Adam J. Rose

Adam J. Rose
Physician Policy Researcher
Boston Office

Education

M.D., University of Pennsylvania; M.Sc. in health services research, Boston University; A.B. in music, Harvard University

Overview

Adam Rose is a physician policy researcher at the RAND Corporation. He served as an investigator at the VA Center for Healthcare Organization and Implementation Research, and from led their Medication Optimization Program, one of three topical foci for the center. Rose is a practicing general internist, with a focus on primary care and preventive medicine. His largest research effort, spanning almost a decade, focused on improving the management of oral anticoagulants. This work resulted in tangible improvements in patient outcomes with anticoagulation, and contributed to changing how we think about measuring quality of care in this clinical area. Performance measures developed by Rose and his colleagues are now used across the entire VA system. Rose employs a wide variety of methods, including large database research, qualitative research, and implementation science. Rose led several projects to explain variations in care within the VA system using mixed methods, including employee flu vaccinations, anticoagulation control performance, utilization of new and expensive medications, and potentially inappropriate prescribing. Rose is experienced in developing and validating novel quality measures, particularly for the measurement of care delivered by clinical pharmacy specialists. He is a recipient of the Presidential Early Career Award for Scientists and Engineers, the highest honor bestowed by the U.S. government on outstanding scientists and engineers beginning their independent careers. Rose received his M.D. from the University of Pennsylvania.

Concurrent Non-RAND Positions

Associate Professor, Boston University School of Medicine

Honors & Awards

  • Presidential Early Career Award for Scientists and Engineers, National Science and Technology Council

Commentary

  • A doctor recording information with a patient

    Beyond Medication Reconciliation: The Correct Medication List

    Primary care clinicians are expected to reconcile a patient's medications at every visit. In practice, this has failed to have a demonstrable effect on patient outcomes. What is needed is not merely a reconciled list, but the correct list.

    Apr 21, 2017 The Journal of the American Medical Association

  • Doctor using a tablet computer

    Responsible e-Prescribing Needs e-Discontinuation

    Implementation of electronic prescribing has been a big success in health information technology. But most e-prescribing systems don't allow electronic cancellation of orders. Adding this feature could help reduce medication errors.

    Feb 7, 2017 The Journal of the American Medical Association

  • Hospital staff discussing a patient's chart

    Improving MACRA's Chances of Success

    Starting in 2019, the Medicare Access and CHIP Reauthorization Act will integrate and potentially simplify performance measurement by combining many measures and programs. Research provides insight into how to avoid pitfalls in MACRA's rollout.

    Jan 9, 2017 The Health Care Blog

  • A man and his doctor discussing his treatment and looking at a clipboard

    Patients with Severe Schizophrenia Aren't Getting the Help They Need

    Clozapine has proven effective for patients with treatment-resistant schizophrenia, but the health system is poorly configured to provide it. The drug has possible side effects that require extra patient monitoring, but it saves costs by reducing hospitalizations.

    Jul 25, 2016 Health Affairs Blog

Publications