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​​​​​ 2018 IHI Summit on Improving Patient Care Keynotes.png

​High-Performing Primary Care: A panel moderated by Derek Feeley, IHI President and CEO

Keynote 1: Friday, April 27, 2018, 8:00 AM – 9:00 AM PT​

Al Kurose, MD, MBA, FACP - 2018 IHI SummitAl Kurose, MD, MBA, FACP, is President and CEO of Coastal Medical, a primary care driven Accountable Care Organization (ACO). Coastal Medical provides care to 120,000 patients in 20 medical offices across Rhode Island, and is at the forefront of healthcare delivery system transformation and payment reform, both locally and nationally.

Dr. Kurose has served as President and CEO of Coastal Medical since 2008, and has been a driving force behind Coastal Medical's transition to accountable care. He serves on the boards of directors at the Care Transformation Collaborative of Rhode Island as well as the Rhode Island Foundation. He is a member of the Policy Committee for the National Association of ACO's (NAACOS) and the Healthcare Executive Advisory Council for UnitedHealth Group and has served as faculty for the Institute for Healthcare Improvement (IHI) Population Management Executive Development Program.

Dr. Kurose is a graduate of the Washington University School of Medicine in St. Louis, MO, and completed the Brown University Internal Medicine Residency Training Program at Rhode Island Hospital in 1991. He was one of the founders of Coastal Medical in 1995, and practiced primary care internal medicine in a community-based office for 20 years. He is a graduate of the Yale MBA for Executives: Leadership in Healthcare program, and a Clinical Assistant Professor of Health Services, Policy & Practice at Brown University.

Ann Lefebvre, MSW, CPHQ.jpgAnn Lefebvre, MSW, CPHQ, Associate Director, North Carolina Area Health Education Centers (NC AHEC) Program, University of North Carolina (UNC) Chapel Hill, oversees statewide quality improvement efforts. Included in her responsibilities is the function of director of the NC AHEC Practice Support, leading all statewide, practice-based quality improvement efforts under the NC AHEC Program. In this role, Ms. Lefebvre has worked to develop a practice facilitation program to help community-based primary care practitioners understand and improve their delivery of health care. Ms. Lefebvre also developed a program to train and support support practice facilitators who have worked  in more than 1,400 ambulatory care practices across the state. These staff members ​use proven quality improvement methods and techniques to provide on-site coaching in the adoption and use of technology to improve the overall population health by improving the delivery systems in the care setting. Additionally, Ms. Lefebvre has a faculty appointment in the Department of Family Medicine at UNC-Chapel Hill. For more than a decade, Lefebvre has been working in a variety of ambulatory care settings to help health care providers and their staff use technology and quality improvement techniques to improve clinical outcomes as well as patient and staff satisfaction.

Ms.​ Lefebvre received a BA in speech and language pathology from the State University of New York at Plattsburgh and a Master of Social Work from East Carolina University in Greenville, NC. She is a certified professional of health care quality, a black belt in Lean Six Sigma and has been working in a variety of health care settings since 1991.

Rachel Willard-Grace, MPHRachel Willard-Grace, MPH, began her career as a medical assistant and pharmacy tech, and later Executive Director of a free clinic, where she became so smitten with primary care that she abandoned her plans for a career as a historian. She is the Director of the Center for Excellence in Primary Care (CEPC) at the University of California San Francisco, where she worked with Tom Bodenheimer to develop the 10 Building Blocks of Primary Care based on a study of high performing practices across the United States. She conducts research related to burnout, health coaching, and primary care transformation. She also guides CEPC's extensive training program, which provided trainin​g in patient-centered communication and practice transformation to more than 500 people across the United States last year. Rachel has a Master's in Public Health from the University of North Carolina at Chapel Hill.​

April_KyleApril Kyle, of Athabascan descent and a Cook Inlet Region, Inc. shareholder, joined Southcentral Foundation (SCF) in 2003 as the Human Resources Manager of Employment and Recruitment. Kyle was recently promoted to Vice President of Behavioral Services. A Montana State University at Bozeman graduate with a bachelor's degree in sociology, Kyle rose through the years to become the human resources director. She has a certification in the Alaska Native Executive Leadership Program from the Alaska
​Pacific University.

Rethinking Patients and Communities as Partners

Keynote 2: Saturday, April 28, 2018, 8:00 AM – 9:00 AM PT​

America Bracho, MD, MPH.pngAmerica Bracho, MD, MPH, is the President and CEO of Latino Health Access, a center for health promotion and disease prevention in California that facilitates mechanisms of empowerment for the community and trains community health workers as leaders of wellness and change. Dr. Bracho worked as a physician in her native Venezuela for several years, after which she came to the US to obtain a Master's Degree in Public Health at the University of Michigan. She is a current member of the Casey Family Programs Board of Trustees and a former trustee of the Marguerite Casey Foundation. Dr. Bracho served on the Institute of Medicine Round Table on Health Disparities and on the Advisory Committee for the Robert Wood Johnson Foundation Local Initiative Program. She has been a presenter for hundreds of universities, professional associations, and community groups. She served as a consultant for the Pan American Health Organization and as a faculty member for several international courses in Latin America, Australia, and Europe. Dr. Bracho is the recipient of numerous awards for her work and she has been featured in several documentaries, including the HBO special "The Weight of the Nation" and a TedMed Talk on the role of patients in improving health care and their communities. She co-authored the book Recruiting the Heart and Training the Brain: The Work of Latino Health Access.