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Accountable Payment Models: Total Knee and Total Hip Replacement Re-Review

Name Title Organization
Robert Mecklenburg, MD (Co-Chair) Medical Director, Center for Health Care
Solutions		 Virginia Mason Medical Center
Kerry Schaefer, MS (Co-Chair) Strategic Planner for Employee Health King County
Lydia Bartholomew, MD Senior Medical Director, Pacific Northwest Aetna
Arman Dagal, MD Medical Director Spine SCOAP
Sharon Eloranta, MD Division Director, Clinical Excellence and
Quality		 CHI Franciscan Health
Farrokh Farrokhi, MD Neurosurgeon Virginia Mason Medical Center
Gary Franklin MD, MPH Medical Director Washington State Department of Labor and Industries
Andrew Friedman, MD Physical Medicine and Rehabilitation Virginia Mason Medical Center
Michael Hatzakis, MD Physiatrist Overlake Medical Center
Sara Groves-Rupp Asst Administrator, Performance Improvement University of Washington Medicine
Marcia Peterson Manager of Benefits Strategy and Design Washington State Health Care Authority
Linda Radach Patient Advocate

Mia Wise, DO

 

 Medical Director, Provider & Customer
Engagement		 Premera Blue Cross
Jason Thompson, MD Spine Surgeon Proliance Surgeons

Accountable Payment Models: Total Knee and Total Hip Replacement Re-Review

Member Title Organization
Lydia Bartholomew, MD Senior Medical Director, Pacific Northwest Aetna
Todd Bate Administrator, Orthopaedics & Sports Medicine Service Line MultiCare
Shawn Boice, RN, BSN, MHA Nurse Navigator, MSK Administration Evergreen Health Care
Greg Brown, MD, PhD Orthopedic Surgeon CHI Franciscan
Sharon Eloranta, MD Medical Director, Quality and Safety Initiatives Qualis Health
Andrew Friedman, MD  Physiatrist Virginia Mason Medical Center
 Mike Glenn  CEO  Jefferson Healthcare, Pt. Townsend
Kevin Macdonald, MD Orthopedic Oncology, Adult Reconstruction Virginia Mason Medical Center
Robert Mecklenburg, MD (Co-Chair) Medical Director, Center for Health Care Solutions Virginia Mason Medical Center
 Linda Radach   Patient Advocate
Kerry Schaefer (Co-Chair) Strategic Planner for Employee Health King County
Jacqui Sinatra, MPA, FACHE Service Line Director of Sports, Spine, & Ortho Health Svc University of Washington Medical Center
Gaelon Spradley Chief of Clinic Operations Mason General Hospital
 Theresa Sullivan  CEO  Samaritan Healthcare, Moses Lake

Accountable Payment Models: Bariatric Surgery

Member Title Organization
David Arterburn, MD, MPH Physician, Internal Medicine
Group Health Research Institute Senior Investigator		 Group Health Cooperative
Sharon Eloranta, MD Medical Director, Quality and Safety Initiatives Qualis Health
Kristin Helton, PhD Consumer
Jeff Hooper, MD Medical Director, Weight Loss Program MultiCare Health System
Dan Kent, MD Chief Medical Officer United Health Care
Saurabh Khandelwal, MD Bariatric Surgeon University of Washington
Robert Mecklenburg, MD (Co-Chair) Medical Director, Center for Health Care Solutions Virginia Mason Medical Center
Robert Michaelson, MD, PhD, FACS, FASMBS President Washington State Chapter, American Society for Metabolic and Bariatric Surgery
Thien Nguyen, MD Bariatric Program Medical Director Overlake Medical Center
Tom Richards Consumer
Kerry Schaefer (Co-Chair) Strategic Planner for Employee Health King County
Jonathan Stoehr, MD/Jeff Hunter, MD Endocrinologist/ Bariatric Surgeon Virginia Mason Medical Center
Brian Sung, MD Bariatric Surgery Director Swedish Medical Center
Tina Turner Senior Internal Consultant Premera Blue Cross
Richard Thirlby, MD Medical Director Surgical Care and Outcomes Assessment Program (SCOAP)

Accountable Payment Models: Coronary Artery Bypass Surgery

Member Title Organization
Drew Baldwin MD, FACC Cardiologist Virginia Mason Medical Center
Glenn Barnhart MD Cardiac Surgeon Swedish Medical Center
Marissa Brooks Director of Health Improvement Programs SEUI Healthcare Northwest Benefits
Susie Dade MS Deputy Director Washington Health Alliance
Gregory Eberhart MD, FACC Medical Director, Cardiology CHI Franciscan Health
Theresa Helle Manager of Health Care Quality and Efficiency Initiatives The Boeing Company
Bob Herr MD Physician US HealthWorks
Jeff Hummel MD Medical Director, Health Care Informatics Qualis Health
Dan Kent MD Medical Director, Quality & Medical Management Premera Blue Cross
Robert Mecklenburg MD (Co-Chair) Medical Director, Center for Health Care Solutions Virginia Mason Medical Center
Vinay Malhotra MD Cardiologist Cardiac Study Center
Kerry Schaefer (Co-Chair) Strategic Planner for Employee Health King County
Gregg Shibata Manager, Accountable Health Implementation Regence Blue Shield
Shilpen Patel, MD, FACRO Medical Director Clinical Outcomes Assessment Program
Thomas Richards Managing Director, Employee Benefits Alaska Airlines

Accountable Payment Models: Lumbar Fusion

Member Title Organization
Susie Dade MS Deputy Director Washington Health Alliance
Gary Franklin MD, MPH Medical Director Washington State Department of Labor and Industries
April Gibson Administrator Puget Sound Orthopaedics
Dan Kent MD Medical Director, Quality & Medical Management Premera Blue Cross
Bob Manley MD Surgeon Regence Blue Shield
Gary McLaughlin Vice President of Finance, Chief Financial Officer Overlake Hospital
Robert Mecklenburg MD (Chair) Medical Director, Center for Health Care Solutions Virginia Mason Medical Center
Peter Nora MD Chief of Neurological Surgery Swedish Medical Center
Charissa Raynor Executive Director SEIU Healthcare NW Benefits
Kerry Schaefer Strategic Planner for Employee Health King County
Julie Sylvester Vice President of Quality and Safety Initiatives Qualis Health
Jay Tihinen Assistant Vice President Benefits Costco Wholesale

Accountable Payment Models: Total Knee and Total Hip Replacement

Member Title Organization
Susie Dade MS Deputy Director Washington Health Alliance
Joe Gifford MD Chief Strategy and Innovation Officer for Western Washington Providence Health and Services
Bob Herr, MD Medical Director, Government Programs Regence Blue Shield
Tom Hutchinson Practice Administrator PeaceHealth
Rich Maturi Senior Vice President, Health Care Delivery Systems Premera Blue Cross
Gary McLaughlin Vice President of Finance Overlake Hospital
Robert Mecklenburg, MD (Chair) Medical Director, Center for Health Care Solutions Virginia Mason Medical Center
Kerry Schaefer Strategic Planner For Employee Health King County
Julie Sylvester Vice President of Quality and Safety Initiatives Qualis Health
Jay Tihinen Assistant Vice President, Benefits Costco

Alzheimer’s Disease and Other Dementias

Name Title

Organization
Kristoffer Rhoads, PhD (Chair) Primary Neuropsychologist, Memory and Brain Wellness Center University of Washington Medicine
Kimiko Domoto-Reilly, MD Alzheimer’s Research Center University of Washington Medicine
Richard Furlong, MD Primary Care Virginia Mason Medical Center
Barak Gaster, MD Professor of Medicine University of Washington Medicine
Kelly Green, LICSW Social Worker Evergreen Health
Debbie Hunter Family Caregiver
Nancy Isenberg, MD, MPH, FAAN Neurologist, Clinical Associate Professor of Neurology, Center for Healthy Aging & Memory Virginia Mason Medical Center
Arlene Johnson Family Caregiver
Kerry Jurges, MD Primary Care Confluence Health
Eric Larson, MD, MPH Vice President for Research and Health Care Innovation Kaiser Foundation Health Plan of Washington
Todd Larson Family Caregiver
Myriam Marquez Patient Advocate
Shirley Newell, MD Chief Medical Officer Aegis Living
Darrell Owens, DNP, ARNP Clinic Chief, Director University of Washington Outpatient Primary, Palliative and Supportive Care Program
Tatiana Sadak, PhD, ARNP Psychiatric Nurse Practitioner Associate Professor of Geriatric Mental Health, University of Washington School of Nursing
Bruce Smith, MD Medical Director Regence Blue Shield

Addiction/Dependence Treatment

Member Title Organization
Charissa Fotinos MD Deputy Chief Medical Officer Health Care Authority
Tom Fritz (Chair) Chief Executive Officer Inland Northwest Health Services
Linda Grant Chief Executive Officer Evergreen Manor
Tim Holmes Vice President of Outreach Services and Behavioral Health Administration MultiCare Health System
Ray Hsiao MD Co-Director, Adolescent Substance Abuse Program Seattle Children’s Hospital
Scott Munson Executive Director Sundown M Ranch
Rick Ries MD Associate Director Addiction Psychiatry Residency Program, University of Washington
Terry Rogers MD Chief Executive Officer Foundation for Health Care Quality
Ken Stark Director Snohomish County Human Services Department
Jim Walsh MD Physician Swedish Medical Center

Behavioral Health Integration

Member Title Organization
Brad Berry Executive Director Consumer Voices Are Born
Regina Bonnevie, MD Medical Director Peninsula Community Health Services
Michelle Guerra, MD Senior Clinician –Premera
Larry Marx, MD Medical Director, Behavioral Health Support Services –Group Health Cooperative
Rose Ness, MA, LMHC, CDP Behavioral Health Expert Sound Integration for Behavioral Healthcare
Kim McDermott, MD Physician –NeighborCare
Mary Kay O’Neill MD, MBA Partner Mercer
Anna Ratzliff, MD, PhD/
Anne Shields, MHA, RN		 Director of the UW Integrated Care Training Program, Associate Director for Education/Associate Director AIMS Center, University of Washington
Jeff Reiter, PhD Lead Psychologist –Swedish Medical Services
Julie Rickard, PhD Program Director of Integrated Behavioral Services Confluence Health
Joe Roszak CEO Kitsap Mental Health Services
Brian Sandoval, PsyD Behavioral Health Manager, Oregon and Washington Services Yakima Valley Farmworkers Clinics
Lani Spencer, RN, MHA Vice President Health Care Management Services, Amerigroup –Washington
Emily Transue, MD, MHA Senior Medical Director Coordinated Care
Melet Whinston, MD Medical Director –United Health Care

Bree Implementation Team

Member Title Organization
Neil Chasan Physical Therapist Sports Reaction Center
Susie Dade MS Deputy Director Washington Health Alliance
Cezanne Garcia Program Manager, Community and School-Based Partnerships Public Health Seattle – King County
Ellen Kauffman MD OB-COAP Medical Director Foundation for Health Care Quality
Dan Lessler MD (Chair) Medical Director Health Care Authority
Alice Lind RN Manager, Grants and Program Development Health Care Authority
Jason McGill JD Health Policy Advisor Governor’s Office
Larry McNutt Sr. Vice President Northwest Administrators, Inc
Mary Kay O’Neill MD, MBA Chief Medical Director Coordinated Care
Steven Overman MD Director Seattle Arthritis Clinic
Terry Rogers MD Chief Executive Officer Foundation for Health Care Quality
Claudia Sanders Senior Vice President, Policy Development Washington State Hospital Association
Kerry Schaefer Strategic Planner for Employee Health King County
Jeff Thompson MD Senior Health Care Consultant Mercer
Shawn West MD Family Physician Edmonds Family Medicine
Karen Wren Benefits Manager Point B

Collaborative Care for Chronic Pain

Name Title Organization
Leah Hole-Marshall, JD (chair) Counsel and Chief Strategist Washington Health Benefit Exchange
LuAnn Chen, MD, MHA, FAAFP Medical Director Community Health Plan of Washington
Stuart Freed MD Chief Medical Officer Confluence Health
Andrew Friedman, MD Physiatrist Virginia Mason Medical Center
Lynn DeBar, PhD, MPH Senior Investigator Kaiser Permanente Washington Health Research Institute
Ross Bethel, MD Physician Selah Family Medicine
Mary Kay O’Neill, MD, MBA Partner Mercer
Jim Rivard, PT, DPT, MOMT, OCS, FAAOMPT President MTI Physical Therapy
Kari A. Stephens, PhD Assistant Professor – Psychiatry & Behavioral Sciences University of Washington Medicine
Mark Sullivan, MD, PhD Professor, psychiatry; Adjunct professor, anesthesiology and pain medicine University of Washington Medicine
Nancy Tietje Patient Advocate
Emily Transue, MD, MHA Associate Medical Director Washington State Health Care Authority
Michael Von Korff, ScD Senior Investigator Kaiser Permanente Washington Health Research Institute

End-of-Life Care

Member Title Organization
Anna Ahrens Director of Patient and Family Support Services MultiCare Health System
J. Randall Curtis MD, MPH Professor of Medicine, Director University of Washington Palliative Care Center of Excellence
Trudy James Chaplain Heartwork
Bree Johnston MD Medical Director, Palliative Care PeaceHealth
Abbi Kaplan Principal Abbi Kaplan Company
Timothy Melhorn MD Internist Yakima Valley Memorial Hospital (YVMH) and the Memorial Foundation
Joanne Roberts MD Chief Medical Officer, NMR Administration Providence Everett Regional Medical Center
John Robinson MD (Chair) Chief Medical Officer First Choice Health
Bruce Smith MD (Vice Chair) Associate Medical Director, Strategy Deployment Group Health Physicians
Richard Stuart DSW Clinical Professor Emeritus, Psychiatry University of Washington

Hospital Readmissions

Member Title Organization
Sharon Eloranta MD Medical Director, Quality and Safety Initiatives Qualis Health
Stuart Freed MD Medical Director Wenatchee Valley Medical Center
Rick Goss MD, MPH (Chair) Medical Director Harborview Medical Center – University of Washington
Leah Hole-Marshall JD Medical Administrator Washington State Department of Labor and Industries
Dan Lessler MD, MHA Medical Director Health Care Authority
Robert Mecklenburg MD Medical Director, Center for Health Care Solutions Virginia Mason Medical Center
Amber Theel RN, MBA Director, Patient Safety Practices Washington State Hospital Association

Hysterectomy

Name Title Organization
Pat Kulpa, MD,MBA Medical Director Regence BlueShield
Sharon Kwan, MD, MS Interventional Radiologist University of Washington Medical Center
John Lenihan, MD Medical Director of Robotics and Minimally Invasive Surgery MultiCare Health System
Jennie Mao, MD Clinical Assistant Professor, Department of Obstetrics and Gynecology University of Washington Medical Center
Rachelle McCarty, MPH Patient Advocate
Sarah Prager, MD Chair Washington State Section of ACOG
Kevin Pieper, MD Chief, Women’s and Children’s Providence Regional Medical Center Everett
Kristin Riley, MD, FACOG Assistant Professor, Department of Obstetrics and Gynecology University of Washington Medical Center
Jeanne Rupert, DO, PhD (Chair)  Family Physician One Medical
Anita Showalter, DO, FACOOG Associate Professor and Chair, Women’s Health Pacific Northwest University of Health Sciences
Susan Warwick, MD Obstetrics and Gynecology Kaiser Permanente

LGBTQ Health Care

Name Title Organization
Dan Lessler, MD, MHA (Chair) Chief Medical Officer Washington State Health Care Authority
Olivia Arakawa, MSN, CNM, ARNP, RN Parent Advocate
Scott Bertani Director of Policy Lifelong AIDS Alliance
Kathy Brown, MD Provider Kaiser Permanente
LuAnn Chen, MD, MHA, FAAFP Medical Director Community Health Plan of Washington
Michael Garrett, MS, CCM, CVE, NCP Principal Mercer
Chris Gaynor, MD, MA, FAAFP Family Practice Clinician Capitol Hill Medical
Matt Golden, MD Professor, Director, PHSKC STD Control Program University of Washington
Kevin Hatfield, MD Family Practice Clinician The Polyclinic
Corinne Heinen, MD Physician Lead, UW Transgender Clinical Pathway Department of Internal Medicine, Allergy & Infectious Disease, University of Washington
Tamara Jones End AIDS Washington Policy and Systems Coordinator Department of Health

Low Back Pain

Member Title Organization
Dan Brzusek DO Physiatrist Northwest Rehab Association
Neil Chasan Physical Therapist Sport Reaction Center
Andrew Friedman MD Physiatrist Virginia Mason
Leah Hole-Curry JD Medical Administrator WA State Labor & Industries
Heather Kroll MD Rehab Physician Rehab Institute of Washington
Chong Lee MD Spine Surgeon Group Health Cooperative
Mary Kay O’Neill MD, MBA (Chair) Executive Medical Director Regence Blue Shield
John Robinson MD, SM Chief Medical Officer First Choice Health
Michael Von Korff ScD Psychologist & Researcher Group Health Research Institute
Kelly Weaver MD Physiatrist The Everett Clinic

Obstetrics (Maternity) Care

Member Title Organization
Theresa Helle Manager, Health Care Quality & Efficiency Initiatives The Boeing Company
Ellen Kauffman MD OB-COAP Medical Director Foundation for Health Care Quality
Robert Mecklenburg MD Medical Director, Center for Health Care Solutions Virginia Mason Medical Center
Carl Olden MD Family Physician Pacific Crest Family Medicine, Yakima
Mary Kay O’Neill MD, MBA Executive Medical Director Regence Blue Shield
Dale Reisner MD Obstetrician/Gynecologist Swedish Hospital Perinatologist
Terry Rogers MD Chief Executive Officer Foundation for Health Care Quality
Roger Rowles MD Obstetrician/Gynecologist Yakima Memorial OB-GYN

Oncology Care

Member Title Organization
Jennie Crews MD Medical Director PeaceHealth St. Joseph Cancer Center
Bruce Cutter MD Oncologist Medical Oncology Associates
Patricia Dawson MD, PhD Director Swedish Cancer Institute Breast Program and True Family Women’s Cancer Center
Keith Eaton MD, PhD Medical Director, Quality, Safety and Value Seattle Cancer Care Alliance
Janet Freeman-Daily Patient Advocate
Christopher Kodama MD, MBA (Chair) President, MultiCare Connected Care MultiCare Health System
Gary Lyman MD, MPH Co-Director Hutchinson Institute for Cancer Outcomes Research
Rick McGee MD Oncologist Washington State Medical Oncology Society
John Rieke MD,FACR Medical Director MultiCare Regional Cancer Center
Hugh Straley MD Chair and Oncologist Bree Collaborative
Richard Whitten MD Medical Director Noridian

Opioid Prescribing Guideline Implementation

Name Title Organization
Chris Baumgartner Director Prescription Monitoring Program Washington State Department of Health
David Buchholz, MD Medical Director of Provider Engagement Premera
Tanya Dansky, MD Chief Medical Officer Amerigroup
Gary Franklin, MD, MPH (Chair) Medical Director Washington State Department of Labor and Industries
Charissa Fontinos, MD Deputy Chief Medical Officer Washington State Health Care Authority
Frances Gough, MD Chief Medical Officer Molina Healthcare
Kathy Lofy, MD Chief Science Officer Washington State Department of Health
Dan Kent, MD Chief Medical Officer UnitedHealthcare
Jaymie Mai, PharmD Pharmacy Manager Washington State Department of Labor and Industries
Mark Murphy, MD Addiction Medicine MultiCare Health System
Shirley Reitz, PharmD ‎Clinical Pharmacist Client Manager OmedaRx, Cambia
Gregory Rudolph, MD Addiction Medicine Swedish Pain Services
Michael Schiesser, MD Addiction Medicine EvergreenHealth Medical Center
Danny Stene, MD Medical Director First Choice Health
Mark Stephens President Change Management Consulting
Hugh Straley, MD Chair Bree Collaborative
David Tauben, MD Chief of Pain Medicine University of Washington Medical Center
Gregory Terman MD, PhD Professor Department of Anesthesiology and Pain Medicine and the Graduate Program in Neurobiology and Behavior, University of Washington
Emily Transue, MD Chief Medical Director Coordinated Care
Michael Von Korff, ScD Senior Investigator Group Health Research Institute

Opioid Use Disorder Treatment

Name Title

Organization
Charissa Fotinos, MD (Co-Chair) Deputy Medical Officer Health Care Authority
Andrew Saxon, MD (Co-Chair) Director, Center of Excellence in Substance Abuse Treatment and Education (CESATE) VA Puget Sound Health Care System
Jane Ballantyne, MD, FRCA Professor, Department of Anesthesiology and Pain Medicine University of Washington School of Medicine
Caleb Banta-Green, PhD, MPH, MSW Senior Scientist Alcohol and Drug Abuse Institute, University of Washington
David Beck, MD Immediate Past President Washington Society of Addiction Medicine
Ryan Caldeiro, MD Chief Chemical Dependency Services and Consultative Psychiatry Kaiser Permanente
Mary Catlin, BSN, MPH Consultant Department of Health
Nancy Lawton, MN, ARNP, FNP President ARNPs United of Washington State
Darin Neven, MD, MS President and Founder Consistent Care
Richard Ries, MD Director, Addiction Psychiatry Residency Program University of Washington
John Robinson, MD, SM Chief Medical Officer First Choice Health
John Roll, PhD Professor & Vice Dean for Research, Elson S. Floyd College of Medicine Washington State University
Terry Rogers, MD Medical Director Lakeside Milam Recovery
Vania Rudolf, MD, MPH Addiction Recovery Services Swedish Medical Center
Mark Stephens President Change Management Consulting
Milena Stott, LICSW, CDP Chief Of Inpatient Services Valley Cities Counseling

Prostate Cancer Screening

Member Title Organization
John Gore MD, MS Urologist, clinician, surgeon, researcher University of Washington Medicine
Matt Handley MD Medical Director, Quality Group Health Cooperative
Leah Hole-Marshall JD Medical Administrator Department of Labor & Industries
Steve Lovell Retired Patient and Family Advisory Council
Wm. Richard Ludwig MD (Chair) Chief Medical Officer Providence Accountable Care Organization
Bruce Montgomery MD Clinical Director of Genitourinary Medical Oncology Seattle Cancer Care Alliance
Eric Wall MD, MPH Market Medical Director UnitedHealthcare
Shawn West MD Family Physician Edmonds Family Medicine
Jonathan Wright MD, MS, FACS Assistant professor of urology/affiliate researcher University of Washington/Fred Hutchinson Cancer Research Center

Pediatric Psychotropic Use

Member Title Organization
Shelley Dooley Parent Advocate
Nalini Gupta MD Pediatrician Developmental and Behavioral Pediatrics
Providence Health and Services
Robert Hilt MD Director, Community Leadership; Director of Partnership Access Line Seattle Children’s
Paula Lozano MD, MPH (Chair) Medical Director, Research and Translation Group Health Cooperative
Liz Pechous PhD Clinical Director ICARD, PLLC
Robert Penfold PhD Co-investigator, Mental Health Research Network Group Health Research Institute
James Polo MD MBA Chief Medical Officer Western State Hospital
David Testerman PharmD Pharmacy Director Amerigroup
Mark Stein PhD, ABPP Director of ADHD and Related Disorders Seattle Children’s
Donna Sullivan PharmD, MS Chief Pharmacy Officer Washington Health Care Authority

Suicide Care

Member Title Organization
Kate Comtois, PhD, MSW Psychologist Harborview Medical Center
Karen Hye, PsyD Clinical Psychologist CHI Franciscan Health
Matthew Layton, MD, PhD, FACP, DFAPA Clinical Professor, Department of Medical Education and Clinical Sciences Elson S. Floyd College of Medicine, Washington State University
Neetha Mony, MSW Statewide Suicide Prevention Plan Program Manager Washington State Department of Health
Julie Rickard, PhD Physician & Healthcare Consultant Confluence Health
Julie Richards, MPH Research Associate Kaiser Permanente Washington Health Research Institute
Hugh Straley, MD (chair) Chair Bree Collaborative
Jennifer Stuber, PhD Associate Professor University of Washington School of Social Work
Jeffrey Sung, MD Member Washington State Psychiatric Association

 

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