Karen Joynt, MD, MPH
Associate Physician, Brigham and Women's Hospital|
Instructor in Medicine, Harvard Medical School
|Brigham and Women's Hospital|
Department of Medicine
75 Francis Street
Boston, MA 02115
My research interests are in three main areas: 1) Understanding variations in quality and efficiency between hospitals and health systems; 2) The impact of policy interventions on health care, with a focus on pay-for-performance and public reporting; and 3) Disparities in care, with a focus on minority-serving providers. My published work thus far includes exploring how readmissions for heart failure differ between hospitals, examining racial and ethnic disparities in readmissions, and investigating differences between high- and low-volume, urban and rural hospitals. My ongoing projects right now are around understanding the unique challenges faced by minority-serving hospitals in trying to reduce readmission rates, understanding the patterns of care and spending for the highest-cost patients in Medicare and Medicaid, and public reporting and its impact on case selection for PCI. I’m currently developing a project to look at how ACOs impact cardiovascular care, outcomes, and costs.
Harvard School of Public Health, 2011, MPH
Harvard School of Public Health, 2010, MPH
Duke University School of Medicine, 2004, MD
Adrenal Gland Neoplasms
Outcome and Process Assessment (Health Care)
Publications (Pulled from Harvard Catalyst Profiles):
1. Epstein AM, Joynt KE, Jha AK, Orav EJ. Access to coronary artery bypass graft surgery under pay for performance: evidence from the premier hospital quality incentive demonstration. Circ Cardiovasc Qual Outcomes. 2014 Sep; 7(5):727-34.
2. Joynt KE, Jha AK. What is a "nonprofit" hospital?-Reply. JAMA Intern Med. 2014 Aug 1; 174(8):1412.
3. Joynt KE. So nice to see you again: physician continuity and outcomes for heart failure. JACC Heart Fail. 2014 Aug; 2(4):377-9.
4. Shelgikar AV, Durmer JS, Joynt KE, Olson EJ, Riney H, Valentine P. Multidisciplinary sleep centers: strategies to improve care of sleep disorders patients. J Clin Sleep Med. 2014; 10(6):693-7.
5. Tsai TC, Orav EJ, Joynt KE. Disparities in surgical 30-day readmission rates for medicare beneficiaries by race and site of care. Ann Surg. 2014 Jun; 259(6):1086-90.
6. Joynt KE. The ninety-nine percent: focusing on the patient to reduce readmissions. J Gen Intern Med. 2014 Apr; 29(4):556-7.
7. Chatterjee P, Joynt KE. Do cardiology quality measures actually improve patient outcomes? J Am Heart Assoc. 2014; 3(1):e000404.
8. Joynt KE, Le ST, Orav EJ, Jha AK. Compensation of Chief Executive Officers at Nonprofit US Hospitals. JAMA Intern Med. 2014 Jan 1; 174(1):61-7.
9. Joynt KE, Gawande AA, Jha AK. Preventable acute care spending for medicare patients-reply. JAMA. 2013 Nov 13; 310(18):1985.
10. Tsai TC, Joynt KE, Orav EJ, Gawande AA, Jha AK. Variation in surgical-readmission rates and quality of hospital care. N Engl J Med. 2013 Sep 19; 369(12):1134-42.