RACHEL WERNER

Summary

Affiliation: University of Pennsylvania
Country: USA

Publications

  1. pmc Impact of public reporting on unreported quality of care
    Rachel M Werner
    Center for Health Equity Research and Promotion, Philadelphia VAMC, Division of General Internal Medicine, University of Pennsylvania School of Medicine, USA
    Health Serv Res 44:379-98. 2009
  2. pmc Impact of public reporting on quality of postacute care
    Rachel M Werner
    Center for Health Equity Research and Promotion, Philadelphia VAMC, The Division of General Internal Medicine, University of Pennsylvania School of Medicine, PA, USA
    Health Serv Res 44:1169-87. 2009
  3. doi request reprint State adoption of nursing home pay-for-performance
    Rachel M Werner
    Philadelphia VA and University of Pennsylvania, PA, USA
    Med Care Res Rev 67:364-77. 2010
  4. pmc The relationship between measured performance and satisfaction with care among clinically complex patients
    Rachel M Werner
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
    J Gen Intern Med 23:1729-35. 2008
  5. doi request reprint 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
  6. pmc Measuring quality of care in patients with multiple clinical conditions: summary of a conference conducted by the Society of General Internal Medicine
    Rachel M Werner
    Center for Health Equity Research and Promotion, Philadelphia VAMC, Philadelphia, PA, USA
    J Gen Intern Med 22:1206-11. 2007
  7. pmc Clinical concerns about clinical performance measurement
    Rachel M Werner
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA 19104, USA
    Ann Fam Med 5:159-63. 2007
  8. ncbi request reprint Relationship between Medicare's hospital compare performance measures and mortality rates
    Rachel M Werner
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
    JAMA 296:2694-702. 2006
  9. doi request reprint Advancing nursing home quality through quality improvement itself
    Rachel M Werner
    Division ofGeneral Internal Medicine, University of PennsylvaniaSchool of Medicine, Philadelphia Veterans Affairs Medical Cente, Philadelphia, Pynnsylvania, USA
    Health Aff (Millwood) 29:81-6. 2010
  10. doi request reprint Making the 'pay' matter in pay-for-performance: implications for payment strategies
    Rachel M Werner
    Philadelphia VA, Philadelphia, PA, USA
    Health Aff (Millwood) 28:1498-508. 2009

Detail Information

Publications28

  1. pmc Impact of public reporting on unreported quality of care
    Rachel M Werner
    Center for Health Equity Research and Promotion, Philadelphia VAMC, Division of General Internal Medicine, University of Pennsylvania School of Medicine, USA
    Health Serv Res 44:379-98. 2009
    ..Our objective is to examine the effect of publicly reporting quality information on unreported quality of care...
  2. pmc Impact of public reporting on quality of postacute care
    Rachel M Werner
    Center for Health Equity Research and Promotion, Philadelphia VAMC, The Division of General Internal Medicine, University of Pennsylvania School of Medicine, PA, USA
    Health Serv Res 44:1169-87. 2009
    ..This study tests whether public reporting in the setting of nursing homes resulted in improvement of reported and broader but unreported quality of postacute care...
  3. doi request reprint State adoption of nursing home pay-for-performance
    Rachel M Werner
    Philadelphia VA and University of Pennsylvania, PA, USA
    Med Care Res Rev 67:364-77. 2010
    ..Although the number of states that are implementing nursing home P4P is growing, the structure of these incentives varies across states, and little evidence exists to guide the planning or implementation of these initiatives...
  4. pmc The relationship between measured performance and satisfaction with care among clinically complex patients
    Rachel M Werner
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
    J Gen Intern Med 23:1729-35. 2008
    ....
  5. doi request reprint 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...
  6. pmc Measuring quality of care in patients with multiple clinical conditions: summary of a conference conducted by the Society of General Internal Medicine
    Rachel M Werner
    Center for Health Equity Research and Promotion, Philadelphia VAMC, Philadelphia, PA, USA
    J Gen Intern Med 22:1206-11. 2007
    ..This research should evaluate the impact of quality measurement on these patients and expand the range of quality measures relevant to the care of clinically complex patients...
  7. pmc Clinical concerns about clinical performance measurement
    Rachel M Werner
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA 19104, USA
    Ann Fam Med 5:159-63. 2007
    ..In its current state, performance measurement is better suited to improving measured care than improving the care of individual patients...
  8. ncbi request reprint Relationship between Medicare's hospital compare performance measures and mortality rates
    Rachel M Werner
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
    JAMA 296:2694-702. 2006
    ..It is unknown whether these process performance measures are related to hospital-level outcomes...
  9. doi request reprint Advancing nursing home quality through quality improvement itself
    Rachel M Werner
    Division ofGeneral Internal Medicine, University of PennsylvaniaSchool of Medicine, Philadelphia Veterans Affairs Medical Cente, Philadelphia, Pynnsylvania, USA
    Health Aff (Millwood) 29:81-6. 2010
    ..This could foster a culture of upstream identification and solving of problems that would supplement existing downstream requirements to meet specific safety and care standards...
  10. doi request reprint Making the 'pay' matter in pay-for-performance: implications for payment strategies
    Rachel M Werner
    Philadelphia VA, Philadelphia, PA, USA
    Health Aff (Millwood) 28:1498-508. 2009
    ..Bonuses vary considerably by payment strategy, which suggests that the strategy selected should vary depending on program goals. These findings are relevant to P4P for any type of provider...
  11. doi request reprint Characteristics and outcomes of America's lowest-performing hospitals: an analysis of acute myocardial infarction hospital care in the United States
    Ioana Popescu
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Center for Research in the Implementation of Innovative Strategies in Practice, Iowa City VA Medical Center, Iowa City, Iowa, USA
    Circ Cardiovasc Qual Outcomes 2:221-7. 2009
    ..Little is known about hospitals with consistently poor adherence with AMI process measures and whether these hospitals also have increased patient mortality...
  12. doi request reprint Public reporting drove quality gains at nursing homes
    RACHEL WERNER
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
    Health Aff (Millwood) 29:1706-13. 2010
    ..We found that quality improved both because consumers chose higher-quality nursing homes and because providers improved the care they delivered. These findings support the continued use of public reporting to improve quality...
  13. ncbi request reprint The unintended consequences of publicly reporting quality information
    Rachel M Werner
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center
    JAMA 293:1239-44. 2005
    ..Given these limitations, it may be necessary to reassess the role of public quality reporting in quality improvement...
  14. pmc Design of comprehensive Alzheimer's disease centers to address unmet national needs
    John Q Trojanowski
    Institute on Aging, Philadelphia, PA, USA
    Alzheimers Dement 6:150-5. 2010
    ..The intent of this position paper is to stimulate thinking and foster the development of other or alternative models for a systematic approach to the study of dementia and movement disorders...
  15. doi request reprint Quality of care among obese patients
    Virginia W Chang
    Philadelphia VA Medical Center, Department of Medicine, University of Pennsylvania School of Medicine, and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 19104 6021, USA
    JAMA 303:1274-81. 2010
    ..Moreover, obese patients often feel that clinicians are biased or disrespectful because of their weight. These observations raise the concern that obese patients may receive lower quality of care...
  16. ncbi request reprint Malpractice premiums and the supply of obstetricians
    Daniel Polsky
    Division of General Internal Medicine, University of Pennsylvania School of Medicine, Blockley Hall, Rm 1204, 423 Guardian Drive, Philadelphia, PA 19104, USA
    Inquiry 47:48-61. 2010
    ..3% of the supply of obstetricians...
  17. pmc Paying for performance in population health: lessons from health care settings
    David A Asch
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    Prev Chronic Dis 7:A98. 2010
    ..Nevertheless, with careful attention, conditions for successful pay-for-performance in population health might be met...
  18. pmc Changes in patient sorting to nursing homes under public reporting: improved patient matching or provider gaming?
    Rachel M Werner
    Center for Health Equity Research and Promotion, Philadelphia VAMC, Division of General Internal Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
    Health Serv Res 46:555-71. 2011
    ..To test whether public reporting in the setting of postacute care in nursing homes results in changes in patient sorting...
  19. ncbi request reprint Comparing the supply of pediatric subspecialists and child neurologists
    Rachel M Werner
    Division of General Internal Medicine, The University of Pennsylvania, Philadelphia, PA 19104, USA
    J Pediatr 146:20-5. 2005
    ..To examine physician workforce characteristics and workforce projections of one vulnerable pediatric subspecialty, child neurology, and compare this subspecialty with other pediatric subspecialties, general pediatrics, and adult neurology...
  20. ncbi request reprint Racial profiling: the unintended consequences of coronary artery bypass graft report cards
    Rachel M Werner
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
    Circulation 111:1257-63. 2005
    ..If physicians believe that racial and ethnic minorities are at higher risk for poor outcomes, report cards could worsen existing racial and ethnic disparities in health care...
  21. ncbi request reprint Hospital performance measures and quality of care
    Rachel M Werner
    Leonard Davis Institute of Health Economics, VA Center for Health Equity Research and Promotion, University of Pennsylvania, Philadelphia, PA, USA
    LDI Issue Brief 13:1-4. 2008
    ..This Issue Brief summarizes studies that examine and quantify the relationship between frequently used measures of hospital performance and hospital mortality...
  22. ncbi request reprint The "Hassle Factor": what motivates physicians to manipulate reimbursement rules?
    Rachel M Werner
    Department of Internal Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    Arch Intern Med 162:1134-9. 2002
    ..This study sought to determine the relationship between the likelihood of a successful appeal, appeals process length, and severity of the health condition and physicians' willingness to sanction deception...
  23. ncbi request reprint Support for physician deception of insurance companies among a sample of Philadelphia residents
    G Caleb Alexander
    University of Pennsylvania, Philadelphia, USA
    Ann Intern Med 138:472-5. 2003
    ..Some physicians seem to be willing to sanction deception of insurance companies. Little is known about public attitudes regarding this practice...
  24. ncbi request reprint The future of child neurology: a profile of child neurology residents
    Daniel Polsky
    Division of General Internal Medicine, University of Pennsylvania, Blockley Hall, Rm 1208, Philadelphia, PA 19104 6021, USA
    J Child Neurol 19:6-13. 2004
    ....
  25. ncbi request reprint Strategies to attract medical students to the specialty of child neurology
    Rachel M Werner
    Division of General Internal Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    Pediatr Neurol 30:35-8. 2004
    ..These schools should implement a curriculum in neuroscience and child neurology that specifically exposes students early and maintains their interest in the field of child neurology...
  26. doi request reprint Impact of changes in clinical practice guidelines on assessment of quality of care
    Grace A Lin
    Division of General Internal Medicine, University of California, San Francisco, CA 94143 0320, USA
    Med Care 48:733-8. 2010
    ..The impact of guideline changes over time-and whether evolving clinical evidence can render measures based on prior guidelines misleading-is not known...
  27. doi request reprint Process quality measures and asthma exacerbations in the medicaid population
    Pierre L Yong
    Department of Medicine, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
    J Allergy Clin Immunol 124:961-6. 2009
    ..Asthma quality assessment often focuses on controller medication use, yet claims-based studies find conflicting associations between this care process and clinical outcomes...
  28. ncbi request reprint Lying to insurance companies: the desire to deceive among physicians and the public
    Rachel M Werner
    University of Pennsylvania, USA
    Am J Bioeth 4:53-9. 2004
    ..48 to 4.64 after controlling for differences in time perception. These findings highlight the ethical challenge facing physicians and patients in balancing patient advocacy with honesty in the setting of limited societal resources...

Research Grants6

  1. The Impact of Public Reporting on the Quality of Post-Acute Care
    RACHEL WERNER; Fiscal Year: 2007
    ..This will be the first rigorous analysis to inform the policy debate on the benefits and risks of public reporting in the post-acute care sector. ..
  2. Improving the value of pay-for-performance: an evaluation in hospitals
    RACHEL WERNER; Fiscal Year: 2009
    ..To explore the impact of different P4P payment strategies (bonuses based on top performance, target attainment, or improvement, and penalties based on low performance) on changes in the value of care. ..
  3. Evaluating Pay for Performance and its Design: Evidence from Nursing Homes
    Rachel M Werner; Fiscal Year: 2010
    ....
  4. Improving the value of pay-for-performance: an evaluation in hospitals
    Rachel M Werner; Fiscal Year: 2010
    ..To explore the impact of different P4P payment strategies (bonuses based on top performance, target attainment, or improvement, and penalties based on low performance) on changes in the value of care. ..