R A Dudley

Summary

Affiliation: University of California
Country: USA

Publications

  1. pmc The impact of financial incentives on quality of health care
    R A Dudley
    Institute for Health Policy Studies, University of California, San Francisco 94109, USA
    Milbank Q 76:649-86, 511. 1998
  2. ncbi Selective referral to high-volume hospitals: estimating potentially avoidable deaths
    R A Dudley
    Department of Medicine, School of Medicine, and the Institute for Health Policy Studies, University of California, San Francisco, 94118, USA
    JAMA 283:1159-66. 2000
  3. ncbi The best of both worlds? Potential of hybrid prospective/concurrent risk adjustment
    R Adams Dudley
    Department of Medicine and Institute for Health Policy Studies, University of California, San Francisco, 94118, USA
    Med Care 41:56-69. 2003
  4. ncbi Shared patient analysis: a method to assess the clinical benefits of patient referrals
    R A Dudley
    Department of Medicine, University of California, San Francisco 94118, USA
    Med Care 39:1182-7. 2001
  5. ncbi Reconciling quality measurement with financial risk adjustment in health plans
    R A Dudley
    Department of Medicine, University of California, San Francisco 94118, USA
    Jt Comm J Qual Improv 26:137-46. 2000
  6. ncbi Surgical and endovascular treatment of unruptured cerebral aneurysms at university hospitals
    S C Johnston
    Department of Neurology, University of California, San Francisco 94143 0114, USA
    Neurology 52:1799-805. 1999
  7. ncbi Resource utilization in liver transplantation: effects of patient characteristics and clinical practice. NIDDK Liver Transplantation Database Group
    J Showstack
    Department of Medicine, University of California, San Francisco 94143 0936, USA
    JAMA 281:1381-6. 1999
  8. ncbi Changes in births to foreign-born women after welfare and immigration policy reforms in California
    C C Korenbrot
    Institute for Health Policy Studies, University of California San Francisco, USA
    Matern Child Health J 4:241-50. 2000
  9. ncbi Treatment of unruptured cerebral aneurysms in California
    S C Johnston
    Neurovascular Service, Department of Neurology, University of California at San Francisco, San Francisco, CA 94143 0114, USA
    Stroke 32:597-605. 2001
  10. ncbi Assessing risk-adjustment approaches under non-random selection
    Harold S Luft
    Institute for Health Policy Studies, School of Medicine, University of California, San Francisco 94118, USA
    Inquiry 41:203-17. 2004

Research Grants

Detail Information

Publications40

  1. pmc The impact of financial incentives on quality of health care
    R A Dudley
    Institute for Health Policy Studies, University of California, San Francisco 94109, USA
    Milbank Q 76:649-86, 511. 1998
    ....
  2. ncbi Selective referral to high-volume hospitals: estimating potentially avoidable deaths
    R A Dudley
    Department of Medicine, School of Medicine, and the Institute for Health Policy Studies, University of California, San Francisco, 94118, USA
    JAMA 283:1159-66. 2000
    ..However, few employers, health plans, or government programs have attempted to increase the number of patients referred to HVHs...
  3. ncbi The best of both worlds? Potential of hybrid prospective/concurrent risk adjustment
    R Adams Dudley
    Department of Medicine and Institute for Health Policy Studies, University of California, San Francisco, 94118, USA
    Med Care 41:56-69. 2003
    ..In addition, within-condition RA (using clinical data) for the selected conditions could further improve predictive power...
  4. ncbi Shared patient analysis: a method to assess the clinical benefits of patient referrals
    R A Dudley
    Department of Medicine, University of California, San Francisco 94118, USA
    Med Care 39:1182-7. 2001
    ..Referral to specialized physicians or institutions often is deemed necessary in clinical medicine, but no method exists to assess the clinical benefit of such referrals...
  5. ncbi Reconciling quality measurement with financial risk adjustment in health plans
    R A Dudley
    Department of Medicine, University of California, San Francisco 94118, USA
    Jt Comm J Qual Improv 26:137-46. 2000
    ..The goal of RA is to eliminate incentives for plans and providers to avoid sick, high-cost patients in favor of healthy, low-cost patients...
  6. ncbi Surgical and endovascular treatment of unruptured cerebral aneurysms at university hospitals
    S C Johnston
    Department of Neurology, University of California, San Francisco 94143 0114, USA
    Neurology 52:1799-805. 1999
    ..To compare complications of surgical clipping and coil embolization in the treatment of unruptured aneurysms...
  7. ncbi Resource utilization in liver transplantation: effects of patient characteristics and clinical practice. NIDDK Liver Transplantation Database Group
    J Showstack
    Department of Medicine, University of California, San Francisco 94143 0936, USA
    JAMA 281:1381-6. 1999
    ..Liver transplantation is among the most costly of medical services, yet few studies have addressed the relationship between the resources utilized for this procedure and specific patient characteristics and clinical practices...
  8. ncbi Changes in births to foreign-born women after welfare and immigration policy reforms in California
    C C Korenbrot
    Institute for Health Policy Studies, University of California San Francisco, USA
    Matern Child Health J 4:241-50. 2000
    ..To determine whether passage of welfare and immigration policies was followed in California by changes in births to foreign-born women in California with respect to total numbers, payer sources, prenatal care use, or health outcomes...
  9. ncbi Treatment of unruptured cerebral aneurysms in California
    S C Johnston
    Neurovascular Service, Department of Neurology, University of California at San Francisco, San Francisco, CA 94143 0114, USA
    Stroke 32:597-605. 2001
    ..The impact of endovascular therapy on treatment outcomes of unruptured cerebral aneurysms has not been studied in a defined geographic area...
  10. ncbi Assessing risk-adjustment approaches under non-random selection
    Harold S Luft
    Institute for Health Policy Studies, School of Medicine, University of California, San Francisco 94118, USA
    Inquiry 41:203-17. 2004
    ..The simulation approach offers a valuable tool for analysts in assessing various risk-adjustment strategies under different selection situations...
  11. ncbi Elderly patients' preferences and experiences with providers in managing their drug costs
    Chien Wen Tseng
    Department of Family Medicine and Community Health, University of Hawaii, Honolulu, Hawaii, USA
    J Am Geriatr Soc 55:1974-80. 2007
    ..To determine whether elderly patients with high drug expenditures want and receive providers' help in managing drug costs...
  12. ncbi Public reporting and pay-for-performance: safety-net hospital executives' concerns and policy suggestions
    L Elizabeth Goldman
    Division of General Internal Medicine, Department of Medicine, University of California at San Francisco, CA 94143, USA
    Inquiry 44:137-45. 2007
    ....
  13. ncbi Agreement between self-reports and medical records was only fair in a cross-sectional study of performance of annual eye examinations among adults with diabetes in managed care
    Gloria L A Beckles
    Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA
    Med Care 45:876-83. 2007
    ..Despite consensus about the importance of measuring quality of diabetes care and the widespread use of self-reports and medical records to assess quality, little is known about the degree of agreement between these data sources...
  14. ncbi Development and validation of an index to predict activity of daily living dependence in community-dwelling elders
    Kenneth E Covinsky
    Department of Medicine, University of California, San Francisco, CA, USA
    Med Care 44:149-57. 2006
    ..However, few prognostic indices have been developed that stratify elders into groups at variable risk for developing ADL dependence...
  15. ncbi Public reporting of provider performance: can its impact be made greater?
    David L Robinowitz
    Pediatric Pulmonary Medicine, Institute of Health Policy Studies, University of California, San Francisco, California 94143, USA
    Annu Rev Public Health 27:517-36. 2006
    ..Therefore, we also consider the advantages and disadvantages of several novel approaches to analyzing and reporting provider performance...
  16. ncbi Medicare's decision to withhold payment for hospital errors: the devil is in the det
    Robert M Wachter
    Department of Medicine, University of California, San Francisco, USA
    Jt Comm J Qual Patient Saf 34:116-23. 2008
    ..Medicare recently announced its intention to withhold additional payments for "serious preventable events."..
  17. ncbi Quality of care in hospitals with a high percent of Medicaid patients
    L Elizabeth Goldman
    Departments of Medicine, University of California, San Francisco, San Francisco, California 94110, USA
    Med Care 45:579-83. 2007
    ..Certain hospitals play a central role in ensuring Medicaid-insured patients' access to care. Their quality of care is critical to evaluate...
  18. ncbi Exercise counseling practices among nephrologists caring for patients on dialysis
    Kirsten L Johansen
    Department of Medicine, San Francisco Veterans Affairs Medical Center, San Francisco, CA 94121, USA
    Am J Kidney Dis 41:171-8. 2003
    ....
  19. doi 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...
  20. ncbi Employers' efforts to measure and improve hospital quality: determinants of success
    Ateev Mehrotra
    Harvard Combined Medicine Pediatrics Program, USA
    Health Aff (Millwood) 22:60-71. 2003
    ..We describe these conflicts and offer recommendations for future hospital report cards...
  21. ncbi 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...
  22. doi Comparison of change in quality of care between safety-net and non-safety-net hospitals
    Rachel M Werner
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania 19104, USA
    JAMA 299:2180-7. 2008
    ..As such, some have expressed concern that these incentives have the potential to worsen existing disparities among hospitals...
  23. doi Variation in ICU risk-adjusted mortality: impact of methods of assessment and potential confounders
    Michael W Kuzniewicz
    Institute for Health Policy Studies, Neonatology, University of California San Francisco, San Francisco, CA 94143 0748, USA
    Chest 133:1319-27. 2008
    ..In this study, we determine whether a substantial variation in ICU mortality performance still exists in modern ICUs, and compare the predictive accuracy, reliability, and data burden of existing ICU risk-adjustment models...
  24. pmc Overestimating outcome rates: statistical estimation when reliability is suboptimal
    Rodney A Hayward
    Department of Veterans Affairs, VA Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, MI 48113 0170, USA
    Health Serv Res 42:1718-38. 2007
    ..To demonstrate how failure to account for measurement error in an outcome (dependent) variable can lead to significant estimation errors and to illustrate ways to recognize and avoid these errors...
  25. ncbi Pay-for-performance in pediatrics: proceed with caution
    Alyna T Chien
    Section of General Pediatrics, Department of Pediatrics, University of Chicago, Chicago, Illinois, USA
    Pediatrics 120:186-8. 2007
  26. ncbi Identifying widely covered drugs and drug coverage variation among Medicare part D formularies
    Chien Wen Tseng
    Department of Family Medicine and Community Health, John A Burns School of Medicine at University of Hawaii, Honolulu, USA
    JAMA 297:2596-602. 2007
    ..Clinicians can find it difficult to know which drugs are covered for their Medicare patients because formularies vary widely among Medicare Part D plans and many states have 50 or more such plans...
  27. doi United States rural hospital quality in the Hospital Compare database-accounting for hospital characteristics
    L Elizabeth Goldman
    Department of Medicine, University of California, San Francisco, San Francisco, CA 94143, USA
    Health Policy 87:112-27. 2008
    ..We compared the quality of rural hospitals participating in a public reporting initiative to that of their urban counterparts using Hospital Compare, a new national database containing process measures...
  28. ncbi Pay-for-performance: will the latest payment trend improve care?
    Meredith B Rosenthal
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02115, USA
    JAMA 297:740-4. 2007
  29. ncbi What's behind the health expenditure trends?
    Ateev Mehrotra
    Institute for Health Policy Studies, University of California, 3333 California, Suite 265, San Francisco, San Francisco, California 94118, USA
    Annu Rev Public Health 24:385-412. 2003
    ..Moreover, we conclude that interpreting the causes of the rise in expenditures goes beyond simple observations of trends and depends on how we value various segments and aspects of health and health care...
  30. ncbi Impact of surgeon and surgical center characteristics on choice of permanent vascular access
    ANN M O'HARE
    Department of Medicine, VA Medical Center, San Francisco, California 94121, USA
    Kidney Int 64:681-9. 2003
    ..The impact of the surgeon and surgical center characteristics on choice of autogenous arteriovenous (AV) fistula versus artificial AV graft as permanent vascular access for hemodialysis has not been studied...
  31. ncbi Aligning quality and payment for heart failure care: defining the challenges
    Edward P Havranek
    Division of Cardiology, Department of Medicine, Denver Health Medical Center and University of Colorado HSC, Denver, Colorado 80204 4507, USA
    J Card Fail 9:251-4. 2003
    ..This article describes each of these challenges in turn...
  32. ncbi Volume as a surrogate for percutaneous coronary intervention quality: is this the right measuring stick?
    Ralph G Brindis
    Am Heart J 146:932-4. 2003
  33. pmc Measuring quality in modern managed care
    Harold S Luft
    Health Serv Res 38:1373-9. 2003
  34. ncbi Independent medical review of health plan coverage denials: early trends
    Kenneth H Chuang
    San Francisco VA Medical Center, San Francisco, CA, USA
    Health Aff (Millwood) 23:163-9. 2004
    ....
  35. ncbi Pay-for-performance research: how to learn what clinicians and policy makers need to know
    R Adams Dudley
    JAMA 294:1821-3. 2005
  36. ncbi Managing the unmanageable: the nature and impact of drug risk in physician groups
    Helene Levens Lipton
    Department of Clinical Pharmacy, School of Pharmacy, University of California, San Francisco, USA
    J Health Polit Policy Law 30:719-50. 2005
    ....
  37. ncbi A behavioral model of clinician responses to incentives to improve quality
    Anne Frølich
    Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark
    Health Policy 80:179-93. 2007
    ....
  38. ncbi The relationship between health plan advertising and market incentives: evidence of risk-selective behavior
    Ateev Mehrotra
    Department of Health Care Policy, Harvard Medical School, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Health Aff (Millwood) 25:759-65. 2006
    ..We find that increased competition is associated with greater use of advertising that targets healthier patients...
  39. ncbi The association between quality of care and the intensity of diabetes disease management programs
    Carol M Mangione
    Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California 90095 1736, USA
    Ann Intern Med 145:107-16. 2006
    ..Although disease management programs are widely implemented, little is known about their effectiveness...
  40. doi Frequency of stress testing to document ischemia prior to elective percutaneous coronary intervention
    Grace A Lin
    Division of General Internal Medicine, University of California, San Francisco, USA
    JAMA 300:1765-73. 2008
    ..Guidelines call for documenting ischemia in patients with stable coronary artery disease prior to elective percutaneous coronary intervention (PCI)...

Research Grants4

  1. California Intensive Care Outcomes (CALICO) Project
    R Dudley; Fiscal Year: 2006
    ..The lessons of this project will help policy makers decide what how to measure and improve patient safety in the ICU. ..