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Dr. Rubenstein is Professor of Medicine at VA Greater Los Angeles and UCLA, and a Senior Natural Scientist at RAND. She directs the VA Health Services Research & Development Center of Excellence for the Study Healthcare Provider Behavior, and is a practicing general internist and geriatrician. Dr. Rubenstein is a former Robert Wood Johnson Clinical Scholar with a strong research background; she currently directs two health services research fellowships. She has a long history of commitment to improving quality of care and patient quality of life, with particular emphasis on primary care settings. She is currently Principal Investigator of an NIMH-funded five year study on improving care for depression in primary care and of a four year VA-funded multi site study to improve care for depression in VA primary care setting. Dr. Rubenstein has been Principal Investigator on two randomized trials using computer-generated feedback to primary care physicians about the functional status of their patients, including psychological well-being. Dr. Rubenstein is also a leader in quality of care measurement. She was responsible for development of quality assessment instruments and analysis plans for several diseases in RAND's five-year evaluation of quality of care effects of the Medicare Prospective Payment System, as well as for development of the implicit review methodology for that study. She has adapted structured implicit review methods for use in inpatient nursing home and outpatient settings. She strongly believes in the importance of creating new models for interdisciplinary team in health care, with particular focus on nurses. She recently completed a study of a nursing outcomes and quality of care using nurse peer structured implicit review. She also developed reliable, validated quality review tools based on AHCPR guidelines for pressure ulcers in inpatients and in nursing home patients, focusing particularly on preventive nursing care. She has developed successful tools for outpatient nurse case management of depression, and is carrying out a variety of analysis to assess the development components, and effectiveness of outpatient interdisciplinary primary care teams.
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