Andrew M Ryan
Affiliation: Cornell University
- Profiling provider outcome quality for pay-for-performance in the presence of missing data: a simulation approachAndrew M Ryan
Department of Public Health, Weill Cornell Medical College, New York, NY 10065, USA
Health Serv Res 48:810-25. 2013..In the context of primary care depression treatment, we assess the implications of missing data for the accuracy of alternative approaches to provider outcome profiling...
- Small physician practices in new york needed sustained help to realize gains in quality from use of electronic health recordsAndrew M Ryan
Weill Cornell Medical College, New York City, NY, USA
Health Aff (Millwood) 32:53-62. 2013....
- The effect of improving processes of care on patient outcomes: evidence from the United Kingdom's quality and outcomes frameworkAndrew M Ryan
Public Health Department, Weill Cornell Medical College, New York, NY, USA
Med Care 50:191-9. 2012..Despite the extensive use of process of care measures in pay-for-performance programs, little is known about the effect of improving process performance on patient outcomes...
- The effect of Phase 2 of the Premier Hospital Quality Incentive Demonstration on incentive payments to hospitals caring for disadvantaged patientsAndrew M Ryan
Robert F Wagner Graduate School and Division of General Medicine, NYU Medical School, New York, NY 10065, USA
Health Serv Res 47:1418-36. 2012..We tested whether this design change reduced the gap in incentive payments among hospitals treating patients across the gradient of socioeconomic disadvantage...
- What is the best way to estimate hospital quality outcomes? A simulation approachAndrew Ryan
Weill Cornell Medical College, Department of Public Health, Division of Outcomes and Effectiveness, New York, NY 10065, USA
Health Serv Res 47:1699-718. 2012..To test the accuracy of alternative estimators of hospital mortality quality using a Monte Carlo simulation experiment...
- Medicare's flagship test of pay-for-performance did not spur more rapid quality improvement among low-performing hospitalsAndrew M Ryan
Weill Cornell Medical College, New York City, New York, USA
Health Aff (Millwood) 31:797-805. 2012..They also cast some doubt on the extent to which hospitals respond to the specific structure of economic incentives in pay-for-performance programs...
- Medicare's public reporting initiative on hospital quality had modest or no impact on mortality from three key conditionsAndrew M Ryan
Division of Outcomes and Effectiveness Research at Weill Cornell Medical College, New York City, NY, USA
Health Aff (Millwood) 31:585-92. 2012..We conclude that Medicare's public reporting initiative for hospitals has had a minimal impact on patient mortality...
- Has pay-for-performance decreased access for minority patients?Andrew M Ryan
Department of Public Health, Weill Medical College Cornell University, 402 East 67th Street, LA 215, New York, NY 10065, USA
Health Serv Res 45:6-23. 2010....
- The relationship between Medicare's process of care quality measures and mortalityAndrew M Ryan
Department of Public Health at Weill Cornell Medical College, 402 East 67th Street, LA 215, New York, NY 10065, USA
Inquiry 46:274-90. 2009..This suggests that the relationship between hospital-level process of care performance and mortality is not causal. Implications for pay-for-performance are discussed...
- The effect of the MassHealth hospital pay-for-performance program on qualityAndrew M Ryan
Department of Public Health, Division of Outcomes and Effectiveness Research, Weill Medical College, Cornell University, 402 East 67th Street, New York, NY 10065, USA
Health Serv Res 46:712-28. 2011..To test the effect of Massachusetts Medicaid's (MassHealth) hospital-based pay-for-performance (P4P) program, implemented in 2008, on quality of care for pneumonia and surgical infection prevention (SIP)...
- Limits of readmission rates in measuring hospital quality suggest the need for added metricsMatthew J Press
Weill Cornell Medical College, New York, NY, USA
Health Aff (Millwood) 32:1083-91. 2013..Policy makers should consider augmenting the use of readmission rates with other measures of hospital performance during care transitions and should build on current efforts that take a communitywide approach to the readmissions issue...
- Analysis raises questions on whether pay-for-performance in Medicaid can efficiently reduce racial and ethnic disparitiesJan Blustein
Wagner School of Public Service and the School of Medicine, New York University, New York City, USA
Health Aff (Millwood) 30:1165-75. 2011....
- Physician Networks and Ambulatory Care-sensitive AdmissionsLawrence P Casalino
Division of Health Policy and Economics, Department of Healthcare Policy and Research Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation, Baltimore, MD Department of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI HIV Epidemiology and Field Services Program, Department of Health and Mental Hygiene, Bureau of HIV AIDS Prevention and Control, New York, NY Department of Sociology, Duke University King Abdulaziz University, Durham, NC
Med Care 53:534-41. 2015..Social network theory suggests that the care a patient receives also depends on the network of physicians with whom a patient's physician is connected...
- The early effects of Medicare's mandatory hospital pay-for-performance programAndrew M Ryan
Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY
Health Serv Res 50:81-97. 2015..To evaluate the impact of hospital value-based purchasing (HVBP) on clinical quality and patient experience during its initial implementation period (July 2011-March 2012)...
- Independent practice associations and physician-hospital organizations can improve care management for smaller practicesLawrence P Casalino
Department of Public Health, Weill Cornell Medical College, New York City, NY, USA
Health Aff (Millwood) 32:1376-82. 2013..4 versus 3.8). Half of these processes were provided only by IPAs or PHOs. These organizations may provide a way for small and medium-size practices to systematically improve care and participate in accountable care organizations. ..
- Paid malpractice claims for adverse events in inpatient and outpatient settingsTara F Bishop
Division of Outcomes and Effectiveness, Department of Public Health, Weill Cornell Medical College, New York, New York 10021, USA
JAMA 305:2427-31. 2011..An analysis of paid malpractice claims may provide insight into the prevalence and seriousness of adverse medical events in the outpatient setting...
- Medicare's Hospital Readmissions Reduction Program in Surgery May Disproportionately Affect Minority-serving HospitalsTerry Shih
Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI Division of Outcomes and Effectiveness Research, Department of Public Health, Weill Cornell Medical College, New York, NY
Ann Surg 261:1027-31. 2015..To project readmission penalties for hospitals performing cardiac surgery and examine how these penalties will affect minority-serving hospitals...
- The intended and unintended consequences of quality improvement interventions for small practices in a community-based electronic health record implementation projectAndrew M Ryan
Department of Public Health, Weill Cornell Medical College New York City Department of Health and Mental Hygiene, New York, NY
Med Care 52:826-32. 2014..Despite the rapid rise in the implementation of electronic health records (EHR), commensurate improvements in health care quality have not been consistently observed...
- Composite quality measures for common inpatient medical conditionsLena M Chen
Department of Internal Medicine, Division of General Medicine, University of Michigan, North Campus Research Complex, 2800 Plymouth Road, Building 16, Room 407E, AnnArbor, MI 48109 2800, USA
Med Care 51:832-7. 2013..Public reporting on quality aims to help patients select better hospitals. However, individual quality measures are suboptimal in identifying superior and inferior hospitals based on outcome performance...