Harkness Project Title: Hospitals that Fail to Reduce Readmissions: What are the Policy Concerns and Implications?
Placement: Harvard School of Public Health/Brigham and Women's Hospital
Mentor: David W. Bates, Harvard School of Public Health/Brigham and Women's Hospital
Ashish Jha, Harvard School of Public Health
Biography at time of Harkness Fellowship: Matthew Inada-Kim, M.B.B.S., a 2011-12 U.K. Harkness Fellow in Health Care Policy and Practice, is lead consultant in acute medicine, Emergency Medical Assessment Unit, Winchester Hospital. His background is in general practice and emergency medicine, and he is particularly interested in quality improvement and patient safety in health care. Innovative projects that he has led in this area include: a multidisciplinary quality improvement intervention for patients with severe sepsis to reduce time to antibiotic administration; early recognition in deterioration of hospital patients to prevent cardiac arrests and reduce costs; and, a verbal/written/computerized handover tool to reduce errors and save time. He has also led simulation projects to teach patient safety. For his work, Inada-Kim has received several awards, been designated as a NHS "National Clinical Expert in Handover," named an NHS "High Potential Leader," and selected for the Kings Fund "Leading for Quality Program." He also has three peer-reviewed publications in Clinical Medicine, Ultrasound in Medicine & Biology, and British Journal of Hospital Medicine. Inada-Kim holds an M.B.B.S. from Kings College London.
Project: Matt Inada-Kim’s project has two parts. The first part explored the characteristics of hospitals that persistently fail to improve readmissions. Inada-Kim used Medicare data to compare hospitals that improved their performance between 2007 and 2010 to hospitals that did not improve. The second part of the project explored what five New York hospitals did to improve their readmission rates, for which Inada-Kim interviewed staff and leadership.
Current Positions: (updated 7/2017)
- Consultant Acute Physician & Sepsis Lead, Hampshire Hospitals NHS Foundation Trust
- National Clinical Advisor - Sepsis
- Lead for the National Patient Safety Collaborative Sepsis Cluster- South
- Clinical Lead for Physical Deterioration & Sepsis, Wessex Patient Safety Collaborative
Email: [email protected]
Selected Publications:
Sujan MA, Chessum P, Rudd M, Fitton L, Inada-Kim M, Spurgeon P, Cooke MW. Emergency Care Handover (ECHO study) across care boundaries: the need for joint decision making and consideration of psychosocial history. Emerg Med J. 2013 Sep 11.