Curriculum Vitae ROSA R. BAIER, MPH 1. Name, position, academic department Rosa Baier, MPH Associate Director, Center for Long-Term Care Quality & Innovation (Q&I Center) Associate Professor of Practice, Department of Health Services, Policy & Practice 2. Address Box G-S121-6 121 South Main Street Brown University School of Public Health Providence, RI 02912 3. Education 2004

Brown School of Public Health, Providence, RI Master of Public Health Thesis: “Creating Nursing Home Quality Composite Measures”

2000

Wellesley College, Wellesley, MA Bachelor of Arts in Public Health (independent major) Thesis: “Message Framing in Organ Donation Requests”

4. Academic appointments 2015-

Associate Professor of Practice, Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI

2009-2015

Teaching Associate, Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI

5. Professional appointments 2015-

Center for Long-Term Care Quality & Innovation, Brown University School of Public Health, Providence, RI Associate Director Co-lead a research center that aims to improve care, outcomes, and cost for individuals receiving post-acute and long-term care. We partner with innovators to seek grant funding and rigorously test promising interventions, then to translate successes into practice nationwide. Our expertise centers on pragmatic methods, implementation science, and evaluation. Responsible for leading operations, including identifying and vetting promising interventions, developing collaborative relationships, obtaining grant and contract funding, and disseminating findings via presentations and publications. In 2015, gave presentations to audiences ranging from AHRQ to AcademyHealth, the American Health Care Association Board of Governors, the Brown School of Public Health Advisory Council, and the Minnesota Health Reform Council.

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Rosa R. Baier, MPH Curriculum Vitae 2015-

Healthcentric Advisors, Providence, RI Consulting Senior Scientist, 2015-present Continue to serve as PI on an ongoing mixed-methods AHRQ grant to create a consumer-centric home health web application, then test its impact on hospitalized patients' home health choices and outcomes (2012-2016).

2002-2015

Healthcentric Advisors, Providence, RI Senior Scientist, 2009-2015 Senior Program Administrator, 2008-2009 During second half of 12.5-year tenure with non-profit quality improvement agency, led the organization's scientific, research, and policy functions. Included collaborating with Rhode Island healthcare providers and stakeholders on strategies to improve the safety of care transitions and to publicly report quality measures. Care transitions leadership included the effectiveness study of Dr. Eric Coleman’s Care Transitions Intervention, a post-hospital coaching intervention proven efficacious in a RCT. We found a reduction in the odds of hospital readmission and cost avoidance (Voss et al., Arch Int Med 2009; Gardner et al., JGIM 2014). Associate Scientist, 2005-2008 Program Coordinator, 2004-2005 Research Assistant, 2002-2004 During first half of tenure with organization, focused on special studies to support Medicare’s implementation of the Nursing Home Quality Initiative throughout the U.S. Included creating a goal-setting website used by more than 75% of the nation’s nursing homes and later integrated into the multi-stakeholder Advancing Excellence campaign. We demonstrated that facilities with staff who set clinical quality goals achieved greater improvement in those quality measures (Baier et al., JAMDA 2008; Baier et al., JAGS 2009). In 2007, began leading Rhode Island Department of Health's public reporting program to publish comparative quality data for consumers. Public reporting accomplishments included creating and administering a statewide annual survey to assess physicians’ adoption of electronic health records, reporting home health patient satisfaction, and obtaining funding from AHRQ and the CDC to sustain and expand reporting activities.

2002-2004

Program in Public Health, Brown Medical School, Providence, RI Research Assistant Trained in public health research, including qualitative and quantitative methods and survey design. Focused on quality measurement and completed a graduate thesis on the validity of creating nursing center composite measures for public reporting. While at field placement (Healthcentric Advisors, 2002-2004), led CMS special studies to support the National Nursing Home Quality Initiative, including a project to use data-driven methods to set nursing home Government Performance Results Act goals for Congress.

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Rosa R. Baier, MPH Curriculum Vitae 2001-2002

Policy Analysis, Inc., Brookline, MA Research Assistant Worked as research assistant for a health economics consulting firm.

2000

Boston University School of Public Health, Boston, MA Program Assistant Helped to coordinate a summer certificate program in International Health.

1999

Newton Health Department, Newton, MA Consultant Conducted assessment of safe sun practices at City’s pools and camps.

6. Completed publications 5a. Refereed journal articles 1. Baier RR, Gifford DR, Lyder C et al. Quality improvement for pressure ulcer care in the nursing home setting. J Am Med Dir Assoc 2003 Nov-Dec; 4(6): 291-301. 2. Baier RR, Gifford DR, Patry G et al. Ameliorating pain management in nursing homes: A collaborative quality improvement project in Rhode Island. J Am Geriatr Soc 2004 Dec. 3. Baier RR, Butterfield K, Harris Y, Gravenstein S. Aiming for star performance: The relationship between setting targets and improved nursing home quality of care. J Am Med Dir Assoc 2008; 9 (8): 594-598. 4. Baier RR, Butterfield K, Patry G, Harris Y, Gravenstein S. Identifying star performers: The relationship between ambitious targets and nursing home QI. J Am Geriatr Soc Aug 2009 57 (8):1498-1503. 5. Voss R, Gardner R, Baier RR, Butterfield K, Lehrman S, Gravenstein S. The Care Transitions Intervention: translating from efficacy to effectiveness. Arch Int Med 2011; 171(14):1232-1237. 6. Yan H, Gardner R, Baier RR. Beyond the focus group: Understanding physicians’ barriers to EMR use across a wide spectrum of specialties and practice settings. Jt Comm J Qual Safet Apr 2012; 38(4): 184-191. 7. Baier RR, Gardner R, Buechner J, Harris Y, Gifford DS. Creating a survey to assess physicians’ adoption of health information technology. Med Care Res Rev 2012 Apr; 69(2): 231-45. 8. Chang L, Gardner R, Baier RR, Trivedi A. Eligibility for financial incentives and electronic medical record use among physicians. R I Med J 2012; 95 (11): 358-62. 9. Voss R, Gravenstein S, Baier RR et al. Recruiting hospitalized patients for research: How do participants differ from eligible nonparticipants? J Hosp Med 2013 Apr;8(4):208-14. 10. Baier RR, Gardner RL, Coleman EA, Jencks SF, Mor V, Gravenstein S. Shifting the national dialogue from hospital readmissions to bundled utilization measures. J Am Manag Care 2013 Jun;19(6):450-3. 11. Jiang Y, Baier RR, Viner-Brown S. Burden of hospital-onset Clostridium difficile infections in patients discharged from Rhode Island hospitals, 2010-2011: Application of Present-onAdmission Indicators Infection Control and Hospital Epidemiology. Infect Control Hosp Epidemiol 2013 Jul;34(7):700-708.

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Rosa R. Baier, MPH Curriculum Vitae 12. Limpahan LA, Baier RR, Gardner RL. Reducing care fragmentation during patient transitions: Emergency department care transition best practices. Am J Emerg Med 2013 Sep;31(9):12971301. 13. Gardner R, Baier RR, Li Q, Butterfield K, Coleman E, Gravenstein S. Is Implementation of the Care Transitions Intervention Associated with Cost Avoidance After Hospital Discharge? J Gen Intern Med 2014 Jun;29(6):878-84. 14. Shamji H, Baier RR, Gravenstein S, Gardner R. Reducing care fragmentation during patient transitions: best practices for urgent care centers. Jt Comm J Qual Safet Jul 2014;40(7):319-324. 15. Babalola E, Baier RR, Gravenstein S, Capizzo L, Zimmerman Z, Gardner R. Building a Health Information Technology Infrastructure to Support Care Transitions: What Characteristics Predict Nursing Home Readiness for Health Information Exchange? Ann Longterm Care 2014;22(6):43-48. 16. Baier RR, Limpahan L, Butterfield K, Marsella M, Gravenstein S, Chase L, Gardner R. Is audit and feedback associated with increased hospital adherence to standards for communication during patient care transitions? J Hosp Admin 2014;3(6):1-7. 17. Wylie M, Baier RR, Gardner R. Perceptions of electronic health record implementation: a statewide survey of physicians in Rhode Island. Am J Med Oct 2014;127(10):e21-7. 18. Epstein-Lubow G, Baier RR, Butterfield K, Gardner R, Babalola E, Coleman EA, Gravenstein S. Caregiver presence and patient completion of a transitional care intervention. J Am Manag Care. 1 Oct 2014;20(10):e349-444. 19. Baier RR, Wysocki A, Gravenstein S, Cooper E, Mor V, Clark M. A qualitative study of choosing home health care after hospitalization: The unintended consequences of ‘patient choice’ requirements. J Gen Intern Med. 2015 May; 30(5): 634-40. Epub 2015 Jan 9. 20. Baier RR, Cooper E, Wysocki A, Gravenstein S, Clark M. Using qualitative methods to create a home health web application user interface for patients with low computer proficiency. eGEMs May 2015; 3(2): Art. 4. 21. Gardner R, Baier RR, Choo E, Gravenstein S. “Why is this patient even being sent here?”: Communication from urgent care to the emergency department. J Emerg Med. 2016 50(3):416421. Epub 2015 Aug 14. 22. Shreve J, Baier RR, Epstein-Lubow G, Gardner RG. Information Technology for Family Caregivers of Adults with Dementia: Key Design Insights from Qualitative Interviews. Gerontechnology. 2016; 14(2):89-96. 23. Zullo A, Dore DA, Daiello L, Baier RR, Gutman R, Gifford DR, Smith RJ. National trends in treatment initiation for nursing home residents with type 2 diabetes mellitus, 2008-2010. J Am Med Dir Assoc. 2016 Jul;17(7):602-8. Epub 24 Mar 2016. 24. Morrill H, Mermel L, Baier RR, Alexander-Scott N, Kavoosifar S, Reece R, LaPlante K. Antimicrobial stewardship in Rhode Island long-term care facilities: Current standings and future opportunities. Infect Control Hosp Epidemiol. 2016 Aug;37(8):979-82. Epub 17 May 2016. 25. Baier RR, Trivedi A. In hospital readmissions, hindsight is not 20/20. Editorial. J Gen Int Med. Epub 3 Aug 2016. 5b. Other journal articles 1. Baier RR, Patry G, Gifford DR. The business case for quality. Provider 2004 Dec; 42-3.

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Rosa R. Baier, MPH Curriculum Vitae 2. Baier RR, Kissam S, Gifford DR. Data’s role in quality improvement. Provider 2005 Jan; 43-4. 3. Baier RR, Gifford DR, Mor V. Reporting nursing home quality in Rhode Island. R I Med J 2005 June; 88 (5): 186-7. 4. Buechner JS, Baier RR, Gifford DR. The RI survey of physician HIT adoption. R I Med J 2008 Feb; 91 (2): 64. 5. Baier RR, Gravenstein S [Guest Editors of Special Issue]. Curbing healthcare-associated infections. R I Med J 2010 October: 260. 6. Viner-Brown S, Baier RR. Central line-associated bloodstream infections (CLABSI) in Rhode Island. R I Med J 2010 October: 289-290. 7. Baier RR, Gardner R, Gravenstein S, Besdine R. Partnering to Improve Hospital-Physician Office Communication through by Implementing Care Transitions Best Practices. R I Med J June 2011. 8. Baier RR, Voss R, Morphis B, Viner-Brown S, Gardner R. Rhode Island Physicians’ Health Information Technology (HIT) Use, 2009-2011. R I Med J July 2011; 94(7): 215-217. 9. Baier RR. Demonstrated and promising practices that improve older adult vaccination rates. In: Gerontological Society of America. Public Policy & Aging Report: Vaccination, Prevention, and Older Adults. 2012; 22(4). 10. Baier RR, Keough L, McDonald J. Transitions of care: Professional expectations. R I Med J 2013 Nov;26-32. 11. Pelland K, Baier RR, Morphis B, Viner-Brown S, Gardner R. Health information technology (HIT) adoption and use by Rhode Island advance practice registered nurses and physician assistants, 2013. R I Med J 2013 Dec 3;96(12):48-9. 12. Baier RR, Morphis B, Marsella M, Mermel LA. Clostridium difficile surveillance: a multicenter comparison of LabID events and use of standard definitions (Letter). Infect Control Hosp Epidemiol. 2013 Jun;34(6):653-5. 13. Pop-Vicas A, Baier RR. Healthcare workers' hands and Clostridium difficile spores - making progress? (Letter) Infect Control Hosp Epidemiol. 2014 Jan;35(1):16-7. 14. Jiang Y, Baier RR, Morphis B, Mermel L, Viner-Brown S. Clostridium difficile infection in Rhode Island. R I Med J Jun 2014;60-63. 15. Pelland K, Mota T, Baier RR. The nuts and bolts of long-term care in Rhode Island: Demographics, services and costs. R I Med J. Mar 2015; 98(3): 17-21. 16. Gordon S, Baier RR, Gardner R. Primary care physicians’ use of electronic health records in Rhode Island: 2009-2014. R I Med J. 2015 Oct 1; 98(10): 29-32. 5c. Abstracts 3/2012

Epstein-Lubow G, Baier RR, Butterfield K, Gardner R, Babalola E, Coleman E, Gravenstein S. “Does including caregivers enhance efficacy and improve recruitment into a post-discharge coaching intervention?” Brown Department of Psychiatry, Providence, RI.

3/2012

Epstein-Lubow G, Baier RR, Butterfield K, Gardner R, Babalola E, Coleman E, Gravenstein S. “Does including caregivers enhance efficacy and improve recruitment into a post-discharge coaching intervention?” American Association for Geriatric Psychiatry, Washington, DC.

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Rosa R. Baier, MPH Curriculum Vitae 4/2012

Epstein-Lubow G, Baier RR, Butterfield K, Gardner R, Babalola E, Coleman E, Gravenstein S. “Does including caregivers enhance efficacy and improve recruitment into a post-discharge coaching intervention?” Public Health Day, Brown University, Providence, RI.

4/2012

Shamji H, Baier RR, Butterfield K, Voss R, Besdine R, Gardner R, Gravenstein S. “Identifying patient characteristics associated with intervention consent.” Public Health Day, Brown University, Providence, RI.

4/2012

Jiang Y, Baier RR, Viner-Brown S. “Burden of Clostridium difficile infections in Patients Discharged from Rhode Island Hospitals, 2010.” Public Health Day, Brown University, Providence, RI.

4/2012

Alexander N, Dworkin J, Chapin K, Vanner C, Baier RR, Vigorito MC, Mermel L. “Challenges of establishing carbenem-resistant Enterobacteriaceae surveillance in Rhode Island.” Infectious Diseases Society of America, San Francisco, CA.

6/2013

Alexander NE, Vanner C, Baier RR, Chapin KC, Mermel LA. “Impact of non-FDAapproved CLSI breakpoint criteria on laboratory carbapenem-resistant Enterobacteriaceae detection practices: A state-wide assessment.” Council of State and Territorial Epidemiologists Annual Meeting, Pasadena, CA.

6/2013

Baier RR, Gardner R, Li Q, Butterfield K, Coleman E, Gravenstein S. “Six-month cost avoidance analysis associated with reducing hospital readmissions using the Care Transitions Intervention.” AcademyHealth, Baltimore, MD.

6/2013

Baier RR, Gardner R, Li Q, Butterfield K, Coleman E, Gravenstein S. “Six-month cost avoidance analysis associated with reducing hospital readmissions using the Care Transitions Intervention.” Rhode Island Healthcare Showcase, Brown School of Public Health, Providence, RI.

4/2014

Gardner R, Choo E, Gravenstein S, Baier R. “Why is this patient even being sent here?”: Communication from Urgent Care Centers to Emergency Departments. Society of General Internal Medicine, San Diego, CA.

6/2014

Baier RR, Cooper E, Wysocki A, Gravenstein S, Mor V, Clark M. Moving past ‘Patient Choice’ to engage patients in informed decision making: Consumer and hospital case manager perspectives on creating home health public reports. AcademyHealth, San Diego, CA.

6/2015

Baier RR, Cooper E, Wysocki A, Gravenstein S, Clark M. Using qualitative methods to create a home health web application user interface for patients with low computer proficiency. AcademyHealth, Minneapolis, MN.

10/2015

Baier RR, Cooper E, Wysocki A, Gravenstein S, Mor V. Clark M. Policy recommendations to increase the utility and use of healthcare quality reports: Lessons from qualitative research to create a consumer web application. AHRQ Research Conference, Crystal City, VA.

10/2015

Morrill H, LaPlante K, Baier RR et al. Survey of antimicrobial stewardship practices in Rhode Island long-term care facilities. IDWeek2015, San Diego, CA.

2/2016

Fazeli J, Bridges B, Ogarek J, Mor, V Baier RR. Curtailing antipsychotic medication use in LTC medicine (CALM): A Maine nursing home pilot. American Health Care Association Quality Symposium, San Antonio, TX.

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Rosa R. Baier, MPH Curriculum Vitae 3/2016

Fazeli J, Bridges B, Ogarek J, Mor, V Baier RR. Curtailing antipsychotic medication use in LTC medicine (CALM): A Maine nursing home pilot. American Medical Directors Association Annual Conference, Orlando, FL

5/2016

Pelland K, Baier RR, Gardner RL. “It’s like texting at the dinner table”: A qualitative analysis of the impact of electronic health records on patient-physician interactions. Society of General Internal Medicine Annual Meeting, Hollywood, FL.

6/2016

Zullo A, Dore DA, Daiello L, Baier R, Gutman R, Gifford DR, Smith RJ. Patterns of treatment initiation for nursing home residents with Diabetes Mellitus, 2008-2010. American Diabetes Association, New Orleans, LA.

6/2016

Baier RR, Cooper E, Wysocki A, Gravenstein S, Mor V. Clark M. Unchanged by public reporting: Do hospitalized patients choose home care? AcademyHealth, Boston, MA.

6/2016

Gordon S, Baier RR, Gardner R. Primary care physicians’ use of electronic health records in Rhode Island: 2009-2014. AcademyHealth, Boston, MA.

6/2016

Thomas K, Baier R, Kosar C, Ogarek J, Mor V. MUSIC & MEMORY Improves Outcomes for Skilled Nursing Center Residents with Alzheimer’s Disease and Related Disorders. AcademyHealth, Boston, MA.

6/2016

Pelland K, Baier RR, Gardner RL. “It’s like texting at the dinner table”: A qualitative analysis of the impact of electronic health records on patient-physician interactions. AcademyHealth, Boston, MA.

6/2016

Zullo A, Dore DA, Daiello L, Baier R, Gutman R, Gifford DR, Smith RJ. Patterns of treatment initiation for nursing home residents with Diabetes Mellitus, 2008-2010. AcademyHealth, Boston, MA.

3/2017

Pelland K, Gardner RL, Baier R. “It’s like texting at the dinner table”: A qualitative analysis of the impact of electronic health records on patient‐physician interactions. Alpert Medical School of Brown University. International Symposium: The Patient, The Practitioner, and the Computer, Providence, RI. (Accepted)

3/2017

Gardner RL, Cooper E, Baier R. Developing a meaningful and actionable statewide survey of physician health information technology (HIT) adoption. Alpert Medical School of Brown University. International Symposium: The Patient, The Practitioner, and the Computer, Providence, RI. (Accepted)

5d. Invited lectures 2015

Panelist: “Program Management” Course: Applied Research Methods Instructor: Melissa Clark, PhD

2014-

Guest lecturer: “Quality Improvement” Course: Quality Improvement, PGY-3 Psychiatry Residents Instructor: Gary Epstein-Lubow, MD (2014) and Lisa Shea, MD (2015-)

2010, 2011

Guest lecturer: “Measuring and Improving Healthcare Quality and Safety” Course: The U.S. Healthcare System Instructor: Christopher Koller

2007-

Guest lecturer, “Quality Improvement Projects” Course: Measuring and Improving the Quality of Medical Care Instructor: Amal Trivedi, MD, MPH

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Rosa R. Baier, MPH Curriculum Vitae 5d. Invited presentations (2015-present) 07/2016

“Collaborating to test and spread interventions that improve care,” Rhode Island Advisory Board, Healthcentric Advisors, Providence, RI (anticipated)

06/2016

“Center for Long-Term Care Quality & Innovation update,” Regional Multi-facility CEO & Senior Executive Conference Call, American Health Care Association, Washington, DC (call)

04/2016

“Center for Long-Term Care Quality & Innovation update,” Quality Cabinet Committees’ Strategic Planning Session, American Health Care Association, Baltimore, MD

03/2016

“Collaborating to test and spread interventions to improve care,” LeadingAge-Rhode Island Annual Meeting, Warwick, RI

03/2016

“Evaluating MUSIC & MEMORY,” MUSIC & MEMORY Network Meeting, Arts Health Institute 2016 National Play Up Convention, Sydney, Australia (via video)

5f. Work in review 1. Pelland K, Baier RR, Gardner RL. “It’s like texting at the dinner table”: A qualitative analysis of the impact of electronic health records on patient-physician interactions. Journal of Innovation in Health Informatics. 5g. Papers in progress 1. Fazeli J, Bridges B, Mor V, Ogarek J, Baier RR. Reducing off-label antipsychotic medication use in nursing centers with the Curtailing Antipsychotic Use in LTC Medicine (CALM) program: Pilot results. 2. Thomas K, Kosar C, Ogarek J, Mor V, Baier RR. MUSIC & MEMORY individualized music therapy program improves outcomes for skilled nursing center residents with Alzheimer’s disease and related disorders. 2. McConeghy K, Baier RR, Ogarek J, Mor V. Implementing a pilot of an infection control program in nursing homes: Results of a matched cluster randomized trial. 3. Keeler H, Silver B, Baier RR. Evaluation of a geriatric nurse certification prep course. 7. Research grants (reverse chronological order by end date) 7a. Current support Centers for Disease Control & Prevention (PI: Baier) 9/30/16-9/29/21 Research & Implementation Indefinite Delivery, Indefinite Quantity Contract Create contracting mechanism that enables Brown to bid on up to $200M in CDC task orders released through this master contracting mechanism, with specific focus on healthcare-acquired infections 1) research protocol development and 2) implementation of nursing home projects. Role: PI (No funding) Centers for Disease Control & Prevention (PI: Gravenstein) 9/30/16-9/29/19 Implementation of the Core Elements of Antimicrobial Stewardship in Nursing Homes Implement a 3-year contract to evaluate baseline prescriber characteristics and data and then to translate the CDC’s Core Elements of Antimicrobial Stewardship into nursing home interventions. Role: Co-PI

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Rosa R. Baier, MPH Curriculum Vitae $2,646,853 RI Executive Office of Health & Human Services (to URI) 9/1/16-6/30/19 State Innovation Model (SIM) Evaluation Assist URI with conducting an independent evaluation of the state’s SIM project. Role: QI subject matter expertise $75,000 (to Brown) Peterson Center on Health Care (PI: Mor) 2/1/17-1/30/19 Interventions to Address High-Cost, High-Need Patient Populations Use national data to identify hospital systems caring for high-risk patients at low cost and qualitative methods to characterize these systems’ practices, before pilot testing methods to spread these practices in new hospital systems. Role: Investigator $1,141,704 Kimberly-Clark Corporation (PI: Mor) 3/28/15-8/31/17 Heroes in Prevention Conduct a cluster-randomized trial of an intervention designed to reduce nursing home infections by combining behavioral science with infection prevention practices and real-time data feedback. Role: Co-Investigator $400,000 American Health Care Association (PI: Mor) 4/1/14-3/31/17 Center for Long-Term Care Quality & Innovation Master Service Agreement Implement research center that collaborates with innovators to test and disseminate interventions to improve post-acute and long-term care. Role: Associate Director $1,000,000 Centers for Medicare & Medicaid Services (PI: Moody, LeadingAge-SC) Dates TBD Implementing Individualized Dementia Care and Eliminating Off-Label Antipsychotic Medications in South Carolina Nursing Homes Conduct a nursing home collaborative to reduce antipsychotic medication use by implementing a 10-step guide to improve dementia care. Role: Brown PI $148,493 Centers for Medicare & Medicaid Services (PI: McDiarmid, U. of MD) Dates TBD Safe Lift Mentoring in Long Term Care: Diffusion of Innovation from a Distance Test a distance coaching method of diffusing safe lifting programs in nursing homes. Role: Brown PI $259,098 7b. Completed grants (2009-present) Retirement Research Foundation (PI: Baier) 7/1/16-12/1/16 Creating a MUSIC & MEMORY Implementation Guide Implementing an individualized music therapy program in six nursing centers while collecting qualitative data to create an implementation guide. Role: PI

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Rosa R. Baier, MPH Curriculum Vitae $69,051 RI Executive Office of Health & Human Services (PI: Sheedy, Lewin Group)

7/1/16-10/31/16

Long-Term Care Services & Supports Assisted with qualitative project to identify recommendations for the state to increase the use of home- and community-based services. Role: Subject matter expert $47,141 (to Brown) Agency for Healthcare Research & Quality (PI: Baier) 10/1/12-8/30/16 Evaluating the Impact of Patient-Centric Home Health Quality Reports Conduct qualitative research to determine what information home health consumers want in a home health report, then create a consumer-centric home health report and test its impact on patient choice and outcomes. Role: PI $835,000 Rhode Island Department of Health 7/1/11-6/30/16 Healthcare Quality Reporting Program Convened stakeholders and collected data to publicly report comparative quality measures. Role: Project Director through January 2015 ~$265,000 RI Executive Office of Health & Human Services (to the RI Dept. of Health) 8/1/14-9/30/15 Health IT Survey 90/10 Matching Grant Obtained supplemental “matching” funds to conduct a state survey of licensed independent practitioners’ health information technology adoption and to publicly report results. Role: Project Director through January 2015 $90,000 Centers for Disease Control & Prevention (to the RI Dept. of Health) 8/1/13-7/13/15 Healthcare-Acquired Infections (HAI) Planning Grant Convened stakeholders to create the Rhode Island HAI Plan and to publicly report HAI measures. Role: Rhode Island HAI Coordinator through January 2015 ~$162,000 Centers for Medicare & Medicaid Services 8/1/14-7/31/19 New England Medicare Quality Improvement Organization Provide education, data, and support to help healthcare providers throughout New England improve the quality of care provided to Medicare beneficiaries. Role: Senior Scientist through January 2015 $53,000,000 Centers for Medicare & Medicaid Services 8/1/13-7/31/14 Nursing Home Palliative Care Collaborative Special Innovations Project Conducted collaborative to improve nursing home knowledge and use of palliative care programs. Role: Grant Writer $220,925 Centers for Medicare & Medicaid Services

8/1/13-7/31/14

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Rosa R. Baier, MPH Curriculum Vitae Patient and Family Engagement Campaign Special Innovations Project Conducted consumer campaign to increase knowledge and completion of advance care planning. Role: Grant Writer $215,995 Centers for Medicare & Medicaid Services 8/1/11-7/31/14 Rhode Island Medicare Quality Improvement Organization Provided education, data, and support to help Rhode Island healthcare providers improve the quality of care provided to Medicare beneficiaries. Role: Grant Writer and Senior Scientist $7,514,400 Agency on Aging (to the RI Division of Elderly Affairs) 11/30/09-9/29/12 Aging and Disability Resource Center (ADRC) Analysis Evaluated the state’s ADRC, which provides information and referrals to seniors, adults with disabilities, and their caregivers. Role: Grant writer and analytic advisor $224,761 Agency on Aging (to the Rhode Island Division of Elderly Affairs) 11/30/09-9/29/12 Aging and Disability Resource Center (ADRC) Coaching Assisted RIDEA with obtaining funding to provide coaching to recently hospitalized clients. Role: Grant writer $351,432 Centers for Disease Control & Prevention (to the RI Dept. of Health) 2/1/11-12/31/11 Multi-Drug Resistant Organisms (MDRO) Collaborative Convened hospital infection preventionists for year-long collaborative to reduce MDROs. Role: Grant writer $126,154 Centers for Medicare & Medicaid Services 8/1/08-7/31/11 Chronic Kidney Disease (CKD) Special Study One of 18 states awarded a three-year contract to pilot interventions to improve care for Medicare patients with diabetes (at risk of CKD) and with CKD. Role: Grant writer $2,441,544 Centers for Medicare & Medicaid Services 8/1/08-7/31/11 Safe Transitions Project Special Study One of 14 states awarded a three-year contract to pilot interventions to improve Medicare patients’ care transitions and hospital readmission rates. Role: Project Director, 2008-2009; Senior Scientist-2009-2011 $4,419,566 7c. Proposals submitted Allergan (PI: Daiello) Constipation and Laxative Use in Nursing Homes

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Rosa R. Baier, MPH Curriculum Vitae Characterize constipation and laxative use in nursing homes nationally, and then observe over-thecounter laxative medication administration in selected facilities to generate estimate of time and cost associated with administration Centers for Medicare & Medicaid Innovation (Lead: Care New England) Accountable Healthy Communities Develop and implement a Quality Improvement Plan for the project, which aims to improve patients’ connections with wrap-around and supportive non-medical services. Role: Investigator $4,510,000 National Institutes on Aging (PI: Huang, UC-Irving) Valid Approaches in NHs to reduce Infections and Secondary Hospitalization (VANISH) Trial Conduct a cluster-randomized trial of chlorhexidine bathing, to evaluate the impact of this intervention on infections among nursing home residents. Role: Investigator $17,529,999 7d. Proposals in progress Agency for Healthcare Research and Quality (PI: Mylonakis, Lifespan Corporation) Epidemiology and Control of Clostridium difficile Infection (CDI) between Hospitals and LTCFs Understand the strains of CDI transmitted between one Rhode Island hospital and the eight nursing homes that send and receive patients most frequently with that hospital. Role: Investigator $1,499,403 National Institutes of Health (PI: Dosa) Safe Management of Pain in Nursing Homes Identify safe medication regimens for nursing home residents, and then perform a pharmacist medication review to provide recommendations to prescribers Role: Investigator National Institutes of Health (PI: Mor) Shaping Long-Term Care in America P0-1 – Nursing Home Pilot Core Select and implement nursing home pilot programs as part of a grant that examines the influence state policies have on the behavior and functioning of US nursing homes and the outcomes their patients experience. Role: Co-PI for Nursing Home Pilot Core National Institutes of Health (PI: Towsley, U. of Utah) Me & My Wishes Conduct a randomized pilot program of an intervention that involves creating videos of residents expressing their care preferences and end-of-life wishes. Role: PI for Brown subcontract Patient-Centered Outcomes Research Institute (PI: Boxer, U. of Colorado) Establishing Methodology for Research in Nursing Facilities Identify best practices and approaches for successful research in the nursing home setting. Role: Brown PI $1,007,017

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Rosa R. Baier, MPH Curriculum Vitae 8. Service 8a. To the university 2016

Funding Diversification Committee, Department of Health Services, Policy & Practice

2015-

Executive Committee, Center for Gerontology and Healthcare Research

2015-

MPH Thesis Grant Committee, Master of Public Health Program

2006-

MPH Admissions Committee, Master of Public Health Program

2005-2006

MPH Alumni Committee, Master of Public Health Program

8b. To the profession 2016-

Peer reviewer, Journal of Medical Informatics

2016

Faculty, Infection Prevention Control Officer Training Curriculum, American Health Care Association

2016-

Peer reviewer, BMC Health Services Research

2016-

Peer reviewer, Health Care Management Review

2015-

Peer reviewer, International Psychogeriatrics

2015-

Peer reviewer, American Journal of Managed Care

2014-

Peer reviewer, Journal of General Internal Medicine

2013-

Peer reviewer, Aging Clinical and Experimental Research

2013-

Peer reviewer, American Journal of Emergency Medicine

2012-

Peer reviewer, Infection Control & Hospital Epidemiology

2012-

Reviewer, Blue Cross & Blue Shield of Kansas City Outcomes Research Grant Program

2010-

Peer reviewer, Journal of the American Medical Directors Association

8c. To the community 2015-

Board of Directors, PACE Organization of Rhode Island, Providence, RI

2015-2016

Nursing Home Incentive Program Stakeholder Interest Group, Rhode Island Executive Office of Health & Human Services, Cranston, RI

2015-2016

Hospital Incentive Program Stakeholder Interest Group, Rhode Island Executive Office of Health & Human Services, Cranston, RI

2015-2019

Medication Safety Technical Advisory Panel, Quality Innovation Network National Coordinating Center, Telligen, Englewood, CO

2013-

Blue Cross & Blue Shield of Rhode Island Corporation, Providence, RI

2012

Invited facilitator, Integrated Care Initiative Measurement Workgroup, Rhode Island Executive Office of Health and Human Services, Cranston, RI

2012-2013

Quality Evaluation Workgroup, American Healthcare Quality Association, Washington, DC

2010-2013

Beacon Community Program Steering Committee, Providence, RI

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Rosa R. Baier, MPH Curriculum Vitae 2010

Home Health Compare Usability Workgroup, Mathematica, Washington, DC

2010-2015

Board of Directors, Rhode Island Public Health Institute, Providence, RI

2008

Home Health Performance and Measurement Steering Committee, National Quality Forum, Washington, DC

2008-2014

Rhode Island Healthcare-Associated Infections Coordinator, Centers for Disease Control and Prevention, Atlanta, GA

2007-2009

Home Health CAHPS Technical Expert Panel, Agency for Healthcare Research and Quality, Rockville, MA

2007-2014

Chair, Home Health Subcommittee, Healthcare Quality Reporting Program, Rhode Island Department of Health, Providence, RI

9. Academic honors 2002-2004

Research Assistantship (merit-based with full tuition support), Brown University School of Public Health, Providence, RI

2000

Magna Cum Laude, Wellesley College, Wellesley, MA

10. Teaching 10a. Independent studies Nishtha Baranwal (Fall 2016) Joshua Shreve (Spring 2014) Lorraine Limpahan (Fall 2012) 10b. Students mentored Academic: 2 undergraduates, 10 MPH students and 5 doctoral students Supervisor: 12 MPH students 10c. Theses directed Undergraduate theses Lorraine Limpahan (2014) – Advisor Thesis: “Has hospital communication with primary care physicians improved in Rhode Island?” Graduate theses Alissa Trepman (2016) – Advisor Thesis: “Current State of Treatment in Neurological Disorders Across the Globe: Two Analyses and Policy Implications” Yi Gu (2016) – 2nd Reader Thesis: “Hospital stays and discharges of elderly patients with delirium, dementia, and other cognitive disorders in community hospitals in Rhode Island” Joshua Shreve (2014) – Advisor Thesis: “Creating a transitional care app to support family caregivers of patients with dementia”

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