Description of Research Expertise
I am a general internist and a health services researcher. My research aims to understand variation in the quality of physician (and other prescribing clinician) services to improve care for aging adults with multiple chronic conditions. To this end, I have examined several domains of physician care quality in primary care: timeliness, effectiveness, patient-centeredness, equity, and efficiency. My research agenda requires complex linkages of survey, Medicare claims, and other secondary datasets, and necessary methodological expertise in rigorous quantitative techniques to estimate causal effects using secondary data. I also have expertise in mixed-methods research including primary data collection via surveys of clinicians and interviews with patients and caregivers.
My ongoing work evaluates the role of physician integration within nursing homes in healthcare utilization and functional outcomes of older adults. Using billing data from Medicare, I developed a rich database of clinical information for a cohort of patients that received post-acute care in skilled nursing facilities between 2012 and 2019. I also developed and tested claims-based measures of physician practice organization, including a widely adopted measure of physician specialization in skilled nursing facility-based practice.
Ryskina KL, Unruh MA, Qian Y, Jung YH.: US Generalist Physicians and Groups that Focused Practice in a Single Care Setting: 2014-2017 Med Care 60 (11): 831-838,2022.
Krickus C, Aysola J, Ryskina KL: Disparities in Access to Specialty Care and Emergency Department Use after Hospital Discharge to Skilled Nursing Facility Journal of Hospital Medicine : 2022.
Brown RT, Shultz K, Karlawish J, Zhou Y, D Xie, Ryskina KL: Benzodiazepine and Antipsychotic Use Among Hospitalized Older Adults Before Versus After Restricting Visitation: March to May 2020 J Am Geriatr Soc 70 (10): 2988-2995,2022.
Lipori J, Tu E, Shireman TI, Gerlach L, Coe AB, Ryskina KL.: Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review J Am Med Dir Assoc 23 (9): 1589.e1-1589.e10,2022.
Ryskina KL, Lo D, Zhang T, Gerlach L, Bynum J, Shireman T.: Potentially Harmful Medication Prescribing to Nursing Home Residents with Dementia: The Role of Prescriber Specialization in US Nursing Homes ISPE’s 38th International Conference on Pharmacoepidemiology and Therapeutic Risk Management (ICPE), Copenhagen, Denmark : 2022.
Brooks Carthon JM, Brom H, French R, Daus M, Grantham-Murrillo M, Bennet J, Ryskina KL, Ponietowicz E, Cacchione PZ.: Transitional care innovation for Medicaid-insured individuals: early findings. BMJ Open Quality 11 : e001798,2022.
Koney-Laryea N, Jan S, Ryskina KL.: Association of State Spending on Home and Community Based Services and Nursing Home Use by Children, Adolescents and Young Adults Academy Health Annual Research Meeting, High Cost, High Need Populations Poster Session : 2022.
Ryskina KL, Lo D, Zhang T, Gerlach L, Bynum J, Shireman T: Potentially Harmful Medication Prescribing to Nursing Home Residents with Dementia: The Role of Prescriber Specialization in Nursing Home Practice Academy Health Annual Research Meeting, Washington, DC (Selected for poster walk presentation & discussion) : 2022.
Kim S, Ryskina K, Jung HY.: Adoption of SNFists and Rehospitalization Rates in US Nursing Homes: an Event Study 2012-2019 Academy Health Annual Meeting, Washington, DC : 2022.
Lipori JP, Ryskina K.: Potentially Harmful Medication Prescribing by Physicians and Advanced Practitioners That Specialize in Nursing Home Care. Poster Session: Measuring Safety, Quality, and Value. Academy Health Annual Research Meeting, Washington, DC : 2022.
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