selected publications
- Importance of medical home domains on emergency visits using a cross-sectional national survey of US children. BMJ open. 2024 Academic Article GET IT
- Improving TRansitions ANd outcomeS for heart FailurE patients in home health CaRe (I-TRANSFER-HF): a type 1 hybrid effectiveness-implementation trial: study protocol. BMC health services research. 2024 Academic Article GET IT
- Associations among claims-based care fragmentation, self-reported gaps in care coordination, and self-reported adverse events. BMC health services research. 2024 Academic Article GET IT
- Ambulatory Care Utilization Among Medicare Beneficiaries with Depression. Population health management. 2024 Academic Article GET IT
- Understanding the Perspectives of Key Stakeholders Toward Medicare's Home Health Value-Based Purchasing (HHVBP) in the US. Journal of the American Medical Directors Association. 2024 Academic Article GET IT
- Gaps in the coordination of care for people living with dementia. Journal of the American Geriatrics Society. 2024 Academic Article GET IT
- Association between Gaps in Care Coordination and Emergency Department Visits Among Children without Chronic Conditions or Special Needs. Maternal and child health journal. 2024 Academic Article GET IT
- Ambulatory Care Fragmentation and Total Health Care Costs. Medical care. 2024 Academic Article GET IT
- Care Fragmentation, Care Continuity, and Care Coordination-How They Differ and Why It Matters. JAMA internal medicine. 2024 Academic Article GET IT
- Adverse Social Determinants of Health and Gaps in Care Coordination Among Children. The Journal of ambulatory care management. 2023 Academic Article GET IT
- Building research capacity in primary care practices that serve predominantly racial and ethnic minority populations. The American journal of managed care. 2023 Academic Article GET IT
- Diabetes, gaps in care coordination, and preventable adverse events. The American journal of managed care. 2023 Academic Article GET IT
- Home Health Care Workers' Interactions with Medical Providers, Home Care Agencies, and Family Members for Patients with Heart Failure. Journal of the American Board of Family Medicine : JABFM. 2023 Academic Article GET IT
- Diabetes and cancer co-management: patient-reported challenges, needs, and priorities. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 2023 Academic Article GET IT
- Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. Journal of the American Geriatrics Society. 2022 Academic Article GET IT
- Ambulatory Care Fragmentation, Emergency Department Visits, and Race: a Nationwide Cohort Study in the U.S. Journal of general internal medicine. 2022 Academic Article GET IT
- Development and Piloting of a Community-Partnered Heart Failure Training Course for Home Health Care Workers. Circulation. Cardiovascular quality and outcomes. 2022 Academic Article GET IT
- Predicting Fragmented Care: Beneficiary, Physician, Practice, and Market Characteristics. Medical care. 2022 Academic Article GET IT
- Veterans' ambulatory care experience during COVID-19: veterans' access to and satisfaction with primary care early in the pandemic. BMC primary care. 2022 Academic Article GET IT
- Communication Gaps Persist Between Primary Care and Specialist Physicians. Annals of family medicine. 2022 Academic Article GET IT
- Nearly All Cancer Survivors Return to Primary Care. Journal of the American Board of Family Medicine : JABFM. 2022 Academic Article GET IT
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Frailty, gaps in care coordination, and preventable adverse events.
BMC geriatrics.
2022
Academic Article
GET IT
Times cited: 7 - Managing diabetes during treatment for breast cancer: oncology and primary care providers' views on barriers and facilitators. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 2022 Academic Article GET IT
- Health care fragmentation and blood pressure control among adults taking antihypertensive medication. The American journal of managed care. 2022 Academic Article GET IT
- Primary care redesign and care fragmentation among Medicare beneficiaries. The American journal of managed care. 2022 Academic Article GET IT
- Racial Disparities in Diabetes-Related Emergency Department Visits and Hospitalizations Among Cancer Survivors. JCO oncology practice. 2022 Academic Article GET IT
- Racial Disparities in Preventable Adverse Events Attributed to Poor Care Coordination Reported in a National Study of Older US Adults. Medical care. 2021 Academic Article GET IT
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Eliciting primary care and oncology provider perspectives on diabetes management during active cancer treatment.
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer.
2021
Academic Article
GET IT
Times cited: 13 - Ambulatory Care Fragmentation and Incident Stroke. Journal of the American Heart Association. 2021 Academic Article GET IT
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Ambulatory Care Fragmentation and Subsequent Hospitalization: Evidence From the REGARDS Study.
Medical care.
2021
Academic Article
GET IT
Times cited: 15 - Ambulatory care fragmentation and hospitalization among veterans with diabetes. The American journal of managed care. 2021 Academic Article GET IT
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Racial disparities in diabetes care among incident breast, prostate, and colorectal cancer survivors: a SEER Medicare study.
Journal of cancer survivorship : research and practice.
2021
Academic Article
GET IT
Times cited: 8 -
Differences in ambulatory care fragmentation by race.
BMC health services research.
2021
Academic Article
GET IT
Times cited: 7 - Understanding How Providers and Staff Make Decisions About Where to Refer Their Patients: A Qualitative Study. The Journal of ambulatory care management. 2021 Academic Article GET IT
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Healthcare Fragmentation and Incident Acute Coronary Heart Disease Events: a Cohort Study.
Journal of general internal medicine.
2020
Academic Article
GET IT
Times cited: 10 -
Implementation of Video Visits During COVID-19: Lessons Learned From a Primary Care Practice in New York City.
Frontiers in public health.
2020
Academic Article
GET IT
Times cited: 33 -
Healthcare fragmentation and cardiovascular risk control among older cancer survivors in the Reasons for Geographic And Racial Differences in Stroke (REGARDS) study.
Journal of cancer survivorship : research and practice.
2020
Academic Article
GET IT
Times cited: 5 -
Home Health Care Use and Post-Discharge Outcomes After Heart Failure Hospitalizations.
JACC. Heart failure.
2020
Academic Article
GET IT
Times cited: 30 - Internal medicine residents identify gaps in medical education on outpatient referrals. BMC medical education. 2020 Academic Article GET IT
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Association Between Patients' Self-Reported Gaps in Care Coordination and Preventable Adverse Outcomes: a Cross-Sectional Survey.
Journal of general internal medicine.
2020
Academic Article
GET IT
Times cited: 17 -
Racial and ethnic differences in medication use among beneficiaries of social security disability insurance with rheumatoid arthritis.
Seminars in arthritis and rheumatism.
2020
Academic Article
GET IT
Times cited: 13 -
Eliciting the educational priorities of home care workers caring for adults with heart failure.
Gerontology & geriatrics education.
2020
Academic Article
GET IT
Times cited: 7 -
Understanding the Workflow of Home Health Care for Patients with Heart Failure: Challenges and Opportunities.
Journal of general internal medicine.
2020
Academic Article
GET IT
Times cited: 24 -
Differences in ambulatory care fragmentation between cancer survivors and noncancer controls.
Cancer.
2020
Academic Article
GET IT
Times cited: 8 -
Diabetes care management patterns before and after a cancer diagnosis: A SEER-Medicare matched cohort study.
Cancer.
2020
Academic Article
GET IT
Times cited: 25 - Do Hospitalizations Disrupt Loyalty to Ambulatory Care Providers?. The Journal of ambulatory care management. 2019 Academic Article GET IT
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Changes in ambulatory utilization after switching from Medicaid fee-for-service to managed care.
The American journal of managed care.
2019
Academic Article
GET IT
Times cited: 1 -
Health Care Fragmentation in Medicaid Managed Care vs. Fee for Service.
Population health management.
2019
Academic Article
GET IT
Times cited: 2 -
Fragmented ambulatory care and subsequent emergency department visits and hospital admissions among Medicaid beneficiaries.
The American journal of managed care.
2019
Academic Article
GET IT
Times cited: 11 -
Patients' and Providers' Views on Causes and Consequences of Healthcare Fragmentation in the Ambulatory Setting: a Qualitative Study.
Journal of general internal medicine.
2019
Academic Article
GET IT
Times cited: 48 -
Using health-related quality of life to predict cardiovascular disease events.
Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation.
2019
Academic Article
GET IT
Times cited: 33 -
"It's Like They Forget That the Word 'Health' Is in 'Home Health Aide'": Understanding the Perspectives of Home Care Workers Who Care for Adults With Heart Failure.
Journal of the American Heart Association.
2018
Academic Article
GET IT
Times cited: 49 -
Expanding Health Information Exchange Improves Identification of Frequent Emergency Department Users.
Annals of emergency medicine.
2018
Academic Article
GET IT
Times cited: 2 -
Fragmented ambulatory care and subsequent healthcare utilization among Medicare beneficiaries.
The American journal of managed care.
2018
Academic Article
GET IT
Times cited: 17 -
Extent of Health Care Fragmentation in Different Payer Populations: Evidence from the Hudson Valley of New York.
Population health management.
2018
Academic Article
GET IT
Times cited: 5 -
The Adoption of Surgical Innovations at Academic Versus Nonacademic Health Centers.
Academic medicine : journal of the Association of American Medical Colleges.
2018
Academic Article
GET IT
Times cited: 2 -
Predicting frequent emergency department use among children with epilepsy: A retrospective cohort study using electronic health data from 2 centers.
Epilepsia.
2017
Academic Article
GET IT
Times cited: 10 -
Predicting frequent emergency department visits among children with asthma using EHR data.
Pediatric pulmonology.
2017
Academic Article
GET IT
Times cited: 12 -
Synthesis Of Research On Patient-Centered Medical Homes Brings Systematic Differences Into Relief.
Health affairs (Project Hope).
2017
Academic Article
GET IT
Times cited: 85 -
Physician Participation in Meaningful Use and Quality of Care for Medicare Fee-for-Service Enrollees.
Journal of the American Geriatrics Society.
2016
Academic Article
GET IT
Times cited: 3 -
Healthcare Fragmentation and the Frequency of Radiology and Other Diagnostic Tests: A Cross-Sectional Study.
Journal of general internal medicine.
2016
Academic Article
GET IT
Times cited: 62 -
Medicaid Stage 1 Meaningful Use EHR Incentive Payments Are Associated With Higher Quality but Not Improvements in Quality.
American journal of medical quality : the official journal of the American College of Medical Quality.
2016
Academic Article
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Times cited: 3 -
Patients' Use of Multiple Hospitals in a Major US City: Implications for Population Management.
Population health management.
2016
Academic Article
GET IT
Times cited: 13 -
The Patient-Centered Medical Home and Associations With Health Care Quality and Utilization: A 5-Year Cohort Study.
Annals of internal medicine.
2016
Academic Article
GET IT
Times cited: 22 -
Use of Health Information Exchange and Repeat Imaging Costs.
Journal of the American College of Radiology : JACR.
2015
Academic Article
GET IT
Times cited: 50 -
Predicting frequent ED use by people with epilepsy with health information exchange data.
Neurology.
2015
Academic Article
GET IT
Times cited: 29 -
Association between the patient-centered medical home and healthcare utilization.
The American journal of managed care.
2015
Academic Article
GET IT
Times cited: 10 -
Associations between healthcare quality and use of electronic health record functions in ambulatory care.
Journal of the American Medical Informatics Association : JAMIA.
2015
Academic Article
GET IT
Times cited: 31 -
Physician Satisfaction in Practices That Transformed Into Patient-Centered Medical Homes: A Statewide Study in New York.
American journal of medical quality : the official journal of the American College of Medical Quality.
2015
Academic Article
GET IT
Times cited: 4 -
A needs assessment of health information technology for improving care coordination in three leading patient-centered medical homes.
Journal of the American Medical Informatics Association : JAMIA.
2015
Academic Article
GET IT
Times cited: 18 -
Electronic health records and health care quality over time in a federally qualified health center.
Journal of the American Medical Informatics Association : JAMIA.
2015
Academic Article
GET IT
Times cited: 15 -
The Meaningful Use of Electronic Health Records and Health Care Utilization.
American journal of medical quality : the official journal of the American College of Medical Quality.
2015
Academic Article
GET IT
Times cited: 13 -
Association between electronic health records and health care utilization.
Applied clinical informatics.
2015
Academic Article
GET IT
Times cited: 4 -
Hospital crossover increases utilization for people with epilepsy: a retrospective cohort study.
Epilepsia.
2015
Academic Article
GET IT
Times cited: 5 -
Patient-centered medical homes: observable types derived from national recognition assessment scores.
The Journal of ambulatory care management.
2015
Academic Article
GET IT
Times cited: 1 -
Adoption of clinical data exchange in community settings: a comparison of two approaches.
AMIA ... Annual Symposium proceedings. AMIA Symposium.
2014
Academic Article
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Times cited: 3 -
Health information exchange and the frequency of repeat medical imaging.
The American journal of managed care.
2014
Academic Article
GET IT
Times cited: 22 -
The meaningful use of electronic health records and health care quality.
American journal of medical quality : the official journal of the American College of Medical Quality.
2014
Academic Article
GET IT
Times cited: 12 -
The potential for community-based health information exchange systems to reduce hospital readmissions.
Journal of the American Medical Informatics Association : JAMIA.
2014
Academic Article
GET IT
Times cited: 57 -
State funding for health information technology and selected ambulatory healthcare quality measures.
Applied clinical informatics.
2014
Academic Article
GET IT
Times cited: 4 -
Effect of a state-based incentive programme on the use of electronic health records.
Journal of evaluation in clinical practice.
2014
Academic Article
GET IT
Times cited: 1 -
How is the electronic health record being used? Use of EHR data to assess physician-level variability in technology use.
Journal of the American Medical Informatics Association : JAMIA.
2014
Academic Article
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Times cited: 62 -
The patient-centered medical home, electronic health records, and quality of care.
Annals of internal medicine.
2014
Academic Article
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Times cited: 59 -
Measuring the impact of "meaningful use" on quality of care.
JAMA internal medicine.
2014
Comment
GET IT
Times cited: 3 -
Expert panel evaluation of health information technology effects on adverse events.
Journal of evaluation in clinical practice.
2014
Academic Article
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Times cited: 5 -
Association between use of a health information exchange system and hospital admissions.
Applied clinical informatics.
2014
Academic Article
GET IT
Times cited: 55 -
People with epilepsy who use multiple hospitals; prevalence and associated factors assessed via a health information exchange.
Epilepsia.
2014
Academic Article
GET IT
Times cited: 18 -
Potential value of health information exchange for people with epilepsy: crossover patterns and missing clinical data.
AMIA ... Annual Symposium proceedings. AMIA Symposium.
2013
Academic Article
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Times cited: 8 -
Using a health information exchange system for imaging information: patterns and predictors.
AMIA ... Annual Symposium proceedings. AMIA Symposium.
2013
Academic Article
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Times cited: 7 -
Electronic health records and the increasing complexity of medical practice.
Journal of general internal medicine.
2013
Letter
GET IT
Times cited: 1 -
Financial effects of health information technology: a systematic review.
The American journal of managed care.
2013
Review
GET IT
Times cited: 7 -
Electronic health records and ambulatory quality. The authors’ reply.
Journal of general internal medicine.
2013
Letter
GET IT
Times cited: 3 -
Accuracy of electronically reported "meaningful use" clinical quality measures.
Annals of internal medicine.
2013
Letter
GET IT
Times cited: 2 -
Physician specialty and variations in adoption of electronic health records.
Applied clinical informatics.
2013
Academic Article
GET IT
Times cited: 31 -
Patient experience over time in patient-centered medical homes.
The American journal of managed care.
2013
Academic Article
GET IT
Times cited: 29 -
Accuracy of electronically reported "meaningful use" clinical quality measures: a cross-sectional study.
Annals of internal medicine.
2013
Academic Article
GET IT
Times cited: 63 -
Electronic health records and ambulatory quality of care.
Journal of general internal medicine.
2012
Academic Article
GET IT
Times cited: 107 -
Which components of health information technology will drive financial value?.
The American journal of managed care.
2012
Academic Article
GET IT
Times cited: 12 -
Health information exchange and ambulatory quality of care.
Applied clinical informatics.
2012
Academic Article
GET IT
Times cited: 15 -
Health care consumers' preferences around health information exchange.
Annals of family medicine.
2012
Academic Article
GET IT
Times cited: 51 -
The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety.
Journal of the American Medical Informatics Association : JAMIA.
2011
Academic Article
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Times cited: 51 -
Evaluating health information technology in community-based settings: lessons learned.
Journal of the American Medical Informatics Association : JAMIA.
2011
Academic Article
GET IT
Times cited: 14 -
Healthcare consumers' attitudes towards physician and personal use of health information exchange.
Journal of general internal medicine.
2011
Academic Article
GET IT
Times cited: 52 -
Community-based health information technology alliances: potential predictors of early sustainability.
The American journal of managed care.
2011
Academic Article
GET IT
Times cited: 10 -
Electronic prescribing improves medication safety in community-based office practices.
Journal of general internal medicine.
2010
Academic Article
GET IT
Times cited: 156 -
Development and validation of a patient self-assessment score for diabetes risk.
Annals of internal medicine.
2009
Academic Article
GET IT
Times cited: 252 -
Measuring the effects of health information technology on quality of care: a novel set of proposed metrics for electronic quality reporting.
Joint Commission journal on quality and patient safety.
2009
Academic Article
GET IT
Times cited: 32 -
HEAL NY: Promoting interoperable health information technology in New York State.
Health affairs (Project Hope).
2009
Academic Article
GET IT
Times cited: 52 -
A simple algorithm to predict incident kidney disease.
Archives of internal medicine.
2008
Academic Article
GET IT
Times cited: 106 -
Quality measures for capturing the effects of health information exchange.
AMIA ... Annual Symposium proceedings. AMIA Symposium.
2008
Academic Article
GET IT
Times cited: 1 -
Primary care program directors' perceptions of women's health education: a gap in graduate medical education persists.
Journal of women's health (2002).
2008
Academic Article
GET IT
Times cited: 18 -
Electronic result viewing and quality of care in small group practices.
Journal of general internal medicine.
2008
Academic Article
GET IT
Times cited: 22 -
Validation and comparison of a novel screening guideline for kidney disease: KEEPing SCORED.
Archives of internal medicine.
2008
Article
GET IT
Times cited: 9 -
Health information technology and health information exchange in New York State: new initiatives in implementation and evaluation.
Journal of biomedical informatics.
2007
Review
GET IT
Times cited: 33 -
The United Hospital Fund meeting on evaluating health information exchange.
Journal of biomedical informatics.
2007
Conference Paper
GET IT
Times cited: 52 -
Alcohol consumption, bone density, and hip fracture among older adults: the cardiovascular health study.
Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA.
2007
Academic Article
GET IT
Times cited: 84 -
Glucose testing and insufficient follow-up of abnormal results: a cohort study.
BMC health services research.
2006
Academic Article
GET IT
Times cited: 15 -
The value of diagnostic information to patients with chest pain suggestive of coronary artery disease.
Medical decision making : an international journal of the Society for Medical Decision Making.
2005
Academic Article
GET IT
Times cited: 16 -
Association between screening for osteoporosis and the incidence of hip fracture.
Annals of internal medicine.
2005
Academic Article
GET IT
Times cited: 76 -
Improving physicians' knowledge of the costs of common medications and willingness to consider costs when prescribing.
Journal of general internal medicine.
2003
Academic Article
GET IT
Times cited: 66