Kira L Ryskina, MD, MSHP

faculty photo
Assistant Professor of 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.
Permanent link
 
> Perelman School of Medicine   > Faculty   > Details

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, Shultz K, Unruh MA, Jung HY: Practice Trends and Characteristics of US Hospitalists. JAMA Health Forum 2(11): e213524, November 2021.

Ryskina KL, Shultz K, Zhou Y, Lautenbach G, Brown RT: Older Adults’ Access to Primary Care: Gender, Racial, and Ethnic Disparities in Telemedicine. JAGS July 2021.

Ryskina KL, Yun H, Wang H, Chen A, Jung HY: Characteristics of nursing homes by COVID-19 cases among staff: March to August 2020. JAMDA February 2021.

Chen A, Yun H, Ryskina KL, Jung JH: Nursing Home Characteristics Associated with Resident COVID-19 Morbidity in Communities with High Infection Rates. JAMA Network Open 4(3), 2021.

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.

back to top
Last updated: 11/05/2021
The Trustees of the University of Pennsylvania