UPMC Conference on Accelerating Stakeholder-Driven PCOR/CER in a Learning Health System

Speakers

Andy Bindman, MD

Andy Bindman, MD

University of California, San Francisco

San Francisco, CA

Andy Bindman, MD

Dr. Andy Bindman is a professor of medicine, epidemiology & biostatistics, and a core faculty member within the Philip R. Lee Institute for Health Policy Studies at the University of California, San Francisco. He is a primary care physician who has practiced and taught clinical medicine at Zuckerberg San Francisco General Hospital for over 3 decades while also conducting health services research to improve care within the health care safety net. He has been a leader in translating research into policy through several roles he has played within the federal government. He was a health policy fellow on the staff of the US House Energy and Commerce Committee where he contributed to the drafting of the Affordable Care Act (ACA). He worked for several years to implement the ACA as a senior adviser within the US Department of Health and Human Services and as the Director of the Agency for Healthcare Research and Quality (AHRQ). He currently serves as the co-editor in chief of the journal, Health Services Research. Dr. Bindman was elected to the National Academy of Medicine in 2015.

Tracy Carney, CPS, CPRP

Tracy Carney, CPS, CPRP

Community Care Behavioral Health

Pittsburgh, PA

Tracy Carney, CPS, CPRP

Ms. Carney has over a decade of experience in the behavioral health field as a service professional, a researcher, and an advocate for individuals living with behavioral health issues. She served as Director for the Outlook Drop-in Center and Recovery Central Clubhouse at Columbia Montour Snyder Union Behavioral Health Services for seven years and now works as a Senior Recovery and Resiliency Specialist for Community Care Behavioral Health Organization (CCBH). Her professional roles have focused on providing service users with positive experiences that support them on their journey to mental health recovery. While at CCBH, she has become involved in PCOR/CER serving as the Stakeholder Co-Principal Investigator for the PCORI-funded, Optimizing Behavioral Health Homes by Focusing on Outcomes that Matter Most for Adults with Serious Mental Illness, and Stakeholder Co-Investigator on a subsequent PCORI dissemination award entitled, Utilizing a Learning Collaborative Approach to Support Behavioral Health Home Dissemination. Ms. Carney serves on the boards of several behavioral health non-profit organizations that aim to improve the mental health consumer experience and provide pathways for recovery from mental illness. Her advocacy work includes efforts to decrease the stigma often surrounding individuals living with behavioral health conditions.

Pat Deegan, PhD

Pat Deegan, PhD

Pat Deegan PhD & Associates

Byfield, MA

Pat Deegan, PhD

Dr. Deegan is a principal with Pat Deegan PhD & Associates. For over 30 years she has been a thought leader and disruptive innovator in the field behavioral health recovery. She founded a company, run by and for people in recovery to safeguard human dignity by bringing individual voice and choice to the center of the clinical care team. She is an activist in the disability rights movement and has lived her own journey of recovery after being diagnosed with schizophrenia as a teenager. Dr. Deegan developed the CommonGround Program, which is a shared decision making health care IT platform that facilitates open and effective communication between behavioral health patients and their providers while also functioning as a data repository that can be used for PCOR/CER. The CommonGround Program supports an online Recovery Library, the CommonGround Academy for peers and practitioners, and the Hearing Distressing Voices Simulation. Dr. Deegan also works as a consultant helping to develop and evolve the OnTrackNY model for coordinated specialty care teams for young individuals experiencing early psychosis. Dr. Deegan has held a number of academic appointments, has numerous publications, and has carried a message of hope for recovery to audiences around the world. She received her doctorate in clinical psychology from Duquesne University.

Anthony Delitto, PhD, PT, FAPTA

Anthony Delitto, PhD, PT, FAPTA

University of Pittsburgh

Pittsburgh, PA

Anthony Delitto, PhD, PT, FAPTA

Dr. Anthony Delitto is the Dean of the School of Health and Rehabilitation Sciences (SHRS) and professor in the Department of Physical Therapy at the University of Pittsburgh. He actively treats people with painful musculoskeletal disorders and his current research is focused on implementing classification and treatment effectiveness studies into quality improvement initiatives. He is also conducting trials in exercise interventions for people with Parkinson's disease. He was awarded one of the first large pragmatic trials from the Patient-Centered Outcomes Research Institute (PCORI), a multi-site, $13-million grant (the TARGET study) to investigate innovative ways to treat acute low back pain by having physical therapists partner with primary care and deliver psychologically informed physical therapy to patients who are at risk for chronic low back pain. He has authored or co-authored over 120 peer-reviewed research papers. Dr. Delitto received his BS in Physical Therapy from SUNY Buffalo, NY, his MHS in Physical Therapy, and his PhD from Washington University, St. Louis, MO. His awards include: Golden Pen Award, APTA, (1992); 6-time winner of the Steven J Rose Award for Excellence in Research, APTA Section on Orthopaedics (1993, 1994, 1996, 2003, 2006, 2007, 2015); Marian Williams Award for Research in Physical Therapy, APTA, (1997); Catherine Worthingham Fellow of the APTA, (2000); the Lucy Blair Award (2007); and the Helen Hislop Award (2014). He delivered the John HP Maley (2001) and Mary McMillan Lectureships (2008).

Diane Holder

Diane Holder

UPMC, UPMC Insurance Services Division, and UPMC Health Plan

Pittsburgh, PA

Diane Holder

Diane Holder is Executive Vice President, UPMC; President, UPMC Insurance Services Division; and President and Chief Executive Officer, UPMC Health Plan. UPMC is one of the nation’s leading integrated delivery systems and through its health plans and affiliates provides health care coverage and benefits management for more than 2.3 million men, women, and children in Pennsylvania. The UPMC Insurance Services Division includes UPMC Health Plan, UPMC for You, UPMC for Life, UPMC for Kids, Askesis Development Group, Community Care Behavioral Health, and UPMC WorkPartners. These health benefits companies manage benefits for commercial, Medicaid, Medicare, behavioral health, EAP, health promotion, and workers’ compensation programs and other population health programs and services. Ms. Holder has held a number of leadership positions in health care, including CEO of Western Psychiatric Institute and Clinic of UPMC and founding CEO of Community Care Behavioral Health. She is also a faculty member at the University of Pittsburgh in the Department of Psychiatry and the Graduate School of Public Health.

Jane Kogan, PhD

Jane Kogan, PhD

UPMC Center for High-Value Health Care

Pittsburgh, PA

Jane Kogan, PhD

Dr. Jane Kogan is Associate Chief Research and Translation Officer for UPMC Insurance Services Division and the UPMC Center for High-Value Health Care, a nonprofit research organization evaluating the unique experiences and innovations within UPMC’s large integrated delivery and finance system. She has over 20 years of experience as a health services researcher and in the development, design and implementation of large-scale health care studies focusing on person-centered and stakeholder-driven applicability of findings. She has extensive experience in the conduct of large pragmatic and comparative effectiveness research studies, including those that have evolved from deep partnership between payers and providers with a focus on accelerating health system learning. Dr. Kogan is/has been an investigator for three PCORI-funded studies examining the implementation and impact of innovative system-wide health care interventions for chronic diseases. She has published the results of her studies in over 20 peer-reviewed journals and given presentations locally and nationally. Her experience as a patient with chronic disease has also shaped her perspective around and commitment to patient-centered outcomes research and the desire to provide patients and families with desperately needed information to make informed health care decisions. She received her PhD in clinical psychology from West Virginia University, post-doctoral training in the Psychiatry Department at Massachusetts General Hospital, Harvard Medical School, has a faculty appointment in the Department of Psychiatry, University of Pittsburgh, and has worked within UPMC Insurance Services Division for 14 years.

Kevin Kraemer, MD, MSc

Kevin Kraemer, MD, MSc

University of Pittsburgh, UPMC

Pittsburgh, PA

Kevin Kraemer, MD, MSc

Dr. Kevin Kraemer is Professor of Medicine, Clinical & Translational Science, and Health Policy and Management at the University of Pittsburgh. He is currently Chief of the Section in Treatment, Research, and Education in Addiction Medicine (STREAM) at the University of Pittsburgh; Medical Director of the Center for Opioid Recovery at UPMC; and directs two postdoctoral training programs. His research interests are in the delivery and implementation of patient-centered strategies for the detection and early intervention of unhealthy alcohol and drug use, the application of cost-effectiveness methodology to alcohol and drug detection and treatment programs, and the comparative effectiveness of alcohol and drug addiction treatment on HIV outcomes and quality of HIV care. He is currently Principal Investigator of two multi-site research projects. The first is a five-year NIH-supported project to compare the impact of different alcohol and illicit drug treatment approaches on the quality of HIV care among military veterans living with HIV. The second is a three-year PCORI-supported comparative effectiveness trial of several provider-targeted behavioral interventions to prevent unsafe opioid prescribing for patients with acute non-cancer pain. Dr. Kraemer completed his undergraduate medical education at UC San Francisco School of Medicine, primary care residency training at Oregon Health Sciences University, and research fellowship training at the Beth Israel Deaconess Medical Center and Harvard Medical School.

Kathleen McTigue, MD, MPH, MS

Kathleen McTigue, MD, MPH, MS

University of Pittsburgh

Pittsburgh, PA

Kathleen McTigue, MD, MPH, MS

Dr. Kathleen McTigue is a general internist and an Associate Professor of Medicine, Epidemiology and Clinical/Translational Science at the University of Pittsburgh. She is the lead Principal Investigator of the PaTH Clinical Research Network (CRN), a regional collaboration including six sites with academic and health system-affiliated partners, including the UPMC Health Plan. PaTH is one of nine networks that make up PCORnet – enabling access to standardized data as well as tools to help support efficient patient-centered and pragmatic health research. Dr. McTigue has served as a CRN representative to the PCORnet Executive Committee and is currently a member of the PCORnet Steering Committee. She is also one of the first investigators to work with PCORnet data as co-Principal Investigator for the PCORnet Bariatric Study and has a track record of scientific discovery focusing on how body weight influences health, evidence-based weight management, and patient-centered care. Dr. McTigue is also interested in the science of stakeholder engagement and has led the development of the MyPaTH Story Booth, an archive of audio-narratives describing patient and caregiver experiences with illness and access to healthcare. This archive is used to foster the development of patient-centered research questions and the formation of research teams that include patients and other stakeholders.

Tami E. Minnier, RN, MSN, FACHE

Tami E. Minnier, RN, MSN, FACHE

UPMC, Beckwith Institute

Pittsburgh, PA

Tami E. Minnier, RN, MSN, FACHE

Tami Minnier is the Chief Quality Officer for UPMC, an integrated health care delivery and finance system in Pittsburgh, PA. Ms. Minnier oversees the Wolff Center at UPMC which drives quality and safety across the UPMC enterprise. She is also the Executive Director for the Beckwith Institute, a foundation supporting innovation in care delivery. In her role as the Chief Quality Officer, Ms. Minnier coordinates activities of 40 hospitals, 4,000+ physicians, nearly 3.4 million health plan enrollees, and various international clinical sites in Italy and Ireland. Ms. Minnier has a passion for clinical care improvement and achieving excellent, patient-centered outcomes. She has been noted by Becker’s as one of the 50 top experts leading the field of patient safety and one of the top 130 women health system leaders to know. Many of the care delivery programs Ms. Minnier has developed have gained national and international recognition to UPMC. She is the Chair of the Board for the Joint Commission International/Joint Commission Resources. Ms. Minnier also serves as a board member of the Patient Safety Movement Foundation and Phipps Conservatory. She has her BSN and MSN from University of Pittsburgh and is a fellow in the American College of Healthcare Executives. Ms. Minnier has been on faculty at the Institute for Healthcare Improvement. A nationally known speaker, Ms. Minnier has been published in multiple notable journals including the Journal of the American Medical Association, The Journal of Nursing Administration, Modern Health Care, and Healthcare Leaders. However, her proudest accomplishment is her son, Seth.

Cara Nikolajski, PhD, MPH

Cara Nikolajski, PhD, MPH

UPMC Center for High-Value Health Care

Pittsburgh, PA

Cara Nikolajski, PhD, MPH

Dr. Cara Nikolajski is the Director of Research Design and Implementation at the UPMC Center for High-Value Health Care, a nonprofit research department embedded in UPMC Insurance Services Division. She has led the development and implementation of four Patient-Centered Outcomes Research Institute (PCORI) comparative effectiveness trials focusing on topics including the management of multiple chronic conditions, behavioral and physical healthcare integration, and shared decision making. She is deeply involved in supporting the scaling of important PCORI findings to improve outcomes for other populations across the UPMC Health System. Dr. Nikolajski has over a decade of qualitative research experience and is well versed in qualitative design, data collection, and thematic analysis in the context of clinical trials, program evaluation, and quality improvement initiatives. She is a graduate from the Department of Behavioral and Community Health Sciences doctoral program at the University of Pittsburgh’s Graduate School of Public Health.

James Schuster, MD, MBA

James Schuster, MD, MBA

UPMC Insurance Services Division

Pittsburgh, PA

James Schuster, MD, MBA

Dr. Schuster is Interim Chief Medical Officer and Vice President of Behavioral Integration at UPMC Insurance Services Division (ISD). In these roles he is responsible for leading clinical efforts that advance health policy and practice through the development, implementation, and dissemination of innovative service delivery and payment models that support value-driven health care. Through his leadership, research, and clinical efforts he has made notable contributions to advancing the quality and availability of behavioral health services at a local and national level. He is an advocate of learning health systems and has a strong track record leading multidisciplinary teams to conduct clinical program evaluations and health services research. Dr. Schuster is a current and past recipient of several awards from PCORI that have focused on shared decision making and integrating physical health and behavioral health services through novel and technology-driven care management and service delivery models. Dr. Schuster is board certified in psychiatry and in the subspecialties of geriatric and addiction psychiatry.

Joe V. Selby, MD, MPH

Joe V. Selby, MD, MPH

Patient-Centered Outcomes Research Institute (PCORI)

Washington, D.C.

Joe V. Selby, MD, MPH

Dr. Joe Selby is Executive Director of the Patient-Centered Outcome Research Institute (PCORI). PCORI’s mandate is to improve the quality and relevance of available evidence to help patients, caregivers, employers, insurers, and policy makers make informed healthcare decisions. At PCORI, Dr. Selby is responsible for identifying high-priority health care issues and implementing and administering all programming authorized by the PCORI Board of Governors. One of these PCORI programs, PCORnet, represents a major investment to establish a national clinical research network built on electronic health record data. Dr. Selby has more than 35 years of experience as a family physician, clinical epidemiologist, and health services researcher. He was previously the Director of Research at Kaiser Permanente and oversaw research programs and supervised over 50 investigators and 500 staff. He has held academic appointments at UC Berkeley, UCSF, and Stanford. He is the author of more than 200 peer reviewed articles that have covered quality measurement and improvement, primary care delivery, colorectal cancer screening, and the outcomes of comparative effectiveness studies for diabetes, hypertension, and cardiovascular disease. He has received honors from the Public Health Service, the American Epidemiological Society, Kaiser Permanente and in 2009 was elected into the Institute of Medicine. He is a graduate of Quincy University and obtained his medical degree from Northwestern University Feinberg School of Medicine and a master’s degree in public health from the UC Berkeley.

Steven Shapiro, MD

Steven Shapiro, MD

UPMC and UPMC Health Services Division

Pittsburgh, PA

Steven Shapiro, MD

Dr. Shapiro is Executive Vice President of UPMC and President of the Health Services Division, which operates more than 30 academic, community and specialty hospitals and employs more than 4,800 physicians. In addition, he has overarching responsibility as Chief Medical and Scientific Officer (CMSO) for this integrated delivery and finance system. As CMSO he works with colleagues across UPMC and the University of Pittsburgh to transform, grow, and innovate. Using analytics and machine learning to merge population health and precision medicine, UPMC is developing new models of care that will fundamentally improve the health of patients. Dr. Shapiro is a physician-scientist who remains active clinically and at the lab bench. His research is focused on novel molecular pathways of inflammation, tissue destruction, and host defense in chronic obstructive pulmonary disease (COPD), infectious diseases, vascular disease, and lung cancer. His efforts have led to several new potential therapies that are in clinical trials. Dr. Shapiro received his undergraduate and medical degrees from the University of Chicago. He then completed an internal medicine residency, chief residency and fellowship in respiratory and critical care at the Washington University School of Medicine in St. Louis. Prior to his move to Pittsburgh, Dr. Shapiro was the Parker B. Francis professor of medicine at Harvard Medical School and Chief of the Division of Pulmonary and Critical Care at Brigham and Women’s Hospital.

Jonathan C. Silverstein, MD, MS, FACS, FACMI

Jonathan C. Silverstein, MD, MS, FACS, FACMI

University of Pittsburgh

Pittsburgh, PA

Jonathan C. Silverstein, MD, MS, FACS, FACMI

Dr. Jonathan Silverstein serves as Chief Research Informatics Officer and Professor of Biomedical Informatics at University of Pittsburgh School of Medicine. He is internationally known for his expertise, and federally funded research, in the application of advanced computing architectures to biomedicine and on the design, implementation and evaluation of high-performance collaboration and visualization environments for anatomic education and surgery. Dr. Silverstein is recognized as one of three founding scientific directors of the Chicago Biomedical Consortium. He was an attending general surgeon for seven years while he was a lead physician informatician for enterprise EMR deployments at the University of Chicago and the University of Illinois at Chicago. He also serves as the Board Chair for the Learning Health Community. Previously he was Chief Medical Informatics Officer at Tempus and Kanter Health Foundation, where he also served as Vice President, and Davis Family Chair of Informatics at NorthShore University HealthSystem. Earlier, Dr. Silverstein served as the associate director of the Computation Institute at the University of Chicago and Argonne National Laboratory. He was an attending general surgeon for seven years while he was a lead physician informatician for enterprise EMR deployments at the University of Chicago and the University of Illinois at Chicago. Dr. Silverstein earned his medical degree from Washington University in St. Louis and his Master of Science from the Harvard School of Public Health. Additionally, he is a Fellow of the American College of Surgeons and a Fellow of the American College of Medical Informatics.

Ajay Wasan, MD

Ajay Wasan, MD

University of Pittsburgh, UPMC, Pittsburgh Health Data Alliance

Pittsburgh, PA

Ajay Wasan, MD

Dr. Wasan is the Vice Chair for Pain Medicine in the Department of Anesthesiology at UPMC and a Professor of Anesthesiology and Psychiatry in the University of Pittsburgh School of Medicine. Dr. Wasan supervises clinical care across seven pain clinics in the UPMC system and oversees all research within the Pain Medicine Division. He also co-chairs of a system-wide committee to improve pain care across UPMC. Dr. Wasan applies a data-driven approach to tack pain management treatments and outcomes across the health system and identify the most effective therapies for broader implementation. He also participates in the Pittsburgh Health Data Alliance, a collaboration between the University of Pittsburgh, Carnegie Mellon University, and UPMC to transform health data into evidence-based medical solutions. Dr. Wasan’s research interests are in the areas of tracking pain treatment outcomes using electronic records, mechanism-based treatment studies of negative affect in pain, quantitative sensory testing, and in preventing prescription opioid misuse in patients with chronic pain. Before coming to UPMC, Dr. Wasan was an Associate Professor of Anesthesiology and Psychiatry at Harvard Medical School. He was also the Director of the Section of Clinical Pain Research at Brigham and Women’s Hospital in Boston. Dr. Wasan is board certified in pain medicine and psychiatry.

Sally Wenzel, MD

Sally Wenzel, MD

University of Pittsburgh, UPMC

Pittsburgh, PA

Sally Wenzel, MD

Dr. Sally Wenzel is currently Director of the University of Pittsburgh Asthma Institute at UPMC, and Chair for the Department of Environmental and Occupational Health, at the Graduate School of Public Health, University of Pittsburgh. She has a passion for understanding and improving the treatment of asthma, in particular severe asthma. She is one of seven investigators in the NIH-sponsored nation-wide Severe Asthma Research Program (SARP) network, the world’s most comprehensive study of severe asthma patients. Through SARP and her own efforts, Dr. Wenzel has accumulated a clinical database of over 500 subjects with asthma and healthy controls. She is also a co-Principal Investigator in the NIH-sponsored Asthma Network (AsthmaNet), a clinical research network that conducts clinical trials to evaluate and/or compare existing or new therapeutic approaches to asthma management. Dr. Wenzel completed her MD at the University of Florida. Following her residency in internal medicine at Wake Forest University and her fellowship in pulmonary and critical care medicine at Virginia Commonwealth University, she spent 19 years at National Jewish Health and the University of Colorado before moving to the University of Pittsburgh. She received the Elizabeth Rich Award for her role in promoting women in science, the American Thoracic Society (ATS) Award for Scientific Achievement, the ATS Foundation Breathing for Life Award, and the European Respiratory Society (ERS) President’s Award. Dr. Wenzel has served as Deputy Editor for the American Journal of Respiratory and Critical Care Medicine and is a frequent reviewer for the New England Journal of Medicine and other publications.