Kira L Ryskina, MD, MSHP

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Assistant Professor of Medicine
Department: Medicine

Contact information
12-30 Blockley Hall
423 Guardian Drive
Philadelphia, PA 19104
Office: (215) 898-3935
Education:
BA (Economics, Biology)
Yale University, 2003.
MD
Mount Sinai School of Medicine, 2010.
MS (Health Policy Research)
University of Pennsylvania, 2015.
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Description of Clinical Expertise

In my clinical work, I have practiced general internal medicine in primary care clinics, acute care hospitals, and skilled nursing facilities. These clinical experiences have informed my research agenda.

Description of Research Expertise

I am general internist and a health services researcher. My research aims to understand physician (and other prescribing clinician) practice variation to better deliver high-value care for aging adults with multiple chronic conditions. My ongoing work evaluates the role of physician integration within nursing homes in healthcare utilization by older adults. Using billing data from Medicare, I developed a rich database of clinical and healthcare utilization information for a cohort of patients that received post-acute care in skilled nursing facilities (short-stay patients). The database includes facility (hospital, nursing home, etc) and professional (physician and other providers) utilization. I also developed and tested claims-based measures of physician practice organization, including a measure of physician specialization in skilled nursing facility-based practice. 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. My most recent work focused on mixed-methods research including secondary data analysis and primary data collection via interviews with patients, caregivers, and clinicians to better understand and improve the delivery of physician-level care for aging adults with multiple chronic conditions.

Selected Publications

Ryskina, KL, Wang, H, Foley, KA, Merchant, RM: Patient and Caregiver Perceptions of Nursing Home Physicians: Insight from Yelp Reviews, 2009-2018. journal of the american geriatrics society 68(9): 2101-2105, SEP 2020.

Ryskina, K, Unruh, M, Qian, YT, Casalino, LP, Jung, HY: PRIMARY CARE PHYSICIANS THAT PRACTICE IN A SINGLE CARE SETTING: A COHORT STUDY OF US PHYSICIANS TREATING OLDER ADULTS 2014-2017. journal of general internal medicine 35(SUPPL 1 1): S239-S240, JUL 2020.

Ryskina, K, Ritter, A, Spetz, JE, Barnes, H: SCOPE OF PRACTICE REGULATIONS AND NURSING HOME VISITS BY NURSE PRACTITIONERS: 2012-2017. journal of general internal medicine 35(SUPPL 1 1): S264-S265, JUL 2020.

Ryskina, K, Andy, AU, Manges, K, Foley, KA, Werner, RM, Merchant, R: ONLINE NURSING HOME QUALITY INFORMATION AND HOSPITAL READMISSIONS: INSIGHT FROM NURSING HOME COMPARE AND YELP REVIEWS 2014-2018. journal of general internal medicine 35(SUPPL 1 1): S211-S212, JUL 2020.

Ryskina, KL, Andy, AU, Manges, KA, Foley, KA, Werner, RM, Merchant, RM: Association of Online Consumer Reviews of Skilled Nursing Facilities With Patient Rehospitalization Rates. jama network open 3(5), MAY 14 2020.

Ryskina, KL, Dynan, L, Stein, R, Fieldston, E, Palakshappa, D: Diagnostic Testing During Pediatric Hospitalizations: The Role of Attending In-House Coverage and Daytime Exposure. academic pediatrics 20(4): 508-515, MAY-JUN 2020.

Burke, RE, Canamucio, A, Glorioso, TJ, Baron, AE, Ryskina, KL: Variability in Transitional Care Outcomes Across Hospitals Discharging Veterans to Skilled Nursing Facilities. medical care 58(4): 301-306, APR 2020.

Ryskina Kira L, Yuan Yihao, Werner Rachel M: Postacute care outcomes and medicare payments for patients treated by physicians and advanced practitioners who specialize in nursing home practice. Health services research 54(3): 564-574, Jun 2019.

Ryskina KL, Werner RM. : Patient concentration among nursing home physicians and post-acute care outcomes. AcademyHealth Annual Research Meeting; June 3, 2019; Washington, DC June 2019.

Burke Robert E, Canamucio Anne, Glorioso Thomas J, BarĂ³n Anna E, Ryskina Kira L: Transitional Care Outcomes in Veterans Receiving Post-Acute Care in a Skilled Nursing Facility. Journal of the American Geriatrics Society 67(9): 1820-1826, May 2019.

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Last updated: 10/19/2020
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