The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary (2014)

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E Biographical Sketches of Invited Speakers and Panelists Georges Benjamin, M.D., FACP, FACEP(E), FNAPA, Hon FRSPH (Workshop Co-Chair), is the executive director of the American Public Health Association (APHA), the nation’s oldest and largest organization of public health professionals. He previously was the secretary of the Maryland Department of Health and Mental Hygiene from 1999 to 2002, following 4 years as its deputy secretary for public health services. For the past 20 years he has been actively practicing public health at the local, state, and national levels with expertise in the areas of emergency preparedness, administration, and infectious diseases. Dr. Benjamin serves as publisher of the field’s premier journal, the American Journal of Public Health, The Nation’s Health newspaper and the APHA’s timeless publication on infectious diseases, the Control of Communicable Diseases Manual. He is the author of more than 100 scientific articles and book chapters. His recent book The Quest for Health Reform: A Satirical History is an exposé of the nearly 100-year quest to ensure quality affordable health coverage for all through the use of political cartoons. Dr. Benjamin is a graduate of the Illinois Institute of Technology and the University of Illinois College of Medicine. He is board certified in internal medicine and a fellow of the American College of Physicians. He also is a fellow emeritus of the American College of Emergency Physicians, an honorary fellow of the Royal Society of Public Health, a fellow of the National Academy of Public Administration, and a member of the Institute of Medicine. Gregg Margolis, Ph.D. (Workshop Co-Chair), is the director of the Division of Healthcare Systems and Health Policy for the Office of the 117 

118 IMPACTS OF THE ACA ON PREPAREDNESS Assistant Secretary of Preparedness and Response at the U.S. Department of Health and Human Services. He leads a team of policy experts in formulating, analyzing, and implementing policies to build strong, integrate, and resilient health systems that are prepared to respond to and recover from disasters and public health emergencies. Prior to his federal service, Dr. Margolis was the associate director of the National Registry of Emergency Medical Technicians, a nonprofit organization that serves as the national certification agency for nearly 300,000 emergency medical services professionals. Dr. Margolis has held leadership positions and faculty appointments at The George Washington University, the University of Pittsburgh, and the Center for Emergency Medicine of Western Pennsylvania. In 2009-2010, Dr. Margolis was the first paramedic to be awarded a Robert Wood Johnson Health Policy Fellowship, serving in the Office of Senator John D. Rockefeller. Terry Adirim, M.D., M.P.H., is a special consultant at the Health Resources and Services Administration (HRSA), an operating division of the Department of Health and Human Services (HHS). Previously, from 2010 to 2013, she was the director of the Office of Special Health Affairs of HRSA and from March 2011 to July 2012 was also the lead for the Affordable Care Act Maternal, Infant and Early Childhood Home Visiting Program, which is a 5-year, $1.5 billion dollar program that provides funding to states, territories, and tribal communities to provide evidence-based home visiting services to at-risk families. At the Department of Homeland Security (DHS) from 2006 to 2010, she worked in various capacities in the DHS Office of Health Affairs, initially as an American Association for the Advancement of Science (AAAS) Policy Fellow and then as the Associate Chief Medical Officer for Medical Readiness and Senior Advisor to the Assistant Secretary for Health Affairs. From 2004 to 2006, Dr. Adirim was associate professor of emergency medicine and pediatrics at Drexel University College of Medicine and interim director of emergency medicine at St. Chris- topher’s Hospital for Children in Philadelphia, Pennsylvania. From 1997 to 2004, she was associate professor of pediatrics and emergency medicine at The George Washington University School of Medicine and attending physician at Children’s National Medical Center in Washington, DC. While in academic clinical medicine, she was awarded more than $3 million in grant funding from the Centers for Disease Control and Prevention and the Maternal and Child Health Bureau at HRSA to support her research and project work. She has more than 70 publications. 

APPENDIX E 119 Dr. Adirim received her B.A. degree from Brandeis University, her master’s degree in public health from the Harvard School of Public Health, and her medical degree with research distinction from the University of Miami School of Medicine. She completed pediatric residency training at the Children’s Hospital of Philadelphia, fellowship training in pediatric emergency medicine at Children’s National Medical Center in Washington, DC, and primary care sports medicine at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. Justin T. Barnes, B.A., B.S., FHIMSS, is a vice president with Greenway Medical Technologies and manages Greenway’s industry, government, and international affairs. He is a health care software executive and public policy advisor for Greenway. In addition, Mr. Barnes is Chairman Emeritus of the Healthcare Information and Management Systems Society Electronic Health Record (EHR) Assoc- iation as well as Co-Chairman of the Accountable Care Community of Practice; he assists both organizations with industry strategy and leadership. He is a regular public speaker on issues relating to value- based medicine, accountable care and accountable care organizations, interoperability, standards, EHR meaningful use, consumerism, health information technology innovation, health information exchanges, patient safety, patient engagement, quality, health care privacy, security, confidentiality, and the globalization of health care. Mr. Barnes has been published in more than 650 journals, magazines, and broadcast media outlets relating to national leadership of health information technology and electronic health records. Guthrie Birkhead, M.D., M.P.H., is deputy commissioner and director of the Office of Public Health at the New York State Department of Health. He is the chief public health physician in the Department and directs public health programs in communicable disease control including AIDS, maternal child health, chronic disease prevention, nutrition, environmental health, and the public health laboratory. He served on the federal Advisory Committee on Immunization Practices and chaired the National Vaccine Advisory Committee. He is board certified in internal medicine and preventive medicine. He is also professor of epidemiology at the School of Public Health at the University at Albany. 

120 IMPACTS OF THE ACA ON PREPAREDNESS Charles Cairns, M.D., FACEP, FAHA, is Professor and Chair of the Department of Emergency Medicine at the University of North Carolina– Chapel Hill. He previously served as the Director of Emergency Research at the Duke Clinical Research Institute (2004-2008), the largest academic research organization in the world. For the past 20 years, Dr. Cairns has been a clinician, educator, and investigator in emergency and critical care focused on acute cardiac, trauma, respiratory, and infectious disease for applications in emergency medical care, regionalization, and preparedness at the local, state, and national levels. He is the principal investigator (PI) of the Department of Homeland Security/National Biosurveillance Integration Center’s National Collaborative for Bio- preparedness and has served as the PI of the National Quality Forum’s Regionalization of Emergency Medical Care Services Framework Project, the Co-PI of the Office of the Assistant Secretary for Preparedness and Response’s Rapid Assessment of Acute Illness and Injury to Enhance the U.S. Response to Public Health Emergencies project, and the associate director of the National Institutes of Health U.S. Critical Illness and Injury Trials Group. Dr. Cairns has published more than 150 scientific articles and reviews and has received numerous awards and honors, including the Emergency Medicine Foundation (EMF) Established Investigator Award, the Society for Academic Emergency Medicine (SAEM) Research Presentation Award, and the American College of Emergency Physicians (ACEP) Outstanding Contribution in Research Award. Dr. Cairns has served in leadership positions within organized emergency and critical care, including Co- Chair of the ACEP-SAEM Research Working Group, the EMF Board of Trustees, the Leadership Committee for the American Heart Association (AHA) Council on Cardiopulmonary and Critical Care, the Steering Committee for the Critical Care Societies Collaborative Task Force on Critical Care Research, the National Institutes of Health (NIH) National Asthma Education and Prevention Program, the Steering Committee for the NIH Roundtables on Medical and Surgical Emergencies, and as Co- Chair of the NIH Roundtable on Emergency Trauma. Dr. Cairns is a graduate of Dartmouth College and the University of North Carolina School of Medicine. He is board-certified in emergency medicine, a fellow of the American College of Emergency Physicians, and a fellow of the AHA. Connie Chan, Ph.D., is project director at PCCI, a nonprofit research and development organization in Dallas, Texas, dedicated to eliminating 

APPENDIX E 121 adverse clinical events using advanced analytics and software technologies. She leads the Information Exchange Portal effort, which aims to electronically connect clinical and social service organizations to improve care coordination, access to services, and health outcomes, particularly for the most vulnerable patients. Dr. Chan is a graduate of the School of Foreign Service at Georgetown University and received her doctorate in public health informatics from Columbia University. Garret Dawkins, M.B.A., is the Director of Transitions of Care and Public Health Services at Surescripts, the nation’s largest clinical health information network. He was previously director of solutions management at Allscripts where he led Allscripts’ Meaningful Use Stage 2 Public Health Reporting Solutions and Patient Engagement Portfolio. Prior to Allscripts, Mr. Dawkins led a joint development initiative between Nortel and IBM focused on imbedding communication tools within the health care information technology system. He is a graduate of Wake Forest University with a B.A. in English and an M.B.A. Brandon Dean, M.P.H., is the risk-based planning manager for the Emergency Preparedness and Response Program in the Los Angeles County Department of Public Health. He received his B.A. from Brigham Young University and M.P.H. from the University of California, Los Angeles, specializing in emergency public health. In 7 years with Los Angeles County, Mr. Dean has become one of the primary analysts and emergency planners of the department, creating, testing, and improving public health emergency response plans and policies. In particular, he has become the department’s point person in development and application of mathematical disease modeling for improved strategic planning and operational responses. He also serves on the National Institutes of Health/National Institute of General Medical Sciences Models of Disease Agent Study Steering Committee. Karen DeSalvo, M.D., M.P.H., M.Sc., is the health commissioner for the City of New Orleans and serves as senior health policy advisor to Mayor Mitch Landrieu. Since assuming office in 2011, she has led a major transformation of the City Health Department into a modernized one with improved effectiveness and efficiency capable of improving the public’s health where they live, learn, work, and play. The innovative programs in the department include programs addressing the social determinants of health, violence, and murder reduction and Fit NOLA, 

122 IMPACTS OF THE ACA ON PREPAREDNESS the City’s nutritional and physical fitness program. Before joining the City, Dr. DeSalvo had 20 years of experience in medical education, clinical care, research, and policy aimed at improving access to quality, affordable care for all. Following Hurricane Katrina, she was a leader in the effort to create the nationally recognized model of neighborhood- based medical homes for low-income, uninsured, and other vulnerable populations in the New Orleans area. Dr. DeSalvo practices internal medicine and is on leave from Tulane School of Medicine, where she was formerly the vice dean for community affairs and health policy. She has led and served on numerous local and national professional boards, including president of the Louisiana Health Care Quality Forum and is currently serving on the Board of Directors for the National Association of City and County Health Officers. She received her M.D. and M.P.H. at Tulane University, a master’s in clinical epidemiology from the Harvard School of Public Health, and her B.A. from Suffolk University. Jack Ebeler, M.P.A., is a principal at Health Policy Alternatives, a Washington, DC-based consulting firm. In 2009 and 2010, he worked on Capitol Hill on the development of health reform legislation, serving on the staff of the U.S. House of Representatives Committee on Energy and Commerce. Before joining the House Committee staff for the health reform debate, he was an independent consultant and served as a member and then vice-chair of the Medicare Payment Advisory Commission (MedPAC) as it was advancing substantial Medicare payment and delivery reforms. Prior to that, he was president and CEO of the Alliance of Community Health Plans and senior vice president and the initial director of the Health Care Group at the Robert Wood Johnson Foundation. In 1995 and 1996 he served at HHS as deputy assistant secretary for planning and evaluation/health and then as acting assistant secretary for planning and evaluation. Earlier, Mr. Ebeler held positions in managed care leadership (at HealthPartners in Minnesota) and on Capitol Hill. In the 70s and early 80s, he was special assistant to the administrator of the Health Care Financing Administration (now Centers for Medicare and Medicaid Services). He recently rejoined the Health Care Services Board of the Institute of Medicine (IOM) and the Board of Trustees of Inova Health System, and he serves as co-chair of the Public Policy Advisory Council of the March of Dimes. He previously served on the Boards of Directors of the National Academy of Social Insurance (NASI), Families USA, and the National Center for Healthcare Leadership, on a number of national 

APPENDIX E 123 advisory committees, and as a member, chair, and vice-chair of several IOM and NASI study committees on a broad range of topics. He has a M.P.A. from the John F. Kennedy School of Government at Harvard University and a B.A. from Dickinson College in Carlisle, Pennsylvania. Ellen P. Embrey is president and chief executive officer of Stratitia, Inc., a strategy and management consulting firm specializing in supporting clients that serve the health care, national security, and information technology sectors. She also is a counselor in The Cohen Group, a firm that provides global business consulting services and advice on tactical and strategic opportunities in virtually every market. Ms. Embrey has extensive executive and program leadership experience in the executive branch of the federal government. In her last federal role, she served as the assistant secretary of defense (Health Affairs) and the director of the TRICARE Management Activity during the presidential transition period in 2009-2010. In that capacity, she led and managed the Military Health System, a $47 billion/year defense health program employing more than 200,000 health professionals serving more than 9.6 million service members, retirees, and their families in more than 70 hospitals and 500 clinics and laboratories around the globe. As deputy assistant secretary of defense (Force Health Protection and Readiness), Ms. Embrey orchestrated significant improvements in Department of Defense (DoD) policies and programs from 2002 to 2009, affecting deployment and combat casualty medicine, health promotion and preventive medicine, medical readiness, and public health emergency preparedness and response. As DoD’s “line of action” lead for addressing traumatic brain injuries (TBI) and/or posttraumatic stress disorder (PTSD), she led collaborative efforts to identify gaps and prioritize investments in TBI and PTSD research, align clinical practices of DoD and the Department of Veterans Affairs (VA), and establish new U.S. ICD-9 codes for traumatic brain injury diagnoses and treatment based on DoD/VA experience. Throughout 2001, during the presidential transition period, Ms. Embrey served as the assistant secretary of defense for reserve affairs, shaping policies affecting the readiness and use of the National Guard and Reserve in both federal and state status. From 2000 to 2001, she served as chief of staff of that office, and from 1998 to 2001, as deputy assistant secretary of defense for military assistance to civil authorities, developing policies that shaped the role of the National Guard and Reserve components in supporting homeland security, disaster preparedness, and national disaster response capabilities, 

124 IMPACTS OF THE ACA ON PREPAREDNESS including advising the president on such matters in the days and weeks following September 11, 2001. Between 1975 and 1997, Ms. Embrey served in a variety of senior-level policy, budget, program, management, and systems analyst positions in the Office of the Assistant Secretary of Defense for Reserve Affairs, the Defense Contract Audit Agency, and the Office of Personnel Management. Over her distinguished 35-year federal career, Ms. Embrey received many awards, the highest of which include two Secretary of Defense Distinguished Civilian Service Awards, in 2001 and 2004, and two Presidential Meritorious Executive Rank Awards, in 2006 and 2009. Roland Gamache, Ph.D., is the Director of Public Health Informatics at the National Association of County and City Health Officials (NACCHO). Prior to his arrival at NACCHO, he was the director of the State Health Data Center at the Indiana State Department of Health (ISDH), where he worked for 15 years. He also served as the director of the Public Health Preparedness Program at the ISDH for 2 years during this time. Dr. Gamache’s research focuses on the application of public health data analysis in the areas of public health assessment and evaluation, policy development, data systems integration, strategic planning, quality improvement, and public health preparedness activities. Dr. Gamache’s recent work is in the development of integrated data systems for public health data needs. This work places an emphasis on database design for the improvement of analysis time, integration of public health systems with community-based health information exchanges, and improvement of the dissemination of public health information in an effort to measure and improve the health resiliency of the community. Dr. Gamache received his B.S. in chemistry from the University of Lowell, M.B.A. from Indiana University, and a Ph.D. in chemistry from Purdue University. Xiaoyi Huang, J.D., B.S., is the assistant vice president for policy at America’s Essnetial Hospitals. She directs the organization’s policy portfolio (both legislative and regulatory) for all advocacy issues and leads the association’s policy initiatives to protect and promote the short- and long-term interests of hospitals that care for the vulnerable. Prior to joining America’s Essential Hospitals, Ms. Huang worked at the U.S. Government Accountability Office, where she led engagement teams to analyze current health policy issues and developed reports for Congress, as well as the Massachusetts Office of the Inspector General, where she 

APPENDIX E 125 evaluated state agency’s administration of and hospitals’ compliance with the uncompensated care pool program. Ms. Huang holds a B.S. in business administration from Boston University School of Management and a J.D. from Boston University School of Law. Nathaniel Hupert, M.D., M.P.H., is a primary care internal medicine specialist and a researcher in public health emergency response and medical decision making. He is an associate professor of public health and medicine at Weill Cornell Medical College in New York City. He trained at Harvard Medical School, the University of Pittsburgh Medical Center, and the Harvard School of Public Health. His research concerns a number of topics that fall under the heading of “computational public health,” the application of mathematical and simulation modeling techniques to health problems that extend beyond the bounds of traditional epidemiology. Since September 2000, he has collaborated with local, state, federal, and international public health officials in a series of federally financed research projects on hospital and clinical preparedness for bioterrorism. In the course of this research, Dr. Hupert led the development of a series of computer simulations to study mass antibiotic distribution and hospital capacity in the event of a large-scale release of a bioweapon or other catastrophic health event. Since 2005, Dr. Hupert has worked in close collaboration with colleagues in the engineering/operations research community to bring state-of-the-art engineering solutions to critical public health problems. Locally, these collaborative efforts have been formalized with the creation of the cross- campus Institute for Disease and Disaster Preparedness, co-led by Dr. Hupert and Professor Jack Muckstadt at Cornell University. Dr. Hupert serves on the Health and Human Services (HHS) Anthrax Modeling Working Group and was a member of the 2007 RAND Expert Panel on Defining Public Health Preparedness. He has participated in a number of national webcasts on bioterrorism preparedness for the Centers for Disease Control and Prevention’s Strategic National Stockpile program and for the HHS Agency for Healthcare Research and Quality. Dr. Hupert received his A.B., M.P.H., and M.D. from Harvard University. Kevin L. Larsen, M.D., is medical director of meaningful use at the Office of the National Coordinator for Health Information Technology (IT). In that role he is responsible for coordinating the clinical quality measures for Meaningful Use Certification and oversees the development of the Population Health Tool (http://projectpophealth.org). Prior to 

126 IMPACTS OF THE ACA ON PREPAREDNESS working for the federal government he was chief medical informatics officer and associate medical director at Hennepin County Medical Center in Minneapolis, Minnesota. He is also an associate professor of medicine at the University of Minnesota. Dr. Larsen graduated from the University of Minnesota Medical School and was a resident and chief medical resident at Hennepin County Medical Center. He is a general internist and teacher in the medical school and residency programs. His research includes health care financing for people living in poverty, computer systems to support clinical decision making, and health literacy. In Minneapolis he was also the medical director for the Center for Urban Health, a hospital–community collaboration to eliminate health disparities. He served on a number of state and national committees in informatics, data standards, and health IT. Nicole Lurie, M.D., M.S.P.H., is the assistant secretary for preparedness and response at the Department of Health and Human Services (HHS). As such, she serves as the Secretary’s principal advisor on matters related to bioterrorism and other public health emergencies. Her office is the lead agency for federal public health and medical preparedness and response, helping the nation prepare for, respond to, and recover from disasters. Prior to her current position, she served as senior natural scientist and Paul O’Neill Alcoa Professor of Health Policy at the RAND Corporation. There she directed RAND’s public health and preparedness work as well as RAND’s Center for Population Health and Health Disparities. She had previously served in federal government as principal deputy assistant secretary of health for HHS, in state government as medical advisor to the commissioner at the Minnesota Department of Health, and in academia as professor in the University of Minnesota Schools of Medicine and Public Health. Dr. Lurie has a long history in the health services research field, primarily in the areas of access to and quality of care, managed care, mental health, prevention, public health infrastructure and preparedness, and health disparities. Dr. Lurie attended college and medical school at the University of Pennsylvania, and completed her residency and M.S.P.H. at the University of California, Los Angeles, where she was also a Robert Wood Johnson Foundation Clinical Scholar. She served as senior editor for Health Services Research and on editorial boards and as a reviewer for numerous journals. She has served on the council and was president of the Society of General Internal Medicine, on the Board of Directors for Academy 

APPENDIX E 127 Health, and on multiple other national committees. Dr. Lurie continues to practice clinical medicine in the health care safety net in Washington, DC. James Marcin, M.D., M.P.H., is a professor of pediatric critical care at the University of California (UC), Davis, Children’s Hospital in Sacramento. In addition to his clinical work in the pediatric intensive care unit at UC Davis, he directs the pediatric telemedicine program in the Center for Health and Technology and is very active in research in pediatric quality of care and telemedicine, particularly among acutely ill and injured children. Dr. Marcin has been conducting telemedicine consultations for more than 10 years and has worked closely with other clinicians, administrators, technicians, and health policy makers to support the use of clinical telemedicine. He is the founding and immediate past chair of the Pediatric Telehealth Special Interest Group in the American Telemedicine Association, is on the Committee for Pediatric Workforce in the American Academy of Pediatrics, and is on the State of California’s Technical Advisory Committee for California Children’s Services. He conducts research in telemedicine and quality of care, particularly as it relates to acutely ill and injured children in the emergency department and the intensive care unit. He has been principal investigator on grants from the Agency for Healthcare Research and Quality and the Health Resources Service Administration investigating the impact of telemedicine on quality of care and other patient outcomes. Dr. Marcin has also been a faculty advisor and mentor to 40 undergraduate students, medical students, pediatric residents, as well as students in the School of Public Health, Graduate Group in Epi- demiology, and Graduate Group in Health Informatics. He has volunteered on 13 international medical missions, serves as a faculty volunteer to a medical-student-run free clinic and is a proud member of Physicians for Social Responsibility. He obtained his B.S. in biomedical engineering at UC San Diego in 1988 and his M.D. at UC San Diego in 1992. He completed his residency in pediatrics at UC San Francisco in 1995 and his pediatric critical care fellowship at the Children’s National Medical Center in Washington, DC, in 1998. He obtained a M.P.H. at The George Washington University in 1998. S. Atyia Martin, M.P.S., EMT-B, is the director of the Office of Public Health Preparedness at the Boston Public Health Commission (BPHC). In this role, she is responsible for coordinating emergency management across internal BPHC programs and services, as well as across public 

128 IMPACTS OF THE ACA ON PREPAREDNESS health and health care system partners. This includes oversight of the Stephen M. Lawlor Medical Intelligence Center, which coordinates response and recovery efforts across public health, medical, and public safety partners during emergencies that impact public health. Additionally, Ms. Martin is on the Executive Committee of the Boston Healthcare Preparedness Coalition, which is an emergency preparedness collaboration among public health, emergency medical services, health care, and public safety entities. She has a diverse set of experiences in emergency management, intelligence, and homeland security. Ms. Martin was most recently the director of the DelValle Institute for Emergency Preparedness. Among her previous positions, she served as a senior analyst and later the homeland security supervisor and acting director at the Boston Regional Intelligence Center at the Boston Police Department. Additionally, she served as the regional planner for the City of Boston’s Mayor’s Office of Emergency Management where she coordinated critical infrastructure and information sharing projects for the Urban Area Security Initiative Homeland Security Grant Program. In this role, she also managed public–private emergency preparedness, emergency notifications, and emergency operations planning. Ms. Martin was also a civilian at the Federal Bureau of Investigations in the Boston Field Intelligence Group and active duty Air Force assigned as a Serbian/Croatian linguist and analyst to the National Security Agency. She holds an associate of arts in Serbian Croatian from the Defense Language Institute, B.S. from Excelsior College, and a Master’s of Professional Studies in Homeland Security Leadership from the University of Connecticut. She is currently pursuing her doctorate in law and policy from Northeastern University. She is also a certified emergency medical technician and basic life support instructor. Michelle McGuire, B.S., CPHIMSS, has a degree in computer processing and 17 years of experience in the health information industry. She has experience in managing deployment of solutions for clients changing business flow to electronic medical records. Ms. McGuire is currently a senior project manager for Kansas Health Information Network (KHIN), managing multiple projects for bringing hospitals and clinics into the health exchange. She has authored articles on sales and marketing, billing, and preparing for ICD-10 changes. She has her Certified Professional Health Information and Management Systems certification. Ms. McGuire is the health information exchange liaison on 

APPENDIX E 129 the Kansas chapter of Health Information Management Systems Society board of directors. Norman W. Miller, Ph.D., is the trauma system administrator at the Mississippi State Department of Health. In this position, he provides administrative oversight of the Mississippi Trauma Care System, consisting of 83 hospitals and 56 emergency medical services providers, organized in seven Trauma Care Regions. Additionally, he manages the development and implementation of a state-wide system of care for ST- elevated myocardial infarction (STEMI) and acute ischemic stroke. Dr. Miller served 28 years in the U.S. Air Force and Air National Guard, retiring with the rank of Colonel. He was rated as a master navigator with more than 2,500 flying hours in KC-135, B-52, and F-4 aircraft, and served in Operations Just Cause (Panama), Desert Shield (Saudi Arabia), Restore Hope (Rwanda), Allied Force (Kosovo), and Iraqi Freedom (Iraq). Dr. Miller is a graduate of Northeastern Illinois University and Kennedy-Western University, and he is an Outstanding Graduate of the Air War College. Chad Priest, R.N., M.S.N., J.D., is the chief executive officer at MESH, Inc. Drawing upon his clinical, military, legal, and policy experience, Mr. Priest works with coalition members and stakeholders to enable health care providers to effectively respond to emergency events and remain viable through recovery. Prior to joining MESH, he was an attorney at the law firm of Baker & Daniels, practicing public health and health care law in the Indianapolis and Washington, DC, offices. While at Baker & Daniels, Mr. Priest represented a variety of health care entities, including health maintenance organizations, Medicaid managed care organizations, physician-hospital organizations, ambu-latory surgical centers, comprehensive rehabilitation centers, physicians, nonprofit health care grant agencies and foundations, long-term care facilities, hospitals, provider networks, and public health organizations. Utilizing his background in health care and emergency preparedness, he provided specialized counseling to clients on public health–related matters. He also worked with health care and other social service clients on advocacy, public policy, and legislative matters at the state and local levels. Mr. Priest served on active duty in the U.S. Air Force as family practice primary care optimization nurse, 89th Medical Group, Andrews Air Force Base, Maryland. While in the military he specialized in emergency preparedness–related issues. He received a B.S.N. and 

130 IMPACTS OF THE ACA ON PREPAREDNESS M.S.N. from Indiana University School of Nursing and a law degree from The George Washington University. Bruce Rueben, M.B.A., B.B.A., is president of the Florida Hospital Association (FHA), a state association that represents 238 hospitals and health care systems. As president, Mr. Rueben leads a staff of 44 professionals who provide state and federal advocacy, representation, data and research, regulatory, communications, and a myriad of services to member hospitals. Prior to joining FHA, Mr. Rueben was president of the Minnesota Hospital Association (MHA). He led the hospital community’s efforts to enact effective health policy in Minnesota and helped shape health policy nationally. The association’s primary efforts centered around health care financing, patient safety, workforce development, and data collection, in addition to advancing health care reform initiatives. Prior to joining MHA, Mr. Rueben served as president of the Maine Hospital Association, senior vice president of the Virginia Hospital and Healthcare Association, and vice president for Diamond Healthcare Corporation in Virginia. Born and raised in Richmond, Virginia, he has a bachelor’s degree from Virginia Commonwealth University School of Business, a post-graduate certificate in healthcare financial management from the University of South Carolina College of Business Administration, and an M.B.A. from the University of South Carolina. Andrew Schroeder, Ph.D., M.P.P., is the director of research and analysis for Direct Relief. Starting in 2008 he built Direct Relief's program in geographic information system (GIS) and spatial analytics for humanitarian medical assistance. Since then he has built numerous interactive mapping applications covering topics from the prevention of mother-to-child transmission of HIV, laboratory strengthening in east Africa, disaster response in Haiti, New York City, and the U.S. Gulf Coast, and the implementation of the Affordable Care Act by primary care health clinics across the United States. In 2013, he and Direct Relief were awarded the President’s Award by Esri for outstanding achievements in GIS. He also plays a lead role in Direct Relief’s publication of the annual State of the Safety Net report, which tracks key economic and epidemiological conditions among U.S. safety net health providers. Dr. Schroeder received his Ph.D. from New York University’s Department of Social and Cultural Analysis and his master of public 

APPENDIX E 131 policy from the Gerald R. Ford School of Public Policy at the University of Michigan, with a focus on science and technology policy. Lisa Tofil, J.D., is a partner in Holland & Knight’s Public Policy & Regulation Group, where her practice is focused on federal relations and policy in health care, emergency medical services, and transportation issues. She provides strategic planning, advocacy, and legal assistance to clients on a broad range of legislative and regulatory matters. A member of the firm’s Healthcare & Life Sciences Team, which is one of the largest and most sophisticated in the United States, she has extensive experience representing state and national health care organizations and individual hospital and health systems, and prior to joining the firm, served in several in-house hospital senior government relations and legal positions. Earlier in her career, Ms. Tofil spent several years handling health and income security issues in the U.S. Senate. On health policy matters, Ms. Tofil represents a number of health care organizations, including the areas of trauma centers and systems, air medical transport, the 340B Drug Discount Program, hospitals and health systems, and clinical laboratories. Ms. Tofil works with clients on policy development, devising legislative and regulatory strategies, and intervening as necessary to draft and secure legislative or regulatory changes that advance client interests. Ms. Tofil works regularly with key congressional health care committees and has a strong record of delivering results for clients. Ms. Tofil also has considerable background in obtaining improved federal funding for health care programs, capital projects, and large cities, as well as enhanced reimbursement for health care entities. She possesses an in-depth knowledge of the Medicaid and Medicare programs and is accomplished in securing improved reimbursement through these programs and in developing innovative opportunities to enhance state and federal funding for health care providers. In addition to her health care expertise, Ms. Tofil provides counsel and federal representation on transportation issues, including regulation over air medical providers, as well as highway and transit funding. She represents a large city on appropriations and transit work, including negotiating a full funding grant agreement with the Federal Transit Administration. As a hospital attorney, Ms. Tofil has provided legal counsel on a range of issues, including the 340B Drug Discount Program, Fraud & Abuse, Stark I & II, Emergency Medical Treatment & Labor Act, tax exemption, corporate practice of medicine, guardianship, power of attorney, and patient confidentiality. She has negotiated health 

132 IMPACTS OF THE ACA ON PREPAREDNESS care contracts and drafted hospital policies. Ms. Tofil spent several years on Capitol Hill as a health care legislative assistant to Senator John H. Chafee and served on the staff of the House Education and Labor Subcommittee on Labor Management. Ani Turner, M.A., is deputy director of Altarum Institute’s Center for Sustainable Health Spending and leads the Center’s health workforce analysis and modeling and monthly tracking of national health sector employment. Working with government and commercial clients for more than two decades, she has developed forecasting models and conducted analyses of health care resources, costs, and quality for the Department of Health and Human Services, Department of Defense (DoD), individual states, and private health plans. Ms. Turner led development of a system of models for the Health Resources and Services Administration, National Center for Health Workforce Analysis, to project supply and demand for physicians, physician assistants, and advanced practice nurses by specialty. She supported development of emergency preparedness health workforce data and planning tools for the State of Florida. In internally funded work, she developed a method to link the health workforce by occupation with national health expenditures, for which she received the National Association for Business Economics award for outstanding paper. For a decade, Ms. Turner led work for the DoD, conducting economic analyses of hospital requirements and life-cycle costs in support of more than a dozen multi- million dollar military medical construction decisions. She has played an active role in efforts to define Altarum Institute’s internal research strategy, leading two task forces defining Altarum’s vision for a transformed U.S. health system and potential focus areas for research. Ms. Turner’s recent work has explored the business case for racial equity for the W.K. Kellogg Foundation and assessments of the value of investments in primary prevention, with an emphasis on community- based interventions and the social determinants of health, for the Robert Wood Johnson Foundation. Ms. Turner holds a bachelor’s degree in mathematics, summa cum laude, Phi Beta Kappa, and a master of arts in applied economics, both from the University of Michigan. Matthew Zavadsky, MS-HSA, EMT, is the public affairs director at MedStar Mobile Healthcare, the exclusive emergency and non- emergency emergency medical services provider for Fort Worth and 14 surrounding cities in North Texas. MedStar provides advanced life 

APPENDIX E 133 support ambulance service to 421 square miles and more than 880,000 residents and responds to more than 112,000 emergency calls a year with a fleet of 54 ambulances. MedStar is a high performance emergency medical services system, providing advanced clinical care with high economic efficiency. He has guided the implementation of several innovative partnerships with health care partners that have brought MedStar fully into the health care system, including Community Health, congestive heart failure readmission reduction, observational admission reduction, hospice revocation avoidance, and 911 nurse triage programs. Mr. Zavadsky is a frequent speaker at national conferences and has done consulting in numerous emergency medical services (EMS) issues, specializing in high-performance EMS system operations, public/media relations, public policy, health informatics, costing strategies, and EMS research. Mr. Zavadsky is an adjunct faculty for the University of Central Florida’s College of Health and Public Affairs teaching courses in health care economics and policy, health care finance, ethics, managed care and U.S. health care systems. Mr. Zavadsky has 33 years’ experience in EMS including volunteer, fire department, and public- and private-sector EMS agencies. He is a former paramedic and has managed private-sector ambulance services from 10,000 to more than 110,000 annual call volume in locations including Fairfield, Connecticut; Augusta, Georgia; Orlando, Florida; and La Crosse, Wisconsin. He has also served as a regulator in Lincoln, Nebraska, and Volusia County (Daytona Beach), Florida. He holds a master’s degree in health service administration with a graduate certificate in health care data management.