Research Topics
| Joel WeissmanSummaryAffiliation: Massachusetts General Hospital Country: USA Publications
Research Grants
| Collaborators
|
Detail Information
Publications
The design and application of shared savings programs: lessons from early adoptersJoel S Weissman
Center for Surgery and Public Health, Brigham and Women s Hospital, and Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 31:1959-68. 2012..We conclude with principles for the design of future shared savings arrangements and consideration of issues that will confront decision makers as these efforts mature and expand...- Pay-for-performance programs to reduce racial/ethnic disparities: what might different designs achieve?Joel S Weissman
Institute for Health Policy, Massachusetts General Hospital, MA, USA
J Health Care Poor Underserved 23:144-60. 2012..Nevertheless, in order to maximize both improvements in quality and reductions in national disparities, P4P programs should consider an approach that considers both overall quality and reductions in disparities when setting incentives... - State Medicaid coverage and access to care for low-income adultsJoel S Weissman
Harvard Medical School, Harvard School of Public Health, Institute for Health Policy, Massachusetts General Hospital, Boston, MA 02114, USA
J Health Care Poor Underserved 19:307-19. 2008..Budgetary pressures have led some states to limit Medicaid eligibility. We evaluated access to care for all low-income adults by the extent of state Medicaid coverage... - Resident physicians' preparedness to provide cross-cultural careJoel S Weissman
Institute for Health Policy and Department of Medicine, Massachusetts General Hospital, Boston 02114, USA
JAMA 294:1058-67. 2005..Two recent reports from the Institute of Medicine cited cross-cultural training as a mechanism to address racial and ethnic disparities in health care, but little is known about residents' educational experience in this area... - Error reporting and disclosure systems: views from hospital leadersJoel S Weissman
Institute for Health Policy, Massachusetts General Hospital, Boston 02114, USA
JAMA 293:1359-66. 2005..The Institute of Medicine has recommended establishing mandatory error reporting systems for hospitals and other health settings... - Social disparities in cancer: lessons from a multidisciplinary workshopJoel S Weissman
Institute for Health Policy, Massachusetts General Hospital, and, Department of Health Care Policy, Harvard Medical School, 50 Staniford Street, 9th Floor, Boston, MA 02114, USA
Cancer Causes Control 16:71-4. 2005..Noting the heterogeneous patterns of inequality across cancer types, the multiple underlying causes of disparities, and the role of the health care system itself, the authors call for an organized program of multidisciplinary research... - Residents' preferences and preparation for caring for underserved populationsJ S Weissman
The Department of Medicine, Harvard Medical School, Boston, MA 02114, USA
J Urban Health 78:535-49. 2001..01). This study demonstrates the need to expose graduate trainees to underserved populations and suggests a continuing role of minorities, women, and noncitizen physicians in caring for low-income populations... - Physicians report on patient encounters involving direct-to-consumer advertisingJoel S Weissman
Department of Medicine, Harvard Medical School, USA
Health Aff (Millwood) . 2004..Prescribing DTCA drugs when other effective drugs are available warrants further study... - Hospital workload and adverse eventsJoel S Weissman
Institute for Health Policy, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Med Care 45:448-55. 2007..Hospitals are under pressure to increase revenue and lower costs, and at the same time, they face dramatic variation in clinical demand... - Advance directives in nursing home residents aged > or =65 years: United States 2004Helaine E Resnick
Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, Department of Medicine, Georgetown University, 2519 Connecticut Avenue NW, Washington, DC 20008, USA
Am J Hosp Palliat Care 25:476-82. 2008..However in 2004, 3 of every 10 US nursing home residents did not have documentation of advance care plans. Continued efforts are needed to promote the importance of advance care planning among US nursing home residents... - Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not?Joel S Weissman
Institute for Health Policy, Massachusetts General Hospital, Harvard School of Public Health, Dana Farber Cancer Institute, Boston, Massachusetts, USA
Ann Intern Med 149:100-8. 2008..Hospitals routinely survey patients about the quality of care they receive, but little is known about whether patient interviews can detect adverse events that medical record reviews do not... - Race and gender disparities in rates of cardiac revascularization: do they reflect appropriate use of procedures or problems in quality of care?Arnold M Epstein
Division of General Medicine Section on Health Services and Policy Research, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
Med Care 41:1240-55. 2003..However, few studies have examined whether these differences reflect problems in quality of care... - Consumers' reports on the health effects of direct-to-consumer drug advertisingJoel S Weissman
Department of Medicine, Harvard Medical School, Boston, USA
Health Aff (Millwood) . 2003..Despite concerns about DTCA's negative consequences, we found no differences in health effects between patients who took advertised drugs and those who took other prescription drugs... - Primary medication non-adherence: analysis of 195,930 electronic prescriptionsMichael A Fischer
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital, Boston, MA 02120, USA
J Gen Intern Med 25:284-90. 2010..Little is known about the frequency with which patients fail to fill prescriptions when new medications are started ("primary non-adherence") or predictors of failure to fill... - Use of advance directives for nursing home residents in the emergency departmentRobin M Weinick
Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
Am J Hosp Palliat Care 25:179-83. 2008..As treatment may vary based solely on available documentation, such information gaps may decrease the likelihood of adherence in the emergency department to patients' previously expressed care preferences... - Providing culturally competent care: residents in HRSA Title VII funded residency programs feel better preparedAlexander R Green
The Disparities Solutions Center at the Institute for Health Policy, Massachusetts General Hospital, Boston, Massachusetts, USA
Acad Med 83:1071-9. 2008..The authors sought to determine whether primary care residents in Title VII-funded training programs feel better prepared than those in nonfunded programs to provide care to culturally diverse patients... - Institutional academic industry relationshipsEric G Campbell
Massachusetts General Hospital, Boston, USA
JAMA 298:1779-86. 2007..To date there are no empirical data to support the establishment and evaluation of institutional policies and practices related to managing these relationships... - Primary care resident perceived preparedness to deliver cross-cultural care: an examination of training and specialty differencesJoseph A Greer
Harvard Medical School, Massachusetts General Hospital, Boston, Mass, USA
J Gen Intern Med 22:1107-13. 2007..The goals of this study were to identify factors that relate to primary care residents' perceived preparedness to provide cross-cultural care and to explore the extent to which these perceptions vary across primary care specialties... - Measuring residents' perceived preparedness and skillfulness to deliver cross-cultural careElyse R Park
Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA
J Gen Intern Med 24:1053-6. 2009..As patient populations become increasingly diverse, we need to be able to measure residents' preparedness and skillfulness to provide cross-cultural care... - Access to medications and medical care after participation in HIV clinical trials: a systematic review of trial protocols and informed consent documentsAndrea L Ciaranello
Division of Infectious Disease, Massachusetts General Hospital, Boston, MA 02114, USA
HIV Clin Trials 10:13-24. 2009..We describe the frequency with which these posttrial services are described in the protocols and informed consent forms (ICFs) of antiretroviral drug (ARV) trials... - Personal characteristics associated with resident physicians' self perceptions of preparedness to deliver cross-cultural careLenny Lopez
Department of Medicine, Institute for Health Policy, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
J Gen Intern Med 23:1953-8. 2008..Recent reports from the Institute of Medicine emphasize patient-centered care and cross-cultural training as a means of improving the quality of medical care and eliminating racial and ethnic disparities... - Quality of care provided to individual patients in US hospitals: results from an analysis of national Hospital Quality Alliance dataChristine Vogeli
Department of Medicine, MGH Institute for Health Policy, 50 Staniford Street, Boston, MA 02114, USA
Med Care 47:591-9. 2009..3 million individuals receiving care in non-federal US hospitals in 2005. MEASURES: The proportion of patients who received all applicable care processes, and the mean proportion of applicable processes received by hospitalized patients... - Adverse events during hospitalization: results of a patient surveyFloyd J Fowler
Center for Survey Research, University of Massachusetts, Boston, USA
Jt Comm J Qual Patient Saf 34:583-90. 2008.... - Disclosure of hospital adverse events and its association with patients' ratings of the quality of careLenny Lopez
MDiv, Institute for Health Policy, Massachusetts General Hospital, 50 Staniford St, Ninth Floor, Boston, MA 02114, USA
Arch Intern Med 169:1888-94. 2009..Little is known about how the characteristics of adverse events (AEs) affect the likelihood of disclosure or how the disclosure of an AE relates to patients' perception of quality of care... - Clinicians' assessments of electronic medication safety alerts in ambulatory careSaul N Weingart
Center for Patient Safety, Dana Farber Cancer Institute, 44 Binney St, Boston, MA 02115, USA
Arch Intern Med 169:1627-32. 2009..We undertook a study of respondents' satisfaction with e-prescribing systems, their perceptions of alerts, and their perceptions of behavior changes resulting from alerts... - Effect of electronic prescribing with formulary decision support on medication use and costMichael A Fischer
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital, Boston, MA 02120, USA
Arch Intern Med 168:2433-9. 2008..In April 2004, 2 large Massachusetts insurers began providing an e-prescribing system with FDS to community-based practices... - A pilot study examining undesirable events among emergency department-boarded patients awaiting inpatient bedsShan W Liu
Department of Surgery, Harvard Medical School, Boston, MA, USA
Ann Emerg Med 54:381-5. 2009..We describe the frequency of undesirable events among patients boarding at a single, urban, tertiary, teaching emergency department (ED) through retrospective chart abstraction... - Hospitalists and the quality of care in hospitalsLenny Lopez
Institute for Health Policy and Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA
Arch Intern Med 169:1389-94. 2009..Little is known about the link between hospitalists and performance on hospital-level quality indicators... - Financial relationships between institutional review board members and industryEric G Campbell
Institute for Health Policy, Massachusetts General Hospital, Boston, USA
N Engl J Med 355:2321-9. 2006..Little is known about the nature, extent, and consequences of financial relationships between industry and institutional review board (IRB) members in academic institutions. We surveyed IRB members about such relationships... - Characteristics of medical school faculty members serving on institutional review boards: results of a national surveyEric G Campbell
Institute for Health Policy, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114, USA
Acad Med 78:831-6. 2003..To understand the characteristics of medical school faculty members who serve on institutional review boards (IRBs) in U.S. academic health centers... - Disparity in use of orthotopic liver transplantation among blacks and whitesAndrea E Reid
Gastrointestinal Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, USA
Liver Transpl 10:834-41. 2004..Although waiting times were similar once listed, black race affected outcomes while awaiting OLT. The process of referral and evaluation for OLT should be investigated further... - Institutional academic industry relationship: results of interviews with university leadersEric G Campbell
Institute for Health Policy, 50 Staniford St, 9th Fl, Boston, MA 02114, USA
Account Res 11:103-18. 2004..Further tracking and study of the IAIRs is required to understand and anticipate the full effects of these relationships on the scientific enterprise in the United States... - Mixed messages: residents' experiences learning cross-cultural careElyse R Park
Massachusetts General Hospital Harvard Medical School, 50 Staniford Street, 9th Floor, Boston, MA 02114, USA
Acad Med 80:874-80. 2005..This article explores a select group of residents' perceptions of their preparedness to deliver quality care to diverse populations... - Uptake of electronic prescribing in community-based practicesMichael A Fischer
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital, Boston, MA 02120, USA
J Gen Intern Med 23:358-63. 2008..In April 2004, 2 large insurers in Massachusetts began a program to fund e-prescribing systems for targeted clinicians and practices. We studied the adoption and uptake of e-prescribing by the targeted prescribers... - Teaching hospitals and quality of care: a review of the literatureJohn Z Ayanian
Harvard Medical School, USA
Milbank Q 80:569-93, v. 2002..Some factors related to teaching status, such as organizational culture, staffing, technology, and volume, may lead to higher-quality care... - Barriers to repeat mammography: cultural perspectives of African-American, Asian, and Hispanic womenBeverly Moy
Department of Medicine, Massachusetts General Hospital Cancer Center, Harvard Medical School, USA
Psychooncology 15:623-34. 2006..Cultural barriers to repeat mammography appear to vary among different racial groups. Interventions to improve screening among minority populations may be more successful if they address group-specific concerns... - Residents report on adverse events and their causesReshma Jagsi
Department of Radiation Oncology, and Institute for Health Policy, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
Arch Intern Med 165:2607-13. 2005..Eliciting residents' perspectives is important because residents may perceive events, actions, and causal relationships that medical record reviewers or observers cannot... - Assessing the value of electronic prescribing in ambulatory care: a focus group studySaul N Weingart
Center for Patient Safety, Dana Farber Cancer Institute, Boston, MA 02115, USA
Int J Med Inform 78:571-8. 2009..We sought to understand the reasons for adoption and use of e-prescribing, as well as clinicians' complaints about and perceived benefits of drug allergy and interaction alerts... - Limits to the safety net: teaching hospital faculty report on their patients' access to careJoel S Weissman
Department of Medicine, Harvard Medical School, USA
Health Aff (Millwood) 22:156-66. 2003..AHCs and affiliated group practices should examine policies that limit access for uninsured patients... - Age-related differences in preventive care among adults with diabetesStephen D Persell
Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
Am J Med 116:630-4. 2004 - Overrides of medication alerts in ambulatory careThomas Isaac
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA
Arch Intern Med 169:305-11. 2009..Electronic prescribing systems with decision support may improve patient safety in ambulatory care by offering drug allergy and drug interaction alerts. However, preliminary studies show that clinicians override most of these alerts... - The educational impact of ACGME limits on resident and fellow duty hours: a pre-post survey studyReshma Jagsi
Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
Acad Med 81:1059-68. 2006..05). CONCLUSION: This study shows that it may be possible to reduce residents' hours--and the perceived adverse impact of fatigue--while generally preserving the self-assessed quality, quantity, and outcomes of graduate medical education... - Hospitals' care of uninsured patients during the 1990s: the relation of teaching status and managed care to changes in market share and market concentrationJoel S Weissman
Department of Medicine, Harvard Medical School, and Institute for Health Policy, Massachusetts General Hospital and Partners Healthcare System, Boston 02114, USA
Inquiry 40:84-93. 2003..all patients) was greater in areas with high managed care levels than in areas with low managed care levels (p < .01). These results have implications for the design of payment policies for indigent care... - Undiagnosed hypertension and hypercholesterolemia among uninsured and insured adults in the Third National Health and Nutrition Examination SurveyJohn Z Ayanian
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA
Am J Public Health 93:2051-4. 2003 - An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory careSaul N Weingart
Center for Patient Safety, Dana Farber Cancer Institute, 44 Binney St, Boston, MA 02115, USA
Arch Intern Med 169:1465-73. 2009..Because ambulatory care clinicians override as many as 91% of drug interaction alerts, the potential benefit of electronic prescribing (e-prescribing) with decision support is uncertain... - When methods meet politics: how risk adjustment became part of Medicare managed careJoel S Weissman
Harvard Medical School, USA
J Health Polit Policy Law 30:475-504. 2005..The article provides lessons for the future of health-based risk adjustment and possible alternatives... - The trouble with uncompensated hospital careJoel S Weissman
Massachusetts General Hospital/Partners Institute for Health Policy and Harvard Medical School, Boston, USA
N Engl J Med 352:1171-3. 2005 - 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... - Preparedness of internal medicine and family practice residents for treating common conditionsFrancine C Wiest
Robert Wood Johnson Clinical Scholars Program, Department of Veterans Affairs Puget Sound Healthcare System, and Department of Medicine, University of Washington, Seattle, USA
JAMA 288:2609-14. 2002..These differences were consistent with the emphasis on an inpatient setting for IM residents and on office-based care for FP residents... - Estimating the mission-related costs of teaching hospitalsLane Koenig
Lewin Group, Falls Church, Virginia, USA
Health Aff (Millwood) 22:112-22. 2003..To assure their continued ability to perform important social missions in a competitive environment, it may be necessary to reassess the way in which these activities are financed... - Complication rates on weekends and weekdays in US hospitalsEran Bendavid
Center for Health Policy, Stanford Medical School, Stanford, Calif 94305, USA
Am J Med 120:422-8. 2007..Recent studies and anecdotal evidence suggest that patient safety may be compromised on weekends. Our objective was to determine whether rates of complications in hospitals are higher on weekends than on weekdays... - The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient safety. A study of resident experiences and perceptions before and after hours reductionsReshma Jagsi
Department of Radiation Oncology, University of Michigan, Ann Arbor, MI 48109 5010, USA
Arch Intern Med 168:493-500. 2008..We sought to assess the impact of Accreditation Council for Graduate Medical Education resident work hour limits implemented on July 1, 2003, on resident experiences and perceptions regarding patient safety... - Trends in racial disparities in careKenneth G Keppel
N Engl J Med 353:2081-5; author reply 2081-5. 2005 - Access to care and use of preventive services by Hispanics: state-based variations from 1991 to 2004Minah Kang-Kim
Ewha Womans University, Seoul, Korea
Med Care 46:507-15. 2008..State-level disparities in access to physicians and preventive services between Hispanics and whites may have changed over time... - Resident physicians' use of professional and nonprofessional interpreters: a national surveyKaren C Lee
JAMA 296:1050-3. 2006 - Responses of medical schools to institutional conflicts of interestSusan H Ehringhaus
Association of American Medical Colleges, Washington, DC 20037, USA
JAMA 299:665-71. 2008..Institutional financial conflicts of interest may affect research results. No national data exist on the extent to which US medical schools have formally responded to challenges associated with institutional conflicts of interest (ICOI)... - Disparities in health care are driven by where minority patients seek care: examination of the hospital quality alliance measuresRomana Hasnain-Wynia
Health Research and Educational Trust, American Hospital Association, and Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60606, USA
Arch Intern Med 167:1233-9. 2007..We assessed racial/ethnic disparities using the Hospital Quality Alliance Inpatient Quality of Care Indicators... - Managed care education: what medical students are telling usKathleen M Mazor
Meyers Primary Care Institute, University of Massachusetts Medical School and Fallon Healthcare System, Worcester 01605, USA
Acad Med 77:1128-33. 2002....
Research Grants
- E-Prescribing Impact on Patient Safety, Use, and CostJoel Weissman; Fiscal Year: 2006..abstract_text> ..
- The Relation of Hospital Workload to Patient SafetyJoel Weissman; Fiscal Year: 2003..A second potential outcome will be to make available cost-effective screening tools for monitoring adverse events and errors. ..
- Post-Trial Access for Insured and Uninsured ParticipantsJoel Weissman; Fiscal Year: 2007....