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