A K Rosen

Summary

Affiliation: Boston University
Country: USA

Publications

  1. ncbi Do different case-mix measures affect assessments of provider efficiency? Lessons from the Department of Veterans Affairs
    Amy K Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford VAMC, 200 Springs Road 152, Bedford, MA 01730, USA
    J Ambul Care Manage 26:229-42. 2003
  2. ncbi Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions
    Amy K Rosen
    Center for Leadership, Organization and Management Research COLMR, VA Boston Healthcare System, Boston, MA 02130, USA
    Med Care 51:37-44. 2013
  3. ncbi Performance of statistical models to predict mental health and substance abuse cost
    Maria Montez-Rath
    Boston University School of Public Health, Department of Biostatistics, Boston, Massachusetts, USA
    BMC Med Res Methodol 6:53. 2006
  4. ncbi Risk adjustment for measuring health outcomes: an application in VA long-term care
    A Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford VAMC 152, 200 Springs Rd, Bedford, Mass 01730, USA
    Am J Med Qual 16:118-27. 2001
  5. ncbi Applying diagnostic cost groups to examine the disease burden of VA facilities: comparing the six "Evaluating VA Costs" study sites with other VA sites and Medicare
    Amy K Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford Veterans Affairs Medical Center 152, 200 Springs Road, Bedford, MA 01730, USA
    Med Care 41:II91-102. 2003
  6. ncbi Tracking rates of Patient Safety Indicators over time: lessons from the Veterans Administration
    Amy K Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford VAMC 152, Bedford, Massachusetts 01730, USA
    Med Care 44:850-61. 2006
  7. ncbi Hospital safety climate and safety outcomes: is there a relationship in the VA?
    Amy K Rosen
    VA Boston Healthcare System, MA, Boston University School of Public Health, MA, USA
    Med Care Res Rev 67:590-608. 2010
  8. ncbi Applying a risk-adjustment framework to primary care: can we improve on existing measures?
    Amy K Rosen
    Center for Health Quality, Outcomes and Economic Research, VAMC 152, Bedford, Mass 01730, USA
    Ann Fam Med 1:44-51. 2003
  9. ncbi Improving risk adjustment of self-reported mental health outcomes
    Amy K Rosen
    Center for Health Quality, Outcomes, and Economic Research a VA HSR and D Center of Excellence, Edith Nourse Rogers Memorial Veterans Hospital, 200 Springs Road, Bedford, MA, 01730, USA
    J Behav Health Serv Res 37:291-306. 2010
  10. ncbi Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients
    Amy K Rosen
    Center for Health Quality, Outcomes, and Economic Research, VA Center of Excellence, 200 Springs Road 152, Bedford, MA 01730, USA
    Med Care 47:723-31. 2009

Detail Information

Publications55

  1. ncbi Do different case-mix measures affect assessments of provider efficiency? Lessons from the Department of Veterans Affairs
    Amy K Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford VAMC, 200 Springs Road 152, Bedford, MA 01730, USA
    J Ambul Care Manage 26:229-42. 2003
    ..This suggests that caution should be used so that providers are not misclassified based on reported efficiency...
  2. ncbi Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions
    Amy K Rosen
    Center for Leadership, Organization and Management Research COLMR, VA Boston Healthcare System, Boston, MA 02130, USA
    Med Care 51:37-44. 2013
    ..By focusing primarily on outcomes in the inpatient setting one may overlook serious adverse events that may occur after discharge (eg, readmissions, mortality) as well as opportunities for improving outpatient care...
  3. ncbi Performance of statistical models to predict mental health and substance abuse cost
    Maria Montez-Rath
    Boston University School of Public Health, Department of Biostatistics, Boston, Massachusetts, USA
    BMC Med Res Methodol 6:53. 2006
    ..We examine the predictive ability of several statistical models, demonstrate how model choice depends on the goal for the predictive model, and examine whether building models on samples of the data affects model choice...
  4. ncbi Risk adjustment for measuring health outcomes: an application in VA long-term care
    A Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford VAMC 152, 200 Springs Rd, Bedford, Mass 01730, USA
    Am J Med Qual 16:118-27. 2001
    ..We conclude that judgments of facility performance depend on whether risk-adjusted or unadjusted decline rates are used. Valid risk adjustment models are therefore necessary when comparing facilities on outcomes...
  5. ncbi Applying diagnostic cost groups to examine the disease burden of VA facilities: comparing the six "Evaluating VA Costs" study sites with other VA sites and Medicare
    Amy K Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford Veterans Affairs Medical Center 152, 200 Springs Road, Bedford, MA 01730, USA
    Med Care 41:II91-102. 2003
    ..To compare the disease burden of Veterans Health Administration (VA) patients at six study sites with all other VA patients and the Medicare population...
  6. ncbi Tracking rates of Patient Safety Indicators over time: lessons from the Veterans Administration
    Amy K Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford VAMC 152, Bedford, Massachusetts 01730, USA
    Med Care 44:850-61. 2006
    ....
  7. ncbi Hospital safety climate and safety outcomes: is there a relationship in the VA?
    Amy K Rosen
    VA Boston Healthcare System, MA, Boston University School of Public Health, MA, USA
    Med Care Res Rev 67:590-608. 2010
    ..Perceptions of frontline staff were more closely aligned with PSIs than those of senior managers...
  8. ncbi Applying a risk-adjustment framework to primary care: can we improve on existing measures?
    Amy K Rosen
    Center for Health Quality, Outcomes and Economic Research, VAMC 152, Bedford, Mass 01730, USA
    Ann Fam Med 1:44-51. 2003
    ..The risk-adjustment framework should also be of use to health care organizations that have been mandated to deliver high-quality primary care but are lacking the necessary tools...
  9. ncbi Improving risk adjustment of self-reported mental health outcomes
    Amy K Rosen
    Center for Health Quality, Outcomes, and Economic Research a VA HSR and D Center of Excellence, Edith Nourse Rogers Memorial Veterans Hospital, 200 Springs Road, Bedford, MA, 01730, USA
    J Behav Health Serv Res 37:291-306. 2010
    ....
  10. ncbi Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients
    Amy K Rosen
    Center for Health Quality, Outcomes, and Economic Research, VA Center of Excellence, 200 Springs Road 152, Bedford, MA 01730, USA
    Med Care 47:723-31. 2009
    ..We investigated whether rates of patient safety indicators (PSIs) changed after these reforms...
  11. ncbi Dual-system use: are there implications for risk adjustment and quality assessment?
    Amy K Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford, MA 01730, USA
    Am J Med Qual 20:182-94. 2005
    ..The authors conclude that it is important to capture the true disease burden of the population by obtaining diagnoses from all health care systems providing care to facilitate meaningful comparisons of performance...
  12. ncbi Evaluating the patient safety indicators: how well do they perform on Veterans Health Administration data?
    Amy K Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford VAMC 152, Bedford, Massachusetts 01730, USA
    Med Care 43:873-84. 2005
    ..Although the Veterans Health Administration (VA) is a national leader in patient safety, accurate information on the epidemiology of patient safety events in the VA is still unavailable...
  13. ncbi Applying trigger tools to detect adverse events associated with outpatient surgery
    Amy K Rosen
    Center for Organization, Leadership, Management Research, A VA Center of Excellence, VA Boston Healthcare System, Boston, Massachusetts 02130, USA
    J Patient Saf 7:45-59. 2011
    ..Current efforts to detect AEs have focused primarily on the inpatient setting, despite the increase in outpatient surgery in all health care settings...
  14. ncbi Profiling resource use: do different outcomes affect assessments of provider efficiency?
    Amy K Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford Veterans Affairs Medical Center, Bedford, MA 01730, USA
    Am J Manag Care 8:1105-15. 2002
    ..To examine whether 2 outcome measures result in different assessments of efficiency across 22 service networks within the Department of Veterans Affairs (VA)...
  15. ncbi Episodes of care: theoretical frameworks versus current operational realities
    A K Rosen
    Department of Health Services, Boston University School of Public Health, USA
    Jt Comm J Qual Improv 25:111-28. 1999
    ..Furthermore, until the data sources used are more valid and reliable, they will at best remain gross screening measures of quality...
  16. ncbi Functional status outcomes for assessment of quality in long-term care
    A K Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford VAMC, MA 01730, USA
    Int J Qual Health Care 11:37-46. 1999
    ..We examined whether different definitions of decline in functional status affect judgments of quality of care provided in Department of Veterans Affairs (VA) long-term care facilities...
  17. ncbi Does diagnostic information contribute to predicting functional decline in long-term care?
    A Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford VAMC, Massachusetts 01730, USA
    Med Care 38:647-59. 2000
    ..Compared with the acute-care setting, use of risk-adjusted outcomes in long-term care is relatively new. With the recent development of administrative databases in long-term care, such uses are likely to increase...
  18. ncbi Evaluating diagnosis-based case-mix measures: how well do they apply to the VA population?
    A K Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford VAMC, MA 01730, USA
    Med Care 39:692-704. 2001
    ..Diagnosis-based case-mix measures are increasingly used for provider profiling, resource allocation, and capitation rate setting. Measures developed in one setting may not adequately capture the disease burden in other settings...
  19. ncbi Recruitment of hospitals for a safety climate study: facilitators and barriers
    Amy K Rosen
    Center for Health Quality, Outcomes and Economic Research, Department of Veterans Affairs Center of Excellence, Bedford, MA, USA
    Jt Comm J Qual Patient Saf 34:275-84. 2008
    ..Factors affecting recruitment of 30 Department of Veterans Affairs (VA) hospitals into a study to evaluate perceptions of safety culture, or safety "climate," were examined...
  20. ncbi Validating the patient safety indicators in the Veterans Health Administration: do they accurately identify true safety events?
    Amy K Rosen
    Center for Organization, Leadership and Management Research COLMR, VA Boston Healthcare System, Boston, MA 02130, USA or
    Med Care 50:74-85. 2012
    ..However, few studies have determined how accurately the PSIs identify true safety events...
  21. ncbi No racial differences in mortality found among Veterans Health Administration out-patients
    Alfredo J Selim
    Center for Health Quality Outcomes and Economic Research, VA Medical Center, Bedford, and Boston University School of Medicine and Public Health, MA, USA
    J Clin Epidemiol 57:539-42. 2004
    ..We examined whether racial differences in mortality rates exist among patients receiving outpatient care within the Veterans Health Administration...
  22. ncbi Diagnostic cost groups (DCGs) and concurrent utilization among patients with substance abuse disorders
    Amy K Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford VAMC/Edith Nourse Rogers Memorial Veterans Hospital, MA 01730, USA
    Health Serv Res 37:1079-103. 2002
    ..Because considerable variation still remained after modeling, we conclude that health care systems should evaluate "off-the-shelf" risk adjustment systems before applying them to their own populations...
  23. ncbi Risk-adjusted mortality rates as a potential outcome indicator for outpatient quality assessments
    Alfredo J Selim
    Center for Health Quality, Outcomes, and Economic Research, A Health Services Research and Development Field Program, VA Medical Center, Bedford, Massachusetts, USA
    Med Care 40:237-45. 2002
    ..The quality of outpatient medical care is increasingly recognized as having an important impact on mortality. We examined whether a clinically credible risk adjustment methodology can be developed for outpatient quality assessments...
  24. ncbi Use of risk-adjusted change in health status to assess the performance of integrated service networks in the Veterans Health Administration
    Alfredo J Selim
    Center for Health Quality, Outcomes, and Economic Research, A Health Services Research and Development Field Program, VA Medical Center, Bedford, MA 01730, USA
    Int J Qual Health Care 18:43-50. 2006
    ..We examined whether a clinically credible risk adjustment methodology for the outcome of change in health status can be developed for performance assessment of integrated service networks...
  25. ncbi Evaluation of complication rates after coronary artery bypass surgery using administrative data
    W A Ghali
    Health Care Research Unit, Evans Department of Medicine, Boston Medical Center, MA, USA
    Methods Inf Med 37:192-200. 1998
    ....
  26. ncbi Using patient safety indicators to estimate the impact of potential adverse events on outcomes
    Peter E Rivard
    VA Boston Healthcare System, USA
    Med Care Res Rev 65:67-87. 2008
    ..This study contributes to the literature measuring outcomes of medical errors and provides evidence that AHRQ PSIs may be useful indicators for comparison across delivery systems...
  27. ncbi Use of VA and Medicare services by dually eligible veterans with psychiatric problems
    Kathleen Carey
    VA Center for Health Quality, Outcomes and Economic Research and, Boston University School of Public Health, 200 Springs Road, Bedford, MA 01730, USA
    Health Serv Res 43:1164-83. 2008
    ....
  28. ncbi Using administrative data to identify surgical adverse events: an introduction to the Patient Safety Indicators
    Haytham M A Kaafarani
    Department of Surgery, VA Boston Healthcare System, West Roxbury, MA, USA
    Am J Surg 198:S63-8. 2009
    ....
  29. ncbi Comparison of in-hospital versus 30-day mortality assessments for selected medical conditions
    Ann M Borzecki
    Center for Health Quality, Outcomes, and Economic Research, Bedford VAMC, Bedford, MA 01730, USA
    Med Care 48:1117-21. 2010
    ..However, hospital assessments based on a 30-day postadmission interval might be more accurate given potential differences in facility discharge practices...
  30. ncbi Gender differences in veterans health administration mental health service use: effects of age and psychiatric diagnosis
    Sharmila Chatterjee
    Center for Health Quality, Outcomes and Economic Research CHQOER, Bedford VAMC 152, Bedford, Massachusetts 01730, USA
    Womens Health Issues 19:176-84. 2009
    ....
  31. ncbi Measuring the quality of depression care in a large integrated health system
    Andrea Charbonneau
    Center for Health Quality, Outcomes, and Economic Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts 01730, USA
    Med Care 41:669-80. 2003
    ..Guideline-based depression process measures provide a powerful way to monitor depression care and target areas needing improvement...
  32. ncbi Trends in the inpatient quality indicators: the Veterans Health Administration experience
    Ann M Borzecki
    Center for Health Quality, Outcomes and Economic Research, Bedford VAMC, Bedford, MA, USA
    Med Care 48:694-702. 2010
    ....
  33. ncbi Racial differences in health-related beliefs, attitudes, and experiences of VA cardiac patients: scale development and application
    Nancy R Kressin
    Center for Health Quality, Outcomes and Economic Research a VA Health Services Research and Development National Center of Excellence, Bedford VA Medical Center, Massachusetts 01730, USA
    Med Care 40:I72-85. 2002
    ....
  34. ncbi Purchasing or providing nursing home care: can quality of care data provide guidance
    Dan R Berlowitz
    Center for Health Quality, Outcomes, and Economic Research, Bedford Veterans Affairs Hospital, 200 Springs Road, Bedford, MA 01730, USA
    J Am Geriatr Soc 53:603-8. 2005
    ....
  35. ncbi Racial differences in cardiac catheterization as a function of patients' beliefs
    Nancy R Kressin
    Center for Health Quality, Outcomes and Economic Research, Bedford Veterans Affairs Medical Center, Bedford, MA 01730, USA
    Am J Public Health 94:2091-7. 2004
    ..We examined racial differences in cardiac catheterization rates and reviewed whether patients' beliefs or other variables were associated with observed disparities...
  36. ncbi How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital?
    Haytham M A Kaafarani
    Department of Surgery, Boston, VA Healthcare System, West Roxbury, MA, USA
    Am J Surg 198:70-5. 2009
    ..A strong patient safety culture in the operating room (OR) and post-anesthesia care unit (PACU) is essential to promote safe care...
  37. ncbi An overview of patient safety climate in the VA
    Christine W Hartmann
    Center for Health Quality, Outcomes and Economic Research, A VA Center of Excellence, Bedford, MA 01730, USA
    Health Serv Res 43:1263-84. 2008
    ..To assess variation in safety climate across VA hospitals nationally...
  38. ncbi The exclusion of non-English-speaking persons from research
    S M Frayne
    Section of General Internal Medicine, Boston University School of Medicine, MA, USA
    J Gen Intern Med 11:39-43. 1996
    ....
  39. ncbi Patient safety in geriatrics: a call for action
    Dionyssios Tsilimingras
    Center for Health Quality, Outcomes, and Economic Research, Bedford Veterans Affairs Medical Center, Bedford, Massachusetts 01730, USA
    J Gerontol A Biol Sci Med Sci 58:M813-9. 2003
    ....
  40. ncbi Relationship of hospital organizational culture to patient safety climate in the Veterans Health Administration
    Christine W Hartmann
    Center for Health Quality, Outcomes, and Economic Research, Bedford, MA, USA
    Med Care Res Rev 66:320-38. 2009
    ..Hospitals could use these results to design specific interventions aimed at improving safety climate...
  41. ncbi Enhancing patient safety through organizational learning: Are patient safety indicators a step in the right direction?
    Peter E Rivard
    Center for Health Quality, Outcomes and Economic Research, Bedford VAMC, 200 Springs Road 152, Bedford, MA 01730, USA
    Health Serv Res 41:1633-53. 2006
    ..To assess the potential contribution of the Agency for Healthcare Research and Quality Patient Safety Indicators (PSIs) to organizational learning for patient safety improvement...
  42. ncbi An exploration of job design in long-term care facilities and its effect on nursing employee satisfaction
    Denise A Tyler
    Boston University School of Public Health, Massachusetts, USA
    Health Care Manage Rev 31:137-44. 2006
    ..This study used quantitative and qualitative methods to examine the design of nursing jobs in long-term care facilities and the effect of job design on employee satisfaction...
  43. ncbi Development and validation of a psychiatric case-mix system
    Kevin L Sloan
    VA Puget Sound Health Care System, and the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington 98108 1597, USA
    Med Care 44:568-80. 2006
    ..Although difficulties in applying risk-adjustment measures to mental health populations are increasingly evident, a model designed specifically for patients with psychiatric disorders has never been developed...
  44. ncbi The hazards of stroke case selection using administrative data
    Dean M Reker
    Kansas City VA Medical Center and Center on Aging, University of Kansas Medical Center, Kansas, USA
    Med Care 40:96-104. 2002
    ..Administrative data and ICD-9-CM diagnostic codes are frequently used in research efforts to evaluate risk adjusted patient outcomes, particularly mortality. Varying ICD-9-CM sampling algorithms have been used to identify stroke patients...
  45. ncbi Safety culture: is the "unit" the right "unit of analysis"?
    David M Gaba
    Crit Care Med 35:314-6. 2007
  46. ncbi Predicting costs of care using a pharmacy-based measure risk adjustment in a veteran population
    Anne E Sales
    VA Puget Sound Health Care System, Seattle, Washington 98108, USA
    Med Care 41:753-60. 2003
    ..The Veterans Health Administration (VHA) is an ideal environment in which to test the efficacy of a pharmacy-based approach...
  47. ncbi Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform
    Kevin G Volpp
    Center for Health Equity Research and Promotion, Veterans Administration Hospital, Philadelphia, Pennsylvania 19104 6021, USA
    JAMA 298:975-83. 2007
    ..The association of duty hour reform with mortality among patients in teaching hospitals nationally has not been well established...
  48. ncbi Case-mix adjusting performance measures in a veteran population: pharmacy- and diagnosis-based approaches
    Chuan-Fen Liu
    VA Puget Sound Health Care System, Seattle, WA 98108, USA
    Health Serv Res 38:1319-37. 2003
    ..Differences in rankings may reflect differences in comparability of data capture across facilities between pharmacy and diagnosis data sources, and unstable estimates due to small numbers of patients in a facility...
  49. ncbi Monitoring depression care: in search of an accurate quality indicator
    Andrea Charbonneau
    Division of General and Geriatric Medicine, University of Kansas School of Medicine, Kansas City, KS 66160, USA
    Med Care 42:522-31. 2004
    ..Linking process and outcomes is critical to accurately estimating healthcare quality and quantifying its benefits...
  50. ncbi Potentially inappropriate prescribing for the elderly: effects of geriatric care at the patient and health care system level
    Mary Jo V Pugh
    South Texas Veterans Health Care System, San Antonio, Texas, USA
    Med Care 46:167-73. 2008
    ....
  51. ncbi Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform
    Kevin G Volpp
    Center for Health Equity Research and Promotion, Veterans Administration Hospital, Philadelphia, Pennsylvania 19104 6021, USA
    JAMA 298:984-92. 2007
    ..The association of these changes with mortality among hospitalized patients has not been well established...
  52. ncbi Failure-to-rescue: comparing definitions to measure quality of care
    Jeffrey H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
    Med Care 45:918-25. 2007
    ..This study examines the reliability and validity of different FTR measures currently in use...
  53. ncbi The association between mental health functioning and nontraumatic lower extremity amputations in veterans with diabetes
    Chin Lin Tseng
    Department of Veteran Affairs Center for Health Care Knowledge and Management, VA New Jersey Health Care System, East Orange, NJ 07018, USA
    Gen Hosp Psychiatry 29:537-46. 2007
    ..The objective of this study was to evaluate the association between mental health functioning and lower extremity amputations (LEAs) in veterans with diabetes...
  54. ncbi The relationship of system-level quality improvement with quality of depression care
    Andrea Charbonneau
    Division of General and Geriatric Medicine, University of Kansas Medical Center, Kansas City, KS 66160, USA
    Am J Manag Care 10:846-51. 2004
    ..To explore the relationship of systemwide continuous quality improvement (CQI) with depression care quality in the Veterans Health Administration (VHA)...
  55. ncbi Potentially inappropriate prescribing in elderly veterans: are we using the wrong drug, wrong dose, or wrong duration?
    Mary Jo V Pugh
    Veterans Evidence Based Research Dissemination and Implementation Center, Audie L Murphy Division South Texas Veterans Health Care System, San Antonio, Texas 78229, USA
    J Am Geriatr Soc 53:1282-9. 2005
    ....