NRHI Staff
Harold D. Miller, President and CEO
Harold D. Miller has been President and CEO of the Network for Regional Healthcare Improvement (NRHI) since November 2008. Prior to becoming the CEO, Miller worked as a consultant to NRHI for two years, helping organize NRHI's national Summits on Healthcare Payment Reform in 2007 and 2008. His report Creating Payment Systems to Accelerate Value-Driven Health Care: Issues and Options for Policy Reform which was prepared for the 2007 Summit was published by the Commonwealth Fund in September, 2007, and his summary of the recommendations from the 2008 Payment Reform Summit, From Volume to Value: Transforming Healthcare Payment and Delivery Systems to Improve Quality and Reduce Costs, was published in November 2008 by NRHI and the Robert Wood Johnson Foundation. His paper "From Volume to Value: Better Ways to Pay for Healthcare" appeared in the September 2009 issue of Health Affairs.
In addition to his work with NRHI, Miller serves as Executive Director of the Center for Healthcare Quality and Payment Reform and as the Strategic Initiatives Consultant for the Pittsburgh Regional Health Initiative (PRHI). He authored the Center for Healthcare Quality and Payment Reform's report How to Create Accountable Care Organizations, the Massachusetts Hospital Association's report Creating Accountable Care Organizations in Massachusetts, the chapter on "Health Care Payment Systems" in the National Governors Association report State Roles in Delivery System Reform, and the American Medical Association's report Pathways for Physician Success Under Healthcare Payment and Delivery Reforms. His work with PRHI on how health care payment systems impede quality improvement was featured in Modern Healthcare magazine in December, 2007. In 2007 and 2008, he served as the Facilitator for the Minnesota Health Care Transformation Task Force.
Miller is also Adjunct Professor of Public Policy and Management at Carnegie Mellon University's Heinz College, where he served as Associate Dean during the 1980s.
Prior to working with NRHI, Miller served as the President of the Allegheny Conference on Community Development and the Executive Director of the Pennsylvania Economy League of Southwestern Pennsylvania, and Director of the Governor's Office of Policy Development for the Commonwealth of Pennsylvania.
Miller has a Master of Science in Public Policy and Management from Carnegie Mellon University.
Miller can be contacted at Miller.Harold@NRHI.org
Joy Duling, Vice President and Director of Special Projects
Joy Duling joined NRHI as Vice President and Director of Special Projects in 2012.
From 2009 through 2012, Duling worked with Quality Quest for Health of Illinois, serving as the Program Director for the central regional satellite office of the Illinois Health Information Technology Regional Extension Center (IL-HITREC), and as Executive Director of the 20-county Central Illinois Health Information Exchange (CIHIE).
Duling founded and operates her own consulting business, A 25 Hour Day LLC. Prior to going into business for herself, she had a distinguished career in state government. She was a member of former Illinois Governor Jim Edgar's policy staff in the mid-nineties and worked on issues related to the Departments of Aging, Public Aid, Mental Health, Rehabilitation Services, Child and Family Services and Veterans Affairs. She assisted with the development and passage of landmark legislation known as the Illinois Permanency Initiative, as well as the planning for a multi-agency consolidation into what is now known as the Illinois Department of Human Services. She then served as Assistant to the Chief of Staff and Program Manager for Special Projects at the Illinois Department of Children and Family Services, where she coordinated projects such as implementation of a "best practice" child welfare model, roll-out of the Statewide Automated Child Welfare Information System, and development of a new Behavioral Healthcare Service Model.
Duling has a Bachelor's Degree from Eureka College and a Master's Degree in Social Work from the University of Illinois at Champaign-Urbana with a specialization in Policy, Planning and Administration.
Duling can be contacted at Duling.Joy@NRHI.org


