Advisory Committee · 2020-01-01 · 1 Hansen, Erica Subject: FW: WHBE ADvisory Committee...

Advisory Committee The Washington Health Benefit Exchange is currently recruiting for a member to serve on its Advisory Committee. The nominee should have experience in delivery system innovation. The Advisory Committee provides expertise, experience and professional perspectives on an array of issues with regard to health care and health insurance to the Exchange Board. More information is available on our website: http://wahbexchange.org/committees/advisory-committee/ . Interested parties can submit nominations, including a biographical sketch, to Exchange staff via the Exchange email address: [email protected]. The deadline for submitting nominations is Monday September 23, 2013 at 4 PM. Nominees

Doug Bowes

Roger Collier

William Dowling

Debra Hagemann

Senia Hussong

Chris Knackstedt

Nancy Lawton

Eileen O’Connor King

Patrick Plumb

Donna Smith

Mark Stensager

Janet Walthew

http://wahbexchange.org/committees/advisory-committee/

mailto:[email protected]

Washington Health Benefit Exchange – Advisory Committee August 27, 2013 – Approved by Exchange Board 1

Charter

Advisory Committee of the Washington Health Benefit Exchange

Establishment The Advisory Committee is established as permitted under Article III, Section 3.1 of the Washington Health Benefit Exchange (WAHBE) Board By-Laws. Membership The Advisory Committee was appointed by the WAHBE Board on May 16, 2012 and will consist of the following members:

Sharon Beaudoin, WithinReach

Ted Blotsky, Employee Benefit Services-Associated Employers Trust

Glen Bogner, Molina Healthcare

Emily Brice, Northwest Health Law Advocates

Kitti Cramer, Premera Blue Cross

Mike Fournier, Fournier Healthcare Services

Patty Hayes, Public Health – Seattle & King County

Stacey Hendrickson, A&H Stores, Inc.

Melinda Hews, Group Health Cooperative

Stacy Kessel, Community Health Plan of Washington

Dhyan Lal, Providence Health & Services

Mary McWilliams, Puget Sound Health Alliance

Hiroshi Nakano, South Sound Neurosurgery

Jim Pinkerton, Regence BlueShield

Harvey Smith, Pacific Medical Centers

Larry Thompson, Whatcom Alliance for Healthcare Access

Joshua Welter, Mainstreet Alliance

Washington Association of Health Underwriters (WAHU) Representative (Dave Maddock)

American Indian Health Commission (AIHC) Representative (Leslie Wosnig)

Purpose The Advisory Committee is a standing committee that serves at the pleasure of the WAHBE Board. The Advisory Committee provides expertise, experience and professional perspectives on an array of issues. Topics considered by the group are generated by the Board and requested to be considered by the Advisory Committee. The Advisory Committee can also provide the Board with topics related to the work plan of the Board for their consideration. The Board will then provide guidance on which topics they would like the Advisory Committee to consider. The Advisory Committee deliberates issues and provides comments to the Board and Board Committees. The Board understands that there may be varying recommendations that are provided to the Board, but to the extent possible,

Washington Health Benefit Exchange – Advisory Committee August 27, 2013 – Approved by Exchange Board 2

the Advisory Committee attempts to reach common ground among its members. The Board may request regular reports from the Advisory Committee. Responsibilities Advisory Committee members are responsible for:

Attending regularly scheduled meetings either in-person or via teleconference

Reviewing issues and policy topics as delegated by the WAHBE Board

Providing reports and recommendations to the WAHBE Board and Committees Structure The Advisory Committee will meet at such times as is determined to be necessary or appropriate to prepare for reporting to the Board Committees. Meetings are generally held monthly, and the meetings are open to the public and held at a location that allows for public observation. Exchange staff develops agendas and facilitates discussions. Advisory Committee meeting agendas as well as meeting minutes will be posted on the Exchange website. Advisory member terms are one year, beginning July 1 through June 30. Terms are renewable. If a member of the Advisory Committee leaves the Committee, Board members submit nominations to replace the type of organization that had been represented. Changes to the Advisory Committee must be approved by the Board.

Doug Bowes

UnitedHealthcare Community Plan

1

Hansen, Erica

Subject: FW: Advisory Committee Recruitment - UHC - Doug Bowes

From: McCabe, Michael E [mailto:[email protected]] Sent: Tuesday, September 17, 2013 9:54 AM To: WAHBE Info Subject: Advisory Committee Recruitment ‐ UHC ‐ Doug Bowes Dear Sirs, I would like to nominate Mr. Doug Bowes to the Advisory committee. Mr. Bowes is the UnitedHealthcare Community Plan President and local Washingtonian. Doug currently is managing and deploying innovative Care Delivery programs around Apple Care (Healthy Options), MME (duals), and Health homes statewide. UnitedHealthcare serves over 400,000 Washingtonians and growing. With Doug attention to current market needs and unique experience with innovative care delivery his leadership would add value to the Advisory Team. Respectfully, Mike McCabe Mr. Bowes contact information:

[email protected] 206‐749‐4332

Michael E. McCabe Sr. l VP Business Development - West Region UnitedHealthcare Community & State (office) 602 255-8868 | (mobile) 602 214-4724| (email) [email protected] Our United Culture. The way forward. ■ Integrity ■ Compassion ■ Relationships ■ Innovation ■ Performance

This e-mail, including attachments, may include confidential and/or proprietary information, and may be used only by the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender by replying to this message and delete this e-mail immediately.

Roger Collier

Retired

1

Hansen, Erica

Subject: FW: WHBE ADvisory Committee nominationAttachments: Resume rev 2011.doc

From: Roger Collier [mailto:[email protected]] Sent: Tuesday, September 17, 2013 9:21 AM To: WAHBE Info Subject: WHBE ADvisory Committee nomination

Dear WHBE Staff, Having followed your tremendous efforts over the past months, I would like to be considered for the available Advisory Committee position. I attach a detailed resume. Thank you Roger Collier

ROGER COLLIER

SUMMARY: I am a retired consultant with thirty years experience in information technology and

health care systems and policy. I have directed and performed numerous consulting projects for

Federal, state, and local government agencies and for non-profit and commercial health insurers

and HMOs, and have worked in the United States, Europe and South America.

EMPLOYMENT:

Roger Collier & Associates – 1993 to 2008. President.

KPMG – 1986-1993. Partner-in-Charge, Health and Welfare Systems and Policy Group.

Compass Consulting Group – 1976-1986. Founder and CEO.

EXPERIENCE—GOVERNMENT HEALTH CARE POLICY: My consulting experience

includes issue analysis and program policy design for Massachusetts’ prototype statewide Medicaid

managed care program; development of benefits, reimbursement, and eligibility policies and

procedures for the Arizona Health Care Cost Containment System; and design and development of

prospective reimbursement policies and procedures for hospitals and nursing homes for the States

of Ohio and Hawaii. I assisted in the implementation of Washington State’s Basic Health Plan and

was project manager for Orange County, California’s implementation of SCHIP, responsible for

network development, policies and procedures, systems specifications, and provider contracting. I

also conducted an actuarial review of the prototype version of TRICARE, the military retiree and

dependent health care program.

In addition, I was a co-author of an early health care reform bill in the State of Washington, wrote

articles on health care reform for both Seattle daily newspapers, and discussed health care reform

issues on a radio talk show program. I was a panelist for Washington State’s Blue Ribbon

Commission on Health Care Costs and Access, and served as Health Care Policy Consultant to a

health care reform organization. I have written articles on reform issues, and have been quoted in

articles in the New York Times.

EXPERIENCE—GOVERNMENT HEALTH CARE SYSTEMS: My experience includes

systems specification projects for Medicaid agencies in Hawaii, Alaska, Washington, California,

Ohio, Missouri, Florida, South Dakota, Georgia, Massachusetts, New Jersey, Arkansas, and

Mississippi; management of a nationwide data requirements project for HCFA (predecessor to

CMS); implementation management of the prototype Department of Defense TRICARE managed

care system; and development and implementation of Medicaid managed care system requirements

for the Orange County, California Medicaid agency (including serving for seven months as interim

Chief Information Officer).

EXPERIENCE—GOVERNMENT CONTRACTING AND LITIGATION SUPPORT: My

experience includes management of Medicaid and other government health care program and IT

procurements in California, New Jersey, Massachusetts, Hawaii, Missouri, Arkansas, and other

states. I conducted studies of procurement and contracting issues for the California Medicaid

agency and the Department of Defense Medical Oversight Committee. I also served as an expert

witness in various state hearings and before the GAO.

EXPERIENCE—PRIVATE SECTOR HEALTH CARE SYSTEMS AND POLICY: My

experience includes participation and/or management of IT systems design projects for Blue

Cross/Blue Shield Plans in Washington, Wisconsin, Vermont, Oregon, and Idaho, and management

of several private sector fiscal agent proposal efforts. I directed the development of guidelines for

the national Blue Cross/Blue Shield Association’s model point-of-service HMO plan, and managed

consulting projects for major HMOs including Kaiser and Group Health Cooperative.

EDUCATION: I received my Bachelor of Science degree in Mathematics from the University of

London and my Master of Business Administration degree from Pacific Lutheran University.

PROFESSIONAL ACTIVITIES: I have made a number of presentations on procurement and

claims systems issues to Medicaid and other national conferences, and also co-chaired the Group

Health Association of America’s workshop on claims processing and information systems issues.

In addition, I have testified on government health care systems and policy issues before legislative

committees in Colorado, Washington and Oregon.

COMMUNITY ACTIVITIES: Since my retirement from full-time consulting, I have served as a

medical clinic board member, president of an environmental organization, president of a

community club, president of a golf club, and also managed a county commissioner’s successful

election campaign (defeating a three-term incumbent). Most recently, I have been member of a

countywide health care committee reviewing health information exchange (HIE) software.

William Dowling

University of Washington Department of Services

1

Hansen, Erica

From: WAHBE InfoSent: Monday, September 23, 2013 7:50 AMTo: Hansen, EricaSubject: FW: Nomination of William Dowling for WAHBE Advisory Committee

From: Douglas Conrad [mailto:[email protected]] Sent: Saturday, September 21, 2013 6:15 AM To: WAHBE Info Subject: Nomination of William Dowling for WAHBE Advisory Committee Dear Selection Committee: I’d like to nominate William Dowling, Professor (and former Chair) of the University of Washington Department of Services, for a position on the Advisory Committee of the Washington Health Benefits Exchange. Bill has served in a variety of senior leadership positions in health care and academe, and his counsel would be extremely valuable for the Exchange. In addition to the brief précis below, I refer the Committee to the link to Bill’s faculty profile on the Department of Health Services website: http://depts.washington.edu/hserv/faculty/Dowling_William Précis:

Professor Dowling served as Chair of the Department of Health Services from 1994-2008. He was first appointed to the faculty in 1974, serving as Director of the MHA Program until 1981. From 1981 to 1994, Dowling was employed as Vice President for Planning and Development in the corporate headquarters of the Providence Health System where he was responsible for system strategic planning, linking system and institutional planning, and government affairs. He returned to the University in 1994. Dowling's main interests are in the development and execution of strategy in health care organizations and in understanding factors that affect organizational performance.

Research Interests: The relationships between the changing environment of health care, the strategic and structural responses of health care organizations, their management, and their performance; management practice in health care organizations; physicians in management and leadership roles; the medical home model of primary care; rural health care

If the Committee were amenable, I’d propose that we recommend Bill in addition to Mark Stensager, whom I also strongly support. Sincerely, Doug Conrad (WAHBE Board & Selection Committee member)

2

Douglas A. Conrad, PhD Professor of Health Services Box 357660, H660C Magnuson Health Sciences Center 1959 NE Pacific Street Seattle, Wa 98195‐7660 Phone: (206) 616‐2923

The Department of Health Services is the home for an extraordinarily talented and productive group of faculty and students. Their interests are far-ranging, but all share the aim of discovering ways to improve the effectiveness and equity of society's efforts to improve the health of the population. Dept. of Health ServicesProgram Affiliations

• Master of Health Administration Program

• Community-Oriented Public Health Practice

• Health Policy Faculty Affinity Group

• MPH Program in Health Services

William L. DowlingProfessor

Professor Dowling served as Chair of the Department of Health Services from 1994-2008. He was first appointed to the faculty in 1974, serving as Director of the MHA Program until 1981. From 1981 to 1994, Dowling was employed as Vice President for Planning and Development in the corporate headquarters of the Providence Health System where he was responsible for system strategic planning, linking system and institutional planning, and government affairs. He returned to the University in 1994. Dowling's main interests are in the development and execution of strategy in health care organizations and in understanding factors that affect organizational performance.

Research Interests:The relationships between the changing environment of health care, the strategic and structural responses of health care organizations, their management, and their performance; management practice in health care organizations; physicians in management and leadership roles; the medical home model of primary care; rural health care

SciVal Experts Profile

Contact Information

email: [email protected]

office: H-690, Health Sciences Building

address:School of Public HealthUniversity of WashingtonSeattle, WA 98195

campus box: 357660 voice: 206-616-2929fax: 206-543-3964

Education

PhD University of Michigan, 1971 (Medical Care Organization)MA University of Michigan, 1970 (Economics)MBA University of Chicago, 1961 (Business (Hospital Administration))BA Duke University, 1959 (Business Administration)

Teaching (Department of Health Services Courses)

Page 1 of 3Dowling_William - Department of Health Services. Graduate Degree (PhD, MPH, MS, M...

9/24/2013http://depts.washington.edu/hserv/faculty/Dowling_William

see more collected citations

2011

2011

• HSERV 591 COPHP PBL Core Curriculum - Year 2

• HSMGMT 510 Organizational Behavior and Human Resource Management

• HSMGMT 562 (Certificate in Medical Management) Strategic Management of Health Care Organizations

• HSMGMT 562 Strategic Management of Health Care Organizations

Recent Publications

Dowling WL. The "community-oriented" IHCO: how viable? Front Health Serv Manage. 1996 Summer;12(4):57-62. PMID: 10156174PubMed

Wong B, Dowling WL. Organizing and sizing an integrated delivery system: building a common strategic vision for hospitals and physicians. Health Syst Lead. 1994 Apr;1(2):31-6. PMID: 10140244PubMed

Durbin S, Haglund C, Dowling W. Integrating strategic planning and quality management in a multi-institutional system. Qual Manag Health Care. 1993 Summer;1(4):24-34. PMID: 10131008PubMed

Dowling WL. The insurance industry's role in reforming delivery. Front Health Serv Manage. 1992 Fall;9(1):36-40. PMID: 10120465PubMed

Conrad DA, Dowling WL. Vertical integration in health services: theory and managerial implications. Health Care Manage Rev. 1990 Fall;15(4):9-22. PMID: 2266012PubMed

view books/publications in WorldCat

Dissertation, Thesis & Capstone Committees (recent HSERV graduates)

Chair, capstone for Britt CarlsonA case study of selected primary care practices participating in the Washington Patient-Centered Medical Home Collaborative

Chair, thesis committee for Nelly KinsellaHealthcare reform and King County community health centers: An analysis of organizational strategic planning

External Funding (sampling of recent awards from UW SAGE data)

Grand Rounds; Moments in Leadership: Case Studies in Public Health Policy and PracticePfizer, Inc.PI: Dowling Dates: 1/1/2009 - 12/31/2010



Projects

Clinical IntegrationPI. Literature review on approaches to integrating patient care services, formal clinical integration models, factors that facilitate and impede clinical integration, and "best practices". Center for Health Management Research.

Links

Member, Board of Directors; Chair, Accreditation Council

• Commission on Accreditation of Healthcare Management Educationhttp://www.cahmeweb.org/

Member, Advisory Council, Basic Health Plan

• Washington State Health Care Authorityhttp://hca.wa.gov/

Member, Steering Committee, King County Health Action Plan

• Public Health - Seattle & King Countyhttp://www.kingcounty.gov/healthservices/health.aspx

Faculty Associate; Member, Higher Education and Research Committee; Member, Programs, Products and Services Committee

• American College of Healthcare Executiveshttp://www.ache.org/

Featured

• It's Not All Coffee and Computers as Health Care Innovation Thrives in Washington State (Workforce, 09/24/2012)

Health Services | School of Public Health | Contact Us© 2011 Department of Health Services, Box 357660, Seattle, WA 98195-7660(206) 616-2935 • fax (206) 543-3964 • e-mail: [email protected]

Equal Opportunity and Disability Accommodation SPH Emergency Information



Debra Hagemann

Coordinated Care Health Plan Washington

1

Hansen, Erica

Subject: FW: Advisory Committee NominationAttachments: Debra Hagemann Bio.pdf; ATT00001.txt

From: Sara Ross [mailto:[email protected]] Sent: Thursday, September 19, 2013 10:48 AM To: [email protected]. Cc: Debra Hagemann; Arnette, Dustin Subject: Advisory Committee Nomination To Whom it May Concern: Coordinated Care would like to nominate Debra Hagemann to sit on the Washington Health Benefit Exchange’s Advisory Committee. Attached you will find her biographical information. Please let me know if anything else is needed. Thanks!

Sara Ross Manager, New Product & Program Operations

Coordinated Care 1145 Broadway, Suite 300 Tacoma, WA 98402 Office: 253.442.1402 Cell: 253.278.2855 www.CoordinatedCareHealth.com Established to deliver quality health care in the state of Washington through local, regional and community‐based resources, Coordinated Care is a Managed Care Organization and subsidiary of Centene Corporation (Centene). Coordinated Care exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Our approach is based on the core belief that quality health care is best delivered locally. For more information, visit www.CoordinatedCareHealth.com

Debra Hagemann Vice President, Medical Management Coordinated Care Health Plan, Washington Debra Hagemann is responsible for the operations of the Medical Management department at Coordinated Care as well as design and implementation of innovative pilots and programs toward a common goal of improving the health status and outcomes for our beneficiaries. Prior to joining Coordinated Care in July of 2012, Deb lead the product development efforts at Healthways, Inc in Nashville, TN, the largest disease management & wellness company in the US for 4 years before moving to the International division to lead the product development department for the International markets in Brazil, Australia, Germany, and France. Debra has worked with large commercial health care companies leading clinical areas of medical management, health and wellness management, and quality management. Debra is a nurse with an additional 10 years of clinical and case management experience.

Senia Hussong

Hussong Consulting

1

Hansen, Erica

From: WAHBE InfoSent: Monday, September 23, 2013 8:41 AMTo: Hansen, EricaSubject: FW: Nomination for Advisory CommitteeAttachments: S Hussong Experience Summary Health Exchange.docx

From: Senia Hussong [mailto:[email protected]] Sent: Monday, September 23, 2013 8:14 AM To: WAHBE Info Subject: Nomination for Advisory Committee Dear Washington Health Benefit Exchange Committee Recruiter, Please consider my nomination for the Advisory Committee. My experience and background in health care delivery systems and health plans spans several decades and includes; delivery system management, health plan operations and health information technology development and implementation. I have sought out creative solutions to improve health care access and outcomes through decentralization of care delivery, patient and provider education programs and deployment of new technologies for improved knowledge bases and communications. My experience has been diverse working in the public and private sectors of health care administration and delivery. Please review my biographical sketch as you consider me for membership in the Advisory Committee. Thank you. Best regards, Senia Hussong Hussong Consulting 206‐769‐9310 mobile 206‐938‐9730 office [email protected]

BiographicalSketch

Senia Hussong Hussong Consulting PO Box 16245 Seattle, WA 98116 206-938-9730 office 206-769-9310 mobile [email protected] Introduction As principal of Hussong Consulting, previously Cardiac Strategies Company and Washington Heart Care, Ms. Hussong is a seasoned health care administrator providing over thirty years of operational and financial management across a wide range of health care settings and products. Early on as a health care administrator, she recognized the need to improve the delivery system by utilizing emerging technologies and establishing fluency in health care legislation and funding. She now brings the product of this abundant experience to new program development for purchasers and providers of health care. Summary of Skills and Expertise: Health care management specializing in program development and financial management Health care policy analysis and program implementation Health care delivery system operations management Health information technology and informatics development and implementation Highlights of Professional Experience:

Co-created Cardiac Strategies Company, Inc., a management consulting company, and Washington Heart Care, a health care management services organization (MSO). Washington Heart Care encompassed the region’s largest independent cardiovascular enterprise in multiple care delivery sites across the region.

Other regional experience includes the Swedish Heart Institute implementation of the region’s first mobile

Electron Beam Tomography (EBT) cardiovascular screening service, the first invasive cardiovascular medical simulation “SimSuite” unit used to train clinical staff and implementation support of the cardiovascular Clinical Outcomes Assessment Program (COAP).

Electronic health information system design and implementation working with a diverse group of health care and technology professionals in prestigious client organizations in Washington and across the country.

Provider relations in the California Medicaid Program (Medi-cal) fiscal intermediary operations, Computer

Sciences Corporation.

Senior management in community hospitals and large urban health systems; responsibilities included Patient Business Services, Contracting and Managed Care, Patient and Provider Relations, QA and Utilization Management, Health Information Management, Patient Admissions, Discharge Planning, Senior Services and Occupational Health.

Foundation development for uninsured and underinsured.

Community outreach and education in health care access and insurance coverage.

Community Volunteer Programs and Professional Affiliations: Washington State Health Advocates Association (WASHAA) – board member American Medical Informatics Association (AMIA) – member Puget Sound Health Alliance – member Friends of Olympic Sculpture Park – volunteer organizer

Chris Knackstedt

MultiCare Health System

1

Hansen, Erica

Subject: FW: Advisory Committee NominationAttachments: Knackstedt Chris Bio and Photo.pdf

From: Bethany Sexton [mailto:[email protected]] Sent: Tuesday, September 17, 2013 3:41 PM To: WAHBE Info Subject: Advisory Committee Nomination To whom it may concern: I would like to nominate Chris Knackstedt to sit on your Advisory Committee. I believe Chris brings a unique perspective blending his current experience of being CFO of a large integrated health system as well as his extensive background in health insurance. Based on your current committee membership I believe Chris’s health care provider knowledge and expertise would bring a needed voice to the table. I have included a brief bio of Chris for your review. If you would like any further information please feel free to contact me. Thank you for your consideration, Bethany Sexton Vice President | Revenue Cycle | MultiCare PO Box 5299 | MS: 737‐3‐REV | Tacoma, WA 98415‐0299 253.459.8100 | F: 253.459.7863 | C: 253.212.6928 [email protected]

MULTICARE’S SHARED VALUES | Respect | Integrity | Stewardship | Excellence | Collaboration | Kindness

Chris Knackstedt Sr. Vice President and Chief Financial Officer MultiCare Health System P.O. Box 5299

M/S: 737-4-CFO Tacoma, WA 98415-5299

Phone: 253-459-8001 Fax: 253-459-7854

Email: [email protected]

Chris Knackstedt Sr. Vice President and Chief Financial Officer Chris Knackstedt joined MultiCare Health System in November 2012 as the Chief Financial Officer. Previously, Chris served as Executive Vice President and Chief Financial Officer for Mercy Health in Springfield, Missouri. Chris has an array of career experiences – serving as CFO at St. Anthony Health System and significant time in the insurance sector. He served as Senior Vice President, Healthcare Management at Great-West Life as well as CEO, Mercy Health Plans. Chris has an MBA from the University of Texas, El Paso and a Bachelor’s Degree in Accountancy from New Mexico State University in Las Cruces, New Mexico. He is a Certified Public Accountant.

mailto:[email protected]

Nancy Lawton

Neighborcare Health, Greenwood Medical Clinic

1

Hansen, Erica

From: WAHBE InfoSent: Monday, September 23, 2013 8:41 AMTo: Hansen, EricaSubject: FW: Advisory Committee nominationAttachments: Nancy Lawton BioSketch.docx; ATT00001.htm

From: Nancy Lawton [mailto:[email protected]] Sent: Monday, September 23, 2013 8:07 AM To: WAHBE Info Subject: Advisory Committee nomination

My initial email indicated that the address linked to the nomination was not valid. I am resubmitting my request for nomination under this email, as a back up. Please excuse any duplication. Thanks. I would like to submit my nomination to the Advisory Committee for the Health Benefit Exchange. Please review my attached biographical sketch. Thank you for your consideration.

Nancy Lawton, BSN, MN, ARNP, FNP

(206) 817-3335

[email protected]

Experiences: President, ARNPs United of Washington State, 2012 - present

Current Washington State Representative to the American Academy of Nurse Practitioners

Family Nurse Practitioner providing primary care to medically underinsured patients amongvulnerable populations; including homeless, immigrant and refugee populations, and thosewith behavioral health needs.

Assistant Medical Director, Greenwood Medical Clinic, 2010-2012

Biographical Sketch: After 35 years providing primary care I am excited to participate in health policy, including the implementation of the Affordable Care Act. My goal is to increase access to care for ourpatients and cultivate a balanced working environment for the next generation of providers.

2

My journey as a health care advocate began in rural Kentucky in the mid 1970s, pursuing the model of nursesdelivering primary care to underserved people through the Frontier Nursing Service. I attended nursing school atBoston State College, now part of the University of Massachusetts. I trained during the years Senator Ted Kennedy advocated for National Health Insurance. My graduate school education at the University of Washingtonwas funded by the Carter Administration that endorsed expanding the role of advanced practice nurses for primary care services in underserved areas.

I am a primary care provider and have trained healthcare workers throughout my career, in community healthcenters and at Harborview Medical Center. At Harborview’s Women’s Clinic I saw primary care patients and began the Breast Care Center, collaborating with the Departments of Ob/Gyn, Surgery, Radiology and Oncology,while participating in the training of surgery residents. Earlier in my career, I worked for the International RescueCommittee with Cambodian refugees, training health care personnel in a refugee camp; including midwives, PAs,nurses, and physical therapists. With the World Health Organization I trained nurses as Community HealthWorkers for regions with no primary health care providers.

Skills: I have been a nurse for 36 years and an Advanced Practice Nurse for 33 years. Nursingperspective is a unique and valuable contribution to policy making.

I have participated in the implementation of three different Electronic Health Records systems; Mindscape and Orca at Harborview Medical Center, and NextGen at NeighborCare Health.

Employment: Neighborcare Health, Greenwood Medical Clinic, 2005- present, currently locums status.

Harborview Medical Center, 1982-2004

Education: Bachelor of Nursing Science, Boston State College, 1977

Master of Nursing Science, University of Washington, 1980

Nancy Lawton, BSN, MN, ARNP, FNP (206) 817-3335

[email protected]

Experiences: President, ARNPs United of Washington State, 2012 - present Current Washington State Representative to the American Academy of Nurse

Practitioners Family Nurse Practitioner providing primary care to medically underinsured

patients among vulnerable populations; including homeless, immigrant and refugee populations, and those with behavioral health needs.

Assistant Medical Director, Greenwood Medical Clinic, 2010-2012 Biographical Sketch: After 35 years providing primary care I am excited to participate in health policy, including the implementation of the Affordable Care Act. My goal is to increase access to care for our patients and cultivate a balanced working environment for the next generation of providers. My journey as a health care advocate began in rural Kentucky in the mid 1970s, pursuing the model of nurses delivering primary care to underserved people through the Frontier Nursing Service. I attended nursing school at Boston State College, now part of the University of Massachusetts. I trained during the years Senator Ted Kennedy advocated for National Health Insurance. My graduate school education at the University of Washington was funded by the Carter Administration that endorsed expanding the role of advanced practice nurses for primary care services in underserved areas. I am a primary care provider and have trained healthcare workers throughout my career, in community health centers and at Harborview Medical Center. At Harborview’s Women’s Clinic I saw primary care patients and began the Breast Care Center, collaborating with the Departments of Ob/Gyn, Surgery, Radiology and Oncology, while participating in the training of surgery residents. Earlier in my career, I worked for the International Rescue Committee with Cambodian refugees, training health care personnel in a refugee camp; including midwives, PAs, nurses, and physical therapists. With the World Health Organization I trained nurses as Community Health Workers for regions with no primary health care providers. Skills: I have been a nurse for 36 years and an Advanced Practice Nurse for 33 years. Nursing perspective is a unique and valuable contribution to policy making.

I have participated in the implementation of three different Electronic Health Records systems; Mindscape and Orca at Harborview Medical Center, and NextGen at NeighborCare Health.

Employment: Neighborcare Health, Greenwood Medical Clinic, 2005- present, currently locums status. Harborview Medical Center, 1982-2004 Education: Bachelor of Nursing Science, Boston State College, 1977

Master of Nursing Science, University of Washington, 1980

Eileen O’Connor King

Seattle Children’s

1

Hansen, Erica

Subject: FW: Nomination for Advisory Committee

From: "Petersen Tanneberg, Suzanne" <[email protected]> Date: September 24, 2013 at 10:14:25 AM PDT To: "'[email protected]'" <[email protected]> Cc: "O'Connor‐King, Eileen" <[email protected]>, "Ewart, Hugh" <[email protected]>Subject: Nomination for Advisory Committee

Dear Kate, Please consider Eileen O’Connor King for membership on the Exchange Advisory Committee. Eileen has extensive experience with and knowledge about pediatric health care services, insurance and financing and would bring highly added value perspectives and solid commitment to the work of the Committee and the Board. A brief bio is included below. Thank you very much for adding Eileen for consideration! Suzanne Eileen leads Seattle Children's Contracting and payer relations efforts as a Senior Director of the Department. In that role Eileen's is instrumental in the evaluation and implementation of new business models/opportunities to respond to the changing Payor and Provider market, while also maintaining the Hospitals' portfolio of contracts with Commercial and governmental Payors which currently number in excess of 150 agreements. Eileen joined Children's in 1998 after 7 years in a similar position at Northwest Hospital. Her 22 years of specific hospital industry experience in the Seattle market has paralleled unprecedented changes in the hospital, insurance and health care financing industry. Prior to entering the hospital industry Eileen was employed in New York City for 4 years at KPMG Peat Marwick as an auditor and financial consultant. In addition to a Masters in Accounting earned at Pace University in NYC, Eileen earned her CPA certificate, and also holds a Bachelor's in Biology from Villanova University in Pennsylvania. The health care industry allows her to fully utilize both her scientific and financial strengths to address some of the compelling questions facing the industry and it's professionals in delivering high quality cost effective care. Eileen makes her home in Edmonds with her husband Damian and rescued pet cocker spaniel, and three spoiled house cats. She is a budding Master Gardener (not yet) and enjoys other pursuits including reading, travel, visiting her family in Ireland, good food and fine but affordable wine.

Suzanne Petersen Tanneberg Chief of Staff to the CEO and Vice President, External Affairs & Guest Services Seattle Children's

206-987-2125 OFFICE 206-987-5022 FAX [email protected]

OFFICE 4800 Sand Point Way NE, Seattle, WA 98105 MAIL M/S T-0111, PO Box 5371, Seattle, WA 98105 WWW seattlechildrens.org

2

CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information protected by law. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.

Patrick Plumb

North Valley Hospital

1

Hansen, Erica

Subject: FW: Advisory Committee nomination

From: WAHBE Info Sent: Wednesday, September 18, 2013 8:41 AM To: Altman, Joan Subject: FW: Advisory Committee nomination

From: Patrick Plumb [mailto:[email protected]] Sent: Tuesday, September 17, 2013 3:39 PM To: WAHBE Info; Krista Harden; Jana Symonds Subject: Advisory Committee nomination

I have been asked to place myself into nomination for the Washington Health Benefit Exchange Advisory Committee. My name is Patrick Plumb, and I have lived in Washington State my entire life. I was born in Davenport, WA, and moved to Tonasket, WA until graduating from Tonasket High School in 1997 and then went on to Whitworth University, with a BA in Sociology. I have worked for North Valley Hospital in Tonasket WA, a Critical Access Hospital, for 12 years, 8 of which I worked in Information Technology and 4 of which I have worked as the Chargemaster Coordinator in the Patient Financial Services department. I enjoy reading Medicare manuals. I also enjoy reading healthcare contracts and negotiating them on the behalf of the facility. I am a current member of the Noridian Patient Outreach and Education Advisory Board, I am active with the Tonasket Lions, I am a former Vice President of the Tonasket Chamber of Commerce, and I have been elected to the Tonasket School Board, the Tonasket City Council, and I am currently finishing up my first term as Mayor of the City of Tonasket. I am interested in serving on the Advisory Board to make sure that rural Washington State is represented in this important healthcare discussion. Thank you for your consideration. Patrick Plumb Tonasket, WA -- Patrick Plumb North Valley Hospital 203 S Western Ave Tonasket WA 98855 [email protected] 509-486-0725 Home Office 509-322-7300 Cell Phone 509-486-3105 Hospital Direct Line 509-486-2151 Hospital Main Switchboard

Donna Smith

Virginia Mason Medical Center

1

Hansen, Erica

Subject: FW: Exchange Advisory Committee - Resume due today!Attachments: DonnaSmithBio060313.docx; ATT00001.htm; Donna CV 092013.doc; ATT00002.htm

‐‐‐‐‐‐‐‐ Original message ‐‐‐‐‐‐‐‐ From: Kathryn Kolan <[email protected]> Date: 09/23/2013 3:59 PM (GMT‐08:00) To: "Cowley, Pam" <[email protected]> Subject: Fwd: Exchange Advisory Committee ‐ Resume due today!

Hello Pam – please see the attached materials for submission! We are pleased to recommend Dr. Donna Smith for a position on the advisory board! Kathryn Kolan Dir. Legislative and Regulatory Affairs WSMA m: (206) 618‐4821 Sent from my mobile device

Good afternoon Kathryn, Donna would be delighted to participate. Attached please find her CV and bio for your review. Kind regards, Jayla Jayla McRay Executive Assistant Virginia Mason Medical Center 909 University Street Mailstop: GB‐ADM Seattle, WA 98101 Phone: 206.341.0786 Fax: 206.223.6976

with Virginia Mason by e-mail, you will assume the risk of a confidentiality breach. Please do not rely on e-mail communication if you or a family member is injured or is experiencing a sudden change in health status.

DONNA L. SMITH , M.D., MBA 7540 57th Place NE

Seattle, WA 98115

(206) 341-0308 – office

(206) 459-0362 – cell phone

[email protected]

VIRGINIA MASON MEDICAL CENTER, Seattle, Washington

Hospital Medical Director (2007 – Present)

LEADERSHIP

2007 – Present Hospital Medical Director, VMMC

2002 – Present Member of Senior Executive Team, VMMC

2004 – Present Executive Co-Sponsor, Service VMMC

2006 – 2007 Medical Director, Virginia Mason Emergency Department

Deputy Chief of Hospital Services, VMMC

2002 – 2007 Chief of Pediatrics, Virginia Mason Medical Center

2003 – Present Quality Assurance Committee, VMMC

2002 – Present Physician Compensation Committee, VMMC

2001 – Present Finance Committee, VMMC

2000 – 2002 Deputy Chief of Pediatrics, VMMC

CLINICAL PEDIATRICS

1996 – Present Virginia Mason Sand Point Pediatrics, Seattle WA

1988 – 1996 Private Practice, Sand Point Pediatrics, Seattle WA

FACULTY POSITIONS

1999 – Present Clinical Associate Professor, Department of Pediatrics, University of Washington

1989 –1999 Clinical Instructor and Clinical Assistant Professor, University of Washington

POSTGRADUATE TRAINING

2013 Executive MBA Program, Seattle University

2011 UW: TeamSTEPPS Master Trainer

2009 Institute for Health Care Improvement: Team Work

2008 Negotiation: Harvard Law School

2006 Forces of Change: Harvard School of Public Health

2004 Harvard Chiefs Course, Boston, Massachusetts

2002 (ongoing) Certified Lean, Seattle, WA and Japan

1985 – 1988 Pediatric Internship and Residency,

Children’s Hospital Regional Medical Center/University of Washington

DONNA L. SMITH, M.D.

2

EDUCATION

1981-1985 M.D., Oregon Health Science University, School of Medicine,Portland, Oregon

1976-1980 B.A., Biology/Psychology, Whitman College,Walla Walla, Washington

Expected June 2013 Seattle University, Master of Business Administration, Seattle, Washington

BOARD CERTIFICATION PEDIATRICS: 1988, 1997, 2002 and 2010

CURRENT LICENSE Washington State Medical License 252-09 0024271

DEA current

TEACHING RESPONSIBILITIES

1998 – Present CHRMC inpatient hospital attending/resident teaching

1990 – 2004 CHRMC/UW Pediatric Resident Continuity Clinics Preceptor (O’Neill, Dudas, Benda, Albert)

2000 – 2004 Pediatric Resident Career Advisory Group CommunityCoordinator

1997 – 2004 Medical Student Preceptor

VIRGINIA MASON MEDICAL CENTER

Hospital Medical Staff Committee

Organization Goal Lead: Optimizing Care Transitions

Chair, Hospital Cardiac Services Committee

Chair, Hospital Neurosciences Services Committee

Chair, Hospital Medicine Quality Collaborative

Oversight Committee VMMC/CHRMC, Member 1998-2003

Course Chair:

Words that Work, 2008, 2009, 2010, 2011. 2012

Communicating for Clinical Change, 2007

Mistake Proofing Patient Physician Communication, 2006

Improving Patient Safety through Effective Communication, 2005

VMMC Pediatric Update, 1998-2001

SEATTLE CHILDREN’S HOSPITAL

Credentials Committee, Co-Chair 1999 - 2007

Medical Executive Committee, Member 1992, 1999-2007

Medical Staff President 2002, 2003

Medical Staff Past President 2003, 2004

Medical Staff Nominating Committee, Chair 2003

Oversight Committee VMMC/CHRMC, Member 1998-2003

Continuing Medical Education Committee, Member 1998-2003

Pharmacy Committee, Member 1988-1999

Practical Pediatric CME, Planning and Moderator 1996-1998

DONNA L. SMITH, M.D.

3

UNIVERISTY OF WASHINGTONDEPARTMENT OF PEDIATRICS

Search Committee Chief Division Cardiology, 2003

Search Committee, Pediatric Department Chair, 1995 (Stapleton)

COMMUNITY INVOLVMENT

Co- Founder: High School Connect: Connecting High School STEM Students with Community (2012)

Washington State Medical Association, Executive Committee, 2012

Washington State Medical Association, Board Member, 2011 - present

KCSARC Board Member, 2004 – 2010

The Northwest School, Parent Representative 2000, 2002, 2006

Physicians Bureau King County, Advisory Board, 1994-1996

Childbirth Education Association, Advisory Board, 1994-2003

Donna L. Smith, MD, MBA

Donna L. Smith, MD, is Medical Director of Virginia Mason Clinics at Virginia Mason Medical Center in Seattle, Washington. She is board certified in Pediatrics and

maintains a busy clinical practice in addition to her leadership roles in the medical center. She has served as Medical Director Virginia Mason Hospital, Chief of

Pediatrics, a member of the Executive Committee, Medical Director of the Emergency Department, Finance Committee, Physician Compensation Committee

and on numerous quality and safety committees. Dr. Smith also holds a faculty position at the University of Washington.

Since its inception in 2001, Dr. Smith has taken an active leadership role in the Virginia Mason Production System (VMPS), a management that seeks to continually

improve how work is done so there are zero defects in the final product. Using this method, Virginia Mason (VM) identifies and eliminates waste and inefficiency in the

many processes that are part of the health-care experience, making it possible for VM staff to deliver the highest quality and safest patient care.

Dr. Smith joined Virginia Mason in 1995 after eight years in private practice. She received her MBA from Seattle University, medical degree from Oregon Health

Sciences University in 1985 and completed her internship and residency at Children's Hospital and Medical Center in Seattle where she is a past president of

the medical staff.

Mark Stensager

Guthrie Healthcare System

MARK STENSAGER 3616 Wishkah Road

Aberdeen, WA 98520 Home phone: 360-532-9494

Cell: 360-591-3140 Fax: 360-532-9494

E-mail: [email protected]

PROFESSIONAL HISTORY 8/98 – 3/12 President /CEO, Guthrie Healthcare System and Co-CEO,

Administrative Affairs, Guthrie Health, Sayre, PA

Served as President and CEO of Guthrie Healthcare System (GHS), a

community based, not-for profit, vertically integrated health care system,

with total net operating revenues of $372 million and a system-wide

complement of approximately 3,000 employees. GHS offers a wide range of

services and programs designed to enhance the health and well-being of the

communities it serves throughout the Northern Tier of Pennsylvania and the

Southern Tier of New York State. The system includes three hospitals, a

research institute, a B.S. school of nursing, home health, hospice, retail

pharmacy, and a durable medical equipment company. The System has

received 20 Top 100 Performance Awards from the Thomson/Reuters

(formerly Solucient) organization for quality and efficiency since 2001.

Also served as Co-CEO, Administrative Affairs for Guthrie Health, a non-

profit organization formed in June 2001, which integrated the Guthrie Clinic

Ltd. and the Guthrie Healthcare System. Guthrie Health includes all the

corporations of both organizations, with total annual revenues of

approximately $600 million and an enterprise-wide complement of

approximately 4,300 employees.

Responsibilities as Co-CEO, Administrative Affairs for Guthrie Health

included managing the budget planning process for the entire enterprise and

facilitating the enterprise-wide strategic planning process. Worked in close

collaboration with the Co-CEO, Medical Affairs for Guthrie Health, who

also served as the President of Guthrie Clinic Ltd. The President of Guthrie

Clinic Ltd. had direct management responsibility for Guthrie Clinic; the

President/CEO of GHS had direct management responsibility for GHS.

9/95 – 8/98 Vice President, Group Operations, PhyCor, Inc., Nashville, TN

Served as a senior executive in a rapidly growing physician practice

management company. Responsible for overseeing the business operations of

numerous multispecialty clinics in a wide variety of markets.

Responsibilities included all non-professional staff, business office

operations, insurance contacts, managed care, mergers and acquisitions, and

capital expenditures.

2

Responsible for PhyCor’s two largest operations, the Guthrie Clinic in rural

Pennsylvania, and the Straub Clinic and Hospital in Hawaii. Net revenues

for these two operations totaled $300 million.

Accomplished a major financial turnaround at the Guthrie Clinic, a 220-

physician multispecialty group practice located in Pennsylvania. Achieved a

net improvement of $10 million with a combination of increased revenue

generation and expense reduction.

5/91 – 9/95 Group Vice President and Chief Administrative Officer, Henry Ford Medical Group, Henry Ford Health System, Detroit, MI

Responsible for the business operations of the outpatient facilities and clinics

of the Henry Ford Medical Group and the Metro Medical Group. The scope

and level of responsibilities included direct accountability for a staff of 3,500

FTEs, net revenue in excess of $510 million, and outpatient clinic visits of

approximately 2.5 million per year.

Led the development of the Medical Group Strategic Plan, which resulted in

the reengineering of the primary care delivery system, strengthening the

academic and research mission within emerging economic constraints, and

significant improvements in customer satisfaction with access to services.

Served in key leadership and administrative roles for the Henry Ford Health

System. For two years served as Chair of the Senior Operating Team,

comprised of all Chief Operating Officers within the system.

5/87 – 5/91 Regional Vice President, Group Health Cooperative of Puget Sound, Tacoma, WA

Administratively responsible for the delivery of care to 140,000 enrollees

living in western Washington State in one of the nation’s leading managed

care delivery systems. Supervised approximately 1,400 employees.

Responsible for an annual budget of $100 million, including a budget of $47

million for inpatient, specialty, and primary care operations within Group

Health and $53 million for patient services purchased outside of the GHC

system. While Regional Vice President, enrollment grew from 97,000

members to 140,000 members.

Supervised the development of major capital expansion plans, including a

new specialty center in Tacoma, Washington and a multispecialty campus in

Olympia, Washington.

1/86 – 5/87 Director, Senior & Social Programs, Group Health Cooperative of Puget Sound, Seattle, WA

Responsible for the administration of mental health services, alcohol and

drug treatment program, volunteer services, and senior citizen programs at

Group Health Cooperative of Puget Sound. Combined, these programs

included 122 clinical and administrative staff and a budget of $5.3 million.

3

Developed the organization and financing of a long-term care system for

Group Health Cooperative. Financing for this project was developed through

a joint venture with Metropolitan Life Insurance Company.

1/85 – 1/86 Director, Senior Initiative, Group Health Cooperative of Puget Sound, Seattle, WA Responsible for the design and implementation of a broad range of programs to

enhance the delivery of services to the older enrollees of Group Health

Cooperative of Puget Sound. Programs included a senior information and

referral program, a case coordination system, respite care, long-term care

insurance, various workshops and seminars, a major marketing study, and a range

of legislative activities.

8/82 – 1/85 Executive Director, Health Care Purchasers Association of

Puget Sound, Seattle, WA

Responsible for the development, organization, and administration of one of

the largest health care cost-containment coalitions in the United States.

Worked closely with the Board of Directors, comprised of senior

management from large private corporations including Boeing and

Weyerhaeuser to formulate and implement strategies to reduce the health

care benefit costs for major employers in the Seattle area.

Supervised the planning and writing of the Health Care Buyers’ Guide, a

manual on health care cost-containment for large employers. Nearly 1,000

copies of this publication were sold nationwide. The American Risk and

Insurance Association nominated this publication for two awards, one of

which was “best publication for benefits managers published in 1984 in the

United States."

Coordinated the Health Care Purchasers Legislative Strategy to redesign and

reconstitute the Washington State Hospital Commission.

4/81 – 4/82 Consultant, Seattle, WA Provided management, planning, and marketing assistance to a wide range or

organizations in both the private and public sectors. Clients included the

Washington State Nurses Association, Rainier Bank, Seattle Housing Authority,

People for Senior Housing, and the Small Business Council.

4/80 – 4/81 Associate Director, Home Health Services of Puget Sound, Tacoma, WA Responsible for supervising the delivery of home health services for the second

largest home health corporation in the state of Washington. Supervised more

than 260 full-time and part-time employees providing skilled nursing, social

work, speech therapy, occupational therapy, physical therapy, and chore services

to over 1,000 elderly clients.

4

2/76 – 2/79 Director, Seattle-King County Division of Aging, Department of Human Resources, City of Seattle

Responsible for the development of policies and programs for the aging in

the City of Seattle and King County. Supervised staff of 61, including

program planners, contract monitors, and direct service providers.

Supervised the planning and allocation of $6 million annual budget.

Supervised $700,000 annual operating budget.

Supervised the subcontracting of over $5 million to 55 community-based

agencies to provide health, employment, housing, nutrition, recreation,

transportation, information, and assistance to senior citizens.

Conceived, designed, and developed the Mayor’s Office for Senior Citizens,

combining all of the direct service programs operated by the Division of

Aging into one office.

Developed a grassroots senior citizen advocacy organization, which has been

used as a model to involve older citizens in legislative advocacy.

8/74 – 2/76 Manager, Seattle Youth Service Bureau System, Department of Human Resources, City of Seattle Responsible for the development and administration of a juvenile delinquent

prevention and correction program, which included a central administration and

three community-based Youth Service Bureaus. Developed administrative

procedures. Supervised a staff of 26, including the Youth Service Bureau

directors, social workers, employment counselors, and alternative education

instructors. Administered a budget of approximately $500,000. Organized and

developed three citizen policy boards and three restitution boards.

1/74 – 8/74 Program Planner, Department of Human Resources, City of Seattle

Planned and developed the Seattle Youth Service Bureau System with the Seattle

Law and Justice Planning Office, the King County Juvenile Court, and a variety

of community organizations.

11/72 – 8/73 Program Coordinator, Office of Inter-Governmental Affairs, Office of Executive Policy, City of Seattle Assisted in coordinating the lobbying efforts of the City of Seattle during the

1973 session of the Washington State Legislature.

7/70-11/72 Staff Assistant, Washington State Senate, Olympia, WA

Served as the Clerk of the Revenue and Taxation Committee during the 1971

session of the Legislature. Served as a part-time staff member of the Forest and

Taxation Interim Committee from 1970-1972. Responsibilities included

5

coordinating committee meetings and hearings, researching legislation, drafting

legislation, and processing bills through the Washington State Senate.

5/69 – 9/69 Intern, Office of United States Senator Warren G. Magnuson,

Washington, D.C. Responded to constituent mail, organized the summer intern program, and

worked in the Senate Post Office.

EDUCATION

1974 – University of Washington, B.A., Political Science.

1977-1988 – University of Puget Sound, graduate work in Public Administration.

ACTIVITIES AND AWARDS

2010-Present – Member, American Hospital Association President’s Forum for Health Care System

Leaders

2010-2011 – Member, The Commonwealth Health Care Reform Implementation Advisory Committee

(appointed by Governor of PA), Harrisburg, PA

2007-Present – Board Member, The Hospital & Healthsystem Association of Pennsylvania (HAP),

Harrisburg, PA

2005-2011 – Delegate, American Hospital Association Regional Policy Board.

1998-Present – Board Member, VHA-Empire State Board of Directors. Served as Vice Chairman of this

Board from 2002-2005

2006-Present – Board Member, Three Rivers Development Corporation Board, Corning, New York.

2007-Present – Board Member, Southern Tier Economic Growth Board

2008-Present – Member, The Clemens Center, Elmira, New York (Vice President 2010-2011; President

2011-Present)

2002-2003 – Member, Executive Committee, Sayre Community Corporation Board of Directors

2002-2003 – Board Member, Northern Bradford Authority Board of Directors

1994-1996 – Member, Mission and Planning Committee, Holy Cross Health System. Members

collaborated and helped to shape strategic plans for eight hospitals located in communities across the

United States.

1993-2000 – Member, Health Care Forum’s System Leader Network, a national network of CEOs and

COOs from leading health care systems across the country.

1990-1991 – Member, Board of Directors, United Way of Pierce County, Washington.

1988 – Recognized as an “emerging leader in health care” by the Health Care Forum, a national

organization of health care executives. One of four recognized in the United States in 1988.

1982-1987 – Member, Seattle Housing Authority Board of Commissioners. Appointed Commissioner in

November 1982; served as Chairman from April 1985 to April 1987. Responsible with fellow

Commissioners for the oversight of the management of close to 10,000 units of public housing in the City

of Seattle, including 350 employees, and an annual budget of $22 million. 1985-1987 – Member, Board of Directors, United Way of King County, Washington. Served as

Chairman, Community Affairs Committee.

1986 – Chairman, Steering Committee, Citizens for a Better Seattle. This campaign successfully passed

local levies to build a new Seattle Art Museum and rehabilitate 1,000 units of low-income housing in

1986.

1980-1981 – Chairman, Seattle Parks Committee, a citizen task force on parks and open space.

6

1979 – Nominated in a competitive three-way race for Seattle City Council. Rated “very good” by Seattle

Municipal League. Raised over $50,000 (including city-matching funds) from 854 individuals. Made

several appearances on local television and gave numerous presentations to a wide variety of community

and professional organizations. Received 47 percent of the vote in the 1979 general election.

1975 – Founder, Washington Association of Community Youth Services (WACYS), a state organization

designed to advocate for community-based youth services and provide training and educational

opportunities for those employed in such programs. The annual budget of this organization in 1988 was

approximately $450,000.

1972 – Listed in Outstanding Young Men of America.

1970-1971 – Member Governor’s Commission on Youth Involvement.

RECENT NATIONAL/REGIONAL SPEAKING ENGAGEMENTS July 2009 – “How Do They Do That? Low-Cost, High-Quality Health Care in America,” Institute for

Healthcare Improvement, Washington, DC

October 2009 – “Building a High Performing Organization,” American Hospital Association’s Health

Care System Annual Leadership Meeting, Phoenix, Arizona

February 2010 – “Key Elements of Successful Integration,” American Hospital Association Board of

Trustees’ Annual Meeting, West Palm Beach, Florida

April 2010 – “Integrated Health Care Systems: Leading Health Care’s Transformation in an Era of

Reform,” The Hospital & Health System Association of Pennsylvania, Lancaster, Pennsylvania

July 2010 – “Key Elements of Successful Integration,” Washington State Hospital Association, Spokane,

Washington

October 2010 – “Key Building Blocks that Foster Physician Alignment…Structure, Relationships, and

Data,” VHA Executive Education Session, Skaneateles, New York

October 2010 – “Guthrie Health – An Example of an Integrated Delivery System,” Pennsylvania Medical

Society, Hershey, Pennsylvania

August 2011 – “The Path to Becoming a Physician-Led Organization,” VHA Board of Directors Retreat,

Chatauqua, New York

April 2012 – “Achieving Key Objectives Though the Successful Alignment of an Integrated Delivery

System,” Marcus Evans CXO Summit, Hollywood, Florida

Janet M. Walthew

Northwest Hospital & Medical Center

1

Hansen, Erica

Subject: FW: Advisory Committee Recruitment

From: Janet Walthew [mailto:[email protected]] Sent: Wednesday, September 18, 2013 3:50 PM To: WAHBE Info Subject: Advisory Committee Recruitment Dear Exchange Staff: I am interested in becoming a member of the Advisory Committee for the Washington Health benefit Exchange. I think my background and past employment history would be beneficial as we roll out one of the largest changes in healthcare since Medicare was signed into law in 1965. I have been employed by Northwest Hospital & Medical Center since January 2008 as Director of Patient Financial Services and Patient Access. I am responsible for the registration, financial counseling, billing and collection of the hospital’s accounts receivables of over $750M annually. I manage a staff of 99 in multiple locations, including several areas open 24/7. Prior to Northwest Hospital, I was Manager of Medicare Enrollment and Fiscal Reconciliation at Group Health Cooperative. I have also worked as Director of Patient Financial Services at Airlift Northwest, Swedish Medical Center and Virginia Mason Hospital. I was employed for twenty five years at Virginia Mason and spent the last five years there as the Manager of Medicare and Individual Plans. “Virginia Mason Medicare Choice” was a Medicare Cost Plan and we enrolled over 10,000 seniors in less than three years. I also was a Vice President of Government Programs for First Choice Health Plan and started a Medicare Risk Plan; “Seniors First” , three thousand seniors enrolled in year one. In both Plans I was responsible from the inception to regulatory approval of the government Plans. I am a certified Patient Account Manager. I have an AA Degree from Edmonds Community College in Sociology/Legal Advocacy. I also attended Central Washington University with studies in business and journalism. I am past President of the Evergreen Chapter of AAHAM and currently serve as Government Program Chair. I also serve on the marketing committee for the Washington Wheat Growers Association and manage a family wheat farm in eastern Washington, I have served on the Boards of the Washington State Ambulance Association, Arthritis Foundation of Washington, Social Services Council, Salvation Army, and Treasurer of the Association of Washington Healthcare Plans. I am also a former trustee for Senior Services of Seattle King County . I am past President of the Virginia Mason Federal Credit Union. Most of all I am a patient advocate and enjoy my work assisting patients in finding funding for healthcare and look forward to the challenge of healthcare reform and sharing information about the Exchange. Thank you for your consideration. Sincerely, Janet M. Walthew

2

Janet Walthew Director, Patient Financial Services & Patient Access Northwest Hospital & Medical Center 10330 Meridian Ave. N. Suite 260 Seattle, WA 98133 (206) 368.6406 phone (206) 368.6469 fax (206) 718.8386 cell phone

Advisory Committee · 2020-01-01 · 1 Hansen, Erica Subject: FW: WHBE ADvisory Committee...

Documents

Transcript of Advisory Committee · 2020-01-01 · 1 Hansen, Erica Subject: FW: WHBE ADvisory Committee...