health services research, planning, and policy. Before joining HPA, she was the chief health policy analyst for the Senate Committee on Finance. In this capacity she was responsible for overseeing health policy issues within the jurisdiction of the committee, including Medicare, Medicaid, the State Children’s Health Insurance Program, and health system reform issues. Prior to joining the Finance Committee staff in 1991, Ms. James was involved with health policy in the state of Oregon. She has experience in applying evidence-based medicine and cost-effectiveness analyses to health policy development. She received her B.A. from Oregon State University and has done graduate work in public administration at Portland State University and the Lewis and Clark Graduate School of Professional Studies.

Gordon L. Jensen, M.D., Ph.D., is associate professor of medicine, Division of Gastroenterology, Vanderbilt University Medical Center and adjunct associate physician, Department of Gastroenterology and Nutrition, Pennsylvania State Geisinger Health System. Dr. Jensen is currently chairman of the Clinical Practice Issues Committee for the American Society of Clinical Nutrition and is a member of the Board of Directors of the American Board of Nutrition. He also serves on the editorial board of the Journal of Parenteral and Enteral Nutrition. His current research interests include nutritional concerns of rural older persons, nutrition screening for risk in elderly populations, and obesity and function in older persons. He holds a B.S. in biology from the Pennsylvania State University, a Ph.D. in nutritional biochemistry from Cornell University, and an M.D. from Cornell University Medical College. Dr. Jensen completed internal medicine as well as fellowship training in hyperalimentation and nutrition at New England Deaconess Hospital.

Elvira Q. Johnson, M.S., R.D., C.D.E., is director, Clinical Nutrition Services, Cambridge Health Alliance. In this capacity, Ms. Johnson coordinates all clinical nutrition services throughout the alliance including Women, Infants, and Children, ambulatory, acute, long-term, and home care, and is charged with the task of improving the nutritional health of the community and reducing health care costs. She received the American Dietetic Association Foundation Award for Excellence in the Practice of Clinical Nutrition and was Employee of the Year for the City of Cambridge in 1995. She holds a B.S. from Rutgers University and an M.S. in nutrition and adult education from Boston University. In addition, she is a certified diabetes educator.

Joyce K. Keithley, D.N.Sc., R.N., is professor, Rush University, College of Nursing, Chicago, and adjunct assistant professor, University of Illi-



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