Pierre M. Barker, MD, MBChB,
Chief Global Partnerships and Programs Officer, Institute for Healthcare Improvement (IHI), is responsible for IHI’s Strategic Partnerships across the globe and for IHI’s programming in countries around the world outside North America. In addition to advising governments and large organizations on quality strategies, IHI uses the science of improvement to promote improved outcomes in health and health care. Dr Barker also leads IHI’s extensive global programming in maternal and child health. In that capacity he is working with the WHO to help develop a global implementation strategy to improve quality of care for mothers and newborns. He attended medical school in South Africa and trained in pediatrics in the UK and US. Before joining IHI, he was Medical Director of University of North Carolina (UNC) Children’s Hospital clinics and was responsible for leading health-system-wide initiatives on improving access to care and chronic disease management. He is a Clinical Professor of Pediatrics in the Maternal and Child Health Department at Gillings School of Global Public Health at UNC Chapel Hill.
Carol Beasley, MPPM,
Senior Vice President, Marketing, Communications, and Business Development, Institute for Healthcare Improvement (IHI), leads a set of critical functions that bring IHI's programs and services to partners and participants around the world. She and her team ensure that IHI's mission and strategy drive program design processes, business development activities, services to program participants, and communication and dissemination efforts. Ms. Beasley also serves on the IHI Executive Team to ensure that IHI’s strategy and priorities continue to advance the organization’s overall mission to improve health and health care worldwide. Since joining IHI in 2004, she has overseen numerous projects and programs, including leadership of work on end stage renal disease, heading the IMPACT membership network, working on health information systems in primary care, and helping to launch and develop the IHI Triple Aim initiative, which focuses on improving population health and individuals' experience of health care, while stabilizing or reducing per capita cost. She is trained in management, strategy, leadership and organizational change, and holds a Masters in Public and Private Management from Yale University.
President and CEO, Institute for Healthcare Improvement (IHI), previously served as IHI’s Executive Vice President from 2013 to 2015, during which time he had executive-level responsibility for driving IHI’s strategy in five focus areas: Improvement Capability; Person- and Family-Centered Care; Patient Safety; Quality, Cost, and Value; and the Triple Aim. Prior to joining IHI in 2013, Mr. Feeley served as Director General for Health and Social Care in the Scottish Government and Chief Executive of the National Health Service (NHS) in Scotland. In that role he was the principal advisor to the Scottish Government on health and health care policy and on public service improvement. He also provided leadership to NHS Scotland’s 140,000 staff in their delivery of high-quality health and health care. In 2013, Mr. Feeley was made a Companion of the Order of the Bath by Her Majesty, Queen Elizabeth II, in recognition of his services to health and health care.
Tejal K. Gandhi, MD, MPH, CPPS, Chief Clinical and Safety Officer, Institute for Healthcare Improvement (IHI), leads IHI programs focusing on improving patient and workforce safety. Dr. Gandhi was President and Chief Executive Officer of the National Patient Safety Foundation (NPSF) from 2013 until 2017, when the Foundation merged with IHI. She continues to serve as President of the Lucian Leape Institute, a think tank founded by NPSF that now operates under the IHI patient safety focus area. She also holds an appointment as Associate Professor of Medicine at Harvard Medical School. Dr. Gandhi is a prominent advocate for patient safety at the regional, national, and international levels, driving educational and professional certification efforts, and helping to create and spread innovative new safety ideas. In 2009, she received the John M. Eisenberg Patient Safety and Quality Award for her contributions to understanding the epidemiology and possible prevention strategies for medical errors in the outpatient setting. An internist by training, Dr. Gandhi previously served as Executive Director of Quality and Safety at Brigham and Women’s Hospital, and Chief Quality and Safety Officer at Partners Healthcare. She received her MD and MPH from Harvard Medical School and the Harvard School of Public Health, and trained at Duke University Medical Center.
Amy Hosford-Swan, CPA, MS, MBA,
Chief Financial Officer, Institute for Healthcare Improvement (IHI), has held progressively responsible finance and administration positions in a wide variety of environments, from fast growing not-for-profits to small and large company corporate environments, including the global accounting firm, KPMG Peat Marwick. She joined IHI in 2007 from her most recent role as a senior consultant at Accounting Management Solutions. Prior to that, Ms. Hosford-Swan was Vice President of Finance and Administration of Jumpstart For Young Children, Inc., where she helped lead the organization's growth from four to 44 sites. She is a Certified Public Accountant in the Commonwealth of Massachusetts, a graduate of the University of Massachusetts at Amherst, and received her master’s degrees in Accounting and Business Administration from Northeastern University.
Kedar Mate, MD,
is the Chief Innovation and Education Officer at the Institute for Healthcare Improvement (IHI) and a research professor at Weill Cornell Medical College. Dr. Mate’s scholarly work has focused on health system design, health care quality, strategies for achieving large-scale change, and approaches to improving value. He is the recipient of the Paul & Daisy Soros Fellowship and has been recognized as an Aspen Institute Healthcare Innovator. Previously Dr. Mate worked at Partners In Health, served as a special assistant to the Director of the HIV/AIDS Department at the World Health Organization, and led IHI’s national program in South Africa. Dr. Mate has published numerous peer-reviewed articles, book chapters, and white papers. He graduated from Brown University with a degree in American History and from Harvard Medical School with a medical degree.
Kenneth Tebbetts, MEd,
Chief Human Resources Officer, Institute for Healthcare Improvement (IHI), provides strategic leadership, organization capability planning and development, and operating analysis and solutions to IHI. Prior to joining IHI in July 2010, he was the Director of Human Resources for the New England Media Group (NEMG), an affiliate of The New York Times Companies, where he led the human resources business partner team and talent acquisition and performance management processes for
The Boston Globe
and Boston.com business units of NEMG. He also led the implementation of a leadership development program, “Manager Excellence,” for NEMG front-line leaders. Previously, Mr. Tebbetts served as Director of Human Resources at Boston University for The WBUR Group, Boston's news and information NPR affiliate. He holds a MEd in counseling psychology from Cambridge College and a BS in history from Boston University.
Trissa Torres, MD, MSPH, FACPM,
Chief Operations and North America Programs Officer, Institute for Healthcare Improvement (IHI), is responsible for leading IHI toward operational excellence, and executing on IHI’s strategy in North America to accelerate the pace of improvement in health care and innovate and partner with organizations and communities to improve health. A preventive medicine physician by training, she completed her residency at Meharry Medical College. Dr. Torres has extensive experience in clinical preventive medicine, population management, and public, community, and population health. Prior to joining IHI, she led population health initiatives at Genesys Health System in Flint, Michigan, guiding the organization in transforming care delivery to improve the health of its community, with particular emphasis on the underserved. Dr. Torres has been involved with IHI's Triple Aim strategy since its prototyping phase, serving initially as champion for Genesys Health System, then as Triple Aim faculty, and now as an IHI senior leader in support of Triple Aim initiatives. She works closely with health and health care leaders, providers, organizations, and communities to leverage this unique time in history to transform health care to improve care, reduce costs, and create partnerships across the public and social sectors to improve health for all.
Azhar Ali, BSc(Hons), MBChB, MRCGP(UK), MBA,
Head of Middle East and Asia-Pacific Regions, Institute for Healthcare Improvement (IHI), is also a Consultant in Family Medicine and has more than 15 years of clinical experience. Prior to joining IHI, he spent five years at the Abu Dhabi Health Services Co. (SEHA) in Abu Dhabi (UAE), initially as the Director of Clinical Affairs and Quality, Ambulatory Healthcare Services, and then as the Group Quality and Physician Services Director. Previously, Dr. Ali served as a Clinical Director of Primary Care in Lanarkshire, Scotland, and was a GP Principal and partner at Strathaven Health Centre in Lanarkshire. He was also National Clinical Lead for the Royal College of General Practitioners Scotland’s flagship program, Living Better, and served as Co-Chair/Primary Care Lead for the Respiratory Managed Clinical Network in NHS Lanarkshire. Dr. Ali is a graduate of the University of Glasgow and Imperial College, London, and he holds an MBA (with distinction) from the University of Strathclyde. Dr. Ali is a member of distinguished medical societies, including the Royal College of General Practitioners (UK). He is a member of the Faculty of Medical Leadership and Management (UK) and an alumnus of the INSEAD Middle East Health Leadership Programme.
Karen Baldoza, MSW,
Executive Director, Institute for Healthcare Improvement (IHI), is co-lead of IHI’s Improvement Capability Focus Area and teaches in IHI's programs aimed at building individual and organizational capability for improvement. As a trained Improvement Advisor and Lean Facilitator, she also leads and coaches staff in improvement within IHI. Previously, Ms. Baldoza was the Continuum of Care Portfolio Operations Director overseeing IHI’s work that addresses the patient journey in health and chronic disease care outside of acute care settings. She also managed relationships with strategic partners and several large strategic initiatives, such as Pursuing Perfection. Prior to joining IHI in 2000, she worked for the Commonwealth of Massachusetts as an assistant director in the Executive Office of Elder Affairs, and in public health prevention and policy efforts. She received her Master of Social Work degree from Boston College, focusing on community organizing, social policy and planning, and not-for-profit administration.
David Coletta, Executive Director, Strategic Alliances, Institute for Healthcare Improvement (IHI), is responsible for developing organizational alliances designed to advance the Institute’s mission, for enhancing avenues of partner engagement in patient and workforce safety efforts and other imperatives, and for the management and evolution of these relationships. He joined IHI upon the organization’s merger with the National Patient Safety Foundation (NPSF), where he spent nine years as a member of the management team, participating in strategic partner, operational, financial, and marketing priorities. His past experiences include diverse relationship management, business development, marketing, communications, and program design activities in start-up, mid-size, and large organizations.
Pedro Delgado, MSc,
Head of Europe and Latin America Regions, Institute for Healthcare Improvement (IHI), has a unique ability to work across cultures, languages, and systems. Based in the United Kingdom, he has been a driving force in IHI’s global strategy. From work on reducing C-sections in Brazil, to improving early years education in Chile, to improving patient safety in Portugal and mental health in London, Mr. Delgado has led the key senior relationships and design and implementation of large-scale health system improvement efforts and networks globally. He coaches senior leaders and teams, and lectures extensively worldwide on large-scale change, patient safety, and quality improvement. During his time at IHI, he also facilitated the Quality and Innovation Centers network, which included Kaiser Permanente’s Performance Improvement Institute, Qulturum in Jönköping County (Sweden), and the James Anderson Center for Clinical Excellence at Cincinnati Children’s Hospital. His background is rich in diversity, including a brief period as a professional football (soccer) player, roles in hospital management and large-scale improvement leadership in the UK, and experience working in mental health in Venezuela and the UK. He holds summa cum laude degrees in Psychology and in Global Business, and an MSc in Healthcare Management and Leadership.
Executive Director, Finance, Institute for Healthcare Improvement (IHI), oversees the financial planning and reporting processes, including the budgeting, forecasting, and all financial analysis and reporting for the organization. She serves as a critical member of the operational planning team responsible for implementing IHI’s strategic plan. Ms. Duffy works with the Regional Leads and Priorities Team to achieve program and financial results within their areas of responsibility by effectively managing their resources while understanding the financials of the organization as a whole. She also serves as the point person for all IHI programs within developing countries and works directly with the sub-grantees in Africa, serving as a mentor and supervising staff as needed. She joined IHI in 1997 as a Staff Accountant and during her tenure she has led various internal improvement efforts. Ms. Duffy earned her Bachelor’s degree in Accounting from Stonehill College.
Jill Duncan, RN, MS, MPH,
Executive Director, Institute for Healthcare Improvement (IHI), provides strategic development and programming leadership for IHI's Quality, Cost, and Value Focus Area, IHI’s Leadership Alliance, and program development and facilitation for many of IHI's workforce development initiatives. Her previous IHI responsibilities include daily operations and strategic planning for the IHI Open School, leadership of IHI's Joint Replacement Learning Community, and program coordination and faculty guidance for IHI's Leading Quality Improvement: Essentials for Managers program. Ms. Duncan draws from her learning as a Clinical Nurse Specialist, quality leader, nurse educator, and front-line care provider.
Frank Federico, RPh,
Vice President, Institute for Healthcare Improvement (IHI), works in the areas of patient safety, application of reliability principles in health care, preventing surgical complications, and improving perinatal care. He is faculty for the IHI Patient Safety Executive Training Program and 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 has authored numerous patient safety articles, co-authored a book chapter in
Achieving Safe and Reliable Healthcare: Strategies and Solutions
, and is an Executive Producer of "First, Do No Harm, Part 2: Taking the Lead." Mr. Federico serves as Vice Chair of the National Coordinating Council for Medication Error Reporting and Prevention (NCC-MERP). He coaches teams and lectures extensively, nationally and internationally, on patient safety.
Executive Director for Strategic Partners Global, Institute for Healthcare Improvement (IHI), is responsible for overseeing the standardization of delivery and execution of IHI’s Strategic Partnerships portfolio, working closely with the Chief of Global Partnerships and Programs Officer. Together with the IHI Regions and Focus Areas, Ms. Gill works to ensure that each Strategic Partnership is aligned with IHI’s mission, maximizes the impact and successful reach of each partnership, and supports the long-term planning and execution of the Strategic Partnership portfolio. Previously at IHI, she was the Director for Operations for Europe and has worked as a Director on a number of Strategic Partnerships, large-scale programs, and initiatives in Europe. Prior to joining IHI in 2001, Ms. Gill worked as an Educational Tour Director in Europe for the National Educational Travel Council (NETC) and spent time in France and Israel working as a language teacher.
Christina Gunther-Murphy, MBA,
is Head of Operational Excellence at the Institute for Healthcare Improvement (IHI) and oversees IHI’s Person- and Family-Centered Care Focus Area. In this role, she is responsible for designing and executing the overall portfolio strategy, acting as a spokesperson, shepherding the evolution of content, directing results-oriented initiatives, and contributing to the design of large-scale initiatives. Previously, Ms. Gunther-Murphy oversaw operations for IHI’s hospital portfolio, managed key internal transitions, and led internal improvement efforts. She also has experience in spread and scale-up as the manager of IHI’s 5 Million Lives Campaign and advisor for a number of large-scale change programs in the US and internationally, including the 100,000 Homes Campaign. Ms. Gunther-Murphy is a trained Improvement Advisor and has more than 10 years of experience in health care improvement. Prior to joining IHI, she worked at the National Initiative for Children's Healthcare Quality (NICHQ), where she directed a national initiative focused on providing optimal care to prevent, identify, and treat childhood obesity. She holds a Master’s in Business Administration from MIT’s Sloan School of Management.
Niñon Lewis, MS,
Head of Content Portfolios, Institute for Healthcare Improvement (IHI), currently leads IHI’s Triple Aim for Populations Focus Area, which encompasses innovation, content, and programming in the areas of the Triple Aim, population health, population management, primary care, and community-wide improvement efforts. During her time at IHI, her work has focused on leading large-scale initiatives on population health and the Triple Aim, including the IHI Triple Aim Improvement Community and the Scotland Early Years Collaborative. In addition, she has led IHI’s New Business Development team, developing large-scale programs and initiatives for the organization. Prior to joining IHI in 2008, Ms. Lewis developed and implemented national direct-to-patient education programs for the health care and food industries, and was the Program Manager of a national initiative launched by the Office of the US Surgeon General in partnership with the American Academy of Pediatrics to identify community-driven solutions to the nation’s childhood obesity crisis. Her experience includes program design and management, organizational development, coalition building, community health and development, and academic research in stakeholder engagement theory, health communication, and community dialogue and collaboration.
Robert Lloyd, PhD,
Vice President, Institute for Healthcare Improvement (IHI), provides leadership in the areas of performance improvement strategies, building capacity and capability for improvement, statistical process control methods, and development of strategic dashboards. He also serves as faculty for various IHI initiatives and demonstration projects in the US and abroad. Before joining IHI, Dr. Lloyd served as the Corporate Director of Quality Resource Services for Advocate Health Care (Oakbrook, IL), Director of Quality Measurement for Lutheran General Health System, Senior Director at the Hospital Research and Educational Trust of AHA, and spent ten years with the Hospital Association of Pennsylvania in various leadership roles. He is author of numerous articles, reports, and books.
Saranya Loehrer, MD, MPH,
Head of the North America Region, Institute for Healthcare Improvement (IHI), leads a team responsible for the development and execution of regional priorities in service of achieving IHI’s mission. Her team works in partnership with others at IHI to cultivate collaborative relationships, support new business development, and design large-scale initiatives that help organizations meet their aims and aspirations. Current regional efforts include accelerating the volume-to-value transformation in health care, attending to the joy of the health care workforce, and nurturing cross-sector partnerships that support the equitable achievement of health in the communities we serve. Prior to joining IHI, Dr. Loehrer worked for Physicians for Human Rights, leading global and domestic grassroots advocacy efforts to create more just and scientifically sound HIV/AIDS policies. She received her MD from Loyola University Chicago Stritch School of Medicine, where she was an Albert Schweitzer Fellow, and her MPH from the Harvard School of Public Health, where she was a Zuckerman Fellow.
Trina Lorch, MBA,
Head of Business Development and Strategy, Institute for Healthcare Improvement (IHI), leads a team in executing on and evolving IHI's strategies for achieving its mission and overall financial health, creating and developing new business opportunities, partnerships, and models, and translating market needs to inform new program designs. She has a specific focus on the emerging strategies in the Middle East and Asia-Pacific regions, as well as on evolving IHI's overall global business strategy. Ms. Lorch came to IHI from Brigham and Women's Hospital in Boston, where she was a Deland Fellow in administration. Prior to that, she worked at the Boston-based company, Health Dialog, focusing on the design and development of a CMS-funded demonstration program to reduce health risks for seniors and on-entry strategies for new markets. She received her undergraduate degree in economics from Northwestern University and her MBA from Dartmouth College.
Patricia A. McGaffigan, RN, MS, CPPS,
Vice President, Safety Programs, Institute for Healthcare Improvement (IHI), previously served as COO and Senior VP of Programs at the National Patient Safety Foundation until 2017, when the Foundation merged with IHI. Her prior experience includes clinical practice, academia, and leadership roles in education and marketing positions for several start-up and established medical device companies focused on improving patient safety. Ms. McGaffigan is a Certified Professional in Patient Safety, a graduate of the AHA-NPSF Patient Safety Leadership Fellowship Program, and a member of the American Society for Professionals in Patient Safety. She was awarded the distinguished Lifetime Member Award from the American Association of Critical Care Nurses. She serves on a wide range of national committees related to safety and is a Board of Director for Medically Induced Trauma Support Services. She received her BS with a major in Nursing from Boston College, and her MS with a major in Nursing from Boston University.
Gareth Parry, PhD,
Senior Scientist at the Institute for Healthcare Improvement (IHI), leads the rapid-cycle evaluation system within IHI. In addition, he provides scientific leadership in a number of IHI programs. He also serves as Clinical Assistant Professor at Harvard Medical School. Prior to joining IHI, Dr. Parry was an Improvement Advisor for the National Initiative for Children’s Healthcare Quality and Director of Quality Measurement and Analysis at Children’s Hospital Boston. In the UK, he was a Reader in Health Services Research at the University of Sheffield, evaluating health services delivery and developing and applying risk-adjustment methods in intensive care.
Patricia Rutherford, RN, MS,
Vice President, Institute for Healthcare Improvement (IHI), is responsible for developing and testing innovations and new models of care in innovations in patient- and family-centered care; improving access to the right care, in the right place, at the right time; Transforming Care at the Bedside; optimizing care coordination and transitions in care; and clinical office practice redesign (in primary care and specialty practices). She was Project Director for the Transforming Care at the Bedside initiative, funded by the Robert Wood Johnson Foundation, and she served as Co-Investigator for the STate Action on Avoidable Rehospitalizations (STAAR) initiative, funded by the Commonwealth Fund. 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-scale performance improvement initiatives.
Chief of Staff, Institute for Healthcare Improvement (IHI), previously served as Special Assistant to the CEO. He is responsible for ensuring the execution of IHI’s strategic priorities and managing the relationship between the executive leadership team and IHI’s Board of Directors. He oversees both strategic and operational planning for the Institute, and provides guidance to projects of strategic importance. Mr. Schummers serves on IHI’s senior executive team, and acts as an interface between senior leaders and staff. He has authored or co-authored several publications on topics such as leadership, governance, and improvement ideas. Mr. Schummers has worked closely with IHI’s senior executives since he joined IHI in 2004. He has a Bachelor’s Degree in Political Science from the University of Chicago.
Sodzi Sodzi-Tettey, MD, MPH,
Head of Africa Region, Institute for Healthcare Improvement (IHI), provides strategic technical and relationship guidance for IHI’s work in Africa while also securing new business opportunities in the region. Prior to this role, he was IHI’s Senior Technical Director, Africa, leading
Project Fives Alive!
in Ghana to deliver a large-scale quality improvement project in more than 80 percent of public sector hospitals and 30 percent of Ghanaian sub-districts, contributing to a 34 percent reduction in facility-based child deaths. He also supported the design of a large-scale improvement initiative in Ethiopia. Additionally, he is leading IHI’s ongoing support to the Liberian Health Ministry’s health system rebuilding efforts post Ebola. A public health physician, Quality Improvement Advisor, and a Fellow of the International Society for Quality in Healthcare, Dr. Sodzi Sodzi-Tettey also has years of clinical and management experience in frontline district medical practice. Before joining IHI, he conducted high-level trainings and short-term consultancies in quality improvement with organizations in Saudi Arabia, India, Ethiopia, Liberia, Nigeria, and the US. He serves on the governing board of Ghana’s National Health Insurance Authority and the Council of the University of Health and Allied Sciences.
Somava (Soma) Stout, MD, MS,
Vice President, Institute for Healthcare Improvement (IHI), is deeply committed to improving health, wellbeing, and equity globally. A global public health practitioner for more than 20 years, she has also worked as a safety net primary care internist and pediatrician. She serves as Executive Lead of 100 Million Healthier Lives, convened by IHI, which brings together hundreds of partners across sectors and communities to support 100 million people globally to live healthier lives by 2020. Dr. Stout has consulted with health system leaders from across the world in Guyana, Sweden, the UK, Singapore, Australia, Tunisia, and Brazil. Previously, she served as Vice President for Patient Centered Medical Home Development at Cambridge Health Alliance (CHA), where she led a whole system transformation that garnered numerous national awards for achieving breakthrough results in health outcomes and cost. She also served as Co-Director of Leadership Development at the Harvard Medical School (HMS) Center for Primary Care, where she helped develop a cadre of change leaders across the system. She continues as faculty at both CHA and HMS. In 2012, Dr. Stout was recognized as one of ten inaugural Robert Wood Johnson Foundation Young Leaders for her contributions to improving the health of the nation.
Amanda Swiatocha, MBA,
Executive Director, Marketing and Communications, Institute for Healthcare Improvement (IHI), provides leadership to her teams working on demand generation, public relations, corporate branding, customer service, customer relationship management and development, and creative design. Responsible for the planning, development, and implementation of all of the organization’s marketing and communications efforts, her teams endeavor to communicate the IHI story in a way that is compelling, aligned with strategy, and optimizes IHI’s reputation, reach, results, and revenue. At IHI, she led the transformation to an inbound marketing strategy and continues to advocate for deepening IHI’s understanding of customer needs. Prior to joining IHI in 2010, Ms. Swiatocha worked in health care investment banking and consulting at Leerink Partners and in international sales at EF Education. She received her undergraduate degree in Political Science from Williams College and her MBA from Boston College.
David M. Williams, PhD,
Senior Lead, Institute for Healthcare Improvement (IHI), is subject matter expert lead for IHI’s work on leadership and improvement science and methods and he is a scholar-practitioner in the science of improvement. He serves as Improvement Advisor for large Breakthrough Series Collaboratives, IHI Strategic Partnerships, and large national and health care system-wide improvement initiatives worldwide. Dr. Williams is faculty for the IHI Improvement Advisor Professional Development Program, IHI Chief Quality Officer Professional Development Program, IHI Open School, and the Practical Improvement Science massive open online course (MOOC) developed in collaboration with HarvardX and the Harvard T.H. Chan School of Public Health. A paramedic by background, Dr. Williams practiced in urban EMS systems for many years and is an international expert on paramedic care and emergency medical services systems. He is a 2013 alumni of the Leadership Austin Essentials program and served as Vice Chairman of the Board for CommUnityCare in Austin, Texas, one of the largest federally qualified health centers in the US. Prior to joining IHI, he led a consulting practice focused on improvement science and expert consulting in education, public safety, and health care.