Andrew Hughes, MD
Pulmonology
- Johns Hopkins School of Medicine Faculty
About Andrew Hughes
Professional Titles
- Senior Physician Advisor, Care Coordination/Clinical Resource Management, Johns Hopkins Hospital and Bayview Medical Center
Primary Academic Title
Assistant Professor of Medicine
Background
Dr. Andrew H. Hughes is a distinguished healthcare leader with over 13 years of experience in various facets of the healthcare industry. His expertise spans health system utilization management, regulatory compliance, clinical and financial analytics, quality improvement, electronic health record workflow design, and health plan leadership. Dr. Hughes is dedicated to guiding healthcare organizations to deliver exceptional care while ensuring optimal financial performance and regulatory adherence.
Since 2021, Dr. Hughes has served as the Senior Physician Advisor for Care Coordination and Clinical Resource Management at both the Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center. In this role, he collaborates closely with executive teams to lead teams of physician advisors, ensuring medical necessity and regulatory compliance. He also spearheads initiatives to enhance care coordination and resource management across these institutions, which collectively manage over 1,400 inpatient beds and more than 54,000 discharges annually.
Dr. Hughes holds an M.D. from the Johns Hopkins School of Medicine, where he graduated with honors, including Alpha Omega Alpha and Phi Beta Kappa. His postdoctoral training includes a residency in internal medicine and fellowships in Pulmonary and Critical Care Medicine, as well as Health Systems Management. His professional journey includes significant roles such as Assistant Chief of Service for the Osler Residency Training Program, Medical Director at Johns Hopkins HealthCare LLC, and academic appointments at Johns Hopkins University School of Medicine.
In addition to his leadership roles, Dr. Hughes is actively involved in research focused on hospital resource utilization, length of stay, and care coordination. His work has been published in numerous peer-reviewed journals, contributing valuable insights to the field of healthcare management. Dr. Hughes continues to mentor emerging leaders and collaborate on system innovation and quality improvement projects within Johns Hopkins Medicine.
Research Summary
Dr. Andrew H. Hughes' recent research interests primarily focus on optimizing hospital resource utilization, improving healthcare value, and enhancing care coordination. His work often explores the financial and operational impacts of healthcare policies and practices.
Dr. Hughes' research continues to contribute significantly to the fields of hospital management and healthcare policy, providing actionable insights to enhance the efficiency and effectiveness of healthcare delivery.
Selected Publications
- Locke CFS, Hu EP, Hirsch RL, Hughes AH, Sheehy AM. Improving healthcare value: Medicare reimbursement for short-stay inpatient versus outpatient medical hospitalizations. J Hosp Med. 2022 Jun;17(6):476-480. doi: 10.1002/jhm.12823. Epub 2022 Apr 30. PMID: 35488715
- Hughes AH, Horrocks D Jr, Leung C, Richardson MB, Sheehy AM, Locke CFS. The increasing impact of length of stay "outliers" on length of stay at an urban academic hospital. BMC Health Serv Res. 2021 Sep 9;21(1):940. doi: 10.1186/s12913-021-06972-6. PMID: 34503494; PMCID: PMC8427900
- Locke CFS, Hirsch RL, Hu EP, Hughes AH, Ficke JR. Potential Financial Effects on Hospitals of the Removal of Common Orthopaedic and Spinal Procedures From Medicare's "Inpatient-Only" List: A Comparison of the Medicare Fee-for-service Payment Model Versus Maryland's Global Budget Revenue Model. J Am Acad Orthop Surg. 2022 Jan 15;30(2):e264-e271. doi: 10.5435/JAAOS-D-21-00690. PMID: 34678850
- Conway SJ, Parekh AK, Hughes AH, Sylvester C, Himmelrich S, Hebert LC, Doyle D, Bellantoni M, Berkowitz SA. Postacute Care Transitions: Developing a Skilled Nursing Facility Collaborative within an Academic Health System. J Hosp Med. 2019 Mar;14(3):174-177. doi: 10.12788/jhm.3117. PMID: 30811325
Locations
- Johns Hopkins Bayview Medical Center
- 4940 Eastern Avenue, Baltimore, MD 21224
- phone: 410-550-0100
- fax: 410-550-0101
- The Johns Hopkins Hospital
- 1800 Orleans Street, Baltimore, MD 21287
- phone: 410-955-5000
- fax: 410-955-5001
Expertise
Education
Johns Hopkins University School of Medicine
Fellowship, Pulmonary and Critical Care Medicine, 2017Johns Hopkins University School of Medicine
Fellowship, Pulmonary and Critical Care Medicine, 2014Johns Hopkins University School of Medicine
Residency, Internal Medicine, 2013Johns Hopkins University School of Medicine
Medical Education, MD, 2010Board Certifications
Critical Care Medicine
American Board of Internal Medicine, 2018Pulmonary Disease
American Board of Internal Medicine, 2017Internal Medicine
American Board of Internal Medicine, 2013Insurance
- Aetna
- CareFirst
- Cigna
- First Health
- Geisinger Health Plan
- HealthSmart/Accel
- Humana
- Johns Hopkins Health Plans
- MultiPlan
- Pennsylvania's Preferred Health Networks (PPHN)
- Point Comfort Underwriters
- Private Healthcare Systems (PHCS)
- UnitedHealthcare
- Veteran Affairs Community Care Network (Optum-VACCN)