Hoangmai H. Pham, MD, MPH is a general internist and Director of ACO Programs at the Innovation Center within the Centers for Medicare & Medicaid Services. Before joining CMS, Dr. Pham was a senior health researcher and co-director for research at the Center for Studying Health System Change in Washington. She has published extensively in the areas of care coordination, quality performance, provider market trends, health disparities, and the intersection between each of these areas and provider payment policy. She has practiced primary care for many years at a safety net clinic in Washington. She received her AB from Harvard, her MD from Temple University, and her MPH from Johns Hopkins, where she was also a Robert Wood Johnson Clinical Scholar. She received the 2009 Alice S. Hersch New Investigator Award from Academy Health, and the 2010 Health Care Quality Award from the American Public Health Association.
Dr. Pham will discuss the Pioneer ACO Model and other Medicare ACO initiatives in the context of broader health care and delivery system reform. She will describe the lessons already learned during the Pioneer selection process, and how CMS and Pioneer ACOs have applied those lessons learned in planning the work that lies ahead. Finally, she will discuss in greater detail the priority areas that CMS and Pioneer ACOs are likely to focus on for shared learning activities in the first year of the Pioneer Model -- such as approaches to risk stratification, strategies for moving physicians from pure productivity-based to performance-based compensation structures, refining the structure and performance of care teams, strategies for engaging patients in care improvement, and managing special populations such as safety net populations. She will engage with conference participants in drawing out the likely implications of these care improvement strategies for physicians and other "on-the-ground" providers.
Dr. Carol J. Ratcliffe, RN, CNOR, FACHE is Vice President of Patient Care Services/Chief Nurse Executive for St. Vincent’s East, a position she has held for the past 7 years. Dr. Ratcliffe has more than 21 years progressive healthcare management experience with a focus in nursing administration, quality and operations; 14 of those years as a vice president. Prior to joining St. Vincent’s East, she served as Vice President and Chief Nurse Executive for CHRISTUS St. Patrick Hospital, Lake Charles, LA. Her clinical background is in critical care and the operating room. Dr. Ratcliffe has a doctor of nursing practice degree with a focus in nursing administration, has been a certified perioperative nurse for 22 years, board certified in healthcare management for 15 years, and a Fellow in the American College of Healthcare Executives (ACHE) for 9 years. She has published and contributed to articles and book chapters related to healthcare and nursing practice, and is the co-author of the sedation practice guidelines adopted by the Louisiana State Board of Nursing. She developed the first recognized bloodless medicine and surgery program in the state of Louisiana and implemented the first clinical nurse leader role in a non-governmental community hospital in Birmingham, Alabama. Dr. Ratcliffe is an adjunct assistant professor in the masters in nursing and health services administration program at UAB and the doctor of nursing practice program at Samford University. She has extensive speaking experience on the topics of nursing practice, quality, and patient safety.
Dr. Ratcliffe has chaired and served on the ACHE Examination Committee, is a member of the ACHE Bylaws Committee, is the president of the Alabama Organization of Nurse Executives, and is the immediate past president of the Birmingham Regional Organization of Nurse Leaders. Dr. Ratcliffe was inducted into the Alabama Nursing Hall of Fame in October 2011. The Alabama State Nurses’ Association selected her as the 2011 Outstanding Nursing Administrator. She is a 2009 inaugural recipient of the Ida V. Moffett School of Nursing’s Courage to Care Award. She is featured in the 2008 and 2009 editions of Who’s Who in Black Birmingham and the Inaugural edition of Who’s Who in Black Alabama. In 2004, her career was profiled by ACHE in the Early Careerist Newsletter. St. Vincent’s Health System is a regional system office, the sixth largest health ministry within the Ascension Health System serving Jefferson, Blount, and St. Clair counties. The system includes 4 acute care hospitals, a Wellness Center, a Foundation, a Family Practice Residency Program, and a wide variety of other health and healthcare related services.
Nan M. Priest, RN, MHSA, Executive Vice President and Chief Strategy officer is a healthcare executive with over 24 years of broad based experience in strategy and business development, healthcare design/construction, marketing, government relations, managed healthcare, physician practice management and clinical management. Ms. Priest joined St. Vincent’s ministry in October 1997. Ms Priest is responsible for leading initiatives to develop a comprehensive strategic growth plan in the Birmingham metropolitan service area consistent with the Mission/Vision and Values of a leading faith based ministry; working with the senior executive team to develop sustainable growth initiatives that prepare St. Vincent’s Health System to remain relevant and meet the future health care needs of the community; designing and developing an effective consumer oriented focus to include attention to: Care across the continuum – Health and Wellness; design of the “Patient Experience/Service Excellence”; use of Facility Healthcare designs as an enabler of the Holistic approach to care; integration of technology in building; attention to patient safety and associate well being. Prior to joining St. Vincent’s, Ms. Priest worked as the Executive Vice President and Managed Care Consultant with Medisphere Management, Inc. She provided strategic direction and supervised managed care and network development for the regional physician practice management company. Other professional employment has included Executive Director of Advance Health Link, Integrated Physician/Hospital Model through a joint venture between Carraway Hosptial and Norwood Clinic; Vice President and General Manager of Southeast Health Plan, Inc., an IPA model HMO, and Practice Administrator for a large rapidly expanding OB/GYN practice.
Derek van Amerongen, MD, MS, Vice President and Chief Medical Officer for Humana Health Plans of Ohio in Cincinnati.
Derek van Amerongen serves as Vice President and Chief Medical Officer for Humana Health Plans of Ohio in Cincinnati. In this role, he oversees the medical management and strategy for one of the nation’s most innovative health plans. Before joining Humana, Dr van Amerongen was National Medical Director for Anthem Blue Cross and Blue Shield, responsible for working with Anthem’s national accounts, as well as creating and directing the company’s women’s health initiative. His experience also includes over six years as Chief of Obstetrics and Gynecology for the Johns Hopkins Medical Services Corporation in Baltimore and as a faculty member in the Department of Gynecology and Obstetrics of the Johns Hopkins School of Medicine.
Dr van Amerongen has written and presented extensively nationally and internationally on consumerism, managed care and health policy topics. His contributions have appeared in such publications as The New England Journal of Medicine, Physician Executive, Health Affairs, The Journal of Reproductive Medicine, Oncology, and others. He has been awarded commendations for his teaching contributions at both the Johns Hopkins Hospital and the University of Cincinnati School of Medicine where he is an associate professor in the Department of Obstetrics and Gynecology and serves on the Board of Advisors for the School of Nursing. He is involved in many health policy projects in the community including Leadership Cincinnati Health Day and the Cincinnati Steering Committee of the Robert Wood Johnson grant for Aligning Forces for Quality. Dr van Amerongen received his undergraduate degree from Princeton University and his MD from Rush Medical College in Chicago. He performed his residency in Obstetrics and Gynecology at the University of Chicago, and is Board Certified in the specialty. He also earned a Masters in Science in medical administration from the University of Wisconsin.
Dr. Barbara A. Walters is senior medical director at Dartmouth-Hitchcock and medical director of the Dartmouth-Hitchcock “Health Plan”, a new virtual initiative for the organization. She has operational and profit-and-loss responsibility for the organization’s ambulatory sites in the community group practices. These are 18 sites with $300 million in revenue, 1 million visits per year, and 1,800 staff, including 400 providers. Areas of responsibility include commercial contracting, information technology oversight, quality improvement, evidence-based practice, population health, Regional Primary Care Coordinating Committee, strategic plan oversight, Clinical Transformation Governance Group, and principal investigator for the CMS Physician Group Practice Demonstration Project. She has held this position since 2004, after joining the organization in 1998 as medical director, Dartmouth-Hitchcock Southern NH Community Group Practices.
Prior to joining Dartmouth-Hitchcock, Dr. Walters served as medical director at different levels at the Carolina-Permanente Medical Group, Raleigh, NC. She began at the group as Chief of Mental Health Services in 1989. Prior to that organization, she was a psychiatrist at the Kaiser and Wake Mental Health Center in Raleigh.
Dr. Walters serves as principal investigator on the Cigna Medical Home Pilot Project and the CMs Physician Group Practice Demonstration Project. She has also been principal investigator on grants focused on ambulatory electronic medical record medication management; prescribing and ambulatory medication order entry; and development and implementation of Patient-on-line, an interactive patient web portal that supports secure clinical communications.
Dr. Walters received her undergraduate degree from Wayne State, Detroit, Michigan. She received her DO from Michigan State University, did her internship at Lansing General Hospital, and completed her residency at University of North Carolina Chapel Hill. She also holds an MBA from Duke University Fuqua School of Business.
Dr. Walters belongs to American Medical Association, American College of Physician Executives, American Osteopathic Association, New Hampshire Medical Society, American Psychiatric Association, and American Medical Women’s Association. She currently serves on the boards of the New Hampshire Foundation for Healthy Communities, Child and Family Services of NH, Group Practice Improvement Network. She has served on the NH Governor’s Task Force for Administrative Simplifications and the NH Department of Insurance Data Task Force. She was appointed and still serves on the Citizens Health Initiative.
Mark Meyers, PhD. Dean, College of Social Sciences, Health, and Education panel discussion moderator.
At Xavier, Mark has moved the college forward by focusing on living a newly developed motto: Collaborate – Innovate – Educate.
By looking for new means to collaborate, CSSHE faculty, staff, and students are constantly looking for opportunities to collaborate across our college, across the Xavier Campus, and across our communities. These collaborations will lead towards the development of new innovations in our programs and ideas. These innovations will allow our college to educate our students, both undergraduate and graduate, but also to educate our communities and professions in their entirety. Each of our programs have at their very essence, a need to be connected to a professional field of study. In this way, a CSSHE graduate will enter their field of study ready to succeed at the highest level.
In the College of Social Sciences, Health, and Education, we are not merely offering courses, programs, and degrees. Instead, we are helping our students answer the call they have received to enter their chosen vocation. We hope you are as excited about the future as we are!
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