Karen E Joynt

Summary

Affiliation: Massachusetts General Hospital
Country: USA

Publications

  1. pmc Who has higher readmission rates for heart failure, and why? Implications for efforts to improve care using financial incentives
    Karen 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
  2. doi request reprint Contribution of preventable acute care spending to total spending for high-cost Medicare patients
    Karen E Joynt
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
    JAMA 309:2572-8. 2013
  3. doi request reprint Insurance expansion in Massachusetts did not reduce access among previously insured Medicare patients
    Karen E Joynt
    Harvard Medical School, Boston, Massachusetts, USA
    Health Aff (Millwood) 32:571-8. 2013
  4. doi request reprint Mortality rates for Medicare beneficiaries admitted to critical access and non-critical access hospitals, 2002-2010
    Karen E Joynt
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA
    JAMA 309:1379-87. 2013
  5. pmc Association of public reporting for percutaneous coronary intervention with utilization and outcomes among Medicare beneficiaries with acute myocardial infarction
    Karen E Joynt
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
    JAMA 308:1460-8. 2012
  6. pmc The association between hospital volume and processes, outcomes, and costs of care for congestive heart failure
    Karen E Joynt
    Harvard School of Public Health, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Ann Intern Med 154:94-102. 2011
  7. doi request reprint Paragangliomas: etiology, presentation, and management
    Karen E Joynt
    Division of Cardiovascular Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
    Cardiol Rev 17:159-64. 2009
  8. pmc Quality of care and patient outcomes in critical access rural hospitals
    Karen E Joynt
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
    JAMA 306:45-52. 2011
  9. pmc Thirty-day readmission rates for Medicare beneficiaries by race and site of care
    Karen 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
  10. doi request reprint Variation in surgical-readmission rates and quality of hospital care
    Thomas C Tsai
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    N Engl J Med 369:1134-42. 2013

Collaborators

Detail Information

Publications19

  1. pmc Who has higher readmission rates for heart failure, and why? Implications for efforts to improve care using financial incentives
    Karen 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...
  2. doi request reprint Contribution of preventable acute care spending to total spending for high-cost Medicare patients
    Karen E Joynt
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
    JAMA 309:2572-8. 2013
    ..The degree to which preventable acute care services account for spending among these patients is largely unknown...
  3. doi request reprint Insurance expansion in Massachusetts did not reduce access among previously insured Medicare patients
    Karen 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...
  4. doi request reprint Mortality rates for Medicare beneficiaries admitted to critical access and non-critical access hospitals, 2002-2010
    Karen 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...
  5. pmc Association of public reporting for percutaneous coronary intervention with utilization and outcomes among Medicare beneficiaries with acute myocardial infarction
    Karen 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...
  6. pmc The association between hospital volume and processes, outcomes, and costs of care for congestive heart failure
    Karen 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...
  7. doi request reprint Paragangliomas: etiology, presentation, and management
    Karen 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...
  8. pmc Quality of care and patient outcomes in critical access rural hospitals
    Karen E Joynt
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
    JAMA 306:45-52. 2011
    ....
  9. pmc Thirty-day readmission rates for Medicare beneficiaries by race and site of care
    Karen 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...
  10. doi request reprint Variation in surgical-readmission rates and quality of hospital care
    Thomas C Tsai
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    N Engl J Med 369:1134-42. 2013
    ....
  11. doi request reprint Mortality for publicly reported conditions and overall hospital mortality rates
    Marta L McCrum
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts 02115, USA
    JAMA Intern Med 173:1351-7. 2013
    ..Whether performance on these conditions accurately predicts the quality of broader hospital care is unknown...
  12. 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...
  13. doi request reprint Compensation of chief executive officers at nonprofit US hospitals
    Karen E Joynt
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts3Cardiovascular Division, Department of Medicine, Brigham and Women s Hospital, Boston, Massachusetts5Cardiology and Vascular Medicine Section, Department of
    JAMA Intern Med 174:61-7. 2014
    ..Hospital chief executive officers (CEOs) can shape the priorities and performance of their organizations. The degree to which their compensation is based on their hospitals' quality performance is not well known...
  14. doi request reprint Physician volume, specialty, and outcomes of care for patients with heart failure
    Karen E Joynt
    Department of Health Policy and Management and Department of Biostatistics, Harvard School of Public Health, Boston, MA Cardiovascular Division and Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA and VA Boston Healthcare System, Boston, MA
    Circ Heart Fail 6:890-7. 2013
    ..Physician volume is associated with better outcomes for patients undergoing procedures, but its association with outcomes for medically managed diseases, such as HF, is not well understood...
  15. doi request reprint Impact of public reporting and outlier status identification on percutaneous coronary intervention case selection in Massachusetts
    James M McCabe
    Division of Cardiovascular Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
    JACC Cardiovasc Interv 6:625-30. 2013
    ..This study sought to evaluate the impact of public reporting of hospitals as negative outliers on percutaneous coronary intervention (PCI) case-mix selection...
  16. doi request reprint Patient experience in safety-net hospitals: implications for improving care and value-based purchasing
    Paula 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...
  17. doi request reprint Hospital volume, provider volume, and complications after childbirth in U.S. hospitals
    Vanitha 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...
  18. doi request reprint Readmission rates for Hispanic Medicare beneficiaries with heart failure and acute myocardial infarction
    Fatima 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...
  19. pmc Electronic health record functions differ between best and worst hospitals
    Shereef 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...