patrick s. romano curriculum vitae - UC Davis Health System ...

PATRICK S. ROMANO
CURRICULUM VITAE
PROFESSIONAL ADDRESS UC Davis Division of General Medicine
4150 V Street; Suite 2400
Sacramento, CA 95817
(916) 734-7237 (office)
(916) 734-2732 (facsimile)
psromano@ucdavis.edu (e-mail)
EDUCATION
EMPLOYMENT
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
2003-present Professor of Medicine and Pediatrics; Division of General Medicine,
Department of Medicine (and 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

CREDENTIALS
Patrick S. Romano, M.D.
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
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 and 2006)
Certified, American Board of Internal Medicine (September 1989)
HONORS AND AWARDS
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, 2000present
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
Patrick S. Romano, M.D.
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; 46:1075-9.
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;
46:1085-90.
9. 1994 Romano PS, Mark DH. Bias in the coding of hospital discharge data and its implications for
quality assessment. Medical Care; 32:81-90.
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; 47:249-
60.
12. 1994 Waitzman NJ, Romano PS, Scheffler RM. Estimates of the economic costs of birth defects.
Inquiry; 31:188-205.
13. 1995 Romano PS, Waitzman NJ, Scheffler RM, Pi RD. Folic acid fortification of grain: An
economic evaluation. American Journal of Public Health; 85:667-76.
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.

Patrick S. Romano, M.D.
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; 37:295-305.
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.

Patrick S. Romano, M.D.
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.

Patrick S. Romano, M.D.
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 Amainstreaming@ 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.

Patrick S. Romano, M.D.
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; 42:367-77.
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):i57i63.
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.
Patrick S. Romano, M.D.
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 pesticiderelated
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 volumeoutcome
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,

Patrick S. Romano, M.D.
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.

Patrick S. Romano, M.D.
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.

Patrick S. Romano, M.D.
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; Jan 18 [Epub ahead of print].
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;
in press.
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.

Patrick S. Romano, M.D.
113. 2011 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; Jul 15. [Epub ahead of print]
114. 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; Jul 25. [Epub ahead of print]
115. 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.
116. 2011 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; in press.
117. 2011 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; in press.
118. 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; Oct 13.[Epub ahead of print]
119. 2012 Zrelak PA, 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; in press.
120. 2012 Shaikh U, Nettiksimmons J, Bell RA, Tancredi D, Romano PS. Accuracy of parental report
and electronic health record documentation as measures of diet and physical activity
counseling. Academic Pediatrics; in press.

BOOK CHAPTERS
Patrick S. Romano, M.D.
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.
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: http://www.ahrq.gov/qual/advances/
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.

Patrick S. Romano, M.D.
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: http://www.ahrq.gov/qual/advances2/ .

EDITORIALS AND LETTERS
Patrick S. Romano, M.D.
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; 10:197-199.
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; 14:77-78.

Patrick S. Romano, M.D.
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 AFailure 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. 2011 Romano PS, Volpp KG. The ACGME’s 2011 Changes to resident duty hours: Are they an
unfunded mandate on teaching hospitals? Journal of General Internal Medicine; in press.

OTHER JOURNALS
Patrick S. Romano, M.D.
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; 7:545-550.
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; 37:1-2.
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; 38:1-3.
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; 39:1-3.
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.

LIMITED DISTRIBUTION
Patrick S. Romano, M.D.
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: http://repositories.cdlib.org/chsrpc/coshpd/
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: http://repositories.cdlib.org/chsrpc/coshpd/Volume1/
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: http://repositories.cdlib.org/chsrpc/coshpd/Volume2/
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: http://repositories.cdlib.org/chsrpc/coshpd/Volume3/

Patrick S. Romano, M.D.
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:
http://www.ahrq.gov/clinic/hcupqinv.htm (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: http://www.cdpr.ca.gov/docs/whs/pdf/hs1820.pdf
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: http://www.cdpr.ca.gov/docs/whs/pdf/hs1821.pdf
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: http://www.cdpr.ca.gov/docs/whs/pdf/hs1822.pdf
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: http://repositories.cdlib.org/chsrpc/cdhs/Final_Report/
18. 2002 Measures of Patient Safety Based on Hospital Administrative DataCThe 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:
http://www.ahrq.gov/clinic/psindinv.htm
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:
http://www.ntis.gov/search/product.asp?ABBR=PB2002108741&starDB=GRAHIST
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:
http://som.ucdavis.edu/research/chsrpc/resources2/folder.2005-02-03.4183199017/ReportText.pdf
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:
http://www.qualityindicators.ahrq.gov/downloads/pdi/pdi_measures_v30.pdf
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: http://www.escholarship.org/uc/item/20h9h32c

Patrick S. Romano, M.D.
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:
http://www.opa.ca.gov/about/consumer_information/files/pdf/Quality-Performance-
Measurement-California.pdf
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:
http://www.escholarship.org/uc/item/8kk0p2vq
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:
http://www.olis.oecd.org/olis/2009doc.nsf/linkto/delsa-hea-wd-hwp(2009)5
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:
http://www.ahrq.gov/qual/perfmeasguide/
27. 2010 National Quality Forum (NQF). ICD-10-CM/PCS Coding Maintenance Operational
Guidance: A Consensus Report. Washington, DC: NQF. (Chair of Consensus Expert
Panel, senior author.) Available at: http://qualityforum.org/Publications/2010/10/ICD-10-
CM/PCS_Coding_Maintenance_Operational_Guidance.aspx
28. 2010 National Quality Forum (NQF). Final Report: 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:
http://qualityforum.org/Measuring_Performance/Improving_NQF_Process/Measure_Testing_
Task_Force.aspx
29. 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:
http://www.oshpd.ca.gov/HID/Products/Clinical_Data/CABG/2007/CCORP_Impact.pdf

PEER-REVIEWED ABSTRACTS
Patrick S. Romano, M.D.
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

Patrick S. Romano, M.D.
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 deepvein
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 AUltrasound
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 AUltrasound
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 14 th 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.
Patrick S. Romano, M.D.
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 20 th 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.
Patrick S. Romano, M.D.
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 68 th 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 69 th 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. 2003 Gilbert WM, Yasmeen S, Romano PS, Danielsen B. Effect of gestational age, birth weight
and birth sequence on perinatal outcomes in multiple gestations. Presented at the 23 rd
Annual Meeting of the Society for Maternal-Fetal Medicine; February 2003; San Francisco,
CA.
49. 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.
50. 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.
51. 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.
52. 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
20 th Annual Research Meeting of AcademyHealth, June 28, 2003; Nashville, TN.

Patrick S. Romano, M.D.
53. 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.
54. 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 20 th
International Conference of the International Society for Quality in Health Care, November 5,
2003; Dallas TX.
55. 2003 Davies SM, Romano PS, Geppert JJ, McDonald KM. Indicators of quality obstetric care
based on administrative data: Exploring the possibilities. Presented at the 20 th International
Conference of the International Society for Quality in Health Care, November 3, 2003; Dallas
TX.
56. 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.
57. 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.
58. 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.
59. 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.
60. 2004 Grosse S, Waitzman N, Romano PS, Mulinare J. The economic gains from preventing
neural 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.
61. 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 21 st International
Conference of the International Society for Quality in Health Care, October 22, 2004;
Amsterdam, Netherlands.
62. 2005 Marcin JP, Kuppermann N, Andrada-Brown E, Dharmar M, 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.
63. 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.
64. 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.
Patrick S. Romano, M.D.
65. 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.
66. 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.
67. 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.
68. 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.
69. 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.
70. 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.
71. 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 22 nd
International Conference of the International Society for Quality in Health Care, October 26-
28, 2005; Vancouver, Canada.
72. 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.
73. 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.
74. 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.
75. 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.

Patrick S. Romano, M.D.
76. 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.
77. 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.
78. 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.
79. 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.
80. 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.
81. 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.
82. 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.
83. 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.
84. 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.
85. 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.
86. 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 27 th
Annual Research Meeting of AcademyHealth, June 4, 2007; Orlando, FL.
87. 2007 Haberland C, Romano PS. The AHRQ Neonatal Quality Measures - Development and
Ratings. Presented orally at the 27 th Annual Research Meeting of AcademyHealth, June 3,
2007; Orlando, FL.

Patrick S. Romano, M.D.
88. 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
27 th Annual Research Meeting of AcademyHealth, June 4, 2007; Orlando, FL.
89. 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 27 th Annual Research
Meeting of AcademyHealth, June 5, 2007; Orlando, FL.
90. 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 27 th Annual Research Meeting of AcademyHealth, June 4, 2007; Orlando, FL.
91.* 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 27 th Annual Research Meeting of AcademyHealth, June 3, 2007; Orlando, FL.
92.* 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
27 th Annual Research Meeting of AcademyHealth, June 5, 2007; Orlando, FL.
93.* 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 at the 5th World Congress on Pediatric
Critical Care, June 26, 2007; Geneva, Switzerland.
94.* 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.
95.* 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.
96. 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.
97. 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.
98. 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.
99. 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.
Patrick S. Romano, M.D.
100.*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.
101. 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 28 th Annual Research Meeting of AcademyHealth, June 9, 2008;
Washington, DC.
102. 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 28 th Annual Research Meeting of
AcademyHealth, June 10, 2008; Washington, DC.
103. 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 28 th Annual Meeting of AcademyHealth, June 2008; Washington, DC.
104. 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 28 th Annual Meeting of AcademyHealth, June 2008; Washington, DC.
105. 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.
106. 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.
107. 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.
108. 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 American Public Health Association Annual Meeting &
Exposition; October 27, 2008; San Diego, CA.
109. 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.
110. 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

Patrick S. Romano, M.D.
hospitals. Presented orally at the 29 th Annual Research Meeting of AcademyHealth, June
30, 2009; Chicago, IL.
111. 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.
112. 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 26 th International
Conference of the International Society for Quality in Health Care, October 11-14, 2009;
Dublin, Ireland. (Won first prize for best abstract presentation.)
113. 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.
114. 2010 Yasmeen S, Romano PS, …. Primary care physicians beliefs and practices regarding
mammography screening for older and younger women: A national survey. Presented orally
at the 33 rd Annual Meeting of the Society for General Internal Medicine, April 30, 2010;
Minneapolis, MN.
115. 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 33 rd Annual
Meeting of the Society for General Internal Medicine, April 29, 2010; Minneapolis, MN.
116. 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 33 rd Annual Meeting of the Society for General Internal
Medicine, April 30, 2010; Minneapolis, MN.
117. 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.

GRANTS AND CONTRACTS 1 (see footnote below)
CURRENT PROJECTS (current year, UC Davis total direct costs unless otherwise noted)
Patrick S. Romano, M.D.
Contract 290-04-0020 (Geppert) 10/1/04-9/30/11
Agency for Healthcare Research and Quality (subcontract from Battelle) $2,274,681*
Support for Quality Indicators
The objectives are 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
* UC Davis costs are totalled and cannot be divided by year
Agreement 06-7418 (Li) 6/28/07-6/27/11
California Office of Statewide Health Planning and Development $585,824
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 nonmortality
outcomes such as complications and appropriateness of CABG surgery.
Role: Co-Investigator
Grant R01 HS019311 (Ong) 09/1/10-8/31/13
Agency for Healthcare Research and Quality $205,321
Variations in Care: Comparing Heart Failure Care Transition Intervention Effects
This mutli-site randomized controlled trial will: (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 separate care transition interventions.
Role: PI at UC Davis site
Grant R01 HS019712 (Marcin) 10/1/10-9/30/13
Agency for Healthcare Research and Quality $396,733
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
1 Two training grants for primary care physician faculty development (2003-2007, 2008-2011) from the Health
Resources and Services Administration (Principal investigator) are not shown. K awards to mentees from AHRQ,
the National Center for Research Resources (though the UC Davis Clinical and Translational Sciences Center), and
the National Cancer Institute are not shown. Intramural sources of research support are not shown.

Patrick S. Romano, M.D.
Agreement 10-10251 (Romano) 01/1/11-12/31/11
California Department of Public Health (CDPH) $119,824
Adverse Events Reporting (PENDING)
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
Agreement 09-11543 (Romano) 01/1/11-6/30/12
California Department of Public Health (CDPH) $376,065
AB 131 Nurse-to-Patient Ratios (PENDING)
The objective is 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

COMPLETED PROJECTS
Patrick S. Romano, M.D.
Department of Veterans Affairs grant SDR 07-002 (Rosen)
Validating the Patient Safety Indicators in the VA
10/1/07-9/30/10
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
Institutional Clinical and Translational Science Center (CTSC)
9/30/06-6/30/11 (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)
State of California Department of Managed Health Care agreement 05MC-1A016
Office of the Patient Advocate Quality Measures Evaluation Project
6/1/06-6/30/09
The objectives of this project are 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
Translating the AHRQ Quality Indicators to the VA
10/1/07-9/30/08
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
Impact of Resident Work Hour Rules on Errors and Quality
5/20/05-4/30/08
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
Traumatic Brain Injury and Child Maltreatment Surveillance
1/1/02-12/31/04
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
Patrick S. Romano, M.D.
Department of Veterans Affairs Health Services R&D grant IIR-02-144-1
Identifying Patient Safety Indicators from Administrative Data
10/1/02-9/30/05
The objectives of this project are 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 (DMHC) agreement #03MC-IA008
Evaluation of the California HMO Quality Report Card
10/1/03-12/31/04
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
Nurse-to-Patient Ratios Response Report
4/1/02-3/31/07
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
Sexual and Sexually Motivated Violence
10/1/04-9/30/05
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
Support for Quality Indicators
6/1/02-11/30/04
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)

Patrick S. Romano, M.D.

Patrick S. Romano, M.D.
Agency for Health Care Policy and Research (AHCPR) contract 290-97-0013
Refinement of HCUP Quality Indicators
5/10/99-6/30/02
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
Thromboembolism after Illness or Surgery in the Elderly
9/1/98-8/31/99
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
Information about Quality in a Randomized Evaluation
9/30/00-8/31/04
The objectives of this project are to: 1) identify factors associated with consumers' use of employerdisseminated
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
The Outcomes of Hospital Outcome Studies
9/30/94-10/31/99
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 (continuing assignments italicized)
Patrick S. Romano, M.D.
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, California Department of Health Services (DHS) 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)
14. Consultant, Pacific Business Group on Health, Evaluation of Proposed Measures for Hospital
Performance Measurement (2002)
15. Consultant, 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, New Measures Advisory Group, The California Hospital Assessment & Reporting Task
Force (CHART, 2004-present)
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 the 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

Patrick S. Romano, M.D.
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-present)
28. Member, Technical Advisory Group to the ICD-11 Revision Process on the Development of a Quality
and Patient Safety Measurement Ontology, World Health Organization (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 and Medicaid
Services (2008)
31. Consultant, Health Care Quality Indicators Project (Patient Safety Indicators), Organization for
Economic Cooperation and Development (2006-present)
32. Member, Risk Adjustment Methodology Advisory Task Force, University HealthSystem Consortium
(2008-present)
33. Member, Pressure Ulcer Steering Committee, University HealthSystem Consortium (2008-present)
34. Member, California Hospital Association Patient Safety Action Task Force (2009)
35. Member, Risk Adjustment Subgroup, National Committee for Quality Assurance (2009-present)
36. Chair, Expert Advisory Panel, National Quality Forum Measure Specification Coding Maintenance
Project (2009-2010)
37. Member, National Quality Forum Task Force on Measure Testing (2010-2011)
38. Invited Expert, Criteria for Developing and Enhancing Pediatric Health Care Quality Measures
Program under the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA)
(2010)
39. Member, National Quality Forum Task Force on Usability (2011)