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Content Advisors

Content Advisors to IHI.org are experts in their fields — they identify the best content and tools, contribute clinical guidance and expertise, review content, and act as Topic hosts and community builders on the site. IHI.org users benefit from their experience working on the front lines of health care and from their expertise in leading improvement in each of the Topics. The Content Advisors, together with the website editors and the hosts of our online communities, are committed to IHI.org’s mission. We thank them for giving generously of their time and knowledge.



Chronic Conditions

Flow
Haraden, Carol, PhD (additional Topic: Patient Safety)
Resar, Roger, MD (additional Topic: Patient Safety)

HIV/AIDS

Improvement Methods
Fraser, Sarah W. (Spreading Changes)

Last Phase of Life

Office Practices

Patient Safety
Haraden, Carol, PhD (additional Topic: Flow)
Resar, Roger, MD (additional Topic: Flow)

Patient-Centered Care

Vascular Access


Agins, Bruce D., MD, MPH
Medical Director, New York State Department of Health AIDS Institute, New York, New York, USA

Bruce D. Agins, MD, MPH, has served as Medical Director of the New York State Department of Health (NYSDOH) AIDS Institute for over a decade, where he oversees the New York State HIV Quality of Care Program, guidelines development, and educational programs. Dr. Agins also serves as the Principal Investigator for the AIDS Institute’s National Quality Center, which provides quality improvement technical assistance to Ryan White grantees of all Titles across the country. He is a consultant for the Health Resources and Services Administration (HRSA)/Centers for Disease Control Global AIDS Program, with a focus on quality management for HIV programs, and Principal Investigator of the HRSA-sponsored HIVQUAL Project, which focuses on capacity building for quality improvement among nationally funded HIV ambulatory care programs. Dr. Agins was also a faculty member for both the Title II and Title I HIV/AIDS Bureau/Institute for Healthcare Improvement collaboratives. Prior to his work at the NYSDOH, he was the Director of the AIDS Program in the Division of Infectious Disease and Immunology at North Shore University Hospital, and Director of the AIDS Program, Infectious Disease Clinic in the Division of Infectious Disease at Nassau County Medical Center.


Bartlett, John G., MD
Professor of Medicine and Chief of the Division of Infectious Diseases, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

John G. Bartlett, MD, is a Professor of Medicine and Chief of the Division of Infectious Diseases at Johns Hopkins University School of Medicine. In 1970, he joined the faculty of UCLA, and then joined the faculty of Tuft’s University School of Medicine where he served as Associate Chief of Staff for Research at the Boston VA Hospital. In 1980, he moved to Hopkins to assume his current position. Dr. Bartlett has worked in several areas of research, all related to his specialty in infectious diseases. Major research interests have dealt with anaerobic infections, pathogenic mechanisms of Bacteroides fragilis, anaerobic pulmonary infections, and Clostridium difficile-associated colitis. Since moving to Hopkins in 1980, his major interests have been HIV/AIDS, managed care of patients with HIV infection and, most recently, bioterrorism.  Dr. Bartlett is a member of the Institute of Medicine, a Master of the American College of Physicians, past president of the Infectious Diseases Society of America, a recipient of the Kass Award of the IDSA, and a recent winner of the Finland Award of the NFID.  He has numerous articles, books and book chapters.


Davis, Connie, MN, ARNP
Geriatric Clinical Program Development Specialist, Fraser Health, British Columbia, Canada

Connie Davis, MN, ARNP, is a Geriatric Clinical Program Development Specialist at Fraser Health in British Columbia, Canada. She was formerly the Associate Director for Clinical Improvement of Improving Chronic Illness Care, based at the MacColl Institute and Group Health Cooperative's Center for Health Studies in Seattle. Ms. Davis has held a variety of positions in health care, including long-term care, subacute care, community agencies, retirement housing, outpatient clinics, research, and quality improvement. She is a frequent speaker and co-author of publications on the topics of health promotion in the elderly, chronic illness care, and self-management.



Denham, Charles R. , MD
Chairman, Texas Medical Institute of Technology, Austin, Texas, USA

Charles R. Denham, MD, is Chairman of Texas Medical Institute of Technology (TMIT), a non-profit medical research organization focused on technology transfer in patient safety and performance improvement. He is also CEO of HCC Corporation, a solution accelerator creating supplier-provider market channels for evidence-based high impact products, services, and performance solutions in more than 50 health care product categories. Dr. Denham has been a Professor of Biomedical Engineering at the University of Texas since 1983 and taught innovation transfer in medical, engineering, and business schools. He is an author of a number of publications and the inventor of software-driven innovation development systems used by cross-functional development teams in a number of global companies. He is the Chairman of the Leapfrog Group NQF Safe Practices Program, a multi-year initiative that will rank all US hospitals against the NQF Safe Practices. His current research is in rapid cycle development of high impact performance solutions. His current patient safety research is in frontline community hospital performance and the impact of best practices, technology adoption, and business case development through the national TMIT Research Test Bed.


Edgman-Levitan, Susan, PA
Executive Director, John D. Stoeckle Center for Primary Care Innovation at Massachusetts General Hospital

Susan Edgman-Levitan, PA, is the Executive Director of the John D. Stoeckle Center for Primary Care Innovation at Massachusetts General Hospital, She is also the IHI Fellow for Patient and Family-Centered Care. She was the founding President of the Picker Institute until it closed in May of 2001. Previously, she was an assistant professor at Duke University Medical School and directed planning for the Health and Hospitals Corporation of New York City. An editor of Through the Patient's Eyes and Medicine and Pediatrics, Ms. Edgman-Levitan was also the co-principal investigator on Harvard's AHRQ-funded five-year CAHPS project and will continue as co-PI on the CAHPS II study, 2002-2007. She has served as Co-Chair of IHI's National Forum and the National Patient Safety Foundation Congress, Chair of the IHI Breakthrough Series Collaborative on Improving Service Quality, and is currently a Technical Advisor for The Robert Wood Johnson Foundation national program, Pursuing Perfection. She is a board member of several organizations, including Planetree, the National Patient Safety Foundation, the Foundation for Informed Medical Decision-making, and the American Academy of Physician and Patient. She also serves as a Commissioner for the Center for Information Therapy.


Federico, Frank, RPh
Director, Institute for Healthcare Improvement, Cambridge, Massachusetts, USA

Frank A. Federico, RPh, Director, Institute for Healthcare Improvement (IHI), works in the areas of patient safety, application of reliability principles in health care, and perinatal care. He is faculty for the IHI Patient Safety Officer Executive Training Program, and previously co-chaired a number of Patient Safety Collaboratives. Prior to joining IHI, Mr. Federico was the Program Director of the Office Practice Evaluation Program and a Loss Prevention/Patient Safety Specialist at Risk Management Foundation of the Harvard Affiliated Institutions, and Director of Pharmacy at Children's Hospital, Boston. He is one of the Executive Producers of "First, Do No Harm, Part 2: Taking the Lead."



Frankel, Allan, MD
Director of Patient Safety, Partners HealthCare System, Boston, Massachusetts, USA

Allan Frankel, MD, is the Director of Patient Safety for the Partners HealthCare System in Boston, Massachusetts, USA. He divides his time between his anesthesiology practice and his current position. He served as co-chair of the Institute for Healthcare Improvement's third Breakthrough Series Collaborative in Reducing Adverse Drug Events and serves on the Massachusetts Coalition for the Prevention of Medical Errors.



Fraser, Sarah W.
Independent Consultant, Sarah W. Fraser Associates, Aylesbury, UK; and, Visiting Professor, Middlesex University, London, UK

Sarah W. Fraser is an independent consultant and visiting professor at Middlesex University in London, England. She participates in and leads a number of projects and interventions designed to improve health care. Ms. Fraser is continually researching and gathering experience on what helps good ideas to be adopted by others and how people can best work together.  She is involved in a number of large-scale change and support projects in the UK and delivers workshops in the USA, UK, and Europe.



Godfrey, Marjorie, MS, RN
Director, Clinical Microsystem Resource Group, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA

Marjorie M. Godfrey, MS, RN, Adjunct Instructor for Community and Family Medicine, Dartmouth Medical School, is also Director of the Clinical Microsystem Resource Group, Center for the Evaluative Clinical Sciences, at Dartmouth Hitchcock Medical Center in Lebanon, New Hampshire, USA. She serves as the Associate Director of Improvement with the Cystic Fibrosis Foundation and Improvement Leader with the Vermont Oxford Network.


Griffin, Frances A., RRT, MPA
Director, Institute for Healthcare Improvement, Cambridge, Massachusetts, USA

Frances A. Griffin, RRT, MPA, is a Director at the Institute for Healthcare Improvement (IHI) in Cambridge, Massachusetts, USA. Prior to joining IHI full time, Ms. Griffin worked at Meridian Health System in New Jersey, where she directed quality, case management, emergency preparedness and several other departments at one of the hospitals. Ms. Griffin also previously served as the director of performance improvement at Morristown Memorial Hospital in New Jersey. Ms. Griffin’s clinical background is as a Registered Respiratory Therapist and she holds a Master’s Degree in Public Administration from Fairleigh Dickinson University. In her work at IHI, Ms.Griffin has had several roles, including supporting the development of content in patient safety and reliability, directing collaborative projects, and serving as faculty for the 100,000 Lives and 5 Million Lives Campaigns. She is co-developer of the IHI Global Trigger Tool and has authored several articles and a book chapter related to patient safety.



Haraden, Carol, PhD
Vice President, Institute for Healthcare Improvement, Cambridge, Massachusetts, USA

Carol Haraden, PhD, Vice President, Institute for Healthcare Improvement, is responsible for patient safety initiatives and the development of innovative designs in patient care at IHI. She currently leads the Safer Patients Initiative, a four-year project to improve patient safety in the UK. Dr. Haraden has been a Dean in higher education, a clinician, a researcher, and Vice President for Quality Services at Fletcher Allen Health Care in Burlington, Vermont. She served on the Institute of Medicine Committee on Engineering Approaches to Improve Health Care, and she is a judge for several national quality awards. Dr. Haraden has published several papers and serves as associate editor for the journal, Quality and Safety in Health Care.



Haraden, Carol, PhD
Vice President, Institute for Healthcare Improvement, Cambridge, Massachusetts, USA

Carol Haraden, PhD, Vice President, Institute for Healthcare Improvement, is responsible for patient safety initiatives and the development of innovative designs in patient care at IHI. She currently leads the Safer Patients Initiative, a four-year project to improve patient safety in the UK. Dr. Haraden has been a Dean in higher education, a clinician, a researcher, and Vice President for Quality Services at Fletcher Allen Health Care in Burlington, Vermont. She served on the Institute of Medicine Committee on Engineering Approaches to Improve Health Care, and she is a judge for several national quality awards. Dr. Haraden has published several papers and serves as associate editor for the journal, Quality and Safety in Health Care.



Jacobsen, Diane, MPH, CPHQ
Director, Institute for Healthcare Improvement, Cambridge, Massachusetts, USA

Diane Jacobsen, MPH, CPHQ, Director, Institute for Healthcare Improvement (IHI), is currently directing the IHI Learning and Innovation Communities on Improving Flow Through Acute Care Settings and Reducing Surgical Complications. She also directed IHI's Reducing Hospital Mortality Rates (HSMR) Community and was the co-director of IHI's Spread Initiative. Ms. Jacobsen is an epidemiologist with experience in quality improvement, risk management, and infection control in specialty, academic, and community hospitals.


Jensen, Kirk B., MD, FACEP
Vice President of Clinical Operations, BestPractices, McLean, Virginia, USA

Kirk B. Jensen, MD, MBA, FACEP, Vice President of Clinical Operations, BestPractices, is also a faculty member for the Institute for Healthcare Improvement focusing on patient flow, quality improvement, and patient satisfaction both within the ED and within the hospital. He currently chairs two IHI IMPACT Learning and Innovation Communities, Improving Flow Through Acute Care Settings and Operational and Clinical Improvement in the Emergency Department.



Kabcenell, Andrea, RN, MPH
Executive Director, Institute for Healthcare Improvement, Cambridge, Massachusetts, USA

Andrea Kabcenell, RN, MPH, Executive Director, Institute for Healthcare Improvement, is also Deputy Director for the Pursuing Perfection initiative, a national program of The Robert Wood Johnson Foundation designed to demonstrate that near perfect, leading-edge performance is possible in health care. She also works on IHI's Innovation team, seeking innovative solutions to pressing problems in health care. Ms. Kabcenell has directed Breakthrough Series Collaboratives at IHI since 1995. Her research and teaching in Cornell University's Department of Policy, Analysis, and Management focused on chronic illness, quality, and diffusion of innovation. Prior to her appointment at Cornell, she served for four years as Program Officer at The Robert Wood Johnson Foundation.


Kilo, Charles, MD, MPH
CEO, GreenField Health, Portland, Oregon, USA

Charles M. Kilo, MD, MPH, is the CEO of GreenField Health, a medical group focused on researching and developing new methods of care, and The GreenField Group, a consulting group serving clinical organizations and IT companies focused on medical practice performance improvement. He is a fellow of the Institute for Healthcare Improvement (IHI) where he was previously Vice President. Dr. Kilo works regularly with IHI, the American Academy of Family Physicians, the American College of Physicians, and others on issues pertinent to performance improvement. He is a practicing internist.



Leape, Lucian L., MD
Adjunct Professor of Health Policy, Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA

Lucian L. Leape, MD, Adjunct Professor of Health Policy, Department of Health Policy and Management, Harvard School of Public Health, is an outspoken advocate of the nonpunitive systems approach to the prevention of medical errors. He has talked and written widely about the need to make patient safety a national priority in the United States. Dr. Leape was one of the founders of the National Patient Safety Foundation, the Massachusetts Coalition for the Prevention of Medical Error, and the Harvard Kennedy School Executive Session on Medical Error. He was a member of the Institute of Medicine's Quality of Care in America Committee that published the reports, To Err Is Human and Crossing the Quality Chasm.



Litvak, Eugene, PhD
Professor, Boston University School of Management; and Director, Management of Variability in Health Care Delivery, Boston University Health Policy Institute, Boston, Massachusetts, USA

Eugene Litvak, PhD, Professor, Boston University School of Management, is a co-founder and director of the Program for the Management of Variability in Health Care Delivery at the Boston University Health Policy Institute. He also teaches an operations management course as an Adjunct Professor of Operations Management in the Department of Health Policy and Management, Harvard School of Public Health. Prior to arriving in the US, he served as chief of the Operations Management Group at the Computing Center in Kiev, Ukraine. He is an author of more than 60 publications, frequently presents at national and international meetings, and is faculty for the Institute for Healthcare Improvement.



Lynn, Joanne, MD, MA, MS
Director, The Washington Home Center for Palliative Care Studies, Washington, DC, USA

Joanne Lynn, MD, MA, MS, is Director of The Washington Home Center for Palliative Care Studies, a multidisciplinary center for research, quality improvement, and education aimed at improving the care of persons facing serious, eventually fatal, chronic illness. Dr. Lynn is a geriatrician, health services researcher, and ethicist, formerly professor at George Washington University and at Dartmouth and now a Senior Researcher with RAND Health. She was Co-Director of SUPPORT, the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments, which studied ten thousand seriously ill hospitalized persons and tested an intervention to improve decision making. Dr. Lynn has served as Chair for various Breakthrough Collaboratives to Improve End-of-Life Care through quality improvement, working with the Institute for Healthcare Improvement. Dr. Lynn is President of Americans for Better Care of the Dying (ABCD). She was elected to the Institute of Medicine in 1996.



McCulloch, David K., MD, FRCP
Senior Diabetologist, Group Health Cooperative of Puget Sound, Seattle, Washington, USA

David K. McCulloch obtained his MD in Edinburgh, Scotland, in 1977. He did postgraduate training in Edinburgh and Nottingham, in the UK, and was elected a Fellow of the Royal College of Physicians in 1991. He moved to the University of Washington, Seattle in 1983, where he is now a Clinical Professor of Medicine. He has done research studies in a wide variety of areas related to diabetes, and has over 70 peer-reviewed publications related to this. Since 1994 he joined Group Health Cooperative, a large HMO in Washington State, as senior Diabetologist where he works with an energetic team to develop innovative strategies to improve diabetes care both within Group Health Cooperative and around the world. Since 1998 he has been the diabetes chair in several national collaborative efforts to improve diabetes care in association with the Institute for Healthcare Improvement, the Bureau of Primary Care and The Robert Wood Johnson Foundation.



Meisel, Steven, PharmD
Director of Medication Safety, Fairview Health Services, Minneapolis, Minnesota, USA

Steven Meisel, PharmD, is Director of Medication Safety for Fairview Health Services, an integrated health system based in Minneapolis, Minnesota, USA. In this role he is responsible for all aspects of adverse drug event and medication error reduction, as well as related measurement, reporting, educational and cultural initiatives. Dr. Meisel has served as faculty for the Institute for Healthcare Improvement’s Breakthrough Series and related initiatives on adverse drug events, medical errors, and patient safety since 1997.

Dr. Meisel also previously served as Assistant Director of Pharmacy for Patient Care at Fairview Southdale Hospital in Edina, Minnesota. Prior to his affiliation with Fairview, he was Clinical Pharmacy Coordinator at St. Joseph's Hospital in St. Paul and Chief of Pharmacy, Keams Canyon Indian Hospital in Arizona. In 2000 he was named one of the Minnesota’s top 100 most influential health care leaders by Minnesota Physician. Dr. Meisel was the winner of the 2000 Innovative Solutions Award by the National Patient Safety Foundation and the 2002 Best Practices Award from the American Society of Health-System Pharmacists. He has authored or co-authored 33 publications and presented over 175 formal lectures.



Moen, Ronald D.
Partner, Associates in Process Improvement, Clarkston, Michigan, USA

Ronald D. Moen is a statistician, consultant, and teacher to industry, government, health care, and education. He is co-founder and partner of Associates in Process Improvement (since 1984) and he is Adjunct Lecturer in the Physics and Engineering Science Department at the University of Michigan in Flint, Michigan, USA. His experience of over 30 years includes General Motors Corporation and the US Department of Agriculture. He is currently working with the Institute for Healthcare Improvement on various projects. Mr. Moen has presented internationally for 20 years and received three awards from the American Society for Quality for outstanding technical papers. He is co-author of the book, Improving Quality Through Planned Experimentation, and the second edition, Quality Improvement Through Planned Experimentation.



Moore, L. Gordon, MD
Family Medicine Physician, Ideal Health of Brighton, Rochester, New York, USA

L. Gordon Moore, MD, Family Medicine Physician, Ideal Health of Brighton, Rochester, New York, USA, is an Assistant Quality Officer with Strong Health/University of Rochester Medical Center assisting large and small teams and departments in their transition from current reality to lean. He is also a clinical senior instructor in Family Medicine and Community and Preventive Medicine at the University of Rochester and is on the faculty of the Institute for Healthcare Improvement's Breakthrough Series Collaborative on Access and Efficiency.


Murray, Mark, MD, MPA
Principal, Mark Murray and Associates, Sacramento, California, USA

Mark Murray, MD, MPA, Principal, Mark Murray and Associates, Sacramento, California, USA, consults with health care organizations in the US and abroad on a variety of health care quality improvement strategies including efficiencies in office practice, the development and care of health care teams, change management in health care settings, physician compensation, and “big system” flow. His primary and unique area of expertise remains specific expertise in all aspects of access to care, including patient access to appointments in primary, specialty and ancillary care, patient access to information as well as health care demand/supply matching and balance. He draws on his direct experience in health care delivery and management, his unique perspective as a physician who practiced in multiple environments, and his understanding of other businesses and industries that use flow and demand /supply matching. Dr. Murray is widely published and is recognized as an international authority on the development of access systems in health care.



Murray, Sandra, MA, RD
Principal, Corporate Transformation Concepts, Eugene, Oregon, USA

Sandra Murray, MA, RD, is Principal of Corporate Transformation Concepts in Eugene, Oregon, USA, where she helps health care clients to understand and achieve improvement. She has 14 years of experience as a clinical dietitian and a hospital department manager, was an organizational improvement coach at a 250-bed hospital and a seven-state HMO for six years, and had been an independent consultant for seven years.



Nielsen, Gail, BSHCA, FAHRA, RTR
Clinical Performance Improvement Education Administrator, Iowa Health System

Gail A. Nielsen, BSHCA, FAHRA, RTR, Clinical Performance Improvement Education Administrator, Iowa Health System, is responsible for leveraging system-wide knowledge capital and building capacity for transformational change through designing quality improvement education, establishing education faculty, and developing learning systems that will take Iowa Health to a new level of performance in quality and safety. She was a 2004-05 George W. Merck Fellow, Patient Safety Scholar, and faculty of the Institute for Healthcare Improvement.


Nolan, Kevin, MA
Statistician and Consultant, Associates in Process Improvement, Silver Spring, Maryland, USA

Kevin Nolan, MA, Statistician and Consultant, Associates in Process Improvement, Silver Spring, Maryland, USA, and Senior Fellow, Institute for Healthcare Improvement (IHI), Cambridge, Massachusetts, USA, has focused on developing methods and helping organizations accelerate their rate of improvement in quality and productivity.  He has served on the faculty for six IHI Breakthrough Series Collaboratives and is co-author of the book, The Improvement Guide.


Nolan, Thomas W., PhD
Statistician, Associates in Process Improvement, Silver Spring, Maryland, USA

Thomas W. Nolan, PhD, is a statistician, author, and consultant. He is co-founder of Associates in Process Improvement, a consulting firm in Silver Spring, Maryland, USA, that specializes in the improvement of quality and productivity. Dr. Nolan is also a Senior Fellow and member of the executive team of the Institute for Healthcare Improvement (IHI) in Cambridge, Massachusetts, USA, where he oversees IHI's Research and Development efforts. He has been one of the primary designers of IHI's Breakthrough Series and he served as co-director of the Pursuing Perfection initiative funded by The Robert Wood Johnson Foundation. The author of three books on improving quality and productivity, including The Improvement Guide, Dr. Nolan has published articles in a variety of peer-reviewed journals as diverse as the Noise Control Engineering Journal and the British Medical Journal. He was the year 2000 recipient of the Deming Medal awarded by the American Society for Quality. His health care experience includes helping integrated systems, hospitals, and medical practices to accelerate the improvement of quality and the reduction of costs in clinical and administrative services.



Provost, Lloyd P.
Statistician, Associates in Process Improvement, Austin, Texas, USA

Lloyd P. Provost, MS, Statistician, Associates in Process Improvement, helps organizations improve and foster continuous learning. He co-authored the books Quality Improvement Through Planned Experimentation and The Improvement Guide. For the past nine years, Mr. Provost has been a Senior Fellow of the Institute for Healthcare Improvement (IHI) working on Breakthrough Series Collaboratives. In his role as an Improvement Advisor, he has been responsible for the improvement and measurement strategies for specific Collaboratives. He also serves on the faculty for the IHI Breakthrough Series College and the Improvement Advisor Professional Development Program; supports the leadership curriculum for the IMPACT network; and is involved in IHI international projects.



Resar, Roger, MD
Senior Fellow, Institute for Healthcare Improvement, Eau Claire, Wisconsin, USA

Roger K. Resar, MD, Senior Fellow, Institute for Healthcare Improvement, has contributed to the development and national spread of key safety and improvement strategies such as medication reconciliation, use of the Trigger Tool methodology to measure adverse events, the development of "bundle science," and the use of reliability concepts in health care. Dr. Resar serves as faculty for the Institute for Healthcare Improvement, where he also participates on innovation teams to create change concepts, design testing in prototype sites, and teach these innovations. Previously he was Assistant Professor of Medicine at the Mayo Clinic School of Medicine and Change Agent for Luther Midelfort and Mayo Foundation.



Resar, Roger, MD
Senior Fellow, Institute for Healthcare Improvement, Eau Claire, Wisconsin, USA

Roger K. Resar, MD, Senior Fellow, Institute for Healthcare Improvement, has contributed to the development and national spread of key safety and improvement strategies such as medication reconciliation, use of the Trigger Tool methodology to measure adverse events, the development of "bundle science," and the use of reliability concepts in health care. Dr. Resar serves as faculty for the Institute for Healthcare Improvement, where he also participates on innovation teams to create change concepts, design testing in prototype sites, and teach these innovations. Previously he was Assistant Professor of Medicine at the Mayo Clinic School of Medicine and Change Agent for Luther Midelfort and Mayo Foundation.



Rudolph, Marilyn, RN, BSN, MBA
Vice President, Performance Improvement, VHA Pennsylvania, Inc., Pittsburgh, Pennsylvania, USA

Marilyn Rudolph, RN, BSN, MBA, currently serves as Vice President, Performance Improvement for VHA Pennsylvania, Inc. In this role, she supports and enhances VHA Pennsylvania member organizations in their efforts to improve community health, quality, and clinical and operational performance in wide variety of health care initiatives.


Rutherford, Patricia, MS, RN
Vice President, Institute for Healthcare Improvement, Cambridge, Massachusetts, USA

Patricia A. Rutherford, RN, MS, Vice President, Institute for Healthcare Improvement (IHI), is responsible for managing IHI's Clinical Office Practice Redesign, Improving Access and Flow in Specialty Practices and Outpatient Settings, Optimizing Care Coordination and Transitions in Care, Innovations in Patient-Centered Care, and The Robert Wood Johnson Foundation and IHI project, Transforming Care at the Bedside. Her skills include knowledge of process improvement, innovation, and idealized design; coaching clinicians, staff, and senior leaders in organizations on process improvement; and management of all aspects of large performance improvement initiatives. Prior to joining IHI, she worked for 21 years at Children's Hospital in Boston.



Schall, Marie W., MA
Director, Institute for Healthcare Improvement, Cambridge, Massachusetts, USA

Marie W. Schall, MA, Director, Institute for Healthcare Improvement, directs and is senior faculty for IHI's Breakthrough Series College. She is also responsible for the ongoing development of IHI's spread methodology and programming, and she directs innovation projects focused on improving outpatient-based care. Prior to joining IHI in 1995, Ms. Schall designed and led improvement projects for PRONJ (the New Jersey Quality Improvement Organization) and was Director of Research for the Health Research and Educational Trust of New Jersey, a non-profit affiliate of the New Jersey Hospital Association.



Simmonds, Terri, RN, CPHQ
Director and Faculty, Institute for Healthcare Improvement, Cambridge, Massachusetts, USA

Terri Simmonds, RN, CPHQ, is Director and Faculty, Institute for Healthcare Improvement (IHI), and Principal, Safe and Reliable Healthcare, LLP. Ms. Simmonds has directed several IHI Breakthrough Series Collaboratives and Idealized Research and Design groups on Patient Safety and Critical Care Delivery. She is leading IHI's innovation work to reduce hospital mortality and the UK-based Health Foundation Safer Patients Initiative. Over the last decade, Ms. Simmonds has served as a hospital medical safety officer and has enjoyed her clinical experience in both intensive and surgical care units. Her research interests include applied outcomes, and she has publications in both the patient safety and critical care areas. She is co-author of the book Achieving Safe and Reliable Healthcare: Strategies And Solutions.


Spergel, Lawrence, MD, FACS
Director, Dialysis Management Medical Group, San Francisco, California, USA

Dr. Lawrence Spergel, MD, FACS has been specializing in dialysis access surgery and management since 1975. He is Director of the Dialysis Management Medical Group and a member of the clinical faculty of the University of California in San Francisco. Dr. Spergel has developed and implemented vascular access management and CQI programs for numerous dialysis Providers and has participated in the development of guidelines for the Centers for Medicare and Medicaid (CMS) quality improvement projects. Dr. Spergel lectures and publishes regularly on vascular access issues and is a consultant to major dialysis providers and journals. He is a member of the Medical Review Board of the CMS End Stage Renal Disease (ESRD) Network 17 and was recently appointed Clinical Chair of “Fistula First”, the CMS-sponsored National Vascular Access Improvement Initiative.


Steinböck, Clemens M., MBA
Project Director, National Quality Center, New York State Department of Health AIDS Institute, New York, New York, USA

Clemens Steinböck, MBA, is the Project Director of the National Quality Center, providing quality improvement technical assistance to Ryan White grantees. He manages a broad range of projects including nationwide quality improvement consultation service, training programs for HIV providers, and various advisory committees including a consumer quality advisory committee. Mr. Steinböck is also the Director for Quality Initiatives at the New York State Department of Health AIDS Institute since 2000 and works on the National HIVQUAL Project to build capacity for quality improvement. He has extensive experience with Title III and IV grantees, providing on-site technical assistance in the US, and has conducted workshops on quality improvement nationally and internationally.  He has co-authored several major quality improvement publications for HIV providers, including a performance measurement guide, HIV satisfaction survey, an interactive guide to conduct workshops with HIV providers, and he was instrumental in refining the HIVQUAL Model, its tools and methodology. Mr. Steinböck was a faculty member of the Title I HIV/AIDS Bureau/Institute for Healthcare Improvement collaborative.


Tantau, Catherine, BSN, MPA
President, Tantau & Associates, Chicago Park, California, USA

Catherine Tantau, BSN, MPA, President, Tantau & Associates, is an internationally recognized authority on access, efficiency, and flow systems in health care. She led the creation and implementation of Advanced Access and developed the Access and Office Efficiency Collaborative Model. Ms. Tantau has worked with hundreds of health care organizations in the US and Europe using this model. She has chaired and been faculty for the Institute for Healthcare Improvement's national Waits and Delays Collaborative, and she was advisor to the UK National Health Service Cancer Care Collaborative. She has published widely in peer-reviewed journals and speaks internationally on various health care topics.


Wagner, Edward, MD, MPH, FACP
Director, W.A. MacColl Institute for Healthcare Innovation at the Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, Washington, USA

Edward H. Wagner, MD, MPH, FACP, Director of Improving Chronic Illness Care (ICIC), is a general internist/epidemiologist, and director of the Seattle-based MacColl Institute for Healthcare Innovation at the Center for Health Studies, Group Health Cooperative. His current research interests include the development and testing of population-based care models for diabetes, frailty in the elderly and other chronic illnesses; the evaluation of the health and cost impacts of health promotion/disease prevention interventions; and interventions to prevent disability and reduce depressive symptoms in older adults. He has written two books and more than 200 publications.



Wasson, John, MD
Director, Center for the Aging, Research Director, Dartmouth-Northern New England Primary Care (COOP) Research Network, Hanover, New Hampshire, USA

John Wasson, MD, is Professor of Community and Family Medicine and Herman O. West Professor of Geriatrics at Dartmouth Medical School. He is also Director of the Center for Aging and Research Director of the Dartmouth–Northern New England Primary Care Research Network (COOP). Dr. Wasson is faculty at the Institute for Healthcare Improvement for Idealized Design of Clinical Office Practices, the IMPACT network, and Planned Care. He is currently faculty co-director of Lumetra DOQIT Program for CMS.