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profileKaren Ellen Joynt, M.D.

TitleInstructor
InstitutionHarvard T.H. Chan School of Public Health
DepartmentHealth Policy and Management
AddressBrigham and Womens Hospital
Cardiovascular Medicine - PB Ground
75 Francis St
Boston MA 02115
Phone617/384-5367
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K23HL109177     (JOYNT, KAREN ELLEN)Aug 19, 2011 - Jun 30, 2016
NIH/NHLBI
The Impact of Public Reporting on Outcomes and Case Selection for PCI
Role: Principal Investigator

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Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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  1. Joynt KE, Kramer DB. Off-label Use of High-Risk Cardiovascular Devices: Widening the Lens. JAMA Cardiol. 2017 Aug 01; 2(8):832-834. PMID: 28636710.
    View in: PubMed
  2. Gilstrap LG, Joynt KE. MACRA and Cardiology-The Devil Is in the Details. JAMA Cardiol. 2017 Jul 26. PMID: 28746719.
    View in: PubMed
  3. Pandey A, Golwala H, Hall HM, Wang TY, Lu D, Xian Y, Chiswell K, Joynt KE, Goyal A, Das SR, Kumbhani D, Julien H, Fonarow GC, de Lemos JA. Association of US Centers for Medicare and Medicaid Services Hospital 30-Day Risk-Standardized Readmission Metric With Care Quality and Outcomes After Acute Myocardial Infarction: Findings From the National Cardiovascular Data Registry/Acute Coronary Treatment and Intervention Outcomes Network Registry-Get With the Guidelines. JAMA Cardiol. 2017 Jul 01; 2(7):723-731. PMID: 28445559.
    View in: PubMed
  4. Joynt KE. Response to Outlier Status: Lessons From Public Reporting for Percutaneous Coronary Intervention. Circulation. 2017 May 16; 135(20):1908-1910. PMID: 28507249.
    View in: PubMed
  5. Wadhera RK, Joynt KE. Insurance and Cardiovascular Health: Time for Evidence to Trump Politics. Circulation. 2017 May 23; 135(21):1988-1990. PMID: 28473447.
    View in: PubMed
  6. Joynt KE, Zuckerman R, Epstein AM. Social Risk Factors and Performance Under Medicare's Value-Based Purchasing Programs. Circ Cardiovasc Qual Outcomes. 2017 May; 10(5). PMID: 28506982.
    View in: PubMed
  7. Beaulieu ND, Joynt KE, Wild R, Jha AK. Concentration of high-cost patients in hospitals and markets. Am J Manag Care. 2017 Apr; 23(4):233-238. PMID: 28554206.
    View in: PubMed
  8. Brice YN, Joynt KE, Tompkins CP, Ritter GA. Meaningful Use and Hospital Performance on Post-Acute Utilization Indicators. Health Serv Res. 2017 Mar 02. PMID: 28255995.
    View in: PubMed
  9. Figueroa JF, Joynt KE, Zhou X, Orav EJ, Jha AK. Safety-net Hospitals Face More Barriers Yet Use Fewer Strategies to Reduce Readmissions. Med Care. 2017 Mar; 55(3):229-235. PMID: 28060053.
    View in: PubMed
  10. Joynt KE, Maddox TM. Leading on Payment and Delivery Reform in Cardiology. JAMA Cardiol. 2017 Feb 01; 2(2):121-123. PMID: 27851856.
    View in: PubMed
  11. Joynt KE, Orav EJ, Zheng J, Jha AK. Public Reporting of Mortality Rates for Hospitalized Medicare Patients. Ann Intern Med. 2017 Jan 03; 166(1):75-76. PMID: 28030667.
    View in: PubMed
  12. Joynt KE, De Lew N, Sheingold SH, Conway PH, Goodrich K, Epstein AM. Should Medicare Value-Based Purchasing Take Social Risk into Account? N Engl J Med. 2017 Feb 09; 376(6):510-513. PMID: 28029802.
    View in: PubMed
  13. Sinaiko AD, Joynt KE, Rosenthal MB. Association Between Viewing Health Care Price Information and Choice of Health Care Facility. JAMA Intern Med. 2016 Dec 01; 176(12):1868-1870. PMID: 27775768.
    View in: PubMed
  14. Joynt KE, Figueroa JF, Beaulieu N, Wild RC, Orav EJ, Jha AK. Segmenting high-cost Medicare patients into potentially actionable cohorts. Healthc (Amst). 2017 Mar; 5(1-2):62-67. PMID: 27914968.
    View in: PubMed
  15. Desai NR, Joynt KE. Assessing Hospital Performance for Emerging Technologies: Essential but Elusive. Circ Cardiovasc Qual Outcomes. 2016 Sep; 9(5):498-500. PMID: 27625406.
    View in: PubMed
  16. Joynt KE, Peña JM. Explaining the Mortality-Readmissions Paradox for Racial and Ethnic Minorities. JACC Heart Fail. 2016 Nov; 4(11):894-896. PMID: 27614944.
    View in: PubMed
  17. Snyder JE, Jensen M, Nguyen NX, Filice CE, Joynt KE. Defining Rurality in Medicare Administrative Data. Med Care. 2016 Aug 19. PMID: 27547946.
    View in: PubMed
  18. Joynt KE, Figueroa JE, Oray J, Jha AK. Opinions on the Hospital Readmission Reduction Program: results of a national survey of hospital leaders. Am J Manag Care. 2016 Aug 01; 22(8):e287-94. PMID: 27556831.
    View in: PubMed
  19. Filice CE, Joynt KE. Examining Race and Ethnicity Information in Medicare Administrative Data. Med Care. 2016 Jul 29. PMID: 27479593.
    View in: PubMed
  20. Samson LW, Finegold K, Ahmed A, Jensen M, Filice CE, Joynt KE. Examining Measures of Income and Poverty in Medicare Administrative Data. Med Care. 2016 Jul 29. PMID: 27479597.
    View in: PubMed
  21. Joynt KE, Maddox TM. Looking Beyond the Hospital to Reduce Acute Myocardial Infarction: Progress and Potential. JAMA Cardiol. 2016 Jun 01; 1(3):251-3. PMID: 27438101.
    View in: PubMed
  22. Joynt KE, Orav EJ, Zheng J, Jha AK. Public Reporting of Mortality Rates for Hospitalized Medicare Patients and Trends in Mortality for Reported Conditions. Ann Intern Med. 2016 Aug 02; 165(3):153-60. PMID: 27239794.
    View in: PubMed
  23. Rumsfeld JS, Joynt KE, Maddox TM. Big data analytics to improve cardiovascular care: promise and challenges. Nat Rev Cardiol. 2016 Jun; 13(6):350-9. PMID: 27009423.
    View in: PubMed
  24. Maron BA, Hess E, Maddox TM, Opotowsky AR, Tedford RJ, Lahm T, Joynt KE, Kass DJ, Stephens T, Stanislawski MA, Swenson ER, Goldstein RH, Leopold JA, Zamanian RT, Elwing JM, Plomondon ME, Grunwald GK, Barón AE, Rumsfeld JS, Choudhary G. Association of Borderline Pulmonary Hypertension With Mortality and Hospitalization in a Large Patient Cohort: Insights From the Veterans Affairs Clinical Assessment, Reporting, and Tracking Program. Circulation. 2016 Mar 29; 133(13):1240-8. PMID: 26873944; PMCID: PMC4811678 [Available on 03/29/17].
  25. Walsh MN, Joynt KE. Delays in Seeking Care: A Women's Problem? Circ Cardiovasc Qual Outcomes. 2016 Feb; 9(2 Suppl 1):S97-9. PMID: 26908868.
    View in: PubMed
  26. Figueroa JF, Joynt KE. Unplanned Rehospitalizations and Depression: Time for a New Approach? Circulation. 2016 Feb 02; 133(5):463-5. PMID: 26680242.
    View in: PubMed
  27. Boyden TF, Joynt KE, McCoy L, Neely ML, Cavender MA, Dixon S, Masoudi FA, Peterson E, Rao SV, Gurm HS. Collaborative quality improvement vs public reporting for percutaneous coronary intervention: A comparison of percutaneous coronary intervention in New York vs Michigan. Am Heart J. 2015 Dec; 170(6):1227-33. PMID: 26678645.
    View in: PubMed
  28. Gilstrap LG, Joynt KE. Both processes and readmissions matter for heart failure: How can we align them? Am Heart J. 2015 Nov; 170(5):968-70. PMID: 26542506.
    View in: PubMed
  29. Joynt KE, Bhatt DL, Schwamm LH, Xian Y, Heidenreich PA, Fonarow GC, Smith EE, Neely ML, Grau-Sepulveda MV, Hernandez AF. Lack of impact of electronic health records on quality of care and outcomes for ischemic stroke. J Am Coll Cardiol. 2015 May 12; 65(18):1964-72. PMID: 25953748.
    View in: PubMed
  30. Joynt KE, Chatterjee P, Orav EJ, Jha AK. Hospital closures had no measurable impact on local hospitalization rates or mortality rates, 2003-11. Health Aff (Millwood). 2015 May; 34(5):765-72. PMID: 25941277.
    View in: PubMed
  31. Frandsen BR, Joynt KE, Rebitzer JB, Jha AK. Care fragmentation, quality, and costs among chronically ill patients. Am J Manag Care. 2015 May; 21(5):355-62. PMID: 26167702.
    View in: PubMed
  32. Waldo SW, McCabe JM, O'Brien C, Kennedy KF, Joynt KE, Yeh RW. Association between public reporting of outcomes with procedural management and mortality for patients with acute myocardial infarction. J Am Coll Cardiol. 2015 Mar 24; 65(11):1119-26. PMID: 25790884; PMCID: PMC4368858.
  33. Joynt KE. Health policy and cardiovascular medicine: rapid changes, immense opportunities. Circulation. 2015 Mar 24; 131(12):1098-105. PMID: 25802255.
    View in: PubMed
  34. Cavender MA, Joynt KE, Parzynski CS, Resnic FS, Rumsfeld JS, Moscucci M, Masoudi FA, Curtis JP, Peterson ED, Gurm HS. State mandated public reporting and outcomes of percutaneous coronary intervention in the United States. Am J Cardiol. 2015 Jun 01; 115(11):1494-501. PMID: 25891991.
    View in: PubMed
  35. Tsai TC, Joynt KE, Wild RC, Orav EJ, Jha AK. Medicare's Bundled Payment initiative: most hospitals are focused on a few high-volume conditions. Health Aff (Millwood). 2015 Mar; 34(3):371-80. PMID: 25732486.
    View in: PubMed
  36. Joynt KE, Mega JL, O'Donoghue ML. Difference or disparity: will big data improve our understanding of sex and cardiovascular disease? Circ Cardiovasc Qual Outcomes. 2015 Mar; 8(2 Suppl 1):S52-5. PMID: 25714822.
    View in: PubMed
  37. Ip IK, Raja AS, Seltzer SE, Gawande AA, Joynt KE, Khorasani R. Use of Public Data to Target Variation in Providers' Use of CT and MR Imaging among Medicare Beneficiaries. Radiology. 2015 Jun; 275(3):718-24. PMID: 25658040.
    View in: PubMed
  38. Shaefi S, O'Gara B, Kociol RD, Joynt K, Mueller A, Nizamuddin J, Mahmood E, Talmor D, Shahul S. Effect of cardiogenic shock hospital volume on mortality in patients with cardiogenic shock. J Am Heart Assoc. 2015 Jan 05; 4(1):e001462. PMID: 25559014; PMCID: PMC4330069.
  39. Gilstrap LG, Joynt KE. Understanding the relationship between readmission and quality of hospital care in heart failure. Curr Heart Fail Rep. 2014 Dec; 11(4):347-53. PMID: 24969139.
    View in: PubMed
  40. Joynt KE. Importance of specialist engagement in accountable care organizations. Circulation. 2014 Nov 25; 130(22):1933-5. PMID: 25421043.
    View in: PubMed
  41. Joynt KE, Orav EJ, Jha AK. Association between hospital conversions to for-profit status and clinical and economic outcomes. JAMA. 2014 Oct 22-29; 312(16):1644-52. PMID: 25335146.
    View in: PubMed
  42. Joynt KE, Sarma N, Epstein AM, Jha AK, Weissman JS. Challenges in Reducing Readmissions: Lessons from Leadership and Frontline Personnel at Eight Minority-Serving Hospitals. Jt Comm J Qual Patient Saf. 2014 Oct; 40(10):435-7. PMID: 26111303.
    View in: PubMed
  43. Joynt KE, Chan DC, Zheng J, Orav EJ, Jha AK. The impact of Massachusetts health care reform on access, quality, and costs of care for the already-insured. Health Serv Res. 2015 Apr; 50(2):599-613. PMID: 25219772; PMCID: PMC4369224.
  44. 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. PMID: 25160840; PMCID: PMC4279704.
  45. Joynt KE, Jha AK. What is a "nonprofit" hospital?--reply. JAMA Intern Med. 2014 Aug; 174(8):1412. PMID: 25090175.
    View in: PubMed
  46. Joynt KE. So nice to see you again: physician continuity and outcomes for heart failure. JACC Heart Fail. 2014 Aug; 2(4):377-9. PMID: 25023808.
    View in: PubMed
  47. 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 Jun 15; 10(6):693-7. PMID: 24932153; PMCID: PMC4031414.
  48. 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. PMID: 24441810; PMCID: PMC4107654.
  49. Joynt KE. The ninety-nine percent: focusing on the patient to reduce readmissions. J Gen Intern Med. 2014 Apr; 29(4):556-7. PMID: 24442335; PMCID: PMC3965755.
  50. Chatterjee P, Joynt KE. Do cardiology quality measures actually improve patient outcomes? J Am Heart Assoc. 2014 Feb 07; 3(1):e000404. PMID: 24510114; PMCID: PMC3959669.
  51. Joynt KE, Le ST, Orav EJ, Jha AK. Compensation of chief executive officers at nonprofit US hospitals. JAMA Intern Med. 2014 Jan; 174(1):61-7. PMID: 24126743.
    View in: PubMed
  52. Joynt KE, Gawande AA, Jha AK. Preventable acute care spending for medicare patients-reply. JAMA. 2013 Nov 13; 310(18):1985. PMID: 24219958.
    View in: PubMed
  53. 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. PMID: 24047062; PMCID: PMC4107655.
  54. Joynt KE. Trade-offs in appropriateness of percutaneous coronary intervention. J Am Coll Cardiol. 2013 Dec 17; 62(24):2282-3. PMID: 24055745.
    View in: PubMed
  55. Joynt KE, Orav EJ, Jha AK. Physician volume, specialty, and outcomes of care for patients with heart failure. Circ Heart Fail. 2013 Sep 01; 6(5):890-7. PMID: 23926203.
    View in: PubMed
  56. Joynt KE, Orav JE, Jha AK. Mortality trends in critical access hospitals--in reply. JAMA. 2013 Jul 24; 310(4):430. PMID: 23917298.
    View in: PubMed
  57. 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. PMID: 23797306.
    View in: PubMed
  58. Joynt KE. Rightsizing invasive cardiac services in the United States. Circulation. 2013 Aug 20; 128(8):780-2. PMID: 23877257.
    View in: PubMed
  59. 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. PMID: 23797716.
    View in: PubMed
  60. 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. PMID: 23787236.
    View in: PubMed
  61. 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 03; 309(13):1379-87. PMID: 23549583.
    View in: PubMed
  62. 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. PMID: 23479106.
    View in: PubMed
  63. Joynt KE, Jha AK. A path forward on Medicare readmissions. N Engl J Med. 2013 Mar 28; 368(13):1175-7. PMID: 23465069.
    View in: PubMed
  64. 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. PMID: 23459737; PMCID: PMC3989928.
  65. Joynt KE, Jha AK. Characteristics of hospitals receiving penalties under the Hospital Readmissions Reduction Program. JAMA. 2013 Jan 23; 309(4):342-3. PMID: 23340629.
    View in: PubMed
  66. 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. PMID: 23047360; PMCID: PMC3698951.
  67. 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. PMID: 22801941.
    View in: PubMed
  68. Joynt KE, Jha AK. Thirty-day readmissions--truth and consequences. N Engl J Med. 2012 Apr 12; 366(15):1366-9. PMID: 22455752.
    View in: PubMed
  69. 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. PMID: 22455751.
    View in: PubMed
  70. Joynt KE, Jha AK. The relationship between cost and quality: no free lunch. JAMA. 2012 Mar 14; 307(10):1082-3. PMID: 22416105.
    View in: PubMed
  71. Joynt KE, Rosenthal MB. Hospital value-based purchasing: will Medicare's new policy exacerbate disparities? Circ Cardiovasc Qual Outcomes. 2012 Mar 01; 5(2):148-9. PMID: 22438462.
    View in: PubMed
  72. 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. PMID: 21826039.
    View in: PubMed
  73. 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. PMID: 21835285.
    View in: PubMed
  74. Joynt KE, Harris Y, Orav EJ, Jha AK. Quality of care and patient outcomes in critical access rural hospitals. JAMA. 2011 Jul 06; 306(1):45-52. PMID: 21730240; PMCID: PMC3337777.
  75. 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. PMID: 21774097; PMCID: PMC3335431.
  76. 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. PMID: 21657811.
    View in: PubMed
  77. 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. PMID: 21444891.
    View in: PubMed
  78. 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. PMID: 21325183; PMCID: PMC3332042.
  79. 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. PMID: 21242366; PMCID: PMC3336194.
  80. 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 01; 4(1):53-9. PMID: 21156879; PMCID: PMC3050549.
  81. Edelman ER, Joynt K. J waves of Osborn revisited. J Am Coll Cardiol. 2010 May 18; 55(20):2287. PMID: 20466208; PMCID: PMC4637942.
  82. Joynt KE, Moslehi JJ, Baughman KL. Paragangliomas: etiology, presentation, and management. Cardiol Rev. 2009 Jul-Aug; 17(4):159-64. PMID: 19525677.
    View in: PubMed
  83. 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. PMID: 19460772.
    View in: PubMed
  84. 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. PMID: 18323757.
    View in: PubMed
  85. Joynt KE, O'Connor CM. Lessons from SADHART, ENRICHD, and other trials. Psychosom Med. 2005 May-Jun; 67 Suppl 1:S63-6. PMID: 15953805.
    View in: PubMed
  86. 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. PMID: 15190537.
    View in: PubMed
  87. O'Connor CM, Joynt KE. Depression: are we ignoring an important comorbidity in heart failure? J Am Coll Cardiol. 2004 May 05; 43(9):1550-2. PMID: 15120810.
    View in: PubMed
  88. 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. PMID: 15019895.
    View in: PubMed
  89. Joynt KE, Whellan DJ, O'Connor CM. Depression and cardiovascular disease: mechanisms of interaction. Biol Psychiatry. 2003 Aug 01; 54(3):248-61. PMID: 12893101.
    View in: PubMed
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