John Hughes

Professor of Medicine
Section of General Internal Medicine

Research Activities

Design and implementation of risk stratification/risk adjustment methods for use in analyzing computerized health care data sets.

Clinical Activities

Clinical teaching of medical students and medical residents in hospital settings. Course director for the first year course in medical ethics, law and health care organization and finance.

Selected Recent Publications

• Hughes JS. How well has Canada contained the costs of doctoring? JAMA 1991; 265:2347-2351.
• Freeman JL, Fetter RB, Park H, Schneider K, Lichtenstein J, Hughes JS, Bauman WA, Duncan CC, Freeman DH, Palmer GH. Diagnosis-related group refinement with diagnosis and procedure-specific comorbidities and complications. Medical Care 1995; 33:806-27.
• Hughes JS, Iezzoni LI, Daley J, Greenberg L. How severity measures rate hospitalized patients. Journal of General Internal Medicine 1996; 11:303-11.
• Iezzoni LI, Shwartz M, Ash AS, Hughes JS, Daley J, McKiernan Y. Severity measurement methods and judging hospital death rates for pneumonia. Medical Care 1996; 34:11-28.
• Iezzoni LI, Ash AS, Shwartz M, Daley J, Hughes JS, McKiernan Y. Judging hospitals by severity-adjusted mortality rates: the influence of the severity adjustment method. American Journal of Public Health 1996; 86: 1379-87.
• Inouye SK, Peduzzi JT, Robison JT, Hughes JS, Horwitz RI, Concato J. Importance of functional measures in predicting mortality among older hospitalized patients. JAMA 1998; 279 (15):1187-93.
• Hughes JS. Can the VA Health Care System Continue to Care for the Poor and Vulnerable? Journal of Ambulatory Care Management 2003; 26 (4): 344-48.
• Hughes JS, Averill RF, Eisenhandler J, Goldfield NI, Muldoon J, John M. Neff JN, Gay JC. Clinical Risk Groups (CRGs): A Classification System for Risk-Adjusted Capitation-Based Payment and Health Care Management. Medical Care 2004; 42 (1): 81-90.
• Hughes JS, Averill RF, Goldfield NI, Muldoon J, Gay JC, McCullough EC, Xiang J. Identifying Potentially Preventable Complications Using a Present on Admission Indicator. Health Care Financing Review 2006; 27 (3): 63-82.
• Averill RF, Vertrees JC, McCullough EC, Hughes JS, Goldfield NI. Redesigning the Medicare Inpatient PPS to Adjust Payment for Post-Admission Complications. Health Care Financing Review 2006; 27 (3): 83-93.

Education:	B.A., University of North Carolina at Chapel Hill, NC, 1968 M.D., University of North Carolina School of Medicine, 1972
Training:	Intern & Junior Assistant Resident: Medicine, Ohio State University Hospitals, Columbus, Ohio, 1972–1974 Fellow: Robert Wood Johnson Clinical Scholars Program, Yale University School of Medicine, New Haven, CT, 1974–1976 Senior Assistant Resident: Internal Medicine, Chief Resident in Ambulatory Care, Yale–New Haven Hospital, New Haven, CT, 1976–1977

Contact

Campus Address
WHVAMC
950 Campbell Avenue, 11 ACSL
West Haven, CT 06516

E-mail
john.hughes3@med.va.gov

Office Phone
203-932-5711 ext. 2346
For Appointments
203-932-5711 ext. 7205
Fax 203-937-3403