Senior Research Scientist, Center for Health Quality, Outcomes and Economic Research (CHQOER)
Bedford Veterans Affairs Medical Center
Associate Professor of Public Health, Boston University School of Public Health (BUSPH)

CHQOER
Bedford VA Hospital
200 Springs Rd (152)
Bedford, MA   01730
781.687.2960   
akrosen@bu.edu

Dr. Amy Rosen is a Senior Research Scientist in the Health Quality Section at the Center for Health Quality, Outcomes, and Economic Research (CHQOER). Dr. Rosen's research interest focuses on secondary analysis of long-term care data to develop a risk-adjustment model to predict decline in functional status among VA long-term care residents, as well as on the development of a diagnosis-based ambulatory care case-mix measure for the purpose of rofiling and predicting the health care resource utilization of the population.
Dr. Rosen was involved in research on quality of hospital care and risk-adjustment methodologies at Boston University School of Medicine. She also conducted an evaluation of non-smoking policies and their effects on employees' and residents' smoking behavior at worksites, restaurants, and retail stores. Other research interests include: health policy issues related to the consequences of managed care and sociological factors in health services research.

Wetle T, Levkoff S, Cwikel J, Rosen A. Nursing home resident participation in medical decisions: Perceptions and preferences. The Gerontologist (28) 1988, p. 32-38.

Sorensen G, Rosen A, Pinney J, Rudolph J, Doyle N. Worksite smoking policies in small businesses. Journal of Occupational Medicine 33(9) 1991, p. 980-984.

Sorensen G, Rigotti N, Rosen A, Pinney J, Prible R. Employee knowledge and attitudes about a worksite nonsmoking policy: Rationale for further smoking restrictions. Journal of Occupational Medicine 33(11) 1991, p. 1125-1130.

Sorensen G, Rigott, N, Rosen A, Pinney J, Prible R. Effect of a worksite nonsmoking policy: Evidence for increased cessation. American Journal of Public Health 81(2) 1991, p. 202-204.

Rosen A, Geraci J, Ash A, McNiff K, Moskowitz M. Postoperative adverse events of common surgical procedures in the Medicare population. Medical Care 39(9) 1992, p. 753-765.

Petersen L, Handel J, Kotch J, Podedworny T, Rosen A. Combining self-help with clinical support to reduce smoking among prenatal patients in an HMO. Obstetrics and Gynecology 79(6) 1992, p. 924-930.

Rigotti N, Bourne D, Rosen A, Lock J, Schelling T. Worksite compliance with a no-smoking law: A randomized community intervention trial. American Journal of Public Health 82(2) 1992, p. 229-235.

Geraci J, Rosen A, Ash A, McNiff K, Moskowitz M. Predicting postoperative adverse events of coronary artery bypass surgery in the Medicare population. Annals of Internal Medicine 118(1) 1993, p. 18-24.

Rigotti N, Stoto M, Bierer M, Rosen A, Schelling T. Retail stores' compliance with a city no-smoking law. American Journal of Public Health 83(2) 1993, p. 227-232.

Rosen A, Ash A, McNiff K, Moskowitz M. The importance of severity of illness adjustment in predicting adverse outcomes in the medicare population. Journal of Clinical Epidemiology 48(5), 1995, p. 631-643.

Rosen A, McCarthy E, Moskowitz M. Effect of a hospital nonsmoking policy on patients' knowledge, attitudes, and smoking behavior. American Journal of Health Promotion 9(5), 1995, p. 361-370.

Rosen A, Ash, A, Geraci J, McCarthy E, Moskowitz M. Postoperative adverse events of cholecystectomy in the medicare population. American Journal of Medical Quality 10(1) 1995; p. 29-37.

Berlowitz DR, Rosen A, Moskowitz M. Ambulatory care case-mix measures. Journal of General Internal Medicine 10;1995; p. 162-170.

Frayne S, Burns R, Hardt E, Rosen A, Moskowitz M. The exclusion and inclusion of non-English-speaking persons in research. Journal of General Internal Medicine 11, January 1996, p. 39-43.

Ghali W, Hall R, Rosen A, Ash A, Moskowitz M. Searching for an optimal clinical comorbidity index for use with ICD-9-CM administrative data. Journal of Clinical Epidemiology 49(3) 1996:273-276.

Rosen A, Houchens R, Gibson T, Mayer-Oakes A. Developing episodes of care for adult asthma patients: A cautionary tale. American Journal of Medical Quality 1998, 13(1): 25-35.

Ghali W, Hall R, Ash A, Rosen A, Moskowitz M. Evaluation of complication rates after coronary artery bypass using administrative data. Methods of Information in Medicine 1998;37:192-200.

Rosen A, Mayer-Oakes A. Developing a tool for analyzing medical care utilization of adult asthma patients in indemnity or managed care plans: Can an episodes of care framework be used? American Journal of Medical Quality 1998; 13(4):203-212.

Rosen A, Berlowitz D, Anderson J, Kazis L, Ash A, Moskowitz M. Functional status outcomes for assessment of quality in long-term care. International Journal for Quality in Healthcare 1999;11(1):37-46.

Rosen A, Mayer-Oakes, A. Episodes of Care: Theoretical frameworks versus current theoretical realities. Joint Commission Journal on Quality Improvement. March 1999;25:(3):111-128.

Oddone E, Goldstein L, Brass L, Booss J, Alley L, Rosen A, et al. Primary Stroke Prevention. VA Practice Matters, May 1999;4(1):2-4.

Jones D, Hendricks A, Comstock C, Rosen A, Chang BH, Rothendler J, Hankin C, Prashker M. Eye exams for VA patients with diabetes: Standardizing performance measures. International Journal of Medical Quality 2000;12(2): 97-104.

Oddone E, Brass LM, Booss J, Goldstein LB, Alley L, Horner R, Rosen A, Kaplan L. Quality Enhancement Research Initiative (QUERI) in Stroke: Prevention, Treatment and Rehabilitation. Medical Care 2000; 38 (6Suppl. 1):92-104 .

Rosen A, Wu J, Chang BH, Berlowitz D, Ash A, Moskowitz M. Does diagnostic information from administrative data contribute to predicting outcomes in long-term care? Medical Care 2000;38(6): 647-659.

Reker DM, Hamilton BB, Duncan PW, Yeh SCJ, Rosen A. Stroke: Who's Counting What? Journal of Rehabilitation Research and Development 2001;38(2):281-289.

Rosen A, Wu J, Chang BH, Berlowitz D, Ash A, Moskowitz M. The role of risk adjustment in predicting decline in functional status in long-term care. American Journal of Medical Quality 2001;16(4): 118-127.

Wang M, Rosen A, Kazis L, Loveland S, Anderson J, Berlowitz D. Correlation of Risk Adjustment Measures Based on Diagnosis and Patient Self-Reported Health Status. Health Services and Outcomes Research Methodology , 2000; 1(3-4): 361-365.

Rosen A, Loveland S, Anderson J, Rothendler J, Hankin C, Moskowitz M, Berlowitz D. Evaluating diagnosis-based case-mix measures: How Well Do They Apply to the VA Population? Medical Care 2001;39(7): 692-704.

Rosen A, Loveland S, Anderson J. Applying DCGs to Examine the Disease Burden of VA Facilities: Comparing the Six “Evaluating VA Costs” Study Sites to Other VA Sites and Medicare . Medical Care, June 2003: 41(6 suppl): II-91-II-102.

Rosen A, Loveland S, Anderson J, Hankin C, Breckenridge J, Berlowitz D. Diagnostic Cost Groups (DCGs) and Concurrent Utilization Among Patients with Substance Abuse Disorders. Health Services Research, 2002: 37(4): 1079-1102.

Kressin NR, Clark JA, Whittle J, East M, Peterson ED, Chang BH, Rosen AK, Ren XS, Alley L, Kroupa, Collins TC, Petersen LA. Racial Differences in Health-Related Attitudes and Experiences of VA Cardiac Patients: Scale Development and Application. Medical Care, 2001: 40(1): I-72-I-85.

Rakovski C, Rosen AK, Loveland, S, Anderson JJ, Berlowitz, DR, Ash A. Evaluation of Diagnosis-Based Risk Adjustment Measures among Specific Subgroups: Can Existing Measures be Improved by Simple Modifications? Health Services and Outcomes Research Methodology, 2002: 3: 57-73.

Selim A, Berlowitz DR, Fincke G, Rosen AK, Ren X, Christiansen C, Cong Z, Lee A, Kazis L. Risk-adjusted mortality rates as a potential outcome indicator for ambulatory quality assessments: results from the 1998 National Survey of Ambulatory Care Patients. Medical Care, 2001: 40(3): 237-245.

Rosen AK, Rakovski C, Loveland S, Anderson JJ, Berlowitz DR. Profiling resources use across providers: do different outcomes affect assessments of provider efficiency after case-mix adjustment? American Journal of Managed Care, 2002 : 8(12):1105-1115.

Rosen AK, Loveland S, Rakovski C, Christiansen C, Berlowitz D. Do different case-mix measures affect assessments of provider efficiency? Lessons from the VA. In press. The Journal of Ambulatory Care Management, 2002.

Rosen AK. Risk adjustment: Available tools and applications in primary care. White paper submitted for publication. American Academy of Family Physicians Practice-Based Research, 2002.

Sales A, Liu C, Solan K, Malkin J, Fishman P, Rosen AK, Loveland S, Nichol P, Suzuki N, Perrin E, Sharp N, Todd-Stenberg J. Predicting Costs of Care Using a Pharmacy-Based Measure Risk Adjustment in a Veteran Population. In Press. Medical Care, 2003.

Reker DM, Rosen AK, Hoening H, Berlowitz DR, Laughlin J, Anderson L, Marshall CR, Rittman M. The Hazards of Stroke Case Selection Using Administrative Data. Medical Care, 2002: 40(3): 96-104.

Rakovski C, Rosen AK, Loveland S, Wang F, Berlowitz DR. Predicting elderly at risk of high future health care use: Does diagnostic information add to prior utilization? Accepted for publication. Health Services and Outcomes Research Methodology, 2003.

Rosen AK, Reid R, Broemeling AM, Rakovski C. Applying a risk adjustment framework to primary care: can we improve on existing measures? Accepted for publication. Annals of Family Medicine, 2002.

Liu C, Sales AE, Sharp ND, Fishman P, Sloan KL, Todd-Stenberg J, Nichol P, Rosen AK, Loveland S. Case-mix adjusting performance measures in a VA population: pharmacy- and diagnosis- based approaches. Accepted for publication. Health Services Research, 2002.

Selim AJ, Fincke G, Berlowitz DR, Ren XS, Cong Z, Rosen AK, Lee A, Miller D, Kazis L. Racial differences in mortality rates among patients receiving outpatient care in the Veterans Health Administration. Submitted for publication. Archives of Internal Medicine, 2002.

Rosen AK, Wang F, Montez ME, Rakovski C, Lucove JC, Berlowitz DR. Are Diagnosis-Based

Risk-Adjustment Measures Useful Screening Tools for Identifying Future High-Risk

Cases? Submitted for publication. Health Services Research, 2002.

Kressin NR, Chang B, Whittle J, Peterson ED, Clark JA, Rosen AK, Orner MB, Collins TC,

Alley LG, Petersen LA. Do patient or physician prespectives explain racial disparities in cardiac

catheterization? Results from the Cardiac Decision Making Study. Submitted for publication. New England Journal of Medicine, 2002.

Charbonneau A, Rosen AK, Ash AS, Owen RR, Kader B, Spiro A III, Hankin C, Herz LR, Pugh MV, Kazis L, Miller DR, Berlowitz DR. Measuring the quality of depression care in a large integrated health system. In Press. Medical Care, 2003.

Tsilimingras D, Rosen AK, Berlowitz DR. Patient safety in geriatrics: closing the gap. In press. Journal of the American Geriatrics Association, 2002.

Warner G, Hoenig, H, Montez M, Wang F, Rosen AK. Evaluating diagnosis-based risk-adjustment methods in the spinal cord dysfunction population. In press. Archives of Physical Medicine and Rehabilitation, 2002.

Sloan K, Rosen AK, Fishman P, Montez M, Todd-Stenberg J, Sales A, Liu C. Predicting total cost of medical care for patients with mental illness. Submitted for publication. Health Services Research, 2002.

Charbonneau A, Rosen AK, Owen RR, Spiro A III, Ash AS, Miller DR, Kazis L, Kader B, Cunningham F, Berlowitz DR. Monitoring depression care: in search of a accurate quality indicator. Submitted for publication. Journal of the American Medical Association, 2003.

Rosen AK, Gardner JA, Montez M, Loveland S, Hendricks A. Dual System Use: Are There Implications for Risk Adjustment? Submitted for publication. Health Services Research, 2003.

Rosen AK. Windows of observation. In Risk Adjustment for Measuring Healthcare Outcomes, 3 rd Edition, edited by Iezzoni L. In Press. 2003.

Berlowitz D and Rosen AK. Risk adjustment for studying long-term care. In Risk Adjustment for Measuring Healthcare Outcomes, 3 rd Edition, edited by Iezzoni L. In Press. 2003.

Rosen A, Trivedi P, Amuan M, & Montez M. The John Hopkins Adjusted Clinical Groups (ACGs) Case-Mix System: A R-adjustment Methodology Currently Available at the VA Austin Automation Center. VIReC Insights Vol. 4, No. 1. Hines, IL: VA Information Resource Center, 2003. Available at http://virec.research.med.va.gov .