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November 17–19, 2010 • Orlando, Florida
Table of Contents
Page 1
Aligning Forces for Quality Communities
Aligning Forces for Quality Communities
Elizabeth A. Degree: MS
Armijo Title and Role: Analyst,
elizabeth.armijo Albuquerque Coalition
@heart.org for Healthcare Quality
and New Mexico
itle and Role:
T Medical Review
Member, AF4Q Association
Consumer Engagement
Something that people don’t know about me
Workgroup and
is: Many foods trigger adverse non-anaphylactic
Communication
physiological responses in me. From this, I have
Subgroup
gained a special view of the limitations of the
Primary Affiliation and Title: Regional Director current health care delivery system.
of Communications and Marketing, American
The biggest lesson I’ve learned in AF4Q 2.0 is:
Heart Association South Central Affiliate
Price signals play a significant role in affecting
Something that people don’t know about me is: consumer health care decisions. However, price
I’m interested in the quality of health care and signals do not always result in high quality,
health policy in our state. I’m also interested in long term (i.e. “wise”) decisions. Also needed
educating, influencing and motivating others to may be a trusted, electronic “Pocket Doc” device
make a difference in their lives, as well as others. that can learn and adapt its health care advice
to the consumer’s unique health needs and
The biggest lesson I’ve learned in AF4Q
temperament.
2.0 is: That our community is proud of their
partnerships and works hard to unite the efforts of
others and forge alliances to work towards positive
change. Kathy Davis
kdavis@phs.org
Page 5
Aligning Forces for Quality National Meeting
Patricia Barbra G.
Montoya Rabson
pmontoya@nmmra.org brabson@mhqp.org
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Aligning Forces for Quality Communities
Page 7
Aligning Forces for Quality National Meeting
Karin Kennedy
kkennedy@hce.org Nancy
Meadows
Degree: MS nmeadows@hce.org
Title and Role: Project
Director Degree: RN
Primary Affiliation and Title and Role: Project
Title: Health Care Excel Lead
Vice President, Client rimary Affiliation and
P
Services Title: Health Care Excel
Something that people don’t know about me is: I Clinical Specialist, Care
can still do splits. Transitions
Something that people don’t know about me is:
Though I appear outward, I am really very shy and
have had to learn to become extroverted.
The biggest lesson I’ve learned in AF4Q 2.0 is:
The technical assistance can be overwhelming
since they offer so much to help support your
efforts that go beyond the basic grant dollars!
Fantastic!!
Page 8
Aligning Forces for Quality Communities
Christina
Burke-Tillema Melissa R.
cburketillema Kennedy
@gchc.org mkennedy@gchc.org
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Aligning Forces for Quality National Meeting
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Aligning Forces for Quality Communities
Barbara Caroline A.
Belovich Carter
bbelovich ccarter1
@hacOHIO.org @metrohealth.org
Carol
Kaschube Diane Solov
ckaschube dsolov
@metrohealth.org @metrohealth.org
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Aligning Forces for Quality National Meeting
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Aligning Forces for Quality Communities
Page 13
Aligning Forces for Quality National Meeting
Vernice Davis
Anthony Jessica
vdanthony@gdahc.org Osborne-
Degree: MPH
Stafsnes
jessica@community-
Title and Role: healthalliance.org
Member, Leadership
Team Title and Role:
Consumer Engagement
Primary Affiliation
Specialist
and Title: President
and Chief Executive Officer, Greater Detroit Area Primary Affiliation
Health Council and Title: Consumer Engagement Coordinator,
Community Health Alliance of Humboldt-Del
Something that people don’t know about me is:
Norte, Inc.
My favorite TV show is Detroit 187. Check it out!
Something that people don’t know about me is: I
Biggest AF4Q Achievement: The improvement
want to purchase and restore a Victorian home one
in quality in our region as documented by www.
day. I have no practical restoration experience but
mycarecompare.org. Thanks to RWJF and all of
I appreciate a good learning opportunity!
our volunteers!
Page 14
Aligning Forces for Quality Communities
Martin C. Love
Laura McEwen mlove@hdnipa.com
laura@community-
Degree: MBA
healthalliance.org
Title and Role:
Degree: MS, RD Member, Physician
Title and Role: Project Group
Director Primary Affiliation
Primary Affiliation and Title: Chief
and Title: Executive Executive Officer,
Director, Community Humboldt Del Norte Independent Practice
Health Alliance of Humboldt-Del Norte, Inc. Association
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Aligning Forces for Quality National Meeting
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Aligning Forces for Quality Communities
Gabriela Johnny
Flores Barnett
giflores@cmh.edu Simpson
jsimpson5@kc.rr.com
Degrees: MSM
itle and Role:
T Degrees: MPM
Member, Community
itle and Role:
T
Advisory Board and Community Advisory
Project Leader, HQN
Board Member,
Improving Language KCQIC Board of
Services Directors
rimary Affiliation and Title: Project Manager,
P Primary Affiliation and Title: Chief Financial
Office of Equity and Diversity — Children’s
Officer, Northland Diversity Council
Mercy Hospitals and Clinics
Something that people don’t know about me is:
Something that people don’t know about me is:
I made my first visit to South Africa, Botswana
I am Latina and speak Spanish. and Zimbabwe this fall.
The biggest lesson I’ve learned in AF4Q 2.0 is: It The biggest lesson I’ve learned in AF4Q 2.0 is:
takes a village to truly improve quality. As a consumer advocate, how to effectively engage
the medical professionals on the board in win-win
strategies.
Page 17
Aligning Forces for Quality National Meeting
Rosemary Wanda P.
Graves Jones
rgraves10@kc.rr.com wjones
@encompassmed.com
Degree: PhD
Title and Role: Program Degree: MA, NE-BC
Planner Title and Role:
Primary Affiliation and Registered Nurse and
Title: Program Planner, Health Care Provider
Kansas City Quality Primary Affiliation
Improvement Consortium and Title: Registered Nurse and Office Manager,
Something that people don’t know about me is: I Encompass Medical Group
love all kinds of music. Something that people don’t know about me is:
The biggest lesson I’ve learned in AF4Q 2.0 is: I’m retired from the Air Force.
The power of a sharing network. The biggest lesson I’ve learned in AF4Q 2.0 is:
Information technology will be a big factor in
helping providers to improve the quality of care
for patients.
Page 18
Aligning Forces for Quality Communities
Degree: RG
Title and Role: Regular
Guy, Board
rimary Affiliation
P
and Title: Owner, MDI
Imported Car Service
Something that people don’t know about me is:
I play croquet.
The biggest lesson I’ve learned in AF4Q 2.0 is:
Talk openly with them about their expectations of
our health care system.
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Aligning Forces for Quality National Meeting
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Aligning Forces for Quality Communities
Michael J. Sharron
Blanchard Sieleman
mikeblanchard sieleman@cmhc.org
@maine.rr.com
Degrees: RN, MSN
Title and Role:
Title and Role: Nurse
Consumer
Executive and AF4Q
Representative
Task Force
Primary Affiliation
Primary Affiliation
and Title: Peer Patient
and Title: Vice
Navigator, Amistad, Inc.
President of Nursing, Central Maine Medical
Something that people don’t know about me is: Center
I was a singer in a cover band.
Something that people don’t know about me is:
I was a licensed projectionist for the state during
nursing school.
Poppy Thacher
The biggest lesson I’ve learned in AF4Q 2.0 is:
Arford The essential communication and collaboration
parford@comcast.net with our community that’s required.
Degree: BASW
Title and Role: Ted Rooney
Consumer trooney
Representative @healthandwork.com
Primary Affiliation
and Title: Member, Degrees: RN, MPH
Maine Patient Centered Medical Home (PCMH) Title and Role: Project
Pilot and AF4Q Patient Family Leadership Team Director
Something that people don’t know about me is: Primary Affiliation
I love running and plan on doing so in Orlando! and Title: Project
The biggest lesson I’ve learned in AF4Q 2.0 is: Leader, Maine Health
I have learned how important the voice of each Management Coalition
Alliance member: consumer, provider, purchaser The biggest lesson I’ve learned in AF4Q 2.0 is:
and payer alike, is to the success of the AF4Q Collaboration is a labor of love!
initiative.
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Aligning Forces for Quality National Meeting
Connie S.
Binkowitz Margaret
connie.binkowitz@ Thorman
healthymemphis.org
Hartig
Degree: MCRP mhartig@uthsc.edu
Title and Role: Support Degrees: PhD, APRN-
Staff BC, FAANP
Primary Affiliation and itle and Role: Board
T
Title: Project Manager Member, Healthy
for Equity and Neighborhood Transformation, Memphis Common
Healthy Memphis Common Table Table
Something that people don’t know about me is: I Primary Affiliation and Title: Professor and
used to grow orchids and I am an avid gardener. Department Chair, University of Tennessee Health
The biggest lesson I’ve learned in AF4Q 2.0 Science Center
is: The importance of language and dialogue in Something that people don’t know about me is:
engendering a readiness for transformation. I’m the oldest of seven kids.
The biggest lesson I’ve learned in AF4Q 2.0 is:
The potential influence of performance reporting
to affect provider behavior. While there may be
resistance at first, most often there is an additional
drive to improve the results in future reports.
Page 22
Aligning Forces for Quality Communities
Patricia D. Minnesota
Tosti
patti.tosti@ Jim Chase
healthymemphis.org chase
@mnhealthcare.org
Title and Role: Project
Manager, Healthy Degree: MHA
Memphis Common
Table Title and Role: Project
Director
Something that people
don’t know about me is: I lived in Galway, rimary Affiliation
P
Ireland for a semester in college. and Title: President,
MN Community
The biggest lesson I’ve learned in AF4Q 2.0 is: Measurement
If there is difficulty with meeting an expectation
of AF4Q, a TA provider is always available for Something that people don’t know about me is:
support. I visit my family in Guam each year.
John Sakowski
Reneé S. Frazier John.Sakowski@icsi.org
renee.frazier@ Title and Role: Interim
healthymemphis.org
President and Chief
Operating Officer,
Degree: MHSA
Institute for Clinical
itle and Role: Project
T Systems Improvement
Director
Primary Affiliation
and Title: Chief
Executive Officer, Healthy Memphis Common
Table
Something that people don’t know about me is:
I have been married 36 years.
The biggest lesson I’ve learned in AF4Q 2.0 is:
This is extremely important, but very difficult
work.
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Aligning Forces for Quality National Meeting
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Aligning Forces for Quality Communities
Degree: MPA The biggest lesson I’ve learned in AF4Q 2.0 is:
It takes time and dedication, but “a small group
itle and Role: Project
T of thoughtful, committed citizens can change the
Director, Aligning world.” — Thank you Margaret Mead.
Forces for Quality
and Alliance Director
of Performance
Improvement
Erik D. Muther
erik.muther@phcqa.org
Something that people don’t know about me
is: I was held captive for a summer in the Reese’s Title and Role: Subject
Peanut Butter Cup factory. Matter Expert, Inpatient
Quality Measures and
The biggest lesson I’ve learned in AF4Q 2.0 is:
Hospital Reporting
Convening payers and providers to collaborate on
payment reform significantly accelerates the aging rimary Affiliation
P
process. and Title: Executive
Director, Pennsylvania
Health Care Quality
Alliance
Something that people don’t know about me is:
I attended eight different schools in five countries
on four continents between grades one and 12.
The biggest lesson I’ve learned in AF4Q 2.0 is:
Importance of provider buy-in.
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Aligning Forces for Quality National Meeting
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Aligning Forces for Quality Communities
Samantha M. Cynthia J.
Obeck Hines
Sobeck@mhyork.org hinescyj
@trinity-health.org
Degrees: RN, MS
Degree: MSA
Title and Role: Chair,
Nurses Council Title and Role:
Diversity and Language
Primary Affiliation
Resource
and Title: Quality
Nurse, Aligning Primary Affiliation
Forces for Quality and Clinical Nurse Educator, and Title: Director of Employment and Diversity,
Memorial Hospital Mercy Health Partners
Something that people don’t know about me is: Something that people don’t know about me is:
I love skiing and camping with my family. I worked at the 1984 Olympics in Los Angeles.
The biggest lesson I’ve learned in AF4Q 2.0 Biggest AF4Q Achievement: Establishing
is: The efforts of many to work together, the the collection of REL data for inpatients and
Consumer’s Council, The Physician’s Council analyzing that data versus clinical outcomes.
and the Nurse’s Council, can promote positive
outcomes for our community.
Frank
West Michigan Remington
Sprague
spraguer@trinity-
Bob Van Eck health.org
Degree: MPA Degree: MD
itle and Role:
T Title and Role: Vice
Associate Vice President President and Chief
of Clinical Quality Medical Officer
Improvement, Priority
Health Primary Affiliation and Title: Mercy Health
Partners, Muskegon, MI
Something that people don’t know about me is:
I am an actor in community theater productions.
Biggest AF4Q Achievement: Participated in
convening community members to promote the
initiative and alleviate anxiety.
Page 27
Aligning Forces for Quality National Meeting
Rosa L. Fraga
rosalfraga@yahoo.com Sharon M.
Degree: MA Cook
sharon.cook
Title and Role: @amway.com
Chair, Community
Engagement Committee Title and Role:
rimary Affiliation and
P Corporate
Title: Principal, Holy Representative
Name of Jesus Catholic Primary Affiliation and
School Title: Director of Global
Something that people don’t know about me is: I Compensation and Benefits, Amway Corporation
have raised five foster sons. Biggest AF4Q Achievement: Helped secure the
Biggest AF4Q Achievement: Have advocated for commitment and participation of Amway, one of
Spanish language translation of AF4Q materials West Michigan’s larger employers, in AF4Q.
and Website in Spanish, too. We are now able to
bring our consumer materials to an audience often
overlooked because of language barriers. Vondie Moore
Woodbury
woodbur@mchp.org
Degree: MPA
Primary Affiliation
and Title: Director of
Community Benefit,
Mercy Health Partners
Trinity Health Director,
Coordinated Community Benefit Affairs and
Executive Director, Muskegon Community Health
Project
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Aligning Forces for Quality Communities
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Aligning Forces for Quality National Meeting
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Aligning Forces for Quality Communities
Degree: MPH
Mike Bragg
Primary Affiliation mike.bragg
and Title: Director of @providence.org
Public Outreach, AARP
of Oregon Title and Role:
Measurement and
Reporting Team
Primary Affiliation
and Title: Director of
Clinical Performance
Measurement,
Providence Health & Services
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Aligning Forces for Quality National Meeting
Degree: MS
Dianne Kiehl
Title and Role: Health dkiehl@businesshealth
Information Specialist, caregroup.org
Oregon Health Care
Quality Corporation Degrees: RN, CLT
Something that people don’t know about me is: I Title and Role:
lived in China for a year. Member, Leadership
Team
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Aligning Forces for Quality Communities
Jennifer A. Michael O.
LaMere Linton
jlamere@business mlinton@cwag.org
healthcaregroup.org
Title and Role:
Title and Role: Coalition of Wisconsin
Purchaser and Aging Groups (CWAG)
Business Coalition advocate and consumer
Representative representative
Primary Affiliation Primary Affiliation
and Title: Project Manager, Business Health Care and Title: Chairman of the Board and Chief
Group Executive Officer, CWAG
Something that people don’t know about me is: Something that people don’t know about me is:
I ran the Chicago Marathon. I am a retired telephone technician and work with
The biggest lesson I’ve learned in AF4Q 2.0 is: senior issues and advocacy as a volunteer. I am
In order for health care quality to improve, every also involved in other organizations that concern
stakeholder needs to be actively engaged and aging and health care issues.
committed. The biggest lesson I’ve learned in AF4Q 2.0 is:
The extraordinary teamwork and performance
efforts that are being initiated.
Kelly Court
kcourt@wha.org
Susan L.
Degree: MBA Turney
Title and Role: susan.turney
Member, Leadership @wismed.org
Team
Degrees: MD, MS
Primary Affiliation
and Title: Chief Title and Role:
Quality Officer, Member, Leadership
Wisconsin Hospital Association and Wisconsin Team
Collaborative for Healthcare Quality Primary Affiliation
Something that people don’t know about me and Title: Chief Executive Officer and Executive
is: I have only been in my role with WHA and Vice President, Wisconsin Medical Society
WCHQ since September 30, 2010. Something that people don’t know about me is:
The biggest lesson I’ve learned in AF4Q 2.0 is: I grew up in Mellen, a town of 900 people and
Aligning multiple organizations and agencies was queen of the Sweetheart’s Ball.
around common topics creates a sustainable The biggest lesson I’ve learned in AF4Q 2.0
agenda for change. is: What surprised me the most is how simple
the concept is to drive improvement and to
understand the need for change, yet how difficult
it has been to make a sustainable difference.
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The Robert Wood Johnson Foundation
The Robert Wood Johnson Foundation
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Aligning Forces for Quality National Meeting
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The George Washington University
The George Washington University
Angelia Christina
Bowman Rowland
angelia.bowman christina.rowland
@gwumc.edu @gwumc.edu
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Aligning Forces for Quality National Meeting
Degree: MPH
Title and Role: Holly Mead
Regional Support khmead@gwu.edu
Manager, National
Program Office Degree: PhD
rimary Affiliation and Title: Research
P rimary Affiliation and
P
Scientist, Center for Health Care Quality, George Title: Assistant Professor
Washington University of Health Policy, Center
for Health Care Quality,
Something that people don’t know about me is: I George Washington
can say “your mother is a fish” in 50 languages. University
Biggest AF4Q Achievement: Developed Something that people don’t know about me
relationships with my five assigned communities is: My great great uncle was the writer Booth
to facilitate and highlight their success in AF4Q. Tarkington, who won the Pulitzer Price for fiction
for two of his novels The Magnificent Ambersons
and Alice Adams. He is one of only three novelists
to win the Pulitzer more than once.
The biggest lesson I’ve learned in AF4Q 2.0 is:
The communities have ranged in their capacity to
meet the dashboard measures, but all are working
hard to meet their goals.
Page 42
The George Washington University
Kalpana
Jennifer Ramiah
Bretsch kalpana.ramiah
@gwumc.edu
jennifer.bretsch
@gwumc.edu
Degrees: DrPH, MPH,
Degree: MS MS
Page 43
Aligning Forces for Quality National Meeting
Katherine Lara A.
Browne Cartwright-
katherine.browne Smith
@gwumc.edu lara.cartwright-smith
@gwumc.edu
Degrees: MBA, MHA
Title and Role: Interim Degrees: JD, MPH
Director, National itle and Role:
T
Program Office Member, Legal Barriers
Primary Affiliation and Team, National Program
Title: Chief Operating Officer, Center for Health Office
Care Quality, George Washington University rimary Affiliation and Title: Assistant Research
P
Something that people don’t know about me is: Professor, Center for Health Care Quality, George
I lost the spelling bee in fourth grade on the word Washington University
“etcetera.” Biggest AF4Q Achievement: Analyzed and
Biggest AF4Q Achievement: I think we made translated the health reform bills for a broad
good strides at integrating and managing the audience.
technical assistance being provided to the The biggest lesson I’ve learned in AF4Q 2.0 is:
Alliances and hope that going forward we can The world of health care is moving in the direction
put better processes in place to maximize the that AF4Q is already headed.
synergies.
Lisa Feng
Katherine M. lisa.feng@gwumc.edu
Bryant
katherine.bryant Twitter Handle:
@gwumc.edu @aligningforces
Degree: MPH
Title and Role:
Research Assistant, Title and Role: Senior
National Program Office Research Assistant of
Communications and
Primary Affiliation and
External Relations,
Title: Research Assistant
National Program Office
to the Chief Operating Officer, Center for Health
Care Quality, George Washington University rimary Affiliation and Title: Senior Research
P
Assistant, Center for Health Care Quality, George
Something that people don’t know about me is: I
Washington University
enjoy painting (with water color) in my free time.
Something that people don’t know about me is:
Biggest AF4Q Achievement: I have helped to
I was interviewed in the Washington Post food
facilitate numerous meetings, teleconferences,
section about watermelons. I guess that makes me
webinars and other exchanges between essentially
the resident AF4Q watermelon expert.
every group within AF4Q.
The biggest lesson I’ve learned in AF4Q 2.0 is:
There are things each Alliance can learn from
one another. Aligning Forces is one-of-a-kind.
We should explore creative ways to nurture that
community.
Page 44
The George Washington University
Lissette M. Cody
Vaquerano Simpson
lissette.vaquerano@ cody.simpson
gwumc.edu @gwumc.edu
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Aligning Forces for Quality National Meeting
Marsha J.
Regenstein
marsha.regenstein
@gwumc.edu
Page 46
Technical Assistance Providers
Technical Assistance Providers
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Aligning Forces for Quality National Meeting
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Technical Assistance Providers
Nikki
California HealthCare Foundation Highsmith
nhighsmith@chcs.org
Stephanie
Degree: MPA
Teleki
laurap@bcm.edu itle and Role:
T
Technical Assistance
Degree: PhD Provider
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Aligning Forces for Quality National Meeting
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Technical Assistance Providers
rimary Affiliation
P Something that people don’t know about me is:
and Title: Senior I spent several days in a plastic oxygen tent as a
Account Executive, child.
GYMR Public Relations The biggest lesson I’ve learned in AF4Q 2.0 is:
Something that people don’t know about me is: Getting consumers engaged in quality is tough,
I went to the World Cup in South Africa this year. but can be achieved!
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Aligning Forces for Quality National Meeting
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Technical Assistance Providers
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Aligning Forces for Quality National Meeting
Ed Wagner
wagner.e@ghc.org MedPharma Partners
Degrees: MD, MPH
Title and Role:
David E.
Technical Assistance Williams
Provider dwilliams@mppllc.com
rimary Affiliation and
P Degree: MBA
Title: Director, MacColl
Group Health Research Title and Role:
Institute Technical Assistance
Provider, Sustainable
Business Models
Judith Primary Affiliation and
Schaefer Title: Principal, MedPharma Partners
schaefer.jk@ghc.org Biggest AF4Q Achievement: Helping the
Alliances turn the corner on sustainability.
Degree: MPH
The biggest lesson I’ve learned in AF4Q 2.0 is:
Title and Role: How much the Alliances can learn from their
Technical Assistance peers.
Provider
Primary Affiliation
and Title: Research Karen S.
Associate, Group Health Research Institute Donovan
Something that people don’t know about me is: I kdonovan
play in a marimba group. @mppllc.com
The biggest lesson I’ve learned in AF4Q 2.0 is: Title and Role:
Aligning TA with AF4Q site priorities is important, Technical Assistance
and yet there is still a need for an overall vision for Provider, Sustainable
ambulatory care improvement. Business Models
Biggest AF4Q
Achievement: Introducing and implementing
new business models for Alliances to diversify
their funding streams and enhance their long-term
sustainability.
The biggest lesson I’ve learned in AF4Q 2.0 is:
In today’s economic environment, it’s far easier to
ask stakeholders for funding when cost savings or
increased efficiency can be demonstrated.
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Technical Assistance Providers
Degree: MA
Title and Role: Project Cristen M.
Director
Bates
rimary Affiliation
P cbates@national
and Title: Director, partnership.com
Quality Solutions
Group Degree: MPH
Something that people don’t know about me is: Title and Role:
I traveled cross-country for 3 months in a camper. Technical Assistance
Provider, Consumer
Engagement
rimary Affiliation and Title: Outreach
P
Manager, National Partnership for Women &
Families
Something that people don’t know about me is:
I spent two years without electricity or running
water as a Peace Corps volunteer in Niger, West
Africa.
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Aligning Forces for Quality National Meeting
Jennifer Diane
Sweeney Stollenwerk
jsweeney@national dstollenwerk
partnership.org @qualityforum.org
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Technical Assistance Providers
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The Evaluation Team
The Evaluation Team
Dennis P. Sarah S.
Scanlon Rittner
dpscanlon@psu.edu s-rittner
@northwestern.edu
Degree: PhD
Degree: MA
Title and Role:
Principal Investigator, itle and Role:
T
Evaluation Team Disparities and Equity
Domain Team Member,
Primary Affiliation
Evaluation Team
and Title: Professor
of Health Policy and Administration, Penn State Primary Affiliation and Title: Program Manager,
University Center for Healthcare Equity, Northwestern
University Feinberg School of Medicine
Something that people don’t know about me is:
My wife and I have four children, ages 12, 10, 8 Something that people don’t know about me is:
and 6. I am a trained singer.
Biggest AF4Q Achievement: Assembling a great
reference of researchers and staff for the AF4Q
evaluation. Yunfeng Shi
yus16@psu.edu
Degree: PhD
Jon B.
Christianson itle and Role:
T
Quanitative Manager,
chris001@umn.edu
Evaluation Team
Degree: PhD Primary Affiliation
and Title: Post-Doctoral
Title and Role:
Research Scholar,
Evaluator
Center for Health Care and Policy Research, Penn
Primary Affiliation State University
and Title: Professor,
Something that people don’t know about me is:
James A. Hamilton
I am originally from Shanghai, China.
Chair in Health Policy and Management
Biggest AF4Q Achievement: Joining the team!
Something that people don’t know about me is:
I love to fly fish for trout.
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