Justin B Dimick
Dados Biográficos
| ID | 5534682 |
|---|---|
| NOME | Justin B Dimick |
| PRENOMES | Justin B |
| SOBRENOME | Dimick |
| ASSINATURA | DIMICK J B |
| AFILIAÇÕES | University of Michigan |
| ORCID | 0000-0002-4796-6641 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 15 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 15 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2006 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
A Scoping Review of Inpatient Medical and Surgical Quality Outcomes at Critical Access Hospitals
PURPOSE: The landscape of rural health services is threatened with new federal health policies and ongoing hospital closures. Additionally, there is a lack of consensus about the quality of inpatient medical and surgical services provided in rural critical access hospitals (CAHs). Information about quality of care at CAHs may be useful to guide policy decisions that affect their viability and to more cohesively understand outcomes for patients as…
Association of Surgical Resident Competency Ratings With Patient Outcomes
High‐risk surgery among Medicare beneficiaries living in health professional shortage areas
PURPOSE: Americans who reside in health professional shortage areas currently have less than half of the needed physician workforce. While the shortage designation has been associated with poor outcomes for chronic medical conditions, far less is known about outcomes after high-risk surgical procedures. METHODS: We performed a retrospective review of Medicare beneficiaries living in health professional shortage areas and nonshortage areas who und…
The Policy Life Cycle—Evaluating Health Policies With Diminishing Returns
Nearly a decade after the Patient Protection and Affordable Care Act was passed, we can now evaluate whether its component policies were successful. Rigorous evaluation is a critical part of the life cycle of health policies. However, most policy evaluations have an important limitation. We ask whether a policy has achieved his intended aims-ie, was this a good policy? However, policy makers need to answer whether today's policies should remain i…
Who Will be the Costliest Patients? Using Recent Claims to Predict Expensive Surgical Episodes
INTRODUCTION: Surgery accounts for almost half of inpatient spending, much of which is concentrated in a subset of high-cost patients. To study the effects of surgeon and hospital characteristics on surgical expenditures, a way to adjust for patient characteristics is essential. DESIGN: Using 100% Medicare claims data, we identified patients aged 66-99 undergoing elective inpatient surgery (coronary artery bypass grafting, colectomy, and total hi…
Mortality Among Older Adults Before Versus After Hospital Transition to Intensivist Staffing
BACKGROUND: A large body of research suggests that hospitals with intensive care units staffed by board-certified intensivists have lower mortality rates than those that do not. OBJECTIVE: To determine whether hospitals can reduce their mortality by adopting an intensivist staffing model. DESIGN: Retrospective, longitudinal study using 2003-2010 Medicare data and the Leapfrog Group Hospital surveys. SETTING AND PATIENTS: In total, 2,916,801 Medic…
Variation in Patient-reported Outcomes Across Hospitals Following Surgery
BACKGROUND: Although there is growing interest in applying patient-reported outcomes (PROs) toward surgical quality, the extent to which PROs vary across hospitals following surgical procedures is unknown. OBJECTIVES: We examined variation in PROs, specifically health-related quality of life (HRQOL), across hospitals performing bariatric surgery. RESEARCH DESIGN: A retrospective cohort study. SUBJECTS: The Michigan Bariatric Surgery Collaborative…
Evaluation of the Effectiveness of a Surgical Checklist in Medicare Patients
BACKGROUND: Surgical checklists are increasingly used to improve compliance with evidence-based processes in the perioperative period. Although enthusiasm exists for using checklists to improve outcomes, recent studies have questioned their effectiveness in large populations. OBJECTIVE: We sought to examine the association of Keystone Surgery, a statewide implementation of an evidence-based checklist and Comprehensive Unit-based Safety Program, o…
Methods for Evaluating Changes in Health Care Policy
Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archiv…
Changes in the Source of Unscheduled Hospitalizations in the United States
Sources of unscheduled hospitalization in the United States have evolved, mostly resulting from care for a variety of clinical conditions now originating in the ED. This trend does not seem to be harming patients or worsening LOS
Composite Quality Measures for Common Inpatient Medical Conditions
Composite measures of quality for HF, AMI, and PNA performed better than existing measures at explaining variation in future mortality and predicting future high and low performers
Hospital Volume and Failure to Rescue With High-risk Surgery
Differences in mortality between high and low-volume hospitals are not associated with large differences in complication rates. Instead, these differences seem to be associated with the ability of a hospital to effectively rescue patients from complications. Strategies focusing on the timely recognition and management of complications once they occur may be essential to improving outcomes at low-volume hospitals
Empirically Derived Composite Measures of Surgical Performance
BACKGROUND: Individual quality measures have significant limitations for assessing surgical performance. Despite growing interest in composite measures, empirically-based methods for combining multiple domains of surgical quality are not well established. OBJECTIVE: To develop and validate a composite measure of surgical performance that best describes variation in hospital mortality rates and forecasts future performance. RESEARCH DESIGN: Using …
Reducing Avoidable Deaths Among Veterans
Objectives. We quantified older (65 years and older) Veterans Health Administration (VHA) patients’ use of the private sector to obtain 14 surgical procedures and assessed the potential impact of directing that care to high-performance hospitals. Methods. Using a merged VHA–Medicare inpatient database for 2000 and 2001, we determined where older VHA enrollees obtained 6 cardiovascular surgeries and 8 cancer resections and whether private-sector c…
Are Mortality Rates for Different Operations Related
BACKGROUND: Except in cardiac surgery, measuring quality with procedure-specific mortality rates is unreliable because of small sample sizes at individual hospitals. Statistical power can be improved by combining mortality data from multiple operations. We sought to determine whether this approach would still be useful in understanding performance with individual procedures. METHODS: We studied 11 high-risk operations performed in the national Me…
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Are Mortality Rates for Different Operations Related
BACKGROUND: Except in cardiac surgery, measuring quality with procedure-specific mortality rates is unreliable because of small sample sizes at individual hospitals. Statistical power can be improved by combining mortality data from multiple operations. We sought to determine whether this approach would still be useful in understanding performance with individual procedures. METHODS: We studied 11 high-risk operations performed in the national Me…
Reducing Avoidable Deaths Among Veterans
Objectives. We quantified older (65 years and older) Veterans Health Administration (VHA) patients’ use of the private sector to obtain 14 surgical procedures and assessed the potential impact of directing that care to high-performance hospitals. Methods. Using a merged VHA–Medicare inpatient database for 2000 and 2001, we determined where older VHA enrollees obtained 6 cardiovascular surgeries and 8 cancer resections and whether private-sector c…
Empirically Derived Composite Measures of Surgical Performance
BACKGROUND: Individual quality measures have significant limitations for assessing surgical performance. Despite growing interest in composite measures, empirically-based methods for combining multiple domains of surgical quality are not well established. OBJECTIVE: To develop and validate a composite measure of surgical performance that best describes variation in hospital mortality rates and forecasts future performance. RESEARCH DESIGN: Using …
Hospital Volume and Failure to Rescue With High-risk Surgery
Differences in mortality between high and low-volume hospitals are not associated with large differences in complication rates. Instead, these differences seem to be associated with the ability of a hospital to effectively rescue patients from complications. Strategies focusing on the timely recognition and management of complications once they occur may be essential to improving outcomes at low-volume hospitals
Changes in the Source of Unscheduled Hospitalizations in the United States
Sources of unscheduled hospitalization in the United States have evolved, mostly resulting from care for a variety of clinical conditions now originating in the ED. This trend does not seem to be harming patients or worsening LOS
Composite Quality Measures for Common Inpatient Medical Conditions
Composite measures of quality for HF, AMI, and PNA performed better than existing measures at explaining variation in future mortality and predicting future high and low performers
Methods for Evaluating Changes in Health Care Policy
Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archiv…
Variation in Patient-reported Outcomes Across Hospitals Following Surgery
BACKGROUND: Although there is growing interest in applying patient-reported outcomes (PROs) toward surgical quality, the extent to which PROs vary across hospitals following surgical procedures is unknown. OBJECTIVES: We examined variation in PROs, specifically health-related quality of life (HRQOL), across hospitals performing bariatric surgery. RESEARCH DESIGN: A retrospective cohort study. SUBJECTS: The Michigan Bariatric Surgery Collaborative…
Evaluation of the Effectiveness of a Surgical Checklist in Medicare Patients
BACKGROUND: Surgical checklists are increasingly used to improve compliance with evidence-based processes in the perioperative period. Although enthusiasm exists for using checklists to improve outcomes, recent studies have questioned their effectiveness in large populations. OBJECTIVE: We sought to examine the association of Keystone Surgery, a statewide implementation of an evidence-based checklist and Comprehensive Unit-based Safety Program, o…
Mortality Among Older Adults Before Versus After Hospital Transition to Intensivist Staffing
BACKGROUND: A large body of research suggests that hospitals with intensive care units staffed by board-certified intensivists have lower mortality rates than those that do not. OBJECTIVE: To determine whether hospitals can reduce their mortality by adopting an intensivist staffing model. DESIGN: Retrospective, longitudinal study using 2003-2010 Medicare data and the Leapfrog Group Hospital surveys. SETTING AND PATIENTS: In total, 2,916,801 Medic…
Who Will be the Costliest Patients? Using Recent Claims to Predict Expensive Surgical Episodes
INTRODUCTION: Surgery accounts for almost half of inpatient spending, much of which is concentrated in a subset of high-cost patients. To study the effects of surgeon and hospital characteristics on surgical expenditures, a way to adjust for patient characteristics is essential. DESIGN: Using 100% Medicare claims data, we identified patients aged 66-99 undergoing elective inpatient surgery (coronary artery bypass grafting, colectomy, and total hi…
The Policy Life Cycle—Evaluating Health Policies With Diminishing Returns
Nearly a decade after the Patient Protection and Affordable Care Act was passed, we can now evaluate whether its component policies were successful. Rigorous evaluation is a critical part of the life cycle of health policies. However, most policy evaluations have an important limitation. We ask whether a policy has achieved his intended aims-ie, was this a good policy? However, policy makers need to answer whether today's policies should remain i…
Association of Surgical Resident Competency Ratings With Patient Outcomes
High‐risk surgery among Medicare beneficiaries living in health professional shortage areas
PURPOSE: Americans who reside in health professional shortage areas currently have less than half of the needed physician workforce. While the shortage designation has been associated with poor outcomes for chronic medical conditions, far less is known about outcomes after high-risk surgical procedures. METHODS: We performed a retrospective review of Medicare beneficiaries living in health professional shortage areas and nonshortage areas who und…
A Scoping Review of Inpatient Medical and Surgical Quality Outcomes at Critical Access Hospitals
PURPOSE: The landscape of rural health services is threatened with new federal health policies and ongoing hospital closures. Additionally, there is a lack of consensus about the quality of inpatient medical and surgical services provided in rural critical access hospitals (CAHs). Information about quality of care at CAHs may be useful to guide policy decisions that affect their viability and to more cohesively understand outcomes for patients as…
Medicine (11 obras) · Emergency Medicine (7 obras) · Internal Medicine (6 obras) · Emergency Medicine (5 obras) · Internal Medicine (5 obras) · Surgery (5 obras) · Cardiac, Anesthesia and Surgical Outcomes (4 obras) · Family medicine (4 obras) · Healthcare Policy and Management (4 obras) · Mortality rate (4 obras)