2014: A New Strategy for Health Equity
CELEBRATING THE NEXT GENERATION
OF COMMUNITY HEALTH LEADERS
Friday, June 13, 2014
DEAR FRIENDS,
Welcome to the 2014 Kraft Center Symposium! I am
thrilled you could join us this morning as we celebrate the
achievements of our inaugural class of graduating Kraft
Fellows and Kraft Practitioners.
The theme of the Symposium is “A New Strategy for
Health Equity”—a framework that gets to the very heart
of the Kraft Center’s innovative approach to improving access to high-quality
health care for those living in low-income, underserved communities. Over the
past two years, we have worked hard to build the Kraft Fellowship in Community
Health Leadership and the Kraft Practitioner Program, each of which combines the
strengths of academic medicine and community health. The goal of both programs
is to attract and retain the best and the brightest young clinicians to provide care
for those most in need, increasing the strength and capacity of community health
centers as a result.
The Symposium showcases the new initiatives that our physicians and nurse
practitioners have spearheaded within their individual health centers. It also
explores the transformative “ripple effects” that their engagement with the Kraft
Center has had on both their health centers and patients. And we get to hear from
Paul Farmer, MD, PhD, an incredibly charismatic role model for young people
dedicated to providing care for vulnerable populations, and James W. Hunt, PhD,
a leading national figure in community health, as well.
All of us at the Kraft Center for Community Health are enormously grateful to
the Kraft family for their founding gift, which came at a pivotal time in the
evolution of health care reform. I am tremendously optimistic that the gifted
clinician-leaders that the Kraft Center is empowering will be uniquely wellpositioned to help the community health field step up to the challenges and
opportunities ahead.
I trust that you will be as inspired by our Kraft Fellows and Kraft Practitioners
as I have been!
Warmest regards,
Derri Shtasel, MD, MPH
Executive Director
2014 KRAFT CENTER SYMPOSIUM SPEAKING PROGRAM
Welcome
Derri Shtasel, MD, MPH
Executive Director
Kraft Center for Community Health
Opening Remarks
Robert K. Kraft
Founder, Chairman, and CEO
The Kraft Group
Remarks
Gary Gottlieb, MD, MBA
President and CEO
Partners HealthCare
Keynote Address
Paul Farmer, MD, PhD
Founding Director
Partners In Health
Kraft Center Graduate Presentations
Marguerite Beiser, NP
Kraft Practitioner
Boston Health Care for the Homeless Program
Mark Viron, MD
Kraft Practitioner
Massachusetts Mental Health Center
Katherine Hobbs Knutson, MD, MPH
Kraft Fellow
South Boston Community Health Center
Mid-Morning Break
Graduation Prize
Derri Shtasel, MD, MPH
Executive Director
Kraft Center for Community Health
Remarks
James W. Hunt Jr., PhD
President and CEO
Massachusetts League of Community Health Centers
PA N EL D I S C U S S I O N
“Partnership and Empowerment” in the Kraft Center Experience
Moderator
Jessie Gaeta, MD, Medical Director
Boston HealthCare for the Homeless Program
Panelists
Marilyn Cox
Patient
Lynn Community Health Center
Genevieve Daftary, MD, MPH
Kraft Fellow
Codman Square Health Center
Withelson Gay
Student
Codman Academy
Patient
Codman Square Health Center
Riza Pereira, MBA
Community Health Worker
Bowdoin Street Health Center
Talya Salant, MD, PhD
Kraft Fellow
Bowdoin Street Health Center
Nicholas Urbanczyk, DO
Kraft Practitioner
Lynn Community Health Center
Closing Remarks
Derri Shtasel, MD, MPH
Executive Director
Kraft Center for Community Health
Please join us for a poster session following the Symposium’s speaking program.
• Kraft Practitioner Program | The Kraft Practitioner Program, which was
developed in close collaboration with community health center leaders,
is a two-year program that aims to recruit and retain talented physicians
and masters-prepared nurses in community health centers. Up to 10 Kraft
Practitioners are selected annually from a pool of high-performing clinicians
nominated by participating community health centers. The Kraft Practitioner
Program provides each one with 20% “protected time” to engage in Kraft Center
activities, which include: regular in-person and virtual learning opportunities
centered on policy, research, advocacy, and leadership development; the
completion of an independent project that addresses a health center priority;
and ongoing guidance from health center and academic mentors.
THE KRAFT FAMILY NATIONAL CENTER FOR LEADERSHIP
AND TRAINING IN COMMUNITY HEALTH
The Kraft Family National Center for Leadership and Training in Community
Health was established in 2011 by a generous gift from the Kraft family to
Partners HealthCare. Its purpose is to expand access to high-quality health care
for low-income and vulnerable populations by empowering a strong workforce
of talented physicians and nurse practitioners dedicated to community health.
The Kraft Center programs, which launched in July 2012, include:
• Kraft Fellowship in Community Health Leadership | The Kraft Fellowship
in Community Health Leadership is a two-year post-residency program offered
to 3-5 outstanding young physicians each year. Kraft Fellows are selected
based on academic excellence and a demonstrated commitment to working
with diverse, underserved populations. Over the course of the program, they
engage in clinical practice at a participating community health center, where
they benefit from the dedicated mentorship of senior clinicians experienced in
working with underserved populations. With guidance from health center and
academic faculty advisors, they also complete an independent project grounded
in their community health center and participate in a wide range of formal and
informal learning activities. Graduate-level coursework at the Harvard School
of Public Health leading to a Masters of Public Health degree caps off the
Kraft Fellowship experience.
Kraft Fellows and Kraft Practitioners each commit to continuing a career in
community health upon completion of the program. These highly motivated
clinicians are expected to grow into leadership positions within their organization.
Many will also go on to become recognized clinician-leaders dedicated to tackling
health inequality at a much broader patient care, policy, management, and/or
research level. And every one of them will ultimately serve as an important role
model for the next generation of community health center physicians and nurse
practitioners, helping to grow an academic-community health workforce that itself
becomes a magnet for the best and the brightest in health care.
KRAFT BOARD AND STAFF
Board
Robert K. Kraft
Founder, Chairman, and CEO
The Kraft Group
Josh Kraft
Nicholas President and CEO
Boys & Girls Clubs of Boston
Edward P. Lawrence, Esq., Chair
Chairman, Board of Directors
Partners HealthCare
Elizabeth G. Nabel, MD
President
Brigham and Women’s Hospital
Peter Slavin, MD
President
Massachusetts General Hospital
Kraft Center
Derri L. Shtasel, MD, MPH
Executive Director
Arlene Fortunato
Chief Development Officer
Harriet Tolpin, PhD
Curriculum Director
Tara Murphy, MPH
Administrative Director
Carolyn Gallmeyer
Administrative Assistant
To learn more about the Kraft Center for Community Health, please visit
www.kraftcommunityhealth.org or connect with us on social media at
Please also feel free to contact Tara Murphy at tmurphy15@partners.org
with any questions.
SPEAKER PROFILES
Robert K. Kraft, MBA, is the Founder, Chairman and CEO
of The Kraft Group, the holding company of the Kraft family’s
many businesses, including the Rand-Whitney Group, RandWhitney Containerboard, International Forest Products, the
New England Patriots, the New England Revolution, Gillette
Stadium, Patriot Place and a portfolio of more than 100 private
equity investments.
As Chairman and CEO of the New England Patriots, combined with the New
England Revolution, Mr. Kraft changed the culture of professional sports in New
England by delivering 10 conference titles and three league championships in the past
17 years. Since 1994, the Patriots alone have won more games (225), playoff games (20),
division titles (12), conference titles (6) and Super Bowls (3) than any other team in the
NFL. Mr. Kraft also privately financed both Gillette Stadium and Patriot Place.
A native of Brookline, Mass., Mr. Kraft attended public schools before attending
Columbia on an academic scholarship. Upon graduation, he received a fellowship to
Harvard Business School. He serves on the board of directors of Viacom and executive
committee for the Dana-Farber Cancer Institute, where he established the Robert K.
Kraft Family Blood Donor Center. He was awarded the NCAA’s highest honor when
he received the Theodore Roosevelt Award, presented annually to a “distinguished
citizen of national reputation and outstanding accomplishments.” In 2011, he received
the prestigious honor of being inducted into the 231st class of the American Academy
of Arts and Sciences. In 2012, he became the first NFL owner in the 43-year history of
the honor to receive the George Halas Award and was also inducted into Columbia’s
Athletic Hall of Fame.
Over the past four decades, the Kraft family has been one of New England’s most
philanthropic families, donating several hundred million dollars in support of local
charities and civic affairs.
Derri Shtasel, MD, MPH, is the Executive Director of the
Kraft Family National Center for Leadership and Training in
Community Health, and the Director of the Division of Public
and Community Psychiatry at the Massachusetts General
Hospital. She has dedicated her psychiatric career to providing
direct clinical care for underserved and marginalized patients,
teaching medical students and psychiatry residents, providing
clinical, administrative and educational leadership at academic institutions, and creating
academic-community collaborations as a platform for integrated service delivery models.
A graduate of Swarthmore College, Dr. Shtasel completed her medical training at
Temple University School of Medicine and residency training at New York University/
Bellevue where she served as Chief Resident in Psychiatry. In addition, she completed
a Masters in Public Health degree at the Harvard School of Public Health.
Dr. Shtasel was on the faculty at The University of Pennsylvania for approximately
15 years, holding a number of key leadership positions that worked to strengthen
partnerships between academia and the community. More recently, Dr. Shtasel
was the Chief of Adult Psychiatry at the Cambridge Health Alliance, a major safety
net hospital and among the largest providers of mental health and substance abuse
services in Massachusetts, and Harvard’s public sector teaching hospital. In 2009,
Dr. Shtasel joined the Massachusetts General Hospital Department of Psychiatry
to lead their new Division of Public and Community Psychiatry. In this position she
focuses on strengthening relationships among community providers and hospital-based
programs, enhancing resident and medical student education in community psychiatry,
and increasing access to care for underserved populations. In 2013, Dr. Shtasel was
appointed the inaugural incumbent of the Michele and Howard J. Kessler Chair in
Public and Community Psychiatry.
Dr. Shtasel is a recipient of an Exemplary Psychiatrist Award from the National
Alliance for the Mentally Ill (NAMI) and has been named a Distinguished Fellow of
the American Psychiatric Association. She was recently honored by the Boston Health
Care for the Homeless Program with the 2014 Dr. Jim O’Connell Award in recognition
of the care she has provided for the most vulnerable members of our society.
Gary L. Gottlieb, MD, MBA, is the President and CEO of
Partners HealthCare. Dr. Gottlieb is a Professor of Psychiatry
at Harvard Medical School and a member of the Institute
of Medicine of the National Academies. He served as
president of Brigham and Women’s/Faulkner Hospitals,
as president of North Shore Medical Center and as
chairman of Partners Psychiatry.
Prior to coming to Boston, Dr. Gottlieb spent 15 years in positions of increasing leadership
in health care in Philadelphia. As a Robert Wood Johnson Foundation Clinical Scholar
at the University of Pennsylvania, he earned an MBA with distinction in Health Care
Administration from the Wharton Graduate School of Business Administration.
Dr. Gottlieb established the University of Pennsylvania Medical Center’s first program
in geriatric psychiatry and developed it into a nationally recognized research, training
and clinical program. He served as Executive Vice-Chair of Psychiatry and Associate
Dean for Managed Care at the University of Pennsylvania Medical Center, and as
Director and CEO of Friends Hospital in Philadelphia.
Dr. Gottlieb received his MD from the Albany Medical College of Union University
in a six-year accelerated biomedical program. He completed his internship and residency
and served as Chief Resident at New York University/Bellevue Medical Center.
As a leader in the Boston area community, Dr. Gottlieb serves as Chairman of the Private
Industry Council, the city’s workforce development board. He is also a member of the
Boards of Directors of the Federal Reserve Bank of Boston and Partners in Health.
Paul Farmer, MD, PhD, is a medical anthropologist,
physician, and a founding director of Partners In Health
(PIH), an international non-profit organization that provides
direct health care services and has undertaken research and
advocacy activities on behalf of those who are sick and living in
poverty. Dr. Farmer is the Kolokotrones University Professor
and Chair of the Department of Global Health and Social
Medicine at Harvard Medical School; Chief of the Division of Global Health Equity
at Brigham and Women’s Hospital; and the United Nations Special Adviser to the
Secretary-General on Community Based Medicine and Lessons from Haiti.
Dr. Farmer and his colleagues in the U.S. and in Haiti, Peru, Russia, Rwanda,
Lesotho, and Malawi have pioneered novel community-based treatment strategies
that demonstrate the delivery of high-quality health care in resource-poor settings. Dr.
Farmer has written extensively on health, human rights, and the consequences of social
inequality. His most recent books are In the Company of the Poor: Conversations with
Dr. Paul Farmer and Dr. Gustavo Gutierrez; Reimagining Global Health: An Introduction;
and To Repair the World: Paul Farmer Speaks to the Next Generation. Dr. Farmer is the
recipient of numerous honors, including the Margaret Mead Award from the American
Anthropological Association, the Outstanding International Physician (Nathan Davis)
Award from the American Medical Association, a John D. and Catherine T. MacArthur
Foundation Fellowship, and, with his PIH colleagues, the Hilton Humanitarian Prize.
He is a member of the Institute of Medicine of the National Academy of Sciences and
of the American Academy of Arts and Sciences.
Marguerite Beiser, NP,* is an adult nurse practitioner at the
Boston Health Care for the Homeless Program, where she
provides comprehensive medical care for homeless men and
women. She received her undergraduate degree in history and
community health from Tufts University and completed a
combined baccalaureate/masters degree program in nursing
at Columbia University School of Nursing. She also received
certification as an HIV Specialist from the American Academy of HIV Medicine. As
her project for the Kraft Practitioner Program, Ms. Beiser developed a comprehensive
coordinated approach to address hepatitis C in Boston Health Care for the Homeless
patients and developed a new consultation service within the health center.
Mark Viron, MD*, is an adult psychiatrist at the Department
of Mental Health’s Massachusetts Mental Health Center. Dr.
Viron graduated from the University of West Florida with
a major in general biology, received his medical degree from
Tulane University School of Medicine, and completed the
MGH/McLean Psychiatry Residency Training Program and
the MGH Schizophrenia Fellowship. In his project for the
Kraft Practitioner Program, he helped lead Massachusetts Mental Health Center’s
transformation into a Health Home with co-located and integrated wellness and
primary care services, a model that is designed to reduce substandard health
outcomes and early mortality for people with serious mental illness.
Katherine Hobbs Knutson, MD, MPH*, is an adult and
child and adolescent psychiatrist whose clinical experience
while completing the Kraft Fellowship in Community
Health Leadership was at South Boston Community Health
Center. She received her undergraduate degree in biology and
chemistry from Duke and her medical degree from UNC
at Chapel Hill. She completed an adult residency in adult
psychiatry and a fellowship in child and adolescent psychiatry in the MGH/McLean
training programs. Dr. Hobbs Knutson’s Kraft Center project addressed the need for
coordination among multiple agencies that serve children with mental health problems
including primary care, mental health and educational systems.
James W. Hunt, Jr., PhD, President and Chief Executive
Officer of the Massachusetts League of Community Health
Centers (the League), was born, raised and still lives in the
Boston neighborhood of Dorchester.
As both a state and national leader on community-based
health care issues, Dr. Hunt has helped to promote the value
of health centers in improving access to quality health care and
in reducing costs across the health system. Since 2006, he has helped steer the health
center network through the uncharted waters of state health reform, where health
centers are at the forefront of the Commonwealth’s efforts to implement near-universal
coverage for its residents. More recently, Dr. Hunt has been working to strengthen the
role of health centers under newly emerging health care payment and delivery models,
and to meet national reform goals tied to increasing the numbers of patients served
by America’s community health centers. Since 2009, he has helped to bring more than
$217 million in federal funding to Massachusetts community health centers through
the American Recovery and Reinvestment and Affordable Care Acts.
Dr. Hunt’s focus on the needs of the community-based health care workforce led
him to collaborate with a local university to develop a first-in-the-nation community
health certificate program for health center middle managers. The program, in its tenth
year, helps to identify and train future leaders within the health center industry. More
recently, with funding from Bank of America and Partners HealthCare, Dr. Hunt
helped to develop a loan repayment program for primary care providers who commit
to practicing at community health centers. In addition, he helped to secure a state
funding match and investments from Neighborhood Health Plan and Blue Cross
Blue Shield of Massachusetts Foundation to extend the program’s impact statewide.
Dr. Hunt is an adjunct professor at the Sawyer School of Management at Suffolk
University. In 2002, he received an Honorary Doctorate in Humane Letters from
the New England College of Optometry. He was also the first Geiger Gibson
Distinguished Visitor in Community Health Policy at the George Washington
University’s School of Public Health and Health Services. The award is given to an
individual who has exhibited extraordinary and sustained leadership in community
health policy. Most recently, Dr. Hunt was awarded a Doctor of Philosophy in
Interdisciplinary Studies from Union Institute and University in Ohio.
Jessie M. Gaeta, MD, is the Medical Director of the
Boston Health Care for the Homeless Program, where
she has practiced since 2002, and a Clinical Assistant
Professor of Medicine at Boston University School of
Medicine. At Boston Health Care for the Homeless
Program, Dr. Gaeta oversees the clinical practice of this
unique community health center that serves 12,500 people
annually across dozens of clinical sites including homeless shelters, the street, and one
of the first medical respite programs in the country, the Barbara McInnis House. She
trained in internal medicine at Boston University Medical Center and served as Chief
Resident in 2001-2002. While providing primary care in homeless shelters, Dr. Gaeta
completed a Physician Advocacy Fellowship supported by the Institute on Medicine
as a Profession at Columbia University College of Physicians and Surgeons. In her
advocacy work with the Massachusetts Housing & Shelter Alliance since 2005, Dr.
Gaeta helped design and implement a statewide Housing First model called Home
& Healthy for Good, a program that has resulted in housing opportunities for more
than 700 people across Massachusetts. Dr. Gaeta’s interests include population health
management for vulnerable populations, building health equity through clinician
advocacy, and the integration of addiction services and primary care.
Marilyn Cox is a patient at Lynn Community Health Center.
Born is Arkansas, Ms. Cox grew up in Lower Roxbury and
the South End of Boston before re-locating to Lynn for work
in 2002. She spent five years as a call center representative
in Lynn, where she provided customer service for companies
like KVH-TV, Verizon, and E-Bay. Ms. Cox is trained as a
Certified Nursing Assistant and worked as a home health
caregiver throughout most of the 1980s. She enjoys cooking, especially baking, and
spending time with family. Ms. Cox is proudest of her ability to care for others and
says that helping people is what makes her own days better.
Genevieve Daftary, MD, MPH*, is a pediatrician whose
clinical experience while completing the Kraft Fellowship
in Community Health Leadership was at Codman Square
Health Center. She received her undergraduate degree in
biology and African and African-American studies from
Duke and her medical and public health degrees from
Harvard. She completed her residency in pediatrics at
MassGeneral Hospital for Children. Her Kraft Center project engaged high school
students at Codman Academy Charter Public School in a youth-directed evaluation of
Body Mass Index measurement in order to assess the acceptability and efficacy of this
widely instituted school-based obesity-prevention tool; using youth empowerment and
process improvement, students created a new process that opened up possibilities for
coordination between the school and Codman Square Health Center.
Withelson Gay is a 2014 graduate of Codman Academy,
a public charter school in Dorchester that leverages an
innovative on-site collaboration with Codman Square Health
Center. Originally from Haiti, Mr. Gay moved to Dorchester
as a young child. While in high school, he was active in the
Nutrition Action Club at Codman Academy and played
soccer and basketball. He also completed internships at
the Cambridge Innovation Center and a local restaurant. In recognition of his high
achievements early in high school, Mr. Gay was selected for the Crimson Summer
Academy at Harvard University, a rigorous program that, over the course of three
consecutive summers, prepares motivated students from Boston and Cambridge high
schools for admission to challenging four-year colleges and universities. He recently
graduated as Crimson Scholar, which he considers to be his greatest accomplishment
so far. Mr. Gay intends to study business and possibly complete a pre-medical
concentration at Boston College, where he will be a freshman this fall.
Riza Pereira, MBA, is a community health worker at the
Bowdoin Street Health Center in Dorchester. Originally from
Cape Verde, Ms. Pereira grew up in Cape Verde and Portugal
before moving to Brockton, Massachusetts at age eighteen.
She worked in various roles at Brockton Neighborhood Health
Center, including as an interpreter and in medical records and
registration, before moving on to the Planned Parenthood
League of Massachusetts and then to Bowdoin Street Health Center in 2006. Ms.
Pereira was promoted to her current position of community health worker in July 2013.
In January 2014, she was recognized by Beth Israel Deaconess Medical Center with
the Martin Luther King, Jr. YMCA Black Achievers Award for her accomplishments
in this role. Ms. Pereira is fluent in Cape Verdean Creole, Portuguese, Spanish, and
English. A Brockton resident, she holds an MBA from Eastern Nazarene College in
Quincy and is the proud parent of a young son.
Talya Salant, MD, PhD*, is an internal medicine/primary
care physician whose clinical experience while completing
the Kraft Fellowship in Community Health Leadership was at
Bowdoin Street Health Center. She received her undergraduate
degree in biochemistry from Harvard University and her
medical degree from the Pritzker School of Medicine at the
University of Chicago, where she also earned a PhD from
the Committee on the History of Culture. She completed her residency in internal
medicine at Brigham and Women’s Hospital, Division of General Medicine Primary
Care Program. For her Kraft Center project, Dr. Salant conducted a pilot study
with high risk diabetic patients to assess the feasibility and efficacy of integrating
a community health worker into Bowdoin Street’s patient centered medical home.
Nicholas Urbanczyk, DO*, practices family medicine at Lynn
Community Health Center. He received his undergraduate
degree from University of Michigan where he majored in
Biologic Sciences with a minor in Psychology, and his Doctor
of Osteopathic Medicine degree from Michigan State
University College of Osteopathic Medicine. He completed
a family medicine residency at St. John Providence Hospital
in Southfield, Michigan. For his Kraft Practitioner Program project, Dr. Urbanczyk
focused on care redesign for patients with uncontrolled type 2 diabetes, implementing
and evaluating group medical visits.
Additional details provided in the Kraft Fellow and Kraft Practitioner profiles section.
*
KRAFT CENTER FELLOWS CLASS OF 2014
Genevieve Daftary, MD, MPH, is a pediatrician
whose clinical experience during the Fellowship has been
at Codman Square Health Center. Gen received her
undergraduate degree in biology and African and AfricanAmerican studies from Duke and her medical and public
health degrees from Harvard. She completed her residency in
pediatrics at MassGeneral Hospital for Children. Her Kraft
Center project engaged high school students at Codman Academy Charter Public
School in a youth-directed evaluation of Body Mass Index measurement in order to
assess the acceptability and efficacy of this widely instituted school-based obesityprevention tool; using youth empowerment and process improvement, students
created a new process that opened up possibilities for coordination between the
school and Codman Square Health Center. Gen worked with health center colleagues
to secure a grant from the Boston Children’s Hospital Center for Collaborative
Community Research (C-CORE) Pilot Grant Program to fund the evaluation of a
school food program in Dorchester. She has been offered a position as Director of
Pediatrics at Codman after completing the Fellowship.
Project: Building School Wellness: Student Empowerment and Body Mass Index
Katherine Hobbs Knutson, MD, MPH, is an adult and child
and adolescent psychiatrist whose clinical experience during
the Fellowship has been at South Boston Community Health
Center. Kate received her undergraduate degree in biology and
chemistry from Duke and her medical degree from UNC at
Chapel Hill. She completed residency in adult psychiatry and
fellowship in child and adolescent psychiatry in the MGH/
McLean training programs. Through her Kraft Center project, Kate addressed the
need for coordination among multiple agencies that serve children with mental health
problems including primary care, mental health and educational systems. Her research
identified opportunities for coordination within the systems of care for children served
by South Boston Community Health Center. At the 2013 annual meetings of the
American Academy of Child and Adolescent Psychiatry and the American Public
Health Association, Kate presented research conducted during the Kraft Fellowship
including a Needs Assessment of pediatricians providing behavioral health care and
methods for identifying youth with severe mental health conditions in primary care
settings. She has been offered a position as Director of Behavioral Health at South
Boston Community Health Center after completing the Fellowship.
Project: Care Coordination Opportunities in an Integrated Pediatric Primary Care Setting
Ian Huntington, MD, MPH, is an internal medicine/primary
care physician whose clinical experience during the Fellowship
has been at Codman Square Health Center. Ian received his
undergraduate degree in Biology and Anthropology/Sociology
from Swarthmore College and his medical degree from
Weill Cornell Medicine College. He completed his residency
in internal medicine/primary care at BWH Division of
General Medicine Primary Care Program. In his Kraft Center project, Ian used
multiple PDSA cycles to develop and pilot a single page self-administered form, which
patients can complete in the waiting room, to more effectively utilize patient wait time,
help patients become active partners in their care, identify clinical and social needs, and
meet various external reporting requirements. Ian is a member of a team selected for the
HMS Center for Primary Care’s Abundance Agents of Change program, which will
facilitate the implementation of system by which referring health center providers can
receive specialist opinions via online consultation. He has been offered a position
at Codman after completing the Fellowship.
Project: Implementation of a Self-Administered Health Assessment Platform
Joseph Joyner, MD, MPH, is an internal medicine/
primary care physician whose clinical experience during the
Fellowship has been at MGH Chelsea HealthCare Center.
Joe received his undergraduate degree in economics and
international relations from University of Pennsylvania
and worked as a management associate in Bank Popular de
Puerto Rico after graduation. He completed his medical
degree at Boston University and his residency in internal medicine/primary care at
MGH. In collaboration with Joanna D’Afflitti, a Class of 2014 Kraft Practitioner, Joe
developed and successfully implemented a comprehensive, multi-pronged approach to
screening and brief intervention of depression and substance use disorders in primary
care within the MGH Chelsea Health Center. He is also working with the Chelsea
community in empowerment and advocacy activities. Joe has been offered a position
at MGH Chelsea after completing the Fellowship.
Project: Redesigning Substance Management in Primary Care
Talya Salant, MD, PhD, is an internal medicine/primary
care physician whose clinical experience during the Fellowship
has been at Bowdoin Street Health Center. Talya received her
undergraduate degree in biochemistry from Harvard University
and her medical degree from the Pritzker School of Medicine
at the University of Chicago where she also earned a PhD from
the Committee on the History of Culture. She completed her
residency in internal medicine at Brigham and Women’s Hospital, Division of General
Medicine Primary Care Program. For her Kraft Center project, Talya conducted a pilot
study with high risk diabetic patients to assess the feasibility and efficacy of integrating
a community health worker into Bowdoin Street’s patient centered medical home. She
was recently awarded a grant from Boston Scientific to continue this work. Talya is lead
author on “Lessons in Translation: Insights from a Collaboration Integrating Community
Health Workers into Diabetes Care” published in the Journal of Ambulatory Care
Management in the spring of 2013. She is the faculty mentor of a team selected for the
HMS Center for Primary Care’s Abundance of Agents of Change program, which will
facilitate the implementation of a Tai Chi-based learning curriculum for fall prevention
and wellness promotion in the community health center setting. Talya has been offered
a position as staff physician and the Director of Clinical Innovation and Quality at
Bowdoin Street after completing the Fellowship.
Project: Integrating a Community Health Worker into an Advanced Medical Home:
a Pilot Study
KRAFT CENTER PRACTITIONERS CLASS OF 2014
Lauren Meredith Avery, MD, MA, EdM, is an adult
and pediatric psychiatrist at Codman Square Health
Center and assumed the position of Medical Director of
Behavioral Health just prior to joining the Kraft Center
program. Lauren graduated from Wesleyan University with
a major in history, earned masters degrees in curriculum and
teaching and in human development from Teachers College
at Columbia University, received her medical degree from George Washington School
of Medicine, and completed the Harvard Longwood Psychiatry Residency Training
Program and the MGH/McLean Child and Adolescent Psychiatry Residency Training
Program. Prior to becoming a physician she was a public school teacher in New York
City. As her Kraft Center project, Lauren developed and successfully implemented the
Behavioral Health Integrated Therapist program at Codman to increase access and
improve quality of services for patients with behavioral health needs.
Project: Behavioral Health Integration—Acceptance and Feasibility
Marguerite Beiser, NP, is an adult nurse practitioner at
the Boston Health Care for Homeless Program, where she
provides comprehensive medical care for homeless men and
women. Maggie has worked as a primary care and HIV
clinician in several Boston Health Care for Homeless Program
sites. She received her undergraduate degree in history and
community health from Tufts University and completed a
combined baccalaureate/masters degree program in nursing at Columbia University
School of Nursing. She also received certification as an HIV Specialist from the
American Academy of HIV Medicine. As her Kraft Center project, Maggie increased
the visibility and urgency of addressing Hep C in BHCHP’s population, developed
a comprehensive coordinated clinical approach to this disorder, and developed a new
consultation service within the health center. She was selected to present at the May
2014 National Health Care for the Homeless Conference on enhancing care for
homeless individuals with hepatitis C. Maggie will be continuing and extending this
work upon completion of the Practitioner program.
Project: Needs Assessment of HCV-Infected Homeless Persons and Implications
Jennifer Brody, MD, MPH, is an internal medicine/primary
care physician at Boston Health Care for the Homeless
Program. Jen received her undergraduate degree in sociology
from University of California at Berkeley, her medical and
public health degrees from UCLA, and completed her
residency in primary care/internal medicine at Brigham and
Women’s Hospital. Her clinical practice focuses on delivering
general and HIV primary care to homeless and unstably housed patients. For her
Kraft Center project, Jen developed and successfully implemented a multidisciplinary
addictions-focused primary care team model to enhance access to care and treatment
for homeless patients at highest risk of drug overdose deaths. She also developed
and directs a social justice curriculum for Brigham and Women’s internal medicine
residents. Upon completion of the Practitioner program, she will continue to serve in
a leadership position with the addictions focused primary care team at Boston Health
Care for the Homeless Program.
Project: The ACCESS Team: an Approach to Addressing the Epidemic of Unintentional
Drug Overdose Deaths in Homeless Patients
Ellen Coletti, MSN, FNP, RN-C, is a family nurse
practitioner at Brookside Community Health Center where
she serves as the Program Manager/Nurse Practitioner for
Brookside’s Teen Health Center at English High School. Prior
to joining Brookside Ellen was Associate Director of Clinical
Services for the School-based Health Center Program at the
Boston Public Health Commission. She graduated from Vassar
College with a major in history and women’s studies and received her masters degree in
nursing from Yale University School of Nursing. Ellen’s Kraft Center project focused
on care redesign in order to improve transitions of care between pediatrics and adult
medicine. She also established a multi-departmental committee to improve adolescent
services across the health center.
Project: The Adolescent Bridge: Steps Toward a Comprehensive Health Care Transition Plan
Joanna D’Afflitti, MD, MPH, is an adult medicine physician
at MGH Chelsea HealthCare Center. Joanna graduated from
Harvard University with a major in the history of science,
earned her MPH from Columbia University and received
her medical degree from State University of New York
Downstate Medical Center. She completed a residency in
general internal medicine at Rhode Island Hospital/Brown
University. In collaboration with Joe Joyner, a Class of 2014 Kraft Fellow, Joanna
developed and successfully implemented a comprehensive, multi-pronged approach
to screening and brief intervention of depression and substance use disorders in
primary care within the MGH Chelsea Health Center.
Project: Redesigning Substance Management in Primary Care
Giovanna Maria Leddy, MD, is a general internal medicine
physician at Bowdoin Street Health Center. Gia graduated from
The College of William and Mary with a degree in biology,
received her medical degree from the University of Vermont
College of Medicine, and completed her residency in internal
medicine at Beth Israel Deaconess Medical Center. Building on
her strong interests in medical education and community-based
practice, Gia is developing a curriculum for internal medicine residents at Beth Israel
Deaconess Medical Center as her Kraft Center project. The curriculum will increase the
residents’ understanding of non-medical but health-critical factors that influence patients’
health, including health care disparities and inequities as well as the social determinants
of health. All residents are now receiving lectures on these topics and a community-based
elective will be piloted for primary care track residents in July, 2014.
Project: Community Medicine and Social Justice Curriculum Development for Beth Israel
Deaconess Medical Center Internal Medicine Residents
Aisling Lydeard, NP, is an adult nurse practitioner and a
women’s health nurse practitioner who provides compressive
health care in the Obstetrics and Gynecology Clinic at Dimock
Community Health Center. Aisling received her undergraduate
degree in biology from the State University of New York
at Stony Brook and her masters degree in nursing from the
MGH Institute of Health Professions. For her Kraft Center
project, Aisling implemented the “Centering Pregnancy” model into routine prenatal
care at Dimock and initiated a research project to study its effects on low birth weight
rates, preterm delivery rates, breast feeding rates and marijuana cessation. She worked
with the health center’s pediatric team to obtain a grant from Boston Children’s Hospital
that will enable better identification of depression among the health center’s prenatal
patients. Aisling has taken on an additional role of Clinic Manger in the Obstetrics and
Gynecology department.
Project: Implementing “Centering,” a New Model of Prenatal Care, and Measuring its
Outcomes on Neonatal Health and Overall Maternal Wellness
Julia Takahashi McManus, MD, is a family medicine
physician at Neponset Health Center. Julia received her
undergraduate and medical degrees from the Universidad
Nacional Autonoma De Mexico (UNAM) in Mexico City,
where she also earned Board certification in Otolaryngology,
Head and Neck Surgery. She completed her family medicine
residency at University of Texas Health Science Center San
Antonio, McAllen Family Residency Program. In her Kraft Center project, Julia
addressed the problem of prescription opioid abuse by training providers at the three
Harbor Health Community Centers. She did so by reviewing the current evidencebased guidelines in the management and treatment of chronic non-cancer pain,
opioid screening tools, and monthly reports of provider prescription patterns;
incorporating tools and resources in the electronic medical system; and integrating
a nurse specialized in addictions to the pain case management team. The opioid
trainings have been very well received by the providers and leadership and have been
scheduled as a regular and ongoing one hour monthly training. Julia also became a
trainer for Boston University’s SCOPE of Pain which allows her to train providers
outside Harbor Health.
Project: Reducing Prescription Opioid Abuse, Misuse and Dependence among Patients
of Harbor Health
Ebele Okpokwasili-Johnson, MD, MPH, is a child and
adolescent psychiatrist at South End Community Health
Center. Ebele received her undergraduate degree from
Columbia University where she majored in psychology and
earned her medical and public health degrees from University
of Illinois at Chicago. She completed her adult, child and
adolescent psychiatry residency training at the MGH/McLean
programs. Ebele’s Kraft Center project piloted a Parent Partners Group with parents of
children served by the South End Community Health Center as a strategy to provide
peer support, increase parental involvement in children’s school success, expand resource
acquisition and improve mental health of children and parents. Based on the results of
this pilot, the South End Community Health Center received a grant from the Llewelyn
Foundation to continue Parent Partners groups at the health center and a local public
school. Ebele has been nominated by a senior psychiatrist to be considered for the position
of Clinical Director of the mental health department at her health center.
Project: Empowering Parents, Children and Families: Parent Partners Group Pilot
Joseph Panerio-Langer, MD, is an internal medicine/primary
care physician at Brockton Neighborhood Health Center.
Joe graduated from Creighton University in Omaha Nebraska
with a major in biology and earned his medical degree from
the University of Nebraska Medical School. He completed
an internal medicine primary care residency program at
Virginia Mason Medical Center in Seattle Washington.
Joe’s Kraft Center project focused on developing effective multidisciplinary teams
in adult medicine at Brockton Neighborhood Health Center to better serve patient
needs and to address specific care problems such as behavioral health and primary care
coordination, improving mammography screening rates and supporting physician-case
manager collaboration in the care of patients who are frequent utilizers of emergency
rooms. During his participation in the Kraft Center, Joe was promoted to Assistant
Medical Director in his health center.
Project: Connecting Patients to Quality Health Care Using Teams: a Culture Change
John Raser, MD, is a family physician practicing at the
Greater Lawrence Family Health Center. John received his
undergraduate degree in biochemistry from Dartmouth College
and his medical degree from Dartmouth Medical School and
completed the Lawrence Family Medicine Residency. He is
a resident of Lawrence and active volunteer in the Lawrence
community. He serves as the Medical Director of Lawrence
Head Start and member of the Lawrence Board of Health. John’s Kraft Center project
engaged a network of stakeholders to increase physical activity in the Lawrence population
as a strategy to reduce high overweight and obesity rates. As a result of this project, four
schools are engaged in Safe Routes to School programming and community and policy
advocates are working together to promote active transportation in Lawrence. John
co-presented at the 2013 Family Medicine Education Consortium Annual Meeting on two
aspects of the community medicine curriculum he coordinates as faculty at the Lawrence
Family Medicine Residency. He was recently selected as Co-Chair of the Transition
Committee for Health and Wellness for the new mayor of the city of Lawrence. Project: Safe Routes to School and Community-Based Promotion of Physical
Activity in Lawrence
Nicholas Uranczyk, DO, practices family medicine at Lynn
Community Health Center. Nick received his undergraduate
degree from University of Michigan where he majored in
biologic sciences with a minor in psychology, and his Doctor
of Osteopathic Medicine degree from Michigan State
University College of Osteopathic Medicine. Nick completed
a family medicine residency at St. John Providence Hospital in
Southfield, Michigan. For his Kraft Center project, Nick focused on care redesign for
patients with uncontrolled type 2 diabetes, implementing and evaluating group medical
visits. These groups, facilitated by a team of medical providers and nurses, are a strategy
to improve the quality of care for patients as well as to increase satisfaction for both
patients and providers.
Project: Evaluating Group Medical Visits in a Population with Type 2 Diabetes
in the Community Health Center Setting: a Quality Improvement Project
Mark Viron, MD, is an adult psychiatrist at the Department
of Mental Health’s Massachusetts Mental Health Center.
Mark graduated from the University of West Florida with
a major in general biology, received his medical degree from
Tulane University School of Medicine, and completed the
MGH/McLean Psychiatry Residency Training Program
and the MGH Schizophrenia Fellowship. In his Kraft Center
project, Mark helped lead Massachusetts Mental Health Center’s transformation into
a Health Home with co-located and integrated wellness and primary care services.
The Health Home model is designed to reduce substandard health outcomes and
early mortality for people with serious mental illness; Mark and his colleagues have
recently published a description of this model in a peer-reviewed academic journal
and were awarded a $250,000 grant from the Massachusetts Attorney General’s
Office to implement a comprehensive center-wide smoking cessation program.
Project: The Wellness and Recovery Medicine (WaRM) Center: a Health Home for People
with Serious Mental Illness
CLASS OF 2015 POSTER PRESENTERS
Elise Carpenter, MD, PhD
Super-utilizer Stories: Why Community Health Center Patients go to the ED
in Lieu of Primary Care
Sarah MacLaurin, PMHNP
Healthy Recovery in Schizophrenia: What do Stakeholders Want?
Julie Wright, DNP, FNP-BC, CRRN
Developing and Implementing a Multidisciplinary Program to Manage Pediatric Obesity
in an Urban Community Health Center
Leah Zallman, MD, MPH
Text Messaging to Reduce Insurance Churn at Community Health Centers
KRAFT CENTER PARTNERS
Massachusetts League of Community Health Centers
Established in 1972, the Massachusetts League of Community Health Centers is a
non-profit, statewide association representing and serving the needs of the state’s 50
community health center organizations, which provide primary and preventive health care
to more than 850,000 Massachusetts residents. The Mass League serves as an information
source on community-based health care to policymakers, opinion leaders, and the media
and provides a wide range of technical assistance to its members and communities.
The Mass League’s expertise, insights, and partnerships with community health centers
and leaders statewide have been critical to the development of the Kraft Center for
Community Health, from the planning stages right through present day activities.
Partners HealthCare
Partners HealthCare is a not-for-profit health care system committed to patient care,
research, teaching, and service to the community locally and globally. Collaboration
among Partners’ many affiliated institutions and health care professionals is central to
advancing the Partners’ mission. Founded in 1994 by Brigham and Women’s Hospital
and Massachusetts General Hospital, Partners HealthCare includes community and
specialty hospitals, a managed care organization, a physicians network, community
health centers, home care, and other health-related entities. Partners HealthCare
provides an invaluable organizational “home” for the Kraft Center for Community
Health. The Kraft Center also benefits tremendously from Partners’ robust network
of collaborations throughout academic medicine.
Harvard School of Public Health
The Harvard School of Public Health’s mission is to advance the public’s health
through learning, discovery, and communication. To that end, the Harvard School
of Public Health produces knowledge through research, reproduces knowledge
through higher education, and translates knowledge into evidence that is communicated
to the public, policy makers, and practitioners to advance the health of populations.
Coursework at the Harvard School of Public Health leading to a Masters in Public
Health is a key feature of the Kraft Fellowship in Community Health Leadership.
Harvard School of Public Health faculty and leaders also serve as speakers for Kraft
Center learning sessions and mentors for Kraft Center projects.
THANK YOU
The Kraft Center for Community Health is grateful to the community health
centers that served as community-based practice sites and partners during the
inaugural Kraft Center programs:
• Boston Health Care for the Homeless Program, Boston
• Bowdoin Street Health Center, Dorchester
• Brockton Neighborhood Health Center, Brockton
• Brookside Community Health Center, Jamaica Plain
• Codman Square Health Center, Dorchester
• Greater Lawrence Family Health Center, Lawrence
• Lynn Community Health Center, Lynn
• Massachusetts Mental Health Center, Boston
• MGH Chelsea HealthCare Center, Chelsea
• Neponset Health Center, Dorchester
• South Boston Community Health Center, South Boston
• South End Community Health Center, Boston
• The Dimock Center, Roxbury
Much gratitude is also due to the community health center patients, leaders, and
clinicians who contributed their time and stories to the audio productions featured
in the Kraft Center Symposium:
• Debbie Chambers, Ed.D. – Patient, Codman Square Health Center
• Andre – Patient, Codman Square Health Center
• Barbara Grey – Patient, Bowdoin Street Health Center
• Ian Huntington, MD, MPH – Kraft Fellow, Codman Square Health Center
• Sue Joss – Chief Executive Officer, Brockton Neighborhood Health Center
• Stephanie Lisles – Former patient, Bowdoin Street Health Center
• Aisling Lydeard, WHNP – Kraft Practitioner, The Dimock Center
• Ebele Okpokwasili-Johnson, MD, MPH – Kraft Practitioner, South End
Community Health Center
• Talya Salant, MD, PhD – Kraft Fellow, Bowdoin Street Health Center
• Daisy Singleton – Patient, Bowdoin Street Health Center
• Raul Viega – Patient, Bowdoin Street Health Center
• Dean Xerras, MD – Medical Director, MGH Chelsea HealthCare Center
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