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The committee members are a diverse group of individuals who have direct and practical experience working in settings affected by HHS regulations. They are knowledgeable about health care delivery, health systems operations, advocacy for patients' interests, health insurance, development of pharmaceuticals and other medical products and biomedical and health services research. Douglas L. Wood, M.D., Mayo Clinic, Rochester, MN.Dr. Wood is a practicing cardiologist at the Mayo Clinic in Rochester, Minnesota. He has been involved with the Centers for Medicare and Medicaid Services (CMS) in the work of coding and documentation and interaction with Medicare carriers. He is a member of the Medicare Carrier Advisory Committee in Minnesota and has been the physician chair of this committee for the last four years. He worked with the PRO in Minnesota to improve the quality of care of heart attack patients and he currently serves on the Practicing Physician's Advisory Council for CMS. Dr. Wood is a member of the AMA CPT Advisory Committee and has previously served on the AMA CPT Editorial Panel. Kristen G. Crosby, M.D., Chief Medical Officer, Sterling Life Insurance Company / Olympic Health Management System, Inc., Bellingham, WA.In addition to her current position, Dr. Crosby's experience includes National Medical Director for Intracorp, a CIGNA subsidiary, and Pittsburgh Regional Medical Director for Keystone Health Plan West, a Blue Cross/Blue Shield HMO. She has extensive experience in HMO, PPO, and indemnity medical management and has developed and implemented outcome guidelines, credentialing processes, utilization management tools and quality management programs. Jeff Bloom, AIDS Patient Advocate, Washington, DC.A long- term survivor of AIDS, Jeff Bloom is a volunteer AIDS Patient Advocate since retiring in August of 1994 from permanently disabling complications from HIV infection of the spinal cord. Currently Mr. Bloom serves on the Founding Board of Directors of TIICANN - The Title II Community AIDS National Network and is active in numerous Congressional and FDA events and activities. Mr. Bloom is also an active member of The Patients and Consumers Coalition - a broad based Coalition of groups that advocates for positive change at the FDA. Mr. Bloom served as the patient representative on the FDA Antiviral Drug Advisory Committee and will be serving as the patient representative with the FDA Anesthetic & Life Support Advisory Committee. He also assisted the FDA in developing, planning and implementing a FDA workshop for patient representatives. Bruce D. Cummings, Chief Executive Officer, Blue Hill Memorial Hospital, ME.In addition to his responsibilities on behalf of Blue Hill Memorial Hospital, Mr. Cummings is also a Director and Vice Chair of the Maine Center for Public Health, a Director of Bingham Program Advisory Board, a founding Director of Health Net, a regional PHO and Health Information Trust, and a Diplomate of the American College of Healthcare Executives. He has a master’s in Public Health from Yale University. Gary C. Dennis, M.D., Howard University Hospital, Washington, DC.Dr. Dennis has been Chief of the Division of Neurosurgery at Howard University College of Medicine since 1984. Dr. Dennis served as a member of the CMS Practicing Physicians Advisory Council from 1992-1999. He currently serves as the Blue Cross Blue Shield National Capitol Area Professional Advisor and is a member of the Board of Trustees for the Delmarva Foundation for Medical Care for the District of Columbia, a nonprofit organization that promotes quality medical care for both Medicaid and Medicare beneficiaries. Dr. Dennis is a past president of the National Medical Association and the Medical Society of the District of Columbia. Susan Desmond-Hellmann, M.D., M.P.H., Chief Medical Officer, Genentech, San Francisco, CA.Dr. Hellmann is responsible for Genentech’s Medical Affairs, Regulatory Affairs, Product Development and Pharmocological Sciences, Manufacturing, Process Sciences, Quality and Engineering and also a member of the Executive Committee. She has been Associate Director of clinical cancer research at Bristol-Myers Squibb Pharmaceutical Research Institute and the Project Team Leader for Taxol. Hellmann holds bachelor and medical degrees from the University of Nevada, Reno and a master’s degree in epidemiology and biostatistics from the University of California, Berkeley School of Public Health. She is board-certified in Internal Medicine and Medical Oncology. She has won many honors and awards since 1980 for her work in oncology and AIDS research. She is also named to the board of directors of Aerogen. Ronald W. Dollens, President/CEO, Guidant Corporation, Indianapolis, IN.Mr. Dollens has 15 years of executive leadership in the field of medical technology, which includes service as President of Eli Lilly's Medical Devices and Diagnostics Division, and President and CEO of Guidant Corporation, a global company that develops, designs and manufactures life-saving and life-enhancing medical technologies used to treat cardiovascular diseases. Mr. Dollens is previous Chairman and current members of the Executive Committee and Board of the Advanced Medical Technology Association, chairman-elect and member of the Board of the Healthcare Leadership Council, and a member of the Boards of Alliance for Aging Research, the Coalition to Protect America's Healthcare, and the Indiana Health Industry Forum. Michele M. Evink, MS, RPh, FASCP, Pharmacist, Clarke County Hospital, Osceola, IA.Ms. Evink earned her pharmacy degree from South Dakota State University and Master of Science in Administrative Studies from the University of South Dakota. She serves as Adjunct Faculty and Pharmacy Intern Preceptor of Drake University College of Pharmacy and Health Sciences. She has won many honors and awards: Iowa Health System Pharmacist of the Year 2001, Iowa Young Pharmacist of the Year 1998 and honored by the Young Pharmacist Leadership Conference. She is also a member of American Pharmaceutical Association, American Society of Consultant Pharmacist, American Society of Health System Pharmacists. She is active in her community and in the Iowa Pharmacy Association. Eugene Anthony Fay, Vice President of Reimbursement and Government Affairs, Province Healthcare Company, Brentwood, TN.Mr. Fay has over 20 years of experience dealing with a variety of healthcare issues, including cost reporting, cost report appeals, billing, financial analysis, designs of payment systems for Medicaid plans, and designs of accounting systems for two different hospital chains. Between 1983 and 1994 Mr. Fay was a management consultant for Ernst and Young, where he served primarily not- for-profit hospitals. Since 1994, Mr. Fay has served investor-owned hospitals in various capacities including third-party reimbursement, billing, government affairs and financial management. He holds an MBA from the University of Alabama in Birmingham (UAB) and a BA from Birmingham-Southern College. He is a CPA and a Diplomat of the American College of Healthcare Executives. John Finan, CEO, Franciscan Missionaries of Our Lady Health System, Inc., Baton Rouge, LA.Mr. Finan has 30 years of experience in healthcare administration and operations. He has held senior positions in the Midwest and in Louisiana. Mr. Finan serves as a senior advisor to the NIH, is a member of the AHA Regional Policy Board, and chairs the Medicaid Reform Task Force of the Louisiana Hospital Association. His professional interests include strategic planning, process improvement, and leadership development. Lisa K. Gigliotti, J.D., Office of Governor John Engler, Lansing, MI.Ms. Lisa Gigliotti currently serves as the Human Services Policy Coordinator for Michigan Governor John Engler. She provides oversight for the development and implementation of policies including Abortion, Adoption, Aging, Children, Disability, Families, Guardianship, Health, Medicaid and Welfare. Most recently, she assisted in the design and implementation of Michigan’s Medicaid Pharmacy Program. She worked with various interest groups and the legislature to achieve passage of the first permanent ban on human cloning in the United States. Graduating from the University of Detroit School of Law, Lisa Gigliotti, began her legal career as a disability rights attorney. She was appointed to the Board of Directors of the National Legal Center for the Medically Dependent and Disabled, Incorporation. Governor John Engler appointed her to the Michigan Rehabilitation Advisory Council. Thomas R. Hefty, Chairman/CEO, Cobalt Corporation, Blue Cross & Blue Shield United of Wisconsin, Milwaukee, WI.Mr. Hefty serves on the board of the Blue Cross Blue Shield Association and the National Institute of Health Care Management. Hefty has also served as Wisconsin's Deputy Insurance Commissioner and as an Attorney in the Bureau of Competition of the Federal Trade Commission. Hefty was a member of the Wisconsin SAVE Commission (Study of Administrative Value and Efficiency) to streamline government. He also chaired the Committee of the National Association of Insurance Commissioners that drafted the first model federal standards for Medicare Supplement Insurance and chaired the Wisconsin Council on Long-Term Care Insurance. Heidi Margulis, Senior Vice President-Government Relations, Humana Inc., Louisville, KY.Ms. Margulis has over 16 years experience with a health care benefits company developing and leading best-of-practice, technology-based, strategic state and federal government relations programs including legislative and regulatory compliance programs and government contract programs such as Medicare + Choice. She has 25 years of experience in government-related activities including issue, candidate and campaign strategy and management, press relations and fund raising. Her current professional activities include membership on a CMS Panel on Medicare Education; policy, legislative, advocacy and strategic planning committees of the American Association of Health Plans, Health Care Leadership Council, and the Business Roundtable. Mary M. Martin, Chairman of the Board, The Senior Coalition, Crofton, MD.Currently, Ms. Martin is Chairman of the Board of The Seniors Coalition. Prior to retiring after 32 years at the Department of Health and Human Services, she held the following positions: Executive Assistant to the Director, Office for Civil Rights; Executive Assistant to the Chief of Staff; Administrative Officer in the Immediate Office of the Secretary; and Executive Assistant to the Acting Administrator of Health Care Financing Administration. Ms. Martin resides in Crofton, Md. Stephen H. Martin, Senator, 11th District of Virginia, Richmond, VA.Senator Steve Martin represents the 11th Senatorial District, which encompasses most of Chesterfield and Colonial Heights. First elected to the House of Delegates in 1987, Senator Martin was elected to Senate in a special election in 1994. He was Chairman of the Joint Republican Caucus from 1996-1999. His standing committees in the Senate of Virginia are Education and Health, General Laws, Local Government and Privileges and Elections. He has earned a reputation in the legislature as a defender of our individual liberties and a proponent of personal responsibility as being central to effective public policy. Gary Mendoza, Attorney, Riordan and McKinzie, Los Angeles, CA.Mr. Mendoza practices as an attorney who specializes in mergers, acquisitions, and securities transactions. In 1993, he was appointed head of the Department of Corporations for the state of California, where he oversaw the regulation of the state's HMOs. During his tenure, the Department established an 800 number program to respond to health plan enrollee complaints and negotiated with Blue Cross of California the formation of two charitable foundations dedicated to improving health status in California and increasing access to health care for under served populations. Nancy H. Nielsen, M.D., Ph.D., Internist, Buffalo, NY.Dr. Nielsen holds a Ph.D. in microbiology and received her medical degree from the State University of NY (SUNY) at Buffalo School of Medicine and Biomedical Sciences, where she is now Assistant Dean. She was President of her county medical society as well as her hospital's medical staff. She is Associate Medical Director for Quality of a major HMO in NY State. She is a member of the Board of Directors of the National Patient Safety Foundation (NPSF) and the Medical Liability Mutual Insurance Company. She is currently Vice Speaker of the House of Delegates of the American Medical Association, and has a large private practice of internal medicine. Erik Olsen, Member/ Board of Directors, AARP, Glenbrook, NV.Dr. Erik Olsen, of Glenbrook, Nevada, is a retired health care executive who is a member of the AARP Board of Directors, where he serves on their Governance and Health Insurance Trust Committees and also chairs AARP's biennial National Leadership Conference. Dr. Olsen is the retired CEO of Delta Dental Plan of California, the nation's largest dental insuror. He continues to serve Delta Dental on their Corporate Board and also is a member of the Board of Delta Dental Insurance Company. Recently he was the President of AARP of Arizona and served as a member of Phoenix Area Medicare Competitive Pricing Advisory Committee. Patricia Osborne Shafer, RN, MN, Beth Israel Deaconess Medical Center, Boston, MA.Ms. Shafer is a neuro/epilepsy nurse specialist and nurse researcher with over 20 years of experience. She is currently the hospital's JCAHO ambulatory nursing and neurology representative. Ms. Shafer has been active in the American Epilepsy Society, the National Association of Epilepsy Centers, the Epilepsy Foundation Board of Directors, and the Epilepsy Foundation Professional Advisory Board. Suzanne R. Pattee, J.D., Vice President of Public Policy & Patient Affairs, Cystic Fibrosis Foundation, Bethesda, MD.Ms. Pattee spearheads the legislative and regulatory agenda for the Cystic Fibrosis Foundation, and previously served as the Director of Consumer Affairs. She has focused on health policy issues such as medical research, human research protections, drug development, reimbursement and medical privacy. Ms. Pattee was Bioethics Counsel and Outreach Manager for the Biotechnology Industry Organization for five years. She is a former member of the Ethical, Legal, and Social Implications Research Advisors Group with the National Human Genome Research Institute. A patient with cystic fibrosis and diabetes, Ms. Pattee received her law degree from The George Washington University. Gary B. Redding, CPA, Department of Community Health, Atlanta, GA.Gary B. Redding was appointed by Governor Roy Barnes as the Commissioner of the Georgia Department of Community Health, leading a $5.9 billion department that is the authority for purchasing, planning and regulating health care in the state. Redding has more than 20 years of experience in health care planning, management and administration in both the public and private sectors. Prior to joining DHR, he was the director of the Division of Medical Assistance for the Department of Community Health. Redding earned a bachelor’s degree in business administration and accounting from Auburn University. He has served on many professional and community boards and organizations, including the Governor’s Council on Developmental Disabilities, the State Employees’ Credit Union Board, the Auburn Alumni Association, Leadership Atlanta Class of ‘95', and the Atlanta Exchange. Jack A. Rovner, Partner/Co-chair, Chicago Health Law Practice Group, Chicago, IL.Mr. Rovner's practice area includes health-law, antitrust, business counseling and transactions, and commercial litigation. His health law experience covers the formation, governance and operation of hospital systems and alliances, hospital group purchasing, and health care financing, including the formation and operation of preferred provider organizations, physician-hospital organizations, point of service plan and other managed care activities. He counsels on compliance with anti-fraud and abuse laws, and the HIPAA patient data privacy and electronic data security and transmission standards. Judith A. Ryan, Ph. D., President/CEO, The Evangelical Lutheran Good Samaritan Society, Sioux Falls, SD.Dr. Ryan's career as a senior health care executive spans service as the CEO of the American Nurses Association and its six subsidiary corporations, Senior Vice President of Lutheran General Health System, and the Associate Director of the University of Iowa Hospitals and Clinics and Associate Dean for the University of Iowa College of Nursing. Over this period she has provided strategic executive leadership focused on development of public policy, products and services related to the financing and delivery of health care, quality measurement, aging services, case management, clinical documentation and information systems. She is a member of numerous professional societies. Leonard D. Schaeffer, Chairman and CEO, Wellpoint Health Networks, Inc., Thousand Oaks, CA.Mr. Schaeffer served as the administrator of HCFA in the U.S. Department of Health Education and Welfare (HEW) and also served as the HEW Assistant Secretary for Management and Budget. More recently, he served as president of Group Health, Inc., a large HMO in the Midwest. In his current role as Chairman and CEO of WellPoint, Mr. Schaeffer oversees one of the nation's largest publicly traded health care companies. It offers a broad spectrum of network- based health plans including PPOs, HMOs, POS, hybrid and specialty products. Judith G. Sutherland, President/CEO, Visiting Nurse Corporation, Denver, CO.Ms. Sutherland manages the largest home care agency Visiting Nurse Corporation in Colorado with 870 employees making over 450,000 visits annually and is the Chair of the Board of the Directors. She is also active in legislative affairs both at the Federal and state level. She holds her master's degree in science, administration and organizational Behavior from George Williams College in Illinois. In the past she served as the Vice President of Finance, Business Manager, and Director of Marketing of Mountain States Shared Services Corporation. William Toby, Jr., Healthcare Consultant, retired, Rockville Center, NY.Mr. Toby has been a private health care consultant since retiring in 1996 from his position as Regional HCFA Administrator in New York. In that capacity, he directed the nation's Medicare and Medicaid programs in New York, New Jersey, Puerto Rico and the Virgin Islands. He also served as the Acting HCFA Administrator/Deputy in Washington, DC from March of 1992 to September of 1993. Earlier he was Regional Commissioner of the former U.S. Department of Health, Education, and Welfare's Social and Rehabilitation Service. Mr. Toby holds a Masters Degree in Public Administration from Harvard University's John F. Kennedy School of Government, a Masters Degree in Social Work from Adelphi University, a Bachelor's Degree in Spanish from West Virginia State College, and advanced certificates in Spanish from the Universities of León and Toledo in Spain. Karen B. Utterback, RN, Vice President South Mississippi Home Health, Inc., Hattiesburg, MS.Karen Utterback has had a long and successful career in health care service delivery and administration. She has worked at all levels, from home care nurse twenty years ago to her present position as Vice President of Operations for South Mississippi Home Health. She is known throughout the home care community for her in-depth knowledge and understanding of the regulatory and operational issues that impact home health and hospice providers and the beneficiaries that they care for. She has served in leadership roles in her company, her state, and on the national level. She has numerous professional memberships and has been certified by the American Nurses Association in Nursing Administration. Patricia M. Walden, NHA, Executive Director, Southington Care Center, Southington, CT.Ms. Walden earned her bachelor's degree from Southern Connecticut State University in 1974. She received her administrator's licensure through the University of Connecticut in 1978. Ms. Walden is a founding member of the Breaking the Bonds Committee organized through the Connecticut Department on Aging as part of a statewide initiative to provide restraint-free care for nursing home residents. Ms. Walden has served as an adjunct professor at Quinnipiac University and Rensallaer Polytechnical Institute in Connecticut. She has been a member of the American College of Health Care Administrators since 1978 and is an active member of the Connecticut Association of Not for Profit Health Care Facilities. Kern Wildenthal, M.D., Ph.D., President of The University of Texas Southwestern Medical Center, Dallas, TX.Dr. Wildenthal has combined careers in clinical medicine, education basic research and institutional administration. Dr. Wildenthal has published more than 120 scientific papers in basic research and clinical cardiology, as well as numerous articles on health and education policy issues. He has been the Chairman of the Science Policy Committee of the Association of Academic Health Centers, the Basic Science Counsel, and has served on the Science Advisory Committee of the Research Review Committee of the National Heart, Lung and Blood Institute. He has also served as a visiting professor or consultant at over 60 medical schools, universities and research institutes around the world. |