Shiyuan Yin

Shiyuan Yin is the MVC Research Associate

              The following MVC publications cover various research topics, including insights on Medicare programs, post-acute care as well as drivers of payment variation. Although this resource guide is by no means an exhaustive list, we hope to provide you with a new light on how MVC data can be applied to quality improvement.

CMS Value-Based Programs

Chen, L. M., Norton, E. C., & Birkmeyer, J. D. (2016). Comparing approaches to controlling Medicare spending. Journal of Hospital Medicine11(3), 215. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4779397/

Das, A., Norton, E. C., Miller, D. C., Ryan, A. M., Birkmeyer, J. D., & Chen, L. M. (2016). Adding a spending metric to Medicare’s value-based purchasing program rewarded low-quality hospitals. Health Affairs, 35(5), 898-906,1-33. doi: http://dx.doi.org/10.1377/hlthaff.2015.1190

Ellimoottil, C., Ryan, A. M., Hou, H., Dupree, J., Hallstrom, B., & Miller, D. C. (2016). Medicare’s new bundled payment for joint replacement may penalize hospitals that treat medically complex patients. Health Affairs35(9), 1651-1657. Retrieved from: http://content.healthaffairs.org/content/35/9/1651.full

Ellimoottil, C., Ryan, A. M., Hou, H., Dupree, J. M., Hallstrom, B., & Miller, D. C. (2017). Implications of the definition of an episode of care used in the comprehensive care for joint replacement model. JAMA Surgery152(1), 49-54. Retrieved from: http://jamanetwork.com/journals/jamasurgery/fullarticle/2556172

Herrel, L. A., Norton, E. C., Hawken, S. R., Ye, Z., Hollenbeck, B. K., & Miller, D. C. (2016). Early impact of Medicare accountable care organizations on cancer surgery outcomes. Cancer122(17), 2739-2746. Retrieved from: https://www.ncbi.nlm.nih.gov/pubmed/27218198

Post-Acute Care

Das, A., Norton, E. C., Miller, D. C., & Chen, L. M. (2016). Spending in the post-acute care setting accounts for a sizeable portion of spending associated with a hospitalization episode. JAMA Internal Medicine, 176(1), 117. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4701589/

Rahman, M., Norton, E. C., & Grabowski, D. C. (2016). Do hospital-owned skilled nursing facilities provide better post-acute care quality?.Journal of Health Economics, 50, 36-46. Retrieved from: https://doi.org/10.1016/j.jhealeco.2016.08.004

Rahman, M., Grabowski, D. C., Mor, V., & Norton, E. C. (2016). Is a skilled nursing facility’s rehospitalization rate a valid quality measure? Health Services Research, 51(6), 2158-2175. Retrieved from: https://www.ncbi.nlm.nih.gov/pubmed/27766639

Drivers of Payment Variation

Chen, L. M., Norton, E. C., Banerjee, M., Regenbogen, S. E., Cain-Nielsen, A. H., & Birkmeyer, J. D. (2017). Spending on care after surgery driven by choice of care settings instead of intensity of services. Health Affairs36(1), 83-90. Retrieved from: http://content.healthaffairs.org/content/36/1/83

Regenbogen, S. E., Cain-Nielsen, A. H., Norton, E. C., Chen, L. M., Birkmeyer, J. D., & Skinner, J. S. (2017). Costs and consequences of early hospital discharge after major inpatient surgery in older adults. JAMA Surgery152(5), e170123-e170123. Retrieved from: http://jamanetwork.com/journals/jamasurgery/fullarticle/2612833

Herrel, L. A., Syrjamaki, J. D., Linsell, S. M., Miller, D. C., & Dupree, J. M. (2016). Identifying drivers of episode cost variation with radical prostatectomy. Urology97, 105-110. Retrieved from: http://www.sciencedirect.com/science/article/pii/S009042951630454X?via%3Dihub

Other Topics

Ellimoottil, C. E., Syrjamaki J.D., Voit B., Guduguntla V., Miller D. C., Dupree J. M. Validation of a claims-based algorithm to characterize episodes-of-care. American Journal of Managed Care. (In Press).

Lee J. S., Hu H. M., Brummett C. M., Syrjamaki J. D., Dupree J. M., Englesbe M. J., Waljee J. F. Postoperative Opioid Prescribing and the Pain Scores on Hospital Consumer Assessment of Healthcare Providers and Systems Survey. JAMA. 2017;317(19):2013–2015. Retrieved from: https://www.ncbi.nlm.nih.gov/pubmed/28510669

 

               How has your hospital used MVC data to drive change? Let us know your hospital’s experiences using data to improve quality. If you have any questions, please do not hesitate to contact Shiyuan Yin, MVC Research Associate, at shiyuan@med.umich.edu or the MVC Coordinating Center.