Kira L. Ryskina, MD, MSHP is an Assistant Professor of Medicine in the Division of General Internal Medicine at the Perelman School of Medicine at the University of Pennsylvania. Her research focuses on healthcare workforce and she is particularly interested in the factors that systematically affect the practice of physicians and other advanced providers. Her work explored the relationship between clinicians' training and their knowledge and practice of high value care, including generic prescribing and evidence-based screening for cancer. Dr. Ryskina is the recipient of a Career Development Award and several R01s from the NIA to study physician specialization in nursing home care as a potential mechanism to improve the outcomes of patients receiving post-acute care in nursing homes. She was among the first to describe the emergence of nursing home specialists ("SNFists") and evaluate its effects on care quality. Dr. Ryskina's research was published in JAMA, Annals of Internal Medicine, and JAMA Internal Medicine. She completed clinical training in internal medicine and primary care at New York Presbyterian‚ Weill Cornell. She treats hospitalized patients at the University of Pennsylvania Presbyterian Medical Center and maintains a small primary care patient panel at the Penn Advanced Internal Medicine practice in Philadelphia.
Areas of Expertise | Primary Care, Physician Workforce, Physician Practice Specialization, Acute Care/Critical Care/Hospitals, Medicare, Nursing Homes, Post-Acute Care
Clinical Areas | General Internal Medicine, Primary Care, Hospital Medicine
Visit the Ryskina Lab website for more information on Dr. Ryskina's research
Selected Publications:
Ryskina KL, Polsky DP, Werner RM. Physicians and Advanced Practitioners Specializing in Nursing Home Care, 2012-2015. JAMA. November 28, 2017; 318(20): 2040-2042. doi:10.1001/jama.2017.13378
Ryskina KL, Yuan Y, Werner RM. Post-acute Care Outcomes and Medicare Payments for Patients Treated by Physicians and Advanced Practitioners who Specialize in Nursing Home Practice. Health Serv Res. 2019 Mar 20. doi: 10.1111/1475-6773.13138. PMID: 30895600.
Ryskina KL, Yuan Y, Teng S, Burke R. Assessing First Visits by Physicians to Medicare Patients Discharged to Skilled Nursing Facilities. Health Affairs. April 2019 doi:10.1377/hlthaff.2018.05458
Ryskina KL, Yuan Y, Werner RM. Association of Medicare Spending With Subspecialty Consultation for Elderly Hospitalized Adults. JAMA Network Open. April 2019; 2(4):e191634. doi:10.1001/jamanetworkopen.2019.1634
Ryskina KL, Bhatla A, Werner RM. US Physicians with Recent Experience Managing Hospitalized Older Adults: an Observational Study. JGIM; 2020 Sep 19; doi: 10.1007/s11606-020-06240-z. PubMed PMID: 32948958
Ryskina KL, Shultz K, Zhou Y, Lautenbach G, Brown RT. Older Adults' Access to Primary Care: Gender, Racial, and Ethnic Disparities in Telemedicine. JAGS; Available online July 7, 2021. https://agsjournals.onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.17354
Ryskina KL, Shultz K, Unruh MA, Jung HY. Practice Trends and Characteristics of US Hospitalists. JAMA Health Forum. 2021;2(11):e213524.doi: 10.1001/jamahealthforum.2021.3524
Ryskina KL, Unruh MA, Qian Y, Jung YH. US Generalist Physicians and Groups that Focused Practice in a Single Care Setting: 2014-2017. Medical Care. 2022; 60(11): 831-838. doi: 10.1097/MLR.0000000000001778
Tian Y, Shultz K, Ryskina KL. Emergency department visits by older adults receiving postacute care in skilled nursing facilities. J Hosp Med. 2023;10.1002/.jhm.13226 (online ahead of print)
Ryskina KL, Liang J, Ritter A, Spetz J, Barnes H. State scope of practice restrictions and nurse practitioner practice in nursing homes: 2012-2019. Health Affairs Scholar. 2024;qxae018, https://doi.org/10.1093/haschl/qxae018 (published online ahead of print)
Visit Dr. Ryskina's Google Scholar page to view more publications