Administrative Data Systems

10. References

Adamson, D. M. C., Stella, Hansen, Leigh G. (2008). Health research data for the real world: The MarketScan databases. T. H. Care. New York, Thompson Health Care.

Angelelli, J., D. C. Grabowski, et al. (2006). "Effect of educational level and minority status on nursing home choice after hospital discharge." Am J Public Health 96(7): 1249-53.

Angelelli, J., V. Mor, et al. (2003). "Oversight of nursing homes: pruning the tree or just spotting bad apples?" Gerontologist 43 Spec No 2: 67-75.

Baicker, K., A. Chandra, et al. (2004). "Who you are and where you live: How race and geography affect the treatment of medicare beneficiaries." Health Aff (Millwood) Suppl Web Exclusives: VAR33-44.

Bernabei, R., G. Gambassi, et al. (1998). "Management of pain in elderly patients with cancer. SAGE Study Group. Systematic Assessment of Geriatric Drug Use via Epidemiology." Jama 279(23): 1877-82.

Bradley, E. H., J. Herrin, et al. (2006). "Hospital quality for acute myocardial infarction: correlation among process measures and relationship with short-term mortality." Jama 296(1): 72-8.

Bynum, J. P., E. Bernal-Delgado, et al. (2007). "Assigning ambulatory patients and their physicians to hospitals: a method for obtaining population-based provider performance measurements." Health Serv Res 42(1 Pt 1): 45-62.

Chulis, G. S., F. J. Eppig, et al. (1993). "Health insurance and the elderly: Data from MCBS (Medicare Current Beneficiary Survey)." Health Care Financ Rev 14(3): 163-81.

Cooper, G. S., Z. Yuan, et al. (2001). "Determination of county-level prostate carcinoma incidence and detection rates with Medicare claims data." Cancer 92(1): 102-9.

Cooper, G. S., Z. Yuan, et al. (1999). "The utility of Medicare claims data for measuring cancer stage." Med Care 37(7): 706-11.

Densen, P., Shapiro, S, Einhorn, M (1959). "Concerning high and low utilizers of service in a medical care plan, and the persistence of utilization levels over a three-year period." Milbank Q 37: 217-250.

Dickson, M. and C. A. Plauschinat (2008). "Compliance with antihypertensive therapy in the elderly : A comparison of fixed-dose combination Amlodipine/Benazepril versus component-based free-combination therapy." Am J Cardiovasc Drugs 8(1): 45-50.

Eggers, P. W. (1984). "Trends in Medicare reimbursement for end-stage renal disease: 1974-1979." Health Care Financ Rev 6(1): 31-8.

Eppig, F. J. and G. S. Chulis (1997). "Matching MCBS (Medicare Current Beneficiary Survey) and Medicare data: the best of both worlds." Health Care Financ Rev 18(3): 211-29.

Etzioni, R., G. F. Riley, et al. (2002). "Measuring costs: Administrative claims data, clinical trials, and beyond." Med Care 40(6 Suppl): III63-72.

Feng, Z., D. C. Grabowski, et al. (2006). "The effect of state Medicaid case-mix payment on nursing home resident acuity." Health Serv Res 41(4 Pt 1): 1317-36.

Feng, Z., D. C. Grabowski, et al. (2008). "Medicaid payment rates, case-mix reimbursement, and nursing home staffing-1996-2004." Med Care 46(1): 33-40.

Fisher, E. S. and H. G. Welch (1999). "Avoiding the unintended consequences of growth in medical care: How might more be worse?" Jama 281(5): 446-53.

Fisher, E. S., H. G. Welch, et al. (1992). "Prioritizing Oregon's hospital resources. An example based on variations in discretionary medical utilization." Jama 267(14): 1925-31.

Fisher, E. S., J. E. Wennberg, et al. (1994). "Hospital readmission rates for cohorts of Medicare beneficiaries in Boston and New Haven." N Engl J Med 331(15): 989-95.

Fisher, E. S., J. E. Wennberg, et al. (2000). "Associations among hospital capacity, utilization, and mortality of US Medicare beneficiaries, controlling for sociodemographic factors." Health Serv Res 34(6): 1351-62.

Foster, R. W. (1985). "Cost-shifting under cost reimbursement and prospective payment." J Health Econ 4(3): 261-71.

Gambassi, G., D. E. Forman, et al. (2000). "Management of heart failure among very old persons living in long-term care: has the voice of trials spread? The SAGE Study Group." Am Heart J 139(1 Pt 1): 85-93.

Gambassi, G., F. Landi, et al. (1998). "Validity of diagnostic and drug data in standardized nursing home resident assessments: potential for geriatric pharmacoepidemiology. SAGE Study Group. Systematic Assessment of Geriatric drug use via Epidemiology." Med Care 36(2): 167-79.

Gambassi, G., K. L. Lapane, et al. (2000). "Effects of angiotensin-converting enzyme inhibitors and digoxin on health outcomes of very old patients with heart failure. SAGE Study Group. Systematic Assessment of Geriatric drug use via Epidemiology." Arch Intern Med 160(1): 53-60.

Gibbs, P., S. McLaughlin, et al. (2006). "Re: Completion of therapy by Medicare patients with stage III colon cancer." J Natl Cancer Inst 98(21): 1582.

Gibson, T. B., T. L. Mark, et al. (2006). "Impact of statin copayments on adherence and medical care utilization and expenditures." Am J Manag Care 12 Spec no.: SP11-9.

Gilman, B. H. and J. Kautter (2008). "Impact of multitiered copayments on the use and cost of prescription drugs among Medicare beneficiaries." Health Serv Res 43(2): 478-95.

Goodman, D. C., S. S. Mick, et al. (2003). "Primary care service areas: A new tool for the evaluation of primary care services." Health Serv Res 38(1 Pt 1): 287-309.

Grabowski, D. C., Z. Feng, et al. (2008). "Medicaid Nursing Home Payment and the Role of Provider Taxes." Med Care Res Rev. 65(4):514-27. Epub 2008 Mar 27.

Greenfield, C. A., P. M. Densen, et al. (1978). "Use of out-of-plan services by Medicare members of HIP." Health Serv Res 13(3): 243-60.

Greenlick, M. R. and B. J. Darsky (1968). "A comparison of general drug utilization in a metropolitan community with utilization under a drug prepayment plan." Am J Public Health Nations Health 58(11): 2121-36.

Gruneir, A., S. C. Miller, et al. (2008). "Relationship between State Medicaid Policies, Nursing Home Racial Composition, and the Risk of Hospitalization for Black and White Residents." Health Serv Res 43(3): 869-81.

Holzer, S. S., L. Engelhart, et al. (1997). "Asthma treatment costs using inhaled corticosteroids." Am J Manag Care 3(6): 891-7.

Hsia, D. C., C. A. Ahern, et al. (1992). "Medicare reimbursement accuracy under the prospective payment system, 1985 to 1988." Jama 268(7): 896-9.

Hsia, D. C., W. M. Krushat, et al. (1988). "Accuracy of diagnostic coding for Medicare patients under the prospective-payment system." N Engl J Med 318(6): 352-5.

Hurtado, A. V. and M. R. Greenlick (1971). "A disease classification system for analysis of medical care utilization, with a note on symptom classification." Health Serv Res 6(3): 235-50.

Iezzoni, L. I. (2002). "Using administrative data to study persons with disabilities." Milbank Q 80(2): 347-79.

Intrator, O., Z. Feng, et al. (2005). "The employment of nurse practitioners and physician assistants in U.S. nursing homes." Gerontologist 45(4): 486-95.

Intrator, O., D. C. Grabowski, et al. (2007). "Hospitalization of nursing home residents: The effects of states' Medicaid payment and bed-hold policies." Health Serv Res 42(4): 1651-71.

Intrator, O., M. Schleinitz, et al. (2009). "Maintaining Continuity of Care for Nursing Home Residents: Effect of States' Medicaid Bed-Hold Policies and Reimbursement Rates." Health Serv Res 44(1):33-55. Epub 2008 Sep 8.

Jencks, S. F., J. Daley, et al. (1988). "Interpreting hospital mortality data. The role of clinical risk adjustment." Jama 260(24): 3611-6.

Klar, R. M. (1979). "ESRD program projections and experience." Jama 241(3): 239-40.

Liperoti, R., G. Gambassi, et al. (2005). "Conventional and atypical antipsychotics and the risk of hospitalization for ventricular arrhythmias or cardiac arrest." Arch Intern Med 165(6): 696-701.

Liperoti, R., V. Mor, et al. (2003). "The use of atypical antipsychotics in nursing homes." J Clin Psychiatry 64(9): 1106-12.

Liperoti, R., G. Onder, et al. (2007). "Conventional or atypical antipsychotics and the risk of femur fracture among elderly patients: results of a case-control study." J Clin Psychiatry 68(6): 929-34.

Manton, K. G., J. C. Vertrees, et al. (1990). "Changes in health service use and mortality among U.S. elderly in 1980-1986." J Aging Health 2(2): 131-56.

Manton, K. G., M. A. Woodbury, et al. (1993). "Use of Medicare services before and after introduction of the prospective payment system." Health Serv Res 28(3): 269-92.

Marks, S., Greenlick, MR, Hurtado, AV, Johnson, JD, Henderson, BA (1980). "Ambulatory surgery in an HMO: A study of costs, quality of care and satisfaction." Med Care 18(2): 127-146.

McCarthy, E. (1981). "Inpatient utilization of short-stay hospitals by diagnosis United States, 1978." Vital Health Stat 55: 1-79.

McPherson, K., J. E. Wennberg, et al. (1982). "Small-area variations in the use of common surgical procedures: an international comparison of New England, England, and Norway." N Engl J Med 307(21): 1310-4.

Mor, V. (2004). "A comprehensive clinical assessment tool to inform policy and practice: applications of the minimum data set." Med Care 42(4 Suppl): III50-9.

Mor, V., V. Wilcox, et al. (1994). "Functional transitions among the elderly: patterns, predictors, and related hospital use." Am J Public Health 84(8): 1274-80.

Mor, V., J. Zinn, et al. (2004). "Driven to tiers: socioeconomic and racial disparities in the quality of nursing home care." Milbank Q 82(2): 227-56.

Mor, V., J. Zinn, et al. (2007). "Prospects for transferring nursing home residents to the community." Health Aff (Millwood) 26(6): 1762-71.

Morris, J. N., C. Hawes, et al. (1990). "Designing the national resident assessment instrument for nursing homes." Gerontologist 30(3): 293-307.

Morris, J. N., S. Nonemaker, et al. (1997). "A commitment to change: Revision of HCFA's RAI." J Am Geriatr Soc 45(8): 1011-6.

Nattinger, A. B., M. S. Gottlieb, et al. (1992). "Geographic variation in the use of breast-conserving treatment for breast cancer." N Engl J Med 326(17): 1102-7.

Pedone, C., K. L. Lapane, et al. (2004). "Donepezil use in US nursing homes." Aging Clin Exp Res 16(1): 60-7.

Pine, P. L., M. Gornick, et al. (1981). "Analysis of services received under Medicare by specialty of physician." Health Care Financ Rev 3(1): 89-116.

Polsky, D., K. A. Armstrong, et al. (2006). "Variation in chemotherapy utilization in ovarian cancer: The relative contribution of geography." Health Serv Res 41(6): 2201-18.

Roos, L. L., C. A. Mustard, et al. (1993). "Registries and administrative data: Organization and accuracy." Med Care 31(3): 201-12.

Sangl, J., D. Saliba, et al. (2005). "Challenges in measuring nursing home and home health quality: Lessons from the First National Healthcare Quality Report." Med Care 43(3 Suppl): I24-32.

Sgadari, A., K. L. Lapane, et al. (2000). "Oxidative and nonoxidative benzodiazepines and the risk of femur fracture. The Systematic Assessment of Geriatric Drug Use Via Epidemiology Study Group." J Clin Psychopharmacol 20(2): 234-9.

Shapiro, S., W. Venet, et al. (1985). "Selection, follow-up, and analysis in the Health Insurance Plan Study: a randomized trial with breast cancer screening." Natl Cancer Inst Monogr 67: 65-74.

Sirovich, B. E., D. J. Gottlieb, et al. (2005). "Variation in the tendency of primary care physicians to intervene." Arch Intern Med 165(19): 2252-6.

Sirovich, B. E., D. J. Gottlieb, et al. (2006). "Regional variations in health care intensity and physician perceptions of quality of care." Ann Intern Med 144(9): 641-9.

Skinner, J., J. N. Weinstein, et al. (2003). "Racial, ethnic, and geographic disparities in rates of knee arthroplasty among Medicare patients." N Engl J Med 349(14): 1350-9.

Smith, D. B., Z. Feng, et al. (2007). "Separate and unequal: racial segregation and disparities in quality across U.S. nursing homes." Health Aff (Millwood) 26(5): 1448-58.

Sorrentino, E. A. (1989). "Hospital mission and cost differences." Hosp Top 67(3): 22-5.

Teno, J. M., Z. Feng, et al. (2008). "Do financial incentives of introducing case mix reimbursement increase feeding tube use in nursing home residents?" J Am Geriatr Soc 56(5): 887-90.

Weech-Maldonado, R., L. Meret-Hanke, et al. (2004). "Nurse staffing patterns and quality of care in nursing homes." Health Care Manage Rev 29(2): 107-16.

Weinstein, J. N., J. D. Lurie, et al. (2006). "United States' trends and regional variations in lumbar spine surgery: 1992-2003." Spine 31(23): 2707-14.

Welch, W. P., M. E. Miller, et al. (1993). "Geographic variation in expenditures for physicians' services in the United States." N Engl J Med 328(9): 621-7.

Wennberg, J. E. (1985). "Variations in medical practice and hospital costs." Conn Med 49(7): 444-53.

Wennberg, J. E., E. S. Fisher, et al. (2005). "Evaluating the efficiency of California providers in caring for patients with chronic illnesses." Health Aff (Millwood) Suppl Web Exclusives: W5-526-43.

Wennberg, J. E., E. S. Fisher, et al. (2004a). "Use of Medicare claims data to monitor provider-specific performance among patients with severe chronic illness." Health Aff (Millwood) Suppl Web Exclusives: VAR5-18.

Wennberg, J. E., E. S. Fisher, et al. (2004b). "Use of hospitals, physician visits, and hospice care during last six months of life among cohorts loyal to highly respected hospitals in the United States." Bmj 328(7440): 607.

Wennberg, J. E., J. L. Freeman, et al. (1989). "Hospital use and mortality among Medicare beneficiaries in Boston and New Haven." N Engl J Med 321(17): 1168-73.

Wennberg, J. E., N. Roos, et al. (1987). "Use of claims data systems to evaluate health care outcomes. Mortality and reoperation following prostatectomy." Jama 257(7): 933-6.

Werner, R. M. and E. T. Bradlow (2006). "Relationship between Medicare's hospital compare performance measures and mortality rates." Jama 296(22): 2694-702.

Wolinsky, F. D., J. Krygiel, et al. (2002). "Hospitalization for prostate cancer among the older men in the longitudinal study on aging, 1984-1991." J Gerontol A Biol Sci Med Sci 57(2): M115-21.

Wolinsky, F. D., T. E. Stump, et al. (1995). "Hospital utilization profiles among older adults over time: Consistency and volume among survivors and decedents." J Gerontol B Psychol Sci Soc Sci 50(2): S88-100.

Won, A., K. Lapane, et al. (1999). "Correlates and management of nonmalignant pain in the nursing home. SAGE Study Group. Systematic Assessment of Geriatric drug use via Epidemiology." J Am Geriatr Soc 47(8): 936-42.

Wright, G. E., W. E. Barlow, et al. (2007). "Differences among the elderly in the treatment costs of colorectal cancer: How important is race?" Med Care 45(5): 420-30.

Zechnich, A. D., M. Greenlick, et al. (1998). "Elimination of over-the-counter medication coverage in the Oregon Medicaid population: The impact on program costs and drug use." Med Care 36(8): 1283-94.

Zinn, J., Z. Feng, et al. (2008). "Restructuring in response to case mix reimbursement in nursing homes: a contingency approach." Health Care Manage Rev 33(2): 113-23.