Stacey Hodgman, RN has been an RN for over 25 years with 18 years of case management expertise and experience working for managed care organizations, short and long-term acute hospitals and worksite wellness programs. She is currently employed with Kindred Healthcare as the Division Vice President of Clinical Integration & Care Navigation.

Ms. Hodgman is responsible for designing and implementing new models of care coordination designed to improve care management and care transitions across settings that seek to improve patient outcomes and experience while transitioning patients efficiently and seamlessly through the post acute continuum. Stacey earned her nursing and undergraduate degrees from Rivier University and her graduate degree from George Washington University. She is board certified in Case Management as well as Certified as a Case Management Administrator. She served two terms on the Board of Directors for the Case Management Society of New England as well as served on the Case Management Advisory Board for the Health Intelligence Network, the Editorial Board for Dorland Health Care Coordination Journal and as a Case Management content expert reviewer for the American Nurses Association Credentialing Center.

Stacey has published several articles in Case Management journals as well as provided numerous CEU presentations on topics such as the value of post acute care and the importance of episodic care management.

Brad Miner, Sr. National Director of Client Services and Clinical Programming for Rehabcare. Brad has spent his entire career in healthcare. He has worked within operations, sales and business development. He has worked with LTAC and Inpatient Rehab Hospitals previous to joining Kindred Healthcare and Rehabcare. He is currently focused on partnering with Rehabcare Hospital, Skilled and Home Health clients on physician relations, preferred provider, ACO, Bundling and Program Development opportunities across the country.

Beth Weagraff serves as AHS’s vice president of post-acute care development and implementation. In this capacity, she is responsible for the development of the AHS Post Acute strategies and ensuring successful deployment of post acute initiatives. Prior to this position, she served as the COO for Florida Hospital Medical Group and served as senior vice president for Florida Hospital, where she provided oversight for the Cardiovascular Institute, Neuroscience Institute and the Institute for Surgical Advancement. She began her services with Adventist Heath System as a registered nurse for more than 30 years.

Weagraff has both a bachelor’s in nursing and a master’s in business administration. Beth has authored articles on Business Process Redesign while working in performance improvement areas of Florida Hospital. She is active in her church and community, having served as Chair for the American Heart Association’s Heart Ball and Go Red for Women Campaign in Central Florida. She has also served on the Board of Directors for FH Memorial Medical Center.

Davis Baird is a Senior Program Associate with the Aging and Disability Business Institute (the “Business Institute”) at the National Association of Area Agencies on Aging (n4a). In this role, Davis provides strategic programmatic and policy support to advance the mission and work of the Business Institute to connect community-based organizations (CBOs) and health care payers and providers in their efforts to deliver on the promise of robust population health and value-based care. Davis is responsible for the Business Institute’s online presence, assists with partner and stakeholder outreach and engagement, furnishes technical assistance to field-based providers, and manages an interactive learning collaborative of operationally advanced CBOs.

Prior to joining n4a, Davis served as a Research Associate at the Altarum Institute, a large nonprofit health systems research and consulting organization in Washington DC. At Altarum, Davis worked to build an innovative grassroots policy and advocacy movement around family caregiving and its impact on the health care and community supports systems. Before his time at Altarum, Davis worked as a volunteer advocate at an Area Agency on Aging in Arlington, VA, as well as a Research Assistant on a special two-year project at a Continuing Care Retirement Community in Charleston, SC.

Davis received his bachelor’s degree in Psychology at The College of Charleston, and his Masters’ degree in Gerontology from the University of Southern California, graduating with honors at both institutions.

Deborah Boswell is the Director of the Harris Health System Community Outreach Services department. Mrs. Boswell is positioned to implement evidence based health promotion interventions outside the walls of the safety net organization to reduce health disparities including barriers to accessing preventive and primary healthcare services. She deploys outreach teams of multilingual health educators and community health workers to the most vulnerable communities of uninsured or underinsured residents to provide health education and assistance with resource applications; including the Harris Health Financial Assistance program. Along with her team, Mrs. Boswell works interdepartmentally to promote wellness, prevention and early detection services across the Ambulatory Care Services platform.

Mrs. Boswell successfully facilitates and participates with grant writing teams resulting in various awards from public, private, state, and federal funding sources that enhance patient care services. She is the program manager for the OB Navigation Program which is funded through the Medicaid 1115 Waiver Delivery System Reform Incentive Payment (DSRIP) program. This program is implemented in 8 OB/Primary Care centers by Registered Nurse Navigators and community health workers who assist pregnant women through delivery and postpartum to reduce their risk of preterm birth. To date, nurse navigators have enrolled 3,184. Data supports higher retention in prenatal care achieved as well as greater numbers completing the postpartum visit than non-navigated patients. She is the program manager for the Strong Start Initiative for Mothers and Newborns, a 4 year funded award by the Center for Medicare and Medicaid Services (CMS), in which Licensed Master Social Workers and community health workers provide social support for our prenatal patients enrolled in CenteringPregnancy, evidenced based group prenatal care. This program has successfully completed implementation in 6 Primary Care centers and currently in the final year of evaluation. Increased patient satisfaction, delivery retention, and navigation into interconception care have been positive outcomes. The Texas Health and Human Services Commission and Department of State Health Services have been tasked by our State legislature to provide contract funding for women’s health services. Mrs. Boswell had oversight of the Expanded Primary Healthcare services for women, implemented in 2013, providing for contraceptive services. She successfully worked with her team to develop and receive contracts for the new State programs, Healthy Texas Women and Family Planning Programs focused on reproductive health and contraceptive choices for family planning currently being implemented. As program manager, her responsibility also includes evaluation of process and impact outcomes, corrective action planning and quality assurance reporting.

Mrs. Boswell represents the Harris Health System in a number of community partnerships and coalitions impacting the residents of Harris County. She has worked collaboratively with other City, County, and non-profit community based organizations to improve population health. She is an active stakeholder on the Enroll Gulf Coast Collaborative promoting access to healthcare coverage through the ACA Marketplace. She was the team member for Harris Health, along with a City of Houston and Gateway to Care, competitively awarded by the National League of Cities Institute for Youth, Education and Families to mobilize communities to expand Medicaid and CHIP enrollment. Additional partnerships and collaborative groups include the IMPACT Collaborative, the Women’s Mental Health Task Force, Gateway to Care Collaborative, Texas Collaborative for Healthy Mothers and Babies.

Mrs. Boswell has held her current position as Director since the inception of the outreach department in 1999, but initially joined Harris Health System Health Promotion Services as a Health Educator in 1996. Prior to her work at Harris Health, she worked in Employee Wellness after receiving her Bachelor of Science degree in Kinesiology from Texas A&M; University.

Ms. Mathis serves as the Associate Administrator of Population Health and Disease Management within the Ambulatory Care Services department. The Ambulatory Care Services department provides more than one million primary care visits each year to patients. Today, it is the largest public primary care health network in the state of Texas offering specialty and acute care at three hospitals and primary care at twenty-three community health centers. Ms. Mathis has oversight over Ambulatory Clinical Case Management, Patient Education, Nutrition Services and Community Outreach departments. She oversees employees who are located in the three hospitals and the twenty-three community health centers. Ms. Mathis has operational and clinical oversight with nurses, dieticians, patient educators, social workers and clinical case managers establishing her as a system leader within population health. Currently, her focus area is to define and implement the population health strategy for the organization.

Ms. Mathis has oversight of nutrition, case management and patient education, and is leading a population health initiative to decrease the hemoglobin A1c (HbA1c) by facilitating a pilot using a multi-disciplinary approach to patient care. This initiative allows patients the opportunity to receive same day interventions for their needs rather than scheduling return clinic appointments (i.e. diabetes class, healthy eating class, etc.). The pilot focuses on identifying the patient’s greatest need and any barriers to care the patient may have on the day of their primary care visit. After the assessment is completed upon their primary care visit discharge, the multi-disciplinary team follows up with the patient with several interventions based off of the care plan developed by the team. The multi-disciplinary team is made up of the primary care physician, nursing, nutrition, clinical case management, social work, patient educator and clinical pharmacist. This pilot has shown an average of a 3% reduction in HbA1c and is being reviewed to be used by all community health centers in our system as a practice model of how to care for diabetes patients who are uncontrolled or newly diagnosed.

Ms. Mathis has also been the co-facilitator in a readmission reduction plan for the system which involves electronic transition of care referrals being sent from the inpatient case managers to the ambulatory case managers. The goal of the transition of care referral was to develop a consistent process for transitioning high risk patients from an acute care setting to the ambulatory care setting which would ensure services, follow up care and support are available. The development of this referral has resulted in an improvement of workflow, data collection, reporting, and the monitoring of patients’ utilization of services. Currently, our system has seen a decrease in 30 day readmissions and patients are having a better experience when being transitioned from inpatient to the community.

Ms. Mathis assists nursing and clinical staff in expanding their nursing and leadership knowledge in various ways. She is a preceptor to Master of Science in nursing students along with being a mentor to nurses within our healthcare system. She loves to teach and is always available. She is always being asked to participate in system wide initiatives, is on multiple committees throughout our healthcare system and involved in several initiatives as a community partner.

Rachele Misiti, LCSW is a Supervisory social worker at Central Texas VA Healthcare System. After starting her career in community care she transitioned to the VA in the Transition and Care Management program as a case manager in 2007. After years of providing case management to Seriously injured combat Veterans, she transitioned to providing leadership the Transition and Care Management Program. Additionally, Ms. Misiti provides oversight to the VA/DOD Liaison Program at Ft Hood and Primary Care Social Work. Central Texas TCM teams were recipients of the 2015 Transition and Care Management Team of the Year from the VA Care Management Social Work Service. Rachele Misiti leads CTX Social Work Service’s Quality Value and Safety Committee. Ms. Misiti is an avid Dressage horseback rider and fiber artist.

Dorothy A. Sanders, BSN, RN is the Nurse Manager, Integrated Case Management & Home Telehealth Program at Central Texas Veterans Health Care System in Temple, Texas. Ms. Sanders has chosen to serve Veterans at the VA for her entire nursing career to honor our Nation’s heroes. She began her nursing career with the VA shortly upon graduating from University of Mary-Hardin Baylor in June 2004, where she cared for Veterans admitted on the Acute Medicine/Telemetry inpatient ward. In 2008, she became a Patient Care Coordinator, learning case management strategies and approaches, while coordinating inpatient care for the Veteran admitted to Acute Care and guiding their transition to home upon discharge. In this role, she led a system redesign project implementing daily interdisciplinary team meetings which resulted in a significant decrease in the average length of stay from 8.29 days to 5.54 days. In 2010, she served as the facility’s Performance Measures Coordinator and Executive Assistant to the Director, developing her systematic and organizational thinking. Missing her passion for Nursing and Case Management, she accepted the position as Nurse Manager for Case Management in November 2012. She has been instrumental in the expansion and further development of the Nursing Case Management Program, including the realignment of the Home Telehealth Program to reduce duplication in nursing case management efforts. On a personal note, Ms. Sanders is a mother of two boys and wife to a loving husband, who keep her youthful in her hobbies and fun time. She is an avid Star Wars fan, and has frequent lightsaber duels on family night with her boys.

With more than 13 years of experience with the Department of Veterans Affairs, Mr. Christopher Sandles joined Central Texas in March 2017 from the Michael E. DeBakey VA Medical Center (MEDVAMC) in Houston, Texas, where he served as Associate Director/Chief Operating Officer since April 2014. As MEDVAMC's Chief Operating Officer Mr. Sandles was responsible for an operating budget of $976 million, and direct oversight responsibility for Finance, Human Resources, Health Administration Service, VA Care in the Community, Logistics, Pharmacy, Clinical Documentation Improvement, Contracting as well as Clinical Application Coordinators. His years of VA service include positions as Assistant Director of VA Greater Los Angeles Healthcare System, Chief of Health Administration Service at VA Loma Linda Health Care System, Assistant Chief of Medical Administration Service at VA North Texas Health Care System, Special Assistant to the Director-VA North Texas Health Care System, and Administrative Director for Pathology and Laboratory Medicine Service. Mr. Sandles began his healthcare career in 2002 at Covenant Health System in Lubbock, Texas. In 2003, he was accepted into the Government Health Administration Training Program (GHATP) and served his post graduate fellowship with VA North Texas Healthcare System. Mr. Sandles received both his Bachelor's degree in Business and his Masters of Healthcare Administration from Texas Tech University where he served as President of the Forum Chapter of Mortar Board and was a sitting member of national council. Mr. Sandles also holds a green belt certification in six-sigma from Villanova University and is a Fellow in the American College of Healthcare Executives. Mr. Sandles was recently accepted into the United States Navy Reserve and will be commissioned as a Lieutenant. Central Texas Veterans Health Care System (CTVHCS) consists of two hospitals located in Temple and Waco; one large outpatient clinic located in Austin; four community based outpatient clinics (CBOCs); and operates a total of 632 beds (154 inpatient, 200 Community Living Center, and 278 Domiciliary Residential Rehabilitation Treatment Program beds). CTVHCS provides more than 1.15 million outpatient visits and 8,500 admissions annually, approximately 104,000 unique Veteran patients. CTVHCS employees more than 3,700 full time equivalent employees (FTEE) and has an annual operating budget more than $650 million. Mr. Sandles has an exceptional background and possesses the leadership, knowledge, and skills necessary to successfully lead the Central Texas Veterans Health Care System into the future.

Bryan W. Sisk, RN, BSN, MPH is the Nurse Executive/Associate Director for Patient Care Services for Central Texas Veterans Health Care System. In this capacity, he is responsible for all nursing, social work, sterile processing, and infection prevention services. Mr. Sisk formerly served as the Deputy Nurse Executive and Associate Chief Nurse for Ambulatory Care at CTVHCS in Temple, Texas. Mr. Sisk entered the Department of Veterans Affairs in 2008. Prior to that, he spent more than 20 years in the Army where he held multiple leadership, academic and clinical roles. Mr. Sisk holds a Master of Public Health from Texas A&M; University’s School of Rural Public Health, as well as a Bachelor’s of Science degree in nursing from Arkansas Tech University in Russellville, Arkansas. He has multiple publications, maintains an Adjunct faculty role at Texas A&M; University’s School of Rural Public Health, and has been a champion for care coordination and case management in his roles in both the DoD and VHA.

Donna Cohen serves as the Deputy Director for Population Health at Alliant Quality. Her career in health care began more than 30 years ago and consists of experience in a variety of clinical settings. She is a Registered Nurse and a Certified Case Manager. Her experience ranges from the inpatient hospital setting, to physician practice management as well as Managed Care where she was the director of Case Management and Utilization Review. Before joining Alliant Quality, she was a practice manager for a large physician practice group and with the implementation of EPIC, she led the clinical informatics team for the physician practice group of 150 clinicians.

Marianne is a Health Information Technology Specialist for the Quality Payment Program at Alliant Quality, and provides technical assistance to large and small practices. She is a Patient-Centered Medical Home certified content expert and an external reviewer for NCQA. Before joining Alliant Quality, Marianne served as the Assistant Director of the Practicum in Primary Care at Appalachian State and supervised Healthcare Management students and rural practice teams achieve PCMH recognition. She is a Certified Professional in Healthcare Quality and has designed hands-on quality improvement learning labs, teaching practicum students about PDSA cycles and Lean healthcare. Marianne has over 20 years experience in healthcare administration, including Medicaid, Medicare and mental health and developmental disability programs.

Mary Simpson is a Health Information Technology Specialist for the Quality Payment Program at Alliant Quality, and provides technical assistance to large and small practices. Before joining Alliant Quality, Mary served as Manager of Training for an electronic health record implementation at a large hospital in Savannah, GA.. She has over 25 years experience in healthcare, including practice management as well as technical experience with multiple EHR and practice management systems.

Julia has dedicated her career to advancing health care. She is passionate about enabling transformation in pursuit of the Triple Aim. Prior to joining Clarify Health, Julia served in multiple roles at Aetna, most recently as SVP, Strategy & Operations, Accountable Care Solutions, where she was responsible for the development, growth, and performance of Accountable Care Organizations (ACOs) and ACO-based health plans. Prior to that, Julia was a Project Leader at The Boston Consulting Group (BCG), and held product and commercial roles at The Advisory Board Company, a health technology & services company. Julia holds an MBA from The Wharton School, University of Pennsylvania, where she was a Howard E. Mitchell Fellow, and a BA in Government and Psychological & Brain Sciences from Dartmouth College.

Todd Gottula is Co-Founder and CTO of San Francisco based technology company, Clarify Health. He fundamentally believes that through the deployment of technology and expertise, we can improve the lives of patients and those that care for them. Prior to founding Clarify Health, Todd was the EVP and CTO at Advent Software, a $3B public company, where he led cutting-edge development efforts from ideation through revenue generation, serving as the critical bridge between business and engineering. Todd holds a BS in Chemical Engineering from the California Institute of Technology.