Ashish Jha

Summary

Affiliation: Harvard University
Country: USA

Publications

  1. doi request reprint Greater adherence to diabetes drugs is linked to less hospital use and could save nearly $5 billion annually
    Ashish K Jha
    Harvard School of Public Health and Harvard Medical School in Boston, Massachusetts, USA
    Health Aff (Millwood) 31:1836-46. 2012
  2. ncbi request reprint Progress toward meaningful use: hospitals' adoption of electronic health records
    Ashish K Jha
    Harvard School of Public Health, Department of Health Policy and Management, 677 Huntington Ave, Boston, MA 02115 6096, USA
    Am J Manag Care 17:SP117-24. 2011
  3. doi request reprint The long-term effect of premier pay for performance on patient outcomes
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
    N Engl J Med 366:1606-15. 2012
  4. pmc Governance around quality of care at hospitals that disproportionately care for black patients
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA
    J Gen Intern Med 27:297-303. 2012
  5. doi request reprint Patient safety research: an overview of the global evidence
    A K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA
    Qual Saf Health Care 19:42-7. 2010
  6. doi request reprint Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals
    Ashish K Jha
    Harvard School of Public Health HSPH, Boston, Massachusetts, USA
    Health Aff (Millwood) 28:1475-84. 2009
  7. doi request reprint Use of electronic health records in U.S. hospitals
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    N Engl J Med 360:1628-38. 2009
  8. doi request reprint Patients' perception of hospital care in the United States
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    N Engl J Med 359:1921-31. 2008
  9. doi request reprint Electronic health records: use, barriers and satisfaction among physicians who care for black and Hispanic patients
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    J Eval Clin Pract 15:158-63. 2009
  10. doi request reprint The use of health information technology in seven nations
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA
    Int J Med Inform 77:848-54. 2008

Detail Information

Publications59

  1. doi request reprint Greater adherence to diabetes drugs is linked to less hospital use and could save nearly $5 billion annually
    Ashish K Jha
    Harvard School of Public Health and Harvard Medical School in Boston, Massachusetts, USA
    Health Aff (Millwood) 31:1836-46. 2012
    ..Strategies might include reducing copayments for certain medications or providing feedback about adherence to patients and providers through electronic health records...
  2. ncbi request reprint Progress toward meaningful use: hospitals' adoption of electronic health records
    Ashish K Jha
    Harvard School of Public Health, Department of Health Policy and Management, 677 Huntington Ave, Boston, MA 02115 6096, USA
    Am J Manag Care 17:SP117-24. 2011
    ..To update the status of electronic health record (EHR) adoption in US hospitals and assess their readiness for "Meaningful Use" (MU)...
  3. doi request reprint The long-term effect of premier pay for performance on patient outcomes
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
    N Engl J Med 366:1606-15. 2012
    ..Pay for performance has become a central strategy in the drive to improve health care. We assessed the long-term effect of the Medicare Premier Hospital Quality Incentive Demonstration (HQID) on patient outcomes...
  4. pmc Governance around quality of care at hospitals that disproportionately care for black patients
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA
    J Gen Intern Med 27:297-303. 2012
    ..Hospital boards of directors can play a pivotal role in improving care, yet we know little about how the boards of hospitals that disproportionately serve minority patients engage in this issue...
  5. doi request reprint Patient safety research: an overview of the global evidence
    A K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA
    Qual Saf Health Care 19:42-7. 2010
    ..To better understand the extent and nature of the problem of unsafe care, the WHO World Alliance for Patient Safety commissioned an overview of the world's literature on patient safety research...
  6. doi request reprint Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals
    Ashish K Jha
    Harvard School of Public Health HSPH, Boston, Massachusetts, USA
    Health Aff (Millwood) 28:1475-84. 2009
    ..6 billion (5.5 percent of total inpatient costs). Eliminating redundant tests would have saved an additional $8 billion (2.7 percent). Addressing these situations could generate major savings to the system while improving patient care...
  7. doi request reprint Use of electronic health records in U.S. hospitals
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    N Engl J Med 360:1628-38. 2009
    ..Despite a consensus that the use of health information technology should lead to more efficient, safer, and higher-quality care, there are no reliable estimates of the prevalence of adoption of electronic health records in U.S. hospitals...
  8. doi request reprint Patients' perception of hospital care in the United States
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    N Engl J Med 359:1921-31. 2008
    ..Data from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey provide a portrait of patients' experiences in U.S. hospitals...
  9. doi request reprint Electronic health records: use, barriers and satisfaction among physicians who care for black and Hispanic patients
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    J Eval Clin Pract 15:158-63. 2009
    ..Given that a small group of providers care for most racial/ethnic minorities, we sought to determine whether minority-serving providers adopt EHR systems at comparable rates to other providers...
  10. doi request reprint The use of health information technology in seven nations
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA
    Int J Med Inform 77:848-54. 2008
    ..To assess the state of health information technology (HIT) adoption and use in seven industrialized nations...
  11. ncbi request reprint Does the Leapfrog program help identify high-quality hospitals?
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, USA
    Jt Comm J Qual Patient Saf 34:318-25. 2008
    ..Whether this program helps identify high-quality hospitals is unknown. A study was conducted to determine whether hospitals that report patient safety practice activities have better quality of care or clinical outcomes...
  12. pmc Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    J Am Med Inform Assoc 15:647-53. 2008
    ..Most monitors have been developed in large academic hospitals and are not readily usable in other settings. We assessed the ability of a commercial program to identify and prevent ADEs in a community hospital...
  13. doi request reprint Evidence of an emerging digital divide among hospitals that care for the poor
    Ashish K Jha
    Harvard School of Public Health in Boston, Massachusetts, USA
    Health Aff (Millwood) 28:w1160-70. 2009
    ..These findings suggest that adopting EHRs should be a major policy goal of health reform measures targeting hospitals that serve large populations of poor patients...
  14. doi request reprint Hospital governance and the quality of care
    Ashish Jha
    Harvard School of Public Health, Boston, Massachusetts, USA
    Health Aff (Millwood) 29:182-7. 2010
    ..The large differences in board activities between high-performing and low-performing hospitals we found suggest that governing boards may be an important target for intervention for policymakers hoping to improve care in U.S. hospitals...
  15. doi request reprint Public reporting of discharge planning and rates of readmissions
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
    N Engl J Med 361:2637-45. 2009
    ..We know little about how U.S. hospitals perform on the current discharge metrics, the factors that underlie better performance, and whether better performance is related to lower readmission rates...
  16. doi request reprint A progress report on electronic health records in U.S. hospitals
    Ashish K Jha
    Harvard School of Public Health, Veterans Affairs Boston Healthcare System and Brigham and Women s Hospital Boston, Massachusetts, USA
    Health Aff (Millwood) 29:1951-7. 2010
    ..These findings underscore the fact that the transition to a digital health care system is likely to be a long one...
  17. doi request reprint The effect of financial incentives on hospitals that serve poor patients
    Ashish K Jha
    Harvard School of Public Health, Brigham and Women s Hospital, U S Department of Veterans Affairs Boston Healthcare System, Boston, Massachusetts, USA
    Ann Intern Med 153:299-306. 2010
    ..Providing financial incentives to hospitals to improve quality is increasingly common, yet its effect on hospitals that care for poor patients is largely unknown...
  18. doi request reprint The concentration of hospital care for black veterans in Veterans Affairs hospitals: implications for clinical outcomes
    Ashish K Jha
    Harvard School of Public Health, MA, USA
    J Healthc Qual 32:52-61. 2010
    ..In contrast to the private sector, there is little variation in the degree of racial disparities in 30-day mortality across VA hospitals, although higher mortality among patients with AMI and pneumonia requires further investigation...
  19. ncbi request reprint Electronic health record functions differ between best and worst hospitals
    Shereef M Elnahal
    Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115 e mail
    Am J Manag Care 17:e121-47. 2011
    ..To determine whether patterns of electronic health record (EHR) adoption and "meaningful use" vary between high-, intermediate-, and low-quality US hospitals...
  20. doi request reprint Low-quality, high-cost hospitals, mainly in South, care for sharply higher shares of elderly black, Hispanic, and medicaid patients
    Ashish K Jha
    Harvard School of Public Health, in Boston, Massachusetts, USA
    Health Aff (Millwood) 30:1904-11. 2011
    ..The worst institutions in particular will have to improve on both costs and quality to avoid incurring financial penalties and exacerbating disparities in care...
  21. ncbi request reprint Health information exchange among US hospitals
    Julia Adler-Milstein
    Harvard Medical School, Boston Veterans Affairs Hospital, Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    Am J Manag Care 17:761-8. 2011
    ..To determine the proportion of US hospitals engaged in health information exchange (HIE) with unaffiliated providers and to identify key hospital-level and market-level factors associated with participating in exchange...
  22. doi request reprint The characteristics and performance of hospitals that care for elderly Hispanic Americans
    Ashish K Jha
    Harvard School of Public Health, Boston, Massachusetts, USA
    Health Aff (Millwood) 27:528-37. 2008
    ..Our finding that care for Hispanics is concentrated among a small number of hospitals provides an opportunity for targeted efforts to improve care for this group of Americans...
  23. doi request reprint Measuring efficiency: the association of hospital costs and quality of care
    Ashish K Jha
    Harvard School of Public Health, in Boston, Massachusetts, USA
    Health Aff (Millwood) 28:897-906. 2009
    ..They provided modestly worse care for acute myocardial infarction and congestive heart failure but had comparable rates of risk-adjusted mortality. We found no evidence that low-cost providers provide better care...
  24. pmc Quality of ambulatory care for women and men in the Veterans Affairs Health Care System
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    J Gen Intern Med 20:762-5. 2005
    ..Gender differences in inpatient quality of care are well known. However, whether men and women receive equivalent ambulatory care is less well understood...
  25. ncbi request reprint The predictive accuracy of the New York State coronary artery bypass surgery report-card system
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
    Health Aff (Millwood) 25:844-55. 2006
    ..Nevertheless, performance was not associated with a subsequent change in market share. Surgeons with the highest mortality rates were much more likely than other surgeons to retire or leave practice after the release of each report card...
  26. ncbi request reprint How common are electronic health records in the United States? A summary of the evidence
    Ashish K Jha
    Harvard School of Public Health, Boston, Massachusetts, USA
    Health Aff (Millwood) 25:w496-507. 2006
    ..Large gaps in knowledge, including information about EHR use among safety-net providers, pose critical challenges for the development of policies aimed at speeding adoption...
  27. pmc Do race-specific models explain disparities in treatments after acute myocardial infarction?
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    Am Heart J 153:785-91. 2007
    ..If incorrect, this assumption may misestimate disparities. We sought to determine whether clinical factors affect treatment decisions for blacks and whites equally...
  28. ncbi request reprint Care in U.S. hospitals--the Hospital Quality Alliance program
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    N Engl J Med 353:265-74. 2005
    ..The Hospital Quality Alliance (HQA) is the first initiative that routinely reports data on hospitals' performance nationally. Heretofore, such data have been unavailable...
  29. ncbi request reprint The inverse relationship between mortality rates and performance in the Hospital Quality Alliance measures
    Ashish K Jha
    Harvard School of Public Health, Boston, Massachusetts, USA
    Health Aff (Millwood) 26:1104-10. 2007
    ..The relationship between high HQA performance and lower risk-adjusted mortality is an important validation for this national hospital quality rating program...
  30. ncbi request reprint Clinical problem-solving. Forgotten but not gone
    Ashish K Jha
    Division of General Internal Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02120, USA
    N Engl J Med 350:2399-404. 2004
  31. pmc Performance measures, vaccinations, and pneumonia rates among high-risk patients in Veterans Administration health care
    Ashish K Jha
    Harvard School of Public Health, Boston, Mass, USA
    Am J Public Health 97:2167-72. 2007
    ..We evaluated the effect of a performance measurement program instituted by the Veterans Health Administration in 1995 to improve vaccination rates...
  32. ncbi request reprint Differences in medical care and disease outcomes among black and white women with heart disease
    Ashish K Jha
    Division of General Medicine, San Francisco VA Medical Center, San Francisco, USA
    Circulation 108:1089-94. 2003
    ..We sought to evaluate differences in medical care and clinical outcomes among black and white women with established coronary artery disease...
  33. ncbi request reprint Concentration and quality of hospitals that care for elderly black patients
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02115, USA
    Arch Intern Med 167:1177-82. 2007
    ....
  34. doi request reprint Hospital cost of care, quality of care, and readmission rates: penny wise and pound foolish?
    Lena M Chen
    Division of General Medicine, Department of Internal Medicine, University of Michigan, 300 N Ingalls, Ann Arbor, MI 48109, USA
    Arch Intern Med 170:340-6. 2010
    ..Hospitals face increasing pressure to lower cost of care while improving quality of care. It is unclear if efforts to reduce hospital cost of care will adversely affect quality of care or increase downstream inpatient cost of care...
  35. ncbi request reprint Adverse drug event detection in a community hospital utilising computerised medication and laboratory data
    Andrew C Seger
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Drug Saf 30:817-24. 2007
    ..Computerised monitors can detect and, with clinical intervention, often prevent or ameliorate adverse drug events (ADEs). We evaluated whether a computer-based alerting system was useful in a community hospital setting...
  36. pmc Characteristics associated with regional health information organization viability
    Julia Adler-Milstein
    PhD Program in Health Policy, Harvard University, Boston, Massachusetts, USA
    J Am Med Inform Assoc 17:61-5. 2010
    ..Yet we know little about why some efforts succeed while others fail. We sought to identify factors associated with RHIO viability...
  37. doi request reprint Do differences in hospital and surgeon quality explain racial disparities in lower-extremity vascular amputations?
    Scott E Regenbogen
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA
    Ann Surg 250:424-31. 2009
    ..To understand whether racial disparities in surgery for lower-extremity arterial disease are minimized by high-quality providers, or instead, differential treatment of otherwise similar patients pervades all settings...
  38. pmc Assessing the level of healthcare information technology adoption in the United States: a snapshot
    Eric G Poon
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    BMC Med Inform Decis Mak 6:1. 2006
    ..Comprehensive knowledge about the level of healthcare information technology (HIT) adoption in the United States remains limited. We therefore performed a baseline assessment to address this knowledge gap...
  39. doi request reprint Use of UpToDate and outcomes in US hospitals
    Thomas Isaac
    Division of General Internal Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USA
    J Hosp Med 7:85-90. 2012
    ..Computerized clinical knowledge mana-gement systems hold enormous potential for improving quality and efficiency. However, their impact on clinical practice is not well known...
  40. doi request reprint How do black-serving hospitals perform on patient safety indicators? Implications for national public reporting and pay-for-performance
    Dan P Ly
    Harvard Kennedy School, Cambridge, MA 02138, USA
    Med Care 48:1133-7. 2010
    ..There is increasing policy interest in public reporting and tying financial incentives to metrics of patient safety. How black-serving hospitals fare on these measures will have important implications for disparities in care...
  41. doi request reprint Perceived impact of the Medicare policy to adjust payment for health care-associated infections
    Grace M Lee
    Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, Boston, MA 02215, USA
    Am J Infect Control 40:314-9. 2012
    ..We sought to understand the impact of the CMS payment policy on infection prevention efforts...
  42. doi request reprint Primary care visit duration and quality: does good care take longer?
    Lena M Chen
    Division of General Medicine, University of Michigan Health System, 300 N Ingalls St, Room 7C17, Ann Arbor, MI 48109, USA
    Arch Intern Med 169:1866-72. 2009
    ..We sought to describe changes in the duration of adult primary care visits and in the quality of care provided during these visits and to determine whether quality of care is associated with visit duration...
  43. pmc Are patient safety indicators related to widely used measures of hospital quality?
    Thomas Isaac
    VA Boston Healthcare System, Boston, MA 02115, USA
    J Gen Intern Med 23:1373-8. 2008
    ..It is unknown whether PSIs are related to standard quality metrics...
  44. ncbi request reprint Differences in mortality of black and white patients enrolled in the program of all-inclusive care for the elderly
    Erwin J Tan
    Division of Geriatrics, University of California at San Francisco, San Francisco, California, USA
    J Am Geriatr Soc 51:246-51. 2003
    ..To examine the relationship between race and mortality in frail community-dwelling older people with access to a program providing comprehensive access and coordination of services...
  45. 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...
  46. ncbi request reprint Fledgling firms offer hope on health costs
    Julia Adler-Milstein
    Harvard Business School, Boston, USA
    Harv Bus Rev 86:26, 28, 131. 2008
    Julia Adler-Milstein and Ashish Jha Regional health information organizations--RHIOs--are springing up in the United States to meet a vital need: to connect the nation's disparate patient-health information systems...
  47. ncbi request reprint The state of regional health information organizations: current activities and financing
    Julia Adler-Milstein
    Harvard University, Cambridge, Massachusetts, USA
    Health Aff (Millwood) 27:w60-9. 2008
    ..Our findings raise concerns about the ability of the current approach to achieve widespread electronic clinical data exchange...
  48. ncbi request reprint Functional gaps in attaining a national health information network
    Rainu Kaushal
    Brigham and Women s Hospital, Boston, USA
    Health Aff (Millwood) 24:1281-9. 2005
    ..Smaller stakeholders, such as home health care agencies, will lag in adoption. Policy changes, such as financial incentives to HIT end users or regulatory measures, may help accelerate the adoption of HIT for a model NHIN...
  49. ncbi request reprint Trends in prostate-specific antigen testing from 1995 through 2004
    Wildon R Farwell
    Veterans Affairs Boston Healthcare System, Boston Division, Boston, MA 02130, USA
    Arch Intern Med 167:2497-502. 2007
    ..The utility of the prostate-specific antigen (PSA) test to screen for prostate cancer has been widely debated for several years. Whether PSA testing rates have changed during this period of controversy is not well known...
  50. ncbi request reprint Clinical problem-solving. Diagnosis still in question
    Ashish K Jha
    General Internal Medicine Section, Veterans Affairs Medical Center, San Francisco, CA 94121, USA
    N Engl J Med 346:1813-6. 2002
  51. pmc Return on investment for a computerized physician order entry system
    Rainu Kaushal
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, 1620 Tremont Street, Boston, MA 02120 1613, USA
    J Am Med Inform Assoc 13:261-6. 2006
    ..The high costs and limited data on financial benefits of CPOE systems are a major barrier to adoption. The authors assessed the costs and financial benefits of the CPOE system at Brigham and Women's Hospital over ten years...
  52. ncbi request reprint The costs of a national health information network
    Rainu Kaushal
    Brigham and Women s Hospital, Institute for Health Policy, Massachusetts General Hospital, Partners HealthCare System, Harvard School of Public Health, and Harvard University, Boston, Massachusetts 02120, USA
    Ann Intern Med 143:165-73. 2005
    ..The use of information technology may result in a safer and more efficient health care system. However, consensus does not exist about the structure or costs of a national health information network (NHIN)...
  53. doi request reprint Quality of colon cancer outcomes in hospitals with a high percentage of Medicaid patients
    Kim F Rhoads
    Stanford University, Stanford, CA 94305, USA
    J Am Coll Surg 207:197-204. 2008
    ..We assess the outcomes of patients with colon and rectal cancers at hospitals with a high proportion of Medicaid patients...
  54. pmc Is thirty-day hospital mortality really lower for black veterans compared with white veterans?
    Kevin G Volpp
    Philadelphia Veterans Affairs Medical Center, University and Woodland Avenue, Philadelphia, PA 19104, USA
    Health Serv Res 42:1613-31. 2007
    ....
  55. ncbi request reprint Effect of the transformation of the Veterans Affairs Health Care System on the quality of care
    Ashish K Jha
    Office of Quality and Performance, Veterans Health Administration, Washington, DC, USA
    N Engl J Med 348:2218-27. 2003
    ..We sought to determine the subsequent change in the quality of health care and to compare the quality with that of the Medicare fee-for-service program...
  56. ncbi request reprint Measuring hospital quality: what physicians do? How patients fare? Or both?
    Ashish K Jha
    JAMA 296:95-7. 2006
  57. pmc Short- and long-term mortality after an acute illness for elderly whites and blacks
    Daniel Polsky
    VA Center for Health Equity Research and Promotion, Department of General Internal Medicine, University of Pennsylvania School of Medicine, Wharton School, University of Pennsylvania, Philadelphia, PA 19104, USA
    Health Serv Res 43:1388-402. 2008
    ..To estimate racial differences in mortality at 30 days and up to 2 years following a hospital admission for the elderly with common medical conditions...
  58. doi request reprint Three-dimensional confinement-related size changes to mixed-surfactant vesicles
    Ashish K Jha
    Department of Chemical Engineering, University of Rhode Island, Kingston, Rhode Island 02881, USA
    Langmuir 24:6013-7. 2008
    ....
  59. ncbi request reprint From motives to results: improving the effectiveness of quality improvement
    Ashish K Jha
    Am J Med 117:359-61. 2004