Jack Needleman
Dados Biográficos
| ID | 3928558 |
|---|---|
| NOME | Jack Needleman |
| PRENOMES | Jack |
| SOBRENOME | Needleman |
| ASSINATURA | NEEDLEMAN J |
| AFILIAÇÕES | Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 20 |
| TOTAL DE CITAÇÕES | 42 |
| TOTAL COMO AUTOR | 20 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2001 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2024 |
| ÍNDICE H | 2 |
Disparities in prevalence of screening/monitoring in children with intellectual and developmental disabilities
Introduction About one in six children in the US, about 17% of the population, have one or more intellectual or developmental disabilities. Increases in disability due to neurodevelopmental or mental health conditions have increased by 21% in the last decade. Early intervention based on developmental screening and provider-initiated monitoring can significantly improve long-term health and cognitive outcomes. This paper assesses whether differenc…
Risk Behaviors Associated with Patterns of Sexualized Stimulant and Alcohol Use among Men Who Have Sex with Men
How Do Clinicians of Different Specialties Perceive and Use Opioid Risk Mitigation Strategies? A Qualitative Study
Background In response to the opioid crisis, states and health systems are encouraging clinicians to use risk mitigation strategies aimed at assessing a patient’s risk for opioid misuse or abuse: opioid agreements, prescription drug monitoring programs (PDMPs), and urine drug tests (UDT). Objective: The objective of this qualitative study was to understand how clinicians perceived and used risk mitigation strategies for opioid abuse/misuse and id…
Discontinuity of Women Veterans’ Care in Patient-Centered Medical Homes
Understanding Gender Sensitivity of the Health Care Workforce at the Veterans Health Administration
Comorbidity Assessment Is Uneven Across Veterans Health Administration and Medicare for the Same Patient
OBJECTIVE: Compare comorbidity identification in Medicare and Veterans Health Administration (VA) data for the purposes of risk adjustment. DATA SOURCES: Analysis of Medicare and VA datasets for dually-enrolled Veterans receiving care in both settings, fiscal years 2010-2014. STUDY DESIGN: A retrospective analysis of administrative data for a national sample of cancer decedents. DATA EXTRACTION METHODS: Comorbidities were evaluated using Elixhaus…
Association between homelessness and opioid overdose and opioid-related hospital admissions/emergency department visits
Whose social capital matters? The case of U.S. urban public hospital closures and conversions to private ownership
Using Present-On-Admission Coding to Improve Exclusion Rules for Quality Metrics
Failure-to-rescue is a robust quality measure, sensitive to nursing across alternative exclusion rule specifications. Despite expanded POA coding, exclusion-based rules are needed to analyze datasets not coded for POA, legacy datasets, and datasets with poor POA coding. POA-informed construction of exclusions significantly improves rules identifying POA complications
Assessing Low Mortality in Magnet Hospitals
Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles CA The author declares no conflict of interest. Reprints: Jack Needleman, PhD, FAAN, Department of Health Policy and Management, UCLA Fielding School of Public Health, 650 Charles E. Young Dr. S., Room 31-236B CHS, Los Angeles, CA 90095-1772. E-mail: [email protected]
Nurse Staffing and Patient Care Costs in Acute Inpatient Nursing Units
OBJECTIVE: Studies suggest that a business case for improving nurse staffing can be made to increase registered nurse (RN) skill mix without changing total licensed nursing hours. It is unclear whether a business case for increasing RN skill mix can be justified equally among patients of varying health needs. This study evaluated whether nursing hours per patient day (HPPD) and skill mix are associated with higher inpatient care costs within acut…
The Effect of Neonatal Intensive Care Level and Hospital Volume on Mortality of Very Low Birth Weight Infants
OBJECTIVE: To determine the adjusted effect of hospital level of care and volume on mortality of very low birth weight (VLBW) infants in the state of California, where deregionalization of perinatal care has occurred. RESEARCH DESIGN: Secondary data analysis of California maternal-infant hospital discharge data from 1997 to 2002 was performed. Logistic regression was used to evaluate the odds of mortality among VLBW infants by hospital level of n…
Line Authority for Nurse Staffing and Costs for Acute Inpatient Care
There is little empirical evidence evaluating the effects of recent, widespread changes in nurse executive roles and nursing management structures on the costs of patient care. This retrospective cross-sectional study examined the relationship between line authority for nurse staffing and patient care costs (total, nursing, and non-nursing cost) using data from 124 Department of Veterans Affairs (VA) medical centers. After controlling for patient…
The Association Between Nursing Factors and Patient Mortality in the Veterans Health Administration
CONTEXT: Nurse staffing is not the same across an entire hospital. Nursing care is delivered in geographically-based units, with wide variation in staffing levels. In particular, staffing in intensive care is much richer than in nonintensive care acute units. OBJECTIVE: To evaluate the association of in-hospital patient mortality with registered nurse staffing and skill mix comparing hospital and unit level analysis using data from the Veterans H…
Identifying In-Hospital Venous Thromboembolism (VTE)
BACKGROUND: Efforts to identify hospital-acquired complications from claims data by applying exclusion rules to discharge diagnosis codes exhibit low positive predictive value (PPV). The PPV improves when a variable is added to each secondary diagnosis to indicate whether the condition was "present-on-admission" (POA) or "hospital-acquired". Such indicator variables will soon be required for Medicare reimbursement. No estimates are available, how…
Failure-to-Rescue
From the *Department of Health Services, University of California, Los Angeles School of Public Health, Los Angeles, California; and the †Center for Interdisciplinary Health Workforce Studies, Institute for Medicine & Public Health, Vanderbilt University Medical Center and Vanderbilt University School of Nursing, Nashville, Tennessee. Reprints: Jack Needleman, PhD, Department of Health Services, Room 31-236B CHS, University of California, Los Ang…
The Balanced Budget Act of 1997 and U.S. Hospital Operations
The Balanced Budget Act (BBA) of 1997 initiated several changes to Medicare payment policy in an effort to slow the growth of hospital Medicare payments and ensure the future of the Medicare Hospital Insurance Trust Fund. Although subsequent federal legislation relaxed some original proposals, restored funds were limited and directed to specific types of hospitals. In addition, these Medicare policy changes came at a time when hospitals faced pri…
Evaluating the Role of Patient Sample Definitions for Quality Indicators Sensitive to Nurse Staffing Patterns
BACKGROUND: Administrative data are an attractive data source for the construction of quality indicators to assess and monitor quality of nursing care in hospitals. Current approaches to constructing measures from discharge abstracts apply substantial restrictions to exclude patients at high risk or with preexisting conditions. This study evaluates whether broader sample definitions combined with risk adjustment would allow for larger samples and…
Nurse-Staffing Levels and the Quality of Care in Hospitals
BACKGROUND: It is uncertain whether lower levels of staffing by nurses at hospitals are associated with an increased risk that patients will have complications or die. METHODS: We used administrative data from 1997 for 799 hospitals in 11 states (covering 5,075,969 discharges of medical patients and 1,104,659 discharges of surgical patients) to examine the relation between the amount of care provided by nurses at the hospital and patients' outcom…
Ambulatory Care Sensitive Hospitalizations and Emergency Visits
BACKGROUND: Federally Qualified Health Centers (FQHCs) serve as regular sources of preventive and primary care for low-income families within their communities and are key parts of the health care safety net. OBJECTIVES: Compare admissions and emergency room visits for ambulatory care sensitive conditions (ACSCs) among Medicaid beneficiaries relying on FQHCs to other Medicaid beneficiaries. RESEARCH DESIGN: Retrospective analysis of 1992 Medicaid…
Failure-to-Rescue
From the *Department of Health Services, University of California, Los Angeles School of Public Health, Los Angeles, California; and the †Center for Interdisciplinary Health Workforce Studies, Institute for Medicine & Public Health, Vanderbilt University Medical Center and Vanderbilt University School of Nursing, Nashville, Tennessee. Reprints: Jack Needleman, PhD, Department of Health Services, Room 31-236B CHS, University of California, Los Ang…
Association between homelessness and opioid overdose and opioid-related hospital admissions/emergency department visits
Whose social capital matters? The case of U.S. urban public hospital closures and conversions to private ownership
Risk Behaviors Associated with Patterns of Sexualized Stimulant and Alcohol Use among Men Who Have Sex with Men
Ambulatory Care Sensitive Hospitalizations and Emergency Visits
BACKGROUND: Federally Qualified Health Centers (FQHCs) serve as regular sources of preventive and primary care for low-income families within their communities and are key parts of the health care safety net. OBJECTIVES: Compare admissions and emergency room visits for ambulatory care sensitive conditions (ACSCs) among Medicaid beneficiaries relying on FQHCs to other Medicaid beneficiaries. RESEARCH DESIGN: Retrospective analysis of 1992 Medicaid…
Nurse-Staffing Levels and the Quality of Care in Hospitals
BACKGROUND: It is uncertain whether lower levels of staffing by nurses at hospitals are associated with an increased risk that patients will have complications or die. METHODS: We used administrative data from 1997 for 799 hospitals in 11 states (covering 5,075,969 discharges of medical patients and 1,104,659 discharges of surgical patients) to examine the relation between the amount of care provided by nurses at the hospital and patients' outcom…
The Balanced Budget Act of 1997 and U.S. Hospital Operations
The Balanced Budget Act (BBA) of 1997 initiated several changes to Medicare payment policy in an effort to slow the growth of hospital Medicare payments and ensure the future of the Medicare Hospital Insurance Trust Fund. Although subsequent federal legislation relaxed some original proposals, restored funds were limited and directed to specific types of hospitals. In addition, these Medicare policy changes came at a time when hospitals faced pri…
Evaluating the Role of Patient Sample Definitions for Quality Indicators Sensitive to Nurse Staffing Patterns
BACKGROUND: Administrative data are an attractive data source for the construction of quality indicators to assess and monitor quality of nursing care in hospitals. Current approaches to constructing measures from discharge abstracts apply substantial restrictions to exclude patients at high risk or with preexisting conditions. This study evaluates whether broader sample definitions combined with risk adjustment would allow for larger samples and…
Failure-to-Rescue
From the *Department of Health Services, University of California, Los Angeles School of Public Health, Los Angeles, California; and the †Center for Interdisciplinary Health Workforce Studies, Institute for Medicine & Public Health, Vanderbilt University Medical Center and Vanderbilt University School of Nursing, Nashville, Tennessee. Reprints: Jack Needleman, PhD, Department of Health Services, Room 31-236B CHS, University of California, Los Ang…
The Association Between Nursing Factors and Patient Mortality in the Veterans Health Administration
CONTEXT: Nurse staffing is not the same across an entire hospital. Nursing care is delivered in geographically-based units, with wide variation in staffing levels. In particular, staffing in intensive care is much richer than in nonintensive care acute units. OBJECTIVE: To evaluate the association of in-hospital patient mortality with registered nurse staffing and skill mix comparing hospital and unit level analysis using data from the Veterans H…
Identifying In-Hospital Venous Thromboembolism (VTE)
BACKGROUND: Efforts to identify hospital-acquired complications from claims data by applying exclusion rules to discharge diagnosis codes exhibit low positive predictive value (PPV). The PPV improves when a variable is added to each secondary diagnosis to indicate whether the condition was "present-on-admission" (POA) or "hospital-acquired". Such indicator variables will soon be required for Medicare reimbursement. No estimates are available, how…
Line Authority for Nurse Staffing and Costs for Acute Inpatient Care
There is little empirical evidence evaluating the effects of recent, widespread changes in nurse executive roles and nursing management structures on the costs of patient care. This retrospective cross-sectional study examined the relationship between line authority for nurse staffing and patient care costs (total, nursing, and non-nursing cost) using data from 124 Department of Veterans Affairs (VA) medical centers. After controlling for patient…
The Effect of Neonatal Intensive Care Level and Hospital Volume on Mortality of Very Low Birth Weight Infants
OBJECTIVE: To determine the adjusted effect of hospital level of care and volume on mortality of very low birth weight (VLBW) infants in the state of California, where deregionalization of perinatal care has occurred. RESEARCH DESIGN: Secondary data analysis of California maternal-infant hospital discharge data from 1997 to 2002 was performed. Logistic regression was used to evaluate the odds of mortality among VLBW infants by hospital level of n…
Nurse Staffing and Patient Care Costs in Acute Inpatient Nursing Units
OBJECTIVE: Studies suggest that a business case for improving nurse staffing can be made to increase registered nurse (RN) skill mix without changing total licensed nursing hours. It is unclear whether a business case for increasing RN skill mix can be justified equally among patients of varying health needs. This study evaluated whether nursing hours per patient day (HPPD) and skill mix are associated with higher inpatient care costs within acut…
Using Present-On-Admission Coding to Improve Exclusion Rules for Quality Metrics
Failure-to-rescue is a robust quality measure, sensitive to nursing across alternative exclusion rule specifications. Despite expanded POA coding, exclusion-based rules are needed to analyze datasets not coded for POA, legacy datasets, and datasets with poor POA coding. POA-informed construction of exclusions significantly improves rules identifying POA complications
Assessing Low Mortality in Magnet Hospitals
Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles CA The author declares no conflict of interest. Reprints: Jack Needleman, PhD, FAAN, Department of Health Policy and Management, UCLA Fielding School of Public Health, 650 Charles E. Young Dr. S., Room 31-236B CHS, Los Angeles, CA 90095-1772. E-mail: [email protected]
Whose social capital matters? The case of U.S. urban public hospital closures and conversions to private ownership
Association between homelessness and opioid overdose and opioid-related hospital admissions/emergency department visits
Understanding Gender Sensitivity of the Health Care Workforce at the Veterans Health Administration
Comorbidity Assessment Is Uneven Across Veterans Health Administration and Medicare for the Same Patient
OBJECTIVE: Compare comorbidity identification in Medicare and Veterans Health Administration (VA) data for the purposes of risk adjustment. DATA SOURCES: Analysis of Medicare and VA datasets for dually-enrolled Veterans receiving care in both settings, fiscal years 2010-2014. STUDY DESIGN: A retrospective analysis of administrative data for a national sample of cancer decedents. DATA EXTRACTION METHODS: Comorbidities were evaluated using Elixhaus…
How Do Clinicians of Different Specialties Perceive and Use Opioid Risk Mitigation Strategies? A Qualitative Study
Background In response to the opioid crisis, states and health systems are encouraging clinicians to use risk mitigation strategies aimed at assessing a patient’s risk for opioid misuse or abuse: opioid agreements, prescription drug monitoring programs (PDMPs), and urine drug tests (UDT). Objective: The objective of this qualitative study was to understand how clinicians perceived and used risk mitigation strategies for opioid abuse/misuse and id…
Discontinuity of Women Veterans’ Care in Patient-Centered Medical Homes
Risk Behaviors Associated with Patterns of Sexualized Stimulant and Alcohol Use among Men Who Have Sex with Men
Disparities in prevalence of screening/monitoring in children with intellectual and developmental disabilities
Introduction About one in six children in the US, about 17% of the population, have one or more intellectual or developmental disabilities. Increases in disability due to neurodevelopmental or mental health conditions have increased by 21% in the last decade. Early intervention based on developmental screening and provider-initiated monitoring can significantly improve long-term health and cognitive outcomes. This paper assesses whether differenc…
Medicine (18 obras) · Nursing (11 obras) · Health care (10 obras) · Family medicine (7 obras) · Emergency Medicine (6 obras) · Emergency Medicine (6 obras) · Primary Care and Health Outcomes (6 obras) · Internal Medicine (5 obras) · Political science (5 obras) · Staffing (5 obras)