Ann M Borzecki

• Beyond Medication Adherence

  Nancy R Kressin, A Rani Elwy et al.•ARTICLE•Ethnicity & Disease•2019

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  Results suggest that when clinicians must choose a dimension on which to intervene, focusing on beliefs would be the most fruitful approach to effecting change in BP control

• Does Use of a Hospital-wide Readmission Measure Versus Condition-specific Readmission Measures Make a Difference for Hospital Profiling and Payment Penalties

  Amy K Rosen, Qi Chen et al.•ARTICLE•Medical Care•2016•Referências: 9

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  BACKGROUND: The Centers for Medicare and Medicaid Services (CMS) use public reporting and payment penalties as incentives for hospitals to reduce readmission rates. In contrast to the current condition-specific readmission measures, CMS recently developed an all-condition, 30-day all-cause hospital-wide readmission measure (HWR) to provide a more comprehensive view of hospital performance. OBJECTIVES: We examined whether assessment of hospital pe…

• Medical and Surgical Readmissions in the Veterans Health Administration

  Amy K Rosen, Qi Chen et al.•ARTICLE•Medical Care•2014•Referências: 9

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  BACKGROUND: Readmissions are an attractive quality measure because they offer a broad view of quality beyond the index hospitalization. However, the extent to which medical or surgical readmissions reflect quality of care is largely unknown, because of the complexity of factors related to readmission. Identifying those readmissions that are clinically related to the index hospitalization is an important first step in closing this knowledge gap. O…

• Comparing 2 Methods of Assessing 30-Day Readmissions

  Hillary J Mull, Qi Chen et al.•ARTICLE•Medical Care•2013•Referências: 1

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  BACKGROUND: The Centers for Medicare and Medicaid Services' (CMS) all-cause readmission measure and the 3M Health Information System Division Potentially Preventable Readmissions (PPR) measure are both used for public reporting. These 2 methods have not been directly compared in terms of how they identify high-performing and low-performing hospitals. OBJECTIVES: To examine how consistently the CMS and PPR methods identify performance outliers, an…

• Examining the Impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration

  Amy K Rosen, Susan Loveland et al.•ARTICLE•Medical Care•2013•Referências: 19

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  BACKGROUND: By focusing primarily on outcomes in the inpatient setting one may overlook serious adverse events that may occur after discharge (eg, readmissions, mortality) as well as opportunities for improving outpatient care. OBJECTIVE: Our overall objective was to examine whether experiencing an Agency for Healthcare Research and Quality Patient Safety Indicator (PSI) event in an index medical or surgical hospitalization increased the likeliho…

• Validating the Patient Safety Indicators in the Veterans Health Administration

  Amy K Rosen, Kamal M F Itani et al.•ARTICLE•Medical Care•2012•Referências: 19

  Incluir item

  BACKGROUND: The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) use administrative data to detect potentially preventable in-hospital adverse events. However, few studies have determined how accurately the PSIs identify true safety events. OBJECTIVES: We examined the criterion validity, specifically the positive predictive value (PPV), of 12 selected PSIs using clinical data abstracted from the Veterans Health A…

• Comparison of In-Hospital Versus 30-Day Mortality Assessments for Selected Medical Conditions

  Ann M Borzecki, Cindy L Christiansen et al.•ARTICLE•Medical Care•2010•Referências: 8

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  BACKGROUND: In-hospital mortality measures such as the Agency for Healthcare Research and Quality (AHRQ) Inpatient Quality Indicators (IQIs) are easily derived using hospital discharge abstracts and publicly available software. However, hospital assessments based on a 30-day postadmission interval might be more accurate given potential differences in facility discharge practices. OBJECTIVES: To compare in-hospital and 30-day mortality rates for 6…

• Trends in the Inpatient Quality Indicators

  Ann M Borzecki, Cindy L Christiansen et al.•ARTICLE•Medical Care•2010•Referências: 25

  Incluir item

  BACKGROUND: The Agency for Healthcare Research and Quality Inpatient Quality Indicators (IQIs), which include in-hospital mortality and utilization rates, have received little attention in the Veterans Health Administration (VA), despite extensive private sector use for quality improvement. OBJECTIVES: We examined the following: the feasibility of applying the IQIs to VA data; temporal trends in national VA IQI rates; temporal and regional IQI tr…

• Comparison of In-Hospital Versus 30-Day Mortality Assessments for Selected Medical Conditions

  Ann M Borzecki, Cindy L Christiansen et al.•ARTICLE•Medical Care•2010•Referências: 8

  Incluir item

  BACKGROUND: In-hospital mortality measures such as the Agency for Healthcare Research and Quality (AHRQ) Inpatient Quality Indicators (IQIs) are easily derived using hospital discharge abstracts and publicly available software. However, hospital assessments based on a 30-day postadmission interval might be more accurate given potential differences in facility discharge practices. OBJECTIVES: To compare in-hospital and 30-day mortality rates for 6…

• Trends in the Inpatient Quality Indicators

  Ann M Borzecki, Cindy L Christiansen et al.•ARTICLE•Medical Care•2010•Referências: 25

  Incluir item

  BACKGROUND: The Agency for Healthcare Research and Quality Inpatient Quality Indicators (IQIs), which include in-hospital mortality and utilization rates, have received little attention in the Veterans Health Administration (VA), despite extensive private sector use for quality improvement. OBJECTIVES: We examined the following: the feasibility of applying the IQIs to VA data; temporal trends in national VA IQI rates; temporal and regional IQI tr…

• Validating the Patient Safety Indicators in the Veterans Health Administration

  Amy K Rosen, Kamal M F Itani et al.•ARTICLE•Medical Care•2012•Referências: 19

  Incluir item

  BACKGROUND: The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) use administrative data to detect potentially preventable in-hospital adverse events. However, few studies have determined how accurately the PSIs identify true safety events. OBJECTIVES: We examined the criterion validity, specifically the positive predictive value (PPV), of 12 selected PSIs using clinical data abstracted from the Veterans Health A…

• Comparing 2 Methods of Assessing 30-Day Readmissions

  Hillary J Mull, Qi Chen et al.•ARTICLE•Medical Care•2013•Referências: 1

  Incluir item

  BACKGROUND: The Centers for Medicare and Medicaid Services' (CMS) all-cause readmission measure and the 3M Health Information System Division Potentially Preventable Readmissions (PPR) measure are both used for public reporting. These 2 methods have not been directly compared in terms of how they identify high-performing and low-performing hospitals. OBJECTIVES: To examine how consistently the CMS and PPR methods identify performance outliers, an…

• Examining the Impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration

  Amy K Rosen, Susan Loveland et al.•ARTICLE•Medical Care•2013•Referências: 19

  Incluir item

  BACKGROUND: By focusing primarily on outcomes in the inpatient setting one may overlook serious adverse events that may occur after discharge (eg, readmissions, mortality) as well as opportunities for improving outpatient care. OBJECTIVE: Our overall objective was to examine whether experiencing an Agency for Healthcare Research and Quality Patient Safety Indicator (PSI) event in an index medical or surgical hospitalization increased the likeliho…

• Medical and Surgical Readmissions in the Veterans Health Administration

  Amy K Rosen, Qi Chen et al.•ARTICLE•Medical Care•2014•Referências: 9

  Incluir item

  BACKGROUND: Readmissions are an attractive quality measure because they offer a broad view of quality beyond the index hospitalization. However, the extent to which medical or surgical readmissions reflect quality of care is largely unknown, because of the complexity of factors related to readmission. Identifying those readmissions that are clinically related to the index hospitalization is an important first step in closing this knowledge gap. O…

• Does Use of a Hospital-wide Readmission Measure Versus Condition-specific Readmission Measures Make a Difference for Hospital Profiling and Payment Penalties

  Amy K Rosen, Qi Chen et al.•ARTICLE•Medical Care•2016•Referências: 9

  Incluir item

  BACKGROUND: The Centers for Medicare and Medicaid Services (CMS) use public reporting and payment penalties as incentives for hospitals to reduce readmission rates. In contrast to the current condition-specific readmission measures, CMS recently developed an all-condition, 30-day all-cause hospital-wide readmission measure (HWR) to provide a more comprehensive view of hospital performance. OBJECTIVES: We examined whether assessment of hospital pe…

• Beyond Medication Adherence

  Nancy R Kressin, A Rani Elwy et al.•ARTICLE•Ethnicity & Disease•2019

  Incluir item

  Results suggest that when clinicians must choose a dimension on which to intervene, focusing on beliefs would be the most fruitful approach to effecting change in BP control

Medicine (8 obras) · Emergency Medicine (7 obras) · Emergency Medicine (7 obras) · Health care (6 obras) · Internal Medicine (5 obras) · Heart Failure Treatment and Management (4 obras) · Internal Medicine (4 obras) · Sepsis Diagnosis and Treatment (4 obras) · Confidence interval (3 obras) · Primary Care and Health Outcomes (3 obras)