Annette M Bernard
Biographic Data
| ID | 5533917 |
|---|---|
| NAME | Annette M Bernard |
| GIVEN NAMES | Annette M |
| FAMILY NAME | Bernard |
| SIGNATURE | BERNARD A M |
| AFFILIATIONS | University of Michigan |
| VERIFIED | No |
| TOTAL WORKS | 6 |
| TOTAL CITATIONS | 37 |
| AUTHOR COUNT | 6 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1990 |
| LATEST PUBLICATION YEAR | 1995 |
| H-INDEX | 1 |
The Integrated Inpatient Management Model
The Integrated Inpatient Management Model was a 2.5-year controlled prospective trial of using a clinical information system to direct and monitor physician and hospital practice on general medicine services of an 880-bed university hospital. For the over 2,000 admissions on both a control service and the intervention service, the mean length of stay (LOS) decreased when compared with historic norms (0.68 and 0.95 days respectively; P < 0.01 for …
Do Attending or Resident Physician Practice Styles Account for Variations in Hospital Resource Use
Prospective payment has created incentives for hospitals to identify physicians who are responsible for high or excessive rates of resource use. However, at teaching hospitals it is unclear whether individual attending or resident physicians account for a substantial portion of the observed variations in hospital resource use. To explore this issue, case-mix adjusted hospital length of stay and ancillary resource use at a university teaching hosp…
An Evaluation of Generic Screens for Poor Quality of Hospital Care on a General Medicine Service
In this study, 675 general medicine admissions at a university teaching hospital were reviewed to evaluate six potential generic quality screens: 1) in-hospital death; 2) 28-day early readmission; 3) low patient satisfaction; 4) worsening severity of illness (as determined by an increase in Laboratory Acute Physiology and Chronic Health Evaluation APACHE-L); and 5) deviations from expected hospital length of stay; and 6) expected ancillary resour…
Apache-L
A principal concern regarding Medicare's diagnosis-related group (DRG)-based prospective payment system is whether hospitals caring for more severely ill patients may be undercompensated for the services they provide. Research on possible inequities in hospital payment has been hampered by the absence of an objective, easily obtained, and valid measure of patients' severity of illness. Because laboratory data are objective and computerized in mos…
Regular source of ambulatory care and access to health services
BACKGROUND: To examine why people lack a regular source of ambulatory care (RSAC) and explore whether this commonly used access measure accurately identifies population subgroups at risk for barriers to continuity care. METHODS: Using data from a 1986 national telephone survey, we performed a content analysis of subjects' verbatim reports as to why they lacked an RSAC (n = 5,748). RESULTS: The 16.4 percent of respondents who lacked an RSAC gave t…
The Influence of Attending Physician Subspecialization on Hospital Length of Stay
Bernard, Annette M. MD, MS; Shapiro, Letitia R. MA; McMahon, Laurence F. Jr. MD, MPH Author Information
Regular source of ambulatory care and access to health services
BACKGROUND: To examine why people lack a regular source of ambulatory care (RSAC) and explore whether this commonly used access measure accurately identifies population subgroups at risk for barriers to continuity care. METHODS: Using data from a 1986 national telephone survey, we performed a content analysis of subjects' verbatim reports as to why they lacked an RSAC (n = 5,748). RESULTS: The 16.4 percent of respondents who lacked an RSAC gave t…
The Influence of Attending Physician Subspecialization on Hospital Length of Stay
Bernard, Annette M. MD, MS; Shapiro, Letitia R. MA; McMahon, Laurence F. Jr. MD, MPH Author Information
Regular source of ambulatory care and access to health services
BACKGROUND: To examine why people lack a regular source of ambulatory care (RSAC) and explore whether this commonly used access measure accurately identifies population subgroups at risk for barriers to continuity care. METHODS: Using data from a 1986 national telephone survey, we performed a content analysis of subjects' verbatim reports as to why they lacked an RSAC (n = 5,748). RESULTS: The 16.4 percent of respondents who lacked an RSAC gave t…
Apache-L
A principal concern regarding Medicare's diagnosis-related group (DRG)-based prospective payment system is whether hospitals caring for more severely ill patients may be undercompensated for the services they provide. Research on possible inequities in hospital payment has been hampered by the absence of an objective, easily obtained, and valid measure of patients' severity of illness. Because laboratory data are objective and computerized in mos…
An Evaluation of Generic Screens for Poor Quality of Hospital Care on a General Medicine Service
In this study, 675 general medicine admissions at a university teaching hospital were reviewed to evaluate six potential generic quality screens: 1) in-hospital death; 2) 28-day early readmission; 3) low patient satisfaction; 4) worsening severity of illness (as determined by an increase in Laboratory Acute Physiology and Chronic Health Evaluation APACHE-L); and 5) deviations from expected hospital length of stay; and 6) expected ancillary resour…
Do Attending or Resident Physician Practice Styles Account for Variations in Hospital Resource Use
Prospective payment has created incentives for hospitals to identify physicians who are responsible for high or excessive rates of resource use. However, at teaching hospitals it is unclear whether individual attending or resident physicians account for a substantial portion of the observed variations in hospital resource use. To explore this issue, case-mix adjusted hospital length of stay and ancillary resource use at a university teaching hosp…
The Integrated Inpatient Management Model
The Integrated Inpatient Management Model was a 2.5-year controlled prospective trial of using a clinical information system to direct and monitor physician and hospital practice on general medicine services of an 880-bed university hospital. For the over 2,000 admissions on both a control service and the intervention service, the mean length of stay (LOS) decreased when compared with historic norms (0.68 and 0.95 days respectively; P < 0.01 for …
Medicine (6 works) · Emergency Medicine (4 works) · Emergency Medicine (4 works) · Family medicine (4 works) · Healthcare Policy and Management (4 works) · Nursing (4 works) · Patient Satisfaction in Healthcare (4 works) · Primary Care and Health Outcomes (4 works) · Confidence interval (2 works) · Environmental health (2 works)