children admitted to PICUs in 9 states in 2016 using the Healthcare Cost and Utilization Project's State I…
Effects of Changes in ICU Bed Supply on ICU Utilization
BACKGROUND: The availability of intensive care unit (ICU) beds may influence the demand for critical care. Although small studies support a model of supply-induced demand in the ICU, there is a paucity of system-wide data. OBJECTIVE: The objective of this study was to determine the relationship between ICU bed supply and ICU admission in United States hospitals. RESEARCH DESIGN: Retrospective cohort study using all-payer inpatient records from Fl…
Differences in Hospital Risk-standardized Mortality Rates for Acute Myocardial Infarction When Assessed Using Transferred and Nontransferred Patients
BACKGROUND: One in 5 patients with acute myocardial infarction (AMI) are transferred between hospitals. However, current hospital performance measures based on AMI mortality exclude these patients from the evaluation of referral hospitals. OBJECTIVE: To determine the relationship between risk-standardized mortality for transferred and nontransferred patients at referral hospitals. RESEARCH DESIGN: This is a retrospective cohort study. SUBJECTS: F…
Identifying Strategies for Effective Telemedicine Use in Intensive Care Units
Telemedicine, the use of audiovisual technology to provide health care from a remote location, is increasingly used in intensive care units (ICUs). However, studies evaluating the impact of ICU telemedicine show mixed results, with some studies demonstrating improved patient outcomes, while others show limited benefit or even harm. Little is known about the mechanisms that influence variation in ICU telemedicine effectiveness, leaving providers w…
ICU Telemedicine and Critical Care Mortality
BACKGROUND: Intensive care unit (ICU) telemedicine is an increasingly common strategy for improving the outcome of critical care, but its overall impact is uncertain. OBJECTIVES: To determine the effectiveness of ICU telemedicine in a national sample of hospitals and quantify variation in effectiveness across hospitals. RESEARCH DESIGN: We performed a multicenter retrospective case-control study using 2001-2010 Medicare claims data linked to a na…
Urban and Rural Patterns in Emergent Pediatric Transfer
CONTEXT: National groups call for the regionalization of health care, to direct patients with high-risk conditions to designated hospitals with greater capabilities. Currently there is limited information detailing the characteristics and specific needs of acutely ill and injured children who require transfer to another institution, especially in underserved rural communities. PURPOSE: To determine the epidemiology of pediatric transfers from urb…
Effectiveness of Long-term Acute Care Hospitalization in Elderly Patients With Chronic Critical Illness
BACKGROUND: For patients recovering from severe acute illness, admission to a long-term acute care hospital (LTAC) is an increasingly common alternative to continued management in an intensive care unit (ICU). OBJECTIVE: To examine the effectiveness of LTAC transfer in patients with chronic critical illness. RESEARCH DESIGN: Retrospective cohort study in United States hospitals from 2002 to 2006. SUBJECTS: Medicare beneficiaries with chronic crit…
Race and Timeliness of Transfer for Revascularization in Patients With Acute Myocardial Infarction
OBJECTIVES: Patients with acute myocardial infarction (AMI) who are admitted to hospitals without coronary revascularization are frequently transferred to hospitals with this capability. We sought to determine whether the timeliness of hospital transfer and quality of destination hospitals differed between black and white patients. METHODS: We evaluated all white and black Medicare beneficiaries admitted with AMI at nonrevascularization hospitals…
The Structure of Critical Care Transfer Networks
RATIONALE: Moving patients from low-performing hospitals to high-performing hospitals may improve patient outcomes. These transfers may be particularly important in critical care, where small relative improvements can yield substantial absolute changes in survival. OBJECTIVE: To characterize the existing critical care network in terms of the pattern of transfers. METHODS: In a retrospective cohort study, the nationwide 2005 Medicare fee-for-servi…
Cost Savings Attributable to Reductions in Intensive Care Unit Length of Stay for Mechanically Ventilated Patients
OBJECTIVES: To estimate the actual cost savings that could be achieved through reductions in intensive care unit (ICU) length of stay and duration of mechanical ventilation by determining the short-run marginal variable cost of an ICU and ventilator day. RESEARCH DESIGN: Retrospective cohort study in a university-affiliated teaching hospital. SUBJECTS: All patients receiving mechanical ventilation in the ICU for more than 48 hours (n = 1778) from…
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Cost Savings Attributable to Reductions in Intensive Care Unit Length of Stay for Mechanically Ventilated Patients
OBJECTIVES: To estimate the actual cost savings that could be achieved through reductions in intensive care unit (ICU) length of stay and duration of mechanical ventilation by determining the short-run marginal variable cost of an ICU and ventilator day. RESEARCH DESIGN: Retrospective cohort study in a university-affiliated teaching hospital. SUBJECTS: All patients receiving mechanical ventilation in the ICU for more than 48 hours (n = 1778) from…
The Structure of Critical Care Transfer Networks
RATIONALE: Moving patients from low-performing hospitals to high-performing hospitals may improve patient outcomes. These transfers may be particularly important in critical care, where small relative improvements can yield substantial absolute changes in survival. OBJECTIVE: To characterize the existing critical care network in terms of the pattern of transfers. METHODS: In a retrospective cohort study, the nationwide 2005 Medicare fee-for-servi…
Race and Timeliness of Transfer for Revascularization in Patients With Acute Myocardial Infarction
OBJECTIVES: Patients with acute myocardial infarction (AMI) who are admitted to hospitals without coronary revascularization are frequently transferred to hospitals with this capability. We sought to determine whether the timeliness of hospital transfer and quality of destination hospitals differed between black and white patients. METHODS: We evaluated all white and black Medicare beneficiaries admitted with AMI at nonrevascularization hospitals…
Effectiveness of Long-term Acute Care Hospitalization in Elderly Patients With Chronic Critical Illness
BACKGROUND: For patients recovering from severe acute illness, admission to a long-term acute care hospital (LTAC) is an increasingly common alternative to continued management in an intensive care unit (ICU). OBJECTIVE: To examine the effectiveness of LTAC transfer in patients with chronic critical illness. RESEARCH DESIGN: Retrospective cohort study in United States hospitals from 2002 to 2006. SUBJECTS: Medicare beneficiaries with chronic crit…
Urban and Rural Patterns in Emergent Pediatric Transfer
CONTEXT: National groups call for the regionalization of health care, to direct patients with high-risk conditions to designated hospitals with greater capabilities. Currently there is limited information detailing the characteristics and specific needs of acutely ill and injured children who require transfer to another institution, especially in underserved rural communities. PURPOSE: To determine the epidemiology of pediatric transfers from urb…
ICU Telemedicine and Critical Care Mortality
BACKGROUND: Intensive care unit (ICU) telemedicine is an increasingly common strategy for improving the outcome of critical care, but its overall impact is uncertain. OBJECTIVES: To determine the effectiveness of ICU telemedicine in a national sample of hospitals and quantify variation in effectiveness across hospitals. RESEARCH DESIGN: We performed a multicenter retrospective case-control study using 2001-2010 Medicare claims data linked to a na…
Differences in Hospital Risk-standardized Mortality Rates for Acute Myocardial Infarction When Assessed Using Transferred and Nontransferred Patients
BACKGROUND: One in 5 patients with acute myocardial infarction (AMI) are transferred between hospitals. However, current hospital performance measures based on AMI mortality exclude these patients from the evaluation of referral hospitals. OBJECTIVE: To determine the relationship between risk-standardized mortality for transferred and nontransferred patients at referral hospitals. RESEARCH DESIGN: This is a retrospective cohort study. SUBJECTS: F…
Identifying Strategies for Effective Telemedicine Use in Intensive Care Units
Telemedicine, the use of audiovisual technology to provide health care from a remote location, is increasingly used in intensive care units (ICUs). However, studies evaluating the impact of ICU telemedicine show mixed results, with some studies demonstrating improved patient outcomes, while others show limited benefit or even harm. Little is known about the mechanisms that influence variation in ICU telemedicine effectiveness, leaving providers w…
Effects of Changes in ICU Bed Supply on ICU Utilization
BACKGROUND: The availability of intensive care unit (ICU) beds may influence the demand for critical care. Although small studies support a model of supply-induced demand in the ICU, there is a paucity of system-wide data. OBJECTIVE: The objective of this study was to determine the relationship between ICU bed supply and ICU admission in United States hospitals. RESEARCH DESIGN: Retrospective cohort study using all-payer inpatient records from Fl…
Advanced Practice Provider-inclusive Staffing Models and Patient Outcomes in Pediatric Critical Care
BACKGROUND: Pediatric intensive care units (PICUs) are increasingly staffed with advanced practice providers (APPs), supplementing traditional physician staffing models. OBJECTIVES: We evaluate the effect of APP-inclusive staffing models on clinical outcomes and resource utilization in US PICUs. RESEARCH DESIGN: Retrospective cohort study of children admitted to PICUs in 9 states in 2016 using the Healthcare Cost and Utilization Project's State I…
Association Between Medicare’s Sepsis Reporting Policy (SEP-1) and the Documentation of a Sepsis Diagnosis in the Clinical Record
STUDY DESIGN: Interrupted time series analysis of a retrospective, electronic health record cohort. OBJECTIVE: To determine the association between the implementation of Medicare's sepsis reporting measure (SEP-1) and sepsis diagnosis rates as assessed in clinical documentation. BACKGROUND: The role of health policy in the effort to improve sepsis diagnosis remains unclear. PATIENTS AND METHODS: Adult patients hospitalized with suspected infectio…
Medicine (11 works) · Emergency Medicine (10 works) · Emergency Medicine (9 works) · Intensive care medicine (7 works) · Sepsis Diagnosis and Treatment (7 works) · Internal Medicine (6 works) · Internal Medicine (6 works) · Health care (5 works) · Medical emergency (4 works) · Retrospective cohort study (4 works)