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Tools for Monitoring the Health Care Safety Net

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About the Contributors


The following authors contributed to Tools for Monitoring the Health Care Safety Net, which offers strategies and concrete tools for assessing local health care safety nets.


Contributors

Walter P. (Pete) Bailey
Andrew Bazemore
Timothy J. Beebe
John Billings
Lynn A. Blewett
Joel C. Cantor
Timothy L. Clouse
John Gale
Robert Gilliam
David Hartley
Lawrence S. Lewin
Marion Ein Lewin
Thomas J. Miyoshi
Jack Needleman, Ph.D.
Robert L. Phillips, Jr.
Gilbert Silva III

Walter P. (Pete) Bailey, M.P.H.

Mr. Bailey is Chief of the Health and Demographics Section of the Office of Research and Statistics of the South Carolina Budget and Control Board. This office maintains the South Carolina inpatient hospital billing system, the outpatient surgery data system, the emergency department visits data system, the home health data system, health manpower, health education and facilities data systems, the Master File data system of clients of State Health and Human Services agencies, and is the State Data Center responsible for Census products and analysis. Mr. Bailey received his B.A. degree in mathematics at Huntingdon College in Montgomery, AL. He also has an M.P.H. degree in biostatistics from the University of North Carolina at Chapel Hill. E-mail: pbailey@sc.gov.

Andrew Bazemore, M.D.

Dr. Bazemore is Assistant Professor of Family Practice at the University of Cincinnati. He completed his M.D. at the University of North Carolina and his residency training and Faculty Development Fellowship in the University of Cincinnati Department of Family Practice, also participating in the International Health track as a resident. Afterwards, he helped to open a new Community Health Center (CHC) in urban Baltimore, where he collaborated with Robert Phillips in an ongoing analytic mapping project involving his CHC network. He is currently completing 3 years of training toward a master of public health degree at the Harvard University School of Public Health. At the University of Cincinnati, Dr. Bazemore serves as a teaching clinician, assistant director of the International Health Track, and as a health services researcher in the Institute for Health Policy and Health Services Research, with an interest in access to care of underserved populations. He is one of two primary teachers in the Residency Program's Underserved Track, which trains selected residents in a CHC setting in issues particular to the care of underserved patients and populations. He holds diplomate status with the American Society of Tropical Medicine and Hygiene and teaches international health in weekly didactic sessions, biannual electives, and annual work done at the University of Cincinnati Department of Family Practice teaching site in rural Honduras. Dr. Bazemore serves on the Governing Council of the International Health Medical Education Consortium (IHMEC).

Timothy J. Beebe, Ph.D.

Dr. Beebe is a senior research associate at the State Health Access Data Assistance Center (SHADAC) at the University of Minnesota. Dr. Beebe holds a doctorate in sociology from the University of Minnesota and a master's degree in applied social research from the University of Michigan. He is principal investigator on several grants from the Health Resources and Services Administration (HRSA) to design, administer, and analyze State household health insurance surveys. Prior to joining the University, Dr. Beebe served as Division Manager for Health Care Research at the Minnesota Department of Human Services (MN DHS). During his time at MN DHS, Dr. Beebe's activities included the development and implementation of research protocols, the design and validation of survey research and clinical screening instruments, and oversight and conduct of data analyses. His principal accomplishments during this period were obtaining substantial grant money (with Dr. Patricia Harrison) from the Substance Abuse and Mental Health Services Administration (SAMHSA) and the National Institute on Alcohol Abuse and Alcoholism (NIAAA). E-mail: beebe002@umn.edu.

John Billings, J.D.

Mr. Billings is an associate professor at the Robert F. Wagner Graduate School of Public Service at New York University and the director of the school's Center for Health and Public Service Research. Mr. Billings' recent work has involved analyzing patterns of hospital admission rates and emergency department utilization as tools for evaluating access barriers to outpatient care and for assessing the performance of the ambulatory care delivery system. Mr. Billings is the coprincipal investigator on the Safety Net Assessment Project, an initiative funded by the Robert Wood Johnson Foundation to examine the performance of health care safety nets in 70 U.S. cities. He is also the principal investigator on a project funded by the Robert Wood Johnson Foundation to assess models for delivering primary care to low-income populations and is coprincipal investigator on an effort with Columbia University and the United Hospital Fund of New York to evaluate the impact of Medicaid managed care in New York City. In addition, Mr. Billings is the principal investigator on a project supported by the Commonwealth Fund to monitor use of emergency departments by uninsured patients in New York City and to learn more about the factors that contribute to emergency room use for conditions that are non-emergent or that could be treated effectively in a primary care setting. Mr. Billings was a member of the Institute of Medicine Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers, which issued its report America's Health Care Safety Net: Intact But Endangered in 2000. Mr. Billings was also a member of the IOM Committee on Monitoring Access to Personal Health Care Services, which issued its report Access to Health Care in America in 1993. Mr. Billings holds a law degree from the University of California at Berkeley. E-mail: john.billings@nyu.edu.

Lynn A. Blewett, Ph.D.

Dr. Blewett has a doctorate in health services research and expertise in health care access, health disparities, and State health policy. Dr. Blewett worked for the State of Minnesota in an applied policy setting, serving as the State Health Economist for 6 years (1992-98) during the early years of health reform. She oversaw the development of a program to provide research and data analysis to support health policy development and applications for the State of Minnesota. Dr. Blewett also has a master's degree in public affairs from the Hubert H. Humphrey Institute of Public Policy and worked for the Chair of the Finance Committee's Subcommittee on Health for the first 2 years of implementation of diagnosis-related groups (DRGs). She is now an assistant professor at the University of Minnesota, School of Public Health, Division of Health Services Research and Policy, and Director of the State Health Access Data Assistance Center (SHADAC)—a research and data policy center supported by a grant from The Robert Wood Johnson Foundation. E-mail: blewe001@tc.umn.edu.

Joel C. Cantor, Sc.D.

Dr. Cantor is Director of the Center for State Health Policy and Professor of Public Policy at the Edward J. Bloustein School of Planning and Public Policy at Rutgers, The State University of New Jersey. Dr. Cantor's research focuses on issues of health care financing, regulation, and delivery at the State and local levels. His recent work includes studies of State health insurance market regulation, the health care safety net, and access to care by low-income populations. Dr. Cantor has published widely on health policy topics and serves on the editorial board of the policy journal Inquiry. Prior to joining the faculty at Rutgers, Dr. Cantor served as director of research at the United Hospital Fund of New York and director of evaluation research at the Robert Wood Johnson Foundation. He received his doctorate in health policy and management from the Johns Hopkins University School of Hygiene and Public Health in 1988 and was elected a Fellow of the Academy for Health Services Research and Health Policy (AcademyHealth) in 1996. E-mail: jcantor@cshp.rutgers.edu.

Timothy L. Clouse, M.A.

Mr. Clouse is an agricultural economist/statistician for the U.S. Department of Agriculture's Centers for Epidemiology and Animal Health. Before that, he was an epidemiologist for the Health Resources and Services Administration and a public health analyst for the U.S. General Accounting Office. He has a B.S. degree in economics and an M.A. (policy analysis) from the University of Minnesota. Current areas of research include risk analysis, mathematical modeling and simulation, and small area analysis. He has authored (or coauthored) various articles and publications on such topics as bioterrorism preparedness, childhood lead poisoning prevention, and environmental health issues. E-mail: Timothy.L.Clouse@aphis.usda.gov.

John Gale, M.S.

Mr. Gale is a research analyst with the Maine Rural Health Research Center/Health Policy Institute in the Muskie School of Public Service at the University of Southern Maine. His research focuses on rural behavioral health and primary care delivery systems; access, financing, and reimbursement issues; and the safety net in rural communities including Critical Access Hospitals and Rural Heath Clinics. Before joining the Muskie School, Mr. Gale worked for 20 years as a senior manager in the nonprofit and proprietary health care sectors, managing the delivery of primary care and behavioral health services. His publications include research on Rural Health Clinics and Critical Access Hospitals, the integration of behavioral health and primary care services in rural settings, Medicaid behavioral managed health care services, and the informal safety net in rural communities. Mr. Gale serves on the Board of the National Association for Rural Mental Health and was a Fellow in the 2002 class of the Secretary's Primary Care Policy Fellowship sponsored by the U.S. Department of Health and Human Services. E-mail: jgale@usm.maine.edu.

Robert Gilliam, M.B.A., C.M.A.

Mr. Gilliam is a native of Illinois. His interest in quantitative measurement, analysis, and data utilization was recognized early, and he studied mathematics as an undergraduate, receiving a B.S. degree in accounting in 1991 and a master's degree in business administration in 1995. He obtained professional certification as a Certified Management Accountant (CMA) in 2001 and has successfully merged his knowledge of mathematics and accounting with complex and diverse Federal programs. For 12 years, Mr. Gilliam has steadily refined his skill and expertise well beyond the point of senior-level performance. Now he is the main source of technical assistance for public health professionals who require Federal financial, budgeting, and accounting training and assistance in the Atlanta Regional Division of the Health Resources and Services Administration (HRSA). E-mail: rgilliam@hrsa.gov.

David Hartley, Ph.D., M.H.A.

Dr. Hartley received his doctorate in health services research from the University of Minnesota. He is Director of the Division of Rural Health and Chair of the graduate program in Health Policy and Management at the Muskie School of Public Service at the University of Southern Maine. Prior to his academic career, he had a 12-year career in health services management, directing both public and private substance abuse treatment programs. His research is focused on access to mental health services in rural areas as well as rural safety net issues and Critical Access Hospitals. His publications include research addressing the treatment of depression, the effects of managed behavioral health on service use, and the licensure and reimbursement of the mental health workforce. In May 2003, his sustained research in rural mental health was recognized by the National Rural Health Association with their Distinguished Researcher Award. E-mail: davidh@usm.maine.edu.

Lawrence S. Lewin

Mr. Lewin is the founder and former Chief Executive Officer of The Lewin Group, a health policy and management consulting firm in Washington, DC. He serves as an executive consultant to senior healthcare executives in the public and private sectors. He was elected to membership in the Institute of Medicine in 1984 and has served on the IOM Council and other public and private governing boards. E-mail: larry.lewin@lslewin.com.

Marion Ein Lewin

Ms. Lewin is a health policy consultant and the author and editor of numerous publications in the health policy field. Until October 2001, she served as the Institute of Medicine's program director of the Robert Wood Johnson Health Policy Fellows Program and as staff director for two major IOM studies. She also served in a senior health policy role for the American Enterprise Institute and the Health Policy Forum as well as on Capitol Hill. E-mail: marion.lewin@lslewin.com.

Thomas J. Miyoshi, M.S.W.

Mr. Miyoshi is a senior instructor in the Department of Family Medicine at the University of Colorado Health Sciences Center. He is now assigned to the Colorado Area Health Education Center System program of the Office of Academic Affairs. His activities include data collection, manipulation, analysis, and mapping. E-mail: Thomas.Miyoshi@UCHSC.edu.

Jack Needleman, Ph.D.

Jack Needleman, Ph.D., is an associate professor at the University of California-Los Angeles School of Public Health, Department of Health Services. Previously, he was an assistant professor of economics and health policy at the Harvard School of Public Health and taught financial management of health care institutions at Georgetown University. His research has examined the status and issues faced by the health care safety net and has included analysis of hospital finances. E-mail: needlema@ucla.edu.

Robert L. Phillips, Jr., M.D., M.S.P.H.

Dr. Phillips is the Assistant Director of the Robert Graham Center for Policy Studies in Family Practice and Primary Care and an assistant professor in the Department of Family Medicine at Georgetown University. He is a family physician who conducts health services research and practices in Fairfax, Virginia. E-mail: bphillips@aafp.org.

Gilbert Silva III, M.S.

Mr. Silva is a native of Rhode Island. He ventured to the southern United States for graduate studies. On receiving his M.S. degree at Florida State University, he began a decade of career development and challenges by managing large and complex public health programs in Florida. He soon learned that he enjoyed complicated projects and problem solving, an interest that led him to the headquarters of HRSA and eventually to his current position as the Deputy Director of the Office of Program Planning and Evaluation in the Atlanta Regional Division. He directs a multidisciplinary team that monitors the financial performance of public health programs in eight southeastern States that represent the largest portion of HRSA grantees. His unprecedented solutions for long-standing problems have been received with much appreciation, as measured by those who have adopted his work nationwide. E-mail: gsilva@hrsa.gov.

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Current as of December 2003

 

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