E
Committee and Staff Biographies

Committee Members

MOLLY JOEL COYE, MD, MPH (Chair) (IOM), is Senior Vice President and Director of the West Coast Office for The Lewin Group, in San Francisco, California. Previously, she was Executive Vice President for Strategic Development at HealthDesk Corporation in Berkeley, California and Senior Vice President of Clinical Operations for the Good Samaritan Health System in San Jose, California. From 1991 to 1993, Dr. Coye was Director of the California Department of Health Services, where she directed Medi-Cal's transition to managed care. She also was the Commissioner of Health in New Jersey and served on the Board of Directors of the Association of State and Territorial Health Officials and the Board of Directors for The Medical Quality Commission, which certifies managed care providers. Currently, Dr. Coye is a member of the Board of Directors of the California Endowment. Her past academic appointments include Head of the Division of Public Health at the Johns Hopkins University of School of Hygiene and Public Health, Professor on the clinical faculty in the Department of Medicine at the University of California at San Francisco and the Department of Community Health at the University of California at Davis, and visiting professor at the School of Public Health at the University of California at Los Angeles. Dr. Coye has served on several IOM committees.

IRENE AGUILAR, MD, is Primary Care Physician at the Westside Family Health Center in Denver Colorado, and Assistant Professor at the University of Colorado Health Sciences Center. Dr. Aguilar is a member and Secretary of the Colorado Board of Medical Examiners, and served on the Health Benefits Advisory Board of the Colorado Division of Insurance. She is also the parent of three children, one of whom has special health care needs.

BRIAN K. ATCHINSON, JD, is Second Vice President, Government Relations, for UNUM in Portland, Maine. He was the Superintendent of Insurance for the State of Maine from June 1992 through August 1997. Previously, he was Legal Counsel for the Maine Department of Professional and Financial Regulation. Mr. Atchinson also served as a member of the Governor's Cabinet Council on Health Care Policy. Mr. Atchinson is a former President of the National Association of Insurance Commissioners.

STEPHEN M. BOROWITZ, MD, is Associate Professor of Pediatrics and Health Evaluation Sciences at the University of Virginia. Dr. Borowitz has a special interest in the use of technology to increase



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E Committee and Staff Biographies Committee Members MOLLY JOEL COYE, MD, MPH (Chair) (IOM), is Senior Vice President and Director of the West Coast Office for The Lewin Group, in San Francisco, California. Previously, she was Executive Vice President for Strategic Development at HealthDesk Corporation in Berkeley, California and Senior Vice President of Clinical Operations for the Good Samaritan Health System in San Jose, California. From 1991 to 1993, Dr. Coye was Director of the California Department of Health Services, where she directed Medi-Cal's transition to managed care. She also was the Commissioner of Health in New Jersey and served on the Board of Directors of the Association of State and Territorial Health Officials and the Board of Directors for The Medical Quality Commission, which certifies managed care providers. Currently, Dr. Coye is a member of the Board of Directors of the California Endowment. Her past academic appointments include Head of the Division of Public Health at the Johns Hopkins University of School of Hygiene and Public Health, Professor on the clinical faculty in the Department of Medicine at the University of California at San Francisco and the Department of Community Health at the University of California at Davis, and visiting professor at the School of Public Health at the University of California at Los Angeles. Dr. Coye has served on several IOM committees. IRENE AGUILAR, MD, is Primary Care Physician at the Westside Family Health Center in Denver Colorado, and Assistant Professor at the University of Colorado Health Sciences Center. Dr. Aguilar is a member and Secretary of the Colorado Board of Medical Examiners, and served on the Health Benefits Advisory Board of the Colorado Division of Insurance. She is also the parent of three children, one of whom has special health care needs. BRIAN K. ATCHINSON, JD, is Second Vice President, Government Relations, for UNUM in Portland, Maine. He was the Superintendent of Insurance for the State of Maine from June 1992 through August 1997. Previously, he was Legal Counsel for the Maine Department of Professional and Financial Regulation. Mr. Atchinson also served as a member of the Governor's Cabinet Council on Health Care Policy. Mr. Atchinson is a former President of the National Association of Insurance Commissioners. STEPHEN M. BOROWITZ, MD, is Associate Professor of Pediatrics and Health Evaluation Sciences at the University of Virginia. Dr. Borowitz has a special interest in the use of technology to increase

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access to care and improve the exchange of information. Dr. Borowitz is developing a computer-based medical record for all pediatric patients, a comprehensive on-line children's immunization database, and a regional medical information system based on the Internet to provide practitioners and consumers with information and electronic consultations. Dr. Borowitz is a Fellow of the American Academy of Pediatrics. RICHARD BUCCIARELLI, MD, is Professor, Institute for Child Health Policy, and Associate Chair, Department of Pediatrics, at the University of Florida College of Medicine. Dr. Bucciarelli is a former Fellow in the Robert Wood Johnson Health Policy Program and has expertise in neonatology and pediatric cardiology. Dr. Bucciarelli is a Fellow of the American Academy of Pediatrics and of the American College of Cardiology. PETER BUDETTI, MD, JD, is Professor of Law, Preventive Medicine, and Health Services Management and the Founder and Director of the Institute for Health Services Research and Policy Studies at Northwestern University in Chicago and Evanston, Illinois. Dr. Budetti founded the Center for Health Policy Research at George Washington University in 1990 and served as its Director until 1996. From 1984 to 1990, Dr. Budetti served as Counsel to the Subcommittee on Health and the Environment in the U.S. House of Representatives. Dr. Budetti is a former Associate Professor of Social Medicine in Pediatrics at the Institute for Health Policy Studies at the University of California, San Francisco. THOMAS W. CHAPMAN, MPH, is Senior Associate Vice President for Network Development and Professor, Health Services, Management and Policy at the George Washington University Medical Center. Mr. Chapman is the former President of Greater Southeast Healthcare System and has a particular interest in urban health initiatives, community outreach, and community-based medicine. He has received several awards for community service, leadership, and innovation. MARGARET C. HEAGARTY, MD (IOM), is Director of Pediatrics at Harlem Hospital Center and Professor of Pediatrics, College of Physicians and Surgeons of Columbia University, New York, New York. Dr. Heagarty is a Fellow of the American Academy of Pediatrics, Past President of the Ambulatory Pediatric Association, and a former member of the Board of Trustees of the New York Academy of Medicine. She is a former member of the Institute of Medicine Council and has participated on several IOM committees, including the Steering Group of the National Forum on the Future of Children and Their Families, the Committee to Study Outreach for Prenatal Care, and the Committee for the Study of U.S. Health Goals for the Year 2000. ROBERT B. HELMS, PhD, is a Resident Scholar and director of health policy studies at the American Enterprise Institute in Washington, D.C. Dr. Helms participates in the Consensus Group, an informal task force that is developing market-oriented health reform concepts. An economist, he served as Assistant Secretary for Planning and Evaluation and Deputy Assistant Secretary for Health Policy in the U.S. Department of Health and Human Services from 1981 to 1989. Dr. Helms served on the IOM Committee on Implementation of a National Graduate Medical Education Trust Fund. VELVET MILLER, PhD, is Deputy Commissioner of the New Jersey Department of Human Services. She is responsible for policy, program, and fiscal oversight of the state Medicaid and welfare programs, including the state's children's health program, Kid Care. Her previous positions include Assistant Commissioner, Bureau of Public Health and Hospitals, Associate Commissioner, Division of Health Systems Management in the Commonwealth of Massachusetts, and Assistant Commissioner for the

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Division of Medical Assistance in New York State. Dr. Miller is a member of the board of Families USA and has published work on ethnic health issues and health care conflict resolution. ARNOLD MILSTEIN, MD, directs the national clinical consulting practice at William M. Mercer, Inc., and is the Medical Director of the Pacific Business Group on Health, based in San Francisco, California. His work focuses on evaluating and strengthening managed care programs for providers, large purchasers, insurers, and government. Dr. Milstein is board certified by the American Board of Psychiatry and Neurology and the American Board of Utilization Review and Quality Assurance. Dr. Milstein held positions with the Health Care Financing Administration from 1977 to 1994 and was a member of the IOM Committee on Utilization Management from 1988 to 1990. PAUL NEWACHECK, Dr PH (BYCF), is Professor of Health Policy at the Institute for Health Policy Studies and the Department of Pediatrics at the University of California at San Francisco. He is also a Co-director of the Maternal and Child Health Policy Research Center based in Washington, D.C. and in San Francisco, California. Dr. Newacheck conducts health services research in the areas of utilization and access, Medicaid, and chronic illness in children. He has published widely on the role of insurance as a determinant of access to and use of health services by children. Dr. Newacheck is a member of the Board on Children, Youth, and Families of the National Research Council and Institute of Medicine. He is also a member of the National Committee on Vital and Health Statistics. DAVID S. WEINER, MPH, is President and Chief Executive Officer of Children's Hospital in Boston, Massachusetts, where he has held several positions since 1967. Mr. Weiner is a Lecturer at the Department of Social Medicine and Health Policy at Harvard Medical School and has received awards from the Massachusetts Health Council and the NAACP Legal Defense Fund. He is a Fellow in the American College of Health care Executives and a former Trustee and Chair of the National Association of Children's Hospitals and Related Institutions. STEVEN H. WOOLF, MD, MPH, is a Family Physician with the Fairfax Family Practice Center and Professor of Family Medicine at the Medical College of Virginia-Virginia Commonwealth University. From 1987 to 1995, Dr. Woolf served as Science Advisor to the U.S. Preventive Services Task Force in the U.S. Department of Health and Human Services. He provides independent consulting to government agencies and specialty societies regarding practice guideline development and is an Associate Editor of the American Journal of Preventive Medicine. IOM Staff MARGARET EDMUNDS, PhD, Study Director and Senior Program Officer, joined the IOM in October 1995 to direct a study of quality assurance in managed behavioral health care. From 1992 to 1995, she directed a multisite, clinical evaluation of integrated delivery systems at the Institute for Health Policy Studies, University of California, San Francisco. Previously, she directed studies relating to national standards for information technology and day care. Dr. Edmunds was a member of the affiliate staff of the Johns Hopkins Hospital from 1986 to 1992 and was a member of the faculty at the Johns Hopkins Medical School from 1989 to 1992. She was a Research and Clinical Fellow at the Johns Hopkins School of Medicine from 1986 to 1989 and a Postdoctoral Fellow at the Johns Hopkins School of Public Health from 1985 to 1986. Dr. Edmunds received her doctoral degree in human development from The Pennsylvania State University. She is a member of the Board of Directors and a Fellow of the Society of Behavioral Medicine.

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ELISE LIPOFF, MPP, Program Officer, Office of Health Policy Programs and Fellowships, serves as deputy to the director for the Robert Wood Johnson Health Policy Fellowship program and also served as Research Associate for this study. She is coeditor of the recently published book entitled Information Trading: How Information Influences the Health Policy Process. Her previous health policy and research experience includes positions with The Finance Project, the National Center for Education in Maternal and Child Health at Georgetown University, and the Washington Business Group on Health. She received her master's in Public Policy from the University of Maryland's School of Public Affairs and her bachelor of arts from the University of Pennsylvania. ANNICE HIRT, Research Assistant from March through September 1997, has worked at the IOM for more than 3 years. As a Project Assistant, she worked on a 2-year study to assess the adequacy of nursing staff in hospitals and nursing homes and later worked as Acting Administrative Assistant for the Division of Health Care Services. She has provided research support to two IOM studies: Children, Health Insurance, and Access to Care and Health Services in the U.S.-Associated Pacific Basin. She received her bachelor of science degree in Psychology from Mary Washington College. KATHLEEN NOLAN, Research Assistant from January through May 1998, came to the IOM in 1996. She has worked on The National Roundtable on Health Care Quality, Implementing a National Graduate Medical Education Trust Fund, and a study on non-heart-beating organ donors. Previously, she worked on regulations and legislation in the Colorado Department of Public Health and Environment. She is enrolled in the master of Public Health program at the George Washington University and received her bachelor's degree in psychology from Carleton College. TRACY MCKAY, Project Assistant, joined the IOM Division of Health Care Services in January 1997. She also serves as project assistant for the National Roundtable on Health Care Quality. Ms. McKay received her bachelor of arts degree in sociology from Vassar College in May 1996. JOHN BROTHERS, Graphics Consultant, has held a variety of administrative and technical writing positions with the International Finance Corporation since 1994. His software experience includes Access, Excel, Word, and WordPerfect. Mr. Brothers received a bachelor of arts degree in anthropology from the University of Virginia and studied economics at Davidson College. CARINA WEI-YEE FUNG, Summer Intern, is a candidate for bachelor of sciences degrees in chemical engineering, biology, and literature at the Massachusetts Institute of Technology (MIT). She was selected for the MIT Washington Summer Internship Program and the Congressional Asian-Pacific American Caucus Institute's Summer Internship Program and spent June and July of 1997 with the IOM Division of Health Care Services working on this report. MICHAEL DOMBECK, Summer Intern, will graduate from Duke University in May 1998 with a bachelor of science degree in biology, bachelor of arts degree in public policy studies, and a certificate in health policy studies. Previously, he was a summer intern for the intellectual property division of Pfizer Inc. He spent June, July, and August of 1997 with the IOM Division of Health Care Services working on this report and other projects.