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Mortality Measurement: Participants

Presentations from a November 2008 meeting to discuss issues related to mortality measures.

Meeting Participants (continued)

Howard H. Hiatt, M.D.
Dr. Howard Hiatt is Professor of Medicine at Harvard Medical School and Senior Physician at the Brigham and Women's Hospital. From 1963-1972, he was Physician-in-Chief at Beth Israel Hospital, Boston and from 1972-1984, Dean of the Harvard School of Public Health. He directed a team of colleagues from the Harvard Faculties of Medicine, Public Health, Law, and Arts and Sciences in a multiyear study of medical injury, medical malpractice, and the tort litigation system. This work was described in a series of articles and a book, A Measure of Malpractice, published by Harvard University Press in 1993 and has been the basis for proposals for system reform in several States and the Nation. He began and helped develop the fellowship program in Research Training in Clinical Effectiveness at Brigham and Women's Hospital and the Harvard School of Public Health, which trains physicians to carry out clinical research, including issues of quality and costs of medical care. His present research concerns social aspects of health. He is currently greatly involved in broadening the Brigham and Women's Hospital's programs that address health disparities in the Nation and around the world. He works closely with Drs. Paul Farmer and Jim Kim in Partners in Health and with Dr. Donald Berwick in the Institute for Health Care Improvement. He is now Cochair of the Brigham's Division of Global Health Equity, which is headed by Dr. Jim Kim.

Dr. Hiatt's research articles have appeared in such publications as the Journal of Molecular Biology, Journal of Biological Chemistry, the New England Journal of Medicine, and the Journal of the American Medical Association. He has written for the lay press in areas of disease prevention, health services, and the health implications of the nuclear arms race. His book, Medical Lifeboat: Will There Be Room for You in the Health Care System? Harper & Row, 1989, describes ways to deal with some major problems of our health care system.

He is a member of the Association of American Physicians, the Institute of Medicine of the National Academy of Sciences, the American Academy of Arts and Sciences, the American Society for Clinical Investigation, the American Society for Biochemistry and Molecular Biology, the American Public Health Association, as well as several other organizations. He is or has been on the boards of Physicians for Human Rights, the Institute for Health Care Improvement, Partners in Health, and the Gateway for Pre-College Education Program.

Jack Jordan
Jack Jordan is an Administrator, Quality Initiatives at Henry Ford Health System, Detroit, Michigan. For the past 10 years, he has had a key role in the System's organizationwide quality improvement strategy. His responsibilities include education and training, and internal consultation on improvement and measurement with senior leaders, managers, and frontline teams. He has served as the project manager for improvement projects on mortality reduction, surgical site infection reduction, tight glycemic control, ICU improvement, implementing rapid response teams as well as the 5 Million Lives Campaign. He also developed the system wide quarterly report on quality for the board and senior leadership.

Prior to working at Henry Ford Health System Mr. Jordan worked at General Motors Powertrain product engineering. His role at GM involved developing a quality program in the technology development stage of engineering and supporting the organizational efforts to apply the ideas of W. Edwards Deming.

Mr. Jordan holds a master's degree in Mathematics from Michigan State University and a master's degree in Applied Statistics from Oakland University and a bachelor's degree in Mathematics from the University of Iowa.

Janet Corrigan, Ph.D., M.B.A.
Dr. Corrigan is President and CEO of The National Quality Forum, a private, not-for-profit membership organization established in 1999 to develop and implement a national strategy for health care quality measurement and reporting. The NQF mission includes: setting national priorities and goals for performance improvement; endorsing national consensus standards for measuring and publicly reporting on performance; and promoting the attainment of national goals through education and outreach activities. Dr. Corrigan was instrumental in organizing the merger between NQF and the National Committee for Quality Health Care (NCQHC), where she served as President and CEO from June 2005 to March 2006.

From 1998 to 2005, Dr. Corrigan was Senior Board Director at IOM, where she was responsible for the IOM Health Care Services portfolio of initiatives on quality and safety, health services organization and financing, and health insurance issues. She provided leadership for IOM's Quality Chasm Series which produced 10 reports during her tenure, including: To Err is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century. Prior to joining IOM, Dr. Corrigan was Executive Director of the President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry. She serves on numerous boards and committees, including: Quality Alliance Steering Committee; the Hospital Quality Alliance; the National Center for Healthcare Leadership, the Council for Accountable Physician Practices Advisory Council, and the Robert Wood Johnson Foundation Regional Market Project Advisory Council.

Jerod M. Loeb, Ph.D.
Jerod M. Loeb, Ph.D. is Executive Vice President for Quality Measurement and Research at The Joint Commission in Oakbrook Terrace, Illinois. As a member of the senior management team, he has administrative responsibility for the Joint Commission Departments of Quality Measurement and Health Services Research, including the Centers for Performance Measurement; Measurement System Operations; Data Management and Analysis; and Quality, Patient Safety and Innovation Research. During his almost 15 years at the Joint Commission, Dr. Loeb has played a leadership role in identifying, evaluating, and implementing performance measures across the wide variety of Joint Commission accreditation and certification programs. He is involved in a variety of national and international initiatives associated with performance measurement and patient safety, including those of the National Quality Forum, the Centers for Medicare & Medicaid Services, the International Society for Quality in Health Care and the World Health Organization.

Before assuming his current position, he served as Vice President for Research and Performance Measurement and as Director of the Department of Research and Evaluation at the Joint Commission. Prior to coming to the Joint Commission in 1994, he was Assistant Vice President for Science, Technology and Public Health at AMA in Chicago where he also served as Secretary of the AMA's Council on Scientific Affairs.

After completing his graduate education at the State University of New York-Downstate Medical Center, he held fellowship positions at Harvard Medical School-Peter Bent Brigham Hospital and Loyola University Stritch School of Medicine. Dr. Loeb has been on the faculty at Northwestern University Medical School since 1979 in both full-and part-time capacities, received tenure in 1987, and is currently Adjunct Professor of Physiology. He is also an Adjunct Associate of the Center for Health Policy and Center for Primary Care and Outcomes Research at Stanford University School of Medicine.

Jim Conway
Jim Conway is Senior Vice President at the Institute for Healthcare Improvement (IHI) after having served as senior fellow from 2005-2006. From 1995-2005, he was Executive Vice President and Chief Operating Officer of Dana-Farber Cancer Institute (DFCI) . Prior to joining Dana-Farber, he had a 27-year career at Children's Hospital, Boston in Radiology Administration, Finance, and as Assistant Hospital Director for Patient Care Services. His areas of expertise and interest include governance and executive leadership, patient safety, change management, and patient-/family-centered care.

He holds a Master of Science degree from Lesley College, Cambridge, Massachusetts, and has received their Community Service Award. An Adjunct Faculty member at the Harvard School of Public Health, Jim is the 2001 winner of the first Individual Leadership Award in Patient Safety by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the National Committee for Quality Assurance (NCQA). A Diplomat of the American College of Healthcare Executives, he received their 1999 Massachusetts Regents Award as Healthcare Executive of the Year. He is a member of the IOM Committee on Identifying and Preventing Medication Errors, is an Officer for the Massachusetts Coalition for the Prevention of Medical Errors, a member of the Clinical Issues Advisory Council of the Massachusetts Hospital Association, a Distinguished Advisor to the National Patient Safety Foundation, and a past member of the Joint Commission Sentinel Event Alert Advisory Group. Board commitments include: board chair, The Partnership for Healthcare Excellence; board member, Medically Induced Trauma Support Services (MITSS); board member, Health Research and Education Trust (HRET); board member NICHQ and Board of Advisors, American Cancer Society, New England Region. In government service, he is a member of the Commonwealth of Massachusetts Quality and Cost Council.

John (Jack) S. Hughes, M.D.
Dr. Hughes is Professor of Medicine at Yale School of Medicine, where he has received several awards from medical students and medical residents for excellence in teaching. He was involved in the development of the original Diagnosis-Related Groups (DRGs) that were introduced by U.S. Medicare for hospital reimbursement in 1983. He has consulted with 3M Health Information Systems for several years and more recently participated in the development of Clinical Risk Groups (CRGs), a patient classification method for capitation-based payment systems, and Potentially Preventable Complications (PPCs), a method to screen for in-hospital complications. His academic interests include the evaluation and comparisons of risk-adjustment mechanisms, health care finance, and cost containment strategies.

John Santa, M.D., M.P.H.
John Santa is the Director of the Consumer Reports Health Ratings Center. He has been interested in explicit approaches evaluating health services, products, and practitioners throughout his career and been involved in many successful efforts to do so.

Dr. Santa was the administrator of the Office of Oregon Health Policy and Research from 2000 to 2003 during the administration of Governor John Kitzhaber, MD. During that time Oregon implemented an evidence-based approach to prescription drug purchasing that eventually came to be known as the Drug Effectiveness Review Project. Dr. Santa provided administrative and medical direction to the Project. During this same period Dr. Santa served on the board of the Public Employees Benefit Board, Oregon's largest private health benefits purchaser serving as the chair of the Benefit Design Committee and chair of the Board. He previously worked in leadership positions for hospitals, physician groups and health insurers.

Dr. Santa has taught in multiple environments, including medical school, residency training, and graduate courses in Public Health. Dr. Santa received his bachelor's degree from Stanford University in 1972, his M.D. from Tufts University in 1976 and M.P.H. from Portland State University in 2005. He has practiced primary care internal medicine in solo, group and institutional settings, most recently at the Portland VA.

Jonathan Teague
Jonathan Teague is Manager of the Healthcare Information Resource Center within the California Office of Statewide Healthcare Planning and Development, in the State's Health and Human Services Agency. He has a bachelor's degree in Liberal Arts from St. John's College in Santa Fe, New Mexico, and a master's degree in Community and Regional Planning from the University of New Mexico. Prior to working at OSHPD, he was an energy regulatory policy analyst for the California Department of General Services. As a section manager at OSHPD, located in Sacramento, California, he oversees the dissemination, in print and electronic form, of data from health care facilities licensed by the State of California, the development of OSHPD data products and the handling of researchers' requests for confidential data.

Kate Nordahl
Kate Nordahl currently serves as Assistant Commissioner for the Massachusetts Division of Health Care Finance and Policy. In this role, Kate is responsible for overseeing the development, implementation and dissemination of the Division's policy research agenda, including evaluating the impact of the State's health reform law and monitoring health care cost trends.

Prior to her role at the Division, Kate was Director of Policy and Research at the Blue Cross Blue Shield of Massachusetts (BCBSMA) Foundation. In this role, Kate worked closely with the Foundation's president and the board of directors to develop a policy, research and evaluation agenda to advance the mission of the Foundation.

Prior to her work with the BCBSMA Foundation, Kate worked for the Massachusetts Medicaid Program as Director of the Managed Care Organization Program. In this role she managed a $1.3 billion budget in her oversight of Medicaid contracts with four Managed Care Organizations that served approximately 340,000 MassHealth members. Also, while with the Massachusetts Medicaid program, Kate served as Director of Program Development and played a critical role in the development and Federal and State approvals of the Senior Care Options Program, which serves to integrate Medicare and Medicaid funding and services for persons over 65.

Larry Gage
Larry Gage is a partner in Ropes & Gray's Health Care Group and has carved out a unique role in both public sector and nonprofit health law and policy. An industry expert, Larry has been interviewed by a wide range of media and has been asked to testify over a dozen times before Congressional committees. Larry is a prolific writer and lectures on topics, including hospital governance and legal structure, health care for the uninsured, Medicaid policy, medical school affiliation agreements, managed care and international health. He has conducted numerous corporate and strategic planning studies, as well as operational assessments and restructuring analyses.

In 1981, Larry founded the National Association of Public Hospitals and Health Systems (NAPH) and he has served as President of that organization for over 25 years. During that period, he developed and achieved enactment of Medicare and Medicaid reimbursement reforms that are the economic lifeblood of hospitals serving a disproportionate number of elderly and low income patients. Larry also served as Deputy Assistant Secretary for Health Legislation in the Federal Department of Health and Human Services and as staff counsel to the U.S. Senate Labor and Human Resources Committee.

Lindsay Martin, M.S.P.H.
Lindsay Martin, M.S.P.H., Senior Research Associate, IHI, has been with IHI since August 2004, focusing on innovation and systemwide measurement. Presently she serves as the Improvement Advisor for The Scottish Patient Safety Programme, which seeks to improve the quality and safety of care for all Scottish citizens. In addition, she is a Content Lead for IHI's 90-day Research and Development team, working to find new solutions to difficult problems and bring them into prototype testing.

Lloyd P. Provost, M.S.
Lloyd P. Provost, M.S., Statistician, Associates in Process Improvement, helps organizations improve and foster continuous learning. He coauthored the books Quality Improvement Through Planned Experimentation and The Improvement Guide. For the past 10 years, Mr. Provost has worked as a Senior Fellow for IHI. He serves on the faculty for the IHI the Improvement Advisor Development Program, supports the leadership curriculum for IMPACT, and is involved in IHI developing countries programs.

Mark R. Chassin, M.D., M.P.P., M.P.H.
Mark R. Chassin, M.D., M.P.P., M.P.H., President of The Joint Commission, oversees the activities of the nation's predominant standards-setting and accrediting body in health care. Previously, Dr. Chassin was the Edmond A. Guggenheim Professor of Health Policy and founding Chairman of the Department of Health Policy at the Mount Sinai School of Medicine, New York, and Executive Vice President for Excellence in Patient Care at The Mount Sinai Medical Center. Before coming to Mount Sinai, Dr. Chassin served as Commissioner of the New York State Department of Health. He is a board-certified internist and practiced emergency medicine for 12 years. His background also includes service in the Federal Government and many years of health services and health policy research.

While at Mount Sinai Medical Center, Dr. Chassin built a nationally recognized quality improvement program. The focus of the program was on achieving substantial gains in all aspects of quality of care, encompassing safety, clinical outcomes, the experiences of patients and families, and the working environment of caregivers. Dr. Chassin's research during his 12 years at Mount Sinai focused on developing health care quality measures; using those measures in quality improvement; understanding the relationship of quality measurement and improvement to health policy. Dr. Chassin is a member of the Institute of Medicine of the National Academy of Sciences and was selected in the first group of honorees as a lifetime member of the National Associates of the National Academies, a new program which recognizes career contributions. In addition, he was a member of the IOM committee that authored To Err is Human and Crossing the Quality Chasm. He is a recipient of the Founders' Award of the American College of Medical Quality and the Ellwood Individual Award of the Foundation for Accountability.

Mark A. Keroack, M.D., M.P.H.
Mark Keroack, Vice President and Director, Clinical Practice Advancement Center, oversees University HealthSystem Consortium's (UHC) Clinical Practice Advancement Center, whose services include data-driven offerings in clinical quality improvement, faculty group practice management and patient safety. The center provides customized assistance to UHC members seeking to improve quality, safety and practice management and publishes regular offerings in the areas of technology assessment and new drug evaluations. It also provides meetings and other networking opportunities for chief medical officers, directors of quality and safety and faculty practice professionals. The center has produced over 50 articles in peer review journals in the last 10 years.

Mark is a graduate of Amherst College and Harvard Medical School and received his M.P.H. from Boston University. He trained in Internal Medicine and Infectious Diseases at Brigham and Women's Hospital in Boston. Before coming to UHC, he was on the faculty of the University of Massachusetts for 12 years, during which time he won 5 teaching awards from medical students and residents. Beginning in 1995, Mark took on a more administrative role, serving as UMass Memorial's Vice President for Medical Management and later as Executive Director of the 700-physician UMass Memorial Medical Group. He joined UHC in 2000.

Marta Render, M.D.
Marta Render is an intensivist who moved to Cincinnati after completing her internal medicine training at Hennepin County Medical Center in Minneapolis in 1983 and her pulmonary critical care training at Boston University in 1986. She has played significant administrative roles at the Cincinnati VA Medical Center (VAMC)—directing the Cincinnati VAMC Medical and Cardiac intensive care unit (ICU) for over 10 years and acting as Assistant Chief of Medicine. Dr. Render led one of four VA Centers of Inquiry in Patient Safety, the VA GAPS Center, which used human factors theory and methods to understand risk of injury to patient—examining the implementation of bar coded medication administration and use of reminders among other projects. Dr. Render directed a 10 hospital project in the private sector in Cincinnati that implemented evidenced based practices and reduced both central line infections and surgical site infections by more than 50 percent in 2003-2005. This project won the Joint Commission of Accreditation of Healthcare Organizations Ernst J. Codman award. With experts from the Ann Arbor Health Services Research and Development Center, she developed and validated a method to account for difference in ICU patient characteristics. The performance of this risk model is similar to the gold standard-the APACHE (Acute Physiologic and Chronic Health Evaluation System) but it uses only elements available in the VA computer database. This method is the backbone for measurement reported by the VA Inpatient Evaluation Center.

Dr. Render presently directs the VA Inpatient Evaluation Center (IPEC) whose mission is to measure and report important evidenced based processes and risk adjusted mortality and length of stay for patients in all 191 ICU and hospitalized for acute care in 152 hospitals in order to drive innovation and improvement. The reports issued quarterly depict in narrative, graphic and tabular formats performance benchmarked by type of facility.

Matt Stiefel, M.P.A.
Matt Stiefel, M.P.A., is a Senior Director in Kaiser Permanente's Department of Care and Service Quality. He has been with Kaiser Permanente (KP) for the past 26 years, joining in 1981 as a Medical Economist in KP's Program Offices. He joined the Care Management Institute as the Director of Measurement in 1998 and became the Associate Director in 2000. Previously he held various management positions in KP Northwest, directing planning, marketing, and medical economics. Prior to joining KP, Matt served as a policy analyst on the Carter Administration Domestic Policy Staff and in the U.S. Department of Health, Education and Welfare, and as a local health planner in the Bay Area. His academic background includes coursework in the Systems Science Ph.D. Program at Portland State University, a master's degree in Public Administration from Wharton, and a bachelor's degree from Stanford.

Maureen Bisognano
Maureen Bisognano, is the Executive Vice President and Chief Operating Officer of IHI; responsible for day-to-day management of the Institute's many programs designed to improve the delivery of health care. Ms. Bisognano oversees all operations, program development, and strategic planning for the Institute—in doing so, she advises health care leaders around the world. She is an unrelenting advocate for the needs of patients and a passionate crusader for change. Prior to joining IHI, Ms. Bisognano was Senior Vice President of the Juran Institute, where she consulted with senior management on the implementation of total quality management in health care settings. Before that, she served as Chief Executive Officer of the Massachusetts Respiratory Hospital in Braintree, Massachusetts where, as part of the National Demonstration Project, she introduced Total Quality Management. She organized and monitored Quality Improvement teams within the hospital to make process improvements.

Nancy Foster
Nancy Foster is the Vice President for Quality and Patient Safety Policy at the American Hospital Association (AHA). In this role, she is the AHA's point person for the Hospital Quality Alliance, which is a public-private effort to provide information to consumers on the quality of care in American hospitals. Nancy is the AHA's representative to the National Quality Forum, serves as a member of the National Heart Attack Coordinating Council and the Healthcare Infection Control and Prevention Advisory Committee of HHS. She provides advice to hospitals and public policy makers on opportunities to improve patient safety and quality.

Prior to joining the AHA, Nancy was the Coordinator for Quality Activities at the Agency for Healthcare Research and Quality (AHRQ). In this role, she was the principal staff person for the Quality Interagency Coordination Task Force, which brought Federal agencies with health care responsibilities together to jointly engage in projects to improve quality and safety. She also led the development of patient safety research agenda for AHRQ and managed a portfolio of quality and safety research grants in excess of $10 million.

Patricia W. Stone, Ph.D., R.N.
Dr. Stone earned her doctorate at the University of Rochester, School of Nursing in 1997. She then completed 2-years of postdoctoral training at Harvard University, where she studied quantitative methods. Currently, Dr. Stone is a tenured Associate Professor of Nursing at Columbia University.

Dr. Stone is internationally known as a leading interdisciplinary health services researcher who examines the impact of organizational factors on clinical patient outcomes such as health care-associated infections, employee outcomes such as occupational injury, and system outcomes such as costs and efficiency. She has conducted many multisite studies examining these relationships and published over 75 peer reviewed articles. She is currently the principal or co-investigator on several federally funded and foundation-supported grants in these areas, including a large National Institute of Health funded study entitled, "Prevention of Nosocomial Infections a Cost-effectiveness Analysis."

Paul F. Conlon, Pharm.D., J.D.
Paul Conlon is currently Senior Vice President for Clinical Quality and Patient Safety at Trinity Health and a member of the Trinity Health Senior Leadership Council. Paul is also a Clinical Assistant Professor of Pharmacy at the University of Michigan. Paul is responsible for improving, measuring, monitoring, and reporting on clinical quality and patient safety for Trinity Health. Trinity Health is an integrated health services provider that owns and/or operates over 40 acute care hospitals, associated ambulatory care facilities, services for aging, home health care, hospice care and managed care programs from Silver Spring, Maryland, to Fresno, California. He interacts with many parties interested in clinical quality, including: employers groups, providers, trade associations, and insurers. He is currently, the chairperson of the Michigan Patient Safety Organization, a member of the MHA-BCBSM Serious Adverse Event committee and Pay for Performance Committee, and a member of the Michigan Health and Hospital Association's Patient Safety Committee.

Prior to joining the corporate office Paul has held a variety of positions within Mercy Health Services which merged with the Holy Cross Health Care System in 2000 to become Trinity Health. He has been a clinical pharmacist in critical care and infectious disease, led an inpatient pharmacy department, has been the Director of Pharmacy for a large HMO, and was the Director for Clinical Quality Support for a large teaching hospital. Paul also has been a clinical pharmacist for the University of Michigan renal transplant team and continues as a College of Pharmacy faculty member. Paul serves on numerous community, State, and national clinical quality improvement groups and has been a health care consultant to the General Motors Corporation. Dr. Conlon has authored articles on a wide range of topics from clinical pharmacokinetics to health care administration.

Richard Bankowitz, M.D., M.B.A., FACP
Dr. Bankowitz currently serves as vice president and medical director for Premier Healthcare Informatics. A board-certified internist and a medical informaticist, Dr. Bankowitz has devoted his career to improving health care quality at the national level by promoting rigorous, data-driven approaches to quality improvement and by engaging senior clinicians and health care leaders. He began his career at the University of Pittsburgh, School of Medicine as an assistant professor of medicine and medical informatics.

Prior to joining Premier, Dr. Bankowitz was medical director at CareScience, where he was responsible for strategy, product delivery, consulting, sales, and advocacy efforts. He also has previously served as the corporate information architect of UHC, where he was responsible for the strategic direction of the organization's executive reporting tools and comparative data. In his 12-year tenure with UHC, Dr. Bankowitz also held positions as senior director of clinical informatics, director of clinical information management and director of clinical evaluative sciences.

Dr. Bankowitz is a fellow of the American College of Physicians and was a National Library of Medicine graduate trainee in medical informatics. He also is senior scholar with the Center for Healthcare Policy at Thomas Jefferson University. Dr. Bankowitz is a graduate of the University of Chicago Pritzker School of Medicine and the University of Chicago Graduate School of Business.

Rocco J. Perla, Ed.D., M.A.
Rocco J. Perla, Ed.D., M.A., comes to IHI from HealthAlliance Hospital, a University of Massachusetts Medical Center affiliate hospital. For the past decade, Rocco directed the clinical and research activities of the microbiology department at HealthAlliance and also served as a hospital epidemiologist, statistician, and clinical lecturer. He has done basic research and published in the areas of infectious disease epidemiology, drug discovery, mathematical modeling, and education. He has undergraduate and graduate degrees in health science and earned his doctoral degree in education from the University of Massachusetts Lowell, where his work focused on measurement, cognition, and model development. Rocco has collaborated on training and research initiatives with numerous organizations, including the National Laboratory Training Network, the Centers for Disease Control and Prevention, the Massachusetts Department of Public Health, and university and industry partners around the world. He is currently on the faculty of the Massachusetts College of Pharmacy and Health Sciences and sits on the Eastern Educational Research Association Board of Directors. Upon return to his home institution, he will be involved in expanding the quality improvement, measurement, and assessment programs.

Ruby Hearn, Ph.D.
Ruby Hearn, Ph.D., Senior Vice President Emerita, joined The Robert Wood Johnson Foundation as Program Officer in 1976, and served as Senior Vice President from 1996 to 2001. As a member of the executive management team, Dr. Hearn participated in strategic program planning with the president and executive vice president and served as a special advisor to the president and as the Foundation's liaison within the nonprofit community. Dr. Hearn had the major responsibility for oversight and program development of initiatives in maternal, infant and child health, AIDS, substance abuse, and minority medical education. Dr. Hearn received her MS and Ph.D. degrees in biophysics from Yale University and is a graduate of Skidmore College. She was a Fellow, Yale Corporation (1992-1998) and served on the Executive Committee of the Board of Directors for the 1995 Special Olympics World Summer Games in Connecticut, the Science Board for the Food and Drug Administration, and the Advisory Committee to the Director, National Institutes of Health, the Governing Council of the Institute of Medicine (1995-1997), the National Academy of Sciences Committee on Science, Engineering and Public Policy, the National Advisory Child Health and Human Development Council, the National Institutes of Health, Institute of Medicine and its Board on Health Care Services, the President's Drug-Free Communities Act Advisory Commission, the Goucher College Board of Trustees and various Council on Foundations committees. Dr. Hearn is currently a Director and Vice-Chair of the Institute for HealthCare Improvement, a Trustee of the New York Academy of Medicine and an Independent Director of the Legg Mason Funds. She is a member of the Institute of Medicine and a Director of the Institute for Community Change in Seattle, Washington.

Sharon-Lise Normand, Ph.D.
Sharon-Lise Normand is Professor of Health Care Policy (Biostatistics) in the Department of Health Care Policy, Harvard Medical School, and Professor in the Department of Biostatistics, Harvard School of Public Health. Her research focuses on the development of statistical methods for health services and outcomes research, primarily using Bayesian approaches, including causal inference, provider profiling, item response theory analyses, latent variables analyses, multiple informants analyses, and evaluation of medical devices in randomized and nonrandomized settings.

Stephen Horner
Stephen Horner is responsible for establishing public reporting and pay-for-performance strategy, patient and physician satisfaction surveys, outcomes measurement, clinical analytics and reporting for HCA, Inc. He oversees the development of the Comprehensive Health Outcomes Information System (CHOIS) and the Clinical Outcome Measure Evaluation and Transmission (COMET) system, HCA's Joint Commission listed performance measurement system, and the development of HCA's Clinical Data Repository and Clinical Data Warehouse. Mr. Horner serves as HCA's representative to the National Quality Forum where he has served on several steering committees, on the Quality Committee and Board of Governors of the Federation of American Hospitals, and was instrumental in the formation of the Joint Commission/CMS Hospital Vendor Workgroup. Stephen received a BSN degree from the University of Toledo/Medical College of Ohio where he has served as a guest lecturer and his M.B.A. from Vanderbilt University Owen Graduate School of Management. In addition to his role at HCA, Mr. Horner is also on the Faculty of Tennessee State University in the College of Health Sciences, and has served as a Senior Program Consultant to the Robert Wood Johnson Foundation. He has over 30 years of experience in the health care industry. Prior to coming to HCA he was responsible for operations improvement consulting services for a national health care-consulting firm. He has also served as the Manager of Utilization/Cost Services for Humana, and as Director of Quality Management at an 800-bed teaching hospital.

Stephen F. Jencks, M.D., M.P.H.
Stephen F. Jencks, M.D., M.P.H., is a consultant in health care quality and safety and a Senior Fellow of the Institute for Healthcare Improvement; he studied and managed quality issues at the Centers for Medicare & Medicaid Services until August 2007. Dr. Jencks is developing initiatives to make care more patient-centered and to improve transitions from hospital to posthospital care.

Steve Meurer, M.B.A./M.H.S., Ph.D.
Steve Meurer is University HealthSystem's Vice President for Clinical Data and Informatics, a position he has held since April of 2007. Dr. Meurer's background includes 15 years of health care administration experience, most recently as the Chief Quality Officer at the DeKalb Regional Healthcare System in Atlanta where he had system responsibility for Quality and Information Technology. Dr. Meurer has spent time in increasing roles of responsibility at a number of organizations, including the Orlando Regional Healthcare System, University Pittsburgh Healthcare System, BJC Healthcare, and St. Mary Medical Center, outside of Philadelphia. Dr. Meurer's passion is in understanding and promoting improvement, and the role of data in those efforts. He has published a number of articles and speaks regularly on this topic. In addition, Dr Meurer teaches Quality in Healthcare at Georgia Tech, and is complementary faculty at RUSH University.

After his first 10 years in health care administration, Dr. Meurer decided to fuel his passion for using data to motivate improvement by going back to school at St Louis University. He received a Ph.D. in Health Services Research and his dissertation was entitled "Quality Improvement Implementation in Hospitals." Dr. Meurer also holds two master's (an M.B.A. and an M.H.S.) from the University of Florida and a B.A. in Psychology from the College of the Holy Cross.

Thomas W. Nolan, Ph.D.
Thomas W. Nolan is a statistician, author, and consultant. He is cofounder of Associates in Process Improvement, a group that specializes in the improvement of quality and productivity. Over the past 20 years, he has assisted organizations in many different industries in the United States, Canada, and Europe.

His health care experience includes helping integrated systems, hospitals, and medical practices to accelerate the improvement of quality and the reduction of costs in clinical and administrative services. He is a Senior Fellow and member of the executive team of the Institute for Healthcare Improvement. His primary responsibility at IHI is the oversight of the Research and Development initiatives.

Mr. Nolan holds a doctorate in statistics from George Washington University and is the author of three books on improving quality and productivity. He has published articles on quality and safety in a variety of peer-reviewed journals, including the Journal of the American Medical Association and the British Medical Journal. He was the year 2000 recipient of the Deming Medal awarded by the American Society for Quality.

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Page last reviewed March 2009
Internet Citation: Mortality Measurement: Participants. March 2009. Agency for Healthcare Research and Quality, Rockville, MD.


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