Dr. Rosen is Professor of Health Policy and Management at Boston University School of Public Health and a researcher at the Center for Health Quality, Outcomes and Economic Research. She has conducted health services research projects involving the development and use of risk-adjustment models used to compare quality of care delivery in different settings: hospital, long-term care, and ambulatory care. Among her studies, she has evaluated the quality of care delivered to Medicare beneficiaries who received surgical procedures, for which a measure called “adverse events” became an important way to screen for potential instances of poor quality in this population. In long-term care, she developed a risk-adjustment model to predict decline in functional status among long-term care residents in VA settings. In the ambulatory setting, she evaluated case-mix models currently used for provider profiling, setting capitation rates, and quality assessment. These include the Adjusted Clinical Groups, the Diagnostic Cost Groups, and the Chronic Illness and Disability Payment System. She was a principal investigator of a project developing a psychiatric case-mix measure for the VA used to compare the care that facilities provide to patients with mental health disorders. More recently, Dr. Rosen has worked in the area of patient safety. She has examined the prevalence and incidence of Patient Safety Indicators, developed by AHRQ, in the VA, and has evaluated their construct and criterion validity. She has worked closely with AHRQ to improve the indicators. She is currently working on a study examining the patient safety culture of VA hospitals, as well as the changes in the quality and safety of care resulting from the resident work duty reform legislation. Dr. Rosen received her PhD from the University of Maryland in sociology.
- VA Boston Healthcare System
- University of Maryland, PhD
- Boston University, MSW
- Boston University, BA
- Published on 9/24/2018
Rosen AK, Wagner TH, Pettey WBP, Shwartz M, Chen Q, Lo J, O'Brien WJ, Vanneman ME. Differences in Risk Scores of Veterans Receiving Community Care Purchased by the Veterans Health Administration. Health Serv Res. 2018 Dec; 53 Suppl 3:5438-5454. PMID: 30251367.
- Published on 9/5/2018
Hachey K, Morgan R, Rosen A, Rao SR, McAneny D, Tseng J, Doherty G, Sachs T. Quality Comes with the (Anatomic) Territory: Evaluating the Impact of Surgeon Operative Mix on Patient Outcomes After Pancreaticoduodenectomy. Ann Surg Oncol. 2018 Dec; 25(13):3795-3803. PMID: 30187279.
- Published on 9/1/2018
Wahl TS, Graham LA, Morris MS, Richman JS, Hollis RH, Jones CE, Itani KM, Wagner TH, Mull HJ, Whittle JC, Telford GL, Rosen AK, Copeland LA, Burns EA, Hawn MT. Association Between Preoperative Proteinuria and Postoperative Acute Kidney Injury and Readmission. JAMA Surg. 2018 Sep 01; 153(9):e182009. PMID: 29971429.
- Published on 8/27/2018
Mull HJ, Itani KMF, Pizer SD, Charns MP, Rivard PE, McIntosh N, Hawn MT, Rosen AK. Development of an Adverse Event Surveillance Model for Outpatient Surgery in the Veterans Health Administration. Health Serv Res. 2018 Dec; 53(6):4507-4528. PMID: 30151826.
- Published on 8/7/2018
Sullivan JL, Shin MH, Engle RL, Yaksic E, VanDeusen Lukas C, Paasche-Orlow MK, Starr LM, Restuccia JD, Holmes SK, Rosen AK. Evaluating the Implementation of Project Re-Engineered Discharge (RED) in Five Veterans Health Administration (VHA) Hospitals. Jt Comm J Qual Patient Saf. 2018 Nov; 44(11):663-673. PMID: 30097383.
- Published on 8/1/2018
Mull HJ, Graham LA, Morris MS, Rosen AK, Richman JS, Whittle J, Burns E, Wagner TH, Copeland LA, Wahl T, Jones C, Hollis RH, Itani KMF, Hawn MT. Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Process to Identify Relevant Diagnosis Codes. JAMA Surg. 2018 Aug 01; 153(8):728-737. PMID: 29710234.
- Published on 7/4/2018
Borzecki AM, Chen Q, O'Brien W, Shwartz M, Najjar PA, Itani KMF, Rosen AK. The Patient Safety Indicator Perioperative Pulmonary Embolism or Deep Vein Thrombosis: Is there associated surveillance bias in the Veterans Health Administration? Am J Surg. 2018 Nov; 216(5):974-979. PMID: 30005806.
- Published on 7/1/2018
Mull HJ, Itani KMF, Charns MP, Pizer SD, Rivard PE, Hawn MT, Rosen AK. The Nature and Severity of Adverse Events in Select Outpatient Surgical Procedures in the Veterans Health Administration. Qual Manag Health Care. 2018 Jul/Sep; 27(3):136-144. PMID: 29944625.
- Published on 6/1/2018
Titan A, Graham L, Rosen A, Itani K, Copeland LA, Mull HJ, Burns E, Richman J, Kertesz S, Wahl T, Morris M, Whittle J, Telford G, Wilson M, Hawn M. Homeless Status, Postdischarge Health Care Utilization, and Readmission After Surgery. Med Care. 2018 Jun; 56(6):460-469. PMID: 29746348.
- Published on 3/6/2018
Chen Q, Rosen AK, Amirfarzan H, Rochman A, Itani KMF. Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. Am J Surg. 2018 Nov; 216(5):846-850. PMID: 29563021.
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