Currently a palliative medicine fellow at Sloan Kettering, Rosa recently participated in a value/quality improvement project at NYU Langone Medical Center, New York, through the American Association of Critical Care Nurses CSI Academy. It was a 10-month grant-funded initiative to raise the quality and decrease the cost of care for delirium patients. Along with a team of three nurses, Rosa collaborated with administrators and others to improve patient, family and staff education and implement delirium-specific interventions such as “quiet time” and better documentation. Rosa also is the author of the 2016 book Nurses as Leaders: Evolutionary Visions of Leadership.