Barbara A. Rudolph, PhD, MSSW Contact

Center for Health Systems Research and Analysis University of Wisconsin-Madison 610 Walnut St., WARF Building, 11

th Floor

Madison, WI 53726-2397 Barbara.Rudolph@chsra.wisc.edu

Education PHD University of Wisconsin-Madison, Social Welfare, 1996 MSSW University of Wisconsin-Madison, Social Work, 1976 BS University of Wisconsin-Stevens Point, Sociology and Geography, 1971

Professional Experience

2015-Present Expert Advisor, National Center for Health Statistics, Hyattsville, MD.

I serve as an appointed Expert Advisor, to the National Center for Health Statistics, Health Informatics Unit. My specific appointment is related to healthcare data standards, such as: X12N 837 Reporting Guide, Expected Source of Payment Typology, NUCC and NUBC. I serve as an appointed member of the NUBC and NUCC, representing states for the Public Health Data Standards Committee (AHIMA). 2010-Present Senior Scientist, University of Wisconsin-Madison, Center for Health Systems

Research and Analysis, Madison, Wisconsin Since 2004, I have served as Principal Investigator for research services to the National Association of Health Data Organizations, Salt Lake City, Utah, including oversight and input on research issues related to healthcare data systems, technical assistance to states’ on data system development and state quality reporting. I also prepare white papers, grant reports and peer-reviewed articles, and materials for toolkits, presentations/webinars, and other documents related to grants from the CDC Environmental Tracking Program, CDC Cancer Registry Program, Commonwealth Fund, Robert Wood Johnson Foundation, California Healthcare Foundation, and the Agency for Healthcare Quality and Research (AHRQ). I served from 2010-2012, as Principal Investigator and Senior Science Director, for the Leapfrog Group. Tasks included: measure selection for the Leapfrog Hospital Survey, development of survey language and scoring algorithms, weighting schema for composite scores, staffing Expert Panels, and serving on National Quality Forum committees, including the Consensus Standards Approval Committee (CSAC), the Resource Use Steering Committee, the HITEP QDS Workgroup, and the Purchaser Council. Other tasks included identifying measurement gaps and working with measure developers to bring measures to NQF for endorsement. As a data steward in the NQF endorsement process for measures, I have completed measure submission forms and represented measures to TAPs and Steering Committees. I brought nine measures through the NQF process, resulting in six endorsements. Also, reported quarterly to the Leapfrog Board of Directors on all measurement activities. May of 2012 through October 2013, I contracted with the County Health Rankings & Roadmaps (CHRR) Project, in the UW Population Health Institute, to serve as the project’s lead scientist. My work included managing research in the program and preparing articles for publication on issues associated with the health rankings; identifying areas for new research; and mentoring graduate students in Public Health. My work in data standards led to two appointments on national healthcare data standards groups—the National Uniform Billing Committee and the National Uniform Claim Committee. I serve as the state representative for the Public Health Data Standards Committee (PHDSC). In addition, I am a member of the Expected Source of Payment Typology Subcommittee of PHDSC.

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2001-2010 Associate Scientist, University of Wisconsin-Madison, Center for Health Systems

Research and Analysis, Madison, Wisconsin

Design and conduct health services research projects and provide consultation on health care delivery systems, health data systems, health care consumer information, and the quality and safety of health care delivery. Conduct surveys related to health care delivery. Design methods for case mix adjustment and ranking of care delivery, prepare information for consumers on selecting the most appropriate care setting and how to get the best care from their health care providers. Also provide consultation on hospital quality and safety reporting, reporting statistics, and uses of administrative data systems. Serve on National Expert Panels for various data related projects.

Research projects have included: analysis comparing long term care populations and functional classifications (State of Wisconsin and RWJ Foundation); development of a case mix severity adjustment system for the National CAHPS Medicare Dis-enrollment Reasons Survey (CMS), development of guidelines for addressing small cell sizes in web-based dissemination systems (CDC funded), and assessment of state Medicaid management information and data systems (AHRQ). I also served as Principal Investigator for a research project, funded by the Office of the Inspector General (OIG), HSS, to develop a dashboard of measures for use by monitors in nursing homes that are under Corporate Integrity Agreements with the Office of the Inspector General (OIG).

Provided contracted research services (2004-2012) to the National Association of Health Data

Organizations, Salt Lake City, Utah, including oversight and input on research issues related to health data systems, technical assistance to states’ data system development and quality reporting. Prepared white papers, grant reports, materials for toolkits, and other documents as deliverables to CDC Environmental Tracking, Robert Wood Johnson Foundation, and Agency for Healthcare Quality and Research (AHRQ) grants. Served as a contracted Director of Leaps and Measures, for The Leapfrog Group, Washington, DC (2003 to 2010); activities include coordination and consultation with expert panels, external consultants, regional members regarding the development and implementation of “leaps and measures” for patient safety and quality. I provided oversight of the Leapfrog Hospital Survey, measure development, scoring methodology and consumer reporting. I also contributed to the design of measurement aspects of pay for performance programs. I served as a liaison to The Leapfrog Group’s external business partners and to healthcare providers completing The Leapfrog Hospital Survey. I prepared and delivered presentations on patient safety and quality of care issues, to a wide variety of audiences including: consumer groups, healthcare professionals, healthcare product vendors, pharmacy consultants, legislators, and employers. Served on patient safety, quality, health information infrastructure national committees and workgroups, including such groups as: Ambulatory Quality Alliance Performance Measures Workgroup, the National Quality Forum Steering Committee for National Consensus Priority Measures for Hospitals, and the Consensus Standards Approval Committee (CSAC), the Joint-Commission World Health Organization (WHO) International Steering Committee for Patient Safety, the Champions for Patient Safety, Public Health Data Standards Sub-Committee on Payer Source.

1998-2001 Director, Bureau of Health Information, Division of Health Care Financing,

Department of Health and Family Services, State of Wisconsin

Provided leadership and managed all aspects of the Bureau of Health Information—a large health data collection, analysis and dissemination bureau—serving the state. Information customers include the public, the department, health care providers, health plans, business, and research constituencies. Responsibilities included managing 98 staff and a budget over $8 million from multiple sources. Provided leadership for enhancement, development and quality improvement of extant and new lines of business, in concert with the vision of the department and the Governor appointed Board on Health Care Information. I served as a liaison to state legislators for health

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policy and data issues for the Department of Health and Family Services. I was appointed by the Governor, to serve on the Interagency Coordinating Council on Health Data. Oversight of data collections including: hospital discharge, ambulatory surgery, vital records (birth, death, marriage, and divorce), Behavioral Risk Factor Survey, Family Health Survey, hospital financial and services surveys, workforce surveys, abortion survey, Minimum Data Set (MDS) for nursing homes, and health plan performance measures. Designed and implemented a physician office visit data system for Wisconsin—this activity also included the preparation of statutory language and administrative rules. Responsible for development of the first consumer healthcare website which was mandated under statute; the website incorporated both static and dynamic healthcare provider directories and performance information. Served as chair of the HIPAA Standards Committee (related to administrative data and data privacy) for the National Association of Health Data Organizations (NAHDO); the major initiative of this group was formation of the Public Health Data Standards Consortium (http://www.phdsc.org).

1998 Director, Office of Health Care Information, Division of Health, Department of Health

and Family Services, State of Wisconsin

As Director, I was responsible for providing direction, administration and policy implementation for all aspects of the Wisconsin Office of Health Care Information. Managerial responsibilities include supervision of professional employees, managing a $1.7 million annual operating budget, and complex and diversified administration and management of a discharge data collection from 150 hospitals, and ambulatory data for 13 to 20 freestanding surgery centers, and surveys of thousands of health care providers. My duties also included staffing a private oversight Board on Health Care Information. I served as the Office’s liaison to the Wisconsin Legislature (including various special committees and the Legislative Fiscal and Audit Bureaus).

1994-1998 Deputy Director, Office of Health Care Information, Office of the Insurance

Commission and the Division of Health, Department of Health and Family Services, State of Wisconsin

As Deputy Director, I was responsible for the day-to-day administration and policy implementation of

all aspects of the Wisconsin Office of Health Care Information. My managerial responsibilities include line supervision of 19 professional employees, day-to-day management of a $1.7 million annual operating budget, and complex and diversified administration and management of data collection from 150 hospitals, 13 to 20 freestanding surgery centers, and thousands of health care providers. Also, I was responsible for the quality of the data generated, analyzed and evaluated, the public reports produced by OHCI and the responsiveness of OHCI to data analysis needs of government agencies, the legislature, consumers, health care providers, etc. My research duties included directing all aspects of research emanating from the office, including supervision of statistical and methodological aspects. Special ad hoc projects included: staffing the Governor’s Task Force on Graduate Medical Education, and planning and implementing a study for measuring health plan performance in Wisconsin. Also, as part of my dissemination duties I managed the implementation of a dynamic web query system for both hospital and ambulatory surgery data, with multiple interfaces for consumers and healthcare professionals.

1993-1994 Study Director, National Opinion Research Center (NORC), at the University of

Chicago As a Study Director, I provided substantive input, technical advice, and direction to task leaders and

project directors, especially regarding survey design, questionnaire content, and data analysis. My other duties included authoring analysis reports, technical reports, and OMB clearance packages. In essence Study Directors served as Principal Investigator on smaller studies, requiring skills from design through report/paper dissemination. I also contributed to proposal development, and assisted with external activities such as marketing, communication with clients, advisory groups, and the research community. Specific studies are listed in the section of the CV titled, Major Studies.

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I designed and managed social science surveys conducted for governmental agencies (Office of Technology Assessment, academic researchers (Christine Cassel), and other organizations (US News and World Report magazine). My responsibilities typically included conceptual and methodological development, proposal writing, instrument development, oversight and coordination of technical staff (phone interviewers, statisticians, and programmers), data analysis, reporting on findings including policy and methodological implications, and writing academic papers and reports. In addition, I assisted Survey Directors with design of focus groups, cognitive testing, and methodology issues.

1991-1993 Assistant Survey Director III, NORC, University of Chicago I managed component parts of health surveys conducted for governmental agencies (Medical

Expenditure Panel Survey Pilot Test), academic institutions, and other organizations (US News and World Report). Responsibilities typically included proposal writing, participation in instrument development, oversight and coordination of technical staff, development of staff training materials and procedures, and supervision of data collection, data preparation, and quality control. Additional responsibilities included data analysis, report and paper production. Specific studies are listed in the section of the CV titled, Major Studies.

1989-1991 Research Associate (PT), American Hospital Association, Chicago, IL Graduate Medical Education Direct Cost Analysis Project. This special project of the Board of

Trustees of the American Hospital Association was intended to look at the financial vulnerability of teaching hospitals and assist the Board of Trustees for the development of a national policy stance on changes in Medicare financing for graduate medical education.

My role included project and survey development, staffing of a National Advisory Committee,

conducting interviews with academic medical center CEO's, administrators, and medical educators. In addition, responsibilities included the analysis of hospital financial data, including the Medicare Cost Report data, and the preparation of materials and reports for the Advisory Committee and the AHA Board of Trustees. See section on Papers. 1988-89 Graduate Project Assistant (PT), Institute on Aging and Adult Life, University of

Wisconsin, Madison, WI.

1990-91 Graduate Project Assistant (PT), Institute on Aging and Adult Life, University of Wisconsin, Madison, WI.

Team member on the Teen Depression Project; the project focused on the screening of

adolescents, in four large high schools for depressive symptoms and suicidal ideation. Served as UW research liaison to the Dane County Mental Health Center Program Staff, also prepared data and conducted analysis of the 1987 screening data. Other activities included literature searches, data base entry of abstracts, research proposal writing, and assistance with manuscripts.

Clinical Social Work Positions 1987-1988 Social Work Clinician, Family Service of South Lake County, Barrington/Lake

Zurich, IL.

1986-1987 Psychotherapist, Private Practice, Green Bay, Wisconsin 1982-1986 Senior Program Director/Administrator, Visiting Nurses of Family Service, Green

Bay, Wisconsin

Designed and merged two existing agencies into a licensed and accredited home health agency with a budget of $800,000. Managed 30 personnel and service delivery, prepared organization for

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licensure, supervised billing activities, conducted quality assurance activities for Medicaid and Medicare, and managed private fundraising. Prepared agency budgets and Medicare cost reports, annual reports, evaluation studies, and accreditation self-studies, and reported to an umbrella agency board and program advisory committee (community physicians and nurses).

1981-1984 Program Director, Family Service Association, Green Bay, WI Supervised program staff, wrote Federal and private grants, negotiated United Way support,

developed advisory committees, and provided professional staff training, for two areas: Vietnam Veterans Counseling Program and Home Health Services.

1980-1981 School Social Worker, Green Bay Public Schools, Green Bay, WI I provided social work services to three grade schools and one specialized school for the Developmentally Delayed, Green Bay district. Also, provided social work assessments in the M-Team process, implemented educational plans and linked children/families with resources in the community.

1978-1980 Social Work Supervisor, Family Service Association, Green Bay, WI Designed new client services, prepared grants, supervised and trained professional staff, conducted

program evaluations and acted as liaison to other organizations for three programs, Client Advocacy, Family Life Education, and Community Consultation Services.

1977-1978 Family Life Education Coordinator and Family Therapist, Family Service Association, Green Bay, WI

Developed and coordinated group and community education activities. Provided individual, marriage

and family therapy, and attained certification as an outpatient mental health provider under Medicaid. I attained Clinical Membership status in the Association of American Marriage and Family Therapy.

1976-1977 Coordinator of Volunteers, Briarpatch, Inc., Madison, WI

Recruited, screened, and trained volunteers for family and adolescent counseling and juvenile court advocacy, for this federally-funded runaway center. I also supervised child-placing actions by staff and volunteers.

1973-1975 Social Worker I, Brown County Department of Social Services, Green Bay, WI.

Primary case manager for 60 families, handled delinquency actions, child welfare petitions, and provided group, family and individual counseling services. Designed and implemented unit intake and referral system.

Other Professional Activities

2014- Voting Member, National Uniform Claim Committee (SDO), representing public health data standards at state level

2014- Voting Member, National Uniform Billing Committee (SDO), representing public health data standards at state level.

2014 Peer Reviewer, AHRQ Evidence-based Practice Center Technical Briefs program 2013 Review Panel, State of Utah Bid #PR13053 Data Aggregation & Analytics for Utah's

All Payer Claims Database 2012-2014 Expert Panel, Vital Signs: Inside Canada's Hospitals, the fifth estate /Canadian

Broadcasting Corporation 2012 Reviewer, ST CPOE Best Practice Guideline, Cancer Care Ontario (CCO).

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2010-2012 Steering Committee Member, Resource Use Measures, National Quality Forum. 2010 Reviewer, Future Directions for the National Healthcare Quality and Disparities

Reports, Institute of Medicine 2009 Expert Panel, Medicare Physician Value-Based Purchasing. Mathematica

Contractor to HHS, Contract Number: HHSN-500-2005-000251 (0007)

2009-2010 Health IT Expert Panel (HITEP) Quality Data Set (QDS) workgroup, National

Quality Forum 2008-2009 National Quality Measurement Expert Panel Chair and HIT White Paper Author,

Childbirth Connections Symposium, April 2009 2007 Advisory Committee Member, HIT Adoption Initiative, Office of the National

Coordinator for Health IT (ONC) 2007 Performance Measurement Workgroup Member, Hospital Quality Alliance

2007-2012 Voting Member, Consensus Standards Approval Committee (CSAC), National Quality Forum

2007-2009 Steering Committee, National Voluntary Consensus Standards for Hospital Care: Additional Priorities, 2006-2007. National Quality Forum

2007-2008 Performance Measures Workgroup Member, Ambulatory Quality Alliance 2006-2008 Member, Champions for Patient Safety, The Joint Commission 2006-2008 Steering Committee Member, World Health Organization (WHO), Collaborating

Centre on Patient Safety 2006-2007 Expert Panel, "Antibiotic resistance: Incentives for health care.” Sponsored by the

Robert Wood Johnson Foundation 2005 Advisory Committee, Ad Hoc Advisory Committee on Evidence and Performance

Measure Grading. National Quality Forum 2004 Expert Panel, “Measuring Progress towards the Development of a National

Healthcare Information Infrastructure,” HHS Secretarial Summit on Health Information Technology launching NHII 04: Cornerstones for Electronic Healthcare. [See papers.]

2002-2003 Chair, National Information Infrastructure Committee, sponsored by the Public Health Data Standards Consortium, National Center for Health Statistics (NCHS), and the Centers for Disease Control (CDC)

2002 Planning Committee, 2003 Cancer Conference, sponsored by the CDC. 2002 Advisory Committee, National Association of Health Data Organizations (NAHDO)

Emergency Department Data Conference, AHRQ funded. 2000 Expert Panel. Study of Physician Incentives, Carol Simon, Principal Investigator 2000-2003 Steering Committee Member, Public Health Data Standards Consortium sponsored

CDC and NCHS 1999-2004 Board Member and Secretary, National Association of Health Data Organizations

(NAHDO) 1998-2001 Chair, NAHDO Administrative Simplification Committee (HIPAA) 1996 Peer reviewer, JAMA article on patient satisfaction with hospital care.

1995-2000 Member, Steering Committee, MetaStar (Wisconsin QIO), Madison, WI 1995-2003 Member, Quality Forum, community initiative to improve health, sponsored by the

Employers Health Care Alliance Cooperative, Madison, WI

Teaching Experience 1994-1996 Lecturer (PT), School of Social Work, University of Wisconsin 1993-1994 Ad Hoc Faculty (PT), Malcolm X College, Physician's Assistant Program

1992-1993 Ad Hoc Faculty (PT), Loyola University, School of Social Work 1986-1987 Social Work Instructor, University of Wisconsin, Oshkosh and the University of

Wisconsin, Green Bay, WI. Courses taught included: Social Work Methods, Introduction to Social Work, Introduction to Community Resources, Social Work Field Seminar.

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Major Studies, 1991-2005

Management Tools for Medicaid and State Children’s Health Insurance Program (SCHIP): An

Assessment Focusing on the Use of Administrative Data for Ambulatory Care, May 2005. Served as co-investigator for AHRQ funded study; duties included: development of structured interview questions, conducting phone interviews of state Medicaid Directors, staff, and external contractors, co-facilitator for Technical Advisory Panel and meetings with state data experts, and the preparation of the final report under Contract No. 290-00-0012, Task#10, Agency for Health Care Research and Quality. Also, co-author of a peer-review journal article based on this study.

Case Mix Adjustment 2000 and 2001 CAHPS Medicare Disenrollment Reasons Survey. My

responsibilities included development of recommendations for a case mix strategy for reporting comparative data on the most important reasons Medicare beneficiaries voluntarily choose to leave their managed care plan. Conducted extensive literature review, analyzed and reported on the factor analysis of preprinted reasons for disenrollment, which provided the basis for composites used as the dependent variables in a series of case mix adjustment logistic regression models. In addition to running the regression analysis, tests were run on the practical effect of the case mix adjustment on the information that was to be placed on the CMS website. Authored final project report under CMS contract no. 500-95-0061.

California Consumer Information System, 2001-2002 . The California Healthcare Foundation sponsored the development of consumer information on nursing facilities for their website; teams from University of California-San Francisco, UCLA Bourn Center, the Center for Health Systems Research and Analysis (CHSRA), University of Wisconsin-Madison and RAND collaborated to develop the consumer information. CHSRA and UCLA conducted field validation of the MDS Quality Indicators, in 30 nursing facilities in California, using standardized protocols. Analysis and recommendations for the website were presented to the Foundation and its advisory panel. My responsibilities included: design and testing of the protocols for field validation of the quality indicators, supervision of field research in nursing facilities, analysis and reporting of the results of the validation. I also provided significant consultation to the UC-SF team on their work to develop the consumer materials for the website and co-authored a policy paper with the UC-SF team.

Gender Differences in Adolescent Depression: A Consequence of Adverse Life

Circumstances and Lack of Parental Support, December 1996. Three general hypotheses were examined to explain the increase in rates of depression from childhood to adolescence, the increase in rates in recent adolescent cohorts, and the gender differences in rates of adolescent depression in my dissertation. Excess exposure to adverse life circumstances including poverty and single parent family structure, differential vulnerability to these same adverse life circumstances, and measurement issues were thought to contribute to the differences in rates of depression. The mediating role of perceived parent support was also tested. Findings were based on structural equation models with latent factors, using a random sample of data (N=2,000, age 11-19 years) from the Teenage Attitudes and Practices Survey 1989 (NCHS). Dissertation Abstracts International.

1996 Hospitalizations for Ambulatory Care Sensitive Conditions: A Small Area Analysis of

Southeast Wisconsin, 1992-1994. The study focused on ambulatory care sensitive conditions to account for the variation in utilization across Wisconsin hospitals. The study design involved examining the rate of hospitalization by Zip code to determine those areas with higher than expected rates for 30 ambulatory care sensitive conditions. My responsibilities included: an exhaustive literature review, overall study design, statistical methods, and oversight of analysis and report production. Study results were published by OHCI for public distribution. Results presented in poster format at the Association for Health Services Research (AHSR) Annual Conference, June 1996.

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1993/1994 Survey of Public Opinion. Under contract to the Office of Technology Assessment of the United States Congress I conducted a fast-turnaround study of the polling/survey/opinion and market research industry. Study design included a mail survey with follow-ups, 20 telephone interviews with industry elites, and a review of the literature. The primary goal was to document the breadth and extent of the industry, and to examine systematically the changes occurring within the industry, particularly as they relate to changes in technology. Results were presented at the National Conference of the American Association for Public Opinion Research (AAPOR), June 1995.

1994 National Medical Expenditure Survey--Feasibility Study. The Agency for Health Care Policy and Research (AHCPR) contracted with WESTAT and NORC to conduct this 800 household study of the feasibility of newly introduced methodology for conducting the 1996 National Medical Expenditure Survey. The new methods that were tested include the use of CAPI in the screener baseline round, changes in Permission Form Administration and changes in Employer/Insurance gathering. Additionally, training materials were developed for each round of data collection. My responsibilities included the development of training materials for the new Permission Form Procedure, and question-by-question specification, also worked with Senior Survey Directors on the design of methodology reports to AHCPR. I conducted interviewer training in Round 1 and Round 2 on the Permission Form Procedure.

1993 Survey on Best Hospitals. U.S. News and World Report contracted with NORC to again conduct this quick turnaround survey. The study design included an expanded literature review, nurse's focus groups, and a survey of 2400 board-certified physicians in 16 specialties. A new questionnaire was designed that enabled us to construct an Index of Hospital Quality--assigning a single score for all tertiary level hospitals. The score was used to rate hospital quality by U.S. News and World Report for their "Best Hospitals" edition. My responsibilities included development of a new questionnaire, focus group moderation, oversight of data preparation and quality control, design of the index of quality (HQI), all data analysis and hospital rankings, preparation of manuscript to U.S. News and World Report, and consultation on final magazine issue. See Papers.

1991 & 1992 Survey on Best Hospitals. U.S. News and World Report contracted with NORC to conduct this quick-turnaround survey. The study design involved mail surveys to 1,500 board-certified physicians--100 in each of fifteen specialty areas, such as gynecology and orthopedic surgery. The main thrust of the questionnaire was to identify the best hospitals across the country for treating patients in each of the 15 specialty areas. In addition, the questionnaire sought to elicit opinions on which characteristics of hospitals are the most important determinants of high-quality care. I conducted the analysis of the 1991 survey data to determine the dimensions of quality in the “best” hospitals; and linked survey data with the 1990 Annual Survey of Hospitals from the American Hospital Association to develop objective measures of hospital quality which would be used in the Hospital Quality Index for the following year.

1992-1993 Study of Physician-Assisted Suicide. The purpose of this study was to develop a questionnaire designed to assess the prevalence and characteristics of acts of physician assisted dying. My responsibilities included conducting cognitive interviews with selected physicians, utilizing both phone and in-person methods, and conducting focus groups for registered nurses on end-of-life practices. The goal of the interviewing was to improve the survey instrument by testing various question language and format on a very sensitive topic. Results presented to the principal investigator (Christine Cassel).

1992-1993 Research on Response to Sensitive Survey Questions. The project involved the design of methodologically-based laboratory studies to examine the cognitive processes associated with answering sensitive survey questions related to: 1) illicit drug use, 2) sexual behavior, and 3) reporting of abortions. My responsibilities included conducting cognitive interviews to test sensitive questions that might be easily misinterpreted by different ethnic and racial groups. Questions were focused on reproductive behavior, sexual activity, and use of contraceptives. Results and feedback presented to the principal investigator (Kenneth Rasinski).

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1992 Statistical and Analytical Support. This study was designed to further the Environmental Protection Agency's effort to improve the enunciation of measurable environmental goals to support its strategic plans. NORC assisted in refining 10-12 goal statements to ensure that they were concise and readily understandable and meaningful to the public by planning, preparing, and conducting eight focus groups in seven locations with groups from the general public and EPA staff. Responsibilities included conducting "outreach" focus groups (general public) designed to test the Environmental Protection Agency's draft Environmental Goals. I served as the focus group moderator in Seattle, Washington.

Articles and Reports

Sharp L. and Rudolph B. (1990) The Role of Minor Teaching Hospitals in Primary Care Manpower Development and Service Provision; and Their Financial Viability Under PPS. Report: Division of Medical Affairs, American Hospital Association.

Rudolph B. and Sharp L. (1991) Report on Variations in the Direct Costs of Graduate Medical

Education in Eleven Teaching Hospitals. Report submitted to the Board of Trustees, Division of Medical Affairs, American Hospital Association.

Hill C. and Rudolph B. (1992). 1992 Survey on Best Hospitals. A report submitted to U.S. News &

World Report. Hill C. and Rudolph B. (1993). The Index of Hospital Quality: 1993 Survey on Best Hospitals. A

report submitted to U.S. News & World Report. Rudolph B. and Hill C. (1994). A Nursing Perspective on Hospital Quality: Does It Differ From

Physicians? Journal of Nursing Care Quality, Vol. 9(1), October, 57-65.

Rudolph B. and Greenberg A. (1994). Surveying of Public Opinion: The Changing Shape of an Industry. National Opinion Research Center, University of Chicago, Chicago, IL, February.

Rudolph B. and Miller E. (1998). Costs of Care for Diabetes in Wisconsin Hospitals and Ambulatory Surgery Centers in 1996. Wisconsin Medical Journal, March, 55-61.

Newmann J., Rudolph B., and Schubert J. (1995). Depressive Symptom Experiences Among Adolescents. Research Paper Series 51, Mental Health Research Center, University of Wisconsin, Madison, WI, December.

Office of Health Care Information (1996) Small Area Analysis Hospitalizations for Ambulatory Care Sensitive Conditions in SE Wisconsin, 1992-1994. Office of Health Care Information, Office of the Commissioner of Insurance, State of Wisconsin, Madison, WI.

Rudolph B. (1996) Gender Differences in Adolescent Depression: A Consequence of Exposure to Adverse Life Circumstances and the Loss of Parental Support. (Doctoral dissertation, University of Wisconsin-Madison, 1996). Dissertation Abstracts International.

Hill C.A., Winfrey K.L., and Rudolph B.A. (1997) ‘Best Hospitals’: A Description of the Methodology

for the Index of Hospital Quality, Inquiry, 34 (Spring), 80-90.

Rudolph B., Booske B., and Robinson J. (2002) Final Report on Case Mix Adjustment 2000 CAHPS Medicare Disenrollment Reasons Survey. Project Report under CMS contract no. 500-95-0061.

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Harrington C., O’Meara J., Kitchener M., Schnelle J. F., Simmons S., Bates Jensen B., Saliba D., Zimmerman D., and Rudolph B. (2002) California Nursing Home Search: A Policy Paper. California Healthcare Foundation. Sittig D., Shiffman R., Leonard K., Friedman C., Rudolph B., Hripcsak G., Adams L., and Kleinman L. (2005). A Draft Framework for Measuring Progress towards the Development of a National Healthcare Information Infrastructure. BMC Medical Informatics and Decision Making, 5:14. Rudolph, B. and Davis, R. (2005). Administrative Data and Disease Surveillance: An Integration Toolkit. NAHDO-CDC Cooperative Agreement Project, CDC Assessment Initiative. Welch W., Harmon R., Shah M., Love D., Rudolph B., Blewett L., Johnson K., and Parente S. (2005). Management Tools for Medicaid and State Children’s Health Insurance Program (SCHIP): An Assessment Focusing on the Use of Administrative Data on Ambulatory Care. Contract No. 290-00-0012, Task#10, Agency for Health Care Research and Quality. Pronovost P., Thompson D., Holzmueller C., Dorman T. and Rudolph B. Evaluating the impact of the Leapfrog Group’s standard for intensive care unit physician staffing. Semin Anesth Perioper Med Pain. 2005; 24:50-58. Rudolph B., Shah G., and Love D. (2006) Small Numbers, Disclosure Risk, Security and Reliability Issues in Web-based Data Query Systems. J. Public Health Management Practice, 12(2), 175-182. Welch W., Rudolph B., Blewett L., Parente S., Brach C., and Love D. (2006) Management Tools for Medicaid and State Children’s Health Insurance Program (SCHIP). The Journal of Ambulatory Care Management, October-December, Vol. 29, Number 4, 272-282. Rudolph B. and Love D. Adding Clinical Data Elements to Administrative Data for Hospital-Level Reporting: A Synthesis. Contract Number 233-02-0088; Task Order #13; Agency for Health Care Research and Quality. February 2007. Love D., Davis R., Rudolph B. and Fogg R. Implementing an Emergency Department Data System in Washington State. Contract Report for State of Washington Department of Health. February 2007. Love D., Rudolph B., and Shah G. (2008) Lessons Learned in Using Hospital Discharge Data for State and National Public Health Surveillance: Implications for CDC's Tracking Program. J. Public Health Management Practice. 14(6):533-542. Ford E.W., McAlearney A.S., Phillips M.T., Menachemi N., and Rudolph B. (2008) Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met? International Journal of Medical Informatics 77(8):539-45. Xu W., Sullivan E., Rudolph B., Bott J., Lundberg M., McBride S. and Love D. (2009) Consensus Building for Public Reporting on Hospital Readmission. December, National Association of Health Data Organizations. Love D., Sullivan E., Davis R., Prysunka A., and Rudolph B. (2010) The Collection and Release Practices of Physician Identifiers in Statewide Hospital Discharge Data Reporting. October, National Association of Health Data Organizations. Love E, Sullivan E., and Rudolph B. (2012) Guidance Document on Creating and Releasing Hospital and Facility Discharge Data Public Use Files (PUFs). January. National Association of Health Data Organizations.

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Love D. and Rudolph B. (2012) Health Data Systems at a Crossroads: Lessons Learned From 25 Years of Hospital Discharge Data Reporting Programs. December, National Association of Health Data Organizations.

Nonnweiler T., Pollock E., Rudolph, B. and Remington P. (2013) Progress in Reducing Premature Deaths in Wisconsin Counties, 2000-2010. Wisconsin Medical Journal, October 2013, 112(5): 211-214. Booske B., Prins S., Park H., Rudolph B., Remington P. (2013) Geographic Patterns of Health within States: Suburbs Rule in Health Rankings. Submitted for publication. Asada Y., Whipp A., Kindig D., Billard B., Rudolph B. (2014) Inequalities in Multiple Health by Education, Sex, and Race in 93 US counties: Why We Should Measure Them All. .International Journal for Equity in Health,13:47, June 13, 2014.

Extramural Presentations

Bradburn N., Rudolph B. and Hill C. Measuring Hospital Quality. University of Chicago Medical Center, Seminars in Health Studies, May 7, 1993.

Bradburn N., Rudolph B. and Hill C. The Index of Hospital Quality. National press conferences held

in Washington, D.C., sponsored by U.S. News & World Report, July 1, 1993. Rudolph B. and Greenberg A. Surveying of Public Opinion: The Changing Shape of An Industry.

Paper presented at the Annual Conference of The American Association for Public Opinion, Fort Lauderdale, FL, May, 1995.

Rudolph B. Understanding Local Area Hospitalization Patterns: The Role of Patients, Payers and

Providers. A presentation and poster for the Wisconsin Public Health Association Annual Meeting, June 1995.

Rudolph B., Hospitalizations for Ambulatory Care Sensitive Conditions: A Small Area Analysis.

Poster presentation, Association for Health Services Research Annual Conference, Atlanta, GA., June 1996.

Booske B., and Rudolph B., Health Plan Performance Measurement: A Stakeholder Analysis.

Poster presentation, Association for Health Services Research Annual Conference, Atlanta, GA., June 1996.

Booske B., and Rudolph B. Assessing the Performance Measurement Capabilities of Health Plans. Poster presentation at the Association for Health Services Research Annual Conference, Washington, D.C., June 1998.

Rudolph B. Gender Differences in Adolescent Depression: Clinical and Policy Implications. Poster presentation, Association for Health Services Research Annual Conference. Chicago, IL, June 1997.

Rudolph B., Gerstner L., and Hutchinson E. Factors Influencing Uncompensated Care in Wisconsin

Hospitals. Poster presentation, Association for Health Services Research Annual Conference, Chicago, IL, June 1997.

DeMars C., Rudolph B., and Karlson T. A Collaborative Model for Improving the Community’s Health: The Quality Forum. Presentation at the 1998 Building Bridges Research Conference, Oakland, CA, May 1998.

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Rudolph B. Testimony on the Need for Outpatient Health Data Collection. Presentation. Joint Legislative Council on Health Care Information, Wisconsin Legislature Senate Health Committee. December 1997; January 1998. Rudolph B., and Quade C. Developing a Consumer Health Information System for Ambulatory Surgery Data. Poster presentation at the Association for Health Services Research—Annual Conference, Washington, D.C., June, 1998. Rudolph B., and Quade C., State Integrated Information: Wisconsin’s Efforts. User Liaison Program Conference, sponsored by AHCPR User Liaison Program, New Orleans, MS, November 1998. Rudolph B. Administrative Simplification: NASC and the States’ Response. Moderator/panel member. NAHDO Annual Conference. Atlanta, GA, January 1999. Rudolph B. Implementation of Act 231: Physician Outpatient Data Collection. Wisconsin Medical Group Managers Association (WMGMA), Annual Meeting, Green Bay, WI, February, 1999. Rudolph B. Use of Data to Evaluate the Cost and Quality of Health Care. Panel presentation: Competition in Health Care Conference, sponsored by Wisconsin Hospital Association, MetaStar, and Wisconsin Manufacturers and Commerce, May 1999. Rudolph B., Booske B., and Karlson T. Panel Presentation: Ambulatory Data Collection in Wisconsin. Health in the New Millennium: Making Choices, Measuring Impact. National Conference on Health Statistics, National Center for Health Statistics, CDC, August 1999. Rudolph B. Wisconsin Health Care Data Systems: Accessing Current and New Resources for Health Services Research. Presentation, Wisconsin Network for Health Policy Research 2

nd Annual

Health Services Research Conference. Nov. 1999. Rudolph B. Testimony on the Need for State Health Data Collections. Presentation to Minnesota State Senate, by invitation of the Minnesota Division of Health and the Minnesota Health Data Institute, February 2000. Rudolph B., Invited Presenter, Challenges and Opportunities: Outpatient Data Collection in Wisconsin. Public Health Data Standards Consortium, Arlington, VA, March 2000. Rudolph B., Data Collections in Wisconsin: Answering Questions Related to the Quality of Care, Presentation at the Association for Health Services Research--National Conference, Los Angeles, CA, June 2000. Rudolph B., Will Research Be Silenced in the Pursuit of Privacy? Panel Moderator, Third Wisconsin Health Services Research Conference. November 2001. Rudolph B., Performance Measurement and Quality Improvement: Are Public and Private Efforts Coalescing Around Core Indicators? 16

th Annual Meeting, National Association of Health Data

Organizations. December 2001. Rudolph B., No Longer an Option…States’ Critical Need for ED Data. Emergency Department Data Conference, sponsored by the National Association of Health Data Organizations. Washington, DC, April 2002. Harris-Kojetin L., Booske B., Lynch J., Ritter C., Bender R., and Rudolph B. Medicare CAHPS Voluntary Disenrollment Reasons Survey: An Analysis of Key Beneficiary Subgroups. Poster presentation at: the Annual Research Meeting of the Academy for Health Services Research and Health Policy, June 2002.

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Schabert V. F., Bott J., Tillotson B., DeMars C., and Rudolph B. Measurement, Risk Adjustment, and Public Report of In-Hospital Complications. Poster presentation--Annual Research Meeting of the Academy for Health Services Research. June 2002. Harrington C., O’Meara J., Kitchener M., Schnelle J. F., Simmons S., Bates Jensen B., Saliba D., Zimmerman D., and Rudolph B. California Nursing Home Search—A Website for Selecting a California Nursing Home. www.calnhs.org. October, 2002. Rudolph B. Integrating Clinical and Administrative Data: A Template for the Process. Presentation at the 2002 Annual Conference of the National Association of Health Data Organization, Atlanta, GA., December 2002. Rudolph B. Medicaid Managed Care Best Practices Symposium, Served as member of the Reactor Panel. The Symposium was sponsored by the Wisconsin Medicaid Program, May 8, 2003. Rudolph B. Small Cell Size: Addressing Statistical and Confidentiality Issues. Presentation at NAPHSIS Annual Conference, New York, NY, June 2003. Rudolph B. Small Cell Size: Addressing Statistical and Confidentiality Issues. WEBCAST, National Association of Health Data Organizations, September 2003. Rudolph B. Data Standards, Benefits, Standard-setting Process, and Implementation by Public Health Professionals. 2003 Cancer Conference Short Course, Panel Moderator, September 18, 2003. Rudolph B. Health Care Purchasing and Accountability--Asking for Value: Lessons from the Private Sector. Presentation at the National Conference of State Legislatures (NCSL) Health Leaders Seminar, December 2003. Rudolph B. Measuring Quality: Challenges and Recommendations. Fourth Bi-Annual Conference on Research, Policies and Practice in the Public Health and Health Services Arenas, sponsored by the Wisconsin Public Health and Health Policy Institute, October 3, 2003. Rudolph B. Hospital Operations Data: Description, Availability and Potential Uses for Purchasers, at the “Practical Ways to Access and Use Hospital Data” Conference, sponsored by the National Business Coalition on Health, July, 2004. Rudolph B. Measure Selection for the Leapfrog Group Hospital Rewards Program. The Leapfrog Group/National Business Coalition on Health Incentives and Rewards Workshop, May 2005. Rudolph B. Measure Criteria, Selection and Scoring, for the Leapfrog Hospital Rewards Program. National Pay for Performance Summit, Los Angeles, February 2006. Rudolph B. Quality and Safety Transparency: The Public Reporting Landscape. Colorado Health Institute Summit, Denver, CO. March 2006. Rudolph B. Leapfrog Group Hospital Efficiency Measure. Efficiency in Healthcare Conference, sponsored by AHRQ and the Alliance, Madison, WI, May 2006. Rudolph B. Implementing Cost-to-Charge Ratios. Conference Call Presentation for HCUP Partners, HCUP Technical Support Task Order, AHRQ, July 26, 2006. Rudolph B. Adverse Event Reporting.” Conference Call, Presentation for the NAHDO Quality Workgroup. May 25, 2008.

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Rudolph B. Public Reporting and Pay for Performance Landscape. Conference Call Presentation, Purchaser-Disclosure Group’s Discussion Forum: State of the Field in Measurement, Use, and Public Reporting of Hospital Quality Information, June 24, 2008. Rudolph B. and Love D., Discharge Data Systems and EMRs: Friends with Benefits, Presentation, NAHDO Annual Meeting, Washington D.C., November 2011. Rudolph B. Moderator for the Quality Measurement Discussion Breakout, 5

th Annual All Payer

Claims Database Meeting. November 2011. Rudolph B. and Davis R., Series of Webinars for NAACCR and NAHDO members on following topics: Research Questions Utilizing Integrated Cancer Registry and Discharge or Claims Data; A Pathway to Success: Data Integration, Discharge Data Elements of Possible Value to Cancer Registry, November-December 2011. Rudolph B. Update on State APCD Public Reporting and Measurement. Laying the Groundwork for Consumer Reporting on Cost and Quality: Putting APCD Systems to Work Conference, New Orleans, October, 2012. Rudolph B. and Love D. State APCD Analytic Plans. Facilitated discussion with State Work Group. Laying the Groundwork for Consumer Reporting on Cost and Quality: Putting APCD Systems to Work Conference, New Orleans. October, 2012. Krackov A., El Emam K., Barth-Jones D., and Rudolph B. Free the Data, Manage the Risks. NAHDO Annual Conference, October 2014. Rudolph B. and Elixhauser A. Roundtable: Hospital Administrative Data Stewardship, NAHDO Annual Conference, October 2015. Rudolph B, Chrysler D, and Milam S. De-identification of Health Data: Law and Practice, Pre-Conference Workshop. Public Health Law Network Conference, Washington D.C. September 2016.

Consulting

2015-2016 National Center for Health Statistics-Expert Appointment for health data

standards 2010 The Alliance Healthcare Cooperative--expert input on measure selection and on

selection of data vendor for collection, analysis and reporting of healthcare providers’ performance

2008 Consumers Union--expert input on measure selection for healthcare reporting in

Consumers Report 2005 Fond du Lac Businesses on Health (FABOH)--expert input on measures for their

Pay for Performance program

2001-2003 Alliance Healthcare Cooperative, Madison, Wisconsin, expert input on Quality Counts (Hospital Report Card)

Community Service

2010 Research Committee Member and Health Committee Member, Badger School Project, Resilient Cities, Madison, WI.

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2001-2008 Board Member, Breast Cancer Recovery Foundation, a non-profit located in Madison WI.

1993-1996 Board Member, Kaleidoscope, Inc., a non-profit licensed child welfare agency in Chicago, IL.