BIOGRAPHICAL SKETCH Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2. Follow this format for each person. DO NOT EXCEED FOUR PAGES. NAME POSITION TITLE Sanjeev Arora, MD, FACP Professor of Medicine, University of New Mexico Director, Project ECHO eRA COMMONS USER NAME 06Aroras EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.) INSTITUTION AND LOCATION Maharajah’s College, Jaipur, India Armed Forces Medical College, Pune, India Army Hospital, Delhi, India Safdurjung Hospital, New Delhi, India Maimonides Medical Center, Brooklyn, NY Sisters of Charity Hospital, State University of New York, Buffalo, NY Gastroenterology, New England Medical Center, Boston, MA DEGREE (if applicable) YEAR(s) FIELD OF STUDY M.B.B.S. MD Internship Residency Residency Residency 1974 1978 1980 1981 1982 1985 Premedical Medicine Internal Medicine Medicine Surgery Medicine Fellowship 1987 Gastroenterology A. Personal Statement As founder and Director of Project ECHO (Extension for Community Healthcare Outcomes), I am the key person to guide the evolution and evaluation of the ECHO model. As well as provide support for the effective implementation of new research initiatives. To date I have authored several publications on the outcomes of Project ECHO, the most recent being an in-depth evaluation of ECHO’s hepatitis C program in the New England Journal of Medicine. The mission of Project ECHO is to develop the capacity to safely and effectively treat chronic, common, and complex diseases in rural and underserved areas, and to monitor outcomes of this treatment. Dr Arora developed a collaborative partnership of the University Of New Mexico School Of Medicine, the New Mexico Department of Health, the State Department of Corrections, and community physicians to treat complex diseases in remote, rural parts of the state. Twenty one centers for treatment of Hepatitis C have been established in rural New Mexico and prisons. I developed the Project ECHO model as a platform for service delivery, education and evaluation. Using videoconferencing technology and case-based learning, primary care providers from rural and underserved areas and prisons are trained and mentored by ECHO’s medical specialists to deliver best-practice management of complex health conditions in their communities or correctional institutions. A key component of the ECHO model is an innovation known as Knowledge Networks, in which the expertise of a single specialist is shared with numerous primary providers through telehealth clinics, thereby increasing access to care in rural areas without having to recruit, retain and fund additional providers. In 2007, Project ECHO came in first among more than 300 entries from 27 countries in winning the Changemakers award. This international competition was sponsored by the Robert Wood Johnson and Ashoka Foundations to identify programs that are changing the paradigm of how medicine is practiced. In 2009, Project ECHO received grant funding from the Robert Wood Johnson Foundation for demonstration and replication of the ECHO model as a robust paradigm to expand best practice care for vulnerable populations. In 2012, Project ECHO won the Health Care Innovation Challenge award from the Centers for Medicare and Medicaid Services to leverage the ECHO model to create a coordinated care system for high utilizers. My FTE is 1.0 and is divided by the following: .70 Research, .15 Clinical. .05 Education. .10 Administration. B. Positions and Honors Professional Experience: 1987-1993 1993 1993-1998 Assistant Professor of Medicine, Department of Medicine, Tufts University School of Medicine Associate Professor of Medicine, Department of Medicine, Tufts University School of Medicine Section Chief of Gastroenterology and Associate Professor of Medicine, Department of Medicine, UNM 1999 President, University Physician Associates 1997-present Member, Clinical Operations Board UNM HSC 1998-2010 Director, Office of Clinical Affairs, Department of Internal Medicine, UNM HSC 2002-2004 Vice-Chair, Department of Internal Medicine, UNM HSC 2004-2010 Executive Vice-Chair, Department of Internal Medicine, UNM HSC 2000-present Professor of Medicine, University of New Mexico, School of Medicine 2004-present Director, Project ECHO 2012 Excellence in Clinical Research Award, University of New Mexico Health Sciences Center Hospital Appointments: 1987-1993 Staff Physician, Division of Gastroenterology, New England Medical Center, Boston, MA 1993-present Staff Gastroenterologist, University of New Mexico Hospital, Albuquerque, NM 1995-present Member, Medical Executive Committee 1997-1999 Chief of Medical Staff, University of New Mexico, Health Sciences Center, Albuquerque, NM C. Selected peer-reviewed publications (Selected from 55 peer-reviewed publications) Most relevant to the current application Arora S, Thornton K, Murata G, Deming P, Kalishman S, Dion D, Parish B, Burke T, Pak W, Dunkelberg J, Kistin M, Brown J, Jenkusky S, Komaromy M, Qualls C. “Outcomes of Treatment for Hepatitis C Virus Infection by Primary Care Providers” N Engl J Med. 2011 Jun;364:2199-207. Arora S, Kalishman S, Dion D, Som D, Thornton K, Bankhurst A, Boyle J, Harkins M, Moseley k, Murata G, Komaramy M, Katzman J, Colleran K, Deming P, Yutzy S. “Quality Profile: Partnering Urban Academic Medical Centers and Rural Primary Care Clinicians to Provide Complex Chronic Disease Care,” Health Affairs. 2011 Jun;30(6): 1176-84. Arora S, Kalishman S, Thornton K, Dion D, Murata G, Deming P, Parish B, Brown J, Komaromy M, Colleran K, Bankhurst A, Katzman J, Harkins M, Curet L, Cosgrove E, Pak W. “Expanding Access to Hepatitis C Virus Treatment – Extension for Community Healthcare Outcomes (ECHO) Project: Disruptive Innovation in Specialty Care,” Hepatology. 2010 Sept;52(3):1124-33. Additional recent publications (in chronological order) Arora S, Thornton K, Bradford A. “Access to Care: Management of Hepatitis C Viral Infection in Remote Locations ,” Clinical Liver Disease. 2012 July;1(3):87-90. Colleran K, Harding E, Kipp BJ, Zurawski A, Macmillan B, Jelinkova L, Kalishman S, Dion D, Arora S. “Building capacity to reduce disparities in diabetes: training community health workers using an integrated distance learning model,” Diabetes Educ. 2012 May;38(3):386-96. Shah SK, Arora S, Skipper B, Kalishman S, Timm TC, Smith AY. “Randomized evaluation of a web based interview process for urology resident selection,” J Urol 2012 Apr;187(4):1380-4. Thompson AJ, Patel K, Chuang WL, Lawitz EJ, Rodriguez-Torres M, Rustgi VK, Flisiak R, Pianko S, Diago M, Arora S, Foster GR, Torbenson M, Benhamou Y, Nelson DR, Sulkowski MS, Zeuzem S, Pulkstenis E, Subramanian GM, McHutchison JG; ACHIEVE-1 and ACHIEVE-2/3 Study Teams. “Viral Clearance is Associated with Improved Insulin Resistance in Genotype 1 Chronic Hepatitis C but Not Genotype 2/3,” Gut. 2012 Jan;61(1):128-134. Harkins MS, Raissy H, Moseley K, Luttecke K, Arora S. “Extension for Community Healthcare Outcomes Project – Asthma Specialty Consultation Via Telehealth to Improve Asthma Care in rural New Mexico, “ US Respiratory Diseases. 2011;7(1):7-9. Deming P, Arora S. “Tarbavirin in the Treatment of Hepatitis C” Informa Healthcare. Expert Opin Investig Drugs. 2011 Oct;20(20):1435-43. McHutchison JG, Mann, MP, Muir AJ, et al. Telaprevir for previously treated chronic HCV infection. Collaborator Arora S. N Engl J Med 2010;362:1292-303. Yu S, Douglass JM, Qualls C, Arora S, Dunkelburg JC. “Response to Therapy with Pegylated Interferon and Ribavirin for Chronic Hepatitis C In Hispanics Compared to Non-Hispanic Whites,” American Journal of Gastroentrology. 2009 Jul;104(7):1686-92. Berkley, EM, Leslie, KK, Arora, S, Qualls, C, Dunkelberg, JC. “Chronic Hepatitis C in Pregnancy,” Obstet Gynecol. 2008 Aug;112(2 Pt 1):304-10. Geppert C, Arora S, “Widening the Door: The Evolution of Hepatitis C Treatment in Patients with PsychiatricDisorders”, Hepatology 2007, Vol. 46, No. 4, 957-959. Arora S, Thornton K, Jenkusky S, Parish B, Scaletti J. “Project ECHO: Linking University Specialists with Rural and Prison-Based Clinicians to Improve Care for People with Chronic Hepatitis C in New Mexico”, Public Health Rep. 2007;122 Suppl 2:74-7. Arora S, Geppert C, Kalishman S, Dion D, Ppullara F, Bjeletich B, Simpson G, Alverson D, Moore L, Kuhl D, Scaletti J. “Academic Medical Center Management of Chronic Diseases through the Use of Knowledge Networks: Project ECHO—The Example of Chronic Hepatitis C in New Mexico”, Acad Med. 2007;82(2):15460. Sanjeev Arora, Christopher O’Brien, Stefan Zeuzem, Mitchell L. Shiffman, Moises Diago, Albert Tran, Paul J. Pockros, Robert W. Reindollar, Edward Gane, Kavita Patel, Neil Wintfeld, Jesse Green. Treatment of chronic hepatitis C patients with persistently ‘normal’ ALT levels with the combination of peginterferon alfa-2a (40KD) plus ribavirin: impact on health-related quality of life. Journal of Gastroenterology and Hepatology, 21 February 2006, 406-412 Geppert C, Arora S, “Ethical Issues in the Treatment of Hepatitis C”, Clinical Gastroenterology and Hepatology, 2005;3:937-944 Waldman JD, Arora, S. Measuring Retention Rather than Turnover: A Different and Complementary HR Calculus. Human Resource Planning 2004:27(3):6-9. Arora S, Xu C, Teng A, Peterson J, Yeh LT, Gish R, Lau D, Rossi S, Lin CC, “Ascending multiple-dose pharmacokinetics of viramidine, a prodrug of ribavirin, in adult subjects with compensated hepatitis C infection. J Clin Pharmacol. 2005 Mar;45(3):275-85. Sulkowski M, Rossi S, Wright T, Arora S, Lamb M, Yalamanchili S, Want K, Gries J. Peginterferon alfa-2a Does Not Alter the Pharmacokinetics of Methadone in Patients with Chronic Hepatitis C on Methadone Maintenance Therapy. Clin Pharmacol Therapeutics, 2005 Mar;77(3):214-24. Waldman JD, Kelly F, Arora S, Smith H. The Shocking Cost of Turnover in Health Care. Health Care Manage Rev, 2004, 29(1), 2-7. Brennan B, Rosenberg G, Arora S. Best Cases for AFIP (Armed Institute of Pathology): Bouveret’s Syndrome. Radiographics, 2004, 24(4), 1171-1175. D. Research Support. Ongoing research support: GE Foundation Arora (PI) 12/14/2012-12/13/2015 Rural Access to Primary Care through Project ECHO The goal of this project is to expand the availability of treatment for addiction using the ECHO model. Role: PI Centers for Medicare and Medicaid Services Arora (PI) 07/01/2012-6/30/2015 Leverage innovative care delivery and coordination model: Project ECHO (Health Care Innovation Challenge). The goal of this project is to identify 5,000 high-utilization patients in New Mexico and Washington State, and use a team of primary care “outpatient intensivists” trained to care for complex patients with multiple chronic diseases, working with area managed care organizations and care providers. Role: PI New Mexico Human Services Department Arora (PI) 7/1/12-6/30/13 Medicaid Match for Project ECHO The goal of this project is to expand treatment of Medicaid members using the ECHO model. Role: PI U.S. Department of Defense Arora (PI) 5/15/12-5/14/14 Project ECHO IPA with the Department of Defense The goal of this project is to expand chronic pain care within the DOD using the ECHO model. Role: PI 1R18HS018171 Arora (PI) 09/30/2009-7/31/2013 Project ECHO Hepatitis C Ambulatory Care Quality Improvement in New Mexico through Health Information Technology. The goal of this project was to create an information technology platform for the secure exchange of data between Project ECHO and its partner sites. Role: PI New Mexico Department of Health Arora (PI) 07/01/07-06/30/12 Project ECHO: Extension for Community Health Outcomes The goal of this project was to support hepatitis C treatment rollout in rural New Mexico. Role: PI Research Trials for 2012: Phase 3, Multicenter, Randomized, Open-Label Study to Investigate the Efficacy and Safety of Sofosbuvir/GS5885 Fixed-Dose Combination ± Ribavirin for 12 and 24 Weeks in Treatment-Naïve Subjects with Chronic Genotype 1 HCV Infection. GS-US-102 A Phase 3, Multicenter, Randomized, Open-Label Study to Investigate the Efficacy and Safety of Sofosbuvir/GS-5885 Fixed-Dose Combination ± Ribavirin for 12 and 24 Weeks in Treatment-Experienced Subjects with Chronic Genotype 1 HCV Infection. GS-US-109 A Randomized, Open-Label, Multicenter Study to Evaluate the Safety and Antiviral Activity of the Combination of ABT-450 with Ritonavir (ABT-450/r), ABT-267, and ABT-333 With and Without Ribavirin in TreatmentExperienced Subjects with Genotype 1 Chronic Hepatitis C Virus (HCV) Infection (PEARL-II) Multicenter, Prospective Evaluation of the Beckman Coulter DxN HCV Viral Load Assay as an aid in the Management of HCV-Infected Individuals Undergoing Antiviral