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Case Management
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October 5, 2010
8:30 a.m. – 5:15 p.m.
The National Press Club
Washington, D.C.

 

 

 

SPEAKERS

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Patricia Wise, RN, MSN, MA, FHIMSS
Vice President, Healthcare Information Systems

Patricia B. Wise is Vice President of the Healthcare Information and Management Systems Society (HIMSS), the country’s largest healthcare association focused on information technology. She is responsible for directing initiatives that drive the quality, efficiency, effectiveness and safety of patient care through various tools and resources. Specifically, she oversees committees and task forces, including Ambulatory Information Systems, Enterprise Information Systems, Personal Health Record Information Systems, Financial Information Systems, Patient Safety and Quality Outcomes, Health Information Exchange, Electronic Health Record Association, and the Davies Award Program.

Wise joined HIMSS in August 2002 as the Director of HIMSS EHR Initiatives and member of the HIMSS Industry Affairs Department and was promoted to her current position in 2005. She works closely with the HIMSS Physician Community.

Prior to joining HIMSS, Wise was the Executive Director of Computer-based Patient Record Institute and Healthcare Open Systems and Trials (CPRI-HOST), a consortium of businesses and industries that promoted electronic medical records prior to merging with HIMSS.

Wise is a former military officer who retired in 1998 with the rank of colonel after serving in a variety of positions worldwide. At the time of her retirement, she served as Deputy Commander of Eisenhower Army Medical Center in Ft. Gordon, Ga., as well as Chief Nurse Executive for the medical center and the Army’s Southeast Region. While in the Army, Wise received an appointment to the staff of Sen. Daniel Inouye (D-Hawaii). She held past positions as a Senior Healthcare Consultant for Advanced Technology Institute (ATI) and Strategic Monitored Services.

Wise obtained her BSN from Villanova University and a MS from the University of Maryland at Baltimore, and is a graduate of the U. S. Army War College in Carlisle, Pa.

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Patty Scott Patty Scott, MSNA, RN, RHIA, CPHQ, CPMSM
Vice President, Quality/Case/Risk Management and Regulatory Compliance
IASIS Healthcare Corporation

Patty K. Scott, MSNA, RN, RHIA, CPHQ, CPMSM, is Vice President, Quality/Case/Risk Management and Regulatory Compliance for IASIS Healthcare Corporation. Patty has over 28 years of experience in the healthcare field, dedicating those years to the disciplines of nursing; quality, risk, and case management; health information management; medical staff credentialing; and regulatory compliance. Patty is a licensed registered nurse and has attained an advanced degree in nursing administration. She complements her nursing degrees uniquely with a degree in health information management and is a Registered Health Information Administrator. Patty is Board Certified in Healthcare Quality and Medical Staff Management/Credentialing.

Patty has served as the Board Chairman for the National Association for Healthcare Quality (NAHQ) certification board and was instrumental in developing the content for the national and international examinations for board certification in healthcare quality. In addition, Patty has been a Board member of the Quality Assurance Section of the American Health Information Management Association (AHIMA) and served as a governor’s appointment to the Medical/Legal Screening Panel for the State of Nevada.

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Michele Grignon Michele Grignon, MC LPC
Director of Call Center Operations in Texas and Florida
NurseWise/NurseResponsense

Michele has worked in the clinical operations arena of the public managed care industry for 12 years. Her management experience includes program development, clinical operations, fiscal responsibility, management of direct and indirect reports, contract compliance, utilization management, training program development, oversight of first responder systems, provider relations, network management, and call center operations. Her experience in various settings across the managed care arena includes nonprofit/provider organizations, health maintenance organizations and call centers. Michele's niche in the behavioral health industry has been crisis intervention and management of high acuity patients.

Michele attended University of Wisconsin - Madison and received a bachelor's degree in psychology and sociology with an emphasis on multicultural studies. Her graduate degree is a Master of Community Counseling from the University of Phoenix. Michele has presented at various conferences and community forums on suicide prevention, assessment and intervention and was a volunteer author for the Parents Ask column in Arizona Parenting magazine. She participated in Arizona-based task force committees to address legislative changes to methamphetamine treatment and to develop a statewide suicide assessment triage tool. Michele facilitated a leadership conference on developing a first responder system for the Hopi Native American leaders through a grant from the University of Arizona.

NurseWise/NurseResponse is a tele-health call center which supports various health maintenance organizations and external providers for after-hours member services and nurse triage. NurseWise/NurseResponse is a subsidiary company within Centene Corporation. Centene Corporation primary revenue stream is Medicaid managed care organizations.

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Ellen Fink-Samnick Ellen Fink-Samnick LCSW, CCM, CRC
Principal of EFS Supervision Strategies, LLC

Ellen Fink-Samnick is the Principal of EFS Supervision Strategies, LLC,who promotes the value of health and human services professionals. She has nearly 30 years of experience in case management.

A member of Cambridge Who's Who, Fink-Samnick has received global recognition for her work on Professional Resilience Paradigm and Transdisciplinary Ethics. She is a presenter and respected author, with articles published in many professional journals and translated into multiple languages

Fink-Samnick has experience with diverse roles, including educator, supervisor, trainer, author, and regulatory/certification specialist. She serves as adjunct faculty for George Mason University’s College of Health & Human Services, the lead clinical supervision certification trainer for the National Association of Social Workers of Virginia, a clinical social work supervisor for licensing candidates, an exam item writer for licensing and certification entities, and editorial board member for the journal Professional Case Management

Fink-Samnick is a Commissioner for the Commission for Case Manager Certification, a member of their Executive Committee, and Chair of their Ethics and Professional Conduct Committee. She has served in leadership roles at both the state and national levels for a variety of professional associations. She is a certified case manager, a licensed clinical social worker and a certified rehabilitation provider.

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Edwina Rogers Edwina Rogers
Executive Director
The Patient Centered Primary Care Collaborative

Edwina Rogers currently serves as the Executive Director of the Patient Centered Primary Care Collaborative, a Washington, D.C., trade association, responsible for the national Patient Centered Medical Home movement.

Rogers served as Vice President of Health Policy for The ERISA Industry Committee (ERIC) in Washington, D.C., from May 2004 until January 2009. ERIC advocates the employee benefits and compensation interests of America’s major employers.

Rogers has been a public policy expert for more than 20 years and has worked for two Presidents and four Senators. She was an Economic Advisor for the current President Bush at the White House in 2001 and 2002 at the National Economic Council, focusing on health and social security policy. Rogers was General Counsel of the National Republican Senatorial Committee during the Republican take-over of the Senate in 1994. She worked for Senator Lott while he was Majority Leader in 1999 and she handled health policy for Senator Sessions in 2003 and 2004. She worked on International Trade matters for former President Bush at the Department of Commerce from 1989 until 1991.

Rogers practiced law in the Washington office of Balch and Bingham from 1991 until 1994. She received her BS in Corporate Finance from the University of Alabama and a JD from Catholic University in Washington, D.C. She was a Fellow at the Kennedy School at Harvard during 1996. She writes a conservative column for The Georgetowner newspaper in Washington, D.C., and is a regular strategist on cable news television. She served on the Board of Directors of Semco Energy, Inc., a natural gas distribution company 2007.

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Roger Kathol Roger Kathol, MD
President
Cartesian Solutions, Inc

Roger G. Kathol, President of Cartesian Solutions, is an innovative health consultant who has helped clients develop integrated case management programs and their supporting systems for complex, high-cost patients with concurrent physical and/or mental conditions. Dr. Kathol is board certified in internal medicine, psychiatry, and medical management. He draws on extensive clinical and administrative experience as he works with care management programs that are developing or enhancing integrated service capabilities.

Dr. Kathol is adjunct professor of internal medicine and psychiatry at the University of Minnesota. He has published 160+ peer-reviewed articles, 25+ book chapters, and two books. He specializes in the assessment of complex patients and the implementation of integrated physical and mental health services.

In collaboration with the Case Management Society of America, Dr. Kathol and co-authors recently published The Integrated Case Management Manual: Assisting Complex Patients Regain Physical and Mental Health, which uses imported European complexity assessment technology as a basis for relationship-based integrated care plans designed to stabilize health and reverse high costs associated with multimorbidity.

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Cheri Lattimer Cheri Lattimer, RN, CCM
Executive Director
Case Management Society of America

Cheri Lattimer is the Executive Director of CMSA and President and CEO of CMI, an association and conference management company. She is the Project Director for the National Transitions of Care Coalition and participates on advisory panels for the Society of Hospital Medicine.

Lattimer sits of the URAC Board and is a member of DMAA and ACHE. She is a frequent lecturer on topics such as management of chronic and high risk conditions, the role of case management, medication adherence, medical and behavioral care management programs, information systems, transitions of care, and performance and outcome studies.

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Cecilia Daub Cecilia Daub, RN, CCM, MA
Guided Care Nurse
Kaiser Permanente

Cecilia Daub, RN, currently serves as a Guided Care nurse with Kaiser Permanente in Kensington, Md. She first entered the workforce as a teacher with a degree in biology from the College of Notre Dame of Maryland.  She returned as a 2nd degree student to Johns Hopkins School of Nursing and graduated in 1993 with a BSN. She worked as the first clinical nurse for Maryland’s PACE program, also known as the Program for All Inclusive Care for the Elderly on the Johns Hopkins Bayview campus.

Daub’s geriatric background includes curriculum development and delivery for the Guided Care certificate course. She holds a master’s degree in Instructional System Design from the University of Maryland, Baltimore Campus. Over the years she has found many opportunities to blend her nursing and training expertise.

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Edward Abrahams, PhD
President, Personalized Medicine Coalition

Edward Abrahams, Ph.D., is president of the Personalized Medicine Coalition (PMC). Representing a broad spectrum of academic, industrial, patient, provider and payer communities, PMC seeks to advance the understanding and adoption of personalized medicine concepts and products for the benefit of patients. It has grown from its original 18 founding members in November 2004 to over 175 today.

Previously Dr. Abrahams was Executive Director of the Pennsylvania Biotechnology Association, where he spearheaded the successful effort that led to the Commonwealth of Pennsylvania’s investment of $200 million to commercialize biotechnology in the state. Earlier he had been Assistant Vice President for Federal Relations at the University of Pennsylvania and held a senior administrative position at Brown University.

Dr. Abrahams worked for seven years for the U.S. Congress, including as a legislative assistant to Senator Lloyd Bentsen, an economist for the Joint Economic Committee under the chairmanship of Representative Lee Hamilton, and as a AAAS Congressional Fellow for the House Committee on the Interior.

The author of numerous essays, Dr. Abrahams serves as senior editor of Personalized Medicine and has also taught history and public policy at Brown University and the University of Pennsylvania.

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Suzie Emiliozzi Elaine Miller, MSN, RN-BC
University Hospital
San Antonio, TX

Elaine Miller’s current position is with the University Hospital in San Antonio, Texas, as a Case Manager II for Cardiology/Pulmonary Critical Care services. Miller also serves as a faculty member for the American Nurses Credentialing Commission (ANCC) case management exam seminars and study groups. In addition, she is a member of the CMSA Education Committee.

She received her BSN in 1982 from the State University of New York at Plattsburgh. In 1991, she completed her MSN in Home Health Care/Case Management at the University of Virginia. Her nursing experience includes oncology, nutrition support, home health/community-based care and brain injury rehabilitation. In June, 2008, Miller received the CMSA Award of Service Excellence.

Miller is a member of the Case Management Society of America (CMSA) and the Alamo chapter of CMSA. She is active in the education mission of Alamo chapter serving as the Director of Education, 2006-2007, and providing a case management certification exam preparation program, Prep for Success, 2003-2009. Miller has served as faculty for regional, state, and national meetings on home health and case management topics. Beginning in 2008, Miller has provided case management exam preparation programs to Brooke Army Medical Center, Ft. Sam Houston, Wilford Hall Medical Center, Lackland, Air Force Base, TX, and Carl Darnall Medical Center, Ft. Hood, Texas. Her literature includes manuscripts published in Home Health Advisor and The Case Manager.

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Margaret Leonard

Margaret Leonard, MS, RN-BC, FNP
Senior Vice President, Clinical Services
Hudson Health Plan

Margaret (Peggy) Leonard, MS, RN-BC, FNP, is the Senior Vice President for Clinical Services at Hudson Health Plan (Hudson), a not-for-profit managed care organization based in New York. She is responsible for all functions of the clinical department, including case management, disease management, utilization review, quality improvement and more recently the oversight of the Medical Encounter Data submission process. Leonard was instrumental in the creation of Hudson’s Supporting Excellence Program (SE), which is a patient-centered quality incentive pay-for-performance program designed to assist providers with reports and tools they need to provide quality cost-effective care to Hudson members.

As of May 2009 Leonard was named the Executive Director of the Westchester Cares Action Program (WCAP), a three-year New York State-funded pilot project for care coordination for a targeted group of fee-for-service Medicaid recipients with the highest utilization and costs for the state in Westchester County. She has implemented an integrated medical and behavioral approach to this care coordination project. The WCAP Program received the Case In Point 2010 Platinum Award for Overall Case Management.

Leonard is well known on the national and international level for her work in Case Management, Certification, Transitions of Care, Integrated Models of Care, Motivational Interviewing and more. Presently she serves as the Immediate Past President of CMSA and is the Chair of its Public Policy Committee.

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Chad Boult

Chad Boult, MD, MPH, MBA
Professor, Health Policy and Management
Johns Hopkins

Chad Boult, MD, MPH, MBA, is the Lipitz Professor of Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health. He directs the Lipitz Center for Integrated Health Care and holds joint appointments on the faculties of the Johns Hopkins University Schools of Medicine and Nursing. A geriatrician for more than 20 years, Dr. Boult has extensive experience in developing, testing, evaluating, and diffusing new models of health care for older persons. His current focus is on "Guided Care," an interdisciplinary model of comprehensive care for older people with several chronic conditions.

As an expert on chronic care, Dr. Boult has spoken at meetings and conferences throughout the world. He has published two books and more than 75 articles in scientific journals. He also created the first validated instrument for identifying high-risk older persons (the "Pra"). In 2000, he received the "Excellence in Research Award" from the American Geriatrics Society.  In 2008, he received the "Archstone Foundation Award for Excellence in Program Innovation" (for Guided Care) from the American Public Health Association. Guided Care was a finalist for the British Medical Journal Group’s "2010 Getting Research Into Practice Award." The Guided Care Program at Kaiser Permanente Mid-Atlantic States won the "2010 Case In Point Platinum Award for Case Management Provider Program."

During 2009-2010, he is serving as a Health and Aging Policy Fellow at the Centers for Medicare and Medicaid Services (CMS) in the Office of Research, Development and Information (ORDI) and in the Center for Medicare Management (CMM).

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Randall Williams

Randall Williams, MD
CEO of Pharos Innovations

Dr. Williams is the CEO of Pharos Innovations, LLC, a pioneer in assisting clients to achieve the next generation of healthcare financial performance improvement through an easy-to-use, device-free remote monitoring platform.

He currently serves on the Board of Directors of Disease Management Association of America, which believes the highest achievable health status is attained through the promotion and alignment of population health improvement.  Dr. Williams has also served on the national American College of Cardiology Disease Management Task Force, which advocates for quality standards and reimbursement methods for chronic coordinated care.  He holds an appointment as Assistant Professor at Northwestern University’s Feinberg School of Medicine, and has performed research and published extensively on topics related to chronic disease and congestive heart failure outcomes.  

Additionally, he is the President of The Williams Heart Foundation, an endowed medical research foundation.  Prior to his current position, Dr. Williams was Director of the CHF Program at Evanston Northwestern Healthcare, where he designed and built a nationally renowned program for disease management.

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Suzie Emiliozzi

Keynote speaker for the People Awards Luncheon is: 
Dr. Norman Makous, M.D.
Author of Time to Care: Personal Medicine in the Age of Technology

Norman Makous, M.D., is the author of Time to Care: Personal Medicine in the Age of Technology (with Bruce Makous, TowPath 2010), which focuses on the importance of maintaining the personal relationship with the patient at the center in medical practice. His recent professional articles on this topic appear in The Patient: Patient-Centered Outcomes Research, Johns Hopkins University College of Public Health (Volume 3, Issue 3, 2010) and Pennsylvania Nurse (April 2010). Dr. Makous spent sixty years providing personal care to his cardiology patients from the late 1940s into the early 21st Century. After starting practice in the US Navy and Kansas City, he moved to Pennsylvania Hospital in Philadelphia and held appointments for many years on the faculties of both the University of Pennsylvania Medical School and Thomas Jefferson Medical University. Dr. Makous has received the Distinguished Achievement Award from the American Heart Association of Pennsylvania, as well as many other awards. He also served on the boards of several government and health insurance advisory groups. Dr. Makous was married for fifty-four years to Dorothy Bowlin Makous, until she died in 2003. They have ten children and nineteen grandchildren. He is married to Eleanor Sullivan and lives in Coatesville, Pennsylvania.

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