Research Topics
| Karen E JoyntSummaryAffiliation: Massachusetts General Hospital Country: USA Publications
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Publications
Insurance expansion in Massachusetts did not reduce access among previously insured Medicare patientsKaren E Joynt
Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 32:571-8. 2013..Our findings should offer some reassurance that it is possible to expand access to uninsured Americans without negatively affecting important clinical outcomes for those who are already insured...- Mortality rates for Medicare beneficiaries admitted to critical access and non-critical access hospitals, 2002-2010Karen E Joynt
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA
JAMA 309:1379-87. 2013..These hospitals are at high risk of falling behind with respect to quality improvement, owing to their limited resources and vulnerable patient populations. How they have fared on patient outcomes during the past decade is unknown... - Association of public reporting for percutaneous coronary intervention with utilization and outcomes among Medicare beneficiaries with acute myocardial infarctionKaren E Joynt
Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
JAMA 308:1460-8. 2012..Public reporting of patient outcomes is an important tool to improve quality of care, but some observers worry that such efforts will lead clinicians to avoid high-risk patients... - Paragangliomas: etiology, presentation, and managementKaren E Joynt
Division of Cardiovascular Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
Cardiol Rev 17:159-64. 2009..Long-term follow-up is essential, as paragangliomas can recur many years after initial diagnosis. Ongoing research into the genetic underpinnings of this tumor may allow for more targeted molecular therapies in the future... 
Quality of care and patient outcomes in critical access rural hospitalsKaren E Joynt
Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
JAMA 306:45-52. 2011....- Thirty-day readmission rates for Medicare beneficiaries by race and site of careKaren E Joynt
Department of Health Policy and Management, Harvard School of Public Health, Division of Cardiovascular Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
JAMA 305:675-81. 2011..Understanding whether and why there are racial disparities in readmissions has implications for efforts to reduce readmissions... - The association between hospital volume and processes, outcomes, and costs of care for congestive heart failureKaren E Joynt
Harvard School of Public Health, Brigham and Women s Hospital, Boston, Massachusetts, USA
Ann Intern Med 154:94-102. 2011..Congestive heart failure (CHF) is common and costly, and outcomes remain suboptimal despite pharmacologic and technical advances... - Who has higher readmission rates for heart failure, and why? Implications for efforts to improve care using financial incentivesKaren E Joynt
Department of Health Policy and Management, Harvard School of Public Health, Brigham and Women s Hospital, 75 Francis St, Boston, MA 02115, USA
Circ Cardiovasc Qual Outcomes 4:53-9. 2011..Current national policies financially penalize hospitals with high readmission rates, which may have unintended consequences if these institutions are resource-poor, either financially or clinically... - The long-term effect of premier pay for performance on patient outcomesAshish 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... - Patient experience in safety-net hospitals: implications for improving care and value-based purchasingPaula Chatterjee
Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
Arch Intern Med 172:1204-10. 2012..We sought to determine performance and improvement on measures of patient-reported hospital experience among SNHs compared with non-SNHs... - Hospital volume, provider volume, and complications after childbirth in U.S. hospitalsVanitha Janakiraman
Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts, USA
Obstet Gynecol 118:521-7. 2011..To examine the relationship between both hospital and provider case volume and obstetric complication rates in U.S. hospitals... - Readmission rates for Hispanic Medicare beneficiaries with heart failure and acute myocardial infarctionFatima Rodriguez
Harvard Medical School, Boston, MA, USA
Am Heart J 162:254-261.e3. 2011..However, little is known about whether elderly Hispanics have higher readmission rates for heart failure (HF) and acute myocardial infarction (AMI) than whites and whether this is due to site of care... - Electronic health record functions differ between best and worst hospitalsShereef M Elnahal
Harvard Medical School, Boston, MA, USA
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...