Kira L Ryskina, MD, MSHP

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Assistant Professor of Medicine
Attending, Hospital of the University of Pennsylvania, Philadelphia, PA
Attending, Penn Presbyterian Medical Center, Philadelphia, PA
Senior Fellow, Leonard Davis Institute, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA
Attending, PCAM Advanced Internal Medicine
Department: Medicine

Contact information
12-30 Blockley Hall
423 Guardian Drive
Philadelphia, PA 19104
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 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.

Selected Publications

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 August 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 June 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) June 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 June 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 June 2022.

Brown R, Shultz K, Karlawish J, Zhou Y, Xie D, Ryskina KL: Benzodiazepine and Antipsychotic Use Among Hospitalized Older Adults Before Versus After Restricting Visitation: March to May 2020. AGS Annual Meeting (Presidential Poster Session) May 2022.

Krickus C, Jung HY, Ryskina KL. : Association of subspecialty follow-up after discharge to skilled nursing facilities and emergency department visits. SGIM Annual Meeting (poster), Orlando, FL April 2022.

Tian Y, Myers J, Hemmert K, Ryskina K: Identifying Potentially Avoidable Emergency Department (ED) Visits from Skilled Nursing Facility (SNF) at a Large Academic Medical Center: Defining the Problem. SGIM Annual Meeting (Poster Session) April 2022.

Ryskina KL, Anderson J, Stites S, Brown R: Gender disparity in lead authorship before and during the COVID-19 pandemic: no news is bad news? Journal of General Internal Medicine 37: 2908-2910, April 2022.

Krickus C, Aysola J, Ryskina KL: Disparities in access to specialty care follow-up and subsequent emergency department use after hospital discharge to skilled nursing facilities. Distinguished Professor Walk and Talk Session, SGIM Annual Meeting, Orlando, FL April 2022.

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Last updated: 09/23/2022
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