School of Public Health and Community Medicine in the Department of Health Services at the University of Washington. Dr. Shortell has published 14 books and monographs, and more than 250 reports and editorials. He received his B.B.A. in business administration from the University of Notre Dame, his M.P.H. in hospital administration/public health from the University of California, Los Angeles, and his M.B.A. in business administration and Ph.D. in behavioral science from the University of Chicago Graduate School of Business. He is an IOM member and has served as a member of the IOM Council and on its executive committee. Dr. Shortell is past chair of the Gustave Lienhard Award committee. He has also served as a member of the IOM Membership Committee and the Section 11 chair of the IOM Membership Section Leaders. In addition, he has been a member of many committees, including serving as the chair of the Subcommittee on Quality Improvement Organizations’ Evaluation from 2004 to 2006.

Nancy R. Adams, R.N., M.S.N., is a senior partner with Martin, Blanck & Associates (Martin-Blanck), a federal health services consulting firm based in Falls Church, Virginia. Martin-Blanck provides critical assistance to public and private sector clients focused on federal and state health care delivery systems. Martin-Blanck has more than two dozen senior executive partners with expertise in health care policy, program development, management, informatics, and strategic planning. Ms. Adams joined Martin-Blanck in August 2005 after a distinguished career as a military officer and as a senior executive in the federal government. She is one of Martin-Blanck’s leading experts on federal health acquisition policies and procedures. In addition, she brings extensive clinical, administrative, and senior management experience with large, complex government health care systems, and has demonstrated experience and competency as an organizational leader, an effective communicator, and a resource manager with results that have produced performance improvements. Ms. Adams served as the source selection authority for five major, multibillion-dollar health care procurements for the Department of Defense (DoD). All procurements were accomplished on time and two awards were sustained on appeal with the General Accounting Office. In addition to shepherding the unprecedented contracting effort to completion, she also defined the business planning process and the organizational structure for the military services and TRICARE Management Activity to administer the three regional health care support contracts. Following the procurement process, Ms. Adams was the initial regional director for the TRICARE Regional Office-North and was responsible for managing the DoD health care contract for 20 state regions, worth more than $1 billion annually. From 1998 to 2002, Ms. Adams (MG rank) served as the commanding general of the Tripler Army Medical Center in Hawaii, a 266-bed tertiary care medical



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