Research Topics
| Kevin G VolppSummaryAffiliation: University of Pennsylvania Country: USA Publications
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Detail Information
Publications
The effect of increases in HMO penetration and changes in payer mix on in-hospital mortality and treatment patterns for acute myocardial infarctionKevin G M Volpp
Center for Health Equity Research and Promotion, Philadelphia Veterans Hospital, and Department of Medicine, School of Medicine, University of Pennsylvania, Philadelphia 19104 6021, USA
Am J Manag Care 10:505-12. 2004..To determine whether changes in health maintenance organization (HMO) penetration or payer mix affected in-hospital mortality and treatment patterns of patients with acute myocardial infarction (AMI)...
Volume-based referral for cardiovascular procedures in the United States: a cross-sectional regression analysisAndrew J Epstein
Division of Health Policy and Administration, Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut, USA
BMC Health Serv Res 5:42. 2005..In addition to hospital risk-adjusted mortality standards, the Leapfrog Group recommends annual hospital procedure minimums of 450 for CABG and 400 for PCI to reduce procedure-associated mortality...
The effect of market reform on racial differences in hospital mortalityKevin G M Volpp
Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA 19104, USA
J Gen Intern Med 21:1198-202. 2006....
A test of financial incentives to improve warfarin adherenceKevin G Volpp
Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
BMC Health Serv Res 8:272. 2008..Novel methods are needed to improve adherence for warfarin. We conducted two pilot studies to determine whether a lottery-based daily financial incentive is feasible and improves warfarin adherence and anticoagulation control...
P4P4P: an agenda for research on pay-for-performance for patientsKevin G Volpp
Center for Health Incentives, Leonard Davis Institute of Health Economics, Wharton School, University of Pennsylvania, USA
Health Aff (Millwood) 28:206-14. 2009..Patient-targeted incentives have great potential, and systematic testing will help determine how they can best be used to improve population health...
A randomized controlled trial of financial incentives for smoking cessationKevin G Volpp
CHERP, Philadelphia Veterans Affairs Medical Center, University and Woodland Ave, Philadelphia, PA 19104 6021, USA
Cancer Epidemiol Biomarkers Prev 15:12-8. 2006..The objective of this study was to determine whether modest financial incentives increase the rate of smoking cessation program enrollment, completion, and quit rates in a outpatient clinical setting...
Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reformKevin G Volpp
Center for Health Equity Research and Promotion, Veterans Administration Hospital, Philadelphia, Pennsylvania 19104 6021, USA
JAMA 298:984-92. 2007..The association of these changes with mortality among hospitalized patients has not been well established...
Did duty hour reform lead to better outcomes among the highest risk patients?Kevin G Volpp
Center for Health Equity Research and Promotion, Veterans Administration Hospital, 423 Guardian Drive, Philadelphia, PA 19104 6021, USA
J Gen Intern Med 24:1149-55. 2009..Earlier work demonstrated that ACGME duty hour reform did not adversely affect mortality, with slight improvement noted among specific subgroups...
Prolonged hospital stay and the resident duty hour rules of 2003Jeffrey H Silber
Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
Med Care 47:1191-200. 2009..Resident duty hour reforms of 2003 had the potential to create a major impact on the delivery of inpatient care...
Hospital teaching intensity, patient race, and surgical outcomesJeffrey H Silber
Center for Outcomes Research, The Children s Hospital of Philadelphia, 3535 Market St, Ste 1029, Philadelphia, PA 19104, USA
Arch Surg 144:113-20; discussion 121. 2009....
Short- and long-term mortality after an acute illness for elderly whites and blacksDaniel 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...
Teaching hospital financial status and patient outcomes following ACGME duty hour reformAmol S Navathe
Leonard Davis Institute of Health Economics, The University of Pennsylvania, Philadelphia, PA 19104, USA
Health Serv Res 48:476-98. 2013..To examine whether hospital financial health was associated with differential changes in outcomes after implementation of 2003 ACGME duty hour regulations...
The Hospital Compare mortality model and the volume-outcome relationshipJeffrey H Silber
Center for Outcomes Research, 3535 Market Street, Suite 1029, Philadelphia, PA 19104, USA
Health Serv Res 45:1148-67. 2010..We ask whether Medicare's Hospital Compare random effects model correctly assesses acute myocardial infarction (AMI) hospital mortality rates when there is a volume-outcome relationship...
Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009Judy A Shea
Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104 6021, USA
Acad Med 87:889-94. 2012....
A randomized, controlled trial of financial incentives for smoking cessationKevin G Volpp
Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, USA
N Engl J Med 360:699-709. 2009....
Failure-to-rescue: comparing definitions to measure quality of careJeffrey H Silber
Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
Med Care 45:918-25. 2007..This study examines the reliability and validity of different FTR measures currently in use...
Effect of a protected sleep period on hours slept during extended overnight in-hospital duty hours among medical interns: a randomized trialKevin G Volpp
Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, 1120 Blockley Hall, 423 Guardian Dr, Philadelphia, PA 19104 6021, USA
JAMA 308:2208-17. 2012..A 2009 Institute of Medicine report recommended protected sleep periods for medicine trainees on extended overnight shifts, a position reinforced by new Accreditation Council for Graduate Medical Education requirements...
Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directorsJudy A Shea
Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104 6021, USA
Acad Med 87:895-903. 2012..To assess internal medicine (IM) and surgery program directors' views of the likely effects of the 2011 Accreditation Council for Graduate Medical Education duty hours regulations...
Financial incentive-based approaches for weight loss: a randomized trialKevin G Volpp
Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA 19104, USA
JAMA 300:2631-7. 2008..Identifying effective obesity treatment is both a clinical challenge and a public health priority due to the health consequences of obesity...
A longitudinal analysis of the impact of hospital service line profitability on the likelihood of readmissionAmol S Navathe
Department of Health Care Management, The Wharton School, The University of Pennsylvania, and Center for Health Equity Research and Promotion, Veteran s Administration Hospital, Philadelphia, PA 19146, USA
Med Care Res Rev 69:414-31. 2012....
Residency training at a crossroads: duty-hour standards 2010Kevin G Volpp
Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, USA
Ann Intern Med 153:826-8. 2010..A more flexible, dynamic policy that emphasizes ongoing testing and evaluation would be more likely to achieve improvements in clinical and educational outcomes...
Lottery-based versus fixed incentives to increase clinicians' response to surveysScott D Halpern
Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, 723 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104 6021, USA
Health Serv Res 46:1663-74. 2011..To compare the effects of lottery-based and fixed incentives on clinicians' response to surveys...
Paying people to lose weight and stop smokingKevin G Volpp
LDI Center for Health Incentives University of Pennsylvania School of Medicine the Wharton School and Philadelphia VA Medical Center, Philadelphia, Pennsylvania, USA
LDI Issue Brief 14:1-4. 2009..This Issue Brief explores the use of financial incentives to motivate and sustain smoking cessation and weight loss...
Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reformKevin G Volpp
Center for Health Equity Research and Promotion, Veterans Administration Hospital, Philadelphia, Pennsylvania 19104 6021, USA
JAMA 298:975-83. 2007..The association of duty hour reform with mortality among patients in teaching hospitals nationally has not been well established...
Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitalsMeeta Prasad
Division of Pulmonary, Allergy, and Critical Care Medicine MP, JDC, JMK, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Crit Care Med 37:2564-9. 2009..The United States instituted restrictions on resident work-hours in July 2003. The clinical impact of this reform on critically ill patients is unknown...
The effects of price competition and reduced subsidies for uncompensated care on hospital mortalityKevin G M Volpp
Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, PA 19104, USA
Health Serv Res 40:1056-77. 2005..CONCLUSIONS: Market-based reforms may adversely affect mortality for some conditions but it appears the effects are not universal. Insured patients in less competitive markets fared better in the transition to price competition...
Building physician work hour regulations from first principles and best evidenceKevin G Volpp
Center for Health Equity Research and Promotion, Veterans Administration Hospital, and Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
JAMA 300:1197-9. 2008
Did postoperative mortality increase after the implementation of the Medicare Balanced Budget Act?Meena Seshamani
Philadelphia Veterans Affairs Medical Center, and University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104 6021, USA
Med Care 44:527-33. 2006..The Balanced Budget Act (BBA) of 1997 was a cost-saving measure designed to reduce Medicare reimbursements by $116.4 billion from 1998 to 2002. Resulting financial strain could adversely affect the quality of patient care in hospitals...
Market reform in New Jersey and the effect on mortality from acute myocardial infarctionKevin G M Volpp
Center for Health Equity Research and Promotion, Philadelphia Veterans Hospital, and University of Pennsylvania School of Medicine, 19104-6021, USA
Health Serv Res 38:515-33. 2003..A relative decrease in the use of cardiac procedures in New Jersey may partly explain this finding. Additional studies should be done to identify whether other market reforms have been associated with changes in the quality of care...
The impact of price discounts and calorie messaging on beverage consumption: a multi-site field studyJ Jane S Jue
Department of Veterans Affairs and Leonard Davis Institute of Health Economics Center for Health Incentives and Behavioral Economics, 1301 Blockley Hall, 423 Guardian Drive, University of Pennsylvania, Philadelphia, PA 19104, USA
Prev Med 55:629-33. 2012..To examine the efficacy of alternative approaches for shifting consumers toward zero calorie beverages. We examined the effect of price discounts and novel presentations of calorie information on sales of beverages...
On the Way to HealthDavid A Asch
LDI Center for Health Incentives and Behavioral Economics, University of Pennsylvania, Philadelphia, PA 19104, USA
LDI Issue Brief 17:1-4. 2012..This Issue Brief describes the development and use of a new web-based IT platform, Way to Health, to deliver and evaluate behavioral interventions to improve health...
To leave or to lie? Are concerns about a shift-work mentality and eroding professionalism as a result of duty-hour rules justified?Julia E Szymczak
University of Pennsylvania, Philadelphia, PA 19104, USA
Milbank Q 88:350-81. 2010..In this qualitative study, we explore how medical and surgical residents perceive and respond to DHR by examining the "local" organizational culture in which their work is embedded...
Impact of a prescription copayment increase on lipid-lowering medication adherence in veteransJalpa A Doshi
Center for Health Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
Circulation 119:390-7. 2009..We examined the impact of the copayment increase on lipid-lowering medication adherence...
Market reform in New Jersey and quality of care: a cautionary taleKevin G M Volpp
University of Pennsylvania, Philadelphia, Pennsylvania, USA
LDI Issue Brief 8:1-4. 2003..The findings serve as a reminder that cost-constraining reforms may reduce the quality of care, particularly for uninsured and other vulnerable populations...
Leveraging insights from behavioral economics to increase the value of health-care service provisionMitesh S Patel
Department of Medicine, Hospital of the University of Pennsylvania, 3400 Spruce St, 100 Centrex, Philadelphia, PA, 19104, USA
J Gen Intern Med 27:1544-7. 2012....
Default options in advance directives influence how patients set goals for end-of-life careScott D Halpern
Fostering Improvement in End of Life Decision Science Program, University of Pennsylvania, Philadelphia, PA, USA
Health Aff (Millwood) 32:408-17. 2013....
Peer mentoring and financial incentives to improve glucose control in African American veterans: a randomized trialJudith A Long
Philadelphia Veterans Affairs Center for Health Equity Research and Promotion, USA
Ann Intern Med 156:416-24. 2012..A peer mentorship model could be a scalable approach to improving control in this population and reducing disparities in diabetic outcomes...
Effect of cuts in Medicare reimbursement on process and outcome of care for acute myocardial infarction patientsKevin G Volpp
Philadelphia Veterans Affairs Medical Center, University of Pennsylvania, Philadelphia, PA, USA
Circulation 112:2268-75. 2005....
The law, policy, and ethics of employers' use of financial incentives to improve healthKristin M Madison
Leonard Davis Institute of Health Economics, University of Pennsylvania, PA, USA
J Law Med Ethics 39:450-68. 2011..The ACA sets the stage for a broad-based research and implementation agenda through which we can learn to structure incentive programs to not only promote public health but also address prevalent concerns...
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....
Patient opinions regarding 'pay for performance for patients'Judith A Long
Philadelphia VA Center for Health Equity Research and Promotion, Philadelphia, PA, USA
J Gen Intern Med 23:1647-52. 2008..Many large employers and payers are turning to pay for performance for patients (P4P4P) to reduce health costs and improve the health of their covered populations. How these programs may be perceived by patients is unknown...
Internal medicine and general surgery residents' attitudes about the ACGME duty hours regulations: a multicenter studyJennifer S Myers
Division of General Internal Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
Acad Med 81:1052-8. 2006..To assess internal medicine and general surgery residents' attitudes about the effects of the Accreditation Council for Graduate Medical Education duty hours regulations on medical errors, quality of patient care, and residency experiences...
Comparing the standard rating scale and the magnifier scale for assessing risk perceptionsAndrea D Gurmankin
Department of Society, Human Development and Health, Harvard School of Public Health, Boston, Massachusetts, USA
Med Decis Making 25:560-70. 2005..The authors tested whether the magnifier scale lowers risk perceptions for low-probability (in 0%-1% magnifying glass section of scale) but not high-probability (>1%) events compared to a standard rating scale (SRS)...
Hospital coronary artery bypass graft surgery volume and patient mortality, 1998-2000Saif S Rathore
Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA
Ann Surg 239:110-7. 2004..However, the small size of the volume-associated mortality difference and the heterogeneity in outcomes within all CABG volume groups suggest individual hospital CABG volume is not a reliable marker of hospital CABG quality...
