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Page 228 Biographical Sketches of Committee Members WILLIAM L. ROPER (Chair) is Dean of the School of Public Health, University of North Carolina at Chapel Hill (UNC). Before joining UNC in July 1997, Dr. Roper was senior vice president and chief medical officer at Prudential Healthcare. In that capacity, he was responsible for medical management services for all Prudential health plans including functions of quality improvement and health care information management. Before coming to Prudential, Dr. Roper was Director of the Centers for Disease Control and Prevention (CDC), served on the senior White House staff, and was administrator of the Health Care Financing Administration (HCFA). Dr. Roper is a past president of the Academy for Health Services Research and Health Policy (formerly the Association for Health Services Research) and chairman of Partnership for Prevention. He is also a member of the Institute of Medicine and serves on its Council. Dr. Roper received his M.D. from the University of Alabama School of Medicine and his M.P.H. from the University of Alabama at Birmingham School of Public Health. ARNOLD M. EPSTEIN (Vice-Chair) is John H. Foster Professor and chair of the Department of Health Policy and Management at the Harvard School of Public Health. He is also chief of the Section on Health Services and Policy Research in the Department of Medicine at Brigham and Women's Hospital. In 1993-1994, Dr. Epstein worked in the White House on policy issues related to quality management. His research interests focus on quality of care and access to care for disadvantaged populations. His present research includes studies de-
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Page 229 signed to clarify whether differences in surgical procedures by race and gender represent overuse or underuse, and the development of clinical and policy interventions to deal with any inequities that reflect problems in quality of care. He is also examining quality management for Medicaid managed care and public reporting of quality performance data including HEDIS (Health Plan Employer Data and Information Set) 3.0. He serves on the Executive Committee of the Joint Commission on Accreditation of Healthcare Organizations' (JCAHO's) Advisory Council on Performance Measurement, and the Performance Measurement Coordinating Council that jointly advises JCAHO and the National Committee for Quality Assurance (NCQA). He is also president-elect of the Academy for Health Services Research and Health Policy and a member of the Institute of Medicine. Dr. Epstein earned his M.D. from Duke University and an M.A. in political science from Harvard University. BECKY J. CHERNEY is president and chief executive officer (CEO) of the Central Florida Health Care Coalition in Orlando, Florida. Representing 750,000 members from public and private employers, the coalition has been recognized nationally for its Quality Initiative. The initiative has clinical quality, overall community health status, and patient satisfaction components in place. Prior to assuming this position in 1994, Ms. Cherney served as a consultant to Florida's Agency for Health Care Administration. She was responsible for implementing the state's cutting-edge legislation for Community Health Purchasing Alliances. She spent 23 years in the private sector with three Fortune 500 companies. It was during her 11-year tenure with Tupperware International that she founded the coalition. Ms. Cherney is the founder of the Central Florida Women's Resource Center and has served as president of the Human Services Council and Florida Executive Women. She is currently serving her second appointed term on the Florida Board of Medicine. Ms. Cherney was named 1999's Business-woman of the Year by the Orlando Business Journal. She is a graduate of the University of Wisconsin. DAVID C. CLASSEN is an associate professor of medicine at the University of Utah and a vice president at First Consulting Group. Dr. Classen was formerly the associate hospital epidemiologist and a consultant in infectious diseases at LDS Hospital in Salt Lake City, Utah, and chair of Intermountain Health Care's Clinical Quality Committee for Drug Use and Evaluation. Dr. Classen is an expert in the development of computerized clinical decision support systems and epidemiological techniques to improve the use and safety of medications and the overall quality of care. His research interests are in the computer applications of epidemiological techniques to investigate clinical outcomes and the development of expert system technologies to provide decision support in the monitoring and prescribing medications. He received his medical degree from the Uni-
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Page 230 versity of Virginia School of Medicine and an M.S. degree in medical informatics from the University of Utah School of Medicine. JOHN M. COLMERS is currently a program officer with the Milbank Memorial Fund. He was formerly executive director of the Maryland Health Care Commission (MHCC); an agency created through the merger of two existing health regulatory commissions. MHCC is charged with health care reform activities for the state, the development and adoption of a state health plan, and the compilation and analysis of health care data sets, among other responsibilities. Prior to the merger, Mr. Colmers was executive director of the Health Care Access and Cost Commission (HCACC), one of the organizations in the merger. HCACC implemented many initiatives, including report cards providing information on the quality and performance of health maintenance organizations and standards for the operation of electronic health networks. Before this position, Mr. Colmers was executive director of the Health Services Cost Review Commission, overseeing Maryland's all-payor hospital rate setting system. Mr. Colmers did undergraduate work at Johns Hopkins University, received his M.P.H. from the University of North Carolina, and has returned to Johns Hopkins University for doctoral study of health services research. ALAIN C. ENTHOVEN is the Marriner S. Eccles Professor of Public and Private Management in the Graduate School of Business at Stanford University. He has been involved in health care-related public policy at both the federal and the state levels. Dr. Enthoven designed and proposed the Consumer Choice Health Plan, a plan for universal health insurance based on managed competition in the private sector, while serving as a consultant to U.S. Department of Health and Human Services (DHHS) Secretary Califano and the Carter administration in 1977. In 1997, he was appointed Chairman of the California Managed Health Care Improvement Task Force by Governor Pete Wilson to address health care issues raised by managed care to aid in policy decisions. He is a consultant to Kaiser Permanente and former chairman of the Health Benefits Advisory Council for CalPERS (California State employees' medical and hospital care plans). In 1998–99, he was the Rock Carling Fellow of the Nuffield Trust of London and visiting professor at the London School of Hygiene and Tropical Medicine. He has been a director of the Jackson Hole Group, the Institute for Healthcare Advancement, and PCS. He has received numerous awards including the President's Award for Distinguished Federal Civilian Service from John F. Kennedy, the Baxter Prize for Health Services Research, and the Board of Directors Award from the Healthcare Financial Management Association. He is a fellow of the American Academy of Arts and Sciences and a member of the Institute of Medicine (IOM). He is also a director of Caresoft.com; an Internet portal designed to empower consumers to receive a higher quality of health care. He
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Page 231 holds degrees in economics from Stanford, Oxford, and the Massachusetts Institute of Technology. JOSÉ J. ESCARCE is a senior natural scientist at RAND, where he is co-director of the Center for Research on Health Care Organization, Economics and Finance and director of the RAND–University of California, Los Angeles–Harvard Center for Health Care Financing Policy Research. Dr. Escarce has served on the Health Services Research Study Section at the Agency for Health Care Policy and Research (AHCPR) and is currently a member of the National Advisory Council for Health Care Policy, Research, and Evaluation of DHHS. He also serves on the National Advisory Committee of the Robert Wood Johnson Foundation Minority Medical Faculty Development Program and is past chair of the Health Economics Committee of the American Public Health Association. Dr. Escarce's research interests include physician behavior under economic incentives, access to care, and the impact of managed care on cost and quality. Dr. Escarce graduated from Princeton University, earned a master's degree in physics from Harvard University, and obtained his medical degree from the University of Pennsylvania, and his Ph.D. in health care systems from the Wharton School. SHELDON GREENFIELD is the director of the Primary Care Outcomes Research Institute at the New England Medical Center. He is also professor of medicine at the Tufts University School of Medicine, medical advisor for the Tufts Managed Care Institute, and adjunct professor of public health at the Harvard School of Public Health. Dr. Greenfield has pioneered research in increasing patients' participation in care and using outcomes to determine the value of that participation. He was medical director of the Medical Outcomes Study which sought to compare systems of care, specialties, various aspects of interpersonal care, and resource use to outcomes, and in that position, he became one of the leading clinical outcomes researchers in the country. He was principal investigator of the Type II Diabetes Patient Outcome Research Team. Dr. Greenfield was chairman of the Health Care Technology Study Section for the AHCPR and is currently chairman of the Diabetes Quality Improvement Program, a joint venture of HCFA, NCQA, and the American Diabetes Association (ADA). He is a member of the Institute of Medicine and has served as chair of the IOM Workshop on the Measurement and Management of Quality in End Stage Renal Disease and as a member of the Committee on Setting Priorities for Practice Guidelines. Dr. Greenfield received his M.D. from the University of Cincinnati. JUDITH H. HIBBARD is a professor of health policy in the Department of Planning, Public Policy and Management at the University of Oregon and clinical professor of public health and preventive medicine at the Oregon Health Sci-
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Page 232 ences University. Her research focus is on consumer information and consumer choice issues in health care. One of her current studies focuses on the use of quality report cards to support informed decisions among Medicare beneficiaries. She is also an investigator on the Consumer Assessment of Health Plans Survey (CAHPS), serving on the Research Triangle Institute's team. In addition, she has examined the use of quality information among large purchasers of health care and the comprehension by consumers of quality-of-care indicators including condition-specific performance information. Her work on consumer information and decision making has been supported by contracts and grants from the Agency for Healthcare Research and Quality (AHRQ), HCFA, Robert Wood Johnson Foundation, and Public Policy Institute at AARP. Dr. Hibbard is currently a member of the HCFA and AHRQ workgroup on consumer information. She is also on the Framework Board for the National Quality Forum. She has an M.P.H. from the University of California at Los Angeles and doctor of public health degree from the University of California at Berkeley. HAROLD S. LUFT is Caldwell B. Esselstyn Professor of Health Policy and Health Economics and director of the Institute for Health Policy Studies at the University of California, San Francisco. Dr. Luft is most commonly recognized for his research on managed care, but his investigations have covered a wide range of areas, including the volume–outcome relationship and quality of hospital care, risk assessment and risk adjustment, medical care utilization, health maintenance organizations, hospital market competition, and health care market reforms in various states and communities. He has also examined the role of large health care databases and new informatics tools in improving health care. He was a member of the AHCPR National Advisory Committee from 1994 to 1999 and served as the committee's chair from 1998 to 1999. Dr. Luft is a member of the board of directors of the Academy for Health Services Research and Health Policy. He is a member of the Institute of Medicine and has served on the IOM Technical Panel on the State of Quality in America and the IOM Committee to Design a Strategy for Quality Review and Assurance in Medicare. He received a Ph.D. in economics from Harvard University. SCOTT C. RATZAN is senior technical advisor and population leadership fellow in the Global Bureau, Center for Population, Health and Nutrition at the U.S. Agency for International Development (USAID). He also is on the faculty at Yale University School of Public Health, Tufts University School of Medicine, and George Washington University Medical Center. Additionally, Dr. Ratzan serves as editor-in-chief of the Journal of Health Communication. Prior to joining USAID, he was executive director of health communication technology and educational innovation at the Academy for Educational Development. He was also founder and director of the Emerson–Tufts Program in Health Communication, a joint master's degree program between Emerson College and Tufts
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Page 233 University School of Medicine. Dr. Ratzan received his medical degree from the University of Southern California; a master's in public administration from the John F. Kennedy School of Government, Harvard University, and an M.A. in communication studies from Emerson College. MARK D. SMITH is president and CEO of the California HealthCare Foundation. Dr. Smith is also a member of the clinical faculty of the University of California at San Francisco. Prior to joining the foundation, Dr. Smith was executive vice president of the Henry J. Kaiser Family Foundation where he was responsible for the Poverty and Health, HIV/AIDS Policy, and Changing Healthcare Marketplace Programs. Dr. Smith has written and spoken extensively on AIDS-related issues and the health care marketplace. He serves on the Committee on Performance Measurement (HEDIS) of the NCQA and has served on the editorial board of Annals of Internal Medicine. He holds an A.B. in Afro-American Studies from Harvard University, an M.B.A. in health care administration from the Wharton School at the University of Pennsylvania, and an M.D. from the University of North Carolina, and is certified in internal medicine. WILLIAM W. STEAD is professor of medicine, professor of biomedical informatics, director of the Informatics Center, and associate vice chancellor for Health Affairs at Vanderbilt University. He is responsible for the Medical Center's working operation and decision support systems, the Medical Center Library, and an interdisciplinary faculty unit engaging in biomedical informatics research and training. Dr. Stead is editor-in-chief of the Journal of the American Medical Informatics Association, founding fellow of both the American College of Medical Informatics and the American Institute for Engineering in Biology and Medicine, and a member of the Institute of Medicine. He has served as president of the American Association for Medical Systems and Informatics and is currently president of the American College of Medical Informatics. Dr. Stead received his medical degree from Duke University and is certified in internal medicine and nephrology. ALAN M. ZASLAVSKY is an associate professor of statistics in the Department of Health Care Policy at Harvard Medical School. His health services research interests focus on developing a methodology for quality measurement of health plans and understanding their implications. He has co-directed a team that studied the impact of individual characteristics on CAHPS reports and ratings as part of the development of a case-mix adjustment model for this population. He has specified software for analysis of CAHPS data that is used nationally and has analyzed the dimensions and sources of variation among reports on health plans. He is also involved in the development and evaluation of HEDIS clinical measures, including case-mix adjustment, as well as a study on the potential of cancer registry data for the evaluation of care provided by health plans. Dr.
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Page 234 Zaslavsky's statistical research interests include surveys, census methodology, small-area estimation, microsimulation models, missing data, categorical data, and Bayesian methodology. He is associate editor of the Survey Methodology Journal. Dr. Zaslavsky is a fellow of the American Statistical Association. He has served on several National Academy of Sciences panels on census methodology for the Committee on National Statistics and currently is on the Panel on Estimates of Poverty for Small Geographical Areas. He holds a Ph.D. in applied mathematics from the Massachusetts Institute of Technology.
Representative terms from entire chapter: