Director, Center for Healthcare Equity
Associate Professor, Research
Feinberg School of Medicine
Northwestern University

Institute for Healthcare Studies
Northwestern University
750 North Lakeshore Drive
10th Floor
Chicago, IL  60611

Telephone 312-503-5509
Fax          312-503-2777

r-hasnainwynia@northwestern.edu

Dr. Hasnain-Wynia (Romana) is Director, Center for Healthcare Equity and Associate Professor, Research at Northwestern University, Feinberg School of Medicine. Prior to joining Northwestern University, Romana was the Vice President of research for the Health Research and Educational Trust, the research and educational affiliate of the American Hospital Association. Romana is an expert in health care disparities research and serves as the principal investigator for a number of national studies.  She was the lead investigator of the projects: Developing a Uniform Framework for Collecting Race, Ethnicity, and Primary Language Data in Hospitals;  Linking Race and Ethnicity Data to Inpatient Quality of Care Measures;  and Integrating Race, Ethnicity, Language and other Demographic Measures with Clinical Quality Measures in Electronic Health Records.  She currently serves as the principal investigator of a large portfolio of projects examining use of patient demographic data in addressing disparities and improving health care quality for diverse populations. These projects include:  Evaluating Provision of Language Services in California Public Hospitals: Facilitators and Barriers to Systems Change; Examining Quality and Efficiency in Safety Net Hospitals; and The Role of Improving Quality through Health Information Technology.  In addition, Romana is the Co-Principal Investigator of the project,  Assessing the Impact of the CMS Pay for Performance Initiative (P4P) by Simulating Alternative Quality Scoring Methods.  She serves on a number of national expert advisory panels and is currently a senior advisor to the Joint Commission on Accreditation of Healthcare Organizations on the project, Hospitals, Language and Culture: A Snapshot of the Nation and to the Robert Wood Johnson Foundation’s national initiative to reduce disparities in cardiac care, Expecting Success: Excellence in Cardiac Care.  Romana is Senior Associate Editor for the journal, Health Services Research.

Selected Publications

1. Garland, M., and R. Hasnain, “Community Responsibility and the Development of Oregon’s Health Care Priorities,” Business and Professional Ethics Journal.  Vol. 9(3) 183-201, 1990.

2. Garland, M., and R. Hasnain, “Health Care in Common:  Setting Priorities in Oregon,” The Hastings Center Report, Vol. 20(5) 16-18, 1990.

3. Garland, M., R. Hasnain, and R. Crawshaw, “Community’s Role in Setting Priorities for Health Services:  Oregon Health Decisions and the Role of State Resources for Health.  In Justice and Health Care:  Medicine, Ethics and Economics.  Illinois Masonic Medical Center, 1990.

4. Hasnain, R., J. Hibbard, and E. Weeks, “Determinants of Physician Acceptance of Assignment: An Examination of Medicare Beneficiary Characteristics,” Medical Care.  Vol. 30(1) 58-66, 1992.

5. Baily, A., DeWolf, L., Hasnain-Wynia, R., and Margolin, F. (2001) Mission Possible: Community Health,” Trustee, Vol 54, No.4.

6. Hasnain-Wynia, R., Margolin, F. and Bazzoli, G. “Models for Community Health Partnerships,” Health Forum Journal May/June, Vol. 44, No.3. 2001.

7. Shortell, S., Zukoski, A., Alexander, J., Bazzoli, G., Conrad, D., Hasnain-Wynia, R., Sofaer, S., Chan, B., Casey, B., and Margolin, F.  “Evaluating Partnerships for Community Health Improvement:  Tracking the Footprints” Journal of Health Politics, Policy, and Law Feb, Vol 27 No. 2002.

8. Chan, B., Bazzoli, G., Shortell, S., and Hasnain-Wynia, R  “A Social Capital Index for Community Partnerships” International Quarterly of Community Health Education, vol 20, number 3. 2002.

9. Hasnain Wynia, R  “Working to Eliminate Racial Disparities” The Health Forum Journal, Winter, vol 46, no. 1. 2003.

10. Hasnain-Wynia, R. “Overview of the Community Care Network Demonstration Program and Its Evaluation.” Medical Care Research and Review,  Supplement to Vol 60;4 Dec 2003.

11. Hasnain Wynia, R., Sofaer, S., Bazzoli, G., Alexander, J., Shortell, S.,Chan,  B., Sweney, J.  “Members' Perceptions of Community Care Network Partnerships  Effectiveness” Medical Care Research and Review,  Supplement to Vol 60;4 Dec 2003.

12. Sofaer, S., Bazzoli, G., Alexander, J., Conrad, D.,  Hasnain-Wynia, R., Shortell, S., et.al. “Using Theories of Action to Guide National Program Evaluation and Local Strategy in the Community Care Network Demonstration.” Medical Care Research and Review,  Supplement to Vol 60;4 Dec 2003

13. Bazzoli, G, Casey, E., Alexander, J., Conrad, D., Shortell, S., Hasnain-Wynia, R., and Zukoski, A. “Collaborative Initiatives: Where the Rubber Meets the Road in Community Partnerships.” Medical Care Research and Review,  Supplement to Vol 60;4 Dec 2003

14. Conrad, D., Cave, S., Lucas, M., Harville, J., Shortell, S, Bazzoli, G., Hasnain-Wynia, R.,Sofaer.S., “Community Care Networks: Linking Vision to Outcomes for Community Health Improvement.”  Medical Care Research and Review,  Supplement to Vol 60;4 Dec 2003

15. Alexander, J., Weiner, B.,Metzger, M.,Shortell, S., Bazzoli, G., Hasnain-Wynia, R., Sofaer, S. and Conrad, D. “Sustainability of Collaborative Capacity in Community health Partnerships.” Medical Care Research and Review,  Supplement to Vol 60;4 Dec 2003

16. Margolin, F.S., R. Hasnain-Wynia, G.W. Torres, & M. Pittman, “Perspective: The Value of Collaboration in Eliminating Barriers to Preventive Care and Screening Among Underserved Populations.” Journal of Ambulatory Care Management (October-December 2004), 27:4, 339:347.

17. Hasnain-Wynia, R. “Collecting Ethnicity and Language Data.” Hospitals and Health Networks. Online. October 26, 2004.

18. Bazzoli, G.J., Lindrooth, R.C., Hasnain-Wynia, R., and Needleman, J. “The Balanced Budget Act of 1997 and U.S. Hospital Operations.” Inquiry, 41:401-417, Winter 2005

19. Baker DW, Cameron KA, Feinglass J, Georgas P, Foster S, Pierce D, Thompson J., Hasnain-Wynia R. “Patients’ Attitudes Toward Health Care Providers Collecting Information About Their Race And Ethnicity.”  J Gen Intern Med. Vol 20 (10). October 2005.

20. Bazzoli, G.J., Kang, R., Hasnain-Wynia, R. and Lindrooth, R.C. “An Update of Safety Net Hospitals: Coping with the late 1990s and early 2000s.” Health Affairs, vol 24, number 4. DOI10.1377/hltaff.24.4.1047.  July 2005.

21. Hasnain-Wynia, R. “ Is Evidence-Based Medicine Patient-Centered and Is Patient-Centered Care Evidence Based?” (Editorial)  Health Services Research, February, 2006.

22. Baker DW, Cameron KA, Feinglass J, Georgas P, Foster S, Pierce D, Thompson J, Hasnain-Wynia R. “Development and Testing of a System to Rapidly and Accurately Collecting Patients’ Race And Ethnicity.” Am J Public Health.Vol 96. no 3. 2006.

23. Hasnain-Wynia, R and Baker D.W. “Obtaining Data on Patient Race, Ethnicity, and Primary Language in Health Care Organizations: Current Challenges and Proposed Solutions.”Health Services Research. August 2006.

24. Bazzoli, G., Lindrooth, R., Kang, R., and Hasnain-Wynia, R. “The Influence of Health Policy and Market Factors on the Hospital Safety Net.” Health Services Research , Vol 41, August 2006.

25. Lindrooth, R, Bazzoli, G, Needleman, J. and Hasnain-Wynia, R. “The Effect of Changes in Hospital Reimbursement on Nurse Staffing Decisions at Safety Net and Non-Safety Net Hospitals.”  Health Services Research. June 2006

26. Hasnain-Wynia, R., Baker, DW, Nerenz, DR, et al. “Are Disparities Driven by Who You Are or Where You Go: An Examination of the Hospital Quality Alliance Measures:   Archives of Internal Medicine June 25, 2007 627:1233-1239..

27. Baker, DW, Hasnain-Wynia, R, Thompson, J, et al. “Attitudes  Toward Health Care Providers Collecting Information About Patients’ Race, Ethnicity, and Language.” November 2007;45(11):1034-1042 Medical Care.

28. Hasnain-Wynia, R, R, Baker, DW, Nerenz, DR, Feinglass, et. al. “Are Disparities Driven by Who You Are or Where You Go? Can It All Be So Simple?—Reply.  Arch Intern Med 2008;168:328-329.

29.G. Torres, J. Yonek, J. Pickreign, H. Whitmore, and R. Hasnain-Wynia. “HIV Testing and Referral to Care in U.S. Hospitals Prior to 2006: Results from a National Survey.” Public Health Reports.   Volume 124, May-June 2009.

30. Vogeli C, Kang R, Landrum MB, Hasnain-Wynia R, and Weissman J. Quality of care provided to individual patients in U.S. hospitals---Results froman analysis of national Hospital Quality Alliance Data. Medical Care. April 27, 2009.

31. Understanding the Safety Net: Inpatient Quality of Care Varies Based on How One Defines Safety Net Hospitals. Medical Care Research and Review. McHugh M, Kang R, and  Hasnain-Wynia R. June, 2009. 

32. The Association Between Perceived Discrimination, Health Care Provider Trust, and Attitudes Towards Health Care Providers Collecting Information about Patients’ Race, Ethnicity and Language. Journal of General Internal Medicine. Kandula N, Hasnain-Wynia R, Thompson J, Brown R, and Baker DW.  May 5, 2009.

33. Filling the Gaps between Performance Incentive Programs and Health Care Quality Improvement (editorial).  Health Services Research. Hasnain-Wynia R and Jean-Jaques, M. June, 2009.

Reports

Hasnain-Wynia, R., Pierce, D. and Pittman, M.  “Who, When and How:  The Current State of Race, Ethnicity, and Primary Language Data Collection in Hospitals.”  May, 2004. The Commonwealth Fund.

Torres, GW, Hasnain-Wynia, R., Whitmore, H., Pickreign, J. and Stanger, JK. “Hospital HIV Testing Policies and Practices: A National Survey,” for The Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention. August 2006.

Hasnain-Wynia, R., Yonek, J., Pierce, D., Kang, R, and Greising, C. “Hospital Language Services for Patients with Limited English Proficiency: Results From a National Survey.” Health Research and Educational Trust. October 2006.