Health Services Research & Development

• Likosky DS, Harrington SD, Cabrera L, DeLucia A, Chenoweth CE, Krein SL, Thibault D, Zhang M, Matsouaka RA, Strobel RJ, Prager RL. Collaborative Quality Improvement Reduces Postoperative Pneumonia After Isolated Coronary Artery Bypass Grafting Surgery. Circulation. Cardiovascular quality and outcomes. 2018 Nov 1; 11(11):e004756.
• Jones BE, Haroldsen C, Madaras-Kelly K, Goetz MB, Ying J, Sauer B, Jones MM, Leecaster M, Greene T, Fridkin SK, Neuhauser MM, Samore MH. In Data We Trust? Comparison of Electronic Versus Manual Abstraction of Antimicrobial Prescribing Quality Metrics for Hospitalized Veterans With Pneumonia. Medical care. 2018 Jul 1; 56(7):626-633.
• Jones BE, South BR, Shao Y, Lu CC, Leng J, Sauer BC, Gundlapalli AV, Samore MH, Zeng Q. Development and Validation of a Natural Language Processing Tool to Identify Patients Treated for Pneumonia across VA Emergency Departments. Applied clinical informatics. 2018 Feb 21; 9(1):122-128.
• Royer S, Prescott HC. Next Steps for Confirming Bronchoalveolar Lavage Amlyase as an Useful Biomarker for Ventilator-Associated Pneumonia. [Editorial]. Critical care medicine. 2018 Jan 1; 46(1):165-166.
• Sutton JD, Graber CJ, Goetz MB, Madaras-Kelly K, Jones M, Glassman PA, Spivak E. Visual analytic tools for automated measurement and tracking of durations of therapy for pneumonia, urinary tract infections, and skin and soft tissue infections. [Abstract]. Open forum infectious diseases. 2017 Oct 4; 4(Supplemental 1):S511-S512.

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• Using Yelp, VA Hospitals Rated Higher than Affiliated Non-VA Hospitals
  Online patient ratings of hospitals (e.g., Yelp) have been shown to correlate strongly with more conventional measures of patient satisfaction, as well as patient outcomes. Therefore, this study compared online hospital ratings from Yelp between VA hospitals and their local affiliated hospitals. Findings showed that VA hospitals had significantly higher Yelp ratings than non-VA-affiliated hospital...
  
  Date: June 28, 2017
• ICU Treatment for Medicare Patients with Pneumonia Associated with Better Outcomes without Increased Costs
  This study sought to determine the association between ICU admission and outcomes, 30-day mortality, and costs among Medicare beneficiaries hospitalized for pneumonia. To account for unmeasured confounding between groups (ICU vs. general ward admission), an instrumental variable (IV) was used – the differential distance to a high-ICU use hospital. Findings showed that ICU admission of those patien...
  
  Date: September 22, 2015
• Comparing High-Dose Influenza Vaccine to Standard-Dose Vaccine among Elderly Veterans
  This study assessed the relative effectiveness of high-dose (HD) influenza vaccination compared to standard-dose (SD) vaccination among Veterans 65 years and older who received either HD or SD vaccine during the 2010-2011 flu season. Findings showed that high-dose influenza vaccine was not more effective than standard-dose vaccine in protecting against hospitalization for influenza or pneumonia in...
  
  Date: March 31, 2015
• Improved Performance on Quality Measures is Accompanied by Increased Racial/Ethnic Equity in Care
  This study examined the quality and equity of hospital care during the six years following initiation of the Centers for Medicare & Medicaid Services (CMS) Inpatient Quality Reporting (IQR) Program (2005 to 2010), focusing on 17 process-of-care quality indicators publicly reported by the program for white, black, and Hispanic patients hospitalized for AMI, HF, and pneumonia in non-VA hospitals. Fi...
  
  Date: December 11, 2014
• Majority of Unplanned VA Hospital Readmissions Unrelated to Index Hospitalization
  This study examined unplanned VA hospital readmissions – and compared the leading reasons for unplanned readmission between medical and surgical discharges. Findings showed that after excluding planned readmissions, 12% of all discharges were followed by an unplanned readmission within 30 days. Although nearly 42% of unplanned readmissions were identified as clinically related, the majority of unp...
  
  Date: March 1, 2014

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• FORUM, May 2010: Research and Prevention of Health Care - Associated Infections
  ...to Improve ICU Outcomes: Reducing Central Line- Associated Bloodstream Infections and Ventilator Pneumonia in VA ICUs Marta L. Render, M.D., Chief,...
  
  
• Management Briefs eBrief-no68 - New Articles Highlight Readmission Rates and Hospital Quality of Care
  ...and outcomes measures for myocardial infarction (MI), congestive heart failure (CHF), and pneumonia, investigators sought to answer three specific...
  
  
• FORUM, May 2010: Research and Prevention of Health Care - Associated Infections
  ...such as perioperative antibiotics and positioning for the prevention of ventilator-associated pneumonia. Many other areas in need of HAI prevention...
  
  
• Management Briefs eBrief-no74 - Antimicrobial Stewardship Programs
  ...effect on mortality (3 studies), whereas interventions to increase guideline compliance in patients with community-acquired pneumonia were associated...
  
  
• In Progress: Working to End Homelessness among Veterans
  ...Term Care • MRSA • Opioids • PACT • Pain • Performance Measures • Pneumonia • PTSD • Schizophrenia • Smoking • Stroke...
  
  

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Other Resources

• Visit the VA’s Office of Public Health website to learn more about infection prevention and vaccine programs.
• Visit the infectious diseases topic page at the VA Office of Research & Development website to learn more about pneumonia research milestones throughout VA.
• Visit the pneumonia topic section of the Centers for Disease Control & Prevention website.