Amy K. Rosen, PhD
Professor, Surgery
Biography
Dr. Rosen is Professor of Surgery at Chobanian and Avedisian School of Medicine and a researcher at the Center for Healthcare Organization and Implementation Research (CHOIR) at VA Boston Healthcare System. 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.
Other Positions
- Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System
Education
- University of Maryland, PhD
- Boston University, MSW
- Boston University, BA
Publications
- Published on 7/9/2024
Harris AHS, Eddington H, Shah VB, Shwartz M, Gurewich D, Rosen AK, Quinteros B, Wilcher B, Nieser KJ, Jones G, Wu JT, Morris AM. Statistical Methods to Examine Racial and Ethnic Disparities in the Surgical Literature: A Review and Recommendations for Improvement. Ann Surg. 2024 Jul 09. PMID: 38979600.
Read at: PubMed - Published on 6/7/2024
Rosen AK, Beilstein-Wedel E, Shwartz M, Davila H, Gurewich D. Racial and Ethnic and Rural Variations in Access to Primary Care for Veterans Following the MISSION Act. JAMA Health Forum. 2024 Jun 07; 5(6):e241568. PMID: 38904952.
Read at: PubMed - Published on 5/8/2024
Sullivan JL, Shin MH, Chan J, Shwartz M, Miech EJ, Borzecki AM, Yackel E, Yende S, Rosen AK. Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". Health Serv Res. 2024 May 08. PMID: 38719340.
Read at: PubMed - Published on 12/8/2023
Rosen AK, Beilstein-Wedel E, Chan J, Borzecki A, Miech EJ, Mohr DC, Yackel EE, Flynn J, Shwartz M. Standardizing Patient Safety Event Reporting between Care Delivered or Purchased by the Veterans Health Administration (VHA). Jt Comm J Qual Patient Saf. 2024 Apr; 50(4):247-259. PMID: 38228416.
Read at: PubMed - Published on 4/17/2023
Shwartz M, Rosen AK, Beilstein-Wedel E, Davila H, Harris AH, Gurewich D. Using the Kitagawa Decomposition to Measure Overall-and Individual Facility Contributions to-Within-facility and Between-facility Differences: Analyzing Racial and Ethnic Wait Time Disparities in the Veterans Health Administration. Med Care. 2023 Jun 01; 61(6):392-399. PMID: 37068035.
Read at: PubMed - Published on 1/3/2023
Gurewich D, Beilstein-Wedel E, Shwartz M, Davila H, Rosen AK. Disparities in Wait Times for Care Among US Veterans by Race and Ethnicity. JAMA Netw Open. 2023 Jan 03; 6(1):e2252061. PMID: 36689224.
Read at: PubMed - Published on 12/1/2022
Itani KMF, Rosen AK. Association of Expanded Health Care Options for Community Care With Veterans' Surgical Outcomes. JAMA Surg. 2022 Dec 01; 157(12):1123-1124. PMID: 36223140.
Read at: PubMed - Published on 9/1/2022
Giori NJ, Beilstein-Wedel EE, Shwartz M, Harris AHS, Vanneman ME, Wagner TH, Rosen AK. Association of Quality of Care With Where Veterans Choose to Get Knee Replacement Surgery. JAMA Netw Open. 2022 Sep 01; 5(9):e2233259. PMID: 36178687.
Read at: PubMed - Published on 8/30/2022
Vanneman ME, Rosen AK, Wagner TH, Shwartz M, Gordon SH, Greenberg G, Zheng T, Cook J, Beilstein-Wedel E, Greene T, Kelley AT. Differences Between VHA-Delivered and VHA-Purchased Behavioral Health Care in Service and Patient Characteristics. Psychiatr Serv. 2023 Feb 01; 74(2):148-157. PMID: 36039555.
Read at: PubMed - Published on 6/3/2022
McGrath BM, Takamine L, Hogan CK, Hofer TP, Rosen AK, Sussman JB, Wiitala WL, Ryan AM, Prescott HC. Interpretability, credibility, and usability of hospital-specific template matching versus regression-based hospital performance assessments; a multiple methods study. BMC Health Serv Res. 2022 Jun 03; 22(1):739. PMID: 35659234.
Read at: PubMed
View 244 more publications: View full profile at BUMC