Research Topics
| Elliott S FisherSummaryAffiliation: Dartmouth Medical School Country: USA Publications
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Detail Information
Publications
A framework for evaluating the formation, implementation, and performance of accountable care organizationsElliott 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....
The implications of regional variations in Medicare spending. Part 2: health outcomes and satisfaction with careElliott 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...- 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.... 
Fostering accountable health care: moving forward in medicareElliott 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...- Variations in the longitudinal efficiency of academic medical centersElliott S Fisher
Dartmouth Medical School in Hanover, New Hampshire, USA
Health Aff (Millwood) . 2004.... - The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of careElliott 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... - Health care quality, geographic variations, and the challenge of supply-sensitive careElliott S Fisher
Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Hannover, NH 03755-3863, USA
Perspect Biol Med 46:69-79. 2003 - Extending the P4P agenda, part 2: how Medicare can reduce waste and improve the care of the chronically illJohn 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... - Geography and the debate over Medicare reformJohn 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.. - Spending differences associated with the Medicare Physician Group Practice DemonstrationCarrie H Colla
Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, 35 Centerra Pkwy, Lebanon, NH 03766, USA
JAMA 308:1015-23. 2012..Although evidence indicates the PGPD improved quality, uncertainty remains about its effect on costs... - 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... - Measuring racial disparities in the quality of ambulatory diabetes careJulie 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... - Roles for specialty societies and vascular surgeons in accountable care organizationsPhilip 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... - Variation in the use of lower extremity vascular procedures for critical limb ischemiaPhilip P Goodney
Section of Vascular Surgery, Department of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH 03766, USA
Circ Cardiovasc Qual Outcomes 5:94-102. 2012..However, the extent of variation in procedural vascular care obtained by patients with critical limb ischemia (CLI) remains unknown... - Use of Medicare claims data to monitor provider-specific performance among patients with severe chronic illnessJohn 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... - Regional variations in diagnostic practicesYunjie 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... - Evaluating the efficiency of california providers in caring for patients with chronic illnessesJohn 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... - Inpatient care intensity and patients' ratings of their hospital experiencesJohn 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... - Use of hospitals, physician visits, and hospice care during last six months of life among cohorts loyal to highly respected hospitals in the United StatesJohn 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... - Higher health care quality and bigger savings found at large multispecialty medical groupsWilliam 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)... - Creating accountable care organizations: the extended hospital medical staffElliott 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... - The promise and peril of accountable care for vulnerable populations: a framework for overcoming obstaclesValerie 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.... - Insights from transformations under way at four Brookings-Dartmouth accountable care organization pilot sitesBridget 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... - Causes of late mortality after endovascular and open surgical repair of infrarenal abdominal aortic aneurysmsPhilip P Goodney
Department of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH 03765, USA
J Vasc Surg 51:1340-1347.e1. 2010..However, a population-based study examining causes of late death after EVAR vs open surgical repair has not been performed... - Building a medical neighborhood for the medical homeElliott 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 - Physician workforce crisis? Wrong diagnosis, wrong prescriptionDavid 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 - The paradox of plenty: implications for performance measurement and pay for performanceElliott S Fisher
Dartmouth Medical School, Hanover, N.H, USA
Manag Care 15:3-8. 2006 - Variation in the tendency of primary care physicians to interveneBrenda 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... - Comparing the characteristics, utilization, efficiency, and outcomes of VA and non-VA inpatient care provided to VA enrollees: a case study in New YorkWilliam 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... - Discretionary decision making by primary care physicians and the cost of U.S. Health careBRENDA 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... - 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 hospitalsWilliam 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... - Detection of prostate cancer via biopsy in the Medicare-SEER population during the PSA eraH 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... - Regional variations in health care intensity and physician perceptions of quality of careBrenda E Sirovich
Veterans Affairs Medical Center Outcomes Group, White River Junction, Vermont 05009, USA
Ann Intern Med 144:641-9. 2006.... - The elusive connection between health care spending and qualityJonathan 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... - Changes in the use of carotid revascularization among the medicare populationPhilip 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... - United States' trends and regional variations in lumbar spine surgery: 1992-2003James 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... - 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... - The relation between the availability of neonatal intensive care and neonatal mortalityDavid 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... - Paying for performance--risks and recommendationsElliott S Fisher
Dartmouth Medical School, Hanover, NH, USA
N Engl J Med 355:1845-7. 2006 - Characteristics of VA patients who use low-quality private-sector CABG centers in New YorkWilliam 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... - Publicly reporting comprehensive quality and cost data: a health care system's transparency initiativeEugene C Nelson
Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA
Jt Comm J Qual Patient Saf 31:573-84. 2005.... - Medical care--is more always better?Elliott S Fisher
N Engl J Med 349:1665-7. 2003 - New York's statistical model accurately predicts mortality risk for veterans who obtain private sector CABGWilliam B Weeks
Veterans' Rural Health Initiative, VA Medical Center, White River Junction, VT, USA
Health Serv Res 40:1186-96. 2005..The New York Department of Health risk adjustment model adequately applies to veterans who obtain CABG in the private sector in New York... - Geography and the debate over medicare reformJohn E Wennberg
Health Aff (Millwood) . 2004..We suggest that our proposal be tested in a major demonstration project... - Using the Veterans Health Administration inpatient care database: trends in the use of antireflux surgerySamuel 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... - Finding high quality, efficient providers for value purchasing: cohort methods better than methods based on eventsJohn E Wennberg
Med Care 40:853-5. 2002 - Medical care inconsistent with patients' treatment goals: association with 1-year Medicare resource use and survivalJoan M Teno
Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island, USA
J Am Geriatr Soc 50:496-500. 2002..Such discord was associated with higher 1-year healthcare costs and increased survival... - Racial trends in the use of major procedures among the elderlyAshish K Jha
Department of Health Policy and Management, Harvard School of Public Health, Boston, USA
N Engl J Med 353:683-91. 2005..CONCLUSIONS: For the decade of the 1990s, we found no evidence, either nationally or locally, that efforts to eliminate racial disparities in the use of high-cost surgical procedures were successful... - Bereaved family member perceptions of quality of end-of-life care in U.S. regions with high and low usage of intensive care unit careJoan 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... - U.S. trends in CABG hospital volume: the effect of adding cardiac surgery programsChad 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... - When VA patients have non-VA hospitalizations, who pays for what services, and what are the research implications? A New York case studyAlan 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.... - Are regional variations in end-of-life care intensity explained by patient preferences?: A Study of the US Medicare PopulationAmber 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... - 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 methodsTherese 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... - Malpractice liability costs and the practice of medicine in the Medicare programKatherine 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... - Inpatient transfers to the intensive care unit: delays are associated with increased mortality and morbidityMichael 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... - Using observational data to estimate treatment effectsTherese A Stukel
JAMA 297:2078-9; author reply 2079. 2007 - 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... - Is technological change in medicine always worth it? The case of acute myocardial infarctionJonathan 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...