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. 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.
2. Joynt KE, Gawande AA, Jha AK. Preventable acute care spending for medicare patients-reply. JAMA. 2013 Nov 13; 310(18):1985.
3. 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.
4. Joynt KE. Trade-offs in appropriateness of percutaneous coronary intervention. J Am Coll Cardiol. 2013 Dec 17; 62(24):2282-3.
5. Joynt KE, Orav EJ, Jha AK. Physician volume, specialty, and outcomes of care for patients with heart failure. Circ Heart Fail. 2013 Sep 1; 6(5):890-7.
6. Joynt KE, Orav JE, Jha AK. Mortality trends in critical access hospitals-in reply. JAMA. 2013 Jul 24; 310(4):430.
7. McCrum ML, Joynt KE, Orav EJ, Gawande AA, Jha AK. Mortality for publicly reported conditions and overall hospital mortality rates. JAMA Intern Med. 2013 Jul 22; 173(14):1351-7.
8. Joynt KE. Rightsizing invasive cardiac services in the United States. Circulation. 2013 Aug 20; 128(8):780-2.
9. Joynt KE, Gawande AA, Orav EJ, Jha AK. Contribution of preventable acute care spending to total spending for high-cost medicare patients. JAMA. 2013 Jun 26; 309(24):2572-8.
10. McCabe JM, Joynt KE, Welt FG, Resnic FS. Impact of public reporting and outlier status identification on percutaneous coronary intervention case selection in massachusetts. JACC Cardiovasc Interv. 2013 Jun; 6(6):625-30.