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PATRICK S. ROMANO

CURRICULUM VITAE

BIRTH DATE & PLACE November 14, 1959; New York City, New York

HOME ADDRESS 1515 26th Street

Sacramento, CA 95816

(916) 737-0599

PROFESSIONAL ADDRESS UC Davis Division of General Medicine

4150 V Street; Suite 2400

Sacramento, CA 95817

(916) 734-7005 (office)

(916) 734-2732 (facsimile)

psromano@ucdavis.edu (e-mail)

EDUCATION

Postgraduate Health Services Research Fellow; Institute for Health Policy Studies, University of California, San Francisco; San Francisco, CA (1988-1990)

Resident in Internal Medicine and Pediatrics; University Hospitals of Cleveland and Cleveland Metropolitan General Hospital; Cleveland, OH (1984-1988)

Graduate University of California, Berkeley School of Public Health; Berkeley, CA (M.P.H., 1990)

Department - Social and Administrative Health Sciences

Georgetown University School of Medicine; Washington, DC (M.D., 1984)

Undergraduate Princeton University; Princeton, NJ (A.B., 1979)

Department - Biology

EMPLOYMENT

2014-present Co-Editor in Chief, Health Services Research (HSR), an official journal of AcademyHealth

2003-present Professor of Medicine and Pediatrics; Division of General Medicine and Division of General Pediatrics, University of California, Davis School of Medicine; Sacramento, CA

2000-2003 Associate Professor of Medicine and Pediatrics; University of California, Davis School of Medicine; Sacramento, CA

1997-2000 Associate Professor of Medicine and Pediatrics in Residence; University of California, Davis School of Medicine; Sacramento, CA

1992-1997 Assistant Professor of Medicine and Pediatrics in Residence; University of California, Davis School of Medicine; Sacramento, CA

1990-1992 Associate Physician (Research); Institute for Health Policy Studies, University of California, San Francisco; San Francisco, CA

1988-1992 Clinical Instructor; Department of Internal Medicine, University of California, San Francisco School of Medicine; San Francisco, CA

1988-1990 Health Services Research Fellow; Institute for Health Policy Studies, University of California, San Francisco; San Francisco, CA

1984-1988 Resident in Internal Medicine and Pediatrics; University Hospitals of Cleveland and Cleveland Metropolitan General Hospital; Cleveland, OH

1982-1983 National President; American Medical Student Association; Reston, VA

CREDENTIALS

Diplomate, National Board of Medical Examiners (July 1, 1986)

Licensed, Medical Board of California (1988-present)

Certified, American Board of Pediatrics (July 1989, recertified 2000, 2006, 2016)

Certified, American Board of Internal Medicine (September 1989)

HONORS AND AWARDS

The John M. Eisenberg Excellence in Mentorship Award, Agency for Healthcare Research and Quality, 2016

UC Davis Dean’s Award for Excellence in Research, 2010

Visiting Senior Fellow, Center for Studying Health System Change, Washington DC (2009-10)

Honorary Senior Research Fellow, National Primary Care Research and Development Centre, University of Manchester (UK), 2004

UC Davis Dean’s Award for Excellence in Mentoring, 2000

Fellow, American College of Physicians, 1998-present

Research Associate, Manitoba Centre for Health Policy and Evaluation, 1994-present

Adjunct Associate, Stanford University Center for Primary Care and Outcomes Research, 2000-present

National Research Service Award, 1988-1990

Alpha Omega Alpha, Honor Medical Society, 1984

National Health Service Corps Scholarship, 1979-1984

National Merit Scholarship, 1975

PROFESSIONAL AND SOCIETY MEMBERSHIPS

Fellow, American Academy of Pediatrics

Fellow, American College of Physicians

Member, American Public Health Association

Member, Medical Care Section and Injury Control Section

Member, Society of General Internal Medicine

Member, AcademyHealth

Member, International Society for Quality in Health Care

PEER-REVIEWED PUBLICATIONS

1. 1991 Romano PS, Bloom J, Syme SL. Smoking, social support, and hassles in an urban African-American community. American Journal of Public Health; 81:1415-22.

2. 1991 Romano PS, McLoughlin E. Helmet use and fatal motorcycle injuries in California, 1987-1988. Journal of Head Trauma Rehabilitation; 6(2):21-37.

3. 1992 Romano PS, Mark DH. Patient and hospital characteristics related to in-hospital mortality after lung cancer resection. Chest; 101:1332-7.

4. 1992 Romano PS, McLoughlin E. Unspecified injuries on death certificates: A source of bias in injury research. American Journal of Epidemiology; 136:863-72.

5. 1993 Luft HS, Romano PS. Chance, continuity, and change in hospital mortality rates: Coronary artery bypass graft patients in California hospitals, 1983-89. JAMA; 270:331-7.

6. 1993 Romano PS. Can administrative data be used to compare the quality of health care? Medical Care Review; 50:451-77.

7. 1993 Romano PS, Roos LL, Jollis JG. Adapting a clinical comorbidity index for use with ICD-9-CM administrative data: differing perspectives. Journal of Clinical Epidemiology; 46(10):1075-9.

8. 1993 Romano PS, Roos LL, Jollis JG. Further evidence concerning the use of a clinical comorbidity index with ICD-9-CM administrative data. Journal of Clinical Epidemiology; 46(10):1085-90.

9. 1994 Romano PS, Mark DH. Bias in the coding of hospital discharge data and its implications for quality assessment. Medical Care; 32(1):81-90.

10. 1994 Kang SH, Bloom JR, Romano PS. Social support and the use of cancer screening tests among African-American women. American Journal of Public Health; 84:101-3.

11. 1994 Romano PS, Roos LL, Luft HS, Jollis JG, Doliszny K, and the Ischemic Heart Disease Patient Outcomes Research Team. A comparison of administrative versus clinical data: Coronary artery bypass surgery as an example. Journal of Clinical Epidemiology; 47(3):249-60.

12. 1994 Waitzman NJ, Romano PS, Scheffler RM. Estimates of the economic costs of birth defects. Inquiry; 31(2):188-205.

13. 1995 Romano PS, Waitzman NJ, Scheffler RM, Pi RD. Folic acid fortification of grain: An economic evaluation. American Journal of Public Health; 85(5):667-76.

14. 1995 Waitzman NJ, Romano PS, Scheffler RM. Economic costs of birth defects. Morbidity and Mortality Weekly Report; 44(37):694-9.

15. 1995 Romano PS, Zach A, Luft HS, Rainwater JA, Remy LL, Campa D. The California Hospital Outcomes Project: Using administrative data to compare hospital performance. Joint Commission Journal on Quality Improvement; 21:668-82.

16. 1995 White RH, Zhou H, Romano PS, Mungall D. Contribution of changes in the plasma warfarin level to variation in the steady-state prothrombin time. Clinical Pharmacology and Therapeutics; 58:588-93.

17. 1996 Roos LL, Walld RK, Romano PS. Short-term mortality after repair of hip fracture: Do Manitoba elderly do worse? Medical Care; 34:310-76.

18. 1996 Jones RH, Hannan EL, Hammermeister KE, DeLong ER, O'Connor GT, Luepker RV, Parsonnet V, Pryor DB, for the Working Group Panel on the Cooperative CABG Database Project. Identification of preoperative variables needed for risk adjustment of short-term mortality after coronary artery bypass graft surgery. Journal of the American College of Cardiology; 28:1478-87.

19. 1997 Romano PS, Campa DR, Rainwater J. Elective cervical discectomy in California: Postoperative in-hospital complications and their risk factors. Spine; 22:2677-92.

20. 1998 Rainwater JA, Romano PS, Antonius DM. The California Hospital Outcomes Project: How useful is California’s report card for quality improvement? Joint Commission Journal on Quality Improvement; 24:31-9.

21. 1998 Jollis JG, Romano PS. Pennsylvania’s ‘Focus on Heart Attack’: Grading the scorecard. New England Journal of Medicine; 338:983-7.

22. 1998 White RH, Zhou H, Romano PS. Incidence of idiopathic deep venous thrombosis and secondary thromboembolism among different ethnic groups in California. Annals of Internal Medicine; 128:737-40.

23. 1998 White RH, Zhou H, Romano PS. Length of hospital stay for treatment of deep venous thrombosis and the incidence of recurrent thromboembolism. Archives of Internal Medicine; 158:1005-10.

24. 1998 White RH, Romano PS, Zhou H, Rodrigo J, Barger W. Incidence and time course of thromboembolic outcomes following total hip and knee arthroplasty. Archives of Internal Medicine; 158:1525-31.

25. 1999 Romano PS, Rainwater JA, Antonius D. Grading the graders: How hospitals in California and New York perceive and interpret their report cards. Medical Care; 37(3):295-305.

26. 1999 White RH, Beyth RJ, Zhou H, Romano PS. Major bleeding after hospitalization for deep-venous thrombosis. American Journal of Medicine; 107:414-24.

27. 1999 Lee JG, Turnipseed S, Romano PS, Vigil H, Melnikoff N, Hsu R, Kirk D, Sokolove P, Rose J, Leung JW. Endoscopy-based triage significantly reduces hospitalization rates and costs of treating upper gastrointestinal bleeding: A randomized controlled trial. Gastrointestinal Endoscopy; 50:755-61.

28. 1999 Hosseini M, Lee JG, Romano PS, Hosseini S, Leung J. Educational experiences and quality of life of US gastroenterology fellows. American Journal of Gastroenterology; 94:3601-9.

29. 2000 Romano PS, Chan BK. Risk-adjusting acute myocardial infarction mortality: Are APR-DRGs the right tool? Health Services Research; 34:1469-89.

30. 2000 White RH, Zhou H, Kim J, Romano PS. A population-based study of the effectiveness of inferior vena cava filter use among patients with venous thromboembolism. Archives of Internal Medicine; 160:2033-41.

31. 2000 Garcia JA, Romano PS, Chan BKS, Kass PH, Robbins JA. Sociodemographic factors and the assignment of Do-Not-Resuscitate orders in patients with acute myocardial infarction. Medical Care; 38:670-8.

32. 2000 Lawry MA, Haneke E, Strobeck K, Martin S, Zimmer B, Romano PS. Methods for diagnosing onychomycosis: A comparative study and review of the literature. Archives of Dermatology; 136:1112-6.

33. 2000 Guerra LM, Romano PS, Samuels SJ, Kass PH. Ethnic differences in adolescent substance initiation sequences. Archives of Pediatric and Adolescent Medicine; 154:1089-95.

34. 2000 White RH, Gettner S, Newman JM, Trauner KB, Romano PS. Predictors of rehospitalization for symptomatic venous thromboembolism after elective total hip arthroplasty. New England Journal of Medicine; 343:1758-64.

35. 2001 Bair YA, Garcia JA, Romano PS, Siefkin AD, Kravitz RL. Does “mainstreaming” guarantee access to care for Medicaid recipients with asthma? Journal of General Internal Medicine; 16:475-81.

36. 2001 Melnikow J, Romano PS, Gilbert WM, Schembri M, Keyzer J, Kravitz RL. Vaginal birth after cesarean - in California. Obstetrics and Gynecology; 98:421-6.

37. 2001 Perkins CI, Wright WE, Allen M, Samuels SJ, Romano PS. Breast cancer stage at diagnosis in relation to duration of Medicaid enrollment. Medical Care; 39:1224-33.

38. 2002 Leigh JP, Romano PS, Schenker MB, Kreiss K. Costs of occupational COPD and asthma. Chest; 121:264-72.

39. 2002 Romano PS, Schembri ME, Rainwater JA. Can administrative data be used to ascertain clinically significant postoperative complications? American Journal of Medical Quality; 17:145-54.

40. 2002 Sheikh RA, Romano PS, Prindiville TP, Yasmeen S, Trudeau W. Endoscopic evidence of mucosal injury in patients taking ticlopidine compared with patients taking aspirin/ nonsteroidal antiinflammatory drugs and controls. Journal of Clinical Gastroenterology; 34:529-32.

41. 2002 Romano PS, Chan BK, Schembri ME, Rainwater JA. Can administrative data be used to compare postoperative complication rates across hospitals? Medical Care; 40:856-67.

42. 2002 Murin S, Romano PS, White RH. Comparison of outcomes after hospitalization for deep venous thrombosis or pulmonary embolism. Thrombosis and Haemostasis; 88:407-14.

43. 2003 Garcia JA, Yee MC, Chan BK, Romano PS. Potentially avoidable hospitalizations following acute myocardial infarction by insurance status. Journal of Community Health; 28:167-84.

44. 2003 Garcia JA, Paterniti DA, Romano PS, Kravitz RL. Patient preferences for physician characteristics in university-based primary care clinics. Ethnicity and Disease; 13:259-67.

45. 2003 Marcin JP, Schembri ME, He J, Romano PS. A population-based analysis of socioeconomic status and insurance status and their relationship with pediatric trauma hospitalization and mortality rates. American Journal of Public Health; 93:461-6.

46. 2003 Rainwater JA, Romano PS. What data do California HMOs use to select hospitals for contracting? American Journal of Managed Care; 9:553-61.

47. 2003 Romano PS, Geppert JJ, Davies S, Miller MR, Elixhauser A, McDonald KM. A national profile of patient safety in US hospitals based on administrative data. Health Affairs; 22(2):154-66.

48. 2003 Yasmeen S, Romano PS, Pettinger M, Chlebowski RT, Robbins JA, Lane DS, Hendrix SL. The frequency and predictive value of a mammographic recommendation for short interval follow-up. Journal of the National Cancer Institute; 95:429-36.

49. 2003 Kravitz RL, Krackardt D, Melnikow J, Franz CE, Gilbert W, Zach A, Paterniti DA, Romano PS. Networked for change? Identifying obstetric opinion leaders and assessing their opinions on cesarean delivery. Social Science and Medicine; 57:2423-34.

50. 2003 West DC, Romano PS, Azari R, Rudominer A, Holman M, Sandhu S. The impact of environmental tobacco smoke on children with sickle cell disease. Archives of Pediatrics and Adolescent Medicine; 157:1197-201.

51. 2003 White RH, Zhou H, Romano PS. Incidence of symptomatic venous thromboembolism after different elective or urgent surgical procedures. Thrombosis and Haemostasis; 90:446-55.

52. 2004 Hodge MB, Romano PS, Harvey D, Samuels SJ, Olson VA, Sauvè MJ, Kravitz RL. Licensed caregiver characteristics and staffing in California acute care hospital units. Journal of Nursing Administration; 34:125-33.

53. 2004 Romano PS, Zhou H. Do well-publicized risk-adjusted outcomes reports affect hospital volume? Medical Care; 42(4):367-77.

54. 2004 Marshall MN, Romano PS, Davies HTO. How do we maximize the impact of the public reporting of quality of care? International Journal for Quality in Health Care; 16(Suppl 1):i57-i63.

55. 2004 Lang TA, Hodge M, Olson V, Romano PS, Kravitz RL. Nurse-patient ratios: A systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomes. Journal of Nursing Administration; 34:326-37.

56. 2004 Marcin JP, Romano PS. The impact of between-hospital volume and within-hospital volume on mortality and readmission rates for trauma patients in California. Critical Care Medicine; 32:1477-83.

57. 2004 Romano PS, Mutter R. The evolving science of quality measurement for hospitals: Implications for studies of competition and consolidation. International Journal of Health Care Finance and Economics; 4:131-57.

58. 2005 Yasmeen S, Cress R, Romano PS, Xing G, Berger-Chen S, Danielsen B, Smith LH. Thryoid cancer in pregnancy. International Journal of Gynecology and Obstetrics; 91(1):15-20.

59. 2005 Smith LH, Morris CR, Yasmeen S, Parikh A, Cress RD, Romano PS. Ovarian cancer: Can we make the clinical diagnosis earlier? Cancer; 104(7):1398-407.

60. 2005 Rosen AK, Rivard P, Zhao S, Loveland S, Tsilimingras D, Christiansen C, Elixhauser A, Romano PS. Evaluating the Patient Safety Indicators (PSIs): How well do they perform on VA data? Medical Care; 43(9):873-84.

61. 2005 Kasirye OC, Walsh JA, Romano PS, Beckett LA, Garcia JA, Elvine-Kreis B, Bethel JW, Schenker MB. Acculturation in a rural Latina population and its association with health-risk behaviors. Ethnicity and Disease; 15(4):733-9.

62. 2005 Grosse SD, Waitzman NJ, Romano PS, Mulinare J. Re-evaluating the benefits of folic acid fortification in the United States: Economic analysis, regulation, and public health. American Journal of Public Health; 95(11):1917-22.

63. 2005 Romano PS, Yasmeen S, Schembri ME, Keyzer JM, Gilbert WM. Coding of perineal lacerations and other complications of obstetric care in hospital discharge data. Obstetrics and Gynecology; 106(4):717-25.

64. 2005 Leigh JP, Hubert HB, Romano PS. Lifestyle risk factors predict health care costs in an aging cohort. American Journal of Preventive Medicine; 29(5):379-87.

65. 2006 Yasmeen S, Romano PS, Schembri ME, Keyzer JM, Gilbert WM. Accuracy of obstetric diagnoses and procedures in hospital discharge data. American Journal of Obstetrics and Gynecology; 194(4):992-1001.

66. 2006 Lieberman JR, Romano PS, Mahendra G, Keyzer JM, Chilcott M. The treatment of hip fractures: Variations in care. Clinical Orthopaedics and Related Research; 442:239-44.

67. 2006 Mehler LN, Schenker MB, Romano PS, Samuels SJ. California surveillance for pesticide-related illness and injury: Coverage, bias, and limitations. Journal of Agromedicine; 11(2);67-79.

68. 2006 Rosen AK, Zhao S, Rivard P, Loveland S, Montez-Rath ME, Elixhauer A, Romano PS. Tracking rates of Patient Safety Indicators over time: Lessons from the VA. Medical Care; 44(9):850-61.

69. 2006 Yasmeen S, Romano PS, Pettinger M, Johnson SR, Hubbell FA, Lane DS, Hendrix SL. Incidence of cervical cytological abnormalities with aging in the Women's Health Initiative: A randomized controlled trial. Obstetrics and Gynecology; 108(2):410-9.

70. 2006 De Coster C, Quan H, Finlayson A, Gao M, Halfon P, Humphries KH, Johansen H, Lix L, Luthi JC, Ma J, Romano PS, Roos LL, Sundararajan V, Tu JV, Webster G, Ghali WA. Identifying priorities in methodological research using ICD-9-CM and ICD-10 administrative data: Report from an international consortium. BMC Health Services Research; 6:77.

71. 2007 Marcin JP, Dharmar M, Cho M, Siefert LL, Cook JL, Cole SL, Nasrollahzadeh F, Romano PS. Medication errors among acutely ill and injured children treated in rural emergency departments. Annals of Emergency Medicine; 50(4):361-7.

72. 2007 Marcin JP, Li Z, Kravitz RL, Dai JJ, Rocke DM, Romano PS. The CABG surgery volume-outcome relationship: Temporal trends and selection effects in California, 1998-2004. Health Services Research; 43(1 Pt 1):174-92.

73. 2007 Silber JH, Romano PS, Rosen AK, Wang Y, Even-Shoshan O, Volpp K. Failure-to-Rescue: Comparing definitions to measure quality of care. Medical Care; 45(10):918-25.

74. 2007 Volpp KG, Rosen AK, Rosenbaum P, Romano PS, Even-Shoshan O, Wang Y, Bellini L, Behringer T, Silber JH. Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. JAMA; 298(9):975-83.

75. 2007 Volpp KG, Rosen AK, Rosenbaum P, Romano PS, Even-Shoshan O, Canamucio A, Bellini L, Behringer T, Silber JH. Mortality among patients in VA hospitals in the first 2 years following ACGME duty hour reform. JAMA; 298(9):984-92.

76. 2007 Dharmar M, Marcin JP, Kuppermann N, Andrada ER, Cole SL, Harvey DJ, Romano PS. A new implicit review instrument for measuring quality of care delivered to pediatric patients in the emergency department. BMC Emergency Medicine; 23 August 2007, 7(1):13.

77. 2007 French BC, Hird DW, Romano PS, Hayes RH, Nijhof AM, Jongejan F, Mellor DJ, Singer RS, Fine AE, Davis RG, Gay JM, Conrad PA. Virtual international experiences in veterinary medicine: An evaluation of students’ attitudes toward computer-based learning. Journal of Veterinary Medical Education; 34:502-9.

78. 2008 Rivard PE, Luther SL, Christiansen CL, Zhao S, Loveland S, Elixhauser E, Romano PS, Rosen AK. Using Patient Safety Indicators to estimate the impact of potential adverse events on outcomes. Medical Care Research and Review; 65(1):67-87.

79. 2008 Houchens RL, Elixhauser A, Romano PS. How often are potential patient safety events present on admission? Joint Commission Journal Quality and Patient Safety; 34(3):154-63.

80. 2008 Dharmar M, Marcin JP, Romano PS, Andrada ER, Overly F, Valente JH, Harvey DJ, Cole SL, Kuppermann N. Quality of care of children in the emergency department: Association with hospital setting and physician training. Journal of Pediatrics; 153(6):783-9.

81. 2008 McDonald K, Davies S, Haberland C, Geppert J, Ku A, Romano PS. A preliminary assessment of pediatric healthcare quality and patient safety in the U.S. using readily available administrative data. Pediatrics 2008; 122(2):e416-25.

82. 2008 Li Z, Kravitz RL, Marcin JP, Romano PS, Rocke DM, Denton TA, Brindis RG, Dai J, Amsterdam E. Survival enhancing indications for coronary artery bypass graft surgery in California. BMC Health Services Research; 8(1):257.

83. 2009 Romano PS, Mull HJ, Rivard PE, Zhao S, Henderson WG, Loveland S, Tsilimingras D, Christiansen CL, Rosen AK. Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement Program data. Health Services Research; 44(1): 182-204.

84. 2009 Silber JH, Rosenbaum PR, Romano PS, Rosen AK, Wang Y, Teng Y, Halenar MJ, Even-Shoshan O, Volpp KG. Hospital teaching intensity, patient race, and surgical outcomes. Archives of Surgery; 144(2):113-20.

85. 2009 Rosen AK, Loveland SA, Romano PS, Itani KMF, Silber JH, Even-Shoshan OO, Halenar MJ, Teng Y, Zhu J, Volpp KG. Effects of resident duty hour reform on surgical and procedural Patient Safety Indicators among hospitalized VA and Medicare patients. Medical Care; 47(7):723-31.

86. 2009 Volpp KG, Rosen AK, Rosenbaum PR, Romano PS, Itani KMF, Bellini L, Even-Shoshan O, Cen L, Wang Y, Halenar MJ, Silber JH. Did duty hour reform lead to better outcomes among the highest risk patients? Journal of General Internal Medicine; 24(10):1149-55.

87. 2009 Drösler S, Klazinga N, Romano PS, Tancredi D, Gogorcena Aoiz M, Hewitt M, Scobie S, Soop M, Wen E, Quan H, Ghali W, Mattke S, Kelley E. Application of Patient Safety Indicators internationally: A pilot among seven countries. International Journal for Quality in Health Care; 21(4):272-8.

88. 2009 London JA, Utter GH, Sena MJ, Chen SL, Romano PS. Lack of Insurance is associated with increased risk for hernia complications. Annals of Surgery; 250(2):331-7.

89. 2009 Barakatt ET, Romano PS, Riddle DL, Beckett LA. The reliability of Maitland’s irritability judgments in patients with low back pain. Journal of Manual and Manipulative Therapy; 17(3):135-40.

90. 2009 Silber J, Rosenbaum PR, Rosen AK, Romano PS, Itani KMF, Cen L, Mi L, Halenar MJ, Even-Shoshan O, Volpp KG. Prolonged hospital stay and the resident duty hour rules of 2003. Medical Care; 47(12):1191-2000.

91. 2009 Utter GH, Zrelak PA, Baron R, Tancredi DJ, Sadeghi B, Geppert JJ, Romano PS. Positive predictive value of the AHRQ Accidental Puncture or Laceration Patient Safety Indicator. Annals of Surgery; 250(6):1041-5.

92. 2009 White RH, Sadeghi B, Tancredi DJ, Zrelak P, Cuny J, Sama P, Utter GH, Geppert JJ, Romano PS. How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism? Medical Care; 47(12):1237-43.

93. 2009 Barakatt ET, Romano PS, Riddle DL, Beckett LA, Kravitz RL. An exploration of Maitland’s concept of pain irritability in patients with low back pain. Journal of Manual and Manipulative Therapy; 17(4):196-205.

94. 2009 Ong MK, Mangione CM, Romano PS, Zhou Q, Auerbach AD, Chun A, Davidson B, Ganiats TG, Greenfield S, Gropper MA, Malik S, Rosenthal JT, Escarce JJ. Looking forward, looking back: Assessing variations in hospital resource use and outcomes for elderly patients with heart failure. Circulation: Cardiovascular Quality and Outcomes; 2(6):548-57.

95. 2010 Smith-Gagen J, Cress RD, Drake CM, Romano PS, Yost KJ, Ayanian JZ. Quality-of-life and surgical treatments for rectal cancer: A longitudinal analysis using the California Cancer Registry. Psycho-Oncology; 19(8):870-8.

96. 2010 Sadeghi B, Baron R, Zrelak P, Geppert J, Tancredi D, Romano PS. Cases of iatrogenic pneumothorax can be identified from ICD-9-CM coded data. American Journal of Medical Quality; 25(3):218-24.

97. 2010 Li Z, Carlisle DM, Marcin JP, Castellanos LR, Romano PS, Young JN, Amsterdam EA. Impact of public reporting on access to coronary artery bypass surgery: The California Outcomes Reporting Program. Annals of Thoracic Surgery; 89(4):1131-8.

98. 2010 White RH, Garcia M, Sadeghi B, Tancredi DJ, Zrelak P, Cuny J, Sama P, Gammon H, Schmaltz S, Romano PS. Evaluation of the predictive value of ICD-9-CM coded administrative data for venous thromboembolism in the United States. Thrombosis Research; 126(1):61-7.

99. 2010 Utter GH, Cuny J, Sama P, Silver MR, Zrelak PA, Baron R, Drösler SE, Romano PS. Detection of Postoperative Respiratory Failure: How predictive Is the AHRQ Patient Safety Indicator? Journal of the American College of Surgeons; 211(3):347-54.

100. 2010 Volpp KG, Friedman W, Romano PS, Rosen A, Silber JH. Residency training at a crossroads: Duty hour standards 2010. Annals of Internal Medicine; 153(12):826-8.

101. 2011 Press MJ, Silber JH, Rosen AK, Romano PS, Itani KMF, Bellini L, Zhu J, Wang Y, Even-Shoshan O, Halenar MJ, Volpp KG. The impact of resident duty hour reform on hospital readmission rates. Journal of General Internal Medicine; 26(4):405-11.

102. 2011 Utter GH, Borzecki AM, Rosen AK, Zrelak PA, Baron R, Cuny J, Kaafarani HM, Sadeghi B, Geppert JJ, Romano PS. Designing an abstraction instrument—Lessons from efforts to validate the AHRQ Patient Safety Indicators. The Joint Commission Journal on Quality and Patient Safety; 37(1):20-28.

103. 2011 Romano PS, Balan DJ. A retrospective analysis of the clinical quality effects of the acquisition of Highland Park Hospital by Evanston Northwestern Healthcare. International Journal of the Economics of Business; 18(1):45-64.

104. 2011 Mutter RL, Romano PS, Wong HS. The effects of US hospital consolidations on hospital quality. International Journal of the Economics of Business; 18(1):109-26.

105. 2011 Yasmeen S, Xing G, Morris C, Chlebowski RT, Romano PS. Comorbidities and mammography use interact to explain racial/ethnic disparities in breast cancer stage at diagnosis. Cancer; 117(14):3252-61.

106. 2011 Zrelak PA, Sadeghi B, Utter GH, Baron R, Tancredi DJ, Geppert JJ, Romano PS. Positive predictive value of the AHRQ Patient Safety Indicator for central line associated-bloodstream infection (“Selected Infections Due to Medical Care”). Journal for Healthcare Quality; 33(2):29-36.

107. 2011 Shaikh U, Nettiksimmons J, Tancredi DJ, Romano PS. Pediatric obesity management in rural clinics in California and the role of telehealth in distance education. Journal of Rural Health; 27(3):263-9.

108. 2011 Borzecki AM, Kaafarani HMA, Utter GH, Romano PS, Itani K, Shin MH, Chen Q, Rosen AK. How valid is the AHRQ Patient Safety Indicator Postoperative Respiratory Failure? The Veterans Health Administration experience. Journal of the American College of Surgeons 2011; 212(6):935-45.

109. 2011 Cevasco M, Borzecki AM, Chen Q, Zrelak PA, Shin M, Romano PS, Itani KMF, Rosen AK. Positive predictive value of the AHRQ Patient Safety Indicator Postoperative Sepsis: Implications for Practice and Policy. Journal of the American College of Surgeons 2011; 212(6):954-61.

110. 2011 Davies SM, McDonald KM, Schmidt E, Schultz E, Geppert JJ, Romano PS. Expanding the uses of AHRQ's Prevention Quality Indicators: Validity from the clinician perspective. Medical Care; 49(8):679-85.

111. 2011 Moreland CJ, RItley D, Romano PS. Interpreting for California’s insured deaf and hard of hearing: HMO’s language access services, 2003-2008. Journal of Disability Policy Studies; 22(3):172-80.

112. 2011 Friedman B, Berdahl T, Simpson LA, McCormick MC, Owens PL, Andrews R, Romano PS. Annual report on healthcare for children and youth in the United States: Focus on trends in hospital use and quality. Academic Pediatrics; 11(4):263-79.

113. 2011 Davies SM, McDonald KM, Schmidt E, Schultz E, Geppert JJ, Romano PS. Assessment of a novel hybrid Delphi and nominal group technique to evaluate quality indicators. Health Services Research; 46(6pt1):2005-18.

114. 2011 Januel JM, Couris CM, Luthi JC, Halfon P, Trombert-üaviot B, Quan H, Drosler S, Sundararajan V, Pradat E, Touzet S, Wen E, Shepheard J, Webster G, Romano PS, So L, Moskal L, Tournay-Lewis L, Sundaresan L, Kelley E, Klazinga N, Ghali WA, Colin C, Burnand B, pour les investigateurs du groupe IMECCHI (International Methodology Consortium for Coded Health Information). Adaptation au codage CIM-10 de 15 indicateurs de la sécurité des patients proposés par l'Agence étasunienne pour la recherche et la qualité des soins de santé (AHRQ). Revue d'Epidemiologie et de Santé Publique; 59(5):341-50.

115. 2011 Romano PS, Marcin JP, Dai JJ, Yang XD, Kravitz RL, Rocke DM, Dharmar M, Li. Impact of public reporting of coronary artery bypass graft (CABG) surgery performance data on market share, mortality, and patient selection. Medical Care; 49(12):1118-25.

116. 2012 Zrelak PA, Utter GH, Sadeghi B, Cuny J, Baron R, Romano PS. Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement. Journal of Nursing Care Quality; 27(2):99-108.

2013 Reprinted verbatim in the Journal of Nursing Administration; 43(10):S51-60.

117. 2012 Shaikh U, Nettiksimmons J, Bell RA, Tancredi DJ, Romano PS. Accuracy of parental report and electronic health record documentation as measures of diet and physical activity counseling. Academic Pediatrics; 12(2):81-7.

118. 2012 Drösler SE, Romano PS, Tancredi DJ, Klazinga NS. International comparability of Patient Safety Indicators in 15 OECD member countries: A methodological approach of adjustment by secondary diagnoses. Health Services Research; 47(1 Pt 1):275-92.

119. 2012 Yasmeen S, Romano PS, Tancredi DJ, Saito NH, Rainwater JA, Kravitz RL. Screening mammography beliefs and recommendations: A web-based survey of primary care physicians. BMC Health Services Research; Feb 6; 12:32.

120. 2012 Moreland CJ, Ritley D, Rainwater J, Romano PS. Policies and language access in California's commercial HMOs: Public reporting and regulation of HMOs' language services. Journal of Health Care for the Poor and Underserved; 23(1):474-98.

121. 2012 Utter G, Cuny J, Strater A, Silver M, Hossli S, Romano PS. Variation in academic medical centers' coding practices for postoperative respiratory complications: Implications for the AHRQ Postoperative Respiratory Failure Patient Safety Indicator. Medical Care; 50(9):792-800.

122. 2012 Leigh JP, Tancredi D, Jerant A, Romano PS, Kravitz RL. Lifetime earnings for physicians across specialties. Medical Care; 50(12):1093-101.

123. 2012 Sadeghi B, Romano PS, Maynard G, Strater AL, Hensley L, Cerese J, White RH. Mechanical and suboptimal pharmacologic prophylaxis and delayed mobilization but not morbid-obesity are associated with venous thromboembolism after total knee arthroplasty: A case-control study. Journal of Hospital Medicine; 7(9):665-71.

124. 2012 Shaikh U, Nettiksimmons J, Joseph JG, Tancredi DJ, Romano PS. Clinical practice and variation of care for childhood obesity at seven clinics in California. Quality in Primary Care; 20(5):335-44.

125. 2012 Yasmeen S, Hubbard RA, Romano PS, Zhu W, Geller BM, Onega T, Yankaskas BC, Miglioretti D, Kerlikowske K. Risk of advanced stage breast cancer among older women with comorbidities. Cancer Epidemiology, Biomarkers & Prevention; 21(9):1510-9.

126. 2012 Li Z, Amstrong EJ, Parker JP, Danielsen B, Romano PS. Hospital variation in readmission following coronary artery bypass surgery in California. Circulation: Cardiovascular Quality and Outcomes; 5(5):729-37.

127. 2013 Navathe AS, Silber JH, Small DS, Rosen AK, Romano PS, Even-Shoshan O, Wang Y, Zhu J, Halenar MJ, Volpp KG Teaching hospital financial status and patient outcomes following ACGME duty hour reform. Health Services Research; 48(2):476-98.

128. 2013 White RH, Geraghty E, Brunson A, Murin S, Wun T, Spencer F, Romano PS. High variation between hospitals in vena cava filter use for venous thromboembolism. JAMA Internal Medicine; 173(7):506-12.

129. 2013 Volpp KG, Small DS, Romano PS, Itani KMF, Rosen AK, Even-Shoshan O, Wang Y, Bellini L, Halenar MJ, Zhu J, Silber JH. Teaching hospital five year mortality trends in the wake of duty hour reforms. Journal of General Internal Medicine; 28(8):1048-55.

130. 2013 Zrelak PA, Romano PS, Tancredi DJ, Geppert JJ, Utter GH. Validity of the AHRQ Patient Safety Indicator for Postoperative Physiologic and Metabolic Derangement based on a national sample of medical records. Medical Care; 51(9):806-11.

131. 2013 Utter GH, Cox GL, Owens PL, Romano PS. Challenges and opportunities with ICD-10-CM/PCS: Implications for surgical research involving administrative data. Journal of the American College of Surgeons; 217(3):516-26.

132. 2013 Sadeghi B, Maynard G, Strater AL, Hensley L, Cerese J, White RH, Romano PS. Improved coding of postoperative deep vein thrombosis and pulmonary embolism in administrative data (AHRQ Patient Safety Indicator 12) after introduction of new ICD-9-CM diagnosis codes. Medical Care; 53(5):e37-40.

133. 2013 Khanna RR, Kim SB, Jenkins I, El-Kareh R, Afsarmanesh N, Amin A, Sand H, Auerbach A, Chia C, Maynard G, Romano PS, White RH. Predictive value of the present on admission indicator for hospital-acquired venous thromboembolism. Medical Care; 53(4):e31-6.

134. 2013 Dharmar M, Romano PS, Kuppermann N, Nesbitt TS, Cole SL, Andrada ER, Vance C, Harvey DJ, Marcin JP. Impact of critical care telemedicine consultations on children in rural emergency departments. Critical Care Medicine; 41(10):2388-95.

135. 2013 Reschovsky JD, Hadley J, Romano PS. Geographic variation in fee-for-service Medicare beneficiaries' medical costs is largely explained by disease burden. Medical Care Research and Review; 70(5):542-63.

136. 2013 Yasmeen, Xing G, Romano PS. Severity of comorbid conditions and early stage breast cancer therapy: Linked SEER-Medicare data from 1993 to 2005. Cancer Medicine; 2(4): 526–36.

137. 2013 Utter GH, Zrelak PA, Baron R, Tancredi DJ, Sadeghi B, Geppert JJ, Romano PS. Detecting postoperative hemorrhage or hematoma from administrative data: The performance of the AHRQ Patient Safety Indicator. Surgery; 154(5):1117-25.

138. 2013 Zrelak PA, Utter GH, Tancredi DJ, Mayer LG, Cuny J, Romano PS. How accurate is the AHRQ Patient Safety Indicator for hospital-acquired pressure ulcer in a national sample of records from university affiliated hospitals? Journal for Healthcare Quality; 37(5):287-97.

139. 2013 Dharmar M, Kuppermann N, Romano PS, Yang N, Thomas TS, Phan JN, Nguyen C, Parsapour K, Marcin JP. Telemedicine consultations and medication errors in rural emergency departments. Pediatrics; 132(6):1090-7.

140. 2013 Ghali W, Pincus HA, Southern DA, Brien SE, Romano PS, Burnand B, Drösler SE, Sundararajan V, Moskal L, Forster AJ, Gurevich Y, Quan H, Colin C, Munier WB, Harrison J, Spaeth-Rublee B, Kastanjsek N, Üstün TB. ICD-11 for Quality and Safety: Overview of the WHO Quality and Safety Topic Advisory Group. International Journal for Quality in Health Care; 25(6):621-5.

141. 2014 Austin JM, D’Andrea BG, Milstein A, Romano PS, Singer SJ, Vogus TJ, Wachter RM, Pronovost PJ. Safety in numbers: The development of Leapfrog's composite Patient Safety Score for U.S. hospitals. Journal of Patient Safety; 10(1):64-71.

142. 2014 Silber JH, Romano PS, Itani KMF, Rosen AK, Small D, Lipner RS, Bosk CL, Wang Y, Halenar MJ, Even-Shoshan O, Volpp KG. Internal medicine Board scores and the resident duty hour reform of 2003. Academic Medicine; 89(4):644-51.

143. 2014 Dalrymple LS, Johansen KL, Romano PS, Chertow GM, Mu Y, Ishida JH, Grimes B, Kaysen GA, Nguyen DV. Comparison of hospitalization rates between for-profit and nonprofit dialysis facilities. Clinical Journal of the American Society of Nephrology; 9(1):73-81.

144. 2014 Shaikh U, Nettiksimmons J, Joseph JG, Tancredi DJ, Romano PS. Collaborative practice improvement for childhood obesity in rural clinics: the Healthy Eating Active Living Telehealth Community of Practice (HEALTH COP). American Journal of Medical Quality; 29(6):467-75.

145. 2014 Drösler SE, Romano PS, Sundararajan V, Burnand B, Colin C, Pincus H, Ghali W for the World Health Organization Quality and Safety Topic Advisory Group. How many diagnosis fields are needed to capture safety events in administrative data? Findings and recommendations from the WHO ICD-11 Topic Advisory Group on Quality & Safety. International Journal for Quality in Health Care; 26(1):16-25.

146. 2014 Black JT, Romano PS, Sadeghi B, Auerbach AD, Ganiats TG, Greenfield S, Kaplan SH, Ong MK. A remote monitoring and telephone nurse coaching intervention to reduce readmissions among patients with heart failure: Study protocol for the Better Effectiveness after Transition - Heart Failure (BEAT-HF) randomized controlled trial. Trials; 15(1):124.

147. 2014 Quan H, Moskal L, Forster AJ, Brien S, Walker R, Romano PS, Sundararajan V, Burnand B, Henriksson G, Steinum O, Droesler S, Pincus HA, Ghali WA. International variation in the definition of ‘main condition’ in ICD coded health data. International Journal for Quality in Health Care; 26(5):511-5.

148. 2014 Chin DL, Wilson MH, Bang H, Romano PS. Comparing patient outcomes of academician-preceptors, hospitalist-preceptors, and hospitalists on internal medicine services in an academic medical center. Journal of General Internal Medicine; 29(12):1672-8.

149. 2014 Pourhomayoun M, Alshurafa N, Mortazavi B, Ghasemzadeh H, Sideris K, Sadeghi B, Ong M, Evangelista L, Romano P, Auerbach A, Kimchi A, Sarrafzadeh M. Multiple model analytics for adverse event prediction in remote health monitoring systems. Proceedings of the IEEE Healthcare Innovation Point of Care Technologies Conference (HICPT), 8-10 October 2014, Seattle WA. Conference paper available at:

150. 2015 Leigh JP, Markis CA, Iosif AM, Romano PS. California’s nurse-to-patient ratio law and occupational injury. International Archives of Occupational and Environmental Health 88(4):477-84.

151. 2015 Yang NH, Dharmar M, Kuppermann N, Romano PS, Nesbitt TS, Hojman NM, Marcin JP. Appropriateness of disposition following telemedicine consultations in rural emergency departments. Pediatric Critical Care Medicine; 16(3):e59-64.

152. 2015 Dalrymple LS, Mu Y, Romano PS, Nguyen DV, Chertow GM, Delgado C, Grimes B, Kaysen GA, Johansen KL. Outcomes of infection-related hospitalization in Medicare beneficiaries receiving in-center hemodialysis. American Journal of Kidney Diseases; 65(5):754-62.

153. 2015 Loja MN, Brunson A, Li CS, Carson JG, White RH, Romano PS, Hedayati N. Racial disparities in outcomes of endovascular procedures for peripheral arterial disease: An evaluation of California hospitals, 2005-2009. Annals of Vascular Surgery; 29(5):950-9.

154. 2015 Austin JM, Jha AK, Romano PS, Singer SJ, Vogus TJ, Wachter RM, Pronovost PJ. Reporting on hospital report cards: A comparison of four consumer-directed national hospital rating systems. Health Affairs; 34(3):423-30.

155. 2015 Yang NH, Dharmar M, Yoo BK, Leigh JP, Kuppermann N, Romano PS, Nesbitt TS, Marcin JP. Economic evaluation of pediatric telemedicine consultations to rural emergency departments. Medical Decision Making; 35(6):773-83.

156. 2015 Sundararajan V, Romano PS, Quan H, Burnand B, Droesler S, Brien S, Pincus H, Ghali W. Capturing diagnosis-timing in ICD coded hospital data: Recommendations from the WHO ICD-11 Topic Advisory Group on Quality and Safety. International Journal for Quality in Health Care; 27(4):328-33.

157. 2015 Shaikh U, Romano PS, Paterniti DA. Organizing for quality improvement in health care: an example from childhood obesity prevention. Quality Management in Health Care; 24(3):121-8.

158. 2015 Polage CR, Gyorke CE, Kennedy MA, Leslie JL, Chin DL, Wang S, Nguyen H, Huang B, Tang YW, Lee L, Kim K, Taylor S, Romano PS, Panacek EA, Goodell PB, Solnick JV, Cohen SH. Overdiagnosis of Clostridium difficele infection in the molecular test era. JAMA Internal Medicine; 175(11):1792-801.

159. 2015 Southern D, Pincus H, Romano PS, Bernard B, Harrison J, Forster A, Moskal L, Quan H, Droesler S, Sundarajaran V, Colin C, Gurevich Y, Brien S, Kostanjsek N, Ustun B, Ghali W. Enhanced capture of healthcare-related harms and injuries in the 11th revision of the International Classification of Diseases (ICD-11). International Journal for Quality in Health Care; 28(1):136-42.

160. 2015 Benchimol EI, Smeeth L, Guttmann A, Harron K, Moher D, Petersen I, Sørensen HT, von Elm E, Langan SM, RECORD Working Committee. The REporting of studies Conducted using Observational Routinely-collected health Data (RECORD) Statement. PLOS Medicine; 12(10):e1001885.

2016 Reprinted in German (Das RECORD-Statement zum Berichten von Beobachtungsstudien die routinemäßig gesammelte Gesundheitsdaten verwenden) in Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen (The Journal of Evidence and Quality in Health Care), in press.

2017 Reprinted in Chinese in Chinese Journal of Evidence-Based Medicine, 17(5):1-13.

161. 2015 Hedayati N, Brunson A, Li CS, Baker AC, Pevec WC, White RH, Romano PS. Do women have worse amputation-free survival than men following endovascular procedures for peripheral arterial disease? An evaluation of the California state-wide database. Vascular and Endovascular Surgery; 49(7):166-74.

162. 2015 Dalrymple LS, Mu Y, Nguyen DV, Romano PS , Chertow GM, Grimes B, Kaysen GA, Johansen KL. Risk factors for infection-related hospitalization in in-center hemodialysis. Clinical Journal of the American Society of Nephrology; 10(12):2170-80.

163. 2015 Southern DA, Hall M, White DE, Romano PS, Sundararajan V, Droesler SE, Pincus HA, Ghali W. Opportunities and challenges for quality and safety applications in ICD-11: An international survey of users of coded health data. International Journal for Quality in Health Care; 28(1):129-35.

164. 2016 Humphries MD, Brunson A, Hedayati N, Romano P, Melnikow J. Amputation risk in patients with diabetes mellitus and peripheral artery disease using statewide data. Annals of Vascular Surgery; 30(1):123-31.

165. 2016 Ong MK, Romano PS, Edgington S, Aronow HU, Auerbach AD, Black JT, De Marco T, Escarce JJ, Evangelista L, Hanna B, Ganiats TG, Greenberg G, Greenfield S, Kaplan SH, Kimchi A, Liu H, Lombardo D, Mangione CM, Sadeghi B, Sadeghi B, Sarrafzadeh M, Tong K, Fonarow GC, and the BEAT-HF Research Group. Remote patient monitoring after discharge of hospitalized heart failure patients: the Better Effectiveness After Transition - Heart Failure (BEAT-HF) randomized controlled trial. JAMA Internal Medicine; 176(3):310-8.

166. 2016 Sadeghi B, Walling AM, Romano PS, Ahluwalia SC, Ong MK. A hospital-based advance care planning intervention for patients with heart failure. Journal of Palliative Medicine; 19(4):451-5.

167. 2016 Rosenthal JL, Hilton JF, Teufel RJ 2nd, Romano PS, Kaiser SV, Okumura MJ. Profiling inter-facility transfers for hospitalized pediatric patients. Hospital Pediatrics; 6(6):345-53.

168. 2016 White RH, Brunson A, Romano PS, Li Z, Wun T. Outcomes after vena cava filter use in non-cancer patients with acute venous thromboembolism: A population-based study. Circulation; 133(21):2018-29.

169. 2016 Henry SG, Romano PS, Yarborough M. Building trust between institutional review boards and researchers. Journal of General Internal Medicine; 31(9):987-9.

170. 2016 Jenkins KJ, Koch Kupiec J, Owens PL, Romano PS, Geppert JJ, Gauvreau K. Development and validation of an Agency for Healthcare Research and Quality Indicator for mortality after congenital heart surgery harmonized with risk adjustment for congenital heart surgery (RACHS-1) methodology. Journal of the American Heart Association; May 20;5(5).

171. 2016 Anderson JE, Li Z, Romano PS, Parker J, Chang DC. Should risk adjustment for surgical outcomes reporting Include sociodemographic status? A study of coronary artery bypass grafting in California. Journal of the American College of Surgeons; 223(2):221-30.

172. 2016 Humphries MD, Brunson A, Li CS, Melnikow JA, Romano PS. Amputation trends for patients with lower extremity ulcers due to diabetes and peripheral artery disease using statewide data. Journal of Vascular Surgery; 64(6):1747-55.

173. 2016 Chin DL, Manickam R, Bang H, Romano PS. Thirty-day readmission intervals are too long to capture the hospital-level quality signal. Health Affairs; 35(10):1867-75.

174. 2017 Southern DA, Burnand B, Droesler SE, Flemons W, Forster AJ, Gurevich Y, Harrison J, Quan H, Pincus HA, Romano PS, Sundararajan V, Kostanjsek N, Ghali WA. Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data. Medical Care; 55(3):252-60.

175. 2017 Miyamoto S, Romano PS, Putnam-Hornstein E, Thurston H, Dharmar M, Joseph JG. Risk factors for fatal and non-fatal child maltreatment in families previously investigated by CPS: A case control study. Child Abuse & Neglect; 63 Jan:222-32.

176. 2017 Thurston H, Freisthler B, Bell J, Tancredi D, Romano PS, Miyamoto S, Joseph JG. The temporal-spatial distribution of seriously maltreated children. Spatial and Spatio-temporal Epidemiology; 20 Feb:1-8.

177. 2017 Pollmanns J, Romano PS, Weyermann M, Geraedts M, Drosler SE. Impact of disease prevalence adjustment on hospitalization rates for chronic ambulatory sensitive conditions in Germany. Health Services Research; Mar 22 [Epub ahead of print].

178. 2017 Woodworth L, Romano PS, Holmes J. Does insurance status influence a patient's hospital charge? Applied Health Economics and Health Policy; 15(3):353-362.

179. 2017 Thurston H, Freisthler B, Bell J, Tancredi D, Romano PS, Miyamoto S, Joseph JG. Environmental and individual attributes associated with child maltreatment resulting in hospitalization or death. Child Abuse & Neglect; 67 May:119-36.

180. 2017 Rosenthal JL, Romano PS, Kokroko J, Gu W, Okumura MJ. Receiving providers’ perceptions on information transmission during inter-facility transfers to general pediatric floors. Hospital Pediatrics; 7(6):335-43.

181. 2017 Lash RS, Bell JF, Bold RJ, Joseph JG, Cress RD, Wun T, Brunson AM, Romano PS. Emergency department use by recently diagnosed cancer patients in California. Journal of Community and Supportive Oncology; 15(2):95-102.

182. 2017 Marcin JP, Dharmar M, Romano PS, et al. Implicit review instrument to evaluate quality of care delivered by physicians to children in emergency departments. Health Services Research; in press.

183. 2017 Squitieri L, Ganz DA, Mangione CM, Needleman J, Romano PS, Saliba D, Ko CY, Waxman DA. Consistency of pressure injury documentation across interfacility transfers. BMJ Quality and Safety. Jul 28. [Epub ahead of print]

184. 2017 Whitney RL, Bell JF, Tancredi DJ, Romano PS, Bold RJ, Joseph JG. Hospitalization rates and predictors of rehospitalization among individuals with advanced cancer in the year after diagnosis. Journal of Clinical Oncology Aug 29. [Epub ahead of print]

185. 2017 Forster AJ, Bernard B, Drösler SE, Gurevich Y, Harrison J, Januel JM, Romano PS, Southern DA, Sundararajan V, Quan H, Vanderloo SE, Pincus HA, Ghali WA. A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events. International Journal for Quality in Health Care; 29(4):548-556.

BOOK CHAPTERS

1. 1991 Bloom J, Kim S, Romano PS. Cancer and Stress: The Effect of Social Support as a Resource. In: Cooper C, Watson M, eds. Psychological, Biological and Coping Studies. London, UK: John Wiley & Sons; pp. 95-124.

2. 1992 Romano PS, Luft HS. Getting the most out of messy data: Problems and approaches for dealing with large secondary data sets. In: Grady ML, Schwartz H, eds. Medical Effectiveness Research Data Methods. Rockville, MD: US Department of Health and Human Services; pp. 57-75. AHCPR Pub. No. 92-0056.

3. 1994 Romano PS. Process and outcome measures of quality in Medicare risk HMO's. In: Luft HS, ed. HMOs and the Elderly. Ann Arbor, MI: Health Administration Press; pp. 215-221.

4. 1995 Romano PS. California’s model for risk-adjusted outcomes. In: 1996 Clinical Performance Data Sourcebook, Including Data Analysis Techniques, Programs, and Risk-adjustment Methods. New York, NY: Faulkner & Gray, Inc.

5. 1996 Waitzman NJ, Scheffler RM, Romano PS. The Incidence and Cost of Birth Defects: Estimates of the Value of Prevention. Lanham, MD: University Press of America.

6. 1998 Roos LL, Romano PS, Fergusson P. Administrative data bases. In: Armitage P, Colton T, eds. Encyclopedia of Biostatistics. Volume 1. Chichester, UK: John Wiley & Sons; pp. 62-73. (Republished online in 2005 at )

7. 1998 Romano PS. Evidence-based medicine: The new paradigm. Part II. In: Chapman RW, Lazarus GS, eds. Understanding Today’s US Health Care System. How Health Care Finance May Affect Your Future. A Curriculum Guide for Academic Medical Centers. Sacramento, CA: The Sierra Health Foundation; pp. 57-69.

8. 1999 Romano PS. Physician profiling: Words of caution. In: Goldfield N, Boland P, eds. Physician Profiling and Risk Adjustment. Gaithersburg, MD: Aspen Publishers; pp. 47-56.

9. 1999 Romano PS. Counterpoint: All conditions that occur after hospital admission are potentially preventable complications. In: Goldfield N, Boland P, eds. Physician Profiling and Risk Adjustment. Gaithersburg, MD: Aspen Publishers; pp. 471-476.

10. 2001 Gross PA and Romano PS, editors. Implementing evidence-based recommendations for health care: Papers from the Leeds Castle conference. Medical Care Leeds Castle Supplement. Hagerstown, MD: Lippincott, Williams, & Wilkins; pp. II-1 - II-92.

11. 2005 Rivard P, Elwy AR, Loveland S, Zhao S, Tsilimingras D, Elixhauser A, Romano PS, Rosen AK. Applying Patient Safety Indicators (PSIs) across healthcare systems: Achieving data comparability. In: Advances in Patient Safety: From Research to Implementation, edited by Henriksen K, Battles JB, Marks E, Lewin DI. Rockville, MD: Agency for Health Care Research and Quality and Department of Defense; Volume Two, pp. 7-25.

Available at:

12. 2005 Waitzman NJ, Romano PS, Grosse SD. The Half-Life of Cost-of-Illness Estimates: The Case of Spina Bifida. In: Wyszynski DF, ed. Neural Tube Defects: From Origin to Treatment. Oxford, UK: Oxford University Press.

13. 2008 Quan H, Drösler S, Sundararajan V, Wen E, Burnand B, Couris CM, Halfon P, Januel JM, Kelley E, Klazinga N, Luthi JC, Moskal L, Pradat E, Romano PS, Shepheard J, So L, Sundaresan L, Tournay-Lewis L, Trombert-Paviot B, Webster G, Ghali WA, for the IMECCHI Investigators. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium. In: Advances in Patient Safety: New Directions and Alternative Approaches, edited by Henriksen K, Battles JB, Keyes MA, Lewin DI. Rockville, MD: Agency for Health Care Research and Quality.

Available at: .

14. 2014. McHugh MD, Hawkins RE, Mazmanian PE, Romano PS, Smith HL, Spetz J. Challenges and Opportunities in Nurse Credentialing Research Design: Discussion Paper. Washington, DC: Institute of Medicine, Washington, DC. Available at: .

15. 2015 Romano PS. Investigating Causal Pathways and Linkages. In: Institute of Medicine. Future directions of credentialing research in nursing: Workshop summary. Washington, DC: The National Academies Press. Available at: .

EDITORIALS AND LETTERS

1. 1982 Romano PS. A federal health service corps (letter). New England Journal of Medicine; 307(13):828.

2. 1992 Romano PS, McLoughlin E. Helmet intolerance among motorcyclists (letter). Medical Journal of Australia 156:507.

3. 1993 Luft HS, Romano PS. Coronary artery bypass graft mortality: Patient risk or physician practice? (letter) JAMA; 270(24):2928.

4. 1995 Romano PS, Waitzman NJ, Scheffler RM, Pi RD. Romano and colleagues respond (letter). American Journal of Public Health; 85(11):1588.

5. 1996 Kravitz RL, Romano PS. Managed care cost containment and the law of unintended consequences (editorial). Journal of Managed Care; 2:323-324.

6. 1996 Romano PS. Do-Not-Resuscitate orders: Is there really disparity by diagnosis? (letter). Archives of Internal Medicine; 156:2497-2498.

7. 1996 Zhou H, Romano PS. Confidence interval estimates of an index of quality performance based on logistic regression models (letter). Statistics in Medicine; 16:1301-1303.

8. 1997 White R, Romano PS. Clinical course of deep venous thrombosis (letter). Annals of Internal Medicine; 126(9):743.

9. 2000 Romano PS. Reply to Dr. Goldfield and Mr. Averill (letter). Health Services Research; 34:1495-1498.

10. 2000 Romano PS. Using administrative data to identify associations between implanted medical devices and chronic diseases (editorial). Annals of Epidemiology; 10(4):197-199.

11. 2000 Romano PS. Should health plan quality measures be adjusted for case mix? (editorial) Medical Care; 38:977-980.

12. 2000 Jollis JG, Romano PS. Volume-outcome relationship in acute myocardial infarction: The balloon and the needle (editorial). JAMA; 284:3169-3171.

13. 2001 Romano PS. Re: Causes of death in elderly prostate cancer patients and in a comparison nonprostate cancer cohort (letter). Journal of the National Cancer Institute; 93:397-398.

14. 2003 Romano PS. Asking too much of administrative data? (letter) Journal of the American College of Surgeons; 196:337-338.

15. 2003 Yasmeen S, Romano PS, Pettinger M, Chlebowski RT, Robbins JA, Lane DS, Hendrix SL. Re: Short-interval follow-up mammography: Are we doing the right thing? (letter) Journal of the National Cancer Institute; 95:1175-1176.

16. 2004 Romano PS. Peer group benchmarks are not appropriate for health care quality report cards (editorial). American Heart Journal; 148:921-923.

17. 2005 Marshall MN, Romano PS. The impact of reporting hospital performance (commentary). Quality and Safety in Health Care; 14(2):77-78.

18. 2005 Romano PS. Improving the quality of hospital care in America (editorial). New England Journal of Medicine; 353(3):300-302.

19. 2007 McDonald KM, Davies SM, Geppert J, Romano PS. Why rescue the administrative data version of the (Failure to Rescue( quality indicator? (editorial) Medical Care; 45(4):277-279.

20. 2007 Marcin JP, Romano PS. Size matters to a model’s fit (editorial). Critical Care Medicine; 35(9):2212-3.

21. 2007 Volpp KG, Rosen A, Rosenbaum P, Romano P, Bellini L, Silber JH. Resident duty hour reform and mortality in hospitalized patients: In reply (letter). JAMA; 298(24):2866.

22. 2010 White RH, Meehan JP, Romano PS. To the editor (response to “Does aspirin have a role in venous thromboembolism prophylaxis in total knee arthroplasty patients”). Journal of Arthroplasty; 25(4):667.

23. 2012 Romano PS, Volpp KG. The ACGME’s 2011 Changes to resident duty hours: Are they an unfunded mandate on teaching hospitals? (editorial) Journal of General Internal Medicine; 27(2):136-8.

24. 2013 Romano PS, Leigh JP, Tancredi D, Jerant A, Kravitz RL. Authors' response to letter from David Seidenwurm, Lifetime earnings for physicians across specialties. Medical Care; 51(1):122-3.

25. 2013 Utter GH, Romano PS. To the editor (response to “Tension between quality measurement, public quality reporting, and pay for performance”). JAMA; 309(19):1991-2.

26. 2014 Zinn JS, Romano PS. Best of the AcademyHealth Annual Research Meeting. Health Services Research; 49(6):1721-3.

27. 2015 Romano PS, Zinn JS. Best of the 2015 AcademyHealth Annual Research Meeting. Health Services Research; 50(6):1731-3.

28. 2016 Romano PS. Commentary on Fuller and colleagues: A false dichotomy that cannot move risk-adjustment efforts forward. Journal of Ambulatory Care Management; 39(2):171-4.

29. 2016 Dalrymple LS, Romano PS. Emergency department visits after kidney transplantation. (editorial) Clinical Journal of the American Society of Nephrology; 11(4):555-7.

30. 2016 Ong MK, Romano PS, Fonarow GC. Telemedicine in heart failure – Ineffective or just ill used? (reply). JAMA Internal Medicine; 176(7):1035-6.

31. 2016 Zinn JS, Romano PS. Best of the 2016 AcademyHealth Annual Research Meeting. Health Services Research; 51(6):2053-5.

32. 2017 Chin DL, Bang H, Romano PS. Hospital readmissions: the authors reply. Health Affairs; 36(2):382.

33. 2017 Zinn J, Romano PS, DeFriese G, Shortell SM, Luft HS, Flood AB. Fifty Years of the Journal HSR: Informing Policy and Practice. Health Services Research; 52(3):919-32.

OTHER JOURNALS

1. 1983 Romano PS. President's column (series of 10). The New Physician; May 1982-April 1983.

2. 1985 Romano PS. A foundation president treats the system. The New Physician; 35(1):36-39.

3. 1997 Roos LL, Fergusson P, Romano PS. Sistemas de informacion de base poblacion: Usos en la planificacion e investigacion sanitaria (Population-based information systems for studying health and health care). Variaciones en la Practica Medica. Valencia, Spain: Direccio General de Salut Public; No. 13.

4. 1997 Lee JG, Romano PS. Interpretation of the literature on endoscopic hemostasis. Gastrointestinal Endoscopy Clinics of North America; 7(4):545-550.

5. 1997 Coding and Data Quality Committee (including Romano PS). OSHPD project: Maternal outcomes following delivery. Journal of the California Health Information Association 47(10):8-9.

6. 1998 Romano PS, Waitzman NJ. Can decision analysis help us decide whether ultrasound screening for fetal anomalies is worth it? Annals of the New York Academy of Medicine; 847:154-172.

7. 1998 Waitzman NJ, Romano PS. Reduced costs of congenital anomalies from fetal ultrasound: Sufficient to justify routine screening in the United States? Annals of the New York Academy of Medicine; 847:141-153.

8. 1999 Weinberger M, Tierney WM, Burnam A, Duncan PW, Escarce JJ, Hays RD, Horner RD, McHorney CA, Oddone EZ, Romano PS, Powe NR, Stearns S. The health status of the journal. Medical Care; 37(1):1-2.

9. 2000 Weinberger M, Tierney WM, Ayanian JZ, Burnam A, Escarce JJ, Hays RD, Horner RD, McHorney CA, Oddone EZ, Romano PS, Powe NR, Stearns SC. The role of peer-reviewed journals in science. Medical Care; 38(1):1-3.

10. 2000 Romano PS. Book notes: Medical Quality Management Sourcebook, 2000 Edition: A Comprehensive Guide to Standardizing Quality Measurement and Improving Care. Annals of Internal Medicine; 132:768.

11. 2001 Tierney WM, Weinberger M, Ayanian JZ, Burnam A, Escarce JJ, Hays RD, Horner RD, McHorney CA, Oddone EZ, Romano PS, Powe NR, Stearns SC. Medical Care: past, present, future. Medical Care; 39(1):1-3.

12. 2001 Gross PA, Romano PS. Introduction. Medical Care Leeds Castle Supplement, 39(suppl 2):II-1.

13. 2002 Romano PS, Elixhauser A, McDonald KM, Miller MR. HIM’s role in monitoring patient safety. Journal of AHIMA (American Health Information Management Association), 73(3):72-74.

14. 2016 Chin DL, Romano PS. Time to rethink our approach on hospital readmissions: Recent research raises doubts on some of our current assumptions. Roll Call; October 4.

LIMITED DISTRIBUTION

1. 1990 McLoughlin E, Romano PS. Final Report: Fatal injuries to California motorcyclists, 1987. San Francisco, CA: UCSF Injury Center for Research and Prevention. Report to the Office of Traffic Safety, California Highway Patrol.

2. 1993 Luft HS, Romano PS, Remy LL, Rainwater J, Rosenkranz SL, Zhou H, et al. California Hospital Outcomes Project: Hospital Guide to Risk-Adjusted Measures of Outcome. Sacramento, CA: Office of Statewide Health Planning and Development.

3. 1993 Luft HS, Romano PS, Remy LL, Rainwater J, Rosenkranz SL, Zhou H, et al. Annual Report of the California Hospital Outcomes Project. Volume One: Study Overview and Results Summary. Sacramento, CA: Office of Statewide Health Planning and Development.

4. 1993 Romano PS, Luft HS, Remy LL, Rainwater J, Rosenkranz SL, Zhou H, et al. Annual Report of the California Hospital Outcomes Project. Volume Two: Technical Appendix. Sacramento, CA: Office of Statewide Health Planning and Development.

5. 1994 Remy LL, Romano PS, Luft HS, et al. California Hospital Outcomes Project: Hospital Guide to Risk-Adjusted Measures of Outcome. Sacramento, CA: Office of Statewide Health Planning and Development.

6. 1996 Romano PS, Luft HS, Remy LL, et al. Second Report of the California Hospital Outcomes Project. Acute Myocardial Infarction. Volume One: Study Overview and Results Summary. Sacramento, CA: Office of Statewide Health Planning and Development. Republished in: 1997 Comparative Performance Data Sourcebook, Including Extensive Clinical Rankings of Hospitals, Doctors, and Health Plans. New York, NY: Faulkner & Gray, Inc.

7. 1996 Romano PS, Remy LL, Luft HS, et al. Second Report of the California Hospital Outcomes Project. Acute Myocardial Infarction. Volume Two: Technical Appendix. Sacramento, CA: Office of Statewide Health Planning and Development.

Available at:

8. 1996 Romano PS, Luft HS, Remy LL, Rainwater J, Rennie DJ, Zhou H, et al. Report of the California Hospital Outcomes Project. Maternal Outcomes Following Delivery. Risk-adjustment Methodology and Preliminary Findings. Sacramento, CA: Office of Statewide Health Planning and Development.

9. 1997 Romano PS, Luft HS, Rainwater JA, Schembri M, Chan B, et al. California Hospital Outcomes Project. Report on Heart Attack 1991-1993. Hospital Guide. Sacramento, CA: Office of Statewide Health Planning and Development.

10. 1997 Zach A, Romano PS, Luft HS, et al. Report on Heart Attack, 1991-1993, Volume 1: User’s Guide. Sacramento, CA: Office of Statewide Health Planning and Development.

Available at:

11. 1997 Romano PS, Luft HS, Rainwater JA, et al. Report on Heart Attack, 1991-1993, Volume 2: Technical Guide. Sacramento, CA: Office of Statewide Health Planning and Development. Available at:

12. 1997 Luft HS, Romano PS. Report on Heart Attack, 1991-1993, Volume 3: Detailed Statistical Results. Sacramento, CA: California Office of Statewide Health Planning and Development. Available at:

13. 2001 Refinement of the HCUP Quality Indicators. Technical Review Number 4. AHRQ Publication No. 01-0035. Rockville, MD: Agency for Healthcare Research and Quality. Available at: (Authors listed alphabetically: Davies SM, Geppert J, McClellan M, McDonald KM, Romano PS, Shojania KG).

14. 2001 Mehler L, Romano P, Samuels S, Schenker M. Using Routinely Collected Codes to Identify Medical Consultations About Pesticide Health Effects in California. Health and Safety Report HS-1820. Sacramento, CA: California Environmental Protection Agency, Department of Pesticide Regulation, Worker Health and Safety Branch.

Available at:

15. 2001 Mehler L, Romano P, Samuels S, Schenker M. Pesticide Deaths in California, 1990-1996. Health and Safety Report HS-1821. Sacramento, CA: California Environmental Protection Agency, Department of Pesticide Regulation, Worker Health and Safety Branch.

Available at:

16. 2001 Mehler L, Romano P, Samuels S, Schenker M. Pesticide Morbidity in California, 1994-1996. Health and Safety Report HS-1822. Sacramento, CA: California Environmental Protection Agency, Department of Pesticide Regulation, Worker Health and Safety Branch.

Available at:

17. 2002 Hospital Nursing Staff Ratios and Quality of Care. Final Report on Evidence, Administrative Data, an Expert Panel Process, and a Hospital Staffing Survey. Report submitted to the State of California, Department of Health Services, Licensing and Certification. Sacramento, CA: University of California, Davis. (Authors: Kravitz RL, Sauve MJ, Hodge M, Romano PS, Maher M, Samuels S, Harvey D, Olson VA, Cahill J, Gallagher M, Welsh J, Barath P, Asch S, Lang T.) Available at:

18. 2002 Measures of Patient Safety Based on Hospital Administrative Data: The Patient Safety Indicators. Technical Review Number 5. AHRQ Publication No. 02-0038. Rockville, MD: Agency for Healthcare Research and Quality. (Authors: McDonald KM, Romano PS, Geppert J, Davies SM, Duncan BW, Shojania KG). Available at:

19. 2002 Romano PS. Outcomes of Hospital Outcome Studies. Abstract, Executive summary and Final Report. - Report for 30 Sep 94-31 Oct 99. Rockville, MD: Regents of the University of California, Davis and the Agency for Healthcare Research and Quality. NTIS Order Number: PB2002-108741. Available at:



20. 2005 Rainwater JA, Lowey-Ball A, Enders SR, Romano PS, Dhamar M. Evaluation of California’s HMO Report Card. A Report for the California Office of the Patient Advocate. Davis, CA: UCD Center for Health Services Research in Primary Care. Available at:

21. 2006 McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudry K. Measures of Pediatric Health Care Quality Based on Hospital Administrative Data: The Pediatric Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality. Available at:

22. 2006 Romano PS, Rainwater JA, Schembri ME. OSHPD Postpartum Maternal Outcomes Validation Study. Sacramento, CA: UC Davis Center for Healthcare Policy and Research. Available at:

23. 2008 Ritley D, Romano PS, Rainwater JA. Quality Performance Measurement in California: Findings and Recommendations. Davis, CA: UC Davis Center for Healthcare Policy and Research. Available at:

24. 2008 Romano PS, Xing G, Yasmeen S, Mahendra G, Farley T. Outcomes for Maternal Hospital Care in California, 1999-2001. Sacramento, CA: Healthcare Information Division, Office of Statewide Health Planning and Development. Available at:

25. 2009 Drösler S, Romano P, Wei L. Health Care Quality Indicators Project: Patient Safety Indicators Report 2009. OECD Health Working Papers No. 47. Paris: Directorate for Employment, Labour, and Social Affairs, Organization for Economic Cooperation and Development. Available at:

26. 2010 Romano P, Hussey P, Ritley D. Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives. Rockville, MD: Agency for Healthcare Research and Quality. AHRQ Publication No. 09(10)-0073. Available at:

27. 2010 National Quality Forum (NQF). ICD-10-CM/PCS Coding Maintenance Operational Guidance: A Consensus Report. Washington, DC: NQF. (Authors/Expert Panel Members: Romano PS [chair], Watt A, Andersen LA, Bossley H, Giannangelo K, Hyde L, Lang L, Leon-Chisen N, Lesh KA, Linzer J, Nichols FC, III, Rallins MC, Yu F, Jr.) Available at:

28. 2010 Romano P, Marcin JP, Mahendra G, Li Z. The Impact of Mandatory Public Reporting on Coronary Artery Bypass Graft (CBG) Case Selection and Outcomes in California. Sacramento, CA: Office of Statewide Health Planning and Development. Available at:



29. 2011 National Quality Forum (NQF). Guidance for Measure Testing and Evaluating Scientific Acceptability of Measure Properties. Washington, DC: NQF. (Authors/Task Force Members: Ferris TG, Amster A, Dunton N, Findlay S, Hopkins DSP, Kmetik K, Lipner RS, Loeb J, O’Brien S, Romano PS, Rosen AK, Weissberg J.) Available at:

30. 2011 Ritley D, Romano P. The State of Cardiac Revascularization Outcomes Reporting. Sacramento, CA: University of California Davis, Center for Healthcare Policy and Research. Available at:

31. 2011 Romano, PS. ICD-9-CM to ICD-10-CM/PCS Conversion of AHRQ Quality Indicators: Summary of Challenges with Recommendations for AHRQ (Prepared by UC Davis and Battelle, under Contract No. 290-04-0020). Rockville, MD: Agency for Healthcare Research and Quality. Available at:

32. 2012 National Quality Forum (NQF). Guidance for Evaluating Usability and Use of Performance Measures. Washington, DC: NQF. (Authors/Task Force Members: Queram C, Conlon P, Cronin C, Dudley RA, Hibbard J, Safran D, Romano P, Santa J, Sofaer S.) Available at:

32. 2013 National Quality Forum (NQF). Composite Performance Measure Evaluation Guidance. Washington, DC: NQF. (Authors/Technical Expert Panel Members: Romano P [co-chair], DeLong ER, Birkmeyer JD, Bratzler D, Chase J, Dunton N, Goldstein E, Kaplan S, Paget L, Shahian D, Wright S, Zaslavsky A.) Available at:

33. 2014 Romano PS. Validation of 30-day Postoperative Mortality After Hip Fracture Repair as a Potential Quality Measure for Public Reporting. Sacramento, CA: Healthcare Outcomes Center, Office of Statewide Health Planning and Development. Available at: .

PEER-REVIEWED ABSTRACTS

1. 1990 Romano PS, McLoughlin E. Patterns of injury in fatally injured California motorcyclists, 1987-1988. Presented at the 118th Annual Meeting of the American Public Health Association; October 2, 1990; New York, NY.

2. 1991 Romano PS, Bloom J, Syme SL. Smoking, social support and hassles in an urban African-American community. Published in Annals of Behavioral Medicine 1992; 14(2):135.

3. 1991 Romano PS, McLoughlin E. Unspecified injuries on death certificates: A source of bias in injury research. Presented at the Third National Injury Control Conference; April 24, 1991; Denver, CO.

4. 1991 Romano PS, Luft HS. Getting the most out of messy data: Problems and approaches for dealing with large secondary data sets. Presented at the Medical Treatment Effectiveness Research Data Methods Conference sponsored by the Agency for Health Care Policy and Research; September 12, 1991; Minneapolis, MN.

5. 1991 Phibbs CS, Romano PS, Luft HS, Brown BW, Katz PP. Improving the fit of logistic models for mortality and other rare events. Presented at the 119th Annual Meeting of the American Public Health Association, November 12, 1991; Atlanta, GA.

6. 1991 Romano PS, Lewis F, McLoughlin E, Luft HS. New method for assessing the impact of regionalizing trauma care. Presented at the 119th Annual Meeting of the American Public Health Association; November 14, 1991; Atlanta, GA.

7. 1992 Romano, PS. Access to and use of state (all-patient) data sets (Workshop faculty). Presented at the 9th Annual Meeting of the Association for Health Services Research; June 8, 1992; Chicago, IL.

8. 1992 Romano PS, Mark D. Bias in the coding of hospital discharge data and its implications for quality assessment. Presented at the 120th Annual Meeting of the American Public Health Association; November 11, 1992; Washington, DC.

9. 1992 Romano PS. Comments regarding patient satisfaction with quality of care in Medicare risk HMOs. Presented at the FHP Foundation Conference on HMOs and Other Health Care Systems for the Elderly; November 18, 1992; San Francisco, CA.

10. 1993 Zhou H, Romano PS. Random sampling without replacement. Proceedings of the Inaugural Western Users of SAS Software Conference; October 20-22, 1993; Santa Monica, CA (pp. 110-111).

11. 1994 Romano PS, Waitzman NJ, Scheffler RM, Pi RD. Folic acid fortification of grain: An economic analysis. Published in Journal of General Internal Medicine; 9(April, Suppl 2):90.

12. 1994 Romano PS, LaSure R, Montoya S. Racial differences in asthma morbidity in California. Published in Journal of General Internal Medicine; 9(April, Suppl 2):107.

13. 1994 Knudson MM, Romano PS. Pediatric trauma in California: Lives lost and lessons learned. Presented at the 46th Annual Meeting of the Southwestern Surgical Congress; April 1994; Tucson, AZ.

14. 1994 Romano PS, Waitzman NJ, Scheffler RM, Pi RD. Folic acid fortification of grain: An economic analysis. Presented at the 11th Annual Meeting of the Association for Health Services Research; June 12-14, 1994; San Diego, CA.

15. 1994 Romano PS, LaSure R, Montoya S. Racial differences in asthma morbidity in California. Presented at the 122nd Annual Meeting of the American Public Health Association; October 31, 1994; Washington, DC.

16. 1994 Romano PS, Waitzman NJ, Scheffler RM, Pi RD. Folic acid fortification of grain: An economic analysis. Presented at the 122nd Annual Meeting of the American Public Health Association; October 31, 1994; Washington, DC.

17. 1995 Montoya S, Romano PS, LaSure R. Racial differences in asthma morbidity in California. Presented at the Annual Session of the American College of Physicians; March 18, 1995; Atlanta, GA.

18. 1995 Zhou H, Romano PS. Detecting length of stay outliers at the patient level and the hospital level. Presented at the 16th Annual Institute on Research and Statistics, Sacramento Statistical Association; April 12, 1995; Sacramento, CA.

19. 1995 Romano PS, Schembri M. Ascertaining postpartum maternal complications from hospital discharge data. Presented at the 12th Annual Meeting of the Association for Health Services Research; June 4-6, 1995; Chicago, IL.

20. 1996 Solomon NA, Romano PS, Chan BK, Dulski J. Validation of the California Hospital Outcomes Project acute myocardial infarction database. Published in Journal of General Internal Medicine; 11(April, Suppl 1):88.

21. 1996 White RH, Zhou H, Romano PS, Rodrigo J, Barger W. Thromboembolic outcomes following total hip and knee arthroplasty. Published in Journal of General Internal Medicine; 11(April, Suppl 1):56.

22. 1996 White RH, Zhou H, Romano PS, Owings J. Use of vena caval filters in California. Published in Journal of General Internal Medicine; 11(April, Suppl 1):56.

23. 1997 White RH, Zhou H, Romano PS. Effect of length of hospitalization for treatment of deep-vein thrombosis on the rate of recurrent thrombosis. Published in Journal of General Internal Medicine; 12(April, Suppl 1):59.

24. 1997 Romano PS, Waitzman NW. Evaluating financial implications within a decision analytic framework. Presented at the New York Academy of Sciences Conference on (Ultrasound Screening for Fetal Anomalies: Is it Worth it? June 23-25, 1997; New York, NY.

25. 1997 Waitzman NW, Romano PS. The financial implications of congenital anomalies and mass screening. Presented at the New York Academy of Sciences Conference on (Ultrasound Screening for Fetal Anomalies: Is it Worth it? June 23-25, 1997; New York, NY.

26. 1997 Kravitz RL, Donovan CH, Foulke GE, Franz CE, Romano PS. Judging the performance of physician groups: How concordant are the outcomes? Presented at the 14th International Congress on Performance Measurement and Improvement in Health Care; November 12-15, 1997; Chicago, IL.

27. 1998 White RH, Zhou H, Romano PS, Beyth RJ, Landefeld CS. Age as a risk factor for bleeding after hospitalization for venous thromboembolism. Published in Journal of General Internal Medicine; 13(April, Suppl 1):14.

28. 1998 White RH, Zhou H, Romano PS, Beyth RJ, Landefeld CS. Major bleeding within 3 months of hospitalization for venous thromboembolism. Published in Journal of General Internal Medicine; 13(April, Suppl 1):15.

29. 1998 Romano PS, Rainwater JA, Antonius D. Grading the graders: How hospitals in New York and California perceive and interpret their report cards. Presented at the 15th Annual Meeting of the Association for Health Services Research; June 21-23, 1998; Washington DC.

30. 1999 White RH, Zhou H, Kim J, Romano PS. An observational study of the effectiveness of inferior vena cava (IVC) filters among patients with venous thromboembolism. Published in Journal of General Internal Medicine; 14(April, Suppl 2):80.

31. 1999 White RH, Zhou H, Kim J, Romano PS. A population-based study of the effectiveness of inferior vena cava filter use among patients with venous thromboembolism. Published in Thrombosis and Haemostasis; 82(August, Suppl):809.

32. 1999 Guerra L, Romano P, Samuels S, Kass P. High risk behavior sequences in adolescents by ethnicity. Presented at the Annual Meeting of the Ambulatory Pediatric Association/Society for Pediatric Research; May 1999; San Francisco, CA.

33. 1999 Lee JG,.Weller DA, Vigil HT, Romano P, Kravitz R, Sweeney B, Schutz S, Saavedra S, Leung JW. Multicenter, randomized controlled outcome study of open access (OA) endoscopy. Published in Gastrointestinal Endoscopy; 49(4, Suppl Part 2):364.

34. 2000 Gilbert WM, Melnikow J, Romano P, Schembri M, Keyzer J, Kravitz RL. What processes of care during labor affect the cesarean section (C/S) rate? Presented at the 20th Annual Meeting of the Society for Maternal-Fetal Medicine; February 2000; Miami Beach, FL.

35. 2000 Romano PS, Rainwater JA. Are California managed care organizations using hospital outcome studies and data? Published in Journal of General Internal Medicine; 15(April, Suppl 1):142.

36. 2000 White RH, Gettner S, Romano PS, Newman J. Predictors of rehospitalization for symptomatic venous thromboembolism after total hip arthroplasty: A case-control study. Published in Journal of General Internal Medicine; 15(October, Suppl 2):10.

37. 2000 Romano PS, Chan BK, Schembri ME, Rainwater JA. Can administrative data be used to identify postoperative complications? Presented at the Annual Meeting of the Association for Health Services Research; June 2000; Los Angeles, CA.

38. 2000 Garcia JA, Paterniti DA, Romano PS, Kravitz RL. Patient preferences for physician characteristics and the quality of patient care. Presented at the Annual Meeting of the Association for Health Services Research; June 2000; Los Angeles, CA.

39. 2000 Romano PS, Rainwater JA. Are California managed care organizations using hospital outcome studies and data? Presented at the Annual Meeting of the Association for Health Services Research; June 2000; Los Angeles, CA.

40. 2000 Melnikow JA, Romano PS, Gilbert WM, Schembri ME, Keyzer J, Kravitz RL. What processes of care are associated with low cesarean section rates? A study of California hospitals. Presented at the Annual Meeting of the Association for Health Services Research; June 2000; Los Angeles, CA.

41. 2000 Trauner KB, White RH, Romano PS, Gettner S, Newman JM. Predictors of rehospitalization for symptomatic venous thromboembolism after elective total hip arthroplasty. Presented at the 68th Annual Meeting of the American Academy of Orthopaedic Surgeons; March 4, 2001; San Francisco, CA.

42. 2001 White RH, Romano PS, Zhou H. A population-based comparison of the 3-month incidence of thromboembolism after major elective/urgent surgeries. Published in Journal of General Internal Medicine; 16(April, Suppl 1):182.

43. 2002 Lieberman JR, Romano PS, Chilcott-Lockwood M, Schembri M, Moehring HD. How are hip fracture patients really treated by the orthopedic community? Presented at the 69th Annual Meeting of the American Academy of Orthopedic Surgeons; February 2002; Dallas, TX.

44. 2002 West DC, Rudominer A, Azari R, Holman M, Sandhur S, Franklin P, Romano PS. Environmental tobacco smoke and sickle cell disease. Presented at the 2002 Pediatric Academic Societies’ Annual Meeting; May 2002; Baltimore, MD. Published in Pediatric Research; 51 (4, Suppl Part 2):1184.

45. 2002 Romano PS, Zhou H. Do well-publicized risk-adjusted outcomes reports affect hospital volume? Presented at the Annual Research Meeting of the Academy for Health Services Research and Health Policy; June 23, 2002; Washington, DC.

46. 2002 Geppert J, McDonald KM, Davies S, Romano PS. The AHRQ/HCUP Complication and Patient Safety Indicators. Presented at the Annual Research Meeting of the Academy for Health Services Research and Health Policy; June 24, 2002; Washington, DC.

47. 2002 Marcin JP, Schembri M, He J, Maru S, Witherspoon M, Romano PS. The relationship of socioeconomic status and severity of trauma in a pediatric trauma registry. Published in Pediatric Critical Care Medicine; 4(1):A42.

48. 2002 Marshall MN, Romano PS, Davies HTO. How do we maximize the impact of the public reporting of quality of care? Presented at the 5th International Summit on Indicators and Performance Measures, International Society for Quality in Health Care; November 2002; Paris, France.

49.* 2003 Yasmeen S, Romano PS, Danielsen B, Gilbert W. Effect of gestational age, birth weight and birth sequence on perinatal outcomes in multiple gestations. Presented at the 23rd Annual Meeting of the Society for Maternal-Fetal Medicine; February 2003; San Francisco, CA. Published in American Journal of Obstetrics and Gynecology; 187(6 Suppl):S112-S143.

50. 2003 Romano PS, Geppert JJ, Davies S, Miller MR, Elixhauser A, McDonald KM. Refinement and validation of the AHRQ Patient Safety Indicators (PSI). Published in Journal of General Internal Medicine; 18(April, Suppl 1):294-295.

51. 2003 White RH, Romano PS. The epidemiology of venous thromboembolism in California in 1996. Published in Journal of General Internal Medicine; 18(April, Suppl 1):161.

52. 2003 White RH, Gage B, Romano PS. Effect of age on the incidence of venous thromboembolism after surgery. Published in Journal of General Internal Medicine; 18(April, Suppl 1):161.

53. 2003 Romano PS, Geppert JJ, Davies S, Miller MR, Elixhauser A, McDonald KM. A national profile of patient safety in US hospitals based on administrative data. Presented orally at the 20th Annual Research Meeting of AcademyHealth, June 28, 2003; Nashville, TN.

54. 2003 McDonald K, Davies S, Geppert J, Romano PS, Gritz M, Remus D. Quality indicators for inpatient care, patient safety and avoidable hospitalizations: Building a bridge from indicator development to user applications. Presented at the 5th International Conference on the Scientific Basis of Health Services, September 20-23, 2003; Washington, DC.

55. 2003 Romano PS, Remus D, McDonald KM. Health care quality and safety measures based on administrative data: From development to application. Workshop presented at the 20th International Conference of the International Society for Quality in Health Care, November 5, 2003; Dallas TX.

56. 2003 Davies SM, Romano PS, Geppert JJ, McDonald KM. Indicators of quality obstetric care based on administrative data: Exploring the possibilities. Presented at the 20th International Conference of the International Society for Quality in Health Care, November 3, 2003; Dallas TX.

57. 2003 Romano PS, Geppert J, Davies SM, McDonald KM, Elixhauser A, Miller MR. Refinement and validation of the AHRQ Patient Safety Indicators (PSI). Presented at the 131st Annual Meeting of the American Public Health Association, November 17, 2003; San Francisco, CA.

58. 2003 Davies SM, Romano PS, McDonald KM, Geppert J, Elixhauser A, Remus D. Use of AHRQ Prevention Quality Indicators for public health and health plan monitoring of access to care. Presented at the 131st Annual Meeting of the American Public Health Association, November 18, 2003; San Francisco, CA.

59. 2004 Romano PS, Rainwater JA, Garcia JA, Mahendra G, Tancredi DJ. Consumers’ use of quality information when selecting a health plan. Presented orally at the Second Annual Health Care Quality and Outcomes Research Conference, May 11, 2004; Berkeley, CA.

60. 2004 Rainwater JA, Garcia JA, Romano PS. Consumers’ use of quality information when selecting a health plan. Presented orally at the 2004 Annual Research Meeting of AcademyHealth, June 8, 2004; San Diego, CA.

61. 2004 Grosse S, Waitzman N, Romano PS, Mulinare J. The economic gains from preventing ural tube defects through folic acid fortification in the United States. Presented at the 2nd National Center for Birth Defects and Developmental Disabilities Conference On Birth Defects, Developmental Disabilities, Human Development and Disability, July 26, 2004; Washington, DC.

62. 2004 Romano PS, Rainwater JA, Garcia JA, Mahendra G, Tancredi DJ. Consumers’ use of quality information when selecting a health plan. Presented orally at the 21st International Conference of the International Society for Quality in Health Care, October 22, 2004; Amsterdam, Netherlands.

63. 2005 Marcin JP, Dharmar M, Kuppermann N, Andrada-Brown E, Cole SL, Romano PS. Assessing quality of care among children presenting to the emergency department. Published in Journal of Investigative Medicine; 53(1, 281 Suppl):S127.

64. 2005 Marcin JP, Kuppermann N, Nesbitt, TS, Cole SL, Romano PS. Improving care of critically ill children in rural emergency departments with telemedicine. Presented at the 2005 Pediatric Academic Societies’ Annual Meeting, May 16, 2005; Washington, DC.

65. 2005 Marcin JP, Dharmar M, Kuppermann N, Andrada E, Cole SL, Romano PS. Assessing quality of care among children receiving care in the emergency department. Presented at the 2005 Pediatric Academic Societies’ Annual Meeting, May 16, 2005; Washington, DC.

66. 2005 Marcin JP, Seifert L, Cho M, Cole SL, Romano PS. Medication errors among acutely ill and injured children presenting to rural emergency departments. Presented at the 2005 Pediatric Academic Societies’ Annual Meeting, May 16, 2005; Washington, DC.

67. 2005 Cole SL, Kuppermann N, Andrada E, Overly F Valente J, Romano PS, Marcin JP. Quality of care provided to acutely ill children in emergency departments by hospital setting and physician training. Presented at the 2005 Pediatric Academic Societies’ Annual Meeting, May 16, 2005; Washington, DC.

68. 2005 Tsilimingras D, Romano PS, Rivard PE, Christiansen CL, Henderson WG, Elixhauser A, Zhao S, Loveland S, Rosen AK. Validating AHRQ PSIs with NSQIP postoperative adverse events. Presented orally at the 2005 Annual Research Meeting of AcademyHealth, June 26, 2005; Boston MA.

69. 2005 Rainwater JA, Romano PS, García JA, Mahendra G, Tancredi DJ. Switching health plans and the role of cost, quality, and health beliefs. Presented at the 2005 Annual Research Meeting of AcademyHealth, June 27, 2005; Boston MA.

70. 2005 Loveland S, Rivard PE, Zhao S, Elixhauser A, Romano PS, Christiansen CL, Rosen AK. Evaluating the Patient Safety Indicators (PSIs): How well do they perform on VA data? Presented at the 2005 Annual Research Meeting of AcademyHealth, June 27, 2005; Boston MA.

71. 2005 Waitzman NJ, Romano PS, Grosse SD. Sensitivity of lifetime medical cost estimates to measures of inflation: The case of spina bifida. Presented at the 5th World Congress of the International Health Economics Association, July 10-13 2005; Barcelona, Spain.

72. 2005 Romano PS, Rainwater JA, Garcia JA, Mahendra G, Tancredi DJ, Keyzer JM. A randomised controlled trial of an educational and motivational intervention to enhance consumers use of health plan and medical group quality data. Presented orally at the 22nd International Conference of the International Society for Quality in Health Care, October 26-28, 2005; Vancouver, Canada.

73. 2006 McDonald KM, Davies S, Haberland C, Geppert J, Ku A, Romano PS. Development of Pediatric Quality Indicators based on hospital administrative data. Presented orally at the 2006 Pediatric Academic Societies' Annual Meeting, May 2, 2006; San Francisco, CA.

74. 2006 Dharmar M, Marcin JP, Kuppermann N, Andrada ER, Cole SL, Harvey DJ, Romano PS. A new implicit review instrument for measuring quality of care for children presenting to the emergency department. Presented at the 2006 Pediatric Academic Societies' Annual Meeting, May 1, 2006; San Francisco, CA.

75. 2006 Cole SL, Marcin JP, Romano PS, Nesbitt TS. Impact of pediatric critical care telemedicine consultations on medical advice and parent/guardian satisfaction of care in rural emergency departments. Presented at the 2006 Pediatric Academic Societies' Annual Meeting, May 1, 2006; San Francisco, CA.

76. 2006 Romano PS, Rainwater J, Garcia JA, Mahendra G, Tancredi DJ, Keyzer J. A randomized controlled trial of an educational and motivational intervention to enhance consumers’ use of health plan and medical group quality data. Published in Journal of General Internal Medicine; 21(April, Suppl 4):6.

77. 2006 Smith-Gagen J, Cress RD, Romano P, Drake CM. Investigation of high surgical volume survival advantages using relative survival to estimate rectal cancer deaths in a California population-based analysis. Published in American Journal of Epidemiology; 163(11, Suppl):S132.

78. 2006 Romano PS, Rainwater JA, Garcia JA, Mahendra G, Tancredi DJ, Keyzer J. A randomized controlled trial of an educational and motivational intervention to enhance consumers’ use of health plan and medical group quality data. Presented orally at the 2006 Annual Research Meeting of AcademyHealth, June 27, 2006; Seattle, WA.

79. 2006 Davies S, Romano P, Ku A, Haberland C, Geppert J, McDonald K. Indicators of their own: Pediatric Quality Indicators based on administrative data. Presented orally at the 2006 Annual Research Meeting of AcademyHealth, June 27, 2006; Seattle, WA.

80. 2006 Geppert J, Davies S, Romano P, Ku A, Haberland C, McDonald K. Socioeconomic status and the Prevention Quality Indicators. Presented orally at the 2006 Annual Research Meeting of AcademyHealth, June 27, 2006; Seattle, WA.

81. 2006 McDonald K, Romano P, Davies S, Haberland C, Ku A, Geppert J. Assessing pediatric healthcare quality in U.S. hospitals and regions using readily available administrative data. Presented orally at the Fourth Annual Bay Area Health Care Quality and Outcomes Conference, May 25, 2006; San Francisco, CA.

82. 2007 Volpp K, Rosen A, Rosenbaum P, Romano PS, Even-Shoshan O, Canamucio A, Bellini LM, Behringer T, Silber JH. The impact of the ACGME duty hour rules on mortality rates in teaching hospitals. Published in Journal of General Internal Medicine; 22(April, Suppl 1):69.

83. 2007 Li Z, Marcin JP, Romano PS, Rocke DM, Denton TA, Brindis RG, Amsterdam E, Kravitz RL. Indications for coronary bypass surgery in California. Published in Journal of General Internal Medicine; 22(April, Suppl 1):128.

84. 2007 Dharmar M, Marcin JP, Kuppermann N, Andrada ER, Overly F, Valente JH, Harvey DJ, Romano PS. Quality of care of children in the emergency department: Association with hospital setting and physician training. Presented at the 2007 Pediatric Academic Societies' Annual Meeting, May 7, 2007; Toronto, ON.

85. 2007 Dharmar M, Marcin JP, Kuppermann N, Andrada ER, Vance C, Romano PS. Impact of pediatric telemedicine consultations on quality of care. Presented at the 2007 Pediatric Academic Societies' Annual Meeting, May 8, 2007; Toronto, ON.

86. 2007 Dharmar M, Marcin JP, Cole SL, Romano PS. Impact of pediatric telemedicine consultations on diagnostic and therapeutic advice, and parent satisfaction. Presented at the 2007 Pediatric Academic Societies' Annual Meeting, May 7, 2007; Toronto, ON.

87. 2007 Sadeghi B, Rainwater J, Garcia J, Hogarth M, Tancredi D, Paterniti D, Romano P. A stratified cluster randomized trial of a web-based decision-making tool to promote informed decision-making among small business employees in California. Presented orally at the 2007 Annual Research Meeting of AcademyHealth, June 4, 2007; Orlando, FL.

88. 2007 Haberland C, Romano PS. The AHRQ Neonatal Quality Measures - Development and Ratings. Presented orally at the 2007 Annual Research Meeting of AcademyHealth, June 3, 2007; Orlando, FL.

89. 2007 Sadeghi B, Hogarth M, Garcia J, Rainwater J, Tancredi D, Simon J, Paterniti D, Romano P. Factors associated with use of computerized tailored information on quality of health plans during open enrollment for small business employees in California. Presented orally at the 2007 Annual Research Meeting of AcademyHealth, June 4, 2007; Orlando, FL.

90. 2007 Dharmar M, Marcin JP, Kuppermann N, Andrada ER, Overly F, Valente JH, Harvey DJ, Cole SL, Romano PS. Association of quality of care, hospital setting and physician training among children in the emergency department. Presented orally at the 2007 Annual Research Meeting of AcademyHealth, June 5, 2007; Orlando, FL.

91. 2007 Dharmar M, Marcin JP, Cole SL, Romano PS. Impact of pediatric telemedicine consultations on diagnostic and therapeutic advice, and parent satisfaction. Presented (poster) at the 2007 Annual Research Meeting of AcademyHealth, June 4, 2007; Orlando, FL.

92.* 2007 Volpp K, Rosen AK, Rosenbaum PR, Romano P, Even-Shoshan O, Canamucio A, Loveland S, Silber JH. The impact of the ACGME hour rules on PSI rates in VA hospitals. Presented orally at the 2007 Annual Research Meeting of AcademyHealth, June 3, 2007; Orlando, FL.

93.* 2007 Volpp K, Rosen AK, Rosenbaum P, Romano P, Evan-Shoshan O, Silber JH. The impact of the ACGME duty hour rules on mortality rates in teaching hospitals. Presented orally at the 2007 Annual Research Meeting of AcademyHealth, June 5, 2007; Orlando, FL.

94.* 2007 Dharmar M, Marcin JP, Kuppermann N, Andrada ER, Overly F, Valente JH, Harvey DJ, Cole SL, Romano PS. Quality of care of children in the emergency department: Association with hospital setting and physician training. Presented at the 5th World Congress on Pediatric Critical Care, June 26, 2007; Geneva, Switzerland.

95.* 2007 Dharmar M, Marcin JP, Kuppermann N, Andrada E, Vance C, Harvey D, Romano PS. Impact of pediatric telemedicine consultations on quality of care. Presented at the 5th World Congress on Pediatric Critical Care, June 24, 2007; Geneva, Switzerland.

96.* 2007 Dharmar M, Marcin JP, Romano PS. Impact of pediatric telemedicine consultations on diagnostic and therapeutic advice, and parent satisfaction. Presented at the 5th World Congress on Pediatric Critical Care, June 24, 2007; Geneva, Switzerland.

97. 2008 Ong MK, Escarce JJ, Ang A, Xiong W, Auerbach AD, Davidson B, Ganiats TG, Greenfield S, Gropper M, Malik S, Romano PS, Mangione CM. Comparison of methods examining hospital use variation among elderly heart failure patients. Published in Journal of General Internal Medicine; 23(March, Suppl 2):270.

98. 2008 Volpp KG, Rosenbaum P, Rosen A, Romano PS, Bellini LM, Itani KM, Cen L, Shoshan O, Halenar M, Silber JH. Did high-risk patients experience worse outcomes under ACGME duty hour rules? Published in Journal of General Internal Medicine; 23(March, Suppl 2):280-281.

99. 2008 Volpp K, Rosen A, Romano PS, Itani KM, Mi L, Even-Shoshan O, Halenar M, Silber JH. Impact of ACGME duty hour rules on prolonged length of stay among Medicare patients. Published in Journal of General Internal Medicine; 23(March, Suppl 2):320.

100. 2008 Romano PS, Utter G, White RH, Zrelak PA, Tancredi DJ, Baron R, Jones L, Puzniak L, Geppert J. Positive predictive value of AHRQ Patient Safety Indicators in a national sample of hospitals. Published in Journal of General Internal Medicine; 23(March, Suppl 2):370-371.

101.*2008 Marcin JP, Dharmar M, Kuppermann N, Andrada E, Sadorra C, Cole S, Romano P. Impact of pediatric telemedicine consultations on diagnostic and therapeutic outcomes. Presented at the American Telemedicine Association 13th Annual International Meeting and Exposition, April 8, 2008; Seattle, WA.

102. 2008 Romano PS, Zrelak PA, Utter G, White RH, Tancredi DJ, Baron R, Geppert J. Positive predictive value of AHRQ Patient Safety Indicators in a national sample of hospitals. Presented orally at the 2008 Annual Research Meeting of AcademyHealth, June 9, 2008; Washington, DC.

103. 2008 Romano PS, Marcin JP, Dai JJ, Kravitz RL, Rocke DM, Dharmar M, Li Z. Impact of public reporting of coronary artery bypass graft surgery performance data on market share, mortality, and patient selection. Presented orally at the 2008 Annual Research Meeting of AcademyHealth, June 10, 2008; Washington, DC.

104. 2008 Ong MK, Escarce JJ, Ang A, Xiong W, Auerbach AD, Davidson B, Ganiats TG, Greenfield S, Gropper M, Malik S, Romano PS, Mangione CM. Comparison of methods examining hospital use variation among elderly congestive heart failure patients. Presented (poster) at the 2008 Annual Meeting of AcademyHealth, June 2008; Washington, DC.

105. 2008 Rosen A, Loveland S, Romano PS, Itani K, Rosenbaum P, Silber J, Even-Shoshan O, Halenar M, Teng Y, Zhu J, Volpp K. Rates of Patient Safety Indicators (PSIs) among VA patients in the first two years following ACGME resident duty hour reform. Presented orally at the 2008 Annual Meeting of AcademyHealth, June 2008; Washington, DC.

106. 2008 Volpp KG, Rosenbaum PR, Rosen AK, Romano PS, Itani KM, Bellini L, Evan-Shoshan O, Halenar M, Silber JH. Did high-risk patients experience worse outcomes under the ACGME duty hour regulations? Published in Circulation; 117(21):e454.

107. 2008 Romano PS, Marcin JP, Dai JJ, Kravitz RL, Rocke DM, Dharmar M, Li Z. Impact of public reporting of coronary artery bypass graft (CABG) surgery performance data on market share, mortality, and patient selection. Presented orally at the Sixth Annual Bay Area Health Care Quality and Outcomes Research Conference, May 22, 2008; San Francisco, CA.

108. 2008 Loveland SA, Rosen AK, Romano PS, Itani KM, Silber JH, Rosenbaum PR, Even-Shoshan O, Halenar M, Volpp KG. The effect of ACGME resident duty hour reform on three Patient Safety Indicator composite measures. Presented (poster) at VA Health Services Research and Development Service (HSR&D) Conference; February 13, 2008; Baltimore, MD.

109. 2008 Romano PS, Sadeghi B, Utter G, White RH, Zrelak PA, Tancredi DJ, Baron R, Geppert J. Positive predictive value of AHRQ Patient Safety Indicators in a national sample of hospitals. Presented orally at the 136th Annual Meeting of the American Public Health Association; October 27, 2008; San Diego, CA.

110. *2008 Ong M, Mangione CM, Ang A, Xiong W, Auerbach AD, Chun A, Davidson B, Ganiats TG, Greenfield S, Gropper M, Malik S, Romano PS, Escarce JJ. Looking forward, looking back: assessing variations in hospital resource use and outcomes for elderly patients with heart failure. Presented orally at the 136th Annual Meeting of the American Public Health Association; October 27, 2008; San Diego, CA.

111.*2008 London JA, Utter GH, Sena MJ, Chen SL, Romano PS. Lack of Insurance is associated with increased risk for hernia complications. Presented (poster) at the 94th Annual Clinical Congress of the American College of Surgeons; October 13, 2008; San Francisco, CA.

112. 2009 Mourton SM, Xing GB, Yasmeen S, Leiserowitz GS, Romano PS, Smith LH. Comorbidity determinants of mortality in patients with localized grade 1 endometrial adenocarcinoma: A classification and regression tree analysis approach. Published in Gynecologic Oncology; 112(2):S28-S29.

113. 2009 Sadeghi B, Romano PS, Utter G, White RH, Tancredi DJ, Zrelak PA, Baron R, Geppert J. Positive predictive value and potential preventability of AHRQ PSIs in a national sample of hospitals. Presented orally at the 2009 Annual Research Meeting of AcademyHealth, June 30, 2009; Chicago, IL.

114. 2009 Davies S, McDonald KM, Schmidt E, Schultz E, Geppert J, Romano PS. Expanding the uses of AHRQ’s Prevention Quality Indicators: Validity from the clinician perspective. Presented orally at the Seventh Annual Bay Area Health Care Quality and Outcomes Research Conference, October 9, 2009; Palo Alto, CA.

115. 2009 Romano PS, Utter G, Sadeghi B, Zrelak PA, Tancredi DJ, Baron R, Drösler S, Geppert J. Positive predictive value and potential preventability of the AHRQ Patient Safety Indicators in a national sample of hospitals from the USA. Presented orally at the 26th International Conference of the International Society for Quality in Health Care, October 11-14, 2009; Dublin, Ireland. (Won first prize for best abstract presentation.)

116. 2009 Dharmar M, Marcin JP, Kuppermann N, Andrada ER, Vance C, Romano PS. Impact of pediatric telemedicine Consultations on diagnostic and therapeutic advice, parent satisfaction and quality of care of critically ill children in the emergency department. Presented at the International Conference on Successes and Failures in Telehealth (SFT-09), November 10-11, 2009; Brisbane, Australia.

117.*2009 White RH, Garcia M, Sadeghi B, Tancredi D, Zrelak P, Romano PS. The predictive value of ICD-9-CM coding for deep venous thrombosis (DVT) and pulmonary embolism (PE). Presented (poster) at the 22nd Congress of the International Society on Thrombosis and Haemostasis; July 11-17, 2009; Boston, MA.

118. 2010 Yasmeen S, Kravitz R, Tancredi D, Saito N, Rainwater J, Romano P. Primary care physicians beliefs and practices regarding mammography screening for older and younger women: A national survey. Presented orally at the 33rd Annual Meeting of the Society for General Internal Medicine, April 30, 2010; Minneapolis, MN.

119. 2010 Ong M, Davidson B, Black J, Mangione C, Malik S, Escarce J, Xu H, Ganiats T, Auerbach A, Gropper M, Romano PS, Greenfield S. Readmission ranks for heart failure patients: Are they related to ranks on resource use and mortality? Presented orally at the 33rd Annual Meeting of the Society for General Internal Medicine, April 29, 2010; Minneapolis, MN.

120. 2010 Volpp K, Silber J, Wang Y, Even-Shoshan O, Halenar M, Bellini L, Romano PS, Zhu J, Press M, Rosen A, Itani K. Impact of resident duty hour reform on hospital readmission rates. Presented orally at the 33rd Annual Meeting of the Society for General Internal Medicine, April 30, 2010; Minneapolis, MN.

121. 2010 Moreland C, Ritley D, Rainwater J, Romano P. State policies and language access in California's commercial HMOs. Presented (poster) at the 2010 Annual Research Meeting of AcademyHealth, June 27-29, 2010; Boston, MA.

122. 2010 Press M, Silber J, Rosen A, Romano P, Wany Y, Volpp K. The impact of resident duty hour reform on hospital readmission rates. Presented (poster) at the 2010 Annual Research Meeting of AcademyHealth, June 27-29, 2010; Boston, MA.

123. 2010 Davies SM, McDonald KM, Schmidt EM, Schultz EM, Geppert J, Romano PS. Expanding the uses of AHRQ’s Prevention Quality Indicators: Validity from the clinician perspective. Presented (poster) at the 2010 Annual Research Meeting of AcademyHealth, June 27-29, 2010; Boston, MA.

124. 2010 Davies SM, Romano PS, Schmidt EM, Schultz EM, Geppert J, McDonald KM. Assessment of a novel hybrid Delphi and nominal group technique to evaluate quality indicators. Presented (poster) at the 2010 Annual Research Meeting of AcademyHealth, June 27-29, 2010; Boston, MA.

125. *2010 Ong MK, Mangione CM, Romano PS, Xu H, Auerbach AD, Chun A, Davidson B, Ganiats TG, Greenfield S, Gropper M, Malik S, Escarce JJ. Looking forward, looking back: assessing variations in hospital resource use and outcomes for elderly patients with heart failure. Presented orally at the 2010 Annual Research Meeting of AcademyHealth, June 27, 2010; Boston, MA.

126. 2010 Romano PS, Drösler SE, Tancredi DJ, Brownwood I, Klazinga NS. International comparability of patient safety indicators using ICD-coded hospital administrative data from 15 OECD countries. Presented orally at the World Health Organization Family of International Classifications (WHO-FIC) Network Annual Meeting, October 20, 2010; Toronto, Canada.

127. 2011 Marcin JP, Dharmar M, Romano P, Andrada E, Vance C, Kuppermann N. Impact of pediatric telemedicine consultations on diagnostic and therapeutic advice, patient satisfaction and quality of care of critically ill children in the emergency department. Presented at the Pediatric Critical Care World Congress, March 2011; Sydney, Australia.

128. 2011 Shaikh U, Nettiksimmons J, Bell RA, Romano PS. Accuracy of parental recall of physician counseling on nutrition and physical activity. Presented orally at the 2011 Pediatric Academic Societies Meeting, April 30-May 3, 2011; Denver, CO.

129. 2011 White RH, Sadeghi B, Strater A, Hensley L, Cerese J, Maynard G, Romano PS. Comparative effectiveness of low molecular weight heparin (LMWH) prophylaxis in morbidly obese and less obese patients undergoing total knee arthroplasty (TKA). Presented (poster) at the XXIII Congress of International Society of Thrombosis and Haemostasis, July 26, 2011; Kyoto, Japan.

130. 2011 BEAT-HF Investigators (including Romano PS). Better Effectiveness After Transitions for Heart Failure: A randomized controlled trial of enhanced discharge education, follow-up, and telemonitoring. Presented (poster) at the 15th Annual Scientific Meeting of the Heart Failure Society of America, September 18-21, 2011; Boston, MA.

131. 2012 White RH, Geraghty E, Romano PS, Wun T, Danielsen B, Murin S, Spencer F, Brunson A. High variation in the use of vena cava filters for venous thromboembolism in California hospitals. Presented at the Thrombosis and Hemostasis Summit of North America, May 3-5, 2012; Chicago, IL. Published in American Journal of Hematology 2012;87:S146–S200.

132. 2012 Hedayati N, Brunson A, Li C, Loja ML, Carson JG, Romano PS. Racial disparities in outcomes of endovascular procedures for peripheral arterial disease: An evaluation of California hospitals, 2005-2009. Presented at the American Heart Association Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke Meeting, May 2012; Atlanta, GA.

133. 2012 Hedayati N, Brunson A, Li C, Loja ML, Carson JG, White RH, Romano PS. Higher re-intervention rate but similar amputation-free survival with endovascular procedures for peripheral arterial disease compared to bypass surgery. Presented at the American Heart Association Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke Meeting, May 2012; Atlanta, GA.

134. 2012 Hedayati N, Brunson A, Li C, Baker AC, Pevec WC, Romano PS. Do women have worse amputation-free survival than men following endovascular procedures for peripheral arterial disease? An evaluation of the California state-wide database. Presented at the Society for Vascular Surgery, June 2012; National Harbor, MD.

135. 2012 Utter GH, Tancredi DJ, Zrelak PA, Geppert J, Romano PS. Estimated sensitivity of AHRQ Patient Safety Indicators in a national sample. Presented (orally) at the 2012 Annual Research Meeting of AcademyHealth, June 25, 2012; Orlando, FL.

136. 2012 Romano PS, Sadeghi B, Tancredi DJ, White R. Postoperative venous thromboembolism: Improved coding after introduction of new ICD-9-CM codes but continuing opportunities to improve inpatient care. Presented (orally) at the 2012 Annual Research Meeting of AcademyHealth, June 26, 2012; Orlando, FL.

137. 2013 Jenkins KJ, Gauvreau K, Romano PS, Geppert J. Development of an AHRQ Quality Indicator based on Risk Adjustment for Congenital Heart Surgery (RACHS-1). Presented (poster) at the American College of Cardiology Annual Scientific Session, March 10, 2013; San Francisco, CA.

138. 2013 Romano PS, Cox G. Use of General Equivalence Mappings (GEMs) and expert review in the AHRQ Quality Indicators program. Presented (orally) at the American Health Information Management Association’s ICD-10-CM/PCS and Computer-Assisted Coding Summit, April 22, 2013; Baltimore, MD.

139. 2013 Chin DL, Hill ML,Gojova A, Trask AS, Johnson V, Neaves B, Hogarth MA, Bang H, Romano PS. Repurposed data to measure physician quality of care - Can prescribing errors be detected from decision support systems data? Presented (poster) at the 2013 Electronic Data Methods (EDM) Forum Stakeholder Symposium, June 22, 2013; Baltimore, MD.

140. 2013 White RH, Romano PS, Brunson A, Wun T, Li Z. Outcomes after vena cava filter (VCF) placement in patients with acute venous thromboembolism (VTE). Presented (ePoster orally) at the International Society of Thrombosis and Haemostasis meeting, July 1-4, 2013; Amsterdam, Netherlands.

141. 2013 Dalrymple LS, Johansen KL, Romano PS, Chertow GM, Mu Y, Ishida JH, Grimes B, Kaysen GA, Nguyen DV. Comparison of hospitalization between for-profit and nonprofit dialysis facilities. Presented (orally) at the American Society of Nephrology (ASN) Kidney Week 2013 Annual Meeting, November 7, 2013; Atlanta, GA.

142. 2014 Miyamoto S, Romano PS, Putnam-Hornstein E, Thurston H, Dharmar M, Joseph JG. Risk factors for serious child maltreatment in families previously investigated by CPS: A case-control study. Presented (orally) at the Council for the Advancement of Nursing Science, State of the Science Congress, September 2014; Washington DC.

143. 2014 Pourhomayoun M, Alshurafa N, Mortazavi B, Ghasemzadeh H, Sideris K, Sadeghi B, Ong M, Evangelista L, Romano P, Auerbach A, et al. Multiple model analytics for adverse event prediction in remote health monitoring systems. Presented (orally) at the 2014 IEEE Healthcare Innovation Conference HIC2014, October 8-10, 2014; Seattle, WA.

144. 2014 Yang NH, Dharmar M, Kupperman N, Romano PS, Nesbitt TS, Hojman NM, Marcin JP. Appropriateness of disposition following telemedicine consultations to rural emergency departments. Presented (orally) at the American Academy of Pediatrics National Conference and Exhibition, October 12, 2014; San Diego, CA.

145. 2015 Miyamoto S, Romano PS, Putnam-Hornstein E, Thurston H, Dharmar M, Joseph JG. Risk factors for serious child maltreatment in families investigated by CPS: A case control study. Presented (orally) at the 2015 Annual Conference of the Society for Social Work and Research, January 14-18, 2015; New Orleans, LA.

146. 2015 Januel JM, Romano PS, Hider P, Colin C, Burnand B, Ghali W. Comparaison internationale des complications thromboemboliques veineuses survenant chez des patients hospitalisés ayant subi une arthroplastie de hanche. Revue d'Épidémiologie et de Santé Publique; 63(suppl 1):S14 (Presented at XXVIIIe Congrès national Émois, Nancy, 26-27 mars 2015).

147. 2015 Humphries M, Brunson A, Li C-S, Melnikow J, Romano PS. Amputation trends for patients with lower extremity wounds due to diabetes and peripheral artery disease. Journal of Vascular Surgery; 61:162S. (Presented at the Vascular Annual Meeting, June 17-19, 2015; Chicago IL.)

148. 2015 Li Z, Anderson J, Romano PS, Parker JP, Young JN, Chang DC. Impact of risk adjustment for patient sociodemographic status in public reporting of cardiac surgery outcomes. Journal of the American College of Surgeons; 221:S128. (Presented at 70th Annual Sessions of the Scientific Forum of the American College of Surgeons, October 4-8, 2015; Chicago IL.)

149. 2015 Ong MK, Romano PS, Edgington S, Auerbach AD, Aronow HU, Black JT, De Marco T, Escarce JJ, Evangelista L, Ganiats TG, et al. Remote patient management after discharge of hospitalized heart failure patients: The Better Effectiveness After Transition - Heart Failure Study. Circulation; 132:2269. (Presented orally at Scientific Sessions of the American Heart Association, November 15-19, 2015; Chicago IL.)

150. 2015 Januel JM, Ghali WA, Romano PS, White RH, Hider PN, Colin C, Burnand B. Determinants of venous thromboembolic event rates after hip arthroplasty - international comparison. European Journal of Public Health; 25(suppl_3):200.

151. 2016 Ong MK, Romano PS, Edgington S, Aronow HU, Auerbach AD, Black JT, De Marco T, Escarce JJ, Evangelista LS, Hanna BH, Ganiats TG, Greenberg BH, Greenfield S, Kaplan SH, Kimchi A, Liu H, Lombardo D, Mangione C, Sadeghi B, Sadeghi B, Sarrafzadeh M, Tong K, Fonarow G, for the BEAT-HF Research Group. Adherence to remote patient monitoring after discharge of hospitalized heart failure patients: the Better Effectiveness After Transition - Heart Failure (BEAT-HF) randomized controlled trial. Journal of General Internal Medicine; 31(May, Suppl 2):S115.

152. 2016 Romano P, Zrelak P, Skinner H, Davies S, McDonald K, Owens P. Incorporating harms into weighting the revised AHRQ Patient Safety for Selected Indicators composite (PSI 90). Presented (orally) at the 2016 Annual Research Meeting of AcademyHealth, June 28, 2016; Boston, MA.

153. 2016 Ong M, Romano P, Edgington S, Aronow H, Auerbach A, Black J, DeMarco T, Escarce J, Evangelista L, Hanna B, Ganiats T, Greenberg B, Greenfield S, Kaplan S, Kimchi A, Liu H, Lombardo D, Mangione C, Sadeghi B, Sadeghi B, Sarrafzadeh M, Tong K, Fonarow G. Remote patient monitoring after discharge of hospitalized heart failure patients: The Better Effectiveness after Transition - Heart Failure (BEAT-HF) randomized controlled trial. Presented (orally) at the 2016 Annual Research Meeting of AcademyHealth, June 26, 2016; Boston, MA.

152. 2016 Whitney R, Bell J, Tancredi DJ, Romano PS, Bold RJ, Joseph JG. Rehospitalization of advanced cancer patients in the year after diagnosis. Journal of Clinical Oncology: official journal of the American Society of Clinical Oncology; 34(26_suppl):10 Oct 2016.

154. 2017 Perez S, Gosdin M, Pintor JK, Romano PS. Ensuring timely access and finding a trusted provider is key to supporting consumer decision-making. Presented (poster) at the 2017 Annual Research Meeting of AcademyHealth, June 26, 2017; New Orleans, LA.

RESEARCH GRANTS AND CONTRACTS[1] (see footnote below)

CURRENT PROJECTS

Agreement 10-1488 (Li) 6/30/15-6/28/18

California Office of Statewide Health Planning and Development

California Coronary Artery Bypass Graft (CABG) Outcomes Reporting Program

The objectives are to use CABG clinical data to develop public reports on hospital-level and surgeon-level risk-adjusted mortality rates, to conduct multilevel analyses on the volume-outcome relationship, to evaluate the impact of public reporting on case selection and risk-adjusted outcomes, and to explore non-mortality outcomes such as complications and appropriateness of CABG surgery.

Role: Co-Investigator (Zhongmin Li, UC Davis, PI)

Grant #73057 10/1/15-9/30/17

Robert Wood Johnson Foundation

Understanding Consumers Views of Cost Sharing, Quality and Network Choice

The objectives are to explore opportunities and challenges among individuals newly enrolled in the California insurance marketplace (Covered CA), as compared with those who have had coverage for at least 5 years, using focus groups and surveys to (1) identify meaningful attributes of healthcare quality from the perspective of newly insured consumers and those with stable employer-related coverage; (2) determine if and how provider choice and potentially costly treatment decisions are influenced by cost-sharing, network design, and related perceptions of quality; (3) identify the quality-related and other resources that consumers trust when seeking information and advice for health plan and provider choice (and why those sources are trusted); and (4) assess differences in consumer perspectives relative to their experience with health insurance and key socio-demographic characteristics.

Role: Principal Investigator

Award 20132152 (Ong) 9/1/12-12/31/17

University of California Office of the President, Center for Health Quality and Evaluation

Innovation Evaluation Center

The objectives are to evaluate projects funded by the UC Center for Health Quality and Innovation (CHQI) to help the leadership determine the advisability of scaling up the projects and/or sustaining the existing projects beyond the original award dates; to provide recommendations to applicants to strengthen their metrics; and to provide real-time rapid analysis of variations in cost and quality in response to requests from the Executive Director of CHQI.

Role: PI at UC Davis site (subaward from UCLA)

R01 HS023560 (Silber) 9/30/14-9/29/18

Agency for Healthcare Research and Quality

Medical Failure-to-Rescue

The objective is to extend the concept of failure-to-rescue (FTR), which was developed to assess hospital quality of care for surgical patients, to the analysis of medical conditions.

Role: PI at UC Davis site (subaward from Children’s Hospital of Philadelphia)

HHSAA290-2012-00003I (McDonald) 8/1/14-7/31/17

Agency for Healthcare Research and Quality

Analytic Enhancement of the AHRQ Quality Indicators

The objectives are to: (1) translate research into practice by annually updating, refining, and enhancing the AHRQ QIs based on the best available evidence and testing; (2) implement and test ICD-10 based specifications of the AHRQ QIs; (3) evaluate the suitability of the QIs for comparative quality reporting and other applications; and (4) provide administrative and management support to AHRQ in disseminating information, in conducting workshops, in obtaining stakeholder input, and in demonstrating and improving the value of the QIs.

Role: PI at UC Davis site (subaward from Stanford University)

COMPLETED PROJECTS

Agreement # 2015-7843 12/31/15-12/31/16

California Public Employees’ Retirement System (CalPERS)

The objectives are to: (1) provide feedback on the CalPERS health benefits strategic measures, and recommend alternatives or methods to make the current strategic quality measures stronger; (2) recommend process or clinical measures for use in CalPERS contract monitoring, to allow comparisons across plans and to national standards; (3) summarize and review literature about quality measures for Accountable Care Organizations (ACOs) and recommend measures appropriate for CalPERS to consider in evaluating a regional ACO; and (4) provide on-going consultation as CalPERS develops a general evaluation and analytic framework for any ACO.

Role: PI

Agreement 13038IA (PI: Dudley) 7/1/14-9/30/16

California Department of Insurance

Cycle III Data Center Project

The objectives are to collect and analyze data to develop price and quality information for a number of common medical procedures and episodes of care; to make this information available online; and to convene a collaborative stakeholder process with a diverse range of stakeholders.

Role: Site PI

Agreement 14-00122 (Romano) 2/26/15-5/27/16

California Department of Corrections and Rehabilitation (CDCR)

The objectives are to review and document current quality measurement methods implemented by CRCR, to describe a portfolio of proposed performance measures, to identify gaps between current and proposed measures, to implement validation and verification procedures to assess and improve the accuracy of performance measurement, to troubleshoot and recommend approaches to resolve gaps between current methods and HEDIS methods, and to recommend other measurement process improvements.

Role: Principal Investigator

Award U38OT000216 (Love) 11/1/13-1/31/16

Centers for Disease Control and Prevention (CDC)

Technical Assistance to CDC Surveillance Programs for ICD-10 Transition

The objective is to facilitate CDC’s transition from the ICD-9-CM diagnosis and procedure coding system to the ICD-10-CM and ICD-10-PCS code sets, by providing technical assistance on transition planning, code mapping, and information system programming.

Role: PI at UC Davis site (subaward from National Association of Health Data Organizations)

Agreement 11-10834 (Romano) 5/10/12-6/30/15

California Department of Public Health (CDPH)

Adverse Events Reporting

The objective is to provide two phases of consultative and analytic services in support of the Licensing and Certification Division’s publication of an annual report regarding several aspects of adverse events reporting by California hospitals.

Role: Principal Investigator

Grant R01 HS019712 (Marcin) 10/1/10-9/30/14

Agency for Healthcare Research and Quality

Factors Associated with Quality of Care Delivered to Children in US EDs

The objectives are to: (1) reassess the consistency, reliability and validity of a structured implicit review instrument in a diverse group of EDs; (2) to identify hospital, ED, and physician level factors associated with quality of care; and (3) to identify patient and presentation level factors associated with quality of care. Role: Co-investigator (James Marcin, UC Davis, PI)

Agency for Healthcare Research and Quality contract HHSA290201200001C 12/14/11-11/30/13

Support for Quality Indicators-III

The objectives are to: (1) provide ongoing maintenance and support of the AHRQ QI measure specifications and accompanying software tools; (2) provide timely, accurate, and scientifically robust measures and software products; (3) increase the usefulness of the AHRQ QIs and associated tools; (4) provide technical expertise to facilitate the use of the AHRQ QIs and tools by an expanded and diverse set of public and private users; (5) facilitate the improvement of administrative data for use in quality measurement; (6) enhance the current set of AHRQ QIs by incorporating advances brought about by electronic health record initiatives, clinically-enhanced administrative data, new methodologies and data linkages, and the ICD-10 coding system.

Role: PI at UC Davis site (Battelle Memorial Institute, lead contractor)

Agency for Healthcare Research and Quality grant R01 HS019311 09/1/10-8/31/13

Variations in Care: Comparing Heart Failure Care Transition Intervention Effects

This mutli-site randomized controlled was designed to: (1) compare the effect of implementing two separate care transition interventions with concurrent controls on variation in readmissions among older patients hospitalized with heart failure at six medical centers; (2) examine the change in variation over time in readmissions and mortality among hospitalized Medicare beneficiaries with heart failure at the six medical centers; and (3) compare the health benefits and costs of the two care transition interventions.

Role: PI at UC Davis site (Michael Ong, UCLA, PI)

Centers for Medicare & Medicaid Services HHSM-500-2008-00025I 11/30/12-9/29/13

Development of Ambulatory Care Outcomes Measures

The objective was to provide expert clinical guidance for CMS TORP 120817 regarding measures assessing management of chronic disease in Medicare patients, including review and summarization of published literature relevant to all-cause admission measures for enrollees with heart failure or diabetes.

Role: PI at UC Davis site (Yale-New Haven Hospital Center for Outcomes Research and Evaluation, lead contractor)

California Department of Public Health (CDPH) agreement 10-10495 01/1/11-6/30/12

AB 131 Nurse-to-Patient Ratios (canceled)

The objective was to provide the CDPH and the California legislature with data comparing levels of nurse staffing in acute care hospitals before and after the implementation of AB 394, including data on nursing skill mix and experience, patient quality of care, nurse satisfaction with workload, and occupational illness and injury.

Role: Principal Investigator

Agency for Healthcare Research and Quality Contract 290-04-0020 10/1/04-11/31/11

Support for Quality Indicators-II

The objectives were to: (1) translate research into practice by providing technical assistance to users of the AHRQ Quality Indicators (QIs), so that QI tools are available and accessible to a broad range of users; (2) annually update, refine, and develop additional literature-based QI products based on administrative data and other information that can be readily linked to administrative data; (3) evaluate the suitability of the QIs for public comparative quality reporting; and (4) provide administrative and management support to AHRQ in disseminating information, in conducting workshops, and in demonstrating and improving the value of the QIs.

Role: PI at UC Davis site (Jeffrey Geppert, Battelle Memorial Institute, PI)

Department of Veterans Affairs grant SDR 07-002 (Rosen) 10/1/07-9/30/10

Validating the Patient Safety Indicators in the VA

The objective was to validate the AHRQ Patient Safety Indicators as tools for identifying adverse outcomes of care within acute care VA hospitals.

Role: Co-investigator (Amy Rosen, Boston University, PI)

NIH/National Center for Research Resources grant UL1 RR0241462 9/30/06-6/30/11

Institutional Clinical and Translational Science Center (CTSC)

(I stepped aside from the Co-Director position 6/30/09 due to other funding)

The overall goal of the Design, Biostatistics and Clinical Research Ethics Program is to support clinical and translational investigators at UC Davis with ethical study design and analysis.

Role: Co-Director, Design, Biostatistics and Clinical Research Ethics (Lars Berglund, PI)

California Department of Managed Health Care agreement 05MC-1A016 6/1/06-6/30/09

Office of the Patient Advocate Quality Measures Evaluation Project

The objectives of this project were to conduct exploratory analyses of OPA data sets, to identify and analyze data elements in Quality Compass for potential inclusion in the California Quality of Care Report Card, and to develop recommendations for OPA regarding future activities in performance reporting.

Role: Principal investigator

Department of Veterans Affairs grant SDP-06-005 10/1/07-9/30/08

Translating the AHRQ Quality Indicators to the VA

The objectives of this project were to: 1) develop collaborations with key stakeholders who provided clinical and methodological input and guidance on identifying a set of high-priority QIs for use in VA; 2) apply and modify the AHRQ QI algorithms for use on VA data; 3) investigate the construct validity of the QIs as indicators of quality of VA care; 4) to determine rates of the QIs across VA facilities and Veterans Integrated Service Networks (VISNs); and 5) to develop a national quality report and accompanying informational guide that facilities can use to interpret and better understand their QI rates.

Role: Co-investigator (Ann Borzecki, Boston University, PI)

NIH/National Heart, Lung, and Blood Institute grant R01 HL 082637-02 5/20/05-4/30/08

Impact of Resident Work Hour Rules on Errors and Quality

The major goals of this project were to compare changes in the rates of mortality and failure-to-rescue (death after complications) in teaching hospitals and non-teaching hospitals before and after implementation of the ACGME work hour rules. The secondary goals were to examine differences in AHRQ Patient Safety Indicators (PSIs) before and after the rule change and to study how length of stay (LOS), the probability of a prolonged length of stay, and conditional length of stay (LOS once a stay is prolonged) changed in teaching vs. non-teaching hospitals.

Role: Co-investigator (Kevin Volpp, University of Pennsylvania, PI)

California Department of Health Services agreement 01-15847 1/1/02-12/31/04

Traumatic Brain Injury and Child Maltreatment Surveillance

The objectives of this project were to: 1) work with the Department of Health Services to implement the statewide Traumatic Brain Injury (TBI) surveillance system; 2) assess the validity of that system through detailed review of randomly selected medical records; 3) provide consultative services related to the design of a child maltreatment surveillance study, and 4) implement a public health surveillance system for sexual violence.

Role: Principal investigator

Department of Veterans Affairs Health Services R&D grant IIR-02-144-1 10/1/02-9/30/05

Identifying Patient Safety Indicators from Administrative Data

The objectives of this project were to: 1) apply and test AHRQ’s Patient Safety Indicators as a screening tool for potential patient safety events in the VA; 2) validate the PSIs with chart-abstracted data from the National VA Surgical Quality Improvement Program (NSQIP); 3) determine occurrence rates of PSI events across VA facilities and VISNs; 4) identify patient-level, facility-level, and systems-level factors that explain variation in rates of PSI events across VA facilities and VISNs; 5) compare the occurrence rates of PSI events in VA and non-VA hospitals for benchmarking purposes; and 6) explore whether those facilities with lower PSI rates employ specific practices that can serve as "best practice" models for other facilities

Role: Co-investigator (Amy Rosen, Boston University, PI)

California Department of Managed Health Care agreement 03MC-IA008 10/1/03-12/31/04

Evaluation of the California HMO Quality Report Card

The objectives of this project were to: 1) assess whether California consumers are using the California HMO Quality Report Card; 2) assess how useful the specific quality indicators currently included in that report card are to consumers; and 3) determine whether the report card has an impact on the quality improvement efforts of HMOs and medical groups.

Role: Co-investigator (Julie Rainwater, UC Davis, PI)

California Department of Health Services (DHS) agreement 01-16447 4/1/02-3/31/07

Nurse-to-Patient Ratios Response Report

The objective of this project was to provide technical support to DHS, Licensing and Certification, in developing and implementing nurse staffing regulations for acute care hospitals in California.

Role: Principal investigator

California Department of Health Services (DHS) agreement 04-35863 10/1/04-9/30/05

Sexual and Sexually Motivated Violence

The objectives of this project were to: 1) develop methods for estimating the incidence of rape, sexual assault and other outcomes related to sexual violence in children and adults; provide technical assistance to the Office of Emergency Services, its contractors, and others in the evaluation of rape prevention and education programs; and 3) coordinate with public health and surveillance efforts in the areas of child abuse, intimate partner violence, sexually transmitted diseases, and other violence-related outcomes.

Role: Principal investigator

Agency for Healthcare Research and Quality (AHRQ) contract 290-02-0007 6/1/02-11/30/04

Support for Quality Indicators

The objectives of this project were to: 1) translate research into practice by providing technical assistance to users of the AHRQ Quality Indicators (QIs), so that QI tools are available and accessible to a broad range of users; 2) annually update, refine, and develop additional literature-based QI products based on administrative data and other information that can be readily linked to administrative data; 3) evaluate the suitability of the QIs for public comparative quality reporting; and 4) provide administrative and management support to AHRQ in disseminating information, in conducting workshops, and in demonstrating and improving the value of the QIs.

Role: Principal investigator (subcontractor to Battelle Memorial Institute)

Agency for Health Care Policy and Research (AHCPR) contract 290-97-0013 5/10/99-6/30/02

Refinement of HCUP Quality Indicators

The objectives of this project were to: 1) conduct a literature review to guide the selection of new Healthcare Cost and Utilization Project (HCUP) Quality Indicators, and risk-adjustment methodologies for current and proposed indicators; 2) perform empirical evaluations of the current and proposed HCUP Quality Indicators, and associated risk-adjustment methods; and 3) update the HCUP software to incorporate the new indicators and risk-adjustment methods.

Role: Principal investigator (subcontractor to Stanford University)

NIH/National Institute on Aging grant R03 AG16019 9/1/98-8/31/99

Thromboembolism after Illness or Surgery in the Elderly

The objective of this project was to use existing data sets to estimate the incidence of thromboembolic complications within the first 3 months after a wide variety of different operations and a spectrum of medical illnesses requiring hospitalization in the elderly.

Role: Co-investigator (Richard White, UC Davis, PI)

Agency for Healthcare Research Quality (AHRQ) grant R18 HS10985 9/30/00-8/31/04

Information about Quality in a Randomized Evaluation

The objectives of this project are to: 1) identify factors associated with consumers' use of employer-disseminated information about health plan and medical group performance; 2) determine whether and how consumers use such information during open enrollment; 3) use qualitative methods to explore why consumers consistently request quality information, but then fail to use it; and why they claim to value quality, but then base their decisions largely on price; 4) design and implement an intensive program for disseminating quality information to receptive or "vulnerable" subpopulations; and 5) evaluate the impact of this program by randomizing members of a large purchasing organization to receive existing quality information with or without this supplemental program.

Role: Principal investigator

Agency for Health Care Policy and Research (AHCPR) grant R29 HS08574 9/30/94-10/31/99

The Outcomes of Hospital Outcome Studies

The objectives of this project were to: 1) evaluate the impact of publicly released hospital outcomes data on AMI, diskectomies, and deliveries in CA, and data on CABG and PTCA in NY, on hospital volumes and referral patterns; 2) evaluate whether this impact varies by age, gender, race/ethnicity, insurance source, diagnostic category, urgency of admission, or market characteristics; 3) explore how hospitals in CA and NY have used outcomes data, and to solicit feedback concerning the optimal content and format of outcomes reports; 4) explore how other interest groups, such as consumer organizations and purchasers, have used outcomes data, and to solicit similar feedback; and (5) to apply these results in developing a new generation of hospital outcome studies that will be more responsive to the needs of consumers, providers, and purchasers.

Role: Principal investigator

ADVISORY/EXPERT PANELS (current and recent assignments italicized)

1. Member, Advisory Panel for the US Health Care Financing Administration's Medicare Hospital Information program (1992-93)

2. Member, RAND/HCFA Expert Committee on Performance Standards for Clinical Prediction Models (1992)

3. Member, California Healthcare Association Peer Review Organization Task Force (1993-97)

4. Member, California Institute for Health Systems Performance Clinical Practice and Process Improvement Committee (1997-2001)

5. Consultant, California Institute for Health Systems Performance and Risk-Adjusted Outcomes Coalition, “Performance Measurement Project” (1998-2002)

6. Member, Life Sciences Research Office, American Society for Nutritional Sciences, Expert Panel on the Potential Value of Vitamin and Mineral Supplements to Meet Nutrient Gaps among Low-Income Individuals (1998)

7. Member, Advisory Committee, California Public Employees’ Retirement System (CalPERS) “Joint Purchasers’ Risk Assessment Project” (1999-2001)

8. Member, Joint Commission for the Accreditation of Healthcare Organizations (JCAHO), Surgical Procedures and Complications Clinical Advisory Panel (1999-2001)

9. Consultant on health care quality measurement, California Department of Health Services Medi-Cal Operations Division, Selective Provider Contracting Program, "Quality Indicators Project" (1999)

10. Member, QUALIDIGM Hospital Core Performance Measurement Project's Technical Expert Panel (for the US Health Care Financing Administration, 2001-2002)

11. Expert panel member, “Meeting Future Policy and Research Needs through the Healthcare Cost and Utilization Project (HCUP)” (for the US Agency for Healthcare Research and Quality, 2000)

12. Member, Ambulatory Care Sensitive Hospitalization Measurement Advisory Group, Foundation for Accountability (2002)

13. Consultant on health care quality measurement, US Federal Trade Commission (2003-2005, 2007-2008, 2011-2013, 2015-2016)

14. Consultant on health care quality measurement, Pacific Business Group on Health, Evaluation of Proposed Measures for Hospital Performance Measurement (2002)

15. Consultant on public reporting of health care quality, Pacific Business Group on Health, An Evaluation of Hospital Choice Tools Available to California Consumers (2004)

16. Member, National Quality Forum Workshop on Child Healthcare Quality Measurement and Reporting (2004)

17. Member, Care Focused Purchasing Initiative Expert Panel (coordinated by Mercer Human Resources Consulting, 2004 and reconvened in 2007)

18. Member (2004-2013) and Co-Chair (2013-present), New Measures Advisory Group, The California Hospital Assessment & Reporting Task Force (CHART)

19. Member, UCSF Advisory Panel on hospital outcome reports for acute myocardial infarction (sponsored by the California Office of Statewide Health Planning and Development) (2005)

20. Expert panel member, "Adding Clinical Data Elements to Administrative Data for Hospital-Level Quality Reporting" (for US Agency for Healthcare Research and Quality and Abt Associates, 2005)

21. Member, National Quality Forum Ad Hoc Advisory Committee on Evidence and Performance Measure Grading (2005-2006)

22. Member, Scoring Methods Advisory Group, California Office of the Patient Advocate (2006-2009)

23. Member, Data Validation Strategy Technical Expert Panel, Medicare Physician Voluntary Reporting Program (convened by Mathematica Policy Research on behalf of the Center for Medicare and Medicaid Services) (2006)

24. Invited participant, AHRQ (Agency for Healthcare Research and Quality)/IHI (Institute for Healthcare Improvement) Symposium on Large Scale Change in the Quality of American Health Care: Key Challenges and Lessons Learned about Spreading and Sustaining National Improvement (2007)

25. Member, Advisory Group on IHA (Integrated Healthcare Association) Clinical Performance Scoring and Reporting, California Office of the Patient Advocate (2007-2009)

26. Member, Surgery and Anesthesia Technical Advisory Panel, National Voluntary Consensus Standards for Hospital Care: Additional Priorities, 2007, National Quality Forum (2007-2008)

27. Member, Safe Practices Maintenance Committee, National Quality Forum (2008-2014, intermittent)

28. Member, Quality and Safety Technical Advisory Group to the ICD-11 Revision Process, World Health Organization Family of International Classifications (2008-present)

29. Founding Member, International Methodology Consortium for Coded Health Information (IMECCHI) (2005-present)

30. Member, Technical Expert Panel on Inpatient Complication Measures for Value Based Purchasing (VBP) of Medicare hospital services under the Inpatient Prospective Payment System (convened by Booz Allen Hamilton and Brandeis University on behalf of the Center for Medicare & Medicaid Services (2008)

31. Consultant on patient safety measurement, Health Care Quality Indicators Project, Organization for Economic Cooperation and Development (2006-2012)

32. Member, Risk Adjustment Methodology Advisory Task Force, University HealthSystem Consortium (2008-2015)

33. Member, Pressure Ulcer Steering Committee, University HealthSystem Consortium (2008-2010)

34. Member, California Hospital Association Patient Safety Action Task Force (2009)

35. Member, Risk Adjustment Subgroup, National Committee for Quality Assurance (2009-2011)

36. Invited Expert, Community Public Reporting Dashboard Workshop, National Quality Forum (2010)

37. Chair, Expert Advisory Panel, National Quality Forum Measure Specification Coding Maintenance Project (2009-2010)

38. Member, National Quality Forum Task Force on Measure Testing (2010-2011)

39. Invited Expert, Criteria for Developing and Enhancing Pediatric Health Care Quality Measures Program under the Children’s Health Insurance Program Reauthorization Act of 2009 (2010)

40. Consultant on palliative care coding and risk-adjustment, The Alliance (Madison, WI) (2010)

41. Member, National Quality Forum Task Force on Usability (2011-2012)

42. Member, Leapfrog Group Special Expert Panel on Hospital Safety Scoring (2011-present)

43. Member, Scientific Advisory Board, European Collaboration for Healthcare Optimization (a collaboration involving performance measurement experts from 6 European countries, funded by the Seventh Framework Programme of the European Commission) (2011-2014)

44. Member, International Advisory Board, International Research Project on Financing Quality in Healthcare (InterQUAL) (a collaboration involving researchers from 5 European countries and the USA, funded by the Seventh Framework Programme of the European Commission) (2011-2014)

45. Member, Clinical Review Panel, Enhanced Risk Adjustment Using Laboratory Test and Pharmacy Data, Center for Organization, Leadership and Management Research, VA Boston Healthcare System (2011-2014)

46. Invited Expert, Development of Risk-Adjusted Outcome Measures in the Electronic Health Record (EHR) Environment Conference, The Joint Commission (2012)

47. Member, Hospital-Acquired Conditions (HAC) Infections Workgroup (convened by Mathematica Policy Research on behalf of the Center for Medicare & Medicaid Services) (2012)

48. Member, Hospital-Acquired Conditions (HAC) Injuries and Complications Workgroup (convened by Mathematica Policy Research on behalf of the Center for Medicare & Medicaid Services) (2012)

49. Member, Patient Safety Indicator (PSI) Documentation Steering Committee, University HealthSystem Consortium (2012-2014)

50. Member, Institute of Medicine (IOM) Standing Committee on Credentialing Research in Nursing (2012-2015)

51. Consultant on health care quality measurement and reporting, California Office of the Patient Advocate (OPA) (2010-2016)

52. Member, Editorial Advisory Board, Health Services Research (2007-2014)

53. Co-Chair, Technical Expert Panel on Composite Performance Measure Evaluation, National Quality Forum (2012-2013)

54. Member, Health Care Quality Indicators Advisory Panel of Experts on Health Information Infrastructure, Organization for Economic Co-operation and Development (2013-2015)

55. Member, Advisory Board, Veterans Affairs Patient Safety Center of Inquiry, VA Boston Healthcare System (2013-present)

56. Consultant on health care quality measurement, US Department of Justice, Antitrust Division (2013-2014)

57. Chair, American Medical Association Physicians Consortium for Performance Improvement (AMA-PCPI) Ad Hoc Committee on Outcomes (2013-2015)

58. Member, Perinatal Care Technical Advisory Panel, The Joint Commission (2013-present)

59. Member, REporting of studies Conducted using Routinely-collected Data (RECORD) Working Committee, part of the EQUATOR (Enhancing the QUAlity and Transparency Of health Research) Network (2013-2014)

60. Member, Stroke Mortality Steering Committee, University HealthSystem Consortium (2012-2014)

61. Member, Panel on Performance Testing for Measures based on Electronic Health Records (convened by Mathematica Policy Research on behalf of the Centers for Medicare & Medicaid Services)(2013-2014)

62. Member, 2018 Impact Assessment of the CMS Quality and Efficiency Measures Technical Expert Panel (convened by Health Services Advisory Group on behalf of the Centers for Medicare & Medicaid Services)(2015-present)

63. Member, Advisory Expert Group for the Development of an OECD Draft Recommendation on Health Data Governance (convened by the Organisation for Economic Co-operation and Development)(2015-2016)

64. Member, National Quality Forum Variation in Measure Specifications Advisory Group (2016-2017)

65. Member, Plan All-Cause Readmissions Technical Expert Panel (convened by the National Committee for Quality Assurance on behalf of the Centers for Medicare & Medicaid Services)(2016-2017)

66. Member, Quality Measure Development: Dual Enrollees, Managed Long-Term Services and Supports (MLTSS), and Medicaid Innovation Accelerator Program Risk-Adjustment Workgroup (convened by Mathematica Policy Research on behalf of the Centers for Medicare & Medicaid Services)(2016-present)

67. Member, Metric Technical Advisory Committee, California Association of Public Hospitals/Safety Net Institute (2016-2017)

GRANT/CONTRACT REVIEW COMMITTEES

1. Member, Agency for Health Care Policy and Research Dissertation Grants Review Panel (1997)

2. Member, Agency for Healthcare Research and Quality Health Systems Research Study Section (2002)

3. Grant Proposal Reviewer (one-time), Canadian Institute for Health Research (2006)

4. Grant Proposal Reviewer (one-time), Department of Health, United Kingdom (2008)

5. Member, US Health Resources and Services Administration review panel for primary care faculty development grants (2011)

6. Member, Proposal Review Committee, California Office of the Patient Advocate (OPA) public reporting program (2012)

7. Member, Patient Centered Outcomes Research Institute (PCORI) Pilot Grant Program, Grant Review Committee (2012)

8. Member, US Agency for Healthcare Research and Quality Study Section for grants on improving the science of public reporting (2012)

EDITORIAL ACTIVITIES (EXCLUDING OCCASIONAL MANUSCRIPT REVIEW)

1. Member, Editorial Advisory Board, Health Services Research (1996-2014)

2. Deputy Editor, Medical Care (Official Journal of the Medical Care Section of the American Public Health Association) (1998-2003)

3. Abstract Reviewer, American Federation for Clinical Research Western Section, Health Care Research (1996 and 2006)

4. Abstract Reviewer, Society of General Internal Medicine Annual Meetings (2000, 2008)

5. Abstract Reviewer, AcademyHealth Interdisciplinary Research Group in Nursing Issues (IRGNI) (2008) and AcademyHealth Annual Research Meeting Theme on Quality and Efficiency Measurement (2009, 2010, 2012)

6. Theme Leader, Quality and Efficiency Measurement, AcademyHealth 2011 Annual Research Meeting

7. Abstract Reviewer, International Society for Quality in Health Care (2008, 2010, 2013, 2016)

8. Co-Editor in Chief, Health Services Research (April 2014-present)

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[1] Three training grants for primary care physician faculty development (2003-2007, 2008-2012) and primary care research (2016-2021) from the Health Resources and Services Administration (Principal investigator) are not shown. Multiple K and R36 awards to mentees from AHRQ, the National Center for Research Resources (though the UC Davis Clinical and Translational Sciences Center), the National Institute of Diabetes and Digestive and Kidney Diseases, and the National Cancer Institute are not shown. Intramural sources of research support are not shown.

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