Research Topics
| L I IezzoniSummaryAffiliation: Harvard University Country: USA Publications
| Collaborators
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Detail Information
Publications
Does the Complications Screening Program flag cases with process of care problems? Using explicit criteria to judge processesL I Iezzoni
Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
Int J Qual Health Care 11:107-18. 1999..The Complications Screening Program (CSP) aims to identify 28 potentially preventable complications of hospital care using computerized discharge abstracts, including demographic information, diagnosis and procedure codes...- Capturing and classifying functional status information in administrative databasesLisa I Iezzoni
Health Care Financ Rev 24:61-76. 2003..The National Committee on Vital and Health Statistics (NCVHS) identified the International Classification of Functioning, Disability and Health (ICF) as the only viable code set for consistently reporting functional status... - Screening inpatient quality using post-discharge eventsL I Iezzoni
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
Med Care 37:384-98. 1999..Decreasing hospital lengths of stay (LOS) hamper efforts to detect and to definitively treat complications of care. Patients leave before some complications are identified... 
Teaching medical students about communicating with patients with major mental illnessLisa I Iezzoni
Division of General Medicine and Primary Care, Charles A Dana Research Institute, Harvard Thorndike Laboratory, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
J Gen Intern Med 21:1112-5. 2006..Educational researchers must explore ways to better prepare young physicians to communicate effectively with patients with major mental illness...- Quality of care for Medicare beneficiaries with disabilities under the age of 65 yearsLisa I Iezzoni
Professor of Medicine, Division of General Medicine and Primary Care, Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, RO 137, 330 Brookline Avenue, Boston, MA 02215, USA
Expert Rev Pharmacoecon Outcomes Res 6:261-73. 2006..Reforming Medicare to meet pressing needs of beneficiaries with disabilities will likely require statutory changes... - Health, disability, and life insurance experiences of working-age persons with multiple sclerosisL I Iezzoni
Department of Medicine, Division of General Medicine and Primary Care, Harvard Medical School, Beth Israel, Deaconess Medical Center, Boston, MA 02215, USA
Mult Scler 13:534-46. 2007..3% delayed filling prescriptions, skipped medication doses, or split pills because of costs. Overall, 26.6% reported considerable worries about affording even basic necessities, such as food, utilities, and housing... - Use of administrative data to find substandard care: validation of the complications screening programS N Weingart
Beth Israel Deaconess Medical Center, Department of Medicine, Harvard Medical School, Charles A Dana Research Institute, and the Harvard Thorndike Library, Boston, Massachusetts 02215, USA
Med Care 38:796-806. 2000..Our objective was to validate whether a screening method that uses data from standard hospital discharge abstracts identifies complications of care and potential quality problems... - Does clinical evidence support ICD-9-CM diagnosis coding of complications?E P McCarthy
Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, the Charles A Dana Research Institute, Boston, Massachusetts 02215, USA
Med Care 38:868-76. 2000..Prior studies of coding validity have investigated whether coding guidelines were met, not whether the clinical condition was actually present... - Identification of in-hospital complications from claims data. Is it valid?A G Lawthers
Center for Quality of Care Research and Education, Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts 02115, USA
Med Care 38:785-95. 2000.... - Physician-reviewers' perceptions and judgments about quality of careS N Weingart
Division of General Madicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
Int J Qual Health Care 13:357-65. 2001..We sought to identify features of individual cases that are associated with physicians' judgments... - Mobility impairments and use of screening and preventive servicesL I Iezzoni
Department of Medicine, Harvard Medical School, Boston, MA, USA
Am J Public Health 90:955-61. 2000..This study examined use of screening and preventive services among adults with mobility problems (difficulty walking, climbing stairs, or standing for extended periods)... - Mobility problems and perceptions of disability by self-respondents and proxy respondentsL I Iezzoni
Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, the Charles A Dana Research Institute, Boston, Massachusetts 02215, USA
Med Care 38:1051-7. 2000..The Americans With Disabilities Act defines disability on the basis of physical or mental impairments or external perceptions of impairment... - Use of screening and preventive services among women with disabilitiesL I Iezzoni
Division of General Medicine and Primary Care, Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Charles A Dana Research Institute, Harvard Thorndike Laboratory, Boston, Mass, USA
Am J Med Qual 16:135-44. 2001..4-0.9), mammograms (odds ratio, 0.7; 95% confidence interval, 0.5-0.9), and smoking queries (odds ratio, 0.6; 95% confidence interval, 0.5-0.8). Various approaches exist to improve access for disabled women to health care services... - Mobility difficulties are not only a problem of old ageL I Iezzoni
Division of General Medicine and Primary Care, Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA
J Gen Intern Med 16:235-43. 2001..Lower extremity mobility difficulties often result from common medical conditions and can disrupt both physical and emotional well-being... - Working-age persons with multiple sclerosis and access to disease-modifying medicationsL I Iezzoni
Division of General Medicine and Primary Care, Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, the Charles A Dana Research Institute, and the Harvard Thorndike Laboratory, Boston, MA 02115, USA
Mult Scler 14:112-22. 2008..4% worried ;a lot' about getting MS medications when they needed them. Substantial fractions of persons with MS confront financial and health plan-related barriers to obtaining MS drugs... - Using severity measures to predict the likelihood of death for pneumonia inpatientsL I Iezzoni
Department of Medicine, Harvard Medical School, Beth Israel Hospital, Boston, MA 02215, USA
J Gen Intern Med 11:23-31. 1996..CONCLUSIONS: Some pairs of severity measures ranked over 25% of patients very differently by predicted probability of death. Results of outcomes studies may vary depending on which severity method is used for risk adjustment... - Do variations in disease prevalence limit the usefulness of population-based hospitalization rates for studying variations in hospital admissions?Michael Shwartz
School of Management, Boston University, MA 02215, USA
Med Care 43:4-11. 2005.... - Primary care experiences of people with psychiatric disabilities: barriers to care and potential solutionsBonnie O'Day
Cornell University Institute for Policy Research, Washington, DC, USA
Psychiatr Rehabil J 28:339-45. 2005..In addition to suggestions for improving patient-physician communication and expanding physician knowledge, participants emphasized strategies to become empowered in their relationships with physicians and to obtain personal support... - Trends in obesity and arthritis among baby boomers and their predecessors, 1971-2002Suzanne G Leveille
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, RO 103, Boston, MA 02215, USA
Am J Public Health 95:1607-13. 2005..We examined trends in obesity and arthritis prevalence among the "baby boom" (born 1946-1965) and "silent" (born 1926-1945) generations... - Interpreter services, language concordance, and health care quality. Experiences of Asian Americans with limited English proficiencyAlexander R Green
Institute for Health Policy, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
J Gen Intern Med 20:1050-6. 2005..Both interpreter- and language-concordant clinicians may help overcome these problems but few studies have compared these approaches... - Response to "Building research capacity: the role of partnerships": communication holds the key to productive collaborationLisa I Iezzoni
Division of General Medicine and Primary Care, Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA
Am J Phys Med Rehabil 84:1005-8. 2005 - Rural residents with disabilities confront substantial barriers to obtaining primary careLisa I Iezzoni
Harvard Medical School, 330 Brookline Avenue RO-137, Boston, MA 02215, USA
Health Serv Res 41:1258-75. 2006..CONCLUSIONS: Meeting the health care needs of rural residents with disabilities will require interventions beyond health care, involving transportation and access issues more broadly... - Screening for chronic conditions using a patient internet portal: recruitment for an internet-based primary care interventionSuzanne G Leveille
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Brookline, MA 02446, USA
J Gen Intern Med 23:472-5. 2008..Patient Internet portals have created new opportunities for assessment and management of chronic conditions... - Going beyond disease to address disabilityLisa I Iezzoni
Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, USA
N Engl J Med 355:976-9. 2006 - Structural impairments that limit access to health care for patients with disabilitiesKristi L Kirschner
Rehabilitation Institute of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Ill 60611, USA
JAMA 297:1121-5. 2007 - Disparities in breast cancer treatment and survival for women with disabilitiesEllen P McCarthy
Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
Ann Intern Med 145:637-45. 2006..Little is known about breast cancer treatment for women with disabilities... - Make no assumptions: communication between persons with disabilities and cliniciansLisa I Iezzoni
Division of General Medicine and Primary Care, Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA
Assist Technol 18:212-9. 2006..Following two basic precepts immeasurably improves communication between clinicians and patients with disabilities: first, make no assumptions, and second, just ask patients about their needs and preferences... - Managed care and cancer outcomes for Medicare beneficiaries with disabilitiesRichard G Roetzheim
Department of Family Medicine, University of South Florida, 12901 Bruce B Downs Blvd, MDC 13, Tampa, FL 33612, USA
Am J Manag Care 14:287-96. 2008..To determine if the type of insurance arrangement, specifically health maintenance organization (HMO) vs fee-for-service (FFS), affects cancer outcomes for Medicare beneficiaries with disabilities... - Cancer stage at diagnosis and survival among persons with Social Security Disability Insurance on MedicareEllen P McCarthy
Division of General Medicine and Primary Care, Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, E RO 139, Boston, MA 02215, USA
Health Serv Res 42:611-28. 2007..To examine stage at diagnosis and survival for disabled Medicare beneficiaries diagnosed with cancer under age 65 and compare their experiences with those of other persons diagnosed under age 65... 
Treatment disparities for disabled medicare beneficiaries with stage I non-small cell lung cancerLisa I Iezzoni
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USA
Arch Phys Med Rehabil 89:595-601. 2008..Treatment disparities for disabled Medicare beneficiaries with stage I non-small cell lung cancer...- Physical and sensory functioning over time and satisfaction with care: the implications of getting better or getting worseLisa I Iezzoni
Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
Health Serv Res 39:1635-51. 2004..CONCLUSIONS: Persons whose functioning improved rarely reported better satisfaction than did those whose functioning did not improve, while those whose functioning worsened expressed more systematic reservations about their care... - Improving health care experiences of persons who are blind or have low vision: suggestions from focus groupsMary Killeen
Cherry Engineering Support Services Inc, McLean, VA, USA
Am J Med Qual 19:193-200. 2004..Using common courtesy and individualized communication techniques, physicians and office staff could improve health care experiences of blind and low-vision patients... - Using administrative data to study persons with disabilitiesLisa I Iezzoni
Harvard University, USA
Milbank Q 80:347-79. 2002..Linking administrative data to survey or other data sources enhances the utility of administrative data for disability studies... - The canary in the mineLisa I Iezzoni
Division of General Medicine and Primary Care, Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
Arch Phys Med Rehabil 83:1476-8. 2002..As solutions are crafted, people with disabilities, their families, and communities should help design and direct fundamental changes to the health care system... - Satisfaction with quality and access to health care among people with disabling conditionsLisa I Iezzoni
Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
Int J Qual Health Care 14:369-81. 2002..To compare satisfaction with health care between persons with and without disabling conditions... - Linguistic and cultural barriers to careQuyen Ngo-Metzger
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Mass 02215, USA
J Gen Intern Med 18:44-52. 2003..Primarily because of immigration, Asian Americans are one of the fastest growing and most ethnically diverse minority groups in the United States. However, little is known about their perspectives on health care quality... - Pharmacy-and diagnosis-based risk adjustment for children with MedicaidKaren Kuhlthau
Center for Child and Adolescent Health Policy, MassGeneral Hospital for Children, Department of Pediatrics, Harvard Medical School, Boston, MA 02114, USA
Med Care 43:1155-9. 2005..Risk adjustment is useful for adjusting health care payments based on patients' health status... - Quality dimensions that most concern people with physical and sensory disabilitiesLisa I Iezzoni
Division of General Medicine and Primary Care, Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Charles A. Dana Research Institute, Harvard-Thorndike Laboratory, Boston, MA 02215, USA
Arch Intern Med 163:2085-92. 2003..These findings held regardless of the disabling condition. Thoughtful systematic approaches are required to improve communication and to reduce time pressures that might compromise the health care experiences of people with disabilities... - Consensus-based method for risk adjustment for surgery for congenital heart diseaseKathy J Jenkins
Department of Cardiology, Children s Hospital, Boston, MA 02115, USA
J Thorac Cardiovasc Surg 123:110-8. 2002..The aim was to develop a consensus-based method of risk adjustment for in-hospital mortality among children younger than 18 years after surgery for congenital heart disease (designated RACHS-1)... - Improving patient-clinician communication about chronic conditions: description of an internet-based nurse E-coach interventionMarybeth Allen
Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
Nurs Res 57:107-12. 2008..Patient-provider Internet portals offer an exciting new venue for empowering and engaging patients in better management of chronic conditions... - Communicating about health care: observations from persons who are deaf or hard of hearingLisa I Iezzoni
Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Charles A. Dana Research Institute, Harvard-Thorndike Laboratory, and Third Sector New England, Boston, Massachusetts 02215, USA
Ann Intern Med 140:356-62. 2004..Physicians are not reimbursed for making some accommodations, such as hiring sign language interpreters. However, ensuring effective communication is essential to safe, timely, efficient, and patient-centered care... - Turning the disability tide: the importance of definitionsLisa I Iezzoni
Institute for Health Policy, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA
JAMA 299:332-4. 2008 - Racial and ethnic differences in utilization of health services in patients with diabetes enrolled in medicaidRoberto B Vargas
General Internal Medicine and Health Services Research, UCLA School of Medicine, California, USA
J Health Care Poor Underserved 15:562-75. 2004.... - Discrepancies between explicit and implicit review: physician and nurse assessments of complications and qualitySaul N Weingart
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
Health Serv Res 37:483-98. 2002..CONCLUSIONS: We identified many discrepancies between explicit and implicit review of complications and quality. Physician reviewers may not consider process problems that are ubiquitous in hospitals to represent substandard quality... - Did the 1997 balanced budget act reduce use of physical and occupational therapy services?Nancy K Latham
Health and Disability Research Institute, School of Public Health, Boston University, Boston, MA 02118 2639, USA
Arch Phys Med Rehabil 89:807-14. 2008..To investigate whether use of physical therapy (PT) and occupational therapy (OT) services decreased after the passage of the 1997 Balanced Budget Act (BBA)... - Does more "appropriateness" explain higher rates of cardiac procedures among patients hospitalized with coronary heart disease?Joseph D Restuccia
School of Management, Boston University, Boston, Massachusetts 02215, USA
Med Care 40:500-9. 2002..There have been few studies of the extent to which differences in the pool of patients being managed might account for geographic variations in treatment rates... - Transparency: a mandatory requirement for risk modelsDavid M Shahian
J Am Coll Surg 206:1240-2; author reply 1242-5. 2008 - Tracking disability disparities: the data dilemmaLisa I Iezzoni
J Health Serv Res Policy 13:129-30. 2008 - BlockedLisa I Iezzoni
Institute for Health Policy, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 27:203-9. 2008 - Obesity among adults with disabling conditionsEvette Weil
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA
JAMA 288:1265-8. 2002..CONCLUSION: Obesity appears to be more prevalent in adults with sensory, physical, and mental health conditions. Health care practitioners should address weight control and exercise among adults with disabilities... - Risk adjustment for pediatric quality indicatorsKaren Kuhlthau
Center for Child and Adolescent Health Policy, MassGeneral Hospital for Children, Department of Pediatrics, Harvard Medical School, Boston, Massachusetts 02114, USA
Pediatrics 113:210-6. 2004..We conclude with an overall assessment of the status of risk adjustment for pediatric quality measures and recommendations for additional research and application... - Comparing the importance of disease rate versus practice style variations in explaining differences in small area hospitalization rates for two respiratory conditionsErol A Pekoz
School of Management, Boston University, Boston, MA 02215, USA
Stat Med 22:1775-86. 2003..Our results show that for the two conditions, disease rate variation explains at least as much of the variation in hospitalization rates as does practice style variation... - Accommodating medical school faculty with disabilitiesAnnie G Steinberg
University of Pennsylvania, USA
LDI Issue Brief 8:1-4. 2002..It also recommends practical steps medical schools can take to provide a welcoming and accessible academic medical environment... - The who, what, and why of risk adjustment: a technology on the cusp of adoptionDavid Blumenthal
Harvard Medical School, USA
J Health Polit Policy Law 30:453-73. 2005..For the future of RA in particular, its history suggests the need for health service researchers to consider barriers to use adoption and new analytic technologies as they develop them... - Reasonable accommodations for medical faculty with disabilitiesAnnie G Steinberg
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, USA
JAMA 288:3147-54. 2002..Faculty with disabilities bring identical intellectual and collegial benefits to medical schools as their nondisabled counterparts. In addition, they may offer special insights into how chronic illness and impairments affect daily life... - Risk adjusting rehabilitation outcomes: an overview of methodologic issuesLisa I Iezzoni
Division of General Medicine and Primary Care, Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, the Charles A. Dana, Research Institute, and the Harvard-Thorndike Laboratory, Boston, Massachusetts 02215, USA
Am J Phys Med Rehabil 83:316-26. 2004..Knowing which risk factors are missing helps guide interpretation of the results and determines how well risk-adjusted outcomes fairly compare providers or treatments... - Toward universal design in assessing health care experiencesLisa I Iezzoni
Med Care 40:725-8. 2002 - Finally present on admission but needs attentionLisa I Iezzoni
Med Care 45:280-2. 2007 - Looking for medical injuries where the light is brightSaul N Weingart
JAMA 290:1917-9. 2003