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.
- Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System
- University of Maryland, PhD
- Boston University, MSW
- Boston University, BA
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Published on 3/22/2022
Linsky AM, Kressin NR, Stolzmann K, Pendergast J, Rosen AK, Bokhour BG, Simon SR. Direct-to-consumer strategies to promote deprescribing in primary care: a pilot study. BMC Prim Care. 2022 03 22; 23(1):53. PMID: 35317734.
- Published on 2/1/2022
Rosen AK, Beilstein-Wedel EE, Harris AHS, Shwartz M, Vanneman ME, Wagner TH, Giori NJ. Comparing Postoperative Readmission Rates Between Veterans Receiving Total Knee Arthroplasty in the Veterans Health Administration Versus Community Care. Med Care. 2022 02 01; 60(2):178-186. PMID: 35030566.
- Published on 12/1/2021
Vincent BM, Molling D, Escobar GJ, Hofer TP, Iwashyna TJ, Liu VX, Rosen AK, Ryan AM, Seelye S, Wiitala WL, Prescott HC. Hospital-specific Template Matching for Benchmarking Performance in a Diverse Multihospital System. Med Care. 2021 12 01; 59(12):1090-1098. PMID: 34629424.
- Published on 11/16/2021
Wagner TH, Lo J, Beilstein-Wedel E, Vanneman ME, Shwartz M, Rosen AK. Estimating the Cost of Surgical Care Purchased in the Community by the Veterans Health Administration. MDM Policy Pract. 2021 Jul-Dec; 6(2):23814683211057902. PMID: 34820527.
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