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Definition of Serious and Complex Medical Conditions (1999)

Chapter: Appendix E Committee Biographies

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Suggested Citation:"Appendix E Committee Biographies." Institute of Medicine. 1999. Definition of Serious and Complex Medical Conditions. Washington, DC: The National Academies Press. doi: 10.17226/9695.
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Appendix E
Committee Biographies

STEVEN S. SHARFSTEIN, M.D., M.P.A., is president, medical director, and chief executive officer for Sheppard Pratt Health System. Dr. Sharfstein has filled these positions since January 1992. He has also held the position of clinical professor and vice chair in the Department of Psychiatry at the University of Maryland since 1996. Previous positions held by Dr. Sharfstein include deputy medical director for the American Psychiatric Association from 1983 to 1986, associate director for behavioral medicine at the National Institute of Mental Health from 1980 to 1982, and director of the Division of Mental Health Service Programs at the National Institute of Mental Health from 1976 to 1980. Dr. Sharfstein also served as a member of the President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry. Dr. Sharfstein received his B.A. from Dartmouth College, his M.P.A. from the John F. Kennedy School of Government in 1973, and his M.D. from the Albert Einstein College of Medicine in 1968. He holds membership in a number of professional societies including the American Psychiatric Association, Maryland Psychiatric Society, American College of Psychiatrists, American Medical Association, and American College of Mental Health Administration. He has served on the Institute of Medicine (IOM) Board on Neuroscience and Biobehavioral Health and the its Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care. Dr. Sharfstein has authored or edited a number of texts, and has published 150 professional articles and book chapters on a variety of clinical, economic, and administrative issues. He is currently editor of "Economic Grand Rounds," a quarterly column for the Journal of Psychiatric Services. He also serves on the editorial board for the Journal of Mental Health Administration.

Suggested Citation:"Appendix E Committee Biographies." Institute of Medicine. 1999. Definition of Serious and Complex Medical Conditions. Washington, DC: The National Academies Press. doi: 10.17226/9695.
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WILLIAM E. GOLDEN, M.D., has been director of the Division of General Internal Medicine at the University of Arkansas for Medical Sciences, Little Rock, Arkansas, since 1984. In addition, he has been Associate Professor in the Department of Medicine at the University of Arkansas Medical School since 1990. Dr. Golden practices general internal medicine at the University of Arkansas and is board-certified in geriatrics. Dr. Golden received his B.A. from Brown University in Health Care Delivery in 1975 and his M.D. from Baylor College of Medicine, Houston, Texas, in 1978. Dr. Golden is a member of the Center for Outcomes Research and Evaluation, University of Arkansas Medical School and vice president for clinical quality improvement at the Arkansas Foundation for Medical Care. He has been a member of the University Hospital Managed Care Committee since 1996, and a member of the University Hospital Quality Cost-Effective Care Committee since 1998. Dr. Golden has continuing affiliations with the Accreditation Council for Continuing Medical Education, Agency for Health Care Policy and Research, American College of Physicians, American Health Quality Association, American Medical Association, Center for Clinical Quality Evaluation, and the American Society of Internal Medicine. Dr. Golden has also collaborated with the Health Care Financing Administration on the Work Group on the Evaluation of the PRO Program. In addition, Dr. Golden has served as a member of two IOM committees including the Committee on the Evaluation of the Uniform Clinical Assessment Program and Committee on Measuring the Health of Persian Gulf War Veterans. Dr. Golden has an extensive record of invited presentations to national professional groups and societies, as well as more than 50 publications in peer-reviewed journals.

SAM HO, M.D., is responsible for national quality improvement strategies at PacifiCare, including population health management, quality measurements and report cards, and continuous improvement of members' health outcomes. He is also active in national policy development and liaison with purchasers, providers, members, and industry colleagues. Prior to joining PacifiCare Health Systems, Dr. Ho successively served 3 years as vice president of Health Services, at PacifiCare of California and more than 10 years as senior executive and medical director at other major managed care organizations. He has also served as deputy director of health, medical director, and county health officer for the San Francisco Department of Public Health and has held academic faculty appointments at the schools of medicine and nursing at the University of California at San Francisco. Initially, his career included starting and maintaining a busy family practice in the most severe health manpower shortage area in San Francisco. The Honolulu native received his B.A. degree in sociology from Northwestern University, with Phi Beta Kappa honors, in 1972, and his medical degree from Tufts University School of Medicine in 1976. He completed his residency in family practice at the University of California at San Francisco, and has been a diplomate of the American Board of Family Practice since 1979. Dr. Ho currently is a member of several national advisory committees, representing

Suggested Citation:"Appendix E Committee Biographies." Institute of Medicine. 1999. Definition of Serious and Complex Medical Conditions. Washington, DC: The National Academies Press. doi: 10.17226/9695.
×

physicians and managed care throughout the health care industry, and is actively involved in the debate on policy and direction in health care.

SHARON LEVINE, M.D., received her B.A. from Radcliffe College in 1967 and graduated with honors from Tufts University School of Medicine in 1971. Her clinical experience focused on pediatrics. She joined the Permanente Medical Group as staff pediatrician in 1977. Since 1991, Dr. Levine has been associate executive director of the Permanente Medical Group in Oakland, California. Dr. Levine has demonstrated expertise in a number of areas including human resource management, public relations, community and government relations, health policy, communication management, and diversity management. Her professional accomplishments include participation on a number of panels and boards such as the Association for Hospital Medical Education, Association of American Medical Colleges, National Association of Children's Hospitals, National Health Policy Forum, Society for Health Care Executives, and Alliance of Community Health Plans.

KATHLEEN H. McGINLEY, Ph.D., is assistant director of the ARC of the United States, Governmental Affairs Office. She received her B.A. in special education/mental retardation from Fontbonne College, St. Louis, Missouri, an M.A. in educational psychology and measurement from the University of Nebraska, Lincoln, and a Ph.D. in special education law and policy from the University of Kansas, Lawrence. Dr. McGinley has particular expertise in the areas of access to health care in both public and private health care delivery systems; consumer protections and quality measures to ensure that managed care meets the needs of individuals with mental retardation and other developmental disabilities; availability of housing options for people with disabilities; prevention of mental retardation and other developmental disabilities; and the effective implementation of programs authorized under the Developmental Disabilities Act. Dr. McGinley works closely with federal, state, and local government entities to identify, analyze, and guide policy development and implementation with the potential to benefit individuals with mental retardation and other developmental disabilities. Dr. McGinley has coordinated the legislative and grassroots efforts of both the Health and the Housing Task Forces of the Consortium for Citizens with Disabilities. She is editor and a major contributor to the ARC Government Report and legislative update for the Capitol Insider. Dr. McGinley staffs the ARC's Governmental Affairs Committee and is a liaison to the ARC's Health Promotion and Disability Prevention Committee. She is a member of the Patients' Bill of Rights Steering Committee.

GARTH SPLINTER, M.D., M.B.A., is an associate professor of family medicine at the University of Oklahoma College of Medicine and chief medical officer of University Hospital Trust. He is the former chief executive officer of the Oklahoma Health Care Authority (the Oklahoma Medicaid Agency). Dr. Splinter began his postsecondary education at the University of Oklahoma where he

Suggested Citation:"Appendix E Committee Biographies." Institute of Medicine. 1999. Definition of Serious and Complex Medical Conditions. Washington, DC: The National Academies Press. doi: 10.17226/9695.
×

majored in industrial engineering. He received his B.S. degree in 1974. Dr. Splinter enrolled at Harvard University's business school where he earned his M.B.A. in 1976. He received his M.D. in 1984 from the University of Oklahoma. Following his family medicine residency, he joined the faculty at the University Health Sciences Center in 1987. During Governor David Walter's term, Dr. Splinter served as his special assistant on health care services. He has served as chair of the Commission on Oklahoma Health Care, medical director for the Employees Group Insurance Board, and principal investigator for the Robert Wood Johnson grant of State Initiatives on Health Care. Most recently, Dr. Splinter serves as the southwestern regional representative on the National Council of State Human Service Administrators (NCSHSA), and currently serves as health advisor to Governor Frank Keating.

NANCY A. WHITELAW, Ph.D., has been the associate director for the center for health system studies at Henry Ford Health System since 1993. In addition, Dr. Whitelaw serves as director of health services research for the Health Alliance Plan. Other appointments include research health science specialist for the Great Lakes Health Services, director for research and demonstration projects at the Department of Veterans Affairs, and staff investigator at the center for health systems studies at Henry Ford Health System. Dr. Whitelaw received her B.A. and M.S. in sociology from Portland State University and her Ph.D. in health services organization and policy from the University of Michigan in 1989. She has extensive research experience in minority aging, geriatric care, indicators of system performance, health care service utilization among veterans, and partnerships between major health systems and community health programs. Dr. Whitelaw's particular areas of expertise include managed care and the elderly, health status and health service utilization by elderly populations, use and organization of long-term care, and health status and health service use of urban populations. She has served on a number of national advisory boards and panels including work with the Health Care Financing Administration, National Institute on Aging, National Chronic Care Consortium, HMO Research Network, American Association of Health Plans, National Committee for Quality Assurance, and the Robert Wood Johnson Foundation. Dr. Whitelaw was a member of an IOM Committee to Develop an Agenda for Health Outcomes Research for Elderly People. She has a number of peer-reviewed journal articles and books as well as selected presentation and invited lectures. Dr. Whitelaw's professional affiliations include the Gerontological Society of America and the American Society on Aging.

Suggested Citation:"Appendix E Committee Biographies." Institute of Medicine. 1999. Definition of Serious and Complex Medical Conditions. Washington, DC: The National Academies Press. doi: 10.17226/9695.
×
Page 113
Suggested Citation:"Appendix E Committee Biographies." Institute of Medicine. 1999. Definition of Serious and Complex Medical Conditions. Washington, DC: The National Academies Press. doi: 10.17226/9695.
×
Page 114
Suggested Citation:"Appendix E Committee Biographies." Institute of Medicine. 1999. Definition of Serious and Complex Medical Conditions. Washington, DC: The National Academies Press. doi: 10.17226/9695.
×
Page 115
Suggested Citation:"Appendix E Committee Biographies." Institute of Medicine. 1999. Definition of Serious and Complex Medical Conditions. Washington, DC: The National Academies Press. doi: 10.17226/9695.
×
Page 116
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In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues. A seven-member committee was appointed to address these issues. Throughout the course of this study, the committee has been aware of the fact that the topic addressed by this report concerns one of the most critical issues confronting HCFA, health care plans and providers, and patients today. The Medicare+Choice regulations focus on the most vulnerable populations in need of medical care and other services—those with serious or complex medical conditions. Caring for these highly vulnerable populations poses a number of challenges. The committee believes, however, that the current state of clinical and research literature does not adequately address all of the challenges and issues relevant to the identification and care of these patients.

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