MACRA Episode-Based Cost Measures Clinical Subcommittee ......MACRA Episode-Based Cost Measures...

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1 MACRA EPISODE-BASED COST MEASURES CLINICAL SUBCOMMITTEE COMPOSITION (MEMBERSHIP) LIST MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC Project Title: MACRA Episode-Based Cost Measures - Call for Clinical Subcommittee Dates: May – September 2019 Project Overview: The Centers for Medicare & Medicaid Services (CMS) has contracted with Acumen, LLC to develop care episode and patient condition groups for use in cost measures to meet the requirements of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The contract name is “MACRA Episode Groups and Cost Measures.” The contract number is HHSM-500-2013-13002I, Task Order HHSM-500-T00002. As part of the development and maintenance processes, Acumen, LLC convenes groups of stakeholders and experts who contribute direction and thoughtful input during development of episode-based cost measures. The project’s overall objective is to develop episode-based cost measures suitable for potential use in the Quality Payment Program. For more details about the project background, including development activities undertaken in previous years, please see this MACRA cost measure development approach summary on the MACRA Feedback Page. Acumen’s measure development approach includes convening clinician expert panels called Clinical Subcommittees (CS) focused on particular clinical areas in cycles of development (“waves”). The four CS convened in Wave 3 beginning in 2019 are: Chronic Condition and Disease Management, Dermatologic Disease Management, Hospital Medicine, and General and Colorectal Surgery. Future CS under this project will be convened through separate nomination periods.

Transcript of MACRA Episode-Based Cost Measures Clinical Subcommittee ......MACRA Episode-Based Cost Measures...

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MACRA EPISODE-BASED COST MEASURES CLINICAL SUBCOMMITTEE

COMPOSITION (MEMBERSHIP) LIST

MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC

Project Title:

MACRA Episode-Based Cost Measures - Call for Clinical Subcommittee

Dates: May – September 2019

Project Overview: The Centers for Medicare & Medicaid Services (CMS) has contracted with Acumen,

LLC to develop care episode and patient condition groups for use in cost measures to meet the requirements of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The contract name is “MACRA Episode Groups and Cost Measures.” The contract number is HHSM-500-2013-13002I, Task Order HHSM-500-T00002. As part of the development and maintenance processes, Acumen, LLC convenes groups of stakeholders and experts who contribute direction and thoughtful input during development of episode-based cost measures.

The project’s overall objective is to develop episode-based cost measures suitable for potential use in the Quality Payment Program. For more details about the project background, including development activities undertaken in previous years, please see this MACRA cost measure development approach summary on the MACRA Feedback Page.

Acumen’s measure development approach includes convening clinician expert panels called Clinical Subcommittees (CS) focused on particular clinical areas in cycles of development (“waves”). The four CS convened in Wave 3 beginning in 2019 are: Chronic Condition and Disease Management, Dermatologic Disease Management, Hospital Medicine, and General and Colorectal Surgery. Future CS under this project will be convened through separate nomination periods.

MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC 2

Please note that the Clinical Subcommittees provide clinical expertise for the MACRA Episode-Based Cost Measure Project. Clinical Subcommittee members may have experience in areas other than their listed primary clinical specialty. The following individuals were selected and have agreed to serve as the Clinical Subcommittee members for this project.

Chronic Condition and Disease Management Clinical Subcommittee Members

Name, Credentials, Professional Role

Organizational Affiliation, City,

State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Adolph Yates, MD, Associate Professor, Orthopaedic Surgery

University of Pittsburgh, Pittsburgh, PA

N/A X N/A N/A Orthopedic Surgery None

Alec Koo, MD, Physician

Skyline Urology, Torrance, CA N/A X N/A N/A Urology None

Amanda Chaney, DNP, APRN, Nurse Practitioner; Chair of Advanced Practice Provider Subcommittee

Mayo Clinic, Ponte Vedra Beach, FL

N/A X N/A N/A Nurse Practitioner None

Amandeep Sahota, MD, MSc, Physician

Kaiser Permanente, Los Angeles, CA

N/A X N/A N/A Internal Medicine None

Amisha Wallia, MD, MS, Physician

Northwestern University Feinberg School of Medicine, Chicago, IL

N/A X N/A N/A Endocrinology None

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Name, Credentials, Professional Role

Organizational Affiliation, City,

State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Barbara Spivak, MD, President

Mount Auburn Cambridge Independent Practice Association (MACIPA), Brighton, MA

N/A X N/A N/A Internal Medicine None

Caitlin Hicks, MD, MS, Assistant Professor of Surgery

Johns Hopkins University, Baltimore, MD

N/A X N/A N/A Vascular Surgery None

Caroll Koscheski, MD, FACG, Clinician & President

Gastroenterology Associates, PA, Hickory, NC

N/A X N/A N/A Gastroenterology None

Carolyn Fruci, MD, PhD, Director of Pulmonary & Critical Care

PrimaCARE, PC, Westport, MA

N/A X N/A N/A Pulmonary Disease None

Christopher Yost, MD, Assistant Professor

University of Kentucky, Lexington, KY

N/A X N/A N/A Internal Medicine None

Colleen Schmitt, MD, MHS, President

Galen Medical Group, Chattanooga, TN

N/A X N/A N/A Gastroenterology None

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Name, Credentials, Professional Role

Organizational Affiliation, City,

State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Connie Lewis, MSN, ACNP-BC, NP-C, CCRN, CHFN, FHFSA, Heart Failure Nurse Practitioner; Assistant in Medicine

Vanderbilt University Medical Center, Nashville, TN

N/A X N/A N/A Cardiology None

Cynthia Cox, RN, MS, MBA, NP-C, ACNS-BC, Cardiovascular Clinical Nurse Specialist

Northside Hospital, Atlanta, GA

N/A X N/A N/A Certified Clinical Nurse Specialist None

David Seidenwurm, MD, Network Medical Director; Quality and Safety Medical Director

Sutter Medical Group, Sacramento, CA

N/A X N/A N/A Diagnostic Radiology None

Debra Anoff, MD, FACP, FSHM, Medical Director of Care Management and Clinical Documentation Integrity, Denver Metro Region; Associate Professor of Clinical Practice

University of Colorado Denver, Aurora, CO

N/A X N/A N/A Internal Medicine None

Dheeraj Mahajan, MD, MBA, MPH, FACP, President & CEO

Chicago Internal Medicine Practice and Research (CIMPAR, SC), Oak Park, IL

N/A X N/A N/A Internal Medicine None

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Name, Credentials, Professional Role

Organizational Affiliation, City,

State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Dirk Steinert, MD, Medical Director, Quality

Ascension Medical Group - Wisconsin, Milwaukee, WI

N/A X N/A N/A Internal Medicine None

Don Bukstein, MD, Physician at Medicaid Respiratory Clinic

Allergy, Asthma & Sinus Center, SC, Madison, WI

N/A X N/A N/A Allergy None

Donna Kucharski, MD, AHN Anesthesia Institute Quality Officer

Allegheny Health Network, Pittsburgh, PA

N/A X N/A N/A Anesthesiology None

Edward Mariano, MD, MAS, Professor; Chief of Anesthesiology and Perioperative Care

Stanford University School of Medicine & VA Palo Alto Health Care System, Palo Alto, CA

N/A X N/A N/A Anesthesiology None

Eileen Brewer, MD, Pediatric Nephrologist

Texas Children's Hospital, Houston, TX

N/A X N/A N/A Pediatric Nephrology None

Emran Rouf, MD, MBA, FACP, VP, Medical Director

Seton Health Plan, Belton, TX N/A X N/A N/A Internal Medicine None

Geoff Teehan, MD, MS, FACP, Fellowship Director

Kidney Care Specialists, Philadelphia, PA

N/A X N/A N/A Nephrology None

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Name, Credentials, Professional Role

Organizational Affiliation, City,

State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Harlivleen Gill, MBA RD, Chief Executive Officer

Self-Employed, Bethesda, MD N/A X N/A N/A

Registered Dietitian or Nutrition

Professional

None

Heather Smith, PT, MPH, Director, Quality

American Physical Therapy Association, Alexandria, VA

N/A X N/A N/A Physical Therapist None

James Gajewski, MD, Physician

Self-Employed, Portland, OR N/A X N/A N/A Hematology-

Oncology None

James Parker, MD, CMIO

Privia Medical Group North Texas, Fort Worth, TX

N/A X N/A N/A Internal Medicine None

James Richter, MD, MA, Physician

Massachusetts General Hospital, Boston, MA

N/A X N/A N/A Gastroenterology None

Jay Nathan, MD, House Officer

Michigan Medicine, Ann Arbor, MI

N/A X N/A N/A Neurosurgery None

Jennifer Bracey, MD, Assistant Professor of Medicine

Medical University of South Carolina, Charleston, SC

N/A X N/A N/A Internal Medicine None

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Name, Credentials, Professional Role

Organizational Affiliation, City,

State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Joanne Wisely, MA, CCC/SLP, FNAP, Vice President, Legislative Advocacy

Genesis Rehab Services, Wayne, PA

N/A X N/A N/A Speech Language Pathologist None

Joel Brill, MD, Chief Medical Officer

Predictive Health, Paradise Valley, AZ

N/A X N/A N/A Gastroenterology None

Kristina Newport, MD, Director, Palliative Care

Penn State Health, Lancaster, PA

N/A X N/A N/A Internal Medicine None

Laura Hart, PA-C, Physician Assistant

Veterans Health Administration, Salem, VA

N/A X N/A N/A Physician Assistant None

Louann Bailey, DNP, APRN, ACNP-BC, FAANP, Hospitalist Nurse Practitioner

Vista Locum Tenens, Richfield, OH

N/A X N/A N/A Cardiology None

Luis Rodriguez, MD, Physician

Baptist Health South Florida, Miami, FL

N/A X N/A N/A Internal Medicine

Miami Orthopedics and Sports Medicine Institute research on the response of knee arthritis pain

to platelet-rich-plasma injections as measured by pain scores over

time

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Name, Credentials, Professional Role

Organizational Affiliation, City,

State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Marc DeHart, MD, Orthopaedic Surgeon

University of Texas Health Science Center at San Antonio Department of Orthopaedic Surgery, San Antonio, TX

N/A X N/A N/A Orthopedic Surgery None

Marc Gruner, DO, MBA, RMSK, Physician

Medstar Georgetown, Washington, DC

N/A X N/A N/A Physical Medicine and Rehabilitation None

Mario Motta, MD, FACC, Physician, Cardiovascular Medicine

North Shore Physicians Group, Salem, MA

N/A X N/A N/A Cardiology None

Mark Levine, MD, Clinical Professor of Medicine

University of Colorado, Denver, CO

N/A X N/A N/A Geriatric Medicine None

Marvin Konstam, MD, Chief Physician Executive, The Cardiovascular Center

Tufts Medical Center, Boston, MA

N/A X N/A N/A Cardiology None

Matthew Smith, MD, EMHL, Director of System Integration

University Orthopedics, East Greenwich, RI

N/A X N/A N/A Physical Medicine and Rehabilitation None

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Name, Credentials, Professional Role

Organizational Affiliation, City,

State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Melinda Mackey, RN, MSN, CPHQ, CCM, CPhT, Director of Quality

Ascension Medical Group - Indiana, Indianapolis, IN

N/A X N/A N/A Nurse Practitioner None

Michael Wasserman, MD, CMD, Assistant Clinical Professor

University of California, Los Angeles, School of Medicine, Woodland Hills, CA

N/A X N/A N/A Geriatric Medicine None

Miroslav Djokic, MD, Medical Director, Hematology Laboratory

University of Pittsburgh Medical Center, Pittsburgh, PA

N/A X N/A N/A Pathology None

Paul Heidenreich, MD, Professor & Vice-Chair for Quality, Department of Medicine

Stanford University & VA Palo Alto Health Care System, Palo Alto, CA

N/A X N/A N/A Cardiology None

Paula Shireman, MD, MS, MBA, Professor of Vascular and Endovascular Surgery

University of Texas Health Science Center at San Antonio, San Antonio, TX

N/A X N/A N/A Vascular Surgery None

Phillip Ward, DPM, Podiatric Physician and Surgeon

Cape Fear Valley Health System, Southern Pines, NC

N/A X N/A N/A Podiatry None

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Name, Credentials, Professional Role

Organizational Affiliation, City,

State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Raymond Cross, MD, MS, Professor of Medicine

University of Maryland School of Medicine, Baltimore, MD

N/A X N/A N/A Gastroenterology

Participated in advisory boards

for and has consulted with

Abbvie, Janssen, Pfizer, and UCB;

has a research grant with Abbvie

Robert Kenney, MD, Vice President of Medical Operations

Baton Rouge General, Baton Rouge, LA

N/A X N/A N/A Nephrology None

Sabrena McCarley, MBA-SL, OTR/L, CLIPP, RAC-CT, QCP, Director of Quality

RehabCare, Napa, CA N/A X N/A N/A Occupational

Therapist None

Sarah Streett, MD, Clinical Director, Inflammatory Bowel Disease

Stanford University, Redwood City, CA

N/A X N/A N/A Gastroenterology None

Shraddha Jatwani, MD, FACP, FACR, RhMSUS, Clinical Rheumatologist; Adjunct Clinical Assistant Professor of Medicine

St. Vincent Medical Group & Indiana University School of Medicine - Evansville, Newburgh, IN

N/A X N/A N/A Rheumatology None

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Name, Credentials, Professional Role

Organizational Affiliation, City,

State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Stephanie Baranko, DNP, RN, NEA-BC, CLSSGB, Clinical Account Consultant

Health Care Services Corporation, Whiting, IN

N/A X N/A N/A Critical Care None

Suma Thomas, MD, MBA, Vice Chairman, Strategic Operations, Heart and Vascular Institute

Cleveland Clinic, Cleveland, OH N/A X N/A N/A Cardiology None

Terry Lee Mills, MD, MMM, CPE, FAAFP, Medical Director

Ascension Medical Group - St. John Clinic, Tulsa, OK

N/A X N/A N/A Family Medicine None

Tracy Murphy, AuD, Audiologist

North Shore Audio-Vestibular Lab, Vernon Hills, IL

N/A X N/A N/A Audiologist None

William Van Decker, MD, Professor of Medicine, Cardiology

Lewis Katz School of Medicine at Temple University, Philadelphia, PA

N/A X N/A N/A Cardiology None

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Dermatologic Disease Management Clinical Subcommittee Members

Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics

Clinical Specialty

Conflict of Interest

Disclosure

Aamir Siddiqui, MD, Plastic Surgeon

Henry Ford Hospital, Detroit, MI N/A X N/A N/A

Plastic and Reconstructive

Surgery None

Anna Likhacheva, MD, MPH, Attending Radiation Oncologist

Sutter Medical Group, Sacramento, CA N/A X N/A N/A Radiation

Oncology None

Avery LaChance, MD, MPH, Instructor in Dermatology

Brigham and Women's Hospital, Boston, MA N/A X N/A N/A Dermatology None

Clifford Lober, MD, JD, Physician

Private Practice, Kissimmee, FL N/A X N/A N/A Dermatology None

Farhaad Riyaz, MD, FAAD, Mohs Surgeon; Cosmetic and General Dermatologist

Integrated Dermatology Group, Washington,

DC N/A X N/A N/A Dermatology None

Hazle Konerding, MD, Physician

Self-Employed, Richmond, VA N/A X N/A N/A Dermatology None

Hon Pak, MD, Chief Medical Officer

3M HIS, Silver Spring, MD N/A X N/A N/A Dermatology None

Howard Rogers, MD, PhD, Mohs Surgeon

Advanced Dermatology LLC, Norwich, CT N/A X N/A N/A Dermatology None

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Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics

Clinical Specialty

Conflict of Interest

Disclosure

Iris Hamilton, RN, MPA, Director, Medical Management

Anthem, Inc., Snellville, GA N/A X N/A N/A Geriatric

Medicine None

Join Luh, MD, Radiation Oncologist

Providence St. Joseph Health, Eureka, CA N/A X N/A N/A Radiation

Oncology

Advisory board member

for Crux Quality

Solutions (radiation oncology

billing and compliance consulting company); founding

officer and shareholder of Actimatech,

Inc. (radiation oncology treatment planning software

company)

Manjil Chatterji, MD, Associate Professor

Mount Sinai Hospital - New York City, New

York, NY N/A X N/A N/A Diagnostic

Radiology None

Mark Kaufmann, MD, Chief Medical Officer & Physician

The Dermatology Group, New York, NY N/A X N/A N/A Dermatology None

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Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics

Clinical Specialty

Conflict of Interest

Disclosure

Melissa Piliang, MD, Staff; Co-Director, Section of Dermatopathology

Cleveland Clinic Foundation, Euclid, OH N/A X N/A N/A Dermatology None

Michele Manahan, MD, MBA, FACS, Plastic Surgeon

John Hopkins Medical Center, Baltimore, MD N/A X N/A N/A

Plastic and Reconstructive

Surgery None

Nita Kohli, MD, MPH, Physician

St. Louis VA Medical Center, St. Louis, MO N/A X N/A N/A Dermatology None

Oliver Wisco, DO, Dermatologist; Melanoma Specialist; Mohs Surgeon

Dermatology Health Specialists, PC, Bend,

OR N/A X N/A N/A Dermatology None

Paul Wallner, DO, Senior Vice President for Medical Affairs; Associate Executive Director for Radiation Oncology

21st Century Oncology, Inc. & the American Board of Radiology,

Moorestown, NJ

N/A X N/A N/A Radiation Oncology None

Phillip Devlin, MD, FACR, FASTRO, FFRRCSI, FABS, Chief, Division of Brachytherapy

Dana-Farber Cancer Institute, Harvard Medical School,

Boston, MA

N/A X N/A N/A Radiation Oncology None

Sarah Eakin, MD, Pathologist & Laboratory Director

Pathology Associates of Erie, Erie, PA N/A X N/A N/A Pathology None

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Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics

Clinical Specialty

Conflict of Interest

Disclosure

Scott Collins, MD, Physician

Dermatology Associates, Portland,

OR N/A X N/A N/A Dermatology None

Shani Francis, MD, MBA, Physician

Ashira Dermatology, Evanston, IL N/A X N/A N/A Dermatology None

Victoria Lazareth, MA, MSN, NP-C, DCNP, Dermatology Nurse Practitioner

Dermatology Professionals, Inc.,

Mashpee, MA N/A X N/A N/A Dermatology None

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General and Colorectal Surgery Clinical Subcommittee Members

Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Alice Coombs, MD, Associate Professor, Critical Care Faculty

Virginia Commonwealth University Medical Center, Richmond, VA

N/A X N/A N/A Anesthesiology None

Brett Bernstein, MD, MBA, Chief, Division of Digestive Disease

Mount Sinai Beth Israel, New York, NY N/A X N/A N/A Gastroenterology None

Carol Parrish, MS, RDN, Nutrition Support Specialist

University of Virginia Health System, Charlottesville, VA

N/A X N/A N/A

Registered Dietitian or Nutrition

Professional

None

Colleen Schmitt, MD, MHS, President

Galen Medical Group, Chattanooga, TN N/A X N/A N/A Gastroenterology None

Cynthia Jovanov, MSN, MBA, CNS, ACNP-BC, FNP-BC, Nurse Practitioner

Eisenhower Medical Center, Murrieta, CA N/A X N/A N/A General Surgery None

David Flum, MD, MPH, FACS, Professor & Associate Chair for Research, Department of Surgery

University of Washington, Seattle, WA

N/A X N/A N/A General Surgery None

Ezequiel Silva III, MD, FACR, Diagnostic and Interventional Radiologist

South Texas Radiology Group, San Antonio, TX

N/A X N/A N/A Diagnostic Radiology None

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Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Guy Orangio, MD, Associate Professor of Clinical Surgery; Adjunct Associate Clinical Professor of Surgery

Louisiana State University Health Sciences Center & Louisiana State University School of Medicine, New Orleans, LA

N/A X N/A N/A Colorectal Surgery None

Hop Tran Cao, MD, FACS, Assistant Professor of Surgery

The University of Texas MD Anderson Cancer Center, Houston, TX

N/A X N/A N/A Surgical Oncology None

Jayme Lieberman, MD, MBA, Vice Chair, Department of Surgery; Assistant Medical Director

Morsani School of Medicine, Lehigh Valley & Lehigh Valley Health Network, Emmaus, PA

N/A X N/A N/A General Surgery None

Jonathan Gal, MD, FASA, Assistant Professor of Anesthesiology

Icahn School of Medicine at Mount Sinai, New York, NY

N/A X N/A N/A Anesthesiology None

Lee Morisy, MD, Facility Medical Director; Assistant Professor, Surgery - General

TeamHealth, Novant Rowan Medical Center, Memphis, TN

N/A X N/A N/A General Surgery None

Lukejohn Day, MD, Chief Medical Officer

UCSF, San Francisco, CA N/A X N/A N/A Gastroenterology None

Manjil Chatterji, MD, Associate Professor

Mount Sinai Hospital - New York City, New York, NY

N/A X N/A N/A Diagnostic Radiology None

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Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Mary Cathleen Shellnutt, DNP, APRN, AGCNS-BC, CGRN, Complex GI APRN

Medical City Plano, Plano, TX N/A X N/A N/A Surgical Oncology None

Melinda Maggard-Gibbons, MD, MSHS, Professor, Department of Surgery

UCLA Medical Center, Los Angeles, CA N/A X N/A N/A General Surgery None

Michael Sutherland, MD, FACS, Associate Medical Director; Associate Professor

The Ohio State University Wexner Medical Center, Columbus, OH

N/A X N/A N/A General Surgery None

Nina Paonessa, DO, FACOS, Owner & Colon and Rectal Surgeon

Paonessa Colon and Rectal Surgery, P.C., Wall, NJ

N/A X N/A N/A General Surgery None

Ofor Ewelukwa, MD, MSc, Gastroenterologist

Mercy Healthcare, Houston, TX N/A X N/A N/A Gastroenterology None

Paul Packard, DNAP, CRNA, NEA-BC, CPPS, Certified Registered Nurse Anesthetist

Atrium Health Cleveland, Hickory, NC

N/A X N/A N/A Certified

Registered Nurse Anesthetist

None

Paul Penar, MD, FACS, FAANS, Vice Chair for Quality, Department of Surgery

University of Vermont Medical Center & Health Network, Burlington, VT

N/A X N/A N/A Neurosurgery None

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Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Paul Wallner, DO, Senior Vice President for Medical Affairs; Associate Executive Director for Radiation Oncology

21st Century Oncology, Inc. & the American Board of Radiology, Moorestown, NJ

N/A X N/A N/A Radiation Oncology None

Sarah Eakin, MD, Pathologist & Laboratory Director

Pathology Associates of Erie, Erie, PA N/A X N/A N/A Pathology None

Sarah Gebauer, MD, Anesthesiologist; Medical Director of Quality; Perioperative Service Line Chair

Elk River Anesthesia Associates & the University of Colorado Health System, Steamboat Springs, CO

N/A X N/A N/A Anesthesiology None

Scott Regenbogen, MD, MPH, Chief, Division of Colorectal Surgery; Associate Professor of Surgery

University of Michigan, Michigan Medicine, Ann Arbor, MI

N/A X N/A N/A Colorectal Surgery None

Steven Mund, DNP, CRNA, FACHE, CENP, President & CEO

SJM Consulting Services, LLC, Mount Pleasant, SC

N/A X N/A N/A Certified

Registered Nurse Anesthetist

None

Steven Nurkin, MS, MD, FACS, Associate Professor of Surgery

Roswell Park Comprehensive Cancer Center, Buffalo, NY

N/A X N/A N/A Surgical Oncology None

Therese Marie Mulvey, MD, Director, Quality, Safety, and Value

Massachusetts General Hospital, Charlestown, MA

N/A X N/A N/A Hematology-Oncology None

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Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Tracy Young, MSNA, MBA, CRNA, CEO & Owner

YPS Anesthesia, LLC, Youngsville, LA N/A X N/A N/A

Certified Registered Nurse

Anesthetist None

Walter Peters, MD, MBA, Vice President, Surgery

Baylor Scott & White Health, Dallas, TX N/A X N/A N/A Colorectal Surgery None

Wayne Johnson, DMSc, PA-C, Colorectal Physician Assistant

Virginia Hospital Center Physician Group, Triangle, VA

N/A X N/A N/A Colorectal Surgery None

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Hospital Medicine Clinical Subcommittee Members

Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Ajay Mathur, MD, Regional Vice President ID Care, Monroe, NJ N/A X N/A N/A Infectious Disease None

Alexandra Flamm, MD, Assistant Professor of Dermatology and Pathology

Penn State Health Milton S. Hershey Medical Center,

Hershey, PA

N/A X N/A N/A Dermatology None

Alina Bridges, DO, Clinician and Associate Professor

Mayo Clinic, Rochester, NY N/A X N/A N/A Dermatology None

Amit Gupta, MD, FSIR, Associate Professor of Clinical Radiology

Stony Brook University Hospital, Stony Brook,

NY N/A X N/A N/A Interventional

Radiology None

Arturo Dominguez, MD, Assistant Professor; Director of Dermatology

UT Southwestern Medical Center, Dallas,

TX N/A X N/A N/A Dermatology None

Bela Pandit, DPM, Foot and Ankle Surgeon

Self-Employed, Chicago, IL N/A X N/A N/A Podiatry None

Benjamin Djulbegovic, MD, PhD, Professor

City of Hope, Duarte, CA N/A X N/A N/A Hematology None

Carolyn Duenas, RN, Registered Nurse None, Los Angeles, CA N/A X N/A N/A Obstetrics &

Gynecology None

Carolyn Fruci, MD, PhD, Director of Pulmonary & Critical Care

PrimaCARE, PC, Westport, MA N/A X N/A N/A Pulmonary Disease None

MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC 22

Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Christina Dunn, MSN, RN, Manager, Inpatient Quality Outcomes

Eskenazi Health, Indianapolis, IN N/A X N/A N/A Critical Care None

Clemens Schirmer, MD, PhD, Director, Comprehensive Stroke Centers; Program Director, Neurosurgery Residency

Geisinger, Wilkes-Barre, PA N/A X N/A N/A Neurosurgery None

David Seidenwurm, MD, Network Medical Director; Quality and Safety Medical Director

Sutter Medical Group, Sacramento, CA N/A X N/A N/A Diagnostic

Radiology None

Debra Anoff, MD, FACP, FSHM, Medical Director of Care Management and Clinical Documentation Integrity, Denver Metro Region; Associate Professor of Clinical Practice

University of Colorado Denver, Aurora, CO N/A X N/A N/A Internal Medicine None

Dheeraj Mahajan, MD, MBA, MPH, FACP, President & CEO

Chicago Internal Medicine Practice and Research (CIMPAR,

SC), Oak Park, IL

N/A X N/A N/A Internal Medicine None

MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC 23

Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Diane Smith, DNP, RN, CCRN-K, ACNS-BC, CNML, PCCN-K, Assistant Professor

University of Indianapolis,

Indianapolis, IN N/A X N/A N/A Cardiology None

Erica Bisson, MD, MPH, Associate Professor

University of Utah, Salt Lake City, UT N/A X N/A N/A Neurosurgery None

Gene Lambert, MD, MBA, Physician

Massachusetts General Hospital, Boston, MA N/A X N/A N/A Internal Medicine None

Iris Hamilton, RN, MPA, Director, Medical Management

Anthem, Inc., Snellville, GA N/A X N/A N/A Geriatric Medicine None

James Gajewski, MD, Physician

Self-Employed, Portland, OR N/A X N/A N/A Hematology-

Oncology None

Jayesh Shah, MD, President & Medical Director

South Texas Wound Associates, PA, San

Antonio, TX N/A X N/A N/A Internal Medicine None

Jennifer Bracey, MD, Assistant Professor of Medicine

Medical University of South Carolina, Charleston, SC

N/A X N/A N/A Internal Medicine None

Jennifer Cowart, MD, Hospitalist

Mayo Clinic Florida, Jacksonville, FL N/A X N/A N/A Internal Medicine None

MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC 24

Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

John Lam, MD, MBA, Physician

Southern California Permanente Medical Group, Los Angeles,

CA

N/A X N/A N/A Urology None

Joshua Hirsch, MD, FACR, Director, Endovascular/Interventional Neuroradiology; Co-Director, Neuroendovascular Program

Massachusetts General Hospital, Boston, MA N/A X N/A N/A Interventional

Radiology None

Kristina Newport, MD, Director, Palliative Care

Penn State Health, Lancaster, PA N/A X N/A N/A Internal Medicine None

Louann Bailey, DNP, APRN, ACNP-BC, FAANP, Hospitalist Nurse Practitioner

Vista Locum Tenens, Richfield, OH N/A X N/A N/A Cardiology None

Manjil Chatterji, MD, Associate Professor

Mount Sinai Hospital - New York City, New

York, NY N/A X N/A N/A Diagnostic

Radiology None

MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC 25

Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Maria Rosa Costanzo, MD, FAHA, FACC, FESC, Medical Director, Edward Hospital Center Advanced Heart Failure Program; Medical Director, Heart Failure Research, Advocate Heart Institute

Advocate Medical Group, Naperville, IL N/A X N/A N/A Cardiology None

Marlin Schul, MD, RVT, DABVLM, CEO & Medical Director

Indiana Vascular Associates, LLC,

Lafayette, IN N/A X N/A N/A Emergency

Medicine None

Michael Malone, MD, Medical Director for Aurora Senior Services and Aurora at Home

Advocate Aurora Health, Brookfield, WI N/A X N/A N/A Internal Medicine None

Miroslav Djokic, MD, Medical Director, Hematology Laboratory

University of Pittsburgh Medical Center, Pittsburgh, PA

N/A X N/A N/A Pathology None

Molade Sarumi, MD, FACP, FIDSA, Chief Medical Officer

Zurock Health, Washington, DC N/A X N/A N/A Infectious Disease None

MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC 26

Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Namirah Jamshed, MD, Associate Professor, Internal Medicine & Medical Director, HBPC Program

UT Southwestern Medical Center, Dallas,

TX N/A X N/A N/A Geriatric Medicine None

Nilesh Hingarh, MD, Owner

Nilesh H Hingarh, MD, Inc., Santa Clarita, CA N/A X N/A N/A Infectious Disease

Fruitstreet Health

physician advisor and

investor

Nita Kohli, MD, MPH, Physician

St. Louis VA Medical Center, St. Louis, MO N/A X N/A N/A Dermatology None

Patricia Bartzak, DNP, RN, TNCC, CMSRN, Nurse Educator

Milford Regional Medical Center, Natick,

MA N/A X N/A N/A Critical Care None

Patricia Lane, MBA, BSN, SCRN, FAAN, Administrative Director of Neuroscience

Bon Secours Mercy Health System, Midlothian, VA

N/A X N/A N/A Neurology None

Paul Heidenreich, MD, Professor & Vice-Chair for Quality, Department of Medicine

Stanford University & VA Palo Alto Health

Care System, Palo Alto, CA

N/A X N/A N/A Cardiology None

Purushottam Dixit, MD, FSIR, Core Faculty & Assistant Professor

Beaumont Health, Royal Oak, MI N/A X N/A N/A Interventional

Radiology None

MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC 27

Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Rajeev Suri, MD, Professor & Vice Chair, Radiology

University of Texas Health Science Center at San Antonio, San

Antonio, TX

N/A X N/A N/A Diagnostic Radiology None

Richard Elias, MD, MPH, Hospital Medicine Physician

Mayo Clinic, Rochester, MN N/A X N/A N/A Internal Medicine None

Robert Zipper, MD, MMM, Vice President of Innovation Technology

Sound Physicians, Bend, OR N/A X N/A N/A Internal Medicine None

Ronald Devine, MD, Partnering Physician & Medical Director

Atlanta ID Group, Atlanta, GA N/A X N/A N/A Infectious Disease None

Sarah Eakin, MD, Pathologist & Laboratory Director

Pathology Associates of Erie, Erie, PA N/A X N/A N/A Pathology None

Seger Morris, DO, MBA, Medical Director; Associate Clinical Professor of Internal Medicine; Internal Medicine Hospitalist

Magnolia Regional Health Center, Corinth,

MS N/A X N/A N/A Internal Medicine None

Sharyl Magnuson Boyle, MD, Adjunct Instructor

Pacific University, School of Physician Assistant Studies,

Hillsboro, OR

N/A X N/A N/A Family Medicine None

MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC 28

Name, Credentials, Professional Role

Organizational Affiliation, City, State

Consumer Perspective

Clinical Content

Performance Measurement

Coding and Informatics Clinical Specialty

Conflict of Interest

Disclosure

Stanley Freeman, MS, PharmD, Oncology Clinical Pharmacist

Florida Cancer Specialists, Fort Myers,

FL N/A X N/A N/A Hematology-

Oncology None

Tanaz Ferzandi, MD, MBA, Director, Division of Urogynecology

Tufts Medical Center, Boston, MA N/A X N/A N/A Urogynecology None

Tomas Villanueva, DO, MBA, Associate Vice President, Clinical Resources

Vizient, Inc., Miami, FL N/A X N/A N/A Internal Medicine None