Elliott S Fisher

Summary

Affiliation: Dartmouth Medical School
Country: USA

Publications

  1. pmc Abstracts in high profile journals often fail to report harm
    Enrique Bernal-Delgado
    BMC Med Res Methodol 8:14. 2008
  2. pmc Creating accountable care organizations: the extended hospital medical staff
    Elliott S Fisher
    Dartmouth Medical School and the Center for the Evaluative Clinical Sciences, Hanover, New Hampshire, USA
    Health Aff (Millwood) 26:w44-57. 2007
  3. doi request reprint Insights from transformations under way at four Brookings-Dartmouth accountable care organization pilot sites
    Bridget K Larson
    Dartmouth Institute for Health Policy and Clinical Practice, Hanover, New Hampshire, USA
    Health Aff (Millwood) 31:2395-406. 2012
  4. ncbi request reprint The implications of regional variations in Medicare spending. Part 2: health outcomes and satisfaction with care
    Elliott S Fisher
    Center for Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire 03755, USA
    Ann Intern Med 138:288-98. 2003
  5. doi request reprint Attributing patients to accountable care organizations: performance year approach aligns stakeholders' interests
    Valerie A Lewis
    Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth, Hanover, New Hampshire, USA
    Health Aff (Millwood) 32:587-95. 2013
  6. pmc Measuring racial disparities in the quality of ambulatory diabetes care
    Julie P W Bynum
    Dartmouth Institute for Clinical Practice and Health Policy, Dartmouth Medical School, Hanover, NH 03766, USA
    Med Care 48:1057-63. 2010
  7. pmc How much do patients' preferences contribute to resource use?
    Denise L Anthony
    Dartmouth College in Hanover, New Hampshire, USA
    Health Aff (Millwood) 28:864-73. 2009
  8. ncbi request reprint Variations in the longitudinal efficiency of academic medical centers
    Elliott S Fisher
    Dartmouth Medical School in Hanover, New Hampshire, USA
    Health Aff (Millwood) . 2004
  9. pmc Use of hospitals, physician visits, and hospice care during last six months of life among cohorts loyal to highly respected hospitals in the United States
    John E Wennberg
    Center for the Evaluative Clinical Sciences, Dartmouth Medical School, 7251 Strasenburgh, Hanover, NH 03755 3863, USA
    BMJ 328:607. 2004
  10. pmc Inpatient care intensity and patients' ratings of their hospital experiences
    John E Wennberg
    Evaluative Clinical Sciences and Dartmouth Institute for Health Policy and Clinical Practice in Lebanon, New Hampshire, USA
    Health Aff (Millwood) 28:103-12. 2009

Detail Information

Publications57

  1. pmc Abstracts in high profile journals often fail to report harm
    Enrique Bernal-Delgado
    BMC Med Res Methodol 8:14. 2008
    ..To describe how frequently harm is reported in the abstract of high impact factor medical journals...
  2. pmc Creating accountable care organizations: the extended hospital medical staff
    Elliott S Fisher
    Dartmouth Medical School and the Center for the Evaluative Clinical Sciences, Hanover, New Hampshire, USA
    Health Aff (Millwood) 26:w44-57. 2007
    ..Efforts to create accountable care organizations at this level--the extended hospital medical staff--deserve consideration as a potential means of improving the quality and lowering the cost of care...
  3. doi request reprint Insights from transformations under way at four Brookings-Dartmouth accountable care organization pilot sites
    Bridget K Larson
    Dartmouth Institute for Health Policy and Clinical Practice, Hanover, New Hampshire, USA
    Health Aff (Millwood) 31:2395-406. 2012
    ..These sites' transitions to the new payment model constitutes an ongoing journey that will require continual adaptation in the structure of contracts and organizational attributes...
  4. ncbi request reprint The implications of regional variations in Medicare spending. Part 2: health outcomes and satisfaction with care
    Elliott S Fisher
    Center for Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire 03755, USA
    Ann Intern Med 138:288-98. 2003
    ..The health implications of regional differences in Medicare spending are unknown...
  5. doi request reprint Attributing patients to accountable care organizations: performance year approach aligns stakeholders' interests
    Valerie A Lewis
    Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth, Hanover, New Hampshire, USA
    Health Aff (Millwood) 32:587-95. 2013
    ..Together, these results suggest that performance year attribution may more fully and accurately reflect an ACO's patient population and may better position an ACO to achieve shared savings...
  6. pmc Measuring racial disparities in the quality of ambulatory diabetes care
    Julie P W Bynum
    Dartmouth Institute for Clinical Practice and Health Policy, Dartmouth Medical School, Hanover, NH 03766, USA
    Med Care 48:1057-63. 2010
    ..Improving the health of minority patients who have diabetes depends in part on improving quality and reducing disparities in ambulatory care. It has been difficult to measure these components at the level of actionable units...
  7. pmc How much do patients' preferences contribute to resource use?
    Denise L Anthony
    Dartmouth College in Hanover, New Hampshire, USA
    Health Aff (Millwood) 28:864-73. 2009
    ..However, we find that patients' preferences for seeking primary and specialty medical care do not play a significant role in explaining regional variation in health care use...
  8. ncbi request reprint Variations in the longitudinal efficiency of academic medical centers
    Elliott S Fisher
    Dartmouth Medical School in Hanover, New Hampshire, USA
    Health Aff (Millwood) . 2004
    ....
  9. pmc Use of hospitals, physician visits, and hospice care during last six months of life among cohorts loyal to highly respected hospitals in the United States
    John E Wennberg
    Center for the Evaluative Clinical Sciences, Dartmouth Medical School, 7251 Strasenburgh, Hanover, NH 03755 3863, USA
    BMJ 328:607. 2004
    ..To evaluate the use of healthcare resources during the last six months of life among patients of US hospitals with strong reputations for high quality care in managing chronic illness...
  10. pmc Inpatient care intensity and patients' ratings of their hospital experiences
    John E Wennberg
    Evaluative Clinical Sciences and Dartmouth Institute for Health Policy and Clinical Practice in Lebanon, New Hampshire, USA
    Health Aff (Millwood) 28:103-12. 2009
    ..The common thread linking greater care intensity with lower quality and less favorable patient experiences may be poorly coordinated care...
  11. ncbi request reprint Use of Medicare claims data to monitor provider-specific performance among patients with severe chronic illness
    John E Wennberg
    Center for the Evaluative Clinical Sciences, Dartmouth Medical School, New Hampshire, USA
    Health Aff (Millwood) . 2004
    ..We believe that hospital-specific measures can be helpful in identifying providers with acceptable quality indices who are also relatively efficient in managing chronic illness...
  12. ncbi request reprint Evaluating the efficiency of california providers in caring for patients with chronic illnesses
    John E Wennberg
    Center for the Evaluative Clinical Sciences, Dartmouth Medical School in Hanover, New Hampshire, USA
    Health Aff (Millwood) . 2005
    ..The data point to important opportunities to improve efficiency...
  13. pmc Fostering accountable health care: moving forward in medicare
    Elliott S Fisher
    Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire, USA
    Health Aff (Millwood) 28:w219-31. 2009
    ..We simulate the potential expenditure impact and show that significant Medicare savings are possible...
  14. pmc Regional variations in diagnostic practices
    Yunjie Song
    Dartmouth Institute for Health Policy and Clinical Practice, Hanover, NH, USA
    N Engl J Med 363:45-53. 2010
    ..Current methods of risk adjustment rely on diagnoses recorded in clinical and administrative records. Differences among providers in diagnostic practices could lead to bias...
  15. ncbi request reprint Geography and the debate over Medicare reform
    John E Wennberg
    Center for Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire, USA
    Health Aff (Millwood) . 2002
    ..We suggest that our proposal be tested in a major demonstration project..
  16. doi request reprint A framework for evaluating the formation, implementation, and performance of accountable care organizations
    Elliott S Fisher
    Center for Population Health, Dartmouth Institute for Health Policy and Clinical Practice, Hanover, New Hampshire, USA
    Health Aff (Millwood) 31:2368-78. 2012
    ....
  17. ncbi request reprint Health care quality, geographic variations, and the challenge of supply-sensitive care
    Elliott S Fisher
    Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Hannover, NH 03755 3863, USA
    Perspect Biol Med 46:69-79. 2003
  18. pmc Discretionary decision making by primary care physicians and the cost of U.S. Health care
    BRENDA SIROVICH
    Outcomes Group, Veterans Affairs Medical Center, White River Junction, Vermont, USA
    Health Aff (Millwood) 27:813-23. 2008
    ..Greater attention should be paid to the local factors that influence physicians' clinical judgment in discretionary settings...
  19. ncbi request reprint Detection of prostate cancer via biopsy in the Medicare-SEER population during the PSA era
    H Gilbert Welch
    VA Outcomes Group 111B, Department of Veterans Affairs Medical Center, White River Junction, VT 05009, USA
    J Natl Cancer Inst 99:1395-400. 2007
    ..We sought national estimates on the proportion of men found to have prostate cancer after a needle biopsy of the prostate and the risk of subsequent biopsies among those not found to have prostate cancer...
  20. ncbi request reprint Veterans Health Administration patients' use of the private sector for coronary revascularization in New York: opportunities to improve outcomes by directing care to high-performance hospitals
    William B Weeks
    VA Outcomes Group, Veterans Health Administration, White River Junction, Vermont 05009, USA
    Med Care 44:519-26. 2006
    ..We sought to quantify Veterans Health Administration (VA) patients' utilization of coronary revascularization in the private sector and to assess the potential impact of directing this care to high-performance hospitals...
  21. ncbi request reprint The relation between the availability of neonatal intensive care and neonatal mortality
    David C Goodman
    Department of Pediatrics, Dartmouth Medical School, Hanover, NH 03755, USA
    N Engl J Med 346:1538-44. 2002
    ..We conducted a study to determine whether a greater supply of neonatologists or neonatal intensive care beds is associated with lower neonatal mortality...
  22. pmc Extending the P4P agenda, part 2: how Medicare can reduce waste and improve the care of the chronically ill
    John E Wennberg
    Dartmouth Institute for Health Policy and Clinical Practice, USA
    Health Aff (Millwood) 26:1575-85. 2007
    ..This paper recommends a strategy for achieving this goal...
  23. doi request reprint Comparing the characteristics, utilization, efficiency, and outcomes of VA and non-VA inpatient care provided to VA enrollees: a case study in New York
    William B Weeks
    VA Outcomes Group Research Enhancement Award Program, White River Junction VA Medical Center, White River Junction, Vermont 05009, USA
    Med Care 46:863-71. 2008
    ..To compare the characteristics, utilization, and outcomes of Veterans Health Administration (VA) and non-VA inpatient care provided to VA enrollees in New York...
  24. doi request reprint Higher health care quality and bigger savings found at large multispecialty medical groups
    William B Weeks
    Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA
    Health Aff (Millwood) 29:991-7. 2010
    ..In most markets, and after adjustment for patient factors, group physicians affiliated with the council provided higher-quality care at a 3.6 percent lower annual cost ($272 per patient)...
  25. ncbi request reprint Variation in the tendency of primary care physicians to intervene
    Brenda E Sirovich
    VA Outcomes Group, White River Junction, VT 05009, USA
    Arch Intern Med 165:2252-6. 2005
    ..We sought to measure the tendency of primary care physicians to intervene across regions that differ in their levels of local health care spending...
  26. ncbi request reprint 2007 Robert and Alma Moreton lecture: pay for performance: more than rearranging the deck chairs?
    Elliott S Fisher
    Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Lebanon, New Hampshire 03766, USA
    J Am Coll Radiol 4:879-85. 2007
    ....
  27. ncbi request reprint Regional variations in health care intensity and physician perceptions of quality of care
    Brenda E Sirovich
    Veterans Affairs Medical Center Outcomes Group, White River Junction, Vermont 05009, USA
    Ann Intern Med 144:641-9. 2006
    ....
  28. doi request reprint The promise and peril of accountable care for vulnerable populations: a framework for overcoming obstacles
    Valerie A Lewis
    Center for Population Health, Dartmouth Institute for Health Policy and Clinical Practice in Lebanon, New Hampshire, USA
    Health Aff (Millwood) 31:1777-85. 2012
    ....
  29. pmc Roles for specialty societies and vascular surgeons in accountable care organizations
    Philip P Goodney
    Section of Vascular Surgery, Dartmouth Hitchcock Medical Center, Hanover, NH 03766, USA
    J Vasc Surg 55:875-82. 2012
    ..And fourth, because a "seat at the table" will be an important key to success for vascular surgeons in these efforts, we discuss how vascular surgeons can participate and lead efforts within ACOs...
  30. pmc The elusive connection between health care spending and quality
    Jonathan Skinner
    Department of Economics, Dartmouth College, Hanover, New Hampshire, USA
    Health Aff (Millwood) 28:w119-23. 2009
    ..Cooper may believe that this result challenges three decades of research by the Dartmouth group. Instead, it supports the group's view that improved efficiency-and not more doctors and hospital beds-is central to improving quality...
  31. ncbi request reprint The paradox of plenty: implications for performance measurement and pay for performance
    Elliott S Fisher
    Dartmouth Medical School, Hanover, N H, USA
    Manag Care 15:3-8. 2006
  32. ncbi request reprint The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care
    Elliott S Fisher
    Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire 03755, USA
    Ann Intern Med 138:273-87. 2003
    ..The health implications of regional differences in Medicare spending are unknown...
  33. pmc Hospital quality and intensity of spending: is there an association?
    Laura Yasaitis
    Dartmouth Medical School, Hanover, New Hampshire, USA
    Health Aff (Millwood) 28:w566-72. 2009
    ..This finding highlights the need for reporting information on both quality and spending...
  34. ncbi request reprint Publicly reporting comprehensive quality and cost data: a health care system's transparency initiative
    Eugene C Nelson
    Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA
    Jt Comm J Qual Patient Saf 31:573-84. 2005
    ..An overview is provided of the first 22 months of a transparency initiative at Dartmouth-Hitchcock Medical Center (DHMC)...
  35. pmc United States' trends and regional variations in lumbar spine surgery: 1992-2003
    James N Weinstein
    Department of Orthopaedics, Dartmouth Medical School, Hanover, NH 03756, USA
    Spine (Phila Pa 1976) 31:2707-14. 2006
    ..Repeated cross-sectional analysis using national Medicare data from the Dartmouth Atlas Project...
  36. ncbi request reprint Physician workforce crisis? Wrong diagnosis, wrong prescription
    David C Goodman
    Center for Health Policy Research, Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Medical School, Hanover, NH, USA
    N Engl J Med 358:1658-61. 2008
  37. ncbi request reprint Characteristics of VA patients who use low-quality private-sector CABG centers in New York
    William B Weeks
    VA Medical Center, Dartmouth Medical School, Hanover, NH, USA
    Med Care Res Rev 64:691-705. 2007
    ..Efforts to direct VA patients' care to high-performance hospitals could improve outcomes and reduce racial and ethnic disparities in care...
  38. ncbi request reprint Paying for performance--risks and recommendations
    Elliott S Fisher
    Dartmouth Medical School, Hanover, NH, USA
    N Engl J Med 355:1845-7. 2006
  39. pmc Building a medical neighborhood for the medical home
    Elliott S Fisher
    Center for Health Policy Research, Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA
    N Engl J Med 359:1202-5. 2008
  40. doi request reprint When VA patients have non-VA hospitalizations, who pays for what services, and what are the research implications? A New York case study
    Alan N West
    VA Outcomes Group Research Enhancement Award Program, White River Junction VA Medical Center, White River Junction, Vermont 05009, USA
    Med Care 46:872-7. 2008
    ....
  41. doi request reprint Changes in the use of carotid revascularization among the medicare population
    Philip P Goodney
    Section of Vascular Surgery, Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03766, USA
    Arch Surg 143:170-3. 2008
    ..It remains unknown if the increasing use of carotid artery stenting (CAS) has caused a change in the population-based use of carotid endarterectomy (CEA). We sought to examine national trends in carotid revascularization...
  42. ncbi request reprint Finding high quality, efficient providers for value purchasing: cohort methods better than methods based on events
    John E Wennberg
    Med Care 40:853-5. 2002
  43. ncbi request reprint Medical care--is more always better?
    Elliott S Fisher
    N Engl J Med 349:1665-7. 2003
  44. ncbi request reprint Geography and the debate over medicare reform
    John E Wennberg
    Health Aff (Millwood) . 2004
    ..We suggest that our proposal be tested in a major demonstration project...
  45. pmc New York's statistical model accurately predicts mortality risk for veterans who obtain private sector CABG
    William B Weeks
    Veterans Rural Health Initiative, VA Medical Center, White River Junction, VT, USA
    Health Serv Res 40:1186-96. 2005
    ..To determine whether patients' use of the Veterans Health Administration health care system (VHA) is an independent risk factor for mortality following coronary artery bypass grafting (CABG) in the private sector in New York...
  46. ncbi request reprint Racial trends in the use of major procedures among the elderly
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, USA
    N Engl J Med 353:683-91. 2005
    ..Differences in the use of major procedures according to patients' race are well known. Whether national and local initiatives to reduce these differences have been successful is unknown...
  47. ncbi request reprint Bereaved family member perceptions of quality of end-of-life care in U.S. regions with high and low usage of intensive care unit care
    Joan M Teno
    Center for Gerontology and Health Care Research, Brown Medical School, Providence, Rhode Island 02912, USA
    J Am Geriatr Soc 53:1905-11. 2005
    ..To compare the quality of end-of-life care of persons dying in regions of differing practice intensity...
  48. ncbi request reprint U.S. trends in CABG hospital volume: the effect of adding cardiac surgery programs
    Chad T Wilson
    Massachusetts General Hospital, Boston, USA
    Health Aff (Millwood) 26:162-8. 2007
    ..An unintended consequence of starting new cardiac surgery programs is declining CABG hospital volume--a side effect that might increase mortality...
  49. ncbi request reprint Using the Veterans Health Administration inpatient care database: trends in the use of antireflux surgery
    Samuel R G Finalyson
    VA Outcomes Group, VA Medical Center, White River Junction, VT 05009, USA
    Eff Clin Pract 5:E5. 2002
    ..Both patient and provider factors may explain the substantially higher use of this procedure in the private sector...
  50. pmc Are regional variations in end-of-life care intensity explained by patient preferences?: A Study of the US Medicare Population
    Amber E Barnato
    Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania 15312, USA
    Med Care 45:386-93. 2007
    ..We sought to test whether variations across regions in end-of-life (EOL) treatment intensity are associated with regional differences in patient preferences for EOL care...
  51. ncbi request reprint Medical care inconsistent with patients' treatment goals: association with 1-year Medicare resource use and survival
    Joan M Teno
    Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island, USA
    J Am Geriatr Soc 50:496-500. 2002
    ..To describe how frequently seriously ill persons perceive that the care they receive is inconsistent with treatment preferences and the effect on 1-year resource utilization...
  52. pmc Analysis of observational studies in the presence of treatment selection bias: effects of invasive cardiac management on AMI survival using propensity score and instrumental variable methods
    Therese A Stukel
    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    JAMA 297:278-85. 2007
    ..Comparisons of outcomes between patients treated and untreated in observational studies may be biased due to differences in patient prognosis between groups, often because of unobserved treatment selection biases...
  53. pmc Malpractice liability costs and the practice of medicine in the Medicare program
    Katherine Baicker
    School of Public Affairs, University of California, Los Angeles, USA
    Health Aff (Millwood) 26:841-52. 2007
    ..The 60 percent increase in malpractice premiums between 2000 and 2003 is associated with an increase in total Medicare spending of more than $15 billion...
  54. ncbi request reprint Using observational data to estimate treatment effects
    Therese A Stukel
    JAMA 297:2078-9; author reply 2079. 2007
  55. pmc Inpatient transfers to the intensive care unit: delays are associated with increased mortality and morbidity
    Michael P Young
    University of Vermont College of Medicine, Division of Pulmonary and Critical Care, Burlington, VT, USA
    J Gen Intern Med 18:77-83. 2003
    ..To examine if delayed transfer to the intensive care unit (ICU) after physiologic deterioration is associated with increased morbidity and mortality...
  56. pmc Is technological change in medicine always worth it? The case of acute myocardial infarction
    Jonathan S Skinner
    Dartmouth Medical College
    Health Aff (Millwood) 25:w34-47. 2006
    ..Regions experiencing the largest spending gains were not those realizing the greatest improvements in survival. Factors yielding the greatest benefits to health were not the factors that drove up costs, and vice versa...
  57. pmc Should aspirin be continued in patients started on warfarin?
    Robin J Larson
    VA Outcomes Group, Department of Veteran Affairs Medical Center, White River Junction, VT, USA
    J Gen Intern Med 19:879-86. 2004
    ..Clinicians frequently face the decision of whether to continue aspirin when starting patients on warfarin. We performed a meta-analysis to characterize the tradeoffs involved in this common clinical dilemma...