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APPENDIX III
COMMITTEE BIOGRAPHIES
Sheldon Greene, M.D. (Chair)
Sheldon Greenfield is the Director of the Primary Care
Outcomes Research Institute at Tufts University School of Medicine,
Professor of Medicine and Community Medicine at Tufts University
School of Medicine, and Adjunct Professor of Public Health, Harvard
School of Public Health. He is an internist, having completed his
residency at the Beth Israel Hospital in Boston where he began to
work on clinical algorithms for nurse practitioners in the early 70's. He
has pioneered research in increasing patients' participation in care and
using outcomes to determine the value of that participation. He was
Medical Director of the Medical Outcome Study (MOS), which sought
to compare systems of care, specialties, various aspects of
interpersonal care and resource use to outcome. He was Principal
Investigator of the Type II Diabetes Patient Outcome Research Team
(PORT). He was Co-director of the RAND-UCLA Center for Health
Policy Study. He is former President of the Society of General Internal
Medicine and was Chairman of the Health Care Technology Study
Section for the Agency for Health Care Policy and Research. He was
the 1995 recipient of the PEW Health Professions Commission Award
for lifetime achievement in Primary Care Research. In ~ 997, he
received the Glaser Award of the Society for General Internal
Medicine. He is a member of the Institute of Medicine. He is
Chairman of the Diabetes Quality Improvement Program, a joint
venture of the Centers for Medicare and Medicaid Services, the
National Committee for Quality Assurance, and the American
Diabetes Association (ADA). He has been appointed Chair of the
Provider Recognition Committee for the ADA, and is the 1999
recipient of the Novartis Global Outcomes Leadership Award of the
International Society for Pharmacoeconomic Research. He was a
member of the Institute of Medicine Committee on the National
Quality Report on Health Care Delivery.
189
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1 90 GUIDANCE FOR THE NATIONAL HEALTH CARE DISPARITIES REPORT
Lu Ann Aday, Ph.D.
Lu Ann Aday, Ph.D., is Lorne Bain Distinguished Professor in
Public Health and Medicine at the University of Texas School of
Public Health. She received her doctorate in sociology from Purdue
University, and was formerly Associate Director for Research at the
Center for Health Administration Studies of the University of Chicago.
Dr. Aday's principal research interests have focused on indicators and
correlates of health services utilization and access. She has conducted
major national and community surveys and evaluations of national
demonstrations and published extensively in this area, including
thirteen books dealing with conceptual or empirical aspects of research
on access to health and health care for vulnerable populations. Her
most recent books - all of which have been published in second
editions - include At Risk in America: The Health and Health Care
Needs of Vulnerable Populations in the United States (Iossey-Bass, ISt
ea., 1993; 2n~ ea., 2001~; Designing and Conducting Health Surveys:
A Comprehensive Guidle (Iossey-Bass, 1St ea., 1989; 2n~ ea., 1996~;
and Evaluating the Healthcare System: Effectiveness, Efficiency, and
Equity (Health Administration Press, 1St ea., 1993; 2n~ ea., 1998~. She
received the University of Texas at Houston Health Science Center
Excellence in Scholarship Award; John P. McGovern Outstanding
Teacher Award; Committee on the Status of Women Distinguished
Professional Woman Award; and the Minnie Stevens Piper Foundation
Award for Excellence in Teaching. Dr. Aday is a Member of the
Institute of Medicine of the National Academy of Sciences.
John Z. Ayanian, M.D., M.P.P.
Dr. Ayanian is an Associate Professor of Medicine and Health
Care Policy at Harvard Medical School and Brigham and Women's
Hospital, where he practices general internal medicine. His research
focuses on quality of care and access to care for major medical
conditions, including colorectal cancer and myocardial infarction. He
has extensive experience in the use of cancer registries to assess
outcomes and evaluate the quality of cancer care. In addition, he has
studied the effects of race and gender on access to kidney transplants
and on quality of care for other medical conditions. Dr. Ayanian is
Deputy Editor of the journal Medical Care, a Robert Wood Johnson
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APPENDIX III
191
Foundation Generalist Physician Faculty Scholar, and a Fellow of the
American College of Physicians. He is currently a member of the
Institute of Medicine Committee on the Consequences of Uninsurance.
James Bernstein, M.H.A.
Currently serving as the Assistant Secretary for Health, Mr.
Bernstein oversees the North Carolina Nepal lments of Facility
Services, Medical Assistance, Mental Health, Minority Health, Public
Health, and Rural Health. ~ 1973, Mr. Bernstein founded the nation's
first Office of Rural Health, which has become the model for the
nation in helping rural communities develop their own health care
systems. Now known as the Office of Research, Demonstrations, and
Rural Health Development, Mr. Bernstein's agency has further
expanded its work and serves as the research and development arm of
the N.C. Department of Health and Human Services. The Office is the
lead agency for nine Medicaid managed care demonstrations covering
230,000 patients. In 1982, Mr. Bernstein founded the N.C. Foundation
for Advanced Health Programs, a non-pro fit solely supported by
private grant funding to carry out wide-ranging projects on health care
delivery. Serving as its first and only President, he has secured private
grant funding for a variety of projects, ranging from school health to
pharmacy assistance for indigents to cost-effective health care
delivery. Mr. Bernstein has served as President of the National Rural
Health Association, and for six years as a member of the Prospective
Payment Assessment Commission. He also has served on the Board of
Directors of the Winthrop Rockefeller Foundation; and as program
director of Practice Sights: State Primary Care Development
Strategies, a Robert Wood Johnson Foundation national program. He
is a Senior Research Fellow with the Sheps Center for Health Services
Research at the University of North Carolina at Chapel Hill.
Joseph Betancourt, M.D., M.P.H.
Joseph Betancourt's primary interests include cross-cultural
medicine, minority recruitment into the health professions, and
minority health/health policy research. As a member of the Institute
for Health Policy and Program Director for Multicultural Education at
Massachusetts General Hospital (MGH), Dr. Betancourt's research has
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1 92 GUIDANCE FOR THE NATIONAL HEALTH CARE DISPARITIES REPORT
focused on: 1) correlating domains of cross-cultural communication
and interpersonal processes of care in minority populations to
adherence, utilization and outcomes; 2) developing a framework for
cultural competence as both a health policy initiative and quality
measure; and 3) exploring root causes for racial/ethnic disparities in
heath. He is currently a Principal Investigator on a grant from the
Centers for Medicare and Medicaid Services (CMS) entitled "Hispanic
Health Services Utilization: Defining and Exploring Disparities" and
on a grant from the Commonwealth Fund entitled "Cultural
Competence in Health Care: A Practical Synthesis for Multilevel
Policy Implementation." He is also Co-investigator on a National
Cancer Institute grant entitled "Understanding Racial Differences in
Lung Cancer Treatment." Dr. Betancourt is a member of the Institute
of Medicine's Committee on Understanding and Eliminating
Racial/Ethnic Disparities in Health Care. He is the author of several
publications, co-editor of the special issue of Patient Care on
eliminating racial and ethnic disparities in health, and a co-author of a
paper published in Annals of Internal Medicine entitled "Cross-
Cultural Primary Care: A Patient-Based Approach." Dr. Betancourt
received his Bachelor of Science from the University of Maryland, his
medical degree from the UMDNI-New Jersey Medical School, and
completed his residency in Eternal Medicine at the New York
Hospital-Cornell Medical Center. Following residency, he completed
The Commonwealth Fund-Harvard University Fellowship in Minority
Health Policy, and received his master's degree in public health from
the Harvard School of Public Health. He served as Associate Director
of the Center for Multicultural and Minority Health at New York
Presbyterian Hospital-Weill Medical College of Cornell University
before returning to Harvard.
E. Richard Brown, Ph.D.
Richard Brown is Professor of Community Health Sciences
and Health Services in the UCLA School of Public Health and is the
Director of the UCLA Center for Health Policy Research. He received
his Ph.D. in sociology of education from the University of CaTifornia-
Berkeley. Dr. Brown has studied and written extensively about a broad
range of issues and policies that affect the access of disadvantaged
populations to health care. His recent research focuses on health
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APPENDIX III
193
insurance coverage, the lack of coverage, and the effects of public
policies, managed care, and market conditions on access to health
services, particularly for disadvantaged populations, Latinos and other
racial and ethnic groups, and immigrants.
Dr. Brown is the principal investigator for the new California
Health Interview Survey (CHIS), one of the nation's largest ongoing
health surveys, which is specially designed to be inclusive of
California's ethnic and racial diversity. CHTS covers a broad range of
health issues, including health status and conditions, a broad array of
public health issues, and health insurance and access to care. CHIS
results are disseminated to a very wide and diverse set of
constituencies. Dr. Brown previously led a UCLA research team that
pioneered the adaptation of the National Health Interview Survey to
develop state-level estimates of health status and conditions, health
care access, and the use of services.
He also has been extensively involved in the analysis and
development of public policies, with particular emphasis on health
care reform. He served as a full-time senior consultant to the
President's Task Force on National Health Care Reform, for which he
co-chaired the work group on coverage for low-income families and
individuals. He also has served as health policy adviser to two
members of the United States Senate and several candidates for
President.
Dr. Brown has served on several National Academy of
Science study committees, including the Committee on the Prevention
and Control of Sexually Transmitted Diseases and the Committee on
the Health and Adjustment of Immigrant Children and Families. He is
a past President of the American Public Health Association.
Kevin FiscelIa, M.D., M.P.H.
Kevin FiscelIa is an Associate Professor in the Departments of
Family Medicine and Community and Preventive Medicine,
University of Rochester School of Medicine and Dentistry. He is a
practicing family physician and serves as Co-director of Community
Medicine in the Department of Family Medicine, HIV clinical
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1 94 GUIDANCE FOR THE NATIONAL HEALTH CARE DISPARITIES REPORT
coordinator at a federally qualified community health center, and
medical director of a methadone maintenance program.
His research focuses on disparities in health and health care
quality related to socio-economic status (SES), race, and ethnicity. He
recently completed a study supported by the Robert Wood Johnson
Foundation and the Health Care Financing Organization that compared
socioeconomic disparities in health care in HMOs with those in
indemnity plans. He also recently completed a report for the National
Quality Forum, entitled, "Using Existing Measures to Monitor
Minority Health Care Quality." He is currently working on a project
funded by the Agency for Healthcare Research and Quality (AH:RQ)
that examines the impact of adjustment for patient SES on physician
practice profiles and is preparing a report for AHRQ on state-of-the-art
quality measurement for minority and vulnerable populations.
Marsha Lillie-Blanton, D.P.H.
Marsha Lillie-Blanton is a vice-president of the Henry I.
Kaiser Family Foundation, where she directs policy research on access
to care for vulnerable populations. Prior to joining the foundation, Dr.
Lillie-Blanton served as Associate Director of Health Services Quality
and Public Health Issues at the U.S. General Accounting Office. Dr.
Lillie-Blanton has over fifteen years of work experience in health
policy research and management positions, including serving formerly
as Associate Director of the Kaiser Commission on the Future of
Medicaid. From 1990-94, Dr. Lillie-Blanton was an assistant professor
of health policy and management at the Johns Hopkins University
School of Public Health. She currently holds an adjunct faculty
position in the School of Public Health, and her primary research
interests are in the areas of substance abuse, HIV/AIDS, and minority
health. She has authored and co-authored numerous reports and
publications. Her efforts in directing the work of eight teams of
researchers analyzing data from the National Medical Expenditure
Survey resulted in the publication Achieving Equitable Access: Studies
of Health Care Issues Affecting Hispanics and African Americans. Dr.
Lillie-Blanton is both a health policy researcher and a public health
practitioner who is active in civic and local affairs. She currently
serves as a member of the Medicaid Advisory Committee of the D.C.
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APPENDIX III
195
Department of Health and the National Advisory Council for the
Agency for Health Care Policy and Research. She is also an elected
member of the National Academy of Social Insurance. Dr. Lillie-
Blanton received a bachelor's degree from Howard University and a
master's and doctoral degree from the Johns Hopkins University
School of Public Health.
Michael Marmot, Ph.D., M.P.H., F.R.C.P.
Michael Marmot is Professor of Epidemiology and Public
Health and Director of the International Centre for Health and Society
(established in 1994) at University College London. He has previously
held research posts at the University of California (Berkeley); the
University of Sydney, Australia; and the London School of Hygiene &
Tropical Medicine.
His research interests center on the epidemiology and
prevention of cardiovascular disease, and the social and cultural
determinants of disease, with a particular focus on psychosocial
factors and nutrition. He is currently Principal Investigator of the
Whitehall studies of British civil servants, and Principal Investigator
of the newly launched English Longitudinal Study of Aging. Together
with the National Centre for Social Research, the International Centre
for Health and Society conducts the Health Surveys for England and
Scotland. New research initiatives include investigating social
gradients in health in the Japanese, investigating causes of East-West
differences in coronary heart disease, and pursuing an initiative on
psychological triggers of biological pathways of disease.
Professor Sir Michael was awarded an MRC Research
Professorship in 1995. He was a member of the Chief Medical
Officer's Committee on Medical Aspects of Food Policy and of the
Chief Medical Officer's Working Group on "Our Healthier Nation"; a
member of the MacArthur Foundation Network on Socio-Economic
Status and Health; and a member of the Royal Commission on
Environmental Pollution. He served on the Scientific Advisory Group
of the Independent Inquiry into Health Inequalities chaired by Sir
Donald Acheson, which reported in November 1998. He was knighted
by HM The Queen in 2000.
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1 96 GUIDANCE FOR THE NATIONAL HEALTH CARE DISPARITIES REPORT
Doriane C. Miller, M.D.
Doriane Miller joined the Robert Wood Johnson Foundation
staff as program vice president in ~ 997. She brought the foundation 15
years' experience as a community-based primary care provider who
had worked with underserved, minority populations with a special
interest in mental health and substance abuse issues. She previously
served as medical director of the Maxine Hall Health Center of the San
Francisco Depa~-l~ent of Health, while also serving as assistant
clinical professor of medicine in the Department of Medicine at San
Francisco General Hospital, University of California, San Francisco.
As a 1993 winner of an RWIF Community Health Leadership
Award, she directed the Grandparents Who Care Support Group,
which she co-founded in 1989. The program provides psychological
help and community resources to relatives who are raising children
because the children's' parents are mentally ill, incarcerated, or have
substance abuse problems.
At the foundation, she heads the Clinical Care Management
Team of the Health Care Group. She is responsible for coordinating
strategies and funding in the area of clinical care management and
quality improvement, and serves on the Board of Directors of
Grantmakers in Health. Dr. Miller continues her professional practice
by volunteering at the Chandler Clinic in New Brunswick, New
Jersey, a community health center serving a low income,
predominantly minority community.
Dr. Miller received her medical degree at the University of
Chicago and completed her residency training at the University of
California, San Francisco in primary care internal medicine.
Eileen H. Peterson, M.S.P.H.
Eileen Peterson oversees all research and evaluation functions
for UnitedHealth Group's Center for Health Care Policy and
Evaluation. She is responsible for a staff of research, analytic, and
technical personnel engaged in the conduct of research projects in the
areas of managed care effectiveness, quality of care evaluation and
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APPENDIX III
197
improvement, and clinical and cost effectiveness studies. In addition to
her management responsibilities, she has an active research interest in
methods for measurement and evaluation of quality in health care.
Currently, she is the contract manager for the Integrated Delivery
System Research Network or Rapid-Response Research Network,
which is the new model of f~eld-based research for the Agency for
Healthcare Research and Quality (AHRQ). She is also the principal
investigator of "Private Sector Data and Measures for the National
Quality Report," which is a response to a congressional request for a
report that will begin to shed light more systematically on the quality
of care delivered in the U.S.. Previously, she led development of the
Center's quality evaluation software, Quality Screening and
Management (QSM), and the design of UnitedHealthcare's medical
management information system. Before joining the Center, she had
experience both as a clinician and researcher, focusing on the areas of
children's health and chronic disease. She was involved with the
conduct of clinical and population-based research at the University of
Minnesota Medical School and the School of Public Health, and in the
development of a research and analysis capacity at a large managed
care health plan. She is an active consultant in the areas of managed
care research and evaluation and serves as an advisor to AHRQ on its
national research agenda. She has served on the advisory board for the
National Policy Center for Children with Special Health Care Needs;
and also is on the editorial board of Sage Publications for the book
series, Managed Care Research. Eileen received bachelor's degrees
with highest distinction in both business and nursing, and a master of
science in public health from the University of Minnesota.
Neil R. Powe, M.D., M.P.H., M.B.A
Neil R. Powe is Professor of Medicine at the Johns Hopkins
University School of Medicine, Professor of Epidemiology and Health
Policy and Management at the Johns Hopkins Bloomberg School of
Public Health, and Director of the Welch Center for Prevention,
Epidemiology and Clinical Research, a research and training center at
the Johns Hopkins Medical Institutions focused on clinical and
population-based research. His research has involved clinical
epidemiology, health services research and patient outcomes research
using prospective methods of randomized controlled trials and cohort
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1 98 GUIDANCE FOR THE NATIONAL HEALTH CARE DISPARITIES REPORT
studies, cost-effectiveness analysis, meta-analysis, and retrospective
analyses of administrative databases and survey research. Dr. Powe
has published more than 170 articles.
Dr. Powe led the End-Stage Renal Disease Patient Outcomes
Research Team and the ESRD Quality (EQUAL) Study. He has
extensive experience in developing and measuring outcomes in
chronic kidney disease. Dr. Powe has also studied racial differences in
cardiovascular procedure use and kidney transplantation. Dr. Powe
was a member of the TOM Committee on Measuring, Managing and
Improving Quality of Care in the ESRD Treatment Setting. He has
testified before the U.S. Congress on the role of patient outcomes
research in improving the quality of care in the U.S. Medicare ESRD
program and on how clinical evidence can be used in coverage
decisions for new medical technology.
Dr. Powe trained in internal medicine and epidemiology,
receiving his M.D. degree from Harvard Medical School, his M.P.H.
degree from Harvard School of Public Health, and his M.B.A. degree
from the University of Pennsylvania. He completed residency at the
Hospital of the University of Pennsylvania, where he was also a
Robert Wood Johnson Clinical Scholar and fellow in the Division of
General Internal Medicine. Dr. Powe is a member of the American
Society of Clinical Investigation and a Fellow of the American
College of Physicians. He is the recipient of several national awards,
including the best article of year (2000) by the Academy for Health
Services Research and Health Policy. He was named one of the
leading African-American physicians in the U.S. (2001) by Black
Enterprise magazine.
David T. Takeuchi, Ph.D.
David T. Takeuchi is Professor and Associate Dean of
Research in the School of Social Work at the University of
Washington. He is a sociologist with postdoctoral training in
epidemiology and health services research. His research focuses on
investigating the social, structural, and cultural contexts that are
associated with different health outcomes, especially among racial and
ethnic minorities. He also examines the use of health services in
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199
different ethnic communities. He has published in a wide range of
journals including the American Journal of Psychiatry, American
Journal of Public Health, Archives of General Psychiatry,
Contemporary Sociology, Journal of Community Psychology, Journal
of Health and Social Behavior, Sociology of Education, and Social
Forces. In addition to his scholarly work, he has assisted numerous
community groups in conducting needs assessment and evaluation
studies. He has written technical reports for community and state
agencies on issues related to homelessness, discrimination confronting
Hmong refugees and Filipino immigrants, multicultural education,
Native Hawaiian health and mental health needs, and youth
correctional programs.
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Representative terms from entire chapter:
care disparities
