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APPENDIX D Committee Biographies ROBERT E. TRANQUADA, M.D., is Norman Topping/National Medical Enterprises Professor of Medicine and Public Policy at the University of Southern California (USC). Dr. Tranquada came to USC after receiving his M.D. degree from Stanford (1955) and completing his internship and residency in internal medicine at the University of California in 1959. He has held a number of progressively more responsible positions at USC and founded the Department of Community Medicine and Public Health in 1966. Dr. Tranquada also established and directed the Watts Health Center from 1965 to 1969. He was the dean of the School of Medicine from 1986 to 1991. Dr. Tranquada is a member of the Institute of Medicine and a fellow of the American Association for the Advancement of Science. He received the Association Distinguished Alumni Award from Stanford Medical Alumni in 1990. Dr. Tranquada is the author of over 50 scientific and educational papers and book chapters. PAULA K. DIEHR, Ph.D., is Professor of Biostatistics and Health Services at the University of Washington. She spent 1975 to 1976 as a researcher at the Agency for Health Care Policy and Research (AHCPR). She has been a member of the Health Care Technology study section for AHCPR and of the Mental Health Services study section for the National Institute of Mental Health and is currently an advisor to the Office of Technology Assessment study on health insurance and access. She served on the editorial board of Medical Care and is currently on the editorial board of Health Services Research. She has presented several Association for Health Service Research (AHSR) workshops on analysis of utilization data and on small-area variation analysis. Dr. Diehr has worked almost exclusively in health services research, beginning with the Seattle Prepaid 121

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122 / HEALTH SERVICES RESEARCH Health Care Project in the early 1970s. Since then she has been involved in research about the use of health services, with a special emphasis on mental health services; different insurance and provider plans; health status; diagnostic rules for headache, cough and ankle trauma; health services for older adults; people without health insurance; survey methods; and evaluation of community- based health promotion programs. Her recent article on small-area variation analysis received the 1991 AHSR award for Article of the Year. DEBORAH A. FREUND, M.P.H., Ph.D., is Vice-Chancellor for academic Affairs and Dean of the Faculties at Indiana University, Bloomington (IU). She has served as special advisor to the president of the IU system. She is Professor of Public Affairs in Health Economics in the School of Public and Environmental Affairs and holds appointments in the Departments of Economics and Internal Medicine. In addition she directs the Otis Bowen Research Center at IU. She received her M.A., M.P.H., and Ph.D. degrees in public health and economics at the University of Michigan and then embarked on a career in the administrative, policy, and research sectors. After managing the ambulatory care and surgery departments of a major teaching hospital and holding positions in federal and state government, she moved to the University of North Carolina at Chapel Hill where she spent nine years as a faculty member in its School of Public Health. She has published extensively and is particularly noted for her research on Medicaid case management, pharmacoeconomics, and outcomes. She is the only nonphysician principal investigator of the federally fended Patient Outcome Research Teams. She is also author of The Cost Effectiveness Guidelines for the Evaluation of Pharmaceuticals in Australia. In 1991, she received the Kershaw Prize for significant contributions to policy research from the Association for Public Policy Analysis and Management, in 1990 the Conrad Elvejam Award from the Wisconsin State Medical Society, and in 1981 the Jay S. Drotman Memorial Award from the American Public Health Association "for challenging public health practice." She is the past chair of the board of the Association of University Programs in Health Administration and sits on the board of directors of the Association for Health Services Research. From 1987 to 1989, she was chair of the Medical Care Section of the American Public Health Association. She has been on nine editorial boards, including all the major health services journals. JOHN C. GREENE, D.M.D, M.P.H., is Professor and Dean Emeritus at the University of California, San Francisco (UCSF) School of Dentistry. He received his dental degree from the University of Louisville and his public health degree from the University of California, Berkeley. He also holds honorary

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APPENDLY D / 123 doctor of science degrees from three universities. Dr. Greene's career in the U.S. Public Health Service spanned three decades. During that time he served in many capacities including Deputy Surgeon General, Chief Dental Officer, and Director of the Bureau of Health Resources Development. He became Dean of the School of Dentistry at UCSF in 1981 and continued in that capacity until his retirement in 1994. His professional interests include epidemiology, disease prevention and health promotion, health professions education, and health policy. He has more than 100 publications on topics such as the epidemiology of periodontal diseases and birth defects and the health effects of the use of smokeless tobacco among professional baseball players. He is a diplomate and past president of the American Board of Dental Public Health. He was a member of the U.S. Preventive Services Task Force and continues on its senior advisory panel. Dr. Greene has received numerous awards and honors. Among them are the Distinguished Service Medal from the Public Health Service, the Award of Merit from the World Dental Federation, and the Outstanding Professional Award from the Pierre Fauchard Academy. He is an elected member of the Institute of Medicine and has served on its governing council. He is past president of both the American and International Associations for Dental Research. He is former chair of the Council of Deans of the American Association of Dental Schools and is a member of the World Health Organization's Expert Advisory Panel on Oral Health. Dr. Greene is now serving as co-chair of the UCSF Chancellor's Task Force on the Impact of Health Care Reform on the Academic Health Center and is associated with the Pew Center for the Health Professions. He also is serving on the National Institutes of Health Advisory Committee on Research on Women's Health and is continuing his work on the use of smokeless tobacco in addition to a variety of other activities at UCSF. MERWYN R. GREENLICK, Ph.D., is Past Vice-President, Research, of Kaiser Foundation Hospitals; Director of the Kaiser Permanente Center for Health Research from its inception in 1964; and Professor and Chair, Department of Public Health and Preventive Medicine, Oregon Health Sciences University. He is an Adjunct Professor in the Department of Sociology at Portland State University, the School of Public Administration of the University of Southern California, and the University of Hawaii School of Public Health. Dr. Greenlick received his Ph.D. degree in medical care organization from the University of Michigan, specializing in sociology and social psychology. He has served as research advisor to many projects throughout the country and as an advisor to several foreign government research and medical care projects. A major contributor to public policy at the state and national levels, he was recently named Director of the new Oregon Health Policy Institute. Dr. Greenlick was elected to the Institute of Medicine of the National Academy of Sciences in 1971. Dr. Greenlick's research activities have been in the areas of large-scale

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124 / HEALTH SERVICES RESEARCH demonstration projects in the organization and financing of medical care and of behavioral interventions to prevent disease and promote health. He was a co-principal investigator for the Medicare Prospective Payment Demonstration Project ("Medicare Plus") which provided care to more than 7,600 Medicare beneficiaries on a capitation basis. He is currently the principal investigator of the Kaiser Permanente site of the Social HMO project ("Medicare Plus II"), which is investigating the financial feasibility of providing an integrated comprehensive range of acute and long-term care services for the "frail" elderly. He also serves as the chair of the research committee of the national Social HMO Research Consortium. Dr. Greenlick has had extensive experience in clinical trials, both at the local and national levels, and has provided considerable national leadership in this area. He was principal investigator in Portland for the Dietary Intervention Study in Children and is Chair of the National Design and Analysis Committee. He was one of the principal investigators on the clinical trial studying the treatment of systolic hypertension among the elderly. He was also a Portland Project Director for the Multiple Risk Factor Intervention Trial (MRFIT) sponsored by the National Heart, Lung and Blood Institute. He has also developed and directed the highly successful Training Institute in Research Management, a yearly program to train research scientists in managing research projects and organizations. Dr. Greenlick has published extensively in the field of health and health services research. He is the primary author of 41 articles, books, monographs, and chapters and has contributed to 52 other publications. In 1994 the Association for Health Services Research presented Dr. Greenlick its Presidential Award for his contributions to the field. ADA SUE HINSHAW, Ph.D., Rob. has served as Dean and Professor at the University of Michigan School of Nursing since July 1994. Before that, Dr. Hinshaw was the first permanent director of the National Institute of Nursing Research at the National Institutes of Health. From 1975 to 1987, Dr. Hinshaw served as Director of Research and Professor at the University of Arizona College of Nursing in Tucson, and as Director of Nursing Research at the University Medical Center's Department of Nursing. She has held faculty positions at the University of California, San Francisco, and the University of Kansas. Throughout her career, Dr. Hinshaw has conducted nursing research, including projects on the quality of patient caregiving and nursing staff turnover. She has given hundreds of presentations, and her findings have been widely published in over 300 journal articles, books, and abstracts. In addition, she has served on numerous scientific advisory committees and task forces, has received many honors, and has been a visiting professor and lecturer at various schools ~ . 01 nursing.

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APPENDIX D / 125 DAVID A. KINDIG, M.D., Ph.D., is Professor of Preventive Medicine and Director of the Wisconsin Network for Health Policy Research (a University- sponsored program to build a Wisconsin health services research community and to conduct policy analysis of state relevance) at the University of Wisconsin-Madison School of Medicine. He served as Vice-Chancellor for Health Sciences at the University from 1980 to 1985. Dr. Kindig was Director of Montef~ore Hospital and Medical Center (1976-1980) and Deputy Director of the Bureau of Health Manpower, U.S. Department of Health, Education and Welfare (1974-1976~. He is currently Chair of the Federal Council of Graduate Medical Education, and on the Board of Directors of the Association of University Programs in Health Administration and of the Association for Health Services Research. A member of the editorial board of Medical Care Review and Health Affairs, Dr. Kindig has written extensively on both medical and health policy issues. He received a B.A. degree from Carleton College and M.D. and Ph.D. degrees from the University of Chicago School of Medicine. KEVIN J. LYONS, PH.D., is Associate Dean in both the College of Allied Health Sciences and the College of Graduate Studies at Thomas Jefferson University. He also directs the Center for Collaborative Research in the College of Allied Health Sciences and oversees nursing and allied health graduate programs. Dr. Lyons holds academic appointments as Associate Professor of Administration in the Department of General Studies and Associate Professor in the Department of Occupational Therapy. He also serves on the faculty at the Graduate School of Education at the University of Pennsylvania. He teaches graduate courses in research design, leadership, and management, and he advises graduate students. Dr. Lyons has presented numerous papers at scientific meetings, particularly in the area of collaborative research, developing faculty scholarship, geriatric rehabilitation, and leadership in nursing and allied health. He has also published in these fields, and he recently received the J. Warren Perry Distinguished Author Award from the Association of Schools of Allied Health Professions. Dr. Lyons has been active in research development on a national level. He serves on peer review panels for the National Institute on Disability and Rehabilitation Research and the Bureau of Health Professions, sat on the steering committee of the Forum on Allied Health Data, and reviews proposals for the American Educational Research Association and the American Evaluation Society Association. He has also been active in the Association of Schools of Allied Health Professions and was recently elected a Fellow in that organization. ALBERT G. MULLEY, Jr., M.D., is a graduate of Dartmouth College. After receiving degrees in medicine and public policy from Harvard University, he completed his residency training in internal medicine at Massachusetts General

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126 / [IEALTH SERVICES RESEARCH Hospital. He has remained at Harvard, where he is currently Associate Professor of Medicine and Associate Professor of Health Policy, and at Massachusetts General Hospital, where he is Chief of the General Internal Medicine Unit. He is the author and editor of Primal Care Medicine and of many articles in the medical and health services research literature. Dr. Mulley's research has included the evaluation of intensive care and the cost-effectiveness of prevention strategies and other common clinical practices. Recent work has focused on the use of decision analysis, outcomes research, and preference assessment methods to distinguish between warranted and unwarranted variations in clinical practices. He recently served on the Institute of Medicine Medicare Quality Assurance Committee and is a member of the Clinical Efficacy Subcommittee of the American College of Physicians. WILLIAM L. ROPER, M.D., M.P.H., is Senior Vice President and Chief Medical Officer for The Prudential Health Care System, with responsibility for health care operations supporting The Prudential's five regions, and its HMO and point-of-service health plans that are offered in over 40 locations nationwide. Dr. Roper joined The Prudential in 1993 as President of the Prudential Center for Health Care Research. Before coming to The Prudential, Dr. Roper was Director of the Centers for Disease Control and Prevention, from 1990 until 1993. He previously served as deputy assistant to the President for domestic policy and director of the White House Office of Policy Development and was administrator of the Health Care Financing Administration. DONALD M. STEINWACHS, Ph.D., is Chair and Professor in the Department of Health Policy and Management at the Johns Hopkins University School of Hygiene and Public Health and has joint appointments in the Department of Mental Hygiene, School of Hygiene and Public Health, in the Department of Medicine and the Department of Psychiatry and Behavioral Sciences, School of Medicine, and in the School of Nursing. In addition, Dr. Steinwachs is Director of the Johns Hopkins University Health Services Research and Development Center. His current research includes (1) studies of medical effectiveness and patient outcomes for individuals with specific medical, surgical, and psychiatric conditions; (2) studies of the impact of alternative organizational and financial arrangements on access to care, quality, utilization, and cost; and (3) studies to develop better methods to measure the effectiveness of systems of care, for example, HMOs and other insured populations. He has a particular interest in the role of routine management information systems as sources of data for evaluating the effectiveness and cost of health care. Dr. Steinwachs is also Director of the Johns Hopkins and University of Maryland Center on Organization and Financing of Care to the Severely Mentally Ill. The Center was established in 1987 through support of the National Institute of Mental Health.

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APPENDIX D / 127 The interdisciplinary faculty conducts a range of studies on issues involving policy, organization, and financing of care for individuals with severe and persistent mental illnesses. Dr. Steinwachs is Past President of the Association for Health Services Research and is a member of the Institute of Medicine of the National Academy of Sciences. He serves as a consultant to federal agencies and private foundations and serves on the boards of directors of the Health Outcomes Institute and Mathematica Policy Research. BAILUS WALKER, Jr., Ph.D., M.P.H., is Professor of Environmental and Occupational Medicine, Associate Director, University Cancer Center, Howard University Medical Center, and the American Public Health Association's Congressional Fellow (1994) in the Office of Congressman Louis Stokes. From 1990 to 1994 he was Dean of Public Health Faculty and Co-director of the Center for Health Policy, University of Oklahoma Health Sciences Center, Oklahoma City. Dr. Walker has served as Commissioner of Public Health for the Commonwealth of Massachusetts and Chairman of the Massachusetts Public Health Council (1983-1987~. Earlier (1981-1983) he was State Director of Public Health for Michigan. From 1979 to 1981 he was Director of Occupational Health Standards, Occupational Safety and Health Administration, U.S. Department of Labor. Dr. Walker is Past President of the American Public Health Association and a distinguished Fellow of the Royal Society of Health (London). He was elected to membership in the Institute of Medicine in 1989. Dr. Walker has served on numerous IOM-NAS committees, including the Committee to Study the Future of Public Health in the United States. Dr. Walker is a graduate of the University of Michigan and holds a Ph.D. in environmental and occupational medicine from the University of Minnesota.