Russell Kohl, MD
TMF Health Quality Institute
Executive Vice President & Chief Operating Officer, West, HSAG
Dawn Fitzgerald, MS, MBA
Chief Executive Office, Qsource, Atom Alliance
Teresa Titus-Howard, PhD
Vice-president of Federal Health Solutions, Telligen
Ryan Sailor, MBA
Vice President and IDIQ Director, Great Plains QIN
John Keimig, MHA, FACHE
President & CEO, Healthcentric Advisors
CEO, Mountain-Pacific Quality Health Foundation
Senior Vice President/CFO, HealthInsight
Adrienne Mims, MD, MPH, FAAFP, AGSF
Vice President, Chief Medical Officer, Medicare Quality Improvement, Alliant Quality
Leland Babitch, M.D., MBA
Jonathan Sugarman, MD, MPH
President & CEO, Qualis Health
Eddie Machado Jr., M.D., MBA
Chief Quality Office and Vice President for Strategic Planning, IPRO Atlantic QIN
AHQA Board of Directors Biographies:
Clare Bradley, MD, MPH AHQA President 2017 - 2018
As Senior Vice President and Chief Medical Officer of IPRO, Clare Bradley, MD, MPH, supervises the organization’s Quality Improvement, Managed Care and End Stage Renal Disease departments, overseeing an annual operating budget of more than $25 million. Dr. Bradley’s management responsibilities include supervision of more than 120 staff and consultant physicians, nurses, epidemiologists, statisticians, data analysts, project managers and other professionals. The contracts Dr. Bradley supervises encompass activities in New York, New England, Pennsylvania, Kentucky, Rhode Island, New Jersey, Louisiana, Puerto Rico, Nebraska and Minnesota.
Prior to her 13-year tenure at IPRO, Dr. Bradley held senior management positions at the Suffolk County (NY) Department of Health Services, culminating in the role of Commissioner, an appointed position which she held from 1998 to 2003—overseeing services provided to 1.4 million citizens and a budget of $350 million. Board Certified in Internal Medicine, Dr. Bradley holds a Master of Science degree from Georgetown University, a Master of Public Health from Columbia University and a Medical Doctorate from the University of Maryland School of Medicine. Dr. Bradley did Residencies at the University of Maryland Hospital (internal medicine) and the Stony Brook University Hospital (preventive medicine).
Dr. Bradley is a Past President of the American Cancer Society, Eastern Division and currently serves as Chair of its Nominating Committee. Dr. Bradley received the Edward L. Trudeau Award from the American Lung Association in 2002 and the St George Award from the American Cancer Society in 2009.
Dr. Jane Brock is a medical director at Telligen, the Medicare Quality Improvement Organization (QIO) for Colorado. She is currently the medical director of the CMS QIO 10th Statement of Work Integrating Care for Populations and Communities National Coordinating Center (ICPC NCC). The ICPC NCC provides leadership and support to 41 QIOs as they recruit communities of providers and Medicare beneficiaries to work together to reduce unwanted hospital readmissions. Dr. Brock also serves as an expert faculty member for CMS’s Community-Based Care Transitions Program technical assistance contractor.
From 2008 – 2011, Dr. Brock served as the medical director of a 14-state QIO initiative to improve care transitions by improving information transfer between health care providers and patients, developing consistent workflow processes and increasing patient activation and satisfaction. These efforts resulted in unprecedented success, achieving a 7.4 percent overall reduction in hospital readmissions and a 7.3 percent reduction in hospital admissions per 1000 Medicare beneficiaries living in those communities that were included in the pilot initiative. Lessons learned from this pilot study expanded within the QIO Program to include all 53 states and territories, and led Dr. Brock to contribute to writing legislation that created the Community-Based Care Transitions Program.
Dr. Brock has provided clinical and quality improvement expertise in all care settings to a variety of CMS-funded projects during her 14 years in quality improvement. Her recent work has sought to accelerate healthcare delivery improvement through collective community action, by integrating the efforts of medical service providers, community health support agencies and consumers/patients. Dr. Brock has worked to adapt and apply the techniques of community organizing and mobilization used in political movements to drive healthcare quality improvement, and to ensure that QIO-led local improvement teams can use these skills. Most recently she has explored the potential for mapped data, from CMS and other federal agencies, to catalyze population health improvement through local alignment of medical and other human services resources.
Dr. Brock spent 18 years as a general practice physician and assistant director of the urgent care department at the Boulder Medical Center, and provided occupational medical services as the medical director of the medical department of a Lexmark printer manufacturing facility.
Rick Potter, CPA, MBA, AHQA Treasurer
Rick Potter is the Executive Vice President and Chief Operating Officer at Health Services Advisory Group, Inc. (HSAG). Mr. Potter is responsible for overseeing HSAG’s Federal Division and State & Corporate Services Division, including the Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO) contracts and all of HSAG’s state Medicaid external quality review contracts.
Mr. Potter, who has been with HSAG since 2003, has extensive experience in, and knowledge of, healthcare quality systems and managed care programs as they relate to performance based contracting, and in Medicaid reimbursement systems. As a principal with William M. Mercer, Inc., he managed projects to establish risk-adjusted rates, conducted operational and financial health plan reviews, managed quality assurance programs, developed capitation rates, and conducted health plan rate negotiations. As deputy director of the Arizona Health Care Cost Containment System (AHCCCS) from 1990 to 1998, Mr. Potter designed, planned, and implemented Arizona’s Children’s Health Insurance Program, “KidsCare.” Mr. Potter was also responsible for financial and operational oversight of the AHCCCS acute care health plans, long-term care program contractors, and regional behavioral health authorities. While deputy director, he served as chair of the Centers for Medicare & Medicaid Services (CMS) Medicaid Managed Care Technical Advisory Group from 1996 to 1998.
Mr. Potter earned a Master of Business Administration from Arizona State University, located in Tempe, Arizona. He earned a Bachelor of Science in Accounting from California State University at Northridge, California. Mr. Potter is certified by the National Committee of Quality Assurance (NCQA) as a Healthcare Effectiveness Data and Information Set (HEDIS) Compliance Auditor.
Sven T. Berg, M.D., MPH
Dr. Sven T. Berg is the Chief Executive Officer at Quality Insights, Inc. where he is responsible for oversight of a diverse range of large federal, state and commercial projects focused on health care quality improvement and assurance. He leads a team of more than 300 employees and independent contractors whose skills include quality improvement, data analysis, Health Information Technology implementation, and clinical practice transformation
Quality Insights, Inc. is the lead organization of a five-state Quality Innovation Network-Quality Improvement Organization (QIN-QIO) chartered by the Centers for Medicare & Medicaid Services. Under CMS’ End Stage Renal Disease Network (ESRD) program, Quality Insights improves care for kidney patients in three regions. Quality Insights also abstracts records for the Department of Veterans Affairs and conducts nationwide quality reviews for the American College of Cardiology. Quality Insights has been involved in regional health extension center initiatives in Pennsylvania, Delaware and West Virginia, helping thousands of physicians adopt and meaningfully use electronic health records.
Prior to coming to Quality Insights, Dr. Berg served as Chief of Clinical Services at the United States Air Force’s largest and most complex hospital—Wilford Hall Medical Center at Lackland Air Force Base in Texas. In this position he oversaw delivery of over one million outpatient and 25 thousand inpatient encounters annually. His accomplishments included merging the professional and clinical services staff of two major medical centers, launching a physician engagement initiative that boosted productivity by 15% in its first year, and chartering 12 organization-wide lean events to improve efficiency and improve health care quality and patient safety.
Previously as Chief of Clinical Services for a Medical Operations Group, he was responsible for setting and ensuring standards of professional practice for over 400 group physicians, and also overseeing process improvement and patient safety activities. He coauthored a five-year, $65 million plan for a congressionally funded diabetes prevention and treatment project and ultimately established a diabetes center of excellence.
Dr. Berg earned his MD at Cornell University Medical College and a Masters in Public Health-health Services Administration at the Uniformed Services University of the Health Sciences. He completed a residency in Pediatrics at Wilford Hall USAF Medical Center and a fellowship in Pediatric Hematology-Oncology at St. Jude Children’s Research Hospital in Memphis, Tennessee. Dr. Berg is a Fellow the American Academy of Pediatrics, and a Certified Physician Executive. He is licensed to practice in West Virginia, Ohio and Texas.
Dawn M. Fitzgerald, MS, MBA, AHQA Board Member
Dawn M. FitzGerald has served as the Chief Executive Officer of Qsource since 2007. Prior to this, Ms. Fitzgerald held several positions at Qsource including, Chief Operating Officer and Vice President for the Disparities Reduction Program.
Qsource holds the Centers for Medicare & Medicaid Service (CMS) contract known as the Medicare Quality Improvement Network - Quality Improvement Organization (QIN-QIO) for the states of Alabama, Indiana, Kentucky, Mississippi and Tennessee, collectively known as the atom Alliance. In addition, QSource serves as the Tennessee’s Medicaid (TennCare) External Quality Review Organization (EQRO) and Health Information Technology Regional Extension Center (HITREC). Qsource also has numerous commercial and state contracts that provide HIT adoption, program evaluation, consultation, and implementation support to both Tennessee and to Arkansas providers, the latter through its affiliate organization, QSource of Arkansas.
Ms. FitzGerald has over 20 years of experience in healthcare quality measurement, quality assurance and quality improvement. She has co-authored several articles on quality improvement programs, healthcare disparities, and the analysis of Medicare data. Ms. FitzGerald is widely recognized for her knowledge of healthcare quality and has served on the Institute of Medicine’s (IOM) Committee on Future Directions for the National Healthcare Quality and Disparities Reports, and is a former member of the National Quality Forum’s (NQF) Ambulatory Measures of Health Care Disparities Workgroup, and the NQF panel on Performance Measures for Minority Populations and Implementation and Improvement Workgroup, and the NQF Healthcare Disparities and Cultural Competency Consensus Standards Committee. Ms. FitzGerald is also a member and president-elect of the American Healthcare Quality Association (AHQA); the University of Memphis, School of Public Health Dean’s Advisory Board; Healthy Shelby Governance Council; and was listed as a 2013 “Super Women to Watch” by the Memphis Business Journal and a 2014 “Healthcare Hero” CEO awardee by the Nashville Business Journal.
Ms. FitzGerald received her Masters of Science in Developmental Psychology from the University of Florida and her Masters of Business Administration from the University of Memphis.
Ms. Teresa Titus-Howard has more than 25 years of diverse healthcare experience. She has demonstrated success within the six pillars of health care (policy, performance measurement, provider settings, payer organizations, public-private partnerships and patient-centered care). She also has more than 25 years of management experience.
Currently, as Vice-president of Federal Health Solutions at Telligen, she has senior leadership responsibilities over a portfolio of Telligen’s federal health contracts, and is actively involved in strategic planning, account management, operations, solution development and achieving client satisfaction.
Her recent major accomplishments include:
- Leading national practice transformation learning and diffusion, as well as, health and health care improvement and cost reduction efforts.
- Co-leading the reorganization and 11th Statement of Work Development for the CMS QIN- QIO and End Stage Renal Disease Network programs.
- Senior leader and co-founder of the Learning and Diffusion Group for CMS CMMI, overseeing the ground-breaking development of learning and diffusion approach for CMS CMMI models.
- Provided oversight of QIO and ESRD Network programs at regional level in thirteen mid-western states.
- Leading a bi-state employer and community-based health and healthcare improvement and cost reduction initiatives for depression and cardiovascular disease.
Ryan Sailor, MBA
Ryan Sailor is the Vice President for the South Dakota Foundation for Medical Care (SDFMC), an organization working locally to improve health care quality for Medicare beneficiaries. His responsibilities since joining SDFMC in 2003 have included data analysis, supporting hospitals with their data reporting, contract performance monitoring, staff training, and leading quality improvement initiatives. He has worked with all CMS data sources, including claims data, OASIS, CASPER, hospital quality data, and all of the CMS Compare databases. This data was utilized to create Internal Quality Control programs.
He also serves as the IDIQ Director, leading operations for the Great Plains Quality Innovation Network (GPQIN), a four-state partnership in ND, SD, NE, and KS. His responsibilities include reporting outcomes to the GPQIN Board of Directors, regularly monitoring performance as compared to contract goals, convening leadership across GPQIN monthly via the Regional Management Committee, and managing GPQIN’s relationship with our CMS Contracting Officer Representative.
Ryan enjoys helping healthcare providers across our region, and gets in an occasional round of golf between his kids’ various activities/sports. He received his Masters in Business Administration (MBA) from the University of Sioux Falls in 2011.
John Keimig, MHA, FACHE
John Keimig serves as President and Chief Executive Officer of Healthcentric Advisors, a nationally recognized healthcare quality improvement advisory firm. He is an accomplished healthcare executive with over 30 years’ experience providing effective leadership and strategic direction for both institutional and consultancy organizations.
John is responsible for leading his organization’s work on a diverse range of federal, state and private contracts, research awards, and consulting and project management engagements focused on healthcare quality, clinical practice transformation, health information technology and population health management. His organization holds contracts from The Centers for Medicare & Medicaid Services to serve as the Quality Innovation Network-Quality Improvement Organization and provide Quality Payment Program Support to small practice and rural physicians in the six New England states.
John’s previous experience in hospital and health system leadership includes 16 years as President and Chief Executive Officer of St. Joseph Health Services of Rhode Island.
John holds a Master of Hospital and Health Administration from Xavier University and a Bachelor Degree from the University of Scranton. He is board certified in healthcare management and holds fellowship status in the American College of Healthcare Executives. A regular lecturer on healthcare quality improvement issues, John serves on the Board of Directors of the American Health Quality Association and the Rhode Island Quality Institute. He is the recipient of the Providence Business News Leadership Achievement Award and the Distinguished Alumni Service Award from the Xavier University Graduate Program in Health Services Administration.
Sara Medley is the CEO of Mountain-Pacific Quality Health.
Under contract with the Centers for Medicare & Medicaid Services, Mountain-Pacific serves as the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Montana, Wyoming, Alaska, and Hawaii and the Pacific Territories of Guam and American Samoa and the Commonwealth of the Northern Mariana Islands.
Mountain-Pacific also provides Medicaid utilization, long-term care review, transportation authorization, and personal assistance and pharmacy review and management services for the Montana Department of Public Health and Human Services. In addition, Mountain-Pacific holds numerous contracts and subcontracts with private and public entities and organizations across its region.
Medley was appointed CEO in the fall of 2012. She has been involved in quality improvement and health care management her entire career and with Mountain-Pacific for more than 30 years—24 of which were spent directing Mountain-Pacific’s operations.
She is a life-long resident of Montana and serves on numerous boards at the local and national level.
Dan Memmott is the Chief Financial and Administrative Officer for HealthInsight, and has served as CFO at HealthInsight for 28 years. He currently oversees the corporate Finance, Human Resources, Information Technology and Communications departments, as well as the corporate compliance, contract management and administrative services functions. Dan received his Master of Business Administration degree in Finance from Indiana University and has nearly 40 years of business management and leadership experience. He is a past chairman of the Finance and Human Resources Network of the American Health Quality Association (AHQA). He currently serves on the board of directors of the American Health Quality Association and on the board of Phoenix Services. He previously served as treasurer on the boards of the Great Basin Public Health Leadership Institute and the James Q. Cannon Memorial Endowment. Dan and his wife, Jeannette, have four children and eight grandchildren.
Adrienne D. Mims, M.D. MPH, FAAFP, AGSF
Dr. Mims is board certified in family medicine and geriatric medicine, with fellowship status in both specialties. She has more than 30 years of clinical practice experience in caring for Medicare beneficiaries including hospital, office, nursing home, hospice and home care. She has a unique insight to the needs of the patient and family members and that of the clinical care team. As a clinical epidemiologist, she has with more than 20 years of administrative experience in using quality performance metrics to guide changes in clinical processes, clinician and patient education and organizational delivery system redesign in small clinical practices, large disease management, Medicare Advantage and managed care organizations.
Dr. Mims serves and the Vice President, Chief Medical Officer for Alliant Quality the CMS contracted Quality Innovation Network – Quality Improvement Organization for North Carolina and Georgia.
Leland Babitch, M.D., MBA
Leland Babitch, M.D., MBA, is the President and CEO of MPRO in Farmington Hills, MI. MPRO is the CMS-designated Quality Improvement Organization for the state of Michigan. With twenty years in healthcare, Dr. Babitch brings a demonstrated expertise in quality improvement, electronic health record technology, advanced analytics, health information exchange, population health, and hospital/medical group governance.
Prior to joining MPRO, Dr. Babitch served as an Executive Medical Director with Clinovations, a division of The Advisory Board Company. Additionally, he has served as a Senior Vice President and Chief Medical Information Officer at the Detroit Medical Center. There, his guidance and leadership contributed to the health system’s success in reaching Healthcare Information and Management Systems Society Stage 6, realizing more than $32 million in meaningful use incentives, as well as a $16 million Beacon award.
Dr. Babitch has worked as a Medical Director for United Healthcare of Minneapolis, MN. At the Wayne State University School of Medicine and the Detroit Medical Center, Dr. Babitch served in many roles including as the Director of Ambulatory and Information Services for Children’s Hospital of Michigan, as well as the Chief Compliance Officer for University Pediatricians. Dr. Babitch continues to practice clinically and teach as an Assistant Professor at the Wayne State University School of Medicine in the Department of Pediatrics.
Dr. Babitch holds a Doctor of Medicine degree from Wayne State University School of Medicine, a Master of Business Administration from Michigan State University, and a Bachelor of Arts in genetics and developmental biography from Northwestern University. He is a Certified Medical Practice Executive (MGMA), and a Felllow of the American College of Healthcare Executives. Dr. Babitch is board certified in Pediatrics, as well as Medical Informatics.
Jonathan R. Sugarman, MD, MPH, FAAFP, FACPM is President and CEO of Qualis Health. The Seattle-based nonprofit is a national leader in improving population health. Qualis Health’s services include healthcare care quality consulting, health information technology support, and care management services to a broad range of public and private sector clients across the US.
Dr. Sugarman’s work leading healthcare improvement efforts began as an Indian Health Service physician on the Navajo Nation, and spans over three decades. He regularly serves as an advisor for government and private sector quality measurement and improvement initiatives. He is a frequent speaker to regional and national audiences on topics related to healthcare quality and accelerating healthcare transformation through implementation of models such as the patient-centered medical home. He has authored over 90 papers and book chapters on population health management, primary care practice transformation, health problems of vulnerable populations, and quality of care among Medicare beneficiaries.
He has held leadership roles in numerous local, state, and national associations, including the Washington Academy of Family Physicians, the American Academy of Family Physicians, and the Physicians Consortium for Performance Improvement. He is currently the National Quality Forum Health Professionals Stakeholder Council Leader. Dr. Sugarman was the founding Site Director of the Seattle Indian Health Board Family Medicine Residency Program.
Dr. Sugarman is a graduate of Harvard College, the Albert Einstein College of Medicine and the University of Washington School of Public Health and Community Medicine. He serves as Clinical Professor in the Department of Family Medicine at the University of Washington and as Lecturer in the Department of Global Health and Social Medicine at Harvard Medical School, where he recently completed a two-year term as Visiting Professor.
Edison A. Machado Jr., M.D., MBA
Edison A. Machado Jr., MD, MBA is IPRO’s Chief Quality Officer and Vice President of Strategic Planning. Serving in this capacity, Dr. Machado is responsible for corporate strategic planning, business development and proposal services, and overseeing the corporate quality management system. In addition, Dr. Machado acts as the medical director for IPRO’s Health Informatics team.
Prior to his current role with IPRO, Dr. Machado worked as Senior Director in the Strategic Partnerships Department at National Quality Forum where he was responsible for managing projects related to uses of healthcare performance measurement information for payment incentives, public reporting, accreditation and certification, and systems improvement. Dr. Machado has also worked as Medical Director for the Health Care Incentives Improvement Institute, Inc. (HCI3) where he oversaw the Bridges to Excellence (BTE) Care Recognition Programs, while assisting various stakeholders and partners (including the American College of Cardiology, American Board of Internal Medicine, the NYS Health Foundation, and NYC Dept. of Health & Mental Hygiene) in managing and supporting healthcare quality performance measurement program implementations.
Dr. Machado serves on a number of state and national advisory committees including the CMS MACRA Episode-based Resource Use Measures Technical Expert Panel, URAC’s Measures Advisory Group, and the NYS DOH’s Chronic Heart, Pulmonary, and Diabetes Value Based Payment Clinical Advisory Group.
Dr. Machado received his undergraduate degree in Biological Sciences from Cornell University and earned both MD and MBA degrees from Yale University. Dr. Machado undertook his clinical training in internal medicine at New York Presbyterian-Weill Cornell Medical Center.