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Karen Joynt, MD, MPH

  View Physician Profile

Associate Physician, Brigham and Women's Hospital
Instructor in Medicine, Harvard Medical School

Brigham and Women's Hospital
Department of Medicine
Cardiovascular
75 Francis Street
Boston, MA 02115



Research Narrative:

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.

 
Education: Harvard School of Public Health, 2010, MPH
Duke University School of Medicine, 2004, MD
 
Keywords (MeSH): Adrenal Gland Neoplasms
Healthcare Disparities
Paraganglioma, Extra-Adrenal
Pheochromocytoma
Body Temperature
Patient Readmission
Hospitals
Heart Failure
Hospital Costs
Medicare
Heart Arrest
Outcome and Process Assessment (Health Care)
Hospitals, Rural
 

Publications (Pulled from Harvard Catalyst Profiles):

1. Joynt KE, Orav EJ, Jha AK. Mortality rates for Medicare beneficiaries admitted to critical access and non-critical access hospitals, 2002-2010. JAMA. 2013 Apr 3; 309(13):1379-87.

2. Chatterjee P, Joynt KE, Jha AK. Safety-net hospitals: other hospitals score similarly on patient experience-reply. JAMA Intern Med. 2013 Mar 11; 173(5):389-91.

3. Joynt KE, Jha AK. A path forward on Medicare readmissions. N Engl J Med. 2013 Mar 28; 368(13):1175-7.

4. Joynt KE, Chan D, Orav EJ, Jha AK. Insurance expansion in massachusetts did not reduce access among previously insured medicare patients. Health Aff (Millwood). 2013 Mar; 32(3):571-8.

5. Joynt KE, Jha AK. Characteristics of hospitals receiving penalties under the Hospital Readmissions Reduction Program. JAMA. 2013 Jan 23; 309(4):342-3.

6. Joynt KE, Blumenthal DM, Orav EJ, Resnic FS, Jha AK. Association of public reporting for percutaneous coronary intervention with utilization and outcomes among Medicare beneficiaries with acute myocardial infarction. JAMA. 2012 Oct 10; 308(14):1460-8.

7. Chatterjee P, Joynt KE, Orav EJ, Jha AK. Patient experience in safety-net hospitals: implications for improving care and value-based purchasing. Arch Intern Med. 2012 Sep 10; 172(16):1204-10.

8. Joynt KE, Jha AK. Thirty-day readmissions--truth and consequences. N Engl J Med. 2012 Apr 12; 366(15):1366-9.

9. Jha AK, Joynt KE, Orav EJ, Epstein AM. The long-term effect of premier pay for performance on patient outcomes. N Engl J Med. 2012 Apr 26; 366(17):1606-15.

10. Joynt KE, Jha AK. The relationship between cost and quality: no free lunch. JAMA. 2012 Mar 14; 307(10):1082-3.

show all
11. Joynt KE, Rosenthal MB. Hospital value-based purchasing: will Medicare's new policy exacerbate disparities? Circ Cardiovasc Qual Outcomes. 2012 Mar 1; 5(2):148-9.

12. Janakiraman V, Lazar J, Joynt KE, Jha AK. Hospital volume, provider volume, and complications after childbirth in U.S. hospitals. Obstet Gynecol. 2011 Sep; 118(3):521-7.

13. Rodriguez F, Joynt KE, López L, Saldaña F, Jha AK. Readmission rates for Hispanic Medicare beneficiaries with heart failure and acute myocardial infarction. Am Heart J. 2011 Aug; 162(2):254-261.e3.

14. Joynt KE, Harris Y, Orav EJ, Jha AK. Quality of care and patient outcomes in critical access rural hospitals. JAMA. 2011 Jul 6; 306(1):45-52.

15. Elnahal SM, Joynt KE, Bristol SJ, Jha AK. Electronic health record functions differ between best and worst hospitals. Am J Manag Care. 2011 Apr; 17(4):e121-47.

16. Elnahal SM, Joynt KE, Bristol SJ, Jha AK. Electronic health record functions differ between best and worst hospitals. Am J Manag Care. 2011; 17(4):e121-47.

17. Joynt KE, Edelman ER. Letter by Joynt and Edelman regarding article, "Iatrogenic giant Osborn waves". Circulation. 2011 Mar 29; 123(12):e390; author reply e391.

18. Joynt KE, Orav EJ, Jha AK. Thirty-day readmission rates for Medicare beneficiaries by race and site of care. JAMA. 2011 Feb 16; 305(7):675-81.

19. Joynt KE, Orav EJ, Jha AK. The association between hospital volume and processes, outcomes, and costs of care for congestive heart failure. Ann Intern Med. 2011 Jan 18; 154(2):94-102.

20. Joynt KE, Jha AK. Who has higher readmission rates for heart failure, and why? Implications for efforts to improve care using financial incentives. Circ Cardiovasc Qual Outcomes. 2011 Jan 1; 4(1):53-9.

21. Edelman ER, Joynt K. J waves of Osborn revisited. J Am Coll Cardiol. 2010 May 18; 55(20):2287.

22. Joynt KE, Moslehi JJ, Baughman KL. Paragangliomas: etiology, presentation, and management. Cardiol Rev. 2009 Jul-Aug; 17(4):159-64.

23. Joynt KE, Huynh L, Amerena JV, Brieger DB, Coverdale SG, Rankin JM, Soman A, Chew DP. Impact of acute and chronic risk factors on use of evidence-based treatments in patients in Australia with acute coronary syndromes. Heart. 2009 Sep; 95(17):1442-8.

24. Kenedi CA, Joynt KE, Goforth HW. Comorbid HIV encephalopathy and cocaine use as a risk factor for new-onset seizure disorders. CNS Spectr. 2008 Mar; 13(3):230-4.

25. Joynt KE, O'Connor CM. Lessons from SADHART, ENRICHD, and other trials. Psychosom Med. 2005 May-Jun; 67 Suppl 1:S63-6.

26. Joynt KE, Whellan DJ, O'connor CM. Why is depression bad for the failing heart? A review of the mechanistic relationship between depression and heart failure. J Card Fail. 2004 Jun; 10(3):258-71.

27. O'Connor CM, Joynt KE. Depression: are we ignoring an important comorbidity in heart failure? J Am Coll Cardiol. 2004 May 5; 43(9):1550-2.

28. Joynt KE, Gattis WA, Hasselblad V, Fuzaylov SY, Serebruany VL, Gurbel PA, Gaulden LH, Felker GM, Whellan DJ, O'Connor CM. Effect of angiotensin-converting enzyme inhibitors, beta blockers, statins, and aspirin on C-reactive protein levels in outpatients with heart failure. Am J Cardiol. 2004 Mar 15; 93(6):783-5.

29. Joynt KE, Whellan DJ, O'Connor CM. Depression and cardiovascular disease: mechanisms of interaction. Biol Psychiatry. 2003 Aug 1; 54(3):248-61.


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