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 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 4/18/2018
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 Apr 18. PMID: 29710234.
- 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 Mar 06. PMID: 29563021.
- Published on 2/14/2018
Shin MH, Rivard PE, Shwartz M, Borzecki A, Yaksic E, Stolzmann K, Zubkoff L, Rosen AK. Tailoring an educational program on the AHRQ Patient Safety Indicators to meet stakeholder needs: lessons learned in the VA. BMC Health Serv Res. 2018 02 14; 18(1):114. PMID: 29444671.
- Published on 2/1/2018
Sterbling HM, Rosen AK, Hachey KJ, Vellanki NS, Hewes PD, Rao SR, Pinjic E, Fernando HC, Litle VR. Caprini Risk Model Decreases Venous Thromboembolism Rates in Thoracic Surgery Cancer Patients. Ann Thorac Surg. 2018 Mar; 105(3):879-885. PMID: 29397103.
- Published on 1/23/2018
Mull HJ, Rosen AK, O'Brien WJ, McIntosh N, Legler A, Hawn MT, Itani KMF, Pizer SD. Factors Associated with Hospital Admission after Outpatient Surgery in the Veterans Health Administration. Health Serv Res. 2018 Jan 23. PMID: 29363106.
- Published on 12/1/2017
Shwartz M, Rosen AK, Burgess JF. Can Composite Measures Provide a Different Perspective on Provider Performance Than Individual Measures? Med Care. 2017 Dec; 55(12):e99-e103. PMID: 29135772.
- Published on 11/4/2017
Mull HJ, Rosen AK, Charns MP, Itani KMF, Rivard PE. Identifying Risks and Opportunities in Outpatient Surgical Patient Safety: A Qualitative Analysis of Veterans Health Administration Staff Perceptions. J Patient Saf. 2017 Nov 04. PMID: 29112029.
- Published on 9/28/2017
Chen L, Chan JA, Alligood E, Rosen AK, Borzecki AM. Does Surveillance Bias Influence the Validity of Measures of Inpatient Complications? A Systematic Review. Am J Med Qual. 2018 May/Jun; 33(3):291-302. PMID: 28958153.
- Published on 7/1/2017
Rosen AK, O'Brien W, Chen Q, Shwartz M, Itani KFM, Gunnar W. Trends in the Purchase of Surgical Care in the Community by the Veterans Health Administration. Med Care. 2017 Jul; 55 Suppl 7 Suppl 1:S45-S52. PMID: 28319582.
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