Elizabeth Mort

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BACKGROUND Racial variation in the use of surgical procedures raises concern about equitable access. The goal of our study was to examine racial differences in utilization across a broad range of procedures in Massachusetts and to assess whether racial variation is related to physician discretion. METHODS We obtained fiscal year 1988 hospital discharge(More)
BACKGROUND There have been no studies of interventions to reduce test utilization in the coronary care unit. OBJECTIVE To determine whether a 3-part intervention in a coronary care unit could decrease utilization without affecting clinical outcomes. METHODS Practice guidelines for routine laboratory and chest radiographic testing were developed by a(More)
Shortcomings surrounding the care of patients with diabetes have been attributed largely to a fragmented, disorganized, and duplicative health care system that focuses more on acute conditions and complications than on managing chronic disease. To address these shortcomings, we developed a diabetes registry population management application to change the(More)
BACKGROUND In existing studies, the association between adherence with recommended hospital care processes and subsequent outcomes has been inconsistent. This has substantial implications because process measure scores are used for accountability, quality improvement and reimbursement. Our investigation addresses methodological concerns with previous(More)
PURPOSE To compare the performance of U.S. teaching and nonteaching hospitals using a portfolio of contemporary, publicly reported metrics. METHOD The authors classified acute care general hospitals filing a Medicare Institutional Cost Report according to teaching intensity: nonteaching, teaching, or Council of Teaching Hospitals member. They compared(More)
BACKGROUND Public and private organizations have called for increased transparency in reporting of outcomes data for hospitals and surgeons, including risk-adjusted coronary artery bypass graft surgery (CABG) mortality data. Limited information is available about how the public actually interprets these data. METHODS Four different graphical and tabular(More)
OBJECTIVE To examine the relationship between the age of cholecystectomy patients and surgical complications, length of stay, symptom relief, and postdischarge functional status. DESIGN Patients' medical records were reviewed and patients were sent a questionnaire three months after hospital discharge. SETTING Four university-affiliated teaching(More)
BACKGROUND The release of the Center for Medicare and Medicaid Service's (CMS) latest quality measure, Severe Sepsis/Septic Shock Early Management Bundle (SEP-1), has intensified the long-standing debate over optimal care for severe sepsis and septic shock. Although the last decade of research has demonstrated the importance of comprehensive bundled care in(More)
BACKGROUND The healthcare system is a key channel for delivering treatment to tobacco users. Brief clinic-based interventions are effective but not reliably offered. Population management strategies might improve tobacco treatment delivery in a healthcare system. PURPOSE To test the effectiveness of supplementing clinic-based care with a population-based(More)