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Leadership Commitments to Improve Value in Health Care: Finding Common Ground – Workshop Summary Appendix C Biographical Sketches of Participants Robert Crane, M.B.A., M.P.A., is the senior vice president of research and policy development for Kaiser Foundation Health Plan, Inc., and Kaiser Foundation Hospitals. He also serves as director of the Kaiser Permanente Institute for Health Policy, where he is responsible for its overall operation, as well as for identifying strategic areas of focus. Mr. Crane serves on the boards of several national health policy organizations, including Academy-Health and the Employee Benefit Research Institute. Before joining Kaiser Permanente in 1983, Mr. Crane worked for nearly 4 years with the New York State Department of Health, where he served as the deputy commissioner for program and policy development and the director of its Office of Health Systems Management. This was preceded by 8 years of executive and legislative branch experience at the federal level. Mr. Crane served on the staff of the U.S. House of Representatives Subcommittee on Health and the Environment. Before this position, he held several management positions with the U.S. Department of Health, Education, and Welfare. He holds a master’s degree in business and public administration from Cornell University and a bachelor’s degree from the College of Wooster. Joyce Dubow, M.A., is senior advisor in AARP’s Office of Policy and Strategy, where she has responsibility for a broad health portfolio related to AARP’s healthcare reform initiatives. She has had a special focus on private health plans in the Medicare program, healthcare quality, and consumer decision making. Ms. Dubow serves on numerous standing committees and task forces that address quality improvement and measurement under the auspices of the National Quality Forum, the National Committee for
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Leadership Commitments to Improve Value in Health Care: Finding Common Ground – Workshop Summary Quality Assurance, the Joint Commission, the Hospital Quality Alliance, the AQA Alliance, and others. Previously, Ms. Dubow was the executive vice president of the Georgetown University Community Health Plan, a university-sponsored prepaid group practice plan. She was also the director of policy and legislation in the federal Office of Health Maintenance Organizations. Ms. Dubow holds a bachelor’s degree in political science from the University of Michigan and a master’s degree in urban planning from Hunter College of the University of the City of New York. Michael Gillam, M.D., is employed by Microsoft Corporation as a computer programmer and is also a board-certified emergency medicine physician who serves as an informatics consultant for the ER One Institutes at MedStar Health in Washington, DC. In his consulting capacity, Dr. Gillam is responsible for designing and deploying technology systems to create an advanced medical care environment. He and the multidisciplinary staff of ER One are currently developing innovative solutions to enable healthcare providers to effectively communicate in the event of a pandemic disease or disaster by using interactive voice response technology and gesture recognition. Dr. Gillam has published several articles in peer-reviewed journals and is a frequent invited lecturer at national conferences. He serves as the research director of the National Institute for Medical Informatics in Washington, DC, and is an instrumental member of the National Biosurveillance Testbed Initiative, a nonprofit effort to enable emergency departments across the nation to coordinate and detect emerging diseases and bioterrorism threats. Before joining Microsoft, Dr. Gillam was the founding director of the Medical Media Lab, a division within the ER One Institutes, and codeveloped the novel Azyxxi information system, the world’s fastest and largest real-time comprehensive clinical information system, which was recently acquired by Microsoft. Dr. Gillam previously served as the informatics director for the Division of Emergency Medicine at Evanston Northwestern Healthcare (affiliated with the Northwestern University School of Medicine). He received a medical degree from the Michigan State University College of Human Medicine and completed a residency in emergency medicine at Northwestern University. Veronica V. Goff, M.S., is senior consultant to the National Business Group on Health (formerly the Washington Business Group on Health [WBGH]), a nonprofit health policy organization representing Fortune 200 companies. She specializes in employer-sponsored health care focusing on healthcare spending and benefit design, evidence-based benefits, consumer decision support, mental health, and pharmacy benefits. Ms. Goff is former vice president for WGBH. As vice president she directed operations and worked with the president and board of directors to position WBGH as the nation’s
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Leadership Commitments to Improve Value in Health Care: Finding Common Ground – Workshop Summary premier business group dedicated to healthcare policy and marketplace innovation. She also led employer initiatives on health and productivity, pharmacy benefit management, mental health, and the uninsured. Before joining WBGH in 1989, Ms. Goff held a faculty position with the University of Virginia Health Sciences Center and supervised an employee health promotion facility for AT&T. Ms. Goff holds a master of science in education degree from Southern Illinois University. Ada Sue Hinshaw, Ph.D., R.N., F.A.A.N., is a professor in the School of Nursing at the University of Michigan. She was appointed dean of the School of Nursing on July 1, 1994, and stepped out of the position the end of June 2006. Before joining the University of Michigan, Dr. Hinshaw was the first permanent director of the National Center of Nursing Research and the first director of the National Institute of Nursing Research at the National Institutes of Health. Dr. Hinshaw led the institute in its support of valuable research and research training in many areas of nursing science, such as disease prevention, health promotion, acute and chronic illness, and the environments that enhance nursing care patient outcomes. From 1975 to 1987, Dr. Hinshaw served as the director of research and a professor at the University of Arizona College of Nursing and the director of nursing research at the University Medical Center’s Department of Nursing. She has also held positions at the University of California, San Francisco, and the University of Kansas. Throughout her career Dr. Hinshaw has conducted nursing research, focusing on quality of care, patient outcomes, measurement of such outcomes, and building positive work environments for nurses because of the impact on patient safety. She is the past president of the American Academy of Nursing. Dr. Hinshaw is a member of the Institute of Medicine (IOM) and a past member of the IOM Council. Dr. Hinshaw received a Ph.D. and an M.A. in sociology from the University of Arizona, an M.S.N. from Yale University, and a B.S. from the University of Kansas. Peter Juhn, M.D., M.P.H., is responsible for shaping evidence-based medicine policies at the Johnson & Johnson corporate level, especially as payers use evidence-based medicine as a basis for decisions on reimbursement and coverage of pharmaceuticals and medical devices. He works with the various Johnson & Johnson operating companies on a global basis to anticipate the methods and types of evidence needed in this evolving payer environment. He also provides policy coverage for developments in the health information technology initiatives as well as quality-based pay-for-performance activities. Most recently, he was vice president for health improvement resources at WellPoint Health Networks, where he managed the disease management programs for all the operating units. He also held
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Leadership Commitments to Improve Value in Health Care: Finding Common Ground – Workshop Summary senior positions at Kaiser Permanente, including founding executive director of the Care Management Institute, which is Kaiser’s corporate disease management and clinical policy entity, and president and chief executive officer of CareTouch, Inc., an electronic health start-up venture. He has a B.A. from the University of Chicago, an M.D. from Harvard University, and an M.P.H. from the University of Washington, where he was a Robert Wood Johnson Clinical Scholar. He completed his internal medicine residency at the University of Pennsylvania. Rae-Ellen Kavey, M.D., M.P.H., is responsible for pediatric cardiovascular risk reduction at the National Heart, Lung, and Blood Institute (NHLBI). She is currently coordinating the first evidence-based guideline from NHLBI, an integrated approach to cardiovascular risk reduction for pediatric healthcare providers. In addition, she is a clinical professor of pediatrics at the Center for Heart and Kidney Disease at Children’s National Medical Center in Washington, DC. Most recently, she was the Getz Endowed Professor of Pediatrics and the chief of pediatric cardiology at Children’s National Medical Center in Chicago. She is past chair of the Council for Cardiovascular Disease in the Young of the American Heart Association and is currently president of Alpha Omega Alpha. She has a bachelor of science degree from McGill University, an M.D. from McGill University and the State University of New York, Downstate, and an M.P.H. from the University of Rochester. She completed residency training in pediatrics at the New York Hospital–Cornell Medical Center and fellowship training in pediatric cardiology at Montreal Children’s Hospital and Columbia Presbyterian Medical Center. Margaret C. Kirk joined the staff of Y-ME National Breast Cancer Organization as chief executive officer on July 9, 2001. Although she has not personally experienced breast cancer firsthand, she has lost several close friends to the disease and has supported others who are survivors. It was partly this experience that resulted in her interest in joining the staff of Y-ME. Ms. Kirk has nearly 30 years of experience with not-for-profit organizations, including academic, arts, and healthcare organizations, on the local, regional, and national levels. Her experience includes management, fundraising, and affiliate relations. Most recently, she worked for the Alzheimer’s Association for 10 years, starting as the first executive director of a small chapter. Ms. Kirk later served as the executive director of a second chapter and held several positions on the national staff, including vice president of chapter services and vice president of development. During her 4-year tenure as vice president of development, the contributed income of the association increased from $22 million to $52 million. A native of
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Leadership Commitments to Improve Value in Health Care: Finding Common Ground – Workshop Summary Tennessee, Ms. Kirk holds a bachelor of science degree from East Tennessee State University and a master of arts degree from Indiana University. Terry McGeeney, M.D., M.B.A., is president and chief executive officer of TransforMED, a subsidiary of the American Academy of Family Physicians that provides ongoing consultation and support to physicians looking to transform their practices to a new model of care that is based on the concept of a relationship-centered personal medical home. Dr. McGeeney has nearly 30 years of experience as a board-certified family physician, including more than a decade in rural solo practice, where he practiced the full spectrum of family medicine, including obstetrics and extensive emergency room experience, and nearly 15 years of experience in a large multispecialty group, where he served as medical director. Dr. McGeeney earned an undergraduate degree from Benedictine College, Atchison, Kansas, and a medical degree from the University of Kansas School of Medicine, Kansas City. He completed his residency at the University of Kansas Medical Center. He later received an M.B.A. in healthcare administration from the University of Colorado. He is a member of the American College of Physician Executives, the Kansas City Southwest Clinical Society, and the Iowa Medical Society. He also is a fellow of the American Academy of Family Physicians, an earned degree awarded to family physicians for distinguished service and continuing medical education, and recently accepted an appointment from the University of Kansas School of Medicine as an assistant professor of family medicine. Richard Platt, M.D., M.S., is professor and chair of the Department of Ambulatory Care and Prevention at Harvard Medical School and Harvard Pilgrim Health Care, a New England health maintenance organization that supports research and teaching. He is an internist trained in infectious disease and epidemiology and is also a professor of medicine at Harvard Medical School and the Brigham and Women’s Hospital, where he is hospital epidemiologist. He is a member of the Food and Drug Administration Drug Safety and Risk Management Advisory Committee, the American Association of Medical Colleges’ Advisory Panel on Research, and the national steering committee for AHRQ’s Centers for Education and Research in Therapeutics. He is the former chair of the National Institutes of Health study section Epidemiology and Disease Control 2, former chair of the Centers for Disease Control and Prevention’s (CDC’s) Office of Health Care Partnerships’ steering committee, former cochair of the Board of Scientific Counselors of CDC’s Center for Infectious Diseases, and former chair of the executive committee of the HMO Research Network. His research focuses on developing multi-institution automated record linkage systems for use
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Leadership Commitments to Improve Value in Health Care: Finding Common Ground – Workshop Summary in pharmacoepidemiology and for population-based surveillance, reporting, and control of both hospital- and community-acquired infections, including bioterrorism events. He is principal investigator of the CDC-sponsored Center of Excellence in Public Health Informatics, the Agency for Healthcare Research and Quality-sponsored HMO Research Network Center for Education and Research in Therapeutics, and co-principal investigator of the Modeling Infectious Disease Agent Study and the CDC-sponsored Eastern Massachusetts Prevention Epicenter. Sean Tunis, M.D., M.Sc., is the founder and director of the Center for Medical Technology Policy (CMTP). Before joining CMTP, he was senior fellow at the Health Technology Center in San Francisco, where he worked with healthcare decision makers to design and implement real-world studies of new healthcare technologies. Through September 2005, Dr. Tunis was director of the Office of Clinical Standards and Quality and chief medical officer at the Centers for Medicare and Medicaid Services (CMS). In this role, he had lead responsibility for clinical policy and quality for the Medicare and Medicaid programs. As chief medical officer, Dr. Tunis served as the senior advisor to the CMS administrator on clinical and scientific policy. He also cochaired the CMS Council on Technology and Innovation. Before joining CMS, Dr. Tunis served as the director of the Health Program at the Congressional Office of Technology Assessment and as a health policy advisor to the U.S. Senate. He received a B.S. degree in the history of science from Cornell University and an M.D. from Stanford University and did his residency training in emergency medicine and internal medicine at the University of California, Los Angeles, and the University of Maryland. He is board certified in internal medicine and holds adjunct faculty positions at the Schools of Medicine of Johns Hopkins and Stanford Universities. I. Steven Udvarhelyi, M.D., S.M., is senior vice president and chief medical officer for Independence Blue Cross and its affiliated companies, Keystone Health Plan East and AmeriHealth. In his role as chief medical officer, Dr. Udvarhelyi has overall responsibility for medical management programs and policies, provider contracting and provider relations, pharmacy operations, and informatics. He also serves as the chief medical spokesperson for the company. Specific areas of responsibility include utilization management; case management; disease management; quality management; pharmacy operations; prevention and wellness; research and evaluation activities; claim payment policy; hospital, physician, and ancillary provider contracting; and provider relations. In his role of overseeing informatics, Dr. Udvarhelyi is responsible for the corporate data warehouse initiative and other corporate-wide information management activities. Dr. Udvarhelyi is a board-certified internist and has 15 years of experience
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Leadership Commitments to Improve Value in Health Care: Finding Common Ground – Workshop Summary in the managed care industry. He currently serves on the board of directors of the National Committee for Quality Assurance, the National Council of Physician Executives of the Blue Cross Blue Shield Association, and on the Chief Medical Officers’ Committee of America’s Health Insurance Plans.
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