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PBGH Staff by Department David Lansky, PhD David Lansky, PhD, the President and Chief Executive Officer, oversees the efforts of the Pacific Business Group on Health to improve the affordability and accessibility of high quality health care. Dr. Lansky is co-chair of the Consumer-Purchaser Disclosure Project and serves on the HIT Policy Committee, which will make recommendations on the implementation of a nationwide health information technology infrastructure and electronic health record in accordance with the American Recovery and Reinvestment Act of 2009. Additionally, he is co-chair of Cal eConnect, which will lead development of the California statewide health information exchange. A nationally recognized expert in accountability and quality measurement, Dr. Lansky has served as a board member or advisor to numerous health care projects and programs. Some of these include the National Quality Forum, Joint Commission on Accreditation of Healthcare Organizations, National Patient Safety Foundation, The Leapfrog Group, and President Bush's 2002 Economic Forum. Previously, Dr. Lansky was Senior Director, Health Program and Executive Director, Personal Health Technology Initiative for the Markle Foundation. He also served as President of the Foundation for Accountability (FACCT) from its inception in 1995. For more than twenty years, he has been a proponent of a more responsive health care system in which consumers are partners in their care and help shape the delivery of care. Prior to FACCT, Dr. Lansky was a senior policy analyst for the Jackson Hole Group during the national health reform debate of 1993-94. He also led the Center for Outcomes Research and Education at Oregon-based Providence Health System. In this capacity he was responsible for outcomes research, measurement of consumer satisfaction, health risk and health status assessment, development of electronic member and patient records, and communicating with purchasers and the larger community about health care quality. He received his doctorate from the University of California at Berkeley and his undergraduate degree from Boston University. Arnold
Milstein, MD Arnie Milstein is the Medical Director at PBGH and the National Health Care Thought Leader at William Mercer. His work focuses on improving managed care programs for large purchasers and government. Recently, Dr. Milstein was appointed a tenured Professor of Medicine at Stanford University, where he will establish a new research center dedicated to accelerating innovations in health care delivery. Dr. Milstein's 40 book chapters and published articles have centered on managed care program design. A member of NCQA's national committee to develop HEDIS and the Performance Measures Coordinating Committee, Business Insurance magazine selected him as "one of the 20 people who has made a difference in employee benefits management in the past 20 years." The New England Journal of Medicine's series on employer sponsored health insurance described him as a "pioneer" in employer efforts to advance quality. In October 2006 Dr. Milstein was elected to the Institute of Medicine. He recently completed two terms on the Medicare Payment Advisory Commission. Since January 2002, Dr. Milstein has also served on the Strategic Advisory Council of the National Quality Forum (NQF). Dr. Milstein holds a medical degree from Tufts University and a master's degree in health services planning from the University of California, Berkeley. He received a bachelor's degree in economics from Harvard University. He is an Associate Clinical Professor at the University of California, San Francisco Medical Center and a Worldwide Partner at Mercer. Leesa Tori is PBGH’s Director of Planning and Business Development working closely with the PBGH leadership team on strategic planning and new opportunities that will assist PBGH in serving its membership and mission. Leesa is an experienced change agent, leading strategic projects and people, developing product, and managing large implementations. As the Director of Strategy and Product Innovation in the Specialty Products business unit of Blue Shield of California, she managed product strategy for multiple business lines including dental, vision, life and reinsurance. She also served as the Director of Business Architecture for the Network Management division, helping prepare the provider contracting and operations team for an extensive new claims system implementation. In a prior role at PBGH, Leesa was Vice President of Program Management for the PacAdvantage small business insurance exchange. She was responsible for product design and pricing, regulatory compliance, risk management, grievance and appeal resolution. Previously, Leesa was Director of Client Services as well as Contract Programming and Senior Advisor at IDX Systems Corporation, a provider of health care systems solutions. Her previous experience also includes multiple operations positions at Managed Healthcare Network, including Director of Provider Relations. During her tenure at MHN, Leesa worked with state and local legislators, community providers and health plans on various Medicaid managed care programs throughout the country. Leesa is also experienced in managing commercial, HMO and EAP benefit plans. Christine Chen, MPP Christine Chen is Policy Analyst for the Consumer-Purchaser Disclosure Project. The Consumer-Purchaser Disclosure Project is a group of leading employer, consumer, and labor organizations dedicated to improving health care quality and affordability by advancing public reporting of provider performance information so it can be used for improvement, consumer choice, and as part of payment reform. Previously, Ms. Chen was a Senior Research Analyst at the Center for Health Improvement. She managed national initiatives that promoted health care quality through increasing transparency and accountability in the health care delivery system. She facilitated the implementation of patient experience surveys, consumer engagement strategies, and public reporting programs in regional, multi-stakeholder collaboratives across the country. Ms. Chen also served as a policy analyst at the Insure the Uninsured Project, developing research on insurance trends and recommendations for increasing access to care. Ms. Chen holds a Master’s in Public Policy from the University of California, Los Angeles. Jennifer Eames Huff, MPH Jennifer Eames Huff is Deputy Director for the Consumer-Purchaser Disclosure Project. The Consumer-Purchaser Disclosure Project is a group of leading employer, consumer, and labor organizations improving health care quality and affordability by advancing public reporting of provider performance information so it can be used for improvement, consumer choice, and as part of payment reform. Ms. Huff brings over fifteen years experience working in the arena of health care performance measurement to the project. Prior to joining PBGH Ms. Huff was a Health Economist at Genentech, where she contributed to the development and commercialization of products by overseeing patient reported outcomes and providing economic assessments. Before that, she was a Program Officer at the California HealthCare Foundation (CHCF). While at CHCF she managed a portfolio of projects related to patient safety, health disparities and the public reporting of performance measurement. When she left the Picker Institute in Boston, Ms. Huff was Director of Client Services. At the Picker Institute, she helped clients measure patients’ experience with care and use the information for improvement, public reporting, and financial rewards. Her clients included hospital associations, health systems and employer coalitions located throughout the US. She also has held quality management positions at health systems in New England. Ms. Huff earned a BA with Honors from Wellesley College and an MPH in Health Policy and Management from University of California at Berkeley. Emma Hoo Emma Hoo is Director of Value-Based Purchasing at the Pacific Business Group on Health. She manages joint purchasing initiatives for California HMO services, retiree coverage and PBM services. Additionally, she oversees the assessment of health plan performance through the eValue8 health plan RFI and leads other vendor evaluation programs. PBGH promotes a broad set of performance measures that promote effective health management, provider accountability and consumer engagement by health plans. The goal is to encourage adoption of “best-in-class” product features that foster consumer behavior change, migration to high quality and efficient providers, and accelerated clinical re-engineering. Previously, Ms. Hoo was Director of Operations for a Northern California medical group, with responsibility for contracting, data analysis and information systems. Ms. Hoo received a bachelor's degree in social studies from Harvard University. Randy Lee Randy Lee is Senior Manager, Value Based Purchasing, and helps manage user groups and workgroups on behalf of Pacific Business Group on Health members. In addition to activities for the Negotiating Alliance and the Ambulatory ICU pilot, Mr. Lee is engaged in vendor and product evaluations. He came to PBGH from Blue Shield of California, where he held functions in corporate finance and program management. During this tenure, he drove cross functional initiatives in strategic planning, product development, and business development. Examples of this include driving initiatives such as increasing the consumer adoption of Health Savings Accounts, improving the market competiveness of the Stop Loss product, and driving business decisions through financial analysis. Mr. Lee received a BA in political science from UCLA, and an MBA from UCLA Anderson School of Management. Lauren
V. Vela, MBA Lauren Vela is Executive Director of the Silicon Valley Employers Forum, a coalition of over 20 high tech companies focusing on both US and global health benefits issues. As such, she works directly with member companies, offering strategic direction, facilitating the sharing of best practices and providing member service and outreach. Previously, she was senior manager, Value Based Purchasing at the Pacific Business Group on Health, where managed a range of purchaser workgroups and the annual eValue8 Health Plan assessment. During Ms. Vela's tenure with PBGH, she has worked on various projects including CALINX (Health Information Improvement) and P-GO (Provider Group Oversight and Improvement). Prior to joining to PBGH, Ms. Vela was employed by the Memorial Health Care System in Houston where she developed and directed a worker's compensation managed care program that administered integrated benefit plans and was the Manager of Product Development and Market Research for Memorial/Sisters of Charity HMO. Ms. Vela holds a master's degree in business administration from the University of Houston, and has completed all required course work towards a doctorate in public health at the University of Texas, Health Science Center in Houston. Kate Eresian Chenok Kate Eresian Chenok is PBGH’s Director of New Initiatives. She currently leads several initiatives that cross functional areas at PBGH and focus on delivery system reform and payment redesign. These include an intensive ambulatory care pilot, which will test principles of accountable care and innovative reimbursement models, and efforts to improve standards and tools for delivering evidence-based care for orthopedics, cardiac care and maternity care. Kate has over 20 years of experience working with healthcare organizations on new business, product development, planning and marketing issues. Most recently, she served as Kaiser Permanente’s national Executive Director of Product Development, where she launched suites of consumer directed and worksite wellness product offerings. She held a number of other positions at Kaiser, including serving as Vice President of Medical Services Delivery with the Permanente Medical Group, where her team partnered with General Motors to develop a tailored delivery network for 100,000 employees in a Midwestern city. She also led the startup and served as Executive Director for the Council of Accountable Physician Practices, a non-profit research consortium and advocacy group for multispecialty physician groups. Kate began her career in healthcare as a management consultant with Booz, Allen and Hamilton in New York, and with Lewin and Associates in Washington, D.C.
Kate received her AB cum laude from Harvard College and her MBA from the Yale School of Management. Amanda Goltz, MPA Amanda Goltz is Senior Manager of New Initiatives. Her work includes several initiatives that focus on delivery system reform and payment redesign. These projects include a statewide joint replacement registry to provide standards and tools for evidence-based care for orthopedics; a primary care pilot to enhance care coordination for high risk patients, and a quality collaborative focusing on cardiac care. Amanda has more than 10 years experience in organizing and leading improvement programs in quality and safety. Amanda comes to PBGH from Manatt Health Solutions, where she supported the work of the California Health and Human Services Agency in building the infrastructure for statewide health information exchange in California. At Partners Healthcare in Boston, she directed the system-wide quality improvement program, with responsibility for performance in publicly reported and internally developed measures of quality across the integrated delivery network. While at Partners, Amanda led the development of a website to engage the community around quality, safety, and efficiency measurement, and provide a resource for patients and consumers to partner with providers to enable high performance care delivery. Amanda began her career in clinical informatics at New York City Health and Hospitals Corporation, working on health information technology adoption projects across the city’s public emergency departments. She received her BA with honors from Columbia University and her MPA from New York University’s Wagner School of Public Service. Performance Information and Consumer Engagement Kristy Alvarez Kristy Alvarez is Manager of Health Performance Information at PBGH, focusing in the area of physician quality measurement and reporting. Her duties include project management, vendor relationships and data quality management for the California Physician Performance Initiative. Kristy came to PBGH from Med-Vantage, Inc. where she managed the clinical content for software tools to evaluate the efficiency of healthcare and built quality measures. Her work with quality measures included the development, testing and certification of the 2009 and 2010 HEDIS Effectiveness of Care measures as well as the creation of Med-Vantage proprietary measures. Previously, Kristy coordinated two R01 randomized controlled trials in the field of health services research examining the impact of tailored messaging on health behaviors and the outcomes of several chronic conditions. Kristy received her B.S. in Biology, with coursework in community health and health policy, from Tufts University. Rachel DuPre Brodie Rachel DuPre Brodie is Senior Manager at PBGH working on Performance Measurement and Consumer Information projects as well as Value-Based Purchasing. Rachel is managing the development and launch of several PBGH Health Plan Chooser web sites that are designed to help consumers evaluate health plan cost, quality, and services information. She participated in PBGH’s recent Consumer Tools Assessment that reviewed web-based consumer decision support tools for treatment option support, hospital choice, and personal cost decision support. In turn, Ms. Brodie translated the project findings for use in the eValue8 Health Plan RFI and participates in the verification and review of health plan responses. She has also has worked with several researchers and the California Office of the Patient Advocate to develop its consumer quality report card. As a consultant for the California HealthCare Foundation, Ms. Brodie researched and wrote two white papers about end-of-life care in the state of California. Previously, she managed the negotiations, implementation, and tracking of health plan performance measures for PBGH. She also created benefit, cost, and risk analysis models to support value-based decision making for employer members. Ms. Brodie received a B.A. from Princeton University in 1993. She is an active alumnae, recent President of the regional alumni association, and Chair of the regional alumni schools committee. Cheryl L. Damberg, PhD Cheryl Damberg is the Director of Research for the Pacific Business Group on Health. As such, she is the Principal Investigator for the Patient Assessment Survey, a study to measure and compare the performance of California physician groups; she is also the Co-Director of the California CABG Mortality Reporting Program, a statewide program to report risk-adjusted hospital mortality rates for California hospitals that perform bypass surgery. Dr. Damberg is a Co-Investigator on the CAHPS national team to develop a standardized tool to evaluate consumer experience with care at the physician group level. She is Co-Principal Investigator on a study to validate patient self-reported assessments of quality, and to examine the relationship between organizational structure, process and outcomes of care. Currently she is a member of the Integrated Healthcare Association's Pay-for-Performance Technical Subcommittee, the OSHPD's California CABG Outcomes Reporting Program Technical Advisory Committee, the National Advisory Panel for the Massachusetts Health Quality Partners project to evaluate patient experience with their primary care provider as well as the California Perinatal Quality of Care Consortium Executive Committee. Dr. Damberg holds a PhD in Public Policy from the RAND Graduate School of Policy Studies and an MPH from the University of Michigan. During her six-year tenure at RAND, she served as the Director of a HCFA-funded project to develop a comprehensive quality assessment tool (QA Tools) and evaluate the quality of care in managed care plans, co-authored a guidebook on how to conduct access, cost and quality studies and participated in research on health insurance coverage for workers in small firms. Prior to her tenure at RAND, Dr. Damberg also worked as a Senior Consultant to Fortune 100 firms for the MEDSTAT Group and spent five years as a Research Fellow in the U.S. Department of Health and Human Service's Office of Disease Prevention and Health Promotion. She has published in the area of quality of care, outcomes research, health insurance for small firms and preventive care. Julie France Julie France is Senior Manager, Health Care Performance measurement at the Pacific Business Group on Health. She manages the development and implementation of projects related to measuring and reporting on individual physician quality performance for the Better Quality Information Pilot that is part of the California Physician Performance Initiative. Ms France is also working to advance the use of healthcare performance information by managing projects to test performance measurement and reporting methods as well as approaches to integrate healthcare information for physicians and consumers. Prior to joining PBGH, Ms. France was at Blue Shield of California, where she led the reporting of provider quality metrics for Blue Shield’s Provider network. She was responsible for strategy and development of models to incorporate quality into network design initiatives at the hospital, medical group and individual physician level. Pete Sikora Pete Sikora has an array of analytic responsibilities for the PBGH Performance Information & Consumer Engagement work. He manages the California Physician Database -- a statewide physician demographic dataset used to support the California Physician Performance Initiative (CPPI) quality performance scoring. He is responsible for the setup of a variety of content for the PBGH Plan Chooser, a consumer decision support tool used by individuals to choose a health plan by evaluating cost and services information. In addition, he works with the Office of the Patient Advocate (OPA) to prepare and release new content for OPA’s consumer quality report card (www.opa.ca.gov). Pete graduated from Wesleyan University with a B.A. in Economics. Ted von Glahn, MS Ted von Glahn is Director of Performance Information and Consumer Engagement and oversees PBGH's efforts to collect, score and use health plan and provider performance information through the California Physician Performance Initiative. He also leads the annual California Patient Experience with Doctor Survey project to measure patient experiences with their physician and medical group. Current consumer information responsibilities include work with the California Office of the Patient Advocate to update and expand its consumer quality report card (www.opa.ca.gov), and on behalf of PBGH’s members he evaluates health plan and vendor health consumer decision support tools. He has developed a health plan choice decision support application, the PBGH Plan Chooser, for a number of large purchasers to assist enrollees in choosing a plan by considering plan cost, quality, coverage and program services information. Mr. von Glahn serves on several National Quality Forum advisory panels that are charged with setting national healthcare performance measurement, scoring, and reporting standards. His current advisory roles include serving on the Robert Wood Johnson Regional Market Project, the CMS Hospital Reporting Advisory Group, and the AHRQ CAHPS Advisory Group. Prior to joining PBGH in January 2001, Mr. von Glahn was Senior Vice President of Business Applications at FACCT, the Foundation for Accountability in Portland, OR. There he directed the development of health care information tools for consumer decision-making used by business coalitions, the federal Office of Personnel Management and several states for their employees. His work experience also includes stints at Providence Health Plans and CareMark Health Plan, both in Portland. He was a healthcare management consultant at William M. Mercer, Inc. in Chicago and worked as a legislative aide in the U.S. Congress. Mr. von Glahn received his bachelor's degree from Connecticut College and his master's degree in health policy and management from Harvard University's School of Public Health. Shannon Disney Shannon Disney joined the Pacific Business Group on Health in March 2010 as a Project Manager for the California Quality Collaborative (CQC). She is responsible for managing training events for medical groups, IPAs, Health plans and their partners to improve care delivery. She also serves as the CQC communications and marketing lead. Ms. Disney came to PBGH from Kaiser Permanente, where she acted as a Project Manager and Communications Lead focusing on organizational development and training initiatives for Northern California Finance. She consulted with four Sr. Vice Presidents on how to make Finance a Great Place to Work and managed a training program where she facilitated manager and staff trainings. Prior to this, she worked for California Trout, a non-profit, planning large fundraisers and promotional events. Ms. Disney also worked in the for-profit sector as an Operations Director for Tiburon Research Group and Promotions Manager for KCBS Radio. Ms. Disney earned a BA in Speech Communications from San Diego State University, and an MA in Speech Communications from CSU East Bay. Giovanna Giuliani, MBA, MPH Giovanna Giuliani joined the Pacific Business Group on Health in November 2009 as a Senior Manager for the California Quality Collaborative (CQC), a statewide collaborative program to re-engineer care in the outpatient setting in partnership with health plans, medical groups and employers. Her work includes leading program development and training to support continued improvement of the patient experience and further developing CQC’s knowledge base and programs in improving cost efficiency, particularly as it relates to appropriate use of the Emergency Department. Ms. Giuliani came to PBGH from The Permanente Federation, where she acted as a senior consultant and thought partner to leaders in eight Kaiser Permanente regions throughout the country in identifying and spreading successful internal and external practices to improve outpatient and inpatient satisfaction, with a focus on ambulatory pediatrics and the inpatient maternity experience. Prior to this, she worked for Blue Shield of California as a manager in their New Product Development group, where she led cross-functional teams and conducted analyses in conjunction with new insurance product launches, and at Brigham and Women’s Hospital in Boston as an analyst in their Center for Clinical Excellence. Ms. Giuliani earned a BA in Biology from Swarthmore College, and an MBA and MPH from UC Berkeley. Diane
Stewart, MBA Diane Stewart, Director of Performance Improvement joined PBGH in January 2001. Ms. Stewart directs PBGH’s health care improvement initiative - California Quality Collaborative - a statewide collaborative program to re-engineer care in the outpatient setting in partnership with health plans, medical groups and employers. As part of her responsibilities, she developed the California Improvement Network, a program funded by the California HealthCare Foundation to foster practice improvement across all public and private delivery systems in California. Previously, she led the technical development team for the Integrated Healthcare Association’s (IHA) Pay for Performance program which collects and reports measures of clinical performance, patient experience and IT functionality for 215 medical groups caring for 6 million patients. Prior to joining PBGH, Ms. Stewart was Director of Quality and Planning at the Palo Alto Medical Foundation, where she initiated the quality program driving improved outcomes in patient satisfaction, clinical performance, financial performance and staff satisfaction. She has presented at national conferences on pay for performance, fostering regional healthcare improvement, techniques of process improvement and the business case for quality. Ms. Stewart has also held management positions at Harvard Community Health Plan as well as other IPAs and medical groups on the east coast. Ms. Stewart received a BA in Biology from Dartmouth College and an MBA from the Yale School of Management. David
S. P. Hopkins, PhD David S. P. Hopkins is Director of Quality Measurement at the Pacific Business Group on Health (PBGH). Hopkins is also affiliated with the Center for Primary Care and Outcomes Research and the Center for Health Policy at Stanford University Medical School. Prior to joining PBGH in 1995, he was Vice President with International Severity Information Systems, Inc., a medical severity indexing software and consulting firm. From 1978 to 1993, Hopkins held a number of senior management positions at Stanford University and Stanford University Medical Center. Hopkins earned his A.B. in Biology from Harvard, and his M.S. in Statistics and Ph.D. in Operations Research from Stanford. He is a 1993 graduate of the Advanced Training Program in Health Delivery Improvement at Intermountain Health Care. He is co-author (with Susan D. Horn) of Clinical Practice Improvement: A New Technology for Developing Cost-Effective Quality Health Care (Faulkner & Gray, 1994) and of Planning Models for Colleges and Universities (Stanford University Press, 1981), which was awarded the 1981 Frederick W. Lanchester Prize for best publication in operations research by the Operations Research Society of America. Hopkins is author or co-author of articles in The New England Journal of Medicine, Medical Care, Management Science, and Operations Research. Hopkins chairs the California Cooperative Healthcare Reporting Initiative (CCHRI) Executive Committee and the Integrated Healthcare Association Pay-for-Performance Technical Efficiency Committee. He is a director and member of the Executive Committee of the California Hospital Assessment and Reporting Taskforce (CHART). On the national front, he is Vice Chair of the National Quality Forum (NQF) Purchaser Council and serves on the NQF Consensus Standards Approval Committee, Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Business Advisory Group, America's Health Insurance Plans (AHIP) Data Oversight Work Group, and the Network for Regional Healthcare Improvement (NRHI) Board of Directors. He serves as well on the Board of Directors of The Guttmacher Institute, a not-for-profit organization dedicated to research, policy analysis, and education in reproductive health. From 1994 until 2006, he served as a Director of Fair Isaac Corporation, a publicly-traded company that provides statistically-based decision systems and services to the financial services, direct marketing, insurance, and retail industries. Cathie
Markow, BSN, MBA Cathie Markow joined PBGH in November 2005 as Senior Manager, CCHRI. In her position, Ms. Markow manages the California Cooperative Healthcare Reporting Initiative - a statewide initiative to promote collaboration instead of competition in health plan and provider-level data collection and performance reporting. Accordingly, she manages the health plan HEDIS reporting project and the Consumer Assessment of Health Plans Survey. Ms. Markow also supports the California Physician Performance Initiative. Prior to joining PBGH Ms. Markow lead clinical data repository, quality improvement and office redesign projects for NAS Consulting. She has successfully lead teams through business process improvement in both the payer and provider environment. With over 20 years experience in the health care industry, Ms. Markow has held senior level management positions leading product development for various healthcare information technology systems including practice management, disease management, and eHealth. As Vice President for Product Management at Velos, Ms. Markow lead the effort to develop web based tools for primary investigators to more effectively manage the recruitment and data collection processes for pharmaceutical clinical trials. Ms. Markow has a BS in Nursing and BA in Sociology from Hartwick College and an MBA from Northeastern University. Maria
Aileen de Leon Aileen de Leon is a Senior Accountant reporting to the Controller. She is responsible for processing accounts payable and receivable. Ms. de Leon is also responsible for PBGH payroll, and tracking and maintaining employee benefits, including health and welfare benefits and time off benefit accruals. Ms. de Leon is also responsible for the monthly bank reconciliation and year-end MISC 1099 reporting. Ms. de Leon also assists with the month-end balance sheet reconciliation and audit preparation. Ms. de Leon received her Bachelors of Science in Business Management and Marketing at San Francisco State University and will pursue her MBA in Accounting in Spring 2008. Charles Quaid Charles Quaid is responsible for providing accounting and finance leadership to PBGH and its subsidiaries. This includes general oversight of accounting operations, managing investment activity, ensuring the timely production financial statements in accordance with generally accepted accounting principles, shepherding the budget process, maintaining adequate financial controls, coordinating audits and tax filings, and providing the organization’s leadership with periodic business analysis.
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