Katherine L. Kahn

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Senior Natural Scientist
Santa Monica Office

Education

M.D., Tufts University School of Medicine; B.A. in psychology and pre-med, Goucher College

Overview

Research Focus

Concurrent Non-RAND Positions

Professor of Medicine and Associate Division Chief for Research, Division of General Internal Medicine & Health Services Research, Department of Medicine, UCLA School of Medicine

Recent Projects

  • RAND UCLA CanCORS PDCR II
  • Evaluation of the Medicare Demonstration Project
  • Longitudinal Program Evaluation of the U.S. Dept. of Health & Human Services, Healthcare Associated Infections (HAI) National Action Plan
  • NIH Roadmap evaluation of the feasibility of a National Clinical Research Associates cohort of practicing clinicians capable of conducting clinical research in the context of their clinical care settings
  • National Initiative on Cancer Care Quality (NICCQ)

Selected Publications

Kahn KL, Adams JL, Weeks JC, Chrischilles EA, Schrag D, Ayanian JZ, Kiefe CI, Ganz PA, Bhoopalam N, Potosky AL, Harrington DP, Fletcher RH, "Adjuvant chemotherapy use and adverse events among older patients with stage III colon cancer," Journal of the American Medical Association, 303(11):1037-1045, 2010

Kahn KL, MacLean CH, Wong AL, Rubenstein LZ, Liu H, Fitzpatrick DM, Harker JO, Chen WP, Traina SB, Mittman BS, Hahn BH, Paulus HE, "Assessment of American College of Rheumatology quality criteria for rheumatoid arthritis in a pre-quality criteria patient cohort," Arthritis Care & Research, 57(5):707-715, 2007

Malin JL, Schneider EC, Epstein AM, Adams JL, Kahn KL, "Results of the National Initiative for Cancer Care Quality (NICCQ): How can we improve the quality of cancer care in the United States?" Journal of Clinical Oncology, 24(4):626-634, 2006

Kahn KL, Malin JL, Adams J, Ganz PA, "Developing a reliable, valid, and feasible plan for quality-of-care measurement for cancer: How should we measure?" Medical Care, 40(6 suppl):III73-85, 2002

Kahn KL, Pearson ML, Harrison ER, Desmond K, Rogers WH, Rubenstein LV, Brook RH, Keeler EB, "Health care for black and poor hospitalized medicare patients," Journal of the American Medical Association, 271(15):1169-1174, 1994

Kahn KL, Keeler EB, Sherwood MJ, Rogers WH, Draper D, Bentow SS, Reinisch EJ, Rubenstein LV, Kosecoff J, Brook RH, "Comparing outcomes of care before and after implementation of the drug-based prospective payment system," Journal of the American Medical Association, 264(15):1984-1988, 1990

Kahn KL, Rogers WH, Rubenstein LV, Sherwood MJ, Reinisch EJ, Keeler EB, Draper D, Kosecoff J, Brook RH, "Measuring quality of care with explicit process criteria before and after implementation of the DRG-based prospective payment system," Journal of the American Medical Association, 264(15):1969-1973, 1990

Honors & Awards

  • John M. Eisenberg Article-of-the-Year Award, John M. Eisenberg
  • 1994 Article of the Year Award for Best National Research Paper, Association for Health Services Research

Recent Media Appearances

Interviews: Health & Medicine Week; HealthDay.com; United Press International

Publications

Representativeness of Participants in the Cancer Care Outcomes Research and Surveillance Consortium Relative to the Surveillance, Epidemiology, and End Results Program - 2013

Effect of Adjuvant Chemotherapy on Survival of Patients with Stage III Colon Cancer Diagnosed After Age 75 Years - 2012

Prevalence, Predictors, and Patient Outcomes Associated with Physician Co-Management: Findings from the Los Angeles Women's Health Study - 2012

Bridging the Gap Between Basic Science and Clinical Practice: The Role of Organizations in Addressing Clinician Barriers - 2011

Bridging the Gap Between Basic Science and Clinical Practice: A Role for Community Clinicians - 2011

Burdens on Research Imposed by Institutional Review Boards: The State of the Evidence and Its Implications for Regulatory Reform - 2011

Objective Burden, Resources, and Other Stressors Among Informal Cancer Caregivers: A Hidden Quality Issue? - 2011

Racial Variation in the Cancer Caregiving Experience: A Multisite Study of Colorectal and Lung Cancer Caregivers - 2011

Reengineering the Clinical Research Enterprise to Involve More Community Clinicians - 2011

Adjuvant Chemotherapy Use and Adverse Events Among Older Patients with Stage III Colon Cancer - 2010

Adverse Events Among the Elderly Receiving Chemotherapy for Advanced Non-Small-Cell Lung Cancer - 2010

Improving Breast Cancer Quality of Care with the Use of Patient Navigators - 2010

Patients' Experiences with Care for Lung Cancer and Colorectal Cancer: Findings from the Cancer Care Outcomes Research and Surveillance Consortium - 2010

Physician Factors Associated with Discussions About End-of-Life Care - 2010

Quality of Cancer Care Among Foreign-Born and US-born Patients with Lung or Colorectal Cancer - 2010

Quality of Care for Breast Cancer for Uninsured Women in California Under the Breast and Cervical Cancer Prevention Treatment Act - 2010

The Quality of Care Provided to Hospitalized Patients at the End of Life - 2010

Use of Interpreters By Physicians Treating Limited English Proficient Women with Breast Cancer: Results from the Provider Survey of the Los Angeles Women's Health Study - 2010

Variations in Surgeon Treatment Recommendations for Lobectomy in Early-Stage Non-Small-Cell Lung Cancer By Patient Age and Comorbidity - 2010

Surgeons' Volume of Colorectal Cancer Procedures and Collaborative Decision-Making About Adjuvant Therapies - 2009

The Structural Landscape of the Health Care System for Breast Cancer Care: Results from the Los Angeles Women's Health Study - 2009

Variation in Physician-Patient Discussion of Breast Reconstruction - 2009

Adjuvant Chemotherapy for Stage III Colon Cancer: Do Physicians Agree About the Importance of Patient Age and Comorbidity? - 2008

American Society of Clinical Oncology/National Comprehensive Cancer Network Quality Measures - 2008

Do Variations in Provider Discussions Explain Socioeconomic Disparities in Postmastectomy Breast Reconstruction? - 2008

Financial Incentives for Quality in Breast Cancer Care - 2008

Impact of Physician-Patient Discussions on Patient Satisfaction - 2008

Moving Research from Bench to Bedside to Community: There Is Still More to Do - 2008

Symptom Management After Breast Cancer Treatment: Is It Influenced By Patient Characteristics? - 2008

Symptoms After Breast Cancer Treatment: Are They Influenced by Patient Characteristics? - 2008

Validating the Link Between Good Physician Process of Care and Better Health-Related Quality of Life for Patients - 2008

Assessment of American College of Rheumatology Quality Criteria for Rheumatoid Arthritis in a Pre-Quality Criteria Patient Cohort - 2007

Does Ambulatory Process of Care Predict Health-Related Quality of Life Outcomes for Patients with Chronic Disease? - 2007

Does Concordance Between Data Sources Vary By Medical Organization Type? - 2007

On Referral Patterns for Patients with Breast Cancer - 2007

Patient Centered Experiences in Breast Cancer: Predicting Long-Term Adherence to Tamoxifen Use - 2007

Surviving Colorectal Cancer: Patient-Reported Symptoms 4 Years After Diagnosis - 2007

The Complexity of Care for Patients with Rheumatoid Arthritis: Metrics for Better Understanding Chronic Disease Care - 2007

A Practical Method to Calibrate Self-Reported Adherence to Antiretroviral Therapy - 2006

Application of Explicit Process of Care Measurement to Rheumatoid Arthritis: Moving from Evidence to Practice - 2006

Does the Concordance Between Medical Records and Patient Self-Report Vary with Patient Characteristics? - 2006

Effects of Medicare's Prospective Payment System on the Quality of Hospital Care - 2006

Measuring the Quality of Cancer Care: The National Initiative for Cancer Care Quality (NICCQ) - 2006

Results of the National Initiative for Cancer Care Quality: How Can We Improve the Quality of Cancer Care in the United States? - 2006

Understanding Cancer Patients' Experience and Outcomes: Development and Pilot Study of the Cancer Care Outcomes Research and Surveillance Patient Survey - 2006

What Is the Concordance Between the Medical Record and Patient Self-Report as Data Sources for Ambulatory Care? - 2006

Dysplasia and Risk of Further Neoplastic Progression in a Regional Veterans Administration Barrett's Cohort - 2005

Imputation of SF-12 Health Scores for Respondents with Partially Missing Data - 2005

Patients' Preferences for Technical Versus Interpersonal Quality When Selecting a Primary Care Physician - 2005

Results of a Randomized Controlled Trial to Increase Colorectal Cancer Screening in a Managed Care Health Plan - 2005

Telephone Reminder Calls Increased Response Rates to Mailed Study Consent Forms - 2005

Trust in One's Physician: The Role of Ethnic Match, Autonomy, Acculturation, and Religiosity Among Japanese and Japanese Americans - 2005

Case Finding for Population-Based Studies of Rheumatoid Arthritis: Comparison of Patient Self-Reported ACR Criteria-Based Algorithms to Physician-Implicit Review for Diagnosis of Rheumatoid Arthritis - 2004

Developing a System to Assess the Quality of Cancer Care: ASCO's National Initiative on Cancer Care Quality - 2004

Development and Evaluation of a Patient Self-Report Case-Finding Method for Rheumatoid Arthritis - 2004

Differences in Quality of Care for Hospitalized Elderly Men and Women - 2004

Does Inappropriate Use Explain Geographic Variations in the Use of Health Care Services? - 2004

Primary Care Provider Perceptions of Barriers to and Facilitators of Colorectal Cancer Screening in a Managed Care Setting - 2004

Understanding Cancer Treatment and Outcomes: The Cancer Care Outcomes Research and Surveillance Consortium (CanCORS) - 2004

Watching the Doctor-Watchers: How Well do Peer Review Organization Methods Detect Hospital Care Quality Problems? - 2004

Methodological Challenges Associated with Patient Responses to Follow-Up Longitudinal Surveys Regarding Quality of Care - 2003

Acculturation of Attitudes Toward End-of-Life Care: A Cross-Cultural Survey of Japanese Americans and Japanese - 2002

Evaluating Quality of Nursing Care: The Gap Between Theory and Practice - 2002

Preoperative Prevalence of Barrett's Esophagus in Esophageal Adenocarcinoma: A Systematic Review - 2002

Quality of Breast Cancer Care: What Do We Know? - 2002

The Case Identification Challenge in Measuring Quality of Cancer Care - 2002

Utilization of Health Care Resources for Low-Risk Patients with Acute, Nonvariceal Upper GI Hemorrhage: An Historical Cohort Study - 2002

Validity of Cancer Registry Data for Measuring Quality of Breast Cancer Care - 2002

Arm Edema in Breast Cancer Patients - 2001

Structured Implicit Review: A New Method for Monitoring Nursing Care Quality - 2001

Development of a Brief Scale to Measure Acculturation Among Japanese Americans - 2000

Lack of Progress in Labor as a Reason for Cesarean - 2000

Cesarean Deliveries for Medicaid Patients: A Comparison in Public and Private Hospitals in Los Angeles County - 1999

Does What Nurses Do Affect Clinical Outcomes for Hospitalized Patients? A Review of the Literature - 1999

Proposed Agenda for the Measurement of Quality-of-Life Outcomes in Oncology Practice - 1999

Is Use of Mechanical Ventilation a Reasonable Proxy Indicator for Coma Among Medicare Patients Hospitalized for Acute Stroke? - 1998

An Implicit Review Method for Measuring the Quality of In-hospital Nursing Care of Elderly Cerebrovascular Accident Patients - 1997

An Implicit Review Method for Measuring the Quality of In-hospital Nursing Care of Elderly Congestive Heart Failure Patients - 1997

Changes Over Time in the Use of Do Not Resuscitate Orders and the Outcomes of Patients Receiving Them - 1997

Epidemiology of Sepsis Syndrome in 8 Academic Medical Centers - 1997

Management Strategies for Helicobacter Pylori-Seropositive Patients with Dyspepsia: Clinical and Economic Consequences - 1997

Racial Differences in the Utilization of Inpatient Rehabilitation Services Among Elderly Stroke Patients - 1997

What Is the Role of Timing in the Surgical and Rehabilitative Care of Community-Dwelling Older Persons with Acute Hip Fracture? - 1997

Cesarean Childbirth and Psychosocial Outcomes: A Meta-Analysis - 1996

Effects of Medicare's Prospective Payment System on service use by depressed elderly inpatients - 1996

Information Content and Clarity of Radiologists' Reports for Chest Radiography - 1996

Rehabilitation After Hip Fracture--Equal Opportunity for All? - 1996

The Validity of a Nursing Assessment and Monitoring of Signs and Symptoms Scale in ICU and Non-Icu Patients - 1996

A Meta-Analysis of Infant Outcomes After Breech Delivery - 1995

Above All 'Do No Harm': How Shall We Avoid Errors in Medicine? - 1995

Epidemiology of Do-Not-Resuscitate Orders: Disparity By Age, Diagnosis, Gender, Race, and Functional Impairment - 1995

Outcomes of Patients with Do-Not-Resuscitate Orders - 1995

Quality of Care for Depressed Elderly Patients Hospitalized in the Specialty Psychiatric Units or General Medical Wards - 1995

Effect of Epidural Analgesia for Labor on the Cesarean Delivery Rate - 1994

Health care for black and poor hospitalized Medicare patients - 1994

Quality of Antidepressant Medications Prescribed at Discharge to Depressed Elderly Patients in General Medical Hospitals Before and After Prospective Payment System - 1994

Quality of Care for Depressed Elderly Pre-Post Prospective Payment System: Differences in Response Across Treatment Settings - 1994

Analysis of Quality of Care for Patients Who are Black and Poor in Rural and Urban Settings - 1993

Quality of Care for Hospitalized Depressed Elderly Patients Before and After Implementation of the Medicare Prospective Payment System - 1993

Assessing Clinical Instability at Discharge: The Clinician's Responsibility - 1992

Assessing Quality of Care for Hospitalized Medicare Patients with Hip Fracture Using Coded Diagnoses from the Medicare Provider Analysis and Review Files - 1992

Assigning Appropriateness Ratings for Diagnostic Upper Gastrointestinal Endoscopy Using Two Different Approaches - 1992

HMO Vs Fee-for-Service Care of Older Persons with Acute Myocardial Infarction - 1992

The Effects of the DRG-Based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients: Final Report - 1992

Explaining Variations in Hospital Death Rates: Randomness, Severity of Illness, Quality of Care - 1991

Measuring the Clinical Appropriateness of the Use of a Procedure: Can We Do It? - 1991

Physician Ratings of Appropriate Indications for Six Medical and Surgical Procedures - 1991

Structured Implicit Review of the Medical Record: A Method for Measuring the Quality of Inhospital Medical Care and a Summary of Quality Changes Following Implementation of the Medicare Prospective Payment System - 1991

The Effect of Comorbidity on Appropriateness Ratings for Two Gastrointestinal Procedures - 1991

The Effects of the DRG-Based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients: Executive Summary - 1991

A Summary of the Effects of DRG-Based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients - 1990

Changes in Quality of Care for Five Diseases Measured By Implicit Review, 1981 to 1986 - 1990

Changes in Sickness at Admission Following the Introduction of the Prospective Payment System - 1990

Comparing Outcomes of Care Before and After Implementation of the DRG-based Prospective Payment System - 1990

Explaining Variations in Hospital Death Rates: Randomness, Severity of Illness, Quality of Care - 1990

Explaining Variations in Hospital Death Rates: Randomness, Severity of Illness, Quality of Care - 1990

Guidelines for Structured Implicit Review of the Quality of Hospital Care for Diverse Medical and Surgical Conditions - 1990

Measuring Quality of Care with Explicit Process Criteria Before and After Implementation of the DRG-based Prospective Payment System - 1990

Prospective Payment System and Impairment at Discharge: The 'Quicker-And-Sicker' Story Revisited - 1990

Quality of Care Before and After Implementation of the DRG-based Prospective Payment System: A Summary of Effects - 1990

The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients: An Introduction to the Series - 1990

Structured Implicit Review for Physician Implicit Measurement of Quality of Care: Development of the Form and Guidelines for Its Use - 1989

The Appropriateness of Use of Selected Medical and Surgical Procedures and Its Relationship to Geographic Variations in Their Use - 1989

Interpreting Hospital Mortality Data: How Can We Proceed? - 1988

Medical Record Abstraction Form and Guidelines for Assessing Quality of Care for Hospitalized Patients with Acute Myocardial Infarction - 1988

Medical Record Abstraction Form and Guidelines for Assessing Quality of Care for Hospitalized Patients with Cerebrovascular Accident - 1988

Medical Record Abstraction Form and Guidelines for Assessing Quality of Care for Hospitalized Patients with Congestive Heart Failure - 1988

Medical Record Abstraction Form and Guidelines for Assessing Quality of Care for Hospitalized Patients with Depression - 1988

Medical Record Abstraction Form and Guidelines for Assessing Quality of Care for Hospitalized Patients with Hip Fracture - 1988

Medical Record Abstraction Form and Guidelines for Assessing Quality of Care for Hospitalized Patients with Pneumonia - 1988

The Use and Misuse of Upper Gastrointestinal Endoscopy - 1988

Does Inappropriate Use Explain Geographic Variations in the Use of Health Care Services? : A Study of Three Procedures - 1987

Indications for Selected Medical and Surgical Procedures - A Literature Review and Ratings of Appropriateness: Diagnostic Upper Gastrointestinal Endoscopy - 1986

Indications for Selected Medical and Surgical Procedures - A Literature Review and Ratings of Appropriateness: Colonoscopy - 1986

Physician Ratings of Appropriate Indications for Six Medical and Surgical Procedures - 1986

The Efficacy of Ambulatory Cardiac Catheterization in the Hospital and Free-Standing Setting - 1986

Variations in the Use of Medical and Surgical Services By the Medicare Population - 1986

Variations in the Use of Medical and Surgical Services by the Medicare Population - 1986

Comparative Effectiveness of Oxaliplatin Vs Non-Oxaliplatin-Containing Adjuvant Chemotherapy for Stage III Colon Cancer -

Developing a Reliable, Valid, and Feasible Plan for Quality-of-Care Measurement for Cancer: How Should We Measure? -