Harold H. Hines Jr Professor, Yale Univ; Director, YNHH CORE; Editor-in-Chief, JACC. Working to improve the future for those who follow us...
Joined September 2009
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5 Aug 2013
We are underestimating the downside of our current system when we contemplate change. We need to take some risks to do better. #abimf2013
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Jun 10
1/ I've spent 30 years building quality measurement — the measures, the registries, the public reporting. My new @JACCJournals Editor's Page says what I believe: what we built mattered, and it's not good enough. 🧵
jacc.org/doi/10.1016/j.jacc.…
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6/ And a warning: if we simplify quality to what's easiest to count, our measures stop resembling the care we aim to improve. The hardest-to-measure patient is often the one who most needs attention.
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Jun 10
7/ Not to scold. Not to frustrate. To assist. To improve. To excel. That was the promise from the beginning. It's now within reach.
@JACCJournals @YaleMed @YNHH
jacc.org/doi/10.1016/j.jacc.…
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May 14
Translating academic research into things people can use is among the most consequential work a university does. This week on Health & Veritas, @thehowie and I sit down with @JoshGeballe, who runs the part of Yale built for that work. @Yale_Ventures
insights.som.yale.edu/podcas…
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Harlan Krumholz retweeted
📢 【今週のJACC】今週は “高血圧特集” 📘
💊 治療抵抗性高血圧への新規治療
🧬 RNA治療（KARDINAL trial）
🌍 大気汚染と高血圧死亡リスク
💡 行動経済学を用いた服薬アドヒアランス改善
📊 STEP trialからみる血圧trajectory
など盛りだくさん✨
🔗jacc.org/
👉 “どこまで下げるか” だけでなく
👉 “どう実装するか” が問われる時代へ
@MitsuakiSawano @Nobu0129 @KenEjiri @SS_cardiol @SK2798 @ACCinTouch @JACCJournals @hmkyale
#Hypertension #高血圧 #循環器 #JACCばらん
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May 12
Ahead of #WorldHypertensionDay, this week's @JACCJournals is a special issue on hypertension. Worldwide, only 1 in 5 adults w/hypertension is controlled even to the old target.
The evidence has moved beyond calling the new target 'intensive.'
neverdelegateunderstanding.s…
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May 10
New substack: The Best Health Technology Moves Complexity Away from Patients
A conversation w/Lee Schwamm on Health & Veritas about AI, digital health, and designing technology that serves patients rather than burdening them.
@YaleMed @YaleSPH @YaleSOM
neverdelegateunderstanding.s…
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May 9
What makes an excellent digital patient experience?
Lee Schwamm: move complexity away from patients, make care easier to access & navigate, & build systems that convey trust and empathy.
A Health&Veritas conversation.
@YNHH @YaleSOM @YaleSPH
Listen: insights.som.yale.edu/podcas…
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May 8
My dear 92yo mother-in-law did not survive her heart attack. The CCU team showed our family what cardiology at its best looks like, and it wasn't the technology.
My @JACCJournals Editor's Page on the experience:
jacc.org/doi/10.1016/j.jacc.…
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May 8
What I wrote was 'What I witnessed in the coronary care unit was a form of clinical mastery that is rarely measured but deeply consequential.' And that is what moved me to write about it. jacc.org/doi/10.1016/j.jacc.…
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Despite growing guideline support, single-pill combination (SPC) therapy for hypertension remains strikingly underused in the U.S.
In a national EHR analysis of >7 million adults with newly diagnosed hypertension from 2015–2025, fewer than 1 in 10 patients initiated SPC therapy, with no increase after major guideline recommendations.
A persistent implementation gap in hypertension care with important implications for adherence, therapeutic inertia, and BP control.
Read our new JACC Brief Report:
authors.elsevier.com/a/1n30h…
#JACC #Hypertension @JACCJournals @YaleCardiology @DigitalCardiEpi @hmkyale @Chungsoo_ @SpatzErica
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Harlan Krumholz retweeted
Health & Veritas podcast: How do hospitals rapidly deploy AI tools without compromising patient safety? Lee Schwamm, @YaleMed's associate dean for digital strategy & transformation, joins @thehowie & @hmkyale to break it down. Listen now:
yalesom.io/4tWq4h8
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Harlan Krumholz retweeted
Great minds think alike!
I love how we are becoming more & more open as a community to sharing our personal reflections as clinicians from the other side of the bed. onlinejcf.com/article/S1071-…
Being a clinician doesn’t make us any less human or vulnerable, so it’s important for us to exchange our challenges, observations, and suggestions to continue to make things better for our patients & for our community. 🙏🏽
Thank you for sharing @hmkyale
If you haven't had the chance to read this month's moving editors page by @robmentz - please take a moment to do so.
onlinejcf.com/article/S1071-…
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Harlan Krumholz retweeted
“High-tech medicine saves lives. High-touch care helps people through what follows.”
In a new #JACC Editor’s Page, Dr. @hmkyale reflects on being on the other side of medicine — as a family member in the CCU. bit.ly/4dby5bb
@drapurvapopat reacts ⬇️ 🎥
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May 7
"The Paper That Didn't Disappear"
FDA reportedly held back several vaccine safety papers headed to publication. Fortunately, one was on medRxiv and remains available.
Why preprints matter; my latest Substack: neverdelegateunderstanding.s…
Also discussed in #healthandveritas podcast.
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Harlan Krumholz retweeted
Health & Veritas podcast: @thehowie & @hmkyale tackle the deadly history of anti-vaccine activism, unpack Yale's new report on trust in higher education, break down the peptide craze, and confront the moral distress crisis facing clinicians today.
yalesom.io/4w0Xixp
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