Learn more about the NRHI SAN clinical and quality experts
Better Health Partnership
Better Health Partnership (BHP) is a multi-stakeholder Regional Health Care Improvement Collaborative serving Northeast Ohio, established in 2007 with support of the Robert Wood Johnson Foundation as part of its national Aligning Forces for Quality initiative. FMI: http://www.betterhealthpartnership.org/
Relevant healthcare transformation work includes:
- Leading PCMH initiatives in Ohio
- Working with employers in Cleveland to provide high-value health care to their employees
- Provides trusted, timely and actionable EHR data that providers can use to measure their performance. BHP is partnering with the American Board of Medical Specialties to provide technical assistance around maintenance of certification. In addition, BHP clinical and quality experts will be leading a module on Quality Improvement.
As a Senior Consultant for Better Health Partnership, she served as the Co-Director of Better Health’s Choosing Wisely Project funded by the American Board of Internal Medicine Foundation. Dr. Caron led the Education Steering Committee to develop, implement, and evaluate educations tools for medical student, residents, providers and consumers. She was also Better Health’s patient experience Project Manager and a quality coach. She constructed diagnostic efforts around patient experience performance with in the inpatient and outpatient settings. She constructed diagnostic efforts around patient experience performance with in the inpatient and outpatient settings. She designed stratified communication and education plan regarding changes in data collection, analysis and reporting efforts in patient experience. Dr. Caron collaborated with partner organizations on achieving level three PCMH recognition as their QI coach.
Institute for Clinical Systems Improvement
The Institute for Clinical Systems Improvement (ICSI) is a multi-stakeholder independent, nonprofit health care improvement organization located in Minnesota, focused on working at all levels to accomplish the Triple Aim. FMI: https://www.icsi.org/
Relevant Health Care Transformation work includes:
- Improving patient engagement and equity
- Reduction in avoidable hospital readmissions and unnecessary high-tech diagnostic imaging
- Development of quality metrics and payment changes for Minnesota to benefit population health
- Health Care Value – Working to lower costs while improving outcomes, including by addressing the Total Cost of Care and appropriate utilization, and implementing medication management work groups and Choosing Wisely Initiatives.
The ICSI clinical and quality experts will be leading modules on Total Cost of Care, Behavioral Health Integration, Care Manager Training, and Building and Using Registries. Read more about the ICSI faculty below:
Jeyn Monkman is an Institute for Clinical Systems Improvement (ICSI) Director with experience and expertise across the health care continuum in practice facilitation, motivational interviewing, and quality improvement implementation and measurement. Her work includes or has included the MN Health Collaborative with a focus in Integrated Behavioral Health, Minnesota State Innovation Model (SIM) Practice Facilitation grant project, COMPASS, a collaborative care management model for improving depression and diabetes and/or cardiovascular disease treatment in primary care; Screening, Brief intervention, and Referral to Treatment (SBIRT) for addressing risky substance use in primary care, as well as Tobacco Systems Change work with ClearWay Minnesota. Before joining ICSI, Monkman held various leadership positions in large integrated health systems as well as small critical access hospitals. Monkman holds a bachelor’s degree in nursing and a Public Health Nurse certificate from the University of Minnesota and a master’s degree in management from the College of St. Scholastica, Duluth, MN. She is nationally certified as a nurse executive by the American Nurses Credentialing Center.
Tani Hemmila is an Institute for Clinical Systems Improvement (ICSI) Project Manager/Health Care Consultant working to advance initiatives in behavioral health integration, health care/community connections, learning communities and training workshops. Her projects include COMPASS, a collaborative care management model for improving depression and diabetes/cardiovascular disease treatment in primary care; Screening, Brief intervention, and Referral to Treatment (SBIRT) for addressing risky substance use in primary care; SBIRT for first-time DWI offenders, and multiple learning initiatives. Hemmila is an ambassador for HealthDoers Collaborative Health Network through the Network for Regional Healthcare Improvement. She is also a motivational interviewing trainer and coach. She has a background in management, entrepreneurship, and training, and prior to joining ICSI, worked as a facilitator and consultant with various community collaborative mental health initiatives. Hemmila holds a bachelor’s degree in social work from College of St. Scholastica in Duluth, MN. She is currently pursuing a master’s degree in health care administration and inter-professional leadership from the University of California-San Francisco.
Maine Quality Counts
Maine Quality Counts (QC) is an independent, multi-stakeholder regional healthcare collaborative dedicated to transforming health and health care in Maine. FMI: https://www.mainequalitycounts.org/
Relevant healthcare transformation work includes:
- Several initiatives to engage patients and consumers in care, including:
- Launching a multi-stakeholder effort to spread the Choosing Wisely (CW) initiative developed by the American Board of Internal Medicine (ABIM) Foundation.
- Maine Patient Centered Medical Home pilot
- Quality Improvement practice transformation, including:
- AF4Q grantee
- Designated partner in Maine State Innovation Model initiative
The QC clinical and quality experts will be leading modules on Reducing Unnecessary Utilization Quality Improvement, and Navigating Payment Reform. Read more about the QC faculty below:Lisa Tuttle serves as the Program Director of Practice Transformation at Maine Quality Counts. Lisa has led large health care transformation initiatives, including the Maine Patient Centered Medical Home Pilot, and Maine Health Home and Behavioral Health Home Learning Collaboratives. She joined Maine Quality Counts in early 2011, and since has supported primary care practices advancing effective use of health information technology, behavioral and physical health integration, collaborative learning opportunities to advance quality care, and the Quality Counts Consumer Advisory Council
Massachusetts Health Quality Partners
Massachusetts Health Quality Partners is a nationally recognized, non-profit coalition of physicians, hospitals, health plans, purchasers, patient and public representatives, academics, and government agencies. FMI: http://www.mhqp.org/
Relevant healthcare transformation work includes:
- Working with partners and multi-stakeholders to produce trusted, comparable performance measures that help drive healthcare quality improvement in Massachusetts.
- Reporting reliable, actionable information to healthcare providers to improve the care they deliver to their patients.
- Patient Engagement, including communicating healthcare performance information directly to patients and the public (most recently in partnership with Consumer Reports)
Extensive experience in patient experience measurement The MHQP clinical and quality experts will be leading modules on Reducing Unnecessary Utilization and Patient and Family Engagement. Read more about the MHQP faculty below (Jan Singer is the contact for the NRHI SAN online community):
Barbra Rabson has been the President and CEO of the Massachusetts Health Quality Partners (MHQP) since 1998. Under Ms. Rabson’s leadership, MHQP has become a trusted source of physician performance information in Massachusetts, and MHQP is nationally recognized for its collaborative approach to collecting and reporting performance information to improve care.
Ms. Rabson is a founding member and past Board Chair of the Network for Regional Healthcare Improvement (NRHI). She also is a member of the advisory committee to review the impact of Chapter 224, Massachusetts’ recent health care cost containment legislation. Ms. Rabson brings broad-based experience from the managed care, hospital, and health care arenas to her collaborative role at MHQP. She received her Master’s in Public Health from Yale University and her undergraduate degree from Brandeis University.
Minnesota Community Measurement
Minnesota Community Measurement (MNCM), is a regional health improvement collaborative focused on collection of comparable data across health systems and reporting it publicly. What began as an idea in 2000 has grown into the trusted source for credible performance data on quality, cost and patient experience in Minnesota, neighboring communities and nationally. FMI: www.mncm.org
Relevant accomplishments include:
- Driving transparency in health care – MNCM currently collects and publicly reports on more than 70 measures that span the Triple Aim continuum, with several more in development
- In 2014, MNCM publicly reported the nation’s first Total Cost of Care (TCOC) measure – More than 40 stakeholders worked for three years to develop, test, and validate the measurement process and its results.
- In 2015, MNCM released the nation’s first “Health Equity of Care Report,” which featured health outcomes related to optimal diabetes care, optimal vascular care, optimal asthma care for adults and children, and colorectal cancer screening.
- In 2016, MNCM released an updated report with four new patient experience measures segmented by race and Hispanic ethnicity, as well as comparable medical group reporting of the five quality measures included in the previous year’s report. Today, 98% of medical groups are reporting REL data.
The MNCM clinical and quality experts will be leading modules on Total Cost of Care, Behavioral Health Integration, and Navigating Payment Reform. Read more about the MNCM faculty below (Tony Weldon is the contact for the NRHI SAN online community):
Tony Weldon guides and develops state and national projects, with an emphasis on IT and data system solutions and new cost measurement development. Prior to his role at MNCM, Tony worked seven years at UnitedHealth and their subsidiaries in finance, product management, and network analysis. He also worked for Starkey Hearing Technologies. When Tony is not negotiating with his two daughters – both under the age of four – he enjoys taking an evening run and going out with his wife.
HealthInsight is a private, nonprofit, community-based organization dedicated to improving health and health care, composed of locally governed organizations in four western states: Nevada, New Mexico, Oregon and Utah. HealthInsight also has operations in Seattle, Wash., and Glendale, Calif., supporting End-Stage Renal Disease Networks in the Western United States.. FMI: https://healthinsight.org/
Relevant work includes:
- Development of a comprehensive claims database that includes 84% of the fully insured population, 33% of the self-insured population, 100% of the Medicaid population, and 90% of the Medicare population in Oregon
- HealthInsight offers health system stakeholders information, training, and support to deliver the best care possible. Educational resources are available on its website, as well as through the Patient-Centered Primary Care Institute website, which serves as a dissemination hub of resources about primary care practice transformation, including:
- More than 60 recorded webinars
- Hundreds of toolkits, templates, training materials and other resources organized into topic-specific resource libraries
- Online learning modules
- Recorded interviews and lectures
- A regularly updated blog featuring transformation stories from practices and other stakeholders across Oregon
- Through its Total Cost of Care program, HealthInsight is helping providers and other stakeholders develop knowledge and resources to improve the affordability of healthcare. Products include Clinic Comparison Reports distributed annually to qualifying primary care practices, connecting physicians with leadership development opportunities to better understand cost measurement, and piloting Total Cost of Care measures for Medicaid and Medicare.
- HealthInsight has more than 40 years of experience using data to inform assistance to front-line providers and engagement of key health care stakeholders.
HealthInsight experts will be leading modules on Total Cost of Care, Quality Improvement, Navigating Payment Reform, and Understanding and Maximizing Quality and Resource Use Reports (QRUR). Read more about the HealthInsight faculty below:
Kate Elliott is the Associate Executive Director for HealthInsight Oregon. Prior to this, Kate was the Senior Director of Engagement at HealthInsight Oregon, where she lead and supported a variety of healthcare transformation and improvement projects. She joined Q Corp (which is now HealthInsight Oregon) in 2012, and since then has demonstrated effective program leadership, including partnering with subject matter experts to develop training and technical assistance programs on emerging topics like integrated behavioral health and medical home, and facilitating multi-stakeholder groups to meet healthcare transformation objectives. Before moving to Oregon, Kate served in a variety of functions, including administering medical and non-medical staff training programs, managing volunteer and medical student/resident training programs, and working in a clinic. Kate graduated from Arizona State University with a Master’s degree in Nonprofit Studies in 2010.
Ryan Brown works on multiple teams focused on: consumer engagement initiatives, consulting, process management and quality improvement. Prior to joining HealthInsight, he worked with several healthcare systems in for-profit and nonprofit settings. He actively contributes to the community, volunteering on the Utah Tobacco Prevention Task Force and sitting on various stakeholder boards.
Pittsburgh Regional Health Initiative
The Pittsburgh Regional Health Initiative (PRHI) is one of the nation’s first regional collaboratives of medical, business and civic leaders organized to address healthcare safety and quality improvements. FMI: www.prhi.org
- PRHI’s current relevant work includes:
- Supporting leaders in healthcare quality improvement: Champions Programs
- Systems redesign: Primary Care Resource Center and Patient-Centered PracticeTransformation
- Integrating behavioral health into primary care settings: COMPASS
- Supporting electronic health record implementation: REACH
- Research: Readmissions Reduction
The PRHI clinical and quality experts will be leading modules on Behavioral Health Integration, Reducing Unnecessary Utilization, Motivational Interviewing and Shared Decision Making, and End of Life Care. Read more about the PRHI faculty below:
Bruce Block is the Chief Learning and Medical Informatics officer for the Pittsburgh Regional Health Initiative. Dr Block’s work at PRHI includes leading PRHI’s PA REACH West initiative, which assists physician practices with EHRs and helps them achieve meaningful use and medical home status. Dr. Block also developed an MA/LPN Champions program for medical office MAs and LPNs which provides training and coaching to elevate practice skills in the care of patients with chronic diseases such as diabetes, depression and asthma. He also serves as physician lead for the CMMI-funded COMPASS care initiative, implementing care management and systematic case review to improve the outcomes of persons with depression and chronic disease. Dr. Block and PRHI have also partnered with PA SPREAD on a four-year AHRQ network quality improvement grant to enhance QI capabilities in practice groups in the region. Dr. Block works with teams of trainers and coaches at PRHI to assure content reliability and teaching efficacy throughout the range of PRHI’s educational offerings. As part of this effort, PRHI has teamed with healthcare coaches at local hospitals to create the Regional Lean Healthcare Collaborative, which aims to increase access and visibility of Lean learning solutions in western Pennsylvania.
Dr. Block began practice as a family doctor in rural western Pennsylvania in 1972. In 1981, he joined the faculty of the Shadyside Family Medicine residency program. In 1985, he developed and implemented an EHR at the Shadyside Family Health Center practice. In 1998, he co-founded the Centers for Healthy Hearts and Souls, a nonprofit health promotion organization in partnership with more than 40 African-American churches and community organizations. After 15 years as the medical director of the Shadyside Family Health Center, Dr. Block created the Shadyside Primary Care Institute where he developed quality improvement software for physicians, researched and published articles about practice improvement and community health. He is clinical Professor of Family Medicine and adjunct Professor of Biomedical Informatics at the University of Pittsburgh School of Medicine.Nancy Zionts is the chief operating officer and chief program officer for the Jewish Healthcare Foundation and its supporting organizations, overseeing a grant agenda that includes aging, end-of-life care, health workforce development, quality and safety, Fellowships, and public health, including grant management for a Mobilization for Health: National Prevention Partnership Award (NPPA) from the U.S. Department of Health and Human Services and the Office of the Assistant Secretary for Health to support the JHF HPV Vaccination Initiative. She is also engaged in Tomorrow’s HealthCare™ (THC) — a web-based learning platform designed to advance quality, safety, and best practices in health care. Ms. Zionts is the primary staff for the five-state Quality Innovation Network (QIN) program, for which PRHI is a contractor to Quality Insights. In this role, she leads efforts to bring PRHI’s Lean-based Perfecting Patient CareSM (PPC) curriculum and THC online knowledge network to providers in Pennsylvania, West Virginia, Delaware, New Jersey, and Louisiana who are working to reduce health disparities, promote chronic disease management, and lower costs. She is/has been a principal staff person on federally funded grant projects including CER for Behavioral Health Integration (AHRQ), Quality Improvement for Polypharmacy in the Elderly, and Pathology (both through HHS), and the CMS funded RAVEN initiative to reduce hospitalizations from skilled nursing facilities. She also chairs the Coalition for Quality at the End of Life (CQEL), which aligns healthcare systems, providers, payers, community groups, government, philanthropic, and faith-based organizations to ensure that patients and families have the end-of-life experience they desire.
Ms. Zionts is a newly appointed member of the Allegheny County Department of human services Block Grant Advisory Board. She has been active in the development and implementation of many JHF initiatives including the Pennsylvania Health Funders Collaborative, the Squirrel Hill Health Center, the QI2T Center, Coordinated Care Network, the Squirrel Hill Community Food Pantry and Elderhostel Pittsburgh. Ms. Zionts has been involved in the development of special publications, including the Aging Environmental Scan, Moderating the Effects of Aging: A Caregiver’s Manual, the Health Information Technology Scan and Twelve Breaths a Minute. She has served on numerous nonprofit boards, including Grantmakers In Aging and Grantmakers of Western Pennsylvania. Prior to joining JHF, Ms. Zionts was employed for 10 years at Forbes Health System in the areas of administration, planning, and continuous quality improvement. Ms. Zionts is a native of Montreal, Canada and earned a bachelor’s degree in chemistry and an MBA from Concordia University.
NRHI SAN Program Team
Network for Regional Healthcare Improvement
The Network for Regional Healthcare Improvement (NRHI) is a national organization representing over thirty-five-member Regional Health Improvement Collaboratives (RHICs). These multi-stakeholder organizations are working in their regions and collaborating across regions to transform the healthcare delivery system and achieve the Triple Aim: improving the patient experience of care, including quality and satisfaction; improving the health of populations; and reducing the per-capita cost of healthcare. The RHICs are accomplishing this transformation by working directly with physicians and other healthcare providers, provider organizations, commercial and government payers, employers, consumers, and other healthcare-related organizations. Both NRHI and its members are non-profit, non-governmental organizations. FMI: http://www.nrhi.org
The NRHI SAN team is committed to offering learning programs that advance high-value care. Read more about the NRHI SAN team below:
Stacy Donohue, Senior Director for Federal Programs
Stacy Donohue joined the Network for Regional Healthcare Improvement October 2015 to provide program management to NRHI’s High–Value Care Support and Alignment Network under CMS’ Transforming Clinical Practice Initiative. Stacy brings more than twenty years of experience in the healthcare industry in the areas of network management, operations management, process and quality improvement, product management, and accreditation and compliance management. Stacy holds a Masters’ in Business with a concentration in healthcare management, several project management certifications, is a Six Sigma Blackbelt and a certified process master
Emily Levi, Project Manager for Federal Programs
Emily Levi is the Project Coordinator for the NRHI High-Value Care Support and Alignment Network initiative through the Center for Medicare and Medicaid Services. In this role she is responsible for working with a team of seven national healthcare collaboratives to develop a high-value care learning program focused on evidence-based quality improvement activities and increasing awareness around total cost of care and high-value care. The learning program will be disseminated to Practice Transformation Networks working nationally. Previously Emily managed a federal grant through the Maine Center for Disease Control and Prevention. Emily brings experience of grant management, coordination, evaluation, and relationship building. Emily has her Master degree in Public Health from the Muskie School, University of Southern Maine.
Casey Lancaster, Project Coordinator for Federal Programs
Casey Lancaster joined NRHI in November of 2017 as the Project Coordinator for Federal Programs. Most recently, he was the District Tobacco Prevention Coordinator for York County at Southern Maine Health Care. There Casey worked through all levels of state and federal grant management, from initial proposals to direct fieldwork. Casey graduated from the University of Maine where he studied Political Science and Pre-Law. From there, he went on the receive a Master’s in Public Health from The Muskie School, University of Southern Maine