Recent published articles and funding sources

Each year we author and co-author journal articles, reports, books and other publications. Here are a few samples of published work and grants we’ve received.

Sample of published articles:

Measures of waste
  • Main ML, Hibberd MG, Ryan A, Lowe TJ, Miller P, Bhat G. Acute mortality in critically ill propensity matched patients undergoing echocardiography with or without Definity. JACC. (accepted for publication)
  • Abdelmoneim SS, Lowe TJ, Hibberd M, Bhat G, Miller P, Orlandi C, Mulvagh SL. Mortality and economic outcomes of patients undergoing stress transthoracic echocardiography with and without Definity® contrast agents in 26,716 patients: a propensity matched cohort study. JACC. (forthcoming)
  • Amin A, Deitelzweig S, Christian R, Friend K, Lin J, Belk K, Baumer D, Lowe TJ. Evaluation of incremental healthcare resource burden and readmission rates associated with hospitalized hyponatremic patients in the US. J Hosp Med. 2012 Oct;7(8):634-9.(http://onlinelibrary.wiley.com/doi/10.1002/jhm.1973/abstract)
Safety

  • Martin J, Benjamin E, Craver C, Kroch EA, Nelson EC, Bankowitz R. Measuring Adverse Events in Hospitalized Patients: An administrative method for measuring harm. Journal of Patient Safety. (forthcoming)
Hospital quality improvement
  • Vaughn T, Koepke M, Levey S, Hatcher C, Baloh J, Kroch EA. Governing Board, C-Suite, and Clinical Manager Perceptions of Quality and Safety Structures, Processes, and Priorities in U.S. Hospitals, Journal of Healthcare Management. (forthcoming, 2014)
  • Van Citters AD, Fahlman C, Goldmann DA, Lieberman JR, Koenig KM, DiGioia III AM, O’Donnell B, Martin J, Federico FA, Bankowitz RA, Nelson EC, Bozic KJ. Developing a Pathway for High-value, Patient-centered Total Joint Arthroplasty. Clinical Orthopaedics and Related Research, Dec 13, 2013.(http://link.springer.com/article/10.1007%2Fs11999-013-3398-4#)
  • Deitelzweig S, Amin A, Christian R, Friend K, Lin J, Lowe TJ. Burden of hyponatremia among US patients hospitalized for heart failure. J Hosp Pract 2013.(accepted)
  • Safavi KC, Li S-X, Dharmarajan K, Venkatesh AK, Strait KM, Lin H, Lowe TJ, Fazel R, Nallamothu BK, Krumholz HM. Hospital variation in the use of non-invasive cardiac imaging and its association with downstream testing, interventions, and outcomes. JAMA Intern Med. 2014 Feb 10; (doi:10.1001/jamainternmed.2013.14407)

 

Sample of recently funded projects from senior fellows, faculty and staff:

Unique device identifier (UDI): Implementation guide: Pew

This guide provides hands-on advice from health care organizations already adopting UDI in their electronic databases, demonstrating that the envisioned benefits of this new tool can also become a reality by reducing costs while improving patient care. Each section of this guide identifies the key benefits of UDI adoption, as well as potential workflow and technology changes needed to improve device tracking.

While healthcare organizations are not required to utilize UDI, the benefits of preparing for and adopting this new tool greatly out weigh the costs of implementation by increasing supply chain efficiency, enhancing the revenue cycle, increasing the quality of care, and improving patient safety.

Contextual factors associated with implementation effectiveness within a QI collaborative: AHRQ

A common approach for improving the quality and safety of hospital care involves bringing teams of doctors and nurses together from different hospitals to work collaboratively toward a common improvement goal. While the concept makes sense, quality improvement collaboratives are costly to run, and evidence of their benefit is limited.

More importantly, little is known about why, within the same collaborative, some hospitals are more successful than others.

Through surveys of senior hospital leaders and quality improvement staff, this study examines how perceptions of new clinical practices, together with other hospital factors, contribute to successful implementation efforts. And this study will evaluate the effects of a large quality improvement collaborative focused on reducing hospital complication and death rates.

Partnership for Patients initiative, hospital engagement contractor: CMS

Through the Partnership for Patients, Premier works with 450 participants to eliminate preventable hospital-acquired conditions (HACs) and readmissions. Since the start of the program, these hospitals have already begun to reduce readmissions in a meaningful way.

Our hospital engagement network (HEN) serves as a mobile classroom with clinical improvement advisors who provide training and education programs, technical support, online safety tools and resources, national and regional best practice sharing forums, and data benchmarking and tracking to measure quality improvement goals.

By identifying the solutions already working to reduce HACs and readmissions, our HEN spreads these best practices and resources to other hospitals nationwide.

Learning what it takes to form successful accountable care organizations: The Commonwealth Fund

To provide guidance to healthcare organizations that are moving toward accountable care, we focused on three key factors:

  1. Strategies, organizational models, performance measurement systems, and payment mechanisms for early adopters at various stages of implementation.
  2. Health systems’ ACO readiness through the assessment of ACO core capabilities of more than 60 organizations to pinpoint their priority areas of focus to identify how to succeed
  3. Four case studies from ACOs across the country that illustrate noteworthy aspects of different journeys to accountable care.

The ultimate outcome was to gain practical insights for health systems contemplating ACO implementation, as well as policymakers contemplating the efficiencies and efficacy of different ACO models.

Papers from this work include:

  1. Accountable care strategies: Lessons from the Premier healthcare alliance’s accountable care collaborative
  2. Measuring progress toward accountable care
  3. The many journeys to accountable care
Electronic health record project: CMS

To gain a better understanding of how hospital outcome measures can integrate clinical data from electronic health records (EHRs), we collected information on the type and form of data collected in different EHR systems.

Through our research, we provided a report to CMS with a real-world understanding of the types of clinical data that are routinely captured and extractable from EHRs for adult hospitalized patients.

Eliminating preventable perinatal injuries and reducing malpractice claims and costs: AHRQ

The Premier Perinatal Safety Initiative, facilitated by Premier Insurance Management Services (PIMS), began in 2008, as 16 hospitals committed to improving the quality and safety of perinatal outcomes.

Hospitals were provided with the education, tools, training and guidelines to improve the reliability of perinatal care, reduce harm and lower liability risks and costs.

Learning systems for accountable care organizations (ACOs): CMS

Partnering with the Prime contractor Mathematica Policy Research, we’re developing and implementing a national learning system for the Medicare Shared Savings Program (MSSP) organizations and future End Stage Renal Disease Seamless Care Organizations.

The goal is to develop best practice case studies, implementation guidelines and a library of resources for pioneer ACOs.