Christina A. Nguyen
@ChristinaAngieN
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PhD Student @MITSloan TIES and @NSF Fellow | @Harvard alum | Formerly @HMSHCP, @ObamaWhiteHouse NEC, @PennLDI, @IQSS, @MGHMedicine.
Greater Boston Area
Joined September 2012
Congratulations, @PapkeDavid!!
Congratulations to all of this year's #40UnderForty honorees! #40UnderForty awards the top innovators whose achievements provide new pathways forward in the lab. Review the gallery to see who made the top 40 and cast your vote on who advances to the top 5: https://t.co/zU1vdfand9
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Thank you @Vik_deshpandeMD and @JClinPath_BMJ for the opportunity to share this work and these cases!
We are so excited to have David Papke @PapkeDavid join us and talk about some novel soft tissue entities that he has described @Vik_deshpandeMD @EToweryMDA companion to this review in @JClinPath_BMJ
https://t.co/67aDTupyhm
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Excited to share our paper in @JCO_ASCO: Most US cancer specialists practice in large, multispecialty health systems, but 55% of visits occur in independent practices. W/ N Beaulieu, A Wright, @Cutler_econ, @NancyKeatingMD, @Mblandrum
ascopubs.org
PURPOSETo describe the supply of cancer specialists, the organization of cancer care within versus outside of health systems, and the distance to multispecialty cancer centers.METHODSUsing the 2018...
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Brigham researchers from @BWHPath and colleagues are working to pinpoint the prevalence of mismatch repair (MMR)-deficient rectal #adenocarcinomas News summary: https://t.co/LwHEWjjyrC Letter in @NEJM:
nejm.org
Immunohistochemical analysis of 5547 rectal adenocarcinoma biopsy specimens showed the presence of mismatch-repair deficiency in 2.7% of rectal tumors and in 13.4% of colorectal adenocarcinomas.
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We are profoundly saddened by the loss of Dr. Lauren Gilstrap on October 21st. Lauren was not only an incredibly talented physician, researcher, and teacher, but she was a dear friend to so many. She was a shining light and embodied true excellence in everything she did.
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Consistently poor performance on quality measures across multiple years can identify a subset of low-quality physician groups. This method to target a condensed number of underperforming groups could be first line of defense against low quality of care.
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Excited to finally share this work spearheaded by the amazing @ChristinaAngieN - measuring quality is one thing, figuring out how to use that to improve healthcare - quite another! @Michael_Chernew @JMichaelMcW @Mblandrum @DartmouthInst @DHHeartVascular
https://t.co/5d8DrSSBkp
jamanetwork.com
This cross-sectional study assesses the use of consistently low performance scores for physician groups across multiple performance measures and over multiple years to identify low-quality physician...
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Risk adjustment THREAD I think we can be clearer Eg this excerpt is exactly scenario where a more refined adjustment addresses the common concern It holds only if we adjust for % hi risk at provider level That would adjust away ("mask") some of the provider diff in quality But...
For those keen to understand Michael's point on whether to adjust performance for social risk factors, here's another HA article, published this month, that discusses within- and between-provider differences (including regression techniques). https://t.co/VaxDeUGGFJ
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America, I’m honored that you have chosen me to lead our great country. The work ahead of us will be hard, but I promise you this: I will be a President for all Americans — whether you voted for me or not. I will keep the faith that you have placed in me.
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Happy to be able to share some good news during this time: I received the @NSF Graduate Research Fellowship! @MITSloanPhD @NSFGRFP #NSFGRFP #GRFP
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MIT has Posted Free Plans Online for an Emergency Ventilator That Can Be Built for $100. https://t.co/OhQjFhZ5kC
scitechdaily.com
Clinical and design considerations will be published online; goal is to support rapid scale-up of device production to alleviate hospital shortages. One of the most pressing shortages facing hospit...
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It gets worse. Today, 18 March, the US death curve is even steeper. The divergence from South Korea greater. New cases rising, but that's more difficult to sort out.
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We find greatest disparities btw low- and high-income communities in suburban areas & for specialty docs. Those in low-income areas must travel farther to specialty but not GAC hospitals. W/ @Michael_Chernew, Isabel Ostrer, Nancy Beaulieu https://t.co/BsNWxBZd8s via @AJMC_Journal
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Former @dcihmfp fellow @DrBajracharya co-authored last paper w/ the late Warner Slack: "Patient experience with family history tool: analysis of patients' experience sharing their family health history through patient-computer dialogue in a patient portal"
pubmed.ncbi.nlm.nih.gov
Patient-computer dialogue to collect family medical history empowered patients and added perceived value and efficiency to the patient experience of care.
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Our paper shows weak associations btw chronic disease management measures and hospitalization rates used in quality-based reimbursement, in @JAMANetworkOpen w/ @laurenggilstrap @Michael_Chernew Sartaj Alam @barbarabai @JMichaelMcW @Bruce_Landon @Mblandrum
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Remembering the great life of Warner Slack, MD, https://t.co/bjDZ4ZnOQJ founder of the Clinical Computing division @dcihmfp @BIDMChealth pioneer of medical informatics, champion of patient empowerment, who passed away one year ago
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If the Trump Admin’s position prevailed & the ACA were struck down in court, states lack the tools to fully re-instate pre-existing conditions protections (much less to replace premium tax credits, Medicaid expansion, & many other policies)
The Trump admin says a fed court should invalidate the ACA. Can states fully protect people w/ preexisting conditions if they succeed? https://t.co/ogQaIIJ3n3
@commonwealthfnd
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Our paper on social risk adjustment of quality measures for diabetes and CVD, showing changes in physician group-level variance and rankings, in @JAMANetworkOpen with Lauren Gilstrap @Michael_Chernew @JMichaelMcW @Bruce_Landon @Mblandrum
Social risk adjustment can affect performance scores for disease control and use-based outcome measures and thus should be considered as a way to mitigate potential unintended consequences of pay-for-performance programs.
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