Joseph D Restuccia
Biographic Data
| ID | 4804128 |
|---|---|
| NAME | Joseph D Restuccia |
| GIVEN NAMES | Joseph D |
| FAMILY NAME | Restuccia |
| SIGNATURE | RESTUCCIA J D |
| AFFILIATIONS | Boston University |
| VERIFIED | No |
| TOTAL WORKS | 11 |
| TOTAL CITATIONS | 9 |
| AUTHOR COUNT | 11 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1976 |
| LATEST PUBLICATION YEAR | 2015 |
| H-INDEX | 1 |
Response Rates, Nonresponse Bias, and Data Quality
Survey response rate is regarded as a key data-quality indicator, yet response rate is not necessarily predictive of nonresponse bias. Our study objective was to use a high-response-rate survey to assess nonresponse bias across successive waves. This survey of healthcare leaders utilized a web-based, self-report format with an initial invitation and four nonrespondent follow-ups. Across five waves, comparisons were made for demographic and facili…
System-Level Factors Affecting Clinicians’ Perceptions and Use of Interpreter Services in California Public Hospitals
Bringing Responsibility for Small Area Variations in Hospitalization Rates Back to the Hospital: The Propensity to Hospitalize Index and a Test of the Roemer's Law
OBJECTIVE: To assign responsibility for variations in small area hospitalization rates to specific hospitals and to evaluate the Roemer's Law in a way that does not artificially induce correlation between bed supply and utilization. DATA SOURCES/STUDY SETTING: We used data on hospitalizations and outpatient treatment for 15 medical conditions of nonmanaged care Part B eligible Medicare enrollees of 65 years and older in Massachusetts in 2000. STU…
Estimating a Composite Measure of Hospital Quality From the Hospital Compare Database: Differences When Using a Bayesian Hierarchical Latent Variable Model Versus Denominator-Based Weights
BACKGROUND: A single composite measure calculated from individual quality indicators (QIs) is a useful measure of hospital performance and can be justified conceptually even when the indicators are not highly correlated with one another. OBJECTIVE: To compare 2 basic approaches for calculating a composite measure: an extension of the most widely-used approach, which weights individual indicators based on the number of people eligible for the indi…
Does More “Appropriateness” Explain Higher Rates of Cardiac Procedures Among Patients Hospitalized With Coronary Heart Disease
BACKGROUND: There have been few studies of the extent to which differences in the pool of patients being managed might account for geographic variations in treatment rates. OBJECTIVE: For two cardiac procedures, cardiac catheterization and revascularization, we evaluate the hypothesis that differences in "the percentage of patients for whom the procedure is appropriate" is a factor explaining variations in use rates among those hospitalized with …
Small Area Variations in Hospitalization Rates: How Much You See Depends on How You Look
This research investigates the degree that estimates of the magnitude of small area variations in hospitalization rates depend on both the estimation method and the number of years of data used. Hospital discharge abstracts for patients 65 and older from acute care hospitals in Massachusetts from 1982 to 1987 were analyzed. The SCV statistic, the approach used in many current small area variation studies, and empirical Bayes (EB), an approach tha…
The Utility of Severity of Illness Information in Assessing the Quality of Hospital Care: The Role of the Clinical Trajectory
This research explored whether differentiating patients whose severity of illness worsened, improved, or remained the same over the hospital stay is a good screen for quality of care. The hypothesis was that substandard care is more likely to occur among patients who have worsened. Severity was measured using the Computerized Severity Index (CSI) and MedisGroups in 233 patients who had experienced acute myocardial infarction and 279 who had under…
The Self-Adapting Focused Review System: Probability Sampling of Medical Records to Monitor Utilization and Quality of Care
Medical record review is increasing in importance as the need to identify and monitor utilization and quality of care problems grow. To conserve resources, reviews are usually performed on a subset of cases. If judgment is used to identify subgroups for review, this raises the following questions: How should subgroups be determined, particularly since the locus of problems can change over time? What standard of comparison should be used in interp…
The Effect of Concurrent Feedback in Reducing Inappropriate Hospital Utilization
This study conducted in four general hospitals, evaluates the effectiveness of feedback from utilization review coordinators in reducing the number of inappropriate hospital days. Experimental control was exerted over the type of feedback provided in the utilization review process to produce four treatment groups (including a control group) that vary according to 1) the channel used to inform an attending physician of a probable inappropriately l…
The Appropriateness Evaluation Protocol: A Technique for Assessing Unnecessary Days of Hospital Care
A major national health policy objective is to improve the efficiency of hospital utilization. To evaluate programmatic interventions with this objective, such as the Professional Standards Review Organization program, measures of appropriate use are a fundamental need. This report represents the results of two developmental trials of a new technique, labeled the Appropriateness Evaluation Protocol (AEP), for assessing potentially unnecessary hos…
Barriers to Appropriate Utilization of an Acute Facility
Professional Standards Review Organizations (PSROs) have been mandated to assure appropriate utilization of health resources. In order to meet this objective, PSROs must be able to determine when and why health resources are misutilized so that corrective action may be taken. This paper describes a study designed to identify and measure the significance of factors causing the misutilization of beds at one hospital. Using explicit Medicare levels …
Response Rates, Nonresponse Bias, and Data Quality
Survey response rate is regarded as a key data-quality indicator, yet response rate is not necessarily predictive of nonresponse bias. Our study objective was to use a high-response-rate survey to assess nonresponse bias across successive waves. This survey of healthcare leaders utilized a web-based, self-report format with an initial invitation and four nonrespondent follow-ups. Across five waves, comparisons were made for demographic and facili…
Barriers to Appropriate Utilization of an Acute Facility
Professional Standards Review Organizations (PSROs) have been mandated to assure appropriate utilization of health resources. In order to meet this objective, PSROs must be able to determine when and why health resources are misutilized so that corrective action may be taken. This paper describes a study designed to identify and measure the significance of factors causing the misutilization of beds at one hospital. Using explicit Medicare levels …
The Appropriateness Evaluation Protocol: A Technique for Assessing Unnecessary Days of Hospital Care
A major national health policy objective is to improve the efficiency of hospital utilization. To evaluate programmatic interventions with this objective, such as the Professional Standards Review Organization program, measures of appropriate use are a fundamental need. This report represents the results of two developmental trials of a new technique, labeled the Appropriateness Evaluation Protocol (AEP), for assessing potentially unnecessary hos…
The Effect of Concurrent Feedback in Reducing Inappropriate Hospital Utilization
This study conducted in four general hospitals, evaluates the effectiveness of feedback from utilization review coordinators in reducing the number of inappropriate hospital days. Experimental control was exerted over the type of feedback provided in the utilization review process to produce four treatment groups (including a control group) that vary according to 1) the channel used to inform an attending physician of a probable inappropriately l…
The Self-Adapting Focused Review System: Probability Sampling of Medical Records to Monitor Utilization and Quality of Care
Medical record review is increasing in importance as the need to identify and monitor utilization and quality of care problems grow. To conserve resources, reviews are usually performed on a subset of cases. If judgment is used to identify subgroups for review, this raises the following questions: How should subgroups be determined, particularly since the locus of problems can change over time? What standard of comparison should be used in interp…
The Utility of Severity of Illness Information in Assessing the Quality of Hospital Care: The Role of the Clinical Trajectory
This research explored whether differentiating patients whose severity of illness worsened, improved, or remained the same over the hospital stay is a good screen for quality of care. The hypothesis was that substandard care is more likely to occur among patients who have worsened. Severity was measured using the Computerized Severity Index (CSI) and MedisGroups in 233 patients who had experienced acute myocardial infarction and 279 who had under…
Small Area Variations in Hospitalization Rates: How Much You See Depends on How You Look
This research investigates the degree that estimates of the magnitude of small area variations in hospitalization rates depend on both the estimation method and the number of years of data used. Hospital discharge abstracts for patients 65 and older from acute care hospitals in Massachusetts from 1982 to 1987 were analyzed. The SCV statistic, the approach used in many current small area variation studies, and empirical Bayes (EB), an approach tha…
Does More “Appropriateness” Explain Higher Rates of Cardiac Procedures Among Patients Hospitalized With Coronary Heart Disease
BACKGROUND: There have been few studies of the extent to which differences in the pool of patients being managed might account for geographic variations in treatment rates. OBJECTIVE: For two cardiac procedures, cardiac catheterization and revascularization, we evaluate the hypothesis that differences in "the percentage of patients for whom the procedure is appropriate" is a factor explaining variations in use rates among those hospitalized with …
Estimating a Composite Measure of Hospital Quality From the Hospital Compare Database: Differences When Using a Bayesian Hierarchical Latent Variable Model Versus Denominator-Based Weights
BACKGROUND: A single composite measure calculated from individual quality indicators (QIs) is a useful measure of hospital performance and can be justified conceptually even when the indicators are not highly correlated with one another. OBJECTIVE: To compare 2 basic approaches for calculating a composite measure: an extension of the most widely-used approach, which weights individual indicators based on the number of people eligible for the indi…
Bringing Responsibility for Small Area Variations in Hospitalization Rates Back to the Hospital: The Propensity to Hospitalize Index and a Test of the Roemer's Law
OBJECTIVE: To assign responsibility for variations in small area hospitalization rates to specific hospitals and to evaluate the Roemer's Law in a way that does not artificially induce correlation between bed supply and utilization. DATA SOURCES/STUDY SETTING: We used data on hospitalizations and outpatient treatment for 15 medical conditions of nonmanaged care Part B eligible Medicare enrollees of 65 years and older in Massachusetts in 2000. STU…
System-Level Factors Affecting Clinicians’ Perceptions and Use of Interpreter Services in California Public Hospitals
Response Rates, Nonresponse Bias, and Data Quality
Survey response rate is regarded as a key data-quality indicator, yet response rate is not necessarily predictive of nonresponse bias. Our study objective was to use a high-response-rate survey to assess nonresponse bias across successive waves. This survey of healthcare leaders utilized a web-based, self-report format with an initial invitation and four nonrespondent follow-ups. Across five waves, comparisons were made for demographic and facili…
Medicine (10 works) · Healthcare Policy and Management (8 works) · Patient Satisfaction in Healthcare (6 works) · Emergency Medicine (4 works) · Emergency Medicine (4 works) · Mathematics (4 works) · Nursing (4 works) · Primary Care and Health Outcomes (4 works) · Statistics (4 works) · Computer Science (3 works)