R.Adams Dudley, MD, MBA
PROF IN RES-HCOMP
Pulmonary, Critical Care, Allergy and Sleep Medicine
Education
M.D., 1991 - School of Medicine, Duke University
Honors and Awards
- Elected to, Association of American Physicians, 2016
- Elected to, American Society for Clinical Investigation, 2010
- Investigator Award in Health Policy, Robert Wood Johnson Foundation, 2005
Websites
Publications
- How Influenza Vaccination Rate Variation Could Inform Pandemic-Era Vaccination Efforts.
- Predicting NICU admissions in near-term and term infants with low illness acuity.
- The Opioid Epidemic Blunted the Mortality Benefit of Medicaid Expansion.
- Long-Term Trends in Postoperative Opioid Prescribing, 1994 to 2014.
- Long-Term Trends in Postoperative Opioid Prescribing, 1994 to 2014.
- How care decisions are made among interdisciplinary providers caring for critically injured patients: A qualitative study.
- Age- and Lesion-Related Comorbidity Burden Among US Adults With Congenital Heart Disease: A Population-Based Study.
- Assessment of National Coverage and Out-of-Pocket Costs for Sacubitril/Valsartan Under Medicare Part D.
- The costs of dementia subtypes to California Medicare fee-for-service, 2015.
- Validation of Prediction Models for Critical Care Outcomes Using Natural Language Processing of Electronic Health Record Data.
- Pneumocystis jirovecii pneumonia (PJP) prophylaxis patterns among patients with rheumatic diseases receiving high-risk immunosuppressant drugs.
- Trends in Hospitalization, Readmission, and Diagnostic Testing of Patients Presenting to the Emergency Department With Syncope.
- Out-of-Pocket Costs for Infliximab and Its Biosimilar for Rheumatoid Arthritis Under Medicare Part D.
- Accurate and interpretable intensive care risk adjustment for fused clinical data with generalized additive models.
- A Revised Estimate of Costs Associated With Routine Preoperative Testing in Medicare Cataract Patients With a Procedure-Specific Indicator.
- Analysis of National Rates, Cost, and Sources of Cost Variation in Adult Spinal Deformity.
- Correction to: Hydroxychloroquine dosing in immune-mediated diseases: implications for patient safety.
- Analysis of Cost Variation in Craniotomy for Tumor Using 2 National Databases.
- Nationwide Coverage and Cost-Sharing for PCSK9 Inhibitors Among Medicare Part D Plans.
- Geographic and Hospital Variation in Cost of Lumbar Laminectomy and Lumbar Fusion for Degenerative Conditions.
- Repeated Critical Illness and Unplanned Readmissions Within 1 Year to PICUs.
- Trends in Utilization and Cost of Cervical Spine Surgery Using the National Inpatient Sample Database, 2001 to 2013.
- Hydroxychloroquine dosing in immune-mediated diseases: implications for patient safety.
- Reconsidering Physician-Pharmaceutical Industry Relationships.
- Medicare Part D Plans' Coverage and Cost-Sharing for Acute Rescue and Preventive Inhalers for Chronic Obstructive Pulmonary Disease.
- Association Between Surgeon Scorecard Use and Operating Room Costs.
- Using health-system-wide data to understand hepatitis B virus prophylaxis and reactivation outcomes in patients receiving rituximab.
- Important Distinctions Concerning Pharmaceutical Company-Sponsored Meals and Prescribing Patterns-Reply.
- Public Reporting of Hospital-Level Cancer Surgical Volumes in California: An Opportunity to Inform Decision Making and Improve Quality.
- Giving formulary and drug cost information to providers and impact on medication cost and use: a longitudinal non-randomized study.
- Guideline Update for Article on Pharmaceutical Industry-Sponsored Meals.
- Children and Young Adults Who Received Tracheostomies or Were Initiated on Long-Term Ventilation in PICUs.
- Pharmaceutical Industry-Sponsored Meals and Physician Prescribing Patterns for Medicare Beneficiaries.
- Variation in Quality of Urgent Health Care Provided During Commercial Virtual Visits.
- Cost Analysis of the American Board of Internal Medicine's Maintenance-of-Certification Program. In response.
- Children and young adults who received tracheostomies or were initiated on long-term ventilation in pediatric ICUs
- Pharmaceutical Industry-Sponsored Meals and Physician Prescribing Patterns for Medicare Patients
- From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals.
- Incorporating a New Technology While Doing No Harm, Virtually.
- How Financial and Reputational Incentives Can Be Used to Improve Medical Care.
- Calculations of Financial Incentives for Providers in a Pay-for-Performance Program: Manual Review Versus Data From Structured Fields in Electronic Health Records.
- Receipt of Intravenous Iron and Clinical Outcomes among Hemodialysis Patients Hospitalized for Infection.
- A Cost Analysis of the American Board of Internal Medicine's Maintenance-of-Certification Program.
- Preoperative Testing in Patients Undergoing Cataract Surgery.
- Revisit rates and associated costs after an emergency department encounter: a multistate analysis.
- Coverage for high-cost specialty drugs for rheumatoid arthritis in Medicare Part D.
- Methods for Developing Patient-Reported Outcome-Based Performance Measures (PRO-PMs).
- Sources of traffic and visitors' preferences regarding online public reports of quality: web analytics and online survey results.
- Preoperative medical testing in Medicare patients undergoing cataract surgery.
- Efficient and sparse feature selection for biomedical text classification via the elastic net: Application to ICU risk stratification from nursing notes.
- Parents’ Experiences with Pediatric Care at Retail Clinics [commentary]
- Adults with childhood-onset chronic conditions admitted to US pediatric and adult intensive care units.
- Fighting the "oculostenotic reflex".
- Thirty-day hospital readmissions in systemic lupus erythematosus: predictors and hospital- and state-level variation.
- Multidisciplinary Critical Care and Intensivist Staffing: Results of a Statewide Survey and Association With Mortality.
- N-gram support vector machines for scalable procedure and diagnosis classification, with applications to clinical free text data from the intensive care unit.
- Websites that offer care over the Internet: is there an access quality tradeoff?
- Cost-effectiveness of genotype-guided and dual antiplatelet therapies in acute coronary syndrome.
- Physician payment incentives to improve care quality--reply.
- ACC/AHA/SCAI/AMA-Convened PCPI/NCQA 2013 Performance Measures for Adults Undergoing Percutaneous Coronary Intervention: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures, the Society for Cardiovas
- ACC/AHA/SCAI/AMA-Convened PCPI/NCQA 2013 performance measures for adults undergoing percutaneous coronary intervention: a report of the American College of Cardiology/American Heart Association Task Force on Performance Measures, the Society for Cardiovas
- Adequacy of lymph node examination in colorectal surgery: contribution of the hospital versus the surgeon.
- Frequency, risk factors, and outcomes of early unplanned readmissions to PICUs.
- Small practices' experience with EHR, quality measurement, and incentives.
- Effect of pay-for-performance incentives on quality of care in small practices with electronic health records: a randomized trial.
- Effects of individual physician-level and practice-level financial incentives on hypertension care: a randomized trial.
- Measuring hospital quality using pediatric readmission and revisit rates.
- Regional variation in the incidence of dialysis-requiring AKI in the United States.
- Do hospitals that serve a high percentage of Medicaid patients perform well on evidence-based guidelines for colon cancer care?
- Risk adjustment for health care financing in chronic disease: what are we missing by failing to account for disease severity?
- Dialysis facility profit status and compliance with a black box warning.
- Multi-institutional profile of adults admitted to pediatric intensive care units.
- Hospital-wide breastfeeding rates vs. breastmilk provision for very-low-birth-weight infants.
- Temporal changes in incidence of dialysis-requiring AKI.
- Perspectives on promoting breastmilk feedings for premature infants during a quality improvement project.
- The relationship between commercial website ratings and traditional hospital performance measures in the USA.
- Medicare's new hospital value-based purchasing program is likely to have only a small impact on hospital payments.
- Medicare immunosuppressant coverage and access to kidney transplantation: a retrospective national cohort study.
- Chronic conditions among children admitted to U.S. pediatric intensive care units: their prevalence and impact on risk for mortality and prolonged length of stay*.
- Factors associated with failure to screen newborns for retinopathy of prematurity.
- Quality of care in systemic lupus erythematosus: application of quality measures to understand gaps in care.
- Functional status after colon cancer surgery in elderly nursing home residents.
- Proton beam therapy and treatment for localized prostate cancer: if you build it, they will come.
- Major abdominal surgery in nursing home residents: a national study.
- Prediction of hospital acute myocardial infarction and heart failure 30-day mortality rates using publicly reported performance measures.
- Clinician perspectives on barriers to and opportunities for skin-to-skin contact for premature infants in neonatal intensive care units.
- Design, rationale, and baseline characteristics of a cluster randomized controlled trial of pay for performance for hypertension treatment: study protocol.
- The impact of statistical choices on neonatal intensive care unit quality ratings based on nosocomial infection rates.
- Antenatal steroid administration for premature neonates in California.
- The effect of race and ethnicity on outcomes among patients in the intensive care unit: a comprehensive study involving socioeconomic status and resuscitation preferences.
- Translating Evidence into Practice, Policy, and Public Health in Perinatal Medicine
- Users of Public Reports of Hospital Quality: Who, What, Why, and How?: An Aggregate Analysis of 16 Online Public Reporting Web Sites and Users’ and Experts’ Suggestions for Improvement, Rockville, MD: Agency for Healthcare Research and Quality
- Breastfeeding rates differ significantly by method used: a cause for concern for public health measurement.
- Correlates of depression among people with diabetes: The Translating Research Into Action for Diabetes (TRIAD) study.
- Patients' willingness to discuss trade-offs to lower their out-of-pocket drug costs.
- Predictors of early postdischarge mortality in critically ill patients: a retrospective cohort study from the California Intensive Care Outcomes project.
- Impact of changes in clinical practice guidelines on assessment of quality of care.
- Small numbers limit the use of the inpatient pediatric quality indicators for hospital comparison.
- An official American Thoracic Society policy statement: pay-for-performance in pulmonary, critical care, and sleep medicine.
- Cross-sectional analysis of hospitalist prevalence and quality of care in California.
- Health information technology and physicians' knowledge of drug costs.
- Health systems, patients factors, and quality of care for diabetes: a synthesis of findings from the TRIAD study.
- Characteristics of insured patients with persistent gaps in diabetes care services: the Translating Research into Action for Diabetes (TRIAD) study.
- Evaluating telemedicine in the ICU.
- Patient decision aids for prostate cancer treatment: a systematic review of the literature.
- Patient-centered care: what is the best measuring stick?
- Making the 'pay' matter in pay-for-performance: implications for payment strategies.
- Relationship between discharge practices and intensive care unit in-hospital mortality performance: evidence of a discharge bias.
- Investing time in health: do socioeconomically disadvantaged patients spend more or less extra time on diabetes self-care?
- Elderly patients' knowledge of drug benefit caps and communication with providers about exceeding caps.
- Mortality probability model III and simplified acute physiology score II: assessing their value in predicting length of stay and comparison to APACHE IV.
- Association between hospital-reported Leapfrog Safe Practices Scores and inpatient mortality.
- Performance measurement, public reporting, and pay-for-performance.
- Extreme makeover: Transformation of the veterans health care system.
- Frequency of stress testing to document ischemia prior to elective percutaneous coronary intervention.
- Why physicians favor use of percutaneous coronary intervention to medical therapy: a focus group study.
- Can additional patient experience items improve the reliability of and add new domains to the CAHPS hospital survey?
- Quality of colon cancer outcomes in hospitals with a high percentage of Medicaid patients.
- Comparison of change in quality of care between safety-net and non-safety-net hospitals.
- United States rural hospital quality in the Hospital Compare database-accounting for hospital characteristics.
- Variation in ICU risk-adjusted mortality: impact of methods of assessment and potential confounders.
- Medicare's decision to withhold payment for hospital errors: the devil is in the det.
- Social Science Research Network
- Effects of hospital procedure volume and resident training on clinical outcomes and resource use in radical retropubic prostatectomy surgery in the Department of Veterans Affairs.
- Race/ethnicity and economic differences in cost-related medication underuse among insured adults with diabetes: the Translating Research Into Action for Diabetes Study.
- Elderly patients' preferences and experiences with providers in managing their drug costs.
- Agreement between self-reports and medical records was only fair in a cross-sectional study of performance of annual eye examinations among adults with diabetes in managed care.
- Cardiologists' use of percutaneous coronary interventions for stable coronary artery disease.
- Overestimating outcome rates: statistical estimation when reliability is suboptimal.
- Pay-for-performance in pediatrics: proceed with caution.
- Identifying widely covered drugs and drug coverage variation among Medicare part D formularies.
- Quality of care in hospitals with a high percent of Medicaid patients.
- Pay-for-performance: will the latest payment trend improve care?
- Consumer Financial Incentives: A Decision Guide for Purchasers
- Public reporting and pay-for-performance: safety-net hospital executives' concerns and policy suggestions.
- The association between quality of care and the intensity of diabetes disease management programs.
- The relationship between health plan advertising and market incentives: evidence of risk-selective behavior.
- A behavioral model of clinician responses to incentives to improve quality.
- Development and validation of an index to predict activity of daily living dependence in community-dwelling elders.
- Pay for Performance: A Decision Guide for Purchasers
- Public reporting of provider performance: can its impact be made greater?
- Pay-for-performance research: how to learn what clinicians and policy makers need to know.
- Managing the unmanageable: the nature and impact of drug risk in physician groups.
- Independent medical review of health plan coverage denials: early trends.
- Assessing risk-adjustment approaches under non-random selection.
- Executive Summary: Strategies to Support Quality-based Purchasing: A Review of the Evidence
- Strategies to Support Quality-based Purchasing: A Review of the Evidence
- The Clinical and Economic Performance of Prepaid Group Practices
- Measuring quality in modern managed care.
- Volume as a surrogate for percutaneous coronary intervention quality: is this the right measuring stick?
- Aligning quality and payment for heart failure care: defining the challenges.
- Impact of surgeon and surgical center characteristics on choice of permanent vascular access.
- Effect of the transformation of the Veterans Affairs Health Care System on the quality of care.
- Employers' efforts to measure and improve hospital quality: determinants of success.
- Exercise counseling practices among nephrologists caring for patients on dialysis.
- The best of both worlds? Potential of hybrid prospective/concurrent risk adjustment.
- The Translating Research Into Action for Diabetes (TRIAD) study: a multicenter study of diabetes in managed care.
- A Report Card Approach to ICUs
- Condition-Specific Patterns of Costly Illness: Implications for Risk Adjustment and Quality Monitoring
- Creating a Statewide Hospital Quality Reporting System. California Health Care Foundation: Oakland, CA
- Improving Health Care by Linking Risk Adjustment and Condition-Specific Quality Measurement
- Physician responses to evidence-based hospital referral programs.
- What's behind the health expenditure trends?
- Shared patient analysis: a method to assess the clinical benefits of patient referrals.
- Operator volume and clinical outcomes of primary coronary angioplasty for patients with acute myocardial infarction.
- Invited commentary: Physician responses to purchaser quality initiatives for surgical procedures.
- Managed care in transition.
- Treatment of unruptured cerebral aneurysms in California.
- Changes in births to foreign-born women after welfare and immigration policy reforms in California.
- Current national health insurance coverage policies for breast and ovarian cancer prophylactic surgery.
- Reconciling quality measurement with financial risk adjustment in health plans.
- Selective referral to high-volume hospitals: estimating potentially avoidable deaths.
- Assessing the relationship between quality of care and the characteristics of health care organizations.
- When and How Should Purchasers Seek to Selectively Refer Patients to High Quality Hospitals?
- Goals, targets, and tactics: making health care policy decisions explicit.
- Comparing the quality of care provided by health plans: are the data there?
- Surgical and endovascular treatment of unruptured cerebral aneurysms at university hospitals.
- Resource utilization in liver transplantation: effects of patient characteristics and clinical practice. NIDDK Liver Transplantation Database Group.
- Methods to estimate and analyze medical care resource use. An example from liver transplantation.
- Population choice and variable selection in the estimation and application of risk models.
- Subspecialty care in radiology: oncologic imaging.
- Inconclusive clinical and ultrasound evaluation of the scrotum: impact of magnetic resonance imaging on patient management and cost.
- The impact of financial incentives on quality of health care.
- Fifth Seah Cheng Siang Memorial Lecture. Human immunodeficiency virus and the respiratory system--pulmonary manifestations of acquired immunodeficiency syndrome.
- Comparison of analytic models for estimating the effect of clinical factors on the cost of coronary artery bypass graft surgery.
- Acute childbirth morbidity: its measurement using hospital charges.