Quality Alliance Steering Committee Meeting
October 23, 2006
Summary and Highlights
Welcome and Introduction
Michael Leavitt, Secretary of the U.S. Department of Health and Human Services (DHHS),
welcomed the Quality Alliance Steering Committee (QASC) members and thanked them for
their ongoing leadership in the initiative to achieve value-based health care. He noted his
travels to 29 different communities throughout the United States over the last several months,
to discuss quality issues and he expressed appreciation for the attendance of all stakeholders
at this meeting. He reiterated that although the payers and the medical community are
coming from different perspectives, there is general agreement that quality must be a shared
value.
Reflections on Current Progress and Goals for the Future
Secretary Leavitt stated the payer community is demonstrating great energy as it addresses
rising health care costs and issues of competitiveness. He also mentioned that community
and other stakeholders have expressed a shared goal—to find the right solution. The QASC
was formed, under Secretary Leavitt’s Transparency Initiative, to represent national interests.
Secretary Leavitt emphasized the fact that the government does not have the capacity to
collect high-quality national data. Data must be collected locally. He stressed trust and
collaboration will be important aspects of the solution, and trust is best engendered at the
local level. Secretary Leavitt suggested considering the National Quality Forum (NQF) as
the endorser of the measurement program, the American Medical Association (AMA) as the
developer of the program, and the AQA, formerly the Ambulatory Quality Alliance, and the
Hospital Quality Alliance (HQA) as the prioritizer of the implementation.
Secretary Leavitt announced that on November 17, 2006, national employers and federal
agencies will meet to discuss application of the purchaser toolkit that was developed by the
Office of the Secretary. Secretary Leavitt mentioned one question that has yet to be addressed
is whether an initial standard set of measures will be used or if there will be an option to use
independent measures. He stressed the importance of using this initiative to develop a set of
gold-standard measures. He also mentioned the importance of identifying a process to
introduce new measures.
Quality Alliance Steering Committee Meeting
October 23, 2006
Update from AHRQ and CMS
Dr. Carolyn Clancy, Director of the Agency for Healthcare Research and Quality (AHRQ),
thanked the Quality Alliance Steering Committee and its workgroups for their efforts. She
reiterated the Executive Order commands that the federal government work together in new
ways. Dr. Clancy also emphasized that the Executive Order on health care quality also
builds on collaborations of the past few years and addresses the basic goal of better health
care. She mentioned some improvements have been made in hospitals and other clinical
institutions showing that public reporting makes a difference.
Ms. Leslie Norwalk, Acting Administrator of the Centers for Medicare & Medicaid Services
(CMS), expressed her gratitude and how excited she is to be working with the stakeholders at
the table. She stated that CMS plays a big role in issues of health care quality and efforts for
improvement, such as nursing home quality comparisons, are under way. She announced the
six pilots involved in the Better Quality Information Pilot Project are being supported by the
Delmarva Foundation, the prime contractor. The initiative will begin to generate data and
provide feedback to physicians in 2007. Ms. Norwalk also mentioned the plan to post
information publicly in 2007.
Dr. Clancy introduced the QASC workgroups. She asked each workgroup chair to report on
their progress.
Workgroup Reports and Discussion
Expansion Workgroup
Workgroup Chair: Peter Lee
Mr. Peter Lee, of the Pacific Business Group on Health, briefly summarized the composition
and mission of the Expansion Workgroup. He stated that the Expansion Workgroup is made
up of 12 people. He mentioned the workgroup has moved forward in the development of
recommendations for a coherent national system, versus a group of isolated pilots, with
caution not to stifle innovation. He reported that the Expansion Workgroup convened a
series of meetings, including conference calls, an all day face-to-face meeting, and a large
web cast over the past six weeks or so.
Mr. Lee, on behalf of the Expansion Workgroup, introduced the original pilot projects as
Better Quality Information for Medicare Beneficiary Pilots, or BQIMBs. The BQIMBs are
envisioned to aggregate and report data to determine best practices for data collection,
aggregation, and reporting. Mr. Lee discussed a set of additional local entities, which the
Expansion group termed “Value Exchanges.” The Value Exchanges would focus upon
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Quality Alliance Steering Committee Meeting
October 23, 2006
facilitating the use of data, not necessarily aggregate data, and promote local quality
improvement efforts. He reiterated that both, BQIMBs and Value Exchanges, would
promote the use of performance measures, foster collaboration across stakeholder groups,
encourage interoperable health information technologies, support knowledge transfer, and
conduct evaluations.
Mr. Lee stated the Expansion Workgroup has been working closely with the Infrastructure
Workgroup to address the following key themes for data collection and the use of measures:

National versus local

Promoting standardization

Funding/financial models

Collecting performance information electronically
Mr. Lee described the workgroup’s recommendations for data collection. The initial thought
was that local communities would collect data. The workgroup then compared three models
for a process in which data collection could be organized as a centralized, decentralized, or a
hybrid model consisting of a combination of national and local aggregation. Mr. Lee
mentioned the issues that inform a choice of an organizing method include costs of data
collection, speed to national adoption, speed of use, standardization, flexibility, validity,
knowledge transfer, equity, breadth, and privacy/trust. The workgroup proposed using the
hybrid model that includes a national collection of core consensus data (Medicaid, Medicare,
national health plans, and national employer datasets) and collection at the local level.
Mr. Lee stated the BQIMBs would determine the best collection methods, and the Value
Exchanges would facilitate their use. He reiterated that BQIMBs and Value Exchanges
would promote the use of performance measures, foster collaboration across stakeholder
groups, encourage interoperable health information technologies, support knowledge transfer,
and conduct evaluations.
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Quality Alliance Steering Committee Meeting
October 23, 2006
Infrastructure Support Workgroup
Workgroup Chair: Chris Queram
Mr. Queram, of the Wisconsin Collaborative for Healthcare Quality, reported on the progress
to date of the Infrastructure Workgroup, which is charged with addressing support and
ongoing project evaluation of the BQIMBs and the Value Exchanges. Queram reported that
the workgroup has held four meetings over the last six weeks, three via conference call and
one in-person, to discuss (1) the combined role of the quality improvement organizations
(QIOs), (2) knowledge transfer and sharing best practices, and (3) an ongoing evaluation
process.
Mr. Queram mentioned that CMS embraced the recent recommendations by the Institute of
Medicine regarding new directions in quality improvement. He stated the current and future
work of the QIOs was considered to identify a potential role for these organizations. The
QIOs have expertise in several areas such as data aggregation, data management, and
knowledge transfer; and usually have a stable source of funding which make them potential
organizations to provide technical and quality improvement support. He mentioned that
currently there is wide variability in the adoption of quality improvement efforts by such
organizations, and adoption is influenced by many factors, such as the marketplace and the
environment. The Infrastructure Workgroup agreed that individual community forces should
determine which organization plays the role in Value Exchanges. Mr. Queram introduced the
role of convening stakeholders as an activity for the QIOs.
He stated that to identify ways to form learning networks, or best practices, the workgroup
has considered activities in measurement and behavioral change.
Mr. Queram reported the Infrastructure Workgroup recently began to discuss evaluation and
the effectiveness of Value Exchanges. He stated the workgroup recognized a need to develop
an empirical, peer-reviewed database which houses information on all of the evaluation
criteria, the core competencies, and the related activities around each of those criteria.
Discussion
Secretary Leavitt wondered whether the workgroups envisioned an increasingly centralized
capacity for data collection. Mr. Lee stressed that the gathering of data would be a
decentralized process in the short term.
Secretary Leavitt noted the need for a process for deciding who receives a charter. Mr. Lee
noted that the Robert Wood Johnson Foundation is developing ideas about such a process.
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Quality Alliance Steering Committee Meeting
October 23, 2006
Secretary Leavitt called for a rapid assignment of charters—to the 6 original pilots and soon
thereafter to additional programs.
The meeting participants raised many additional issues, such as the need for the program to
recognize a variety of environments (differences in physician offices, etc.), the need to
standardize measures, and the possibility of a mix of rewards programs. Secretary Leavitt
cautioned that any program must restrain the number of factors to be measured so as not to
become too cumbersome or complex. The Secretary reiterated that there is a need to move
quickly.
Mr. Gerry Shea, of AFL-CIO, cited key issues—how to integrate the purchasers and payers
to achieve robust quality reporting and how to develop measures that are reasonable for
providers.
Ms. Karen Ignagni, of America’s Health Insurance Plans, stated that the QIOs could be the
key to expanding the program quickly, helping local structures to advance their datacollection capacity. Secretary Leavitt proposed the use of subcontracts to acquire the
technical support to move quickly. However, careful consideration must be given to the
sociology of users, in terms of whether or not they are ready to accept change.
Dr. Barry Straube, of CMS, proposed a series of core measures for the long-term
accompanied by flexibility in testing at local levels. The roles of QIOs might include
encouraging engagement by the community and collecting comments. The organizations
also might offer guidance in the adoption of health information technologies.
Ms. Barbra Rabson, of Massachusetts Health Quality Partners, noted that the QIOs are well
structured and can stimulate trust within the community. Community decision-making also
is beneficial.
Regarding the centralization of data collection, Dr. William Johnson, of Arizona State
University, cautioned that centralized, standardized systems often do not work very well. A
centralized agency can result in the loss of control over the use of data and can lose the trust
of stakeholders.
Secretary Leavitt stressed the importance of encouraging harmonization as the program
grows. The mission of the QIOs will evolve and respond to the communities. Financial
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Quality Alliance Steering Committee Meeting
October 23, 2006
models also will evolve along with the program. Payers will identify incentives for being
part of the financing.
Measure Harmonization Workgroup
Chair: Janet Corrigan
Ms. Janet Corrigan, of the National Quality Forum, reported that the Harmonization
Workgroup has been reviewing physician- and hospital-level measures in use or under
development for use and aligning the measure specifications where appropriate. It has
designated review teams to study subset clusters of measures in the AQA/HQA. It expects to
finish its initial work within the next 30 to 60 days, at which point it will submit a report.
The workgroup plans to address additional generic aspects of standardization and
harmonization, such as appropriate age bands.
Cost-Pricing Transparency Workgroup
Co-Chairs: Debra Ness, Bruce Bradley
Ms. Debra Ness, of the National Partnership of Women and Families, reported on the
progress of the Cost-Pricing Transparency Workgroup, which is charged with developing
strategies for making pricing information available to the public. The workgroup is
developing recommendations on ways to determine pricing and ways to implement the
methods. Parameters under study include the insured and the uninsured, a market plan, and
elements to report to stakeholders. The workgroup plans to work through the process in five
different segments, and to hold a meeting for each of those segments. The workgroup will
hold an in-person meeting soon to address the first segment.
Efficiency-Episodes of Care Workgroup
Co-Chair: Kevin Weiss
Dr. Weiss, of Northwestern University, reported that the Efficiency Workgroup has just
begun its efforts. The workgroup will be considering cost-of-care measures and will discuss
some measures at the AQA Meeting on October 24th. The NQF and AHRQ have considered
efficiency measures, and the Efficiency Workgroup will study those results as it develops
recommendations.
Based on the information provided by Dr. Weiss, Secretary Leavitt began some dialogue on
what form an efficiency measure might have. Dr. Weiss suggested it could include a
statement of cost with output guidance. Secretary Leavitt proposed establishing quality
measures, then defining episodes of care, then creating measures of value. Each episode of
care must be linked to a quality measurement. Dr. Weiss was asked how long it might take to
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Quality Alliance Steering Committee Meeting
October 23, 2006
develop these measures and he responded that the steps might be completed within 12
months.
Update on Employer Outreach and the Purchaser Toolkit
Andrew Croshaw, of the Office of the Assistant Secretary for Planning and Evaluation, stated
that the employer community agrees on the value of a uniformly consistent outreach effort.
In surveying community efforts, Mr. Croshaw’s group found a wide range of commitment
and aggressiveness. Many different processes are being used.
Mr. Croshaw’s group developed a declaration document and principles to inform the contract
process. A request for information (RFI) will be used to “create a thermometer of the
marketplace.” Next steps for the toolkit include incorporating feedback and making
modifications to the toolkit in preparation for the discussion at the meeting on November
17th.
Discussion
Dr. Nancy Nielsen, of the American Medical Association, reminded the meeting participants
that, in some parts of the country, some initiatives to improve quality are not well received.
The resulting program will require a fine filter to ensure that physicians become interested in
using it. Education will be important. Nevertheless, understanding the program will not
necessarily mean embracing the program.
Mr. Gerry Shea introduced the idea of expanding the program beyond employers to multiemployer trust funds. There is a consensus on measuring quality using national standards, yet
measures are lacking.
Ms. Pamela French, of the Boeing Company, reported that employers would like to know the
timetable for the programs being developed by the workgroups. Dr. John Tooker, of the
American College of Physicians, reminded the group than many medical practices are small
businesses. The quality initiative must not be allowed to harm their ability to conduct
business. Mr. Richard Umbdenstock, of the American Hospital Association, echoed that
sentiment, asking that the quality measures be clear and not burdensome.
Mr. Charles Kahn, of the Federation of American Hospitals, called for clear intentions in the
documents created by the initiative. The results of the workgroups could become a template
for future legislation. Ms. Ignagni suggested creating a workgroup to receive and organize
the feedback resulting from the request for information.
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Quality Alliance Steering Committee Meeting
October 23, 2006
Summary of Next Steps
Secretary Leavitt again emphasized the need to move forward quickly. He stressed that this
group is helping to build a health care system that will be an advance over the current health
care sector. Secretary Leavitt closed the meeting by listing six key actions that need to be
accomplished within the next 822 days:

Develop Health Information Technology (HIT) standards.

Formalize a structure for the quality process, with established roles.

Build a network of Value Exchanges to address matters of infrastructure and sociology.

Address and reduce the tensions in the system and processes by formalizing the manner
in which the Federal Government and others act as payers.

Strengthen the “house of medicine” by addressing sociological issues.

Communicate with the public and assess the public’s response.
Secretary Leavitt thanked the participants and adjourned the meeting.
Enclosures:
Meeting Agenda
Participant List
8
Quality Alliance Steering Committee Meeting
October 23, 2006
Quality Alliance Steering Committee Meeting
Hubert H. Humphrey Building
200 Independence Avenue, SW, Room 800
Washington, DC
10:00 am – 12:00 pm. EDT
Draft Agenda
10:00-10:05
Welcome and Introductions
Secretary Leavitt
10:05-10:20
Reflections on Current Progress and
Secretary Leavitt
Goals for the Future
10:20-10:30
10:30-11:15
11:15-11:45

Cross-pollination of best practices across sites

Harmonization of measures and standards across care settings

Chartering of new collaboratives
Update from AHRQ and CMS
Carolyn Clancy/Leslie Norwalk

Steering Committee and work group support

Data collection and reporting issues

Status of pilot activities
Work Group Reports and Discussion

Pilot Expansion: Peter Lee

Infrastructure Support: Chris Queram

Measure Harmonization: Janet Corrigan

Cost-Pricing Transparency: Debra Ness/Bruce Bradley

Efficiency-Episodes of Care: Kevin Weiss/Gregg Meyer
Update on Employer Outreach and
Andrew Croshaw
Purchaser Toolkit
11:45-12:00
General Discussion/summary of Next Steps
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Secretary Leavitt
Quality Alliance Steering Committee Meeting
October 23, 2006
Participant List
Brian Anderson
Chief Medical Officer
Quality, Safety, and Technology
Phone: (612) 262-6004
E-mail: brian.anderson@allina.com
Bruce Bradley
Director, Health Plan Public Policy
General Motors
Phone: (248) 753-4725
Email: bruce.e.bradley@gm.com
Michael Barbouche
Director of Strategic Initiatives
Wisconsin Collaborative for Healthcare
Quality
Phone: (608) 821-4173
E-mail: michael.barbouche@wchq.org
Carmella Bocchino
Executive VP
AHIP
Phone: (202) 778-3278
Email: cbocchino@ahip.org
Vincent Caponi
President and CEO, Board Chairman
Indiana Health Information Exchange
Phone: (317) -338-7080
Email: vccaponi@stvincent.org
Thomas R. Barker, Esq.
Deputy General Counsel
Office of the Secretary
Phone: (202) 690-5400
Email: thomas.barker@hhs.gov
James Chase
Executive Director
MN Community Measurement
Phone: (651) 209-0390
E-mail: chase@mnhealthcare.org
Lawrence M. Becker
Director-Benefits
Xerox Corporation
Phone: 585-423-5653
Email:
Lawrence.m.becker@usa.xerox.com
Carolyn Clancy
Director
Agency for Healthy Care Research
Phone: (301) 427-1200
Email: Carolyn.Clancy@ahrq.hhs.gov
Shulamit Bernard
Director, Health Care Quality
RTI International
Phone: (919) 485-2790
E-mail: sbernard@rti.org
Betsy Clough
Director of Operations
Wisconsin Collaborative for Healthcare
Quality
Phone: (608) 775-4154
E-mail: betsy.clough@wchq.org
Katherine Browne
Natl. Partnership for Women and Families
Phone: (202) 202-986-2600
Email: kbrowne@nationalpartnership.org
Bruce Bethancourt
Regional Medical Director, Arizona
Region
Banner Health
Phone: (602) 254-4424
E-mail: babjrmd@cox.net
Janet Corrigan, PhD
President and CEO
NQF
Phone: (202) 783-1300
Email: Corrigan@qualityforum.org
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Quality Alliance Steering Committee Meeting
October 23, 2006
Andrew A. Croshaw
Senior Advisor to the ASPE
Office of the Secretary
Phone: (202) 690-7858
Email: adnrew.croshow@hhs.gov
Pam French
Boeing
Phone: (312) 544-2264
Email: pamela.a.french@boeing.com
Susan Van Gelder
FAH
Email: svangelder@fah.org
Kathleen Dalton
Senior Health Policy Analyst
RTI International
Phone: (919) 541-5919
E-mail: kdalton@rti.org
Anders Gilberg
AMA
Phone: (202) 789-4688
Email: Anders.Gilberg@ama-assn.org
Cheryl Damberg
Director of Research
Pacific Business Group on Health
Phone: (310) 396-7036
E-mail: cdamberg@pbgh.org
Demi Hannon
Boeing
Debbra Hattery
CMS
Phone: 410-786-1855
Email: debbra.hattery@cms.hhs.gov
Tennille Daniels
Project Manager
Delmarva Foundation
Phone: (202) 496-6571
E-mail: danielst@dfmc.org
Howard E. Holland
Office of the Director
Agency for Healthcare Research and
Quality
Phone: (301) 427-1857
Email: howard.holland@ahrq.hhs.gov
Robert (Bob) Dickler
Senior VP
Association of American Medical
Colleges (AAMC)
Phone: (202) 828 0492
Email: rdickler@aamc.org
David Hopkins
Director of Quality Measurement and
Improvement
Pacific Business Group on Health
Phone: (415) 615-6322
E-mail: dhopkins@pbgh.org
Jennifer Faerberg
AAMC
Phone: (202) 862-6221
Email: jfaerberg@aamc.org
Diane Feeney
NQF
Phone: (202) 783-1300
Email: DFeeney@qualityforum.org
Karen Ignani
President and CEO
AHIP
Phone: (202) 778-3203
Email: kignani@ahip.org
Nancy Foster
VP Policy
AHA
Phone: (202) 626-2337
Email: nfoster@aha.org
Howard Isenstein
FAH
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Quality Alliance Steering Committee Meeting
October 23, 2006
Christian Jensen
Chief Executive Officer
Delmarva Foundation
Phone: (410) 763-6292
E-mail: jensenc@dfmc.org
Terris King
CMS
Email: terris.king@cms.hhs.gov
Herb Kuhn
Acting Deputy Administrator
CMS
Phone: (410) 786-4164
Email: herb.kuhn@cms.hhs.gov
Judy George
Project Director
Delmarva Foundation
Phone: (202) 496-6569
E-mail: georgej@dfmc.org
Trish Kurtz
JCAHO
Email: pkurtz@jcaho.org
Clarion Johnson
Exxon Mobil
Phone: (703) 846-4039
Email:
clarion.e.johnson@exxonmobil.com
Peter Lee
President and CEO
Pacific Business Group on Health
Phone: (415) 281-8660
Email: plee@pbgh.org
William Johnson
Professor of Economics
Arizona State University
Phone: (602) 840-4293
E-mail: williamjohnson1@cox.net
Marian I. Albert Lesher
Director, Data Management
Delmarva Foundation
Phone: (410) 763-6227
E-mail: lesherm@dfmc.org
Chip Kahn
President
Federation of American Hospitals (FAH)
Phone: (202) 624-1500
Email: ckahn@fah.org
Cara Lesser
NQF
Musetta Leung
Project Coordinator
Phone: (781) 434-1730
Email: mleung@rti.org
Douglas Kamerow
Chief Scientist
RTI International
Phone: (202) 728-1959
E-mail: dkamerow@rti.org
Julie Lewis
American College of Surgeons
Phone: (202) 672-1507
Email: jlewis@facs.org
Melinda Karp
Director of Programs
Massachusetts Health Quality Partners
Phone: (617) 972-9056
E-mail: mkarp@mhqp.org
Jerod Loeb
JCAHO
Executive VP
Phone: (630) 792-5650
Carol Kelly
CMS
Phone: (202) 690-8257
Email: carol.kelly@cms.hhs.gov
Brian Marcotte
Honeywell
Phone: (973) 455-5913
Email: brian.marcotte@honeywell.com
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Quality Alliance Steering Committee Meeting
October 23, 2006
Cathie Markow
Senior Manager
Pacific Business Group on Health
Phone: (415) 615-6359
E-mail: cmarkow@pbgh.org
Leslie Norwalk
Acting Administrator
Centers for Medicare and Medicaid
Services (CMS)
Phone: (202) 690-6726
Email: leslie.norwalk@cms.hhs.gov
Polly Marvin
Project Manager
Massachusetts Health Quality Partners
Phone: (617) 923-5662
E-mail: Polly_Marvin@tufts-health.com
Peggy O’Kane
President
NCQA
Email: okane@ncqa.org
Diane Mayberry
Director of Program Development
MN Community Measurement
Phone: (651) 209-0390
E-mail: mayberry@mnhealthcare.org
Frank Opelka, MD
American College of Surgeons/LSU
Health Sciences Center
Phone: (504) 655-4599
Email: fopelk@lsuhsc.edu
Gregg Meyer
Massachusetts General Physicians
Organization
Efficiency-Episodes of Care Work Group
Email: gmeyer@partners.org
Dennis O’Leary
President
JCAHO
Phone: (630) 792-5650
Email: doleary@jcaho.org
Karen Milgate
CMS
Phone: (202) 260-0630
Email: karen.milgate@cms.hhs.gov
Jason Ormsby
JCAHO
Marc Overhage
President and Chief Executive Officer
Indiana Health Information Exchange
Phone: (317) 630-7070
E-mail: moverhage@regenstrief.org
Fatima Millar
Health Management Specialist
Centers for Medicare & Medicaid Services
Phone: (410) 786-3184
E-mail: Fatima.millar@cms.hhs.gov
Greg Pawlson
NCQA
Email: pawlson@ncqa.org
Debra Ness
President
National Partnership for Women and
Families
Phone: (202) 986-2600
Email: dln@nationalpartnership.org
Chris Queram
President and Chief Executive Director
Wisconsin Collaborative for Healthcare
Quality
Phone: (608) 250-1505
E-mail: cqueram@wchq.org
Nancy Nielsen, MD
Speaker, House of Delegates
AMA
Phone: (716) 662-9185
Email: nancy.nielsen@ama-assn.org
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Quality Alliance Steering Committee Meeting
October 23, 2006
Barbra Rabson
Executive Director
Massachusetts Health Quality Partners
Phone: (617) 972-9071
E-mail: rabson@mhqp.org
Chris Schultz
Program Director, Clinical Quality
Services
Indiana Health Information Exchange
Phone: (317) 644-1741
E-mail: chris.schultz@ihie.com
Michael Rapp
Director Quality Measurement
Centers for Medicare & Medicaid Services
Phone: (410) 786-9313
E-mail: Michael.rapp@cms.hhs.gov
Gerry Shea
AFL-CIO
Phone: (202) 637-5237
Email: gshea@aflcio.org
Jeffrey Rich, MD
President
Society of Thoracic Surgeons
Phone: (757) 622-2677
Email: rich@macts.com
Wells Shoemaker
Medical Director
California Association of Physician
Groups
Pacific Business Group on Health
Phone: (415) 615-6359
E-mail: eshoemaker@pmgscc.com
Mary Rimsza
Co-Director
Center for Health Information & Research
Arizona State University
Phone: (480) 965-1622
E-mail: mrimsza@asu.edu
Janice Singer
Director of Operations
Massachusetts Health Quality Partners
Phone: (617) 923-5810
E-mail: singer@mhqp.org
Deneen Richmond
Executive Director, Delmarva Foundation
of the District of Columbia
Senior Vice-President, Interventions Team
Delmarva Foundation
Phone: (202) 496-6541
E-mail: richmondd@dfmc.org
David Smith
Senior Director, Health Data, Analysis,
and Research
Massachusetts Hospital Association
Phone: (781) 272-8000
E-mail: dsmith@mhalink.org
Douglas E. Rosendale
DO, FACOS
Clinical Informatics/Enterprise Strategy
VAOI
American College of Surgeons/Surgical
Quality Alliance
Div of Advocacy & Health Policy
Phone: (970) 244-7738
Email: Douglas.Rosendale@va.gov
Douglas Stoss
CMS
Phone: (202)-690-6726
Email: douglas.stoss@cms.hhs.gov
Barry M. Straube
Acting Chief Medical Officer
CMS
Phone: (410) 786-6841
Email: barry.straube@cms.hhs.gov
Molly Schild
CMS
Phone: (202) 260-5990
Email: molly.schild@cms.hhs.gov
Jane Thorpe
CMS
Phone: (202) 690-6627
Email: jane.thorpe@cms.hhs.gov
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Quality Alliance Steering Committee Meeting
October 23, 2006
Nancy Wilson
Senior Advisor
AHRQ
Phone: (301) 427-1310
E-mail: Nancy.Wilson@ahrq.hhs.gov
Michael Tooke
Chief Medical Officer
Delmarva Foundation
Phone: (202) 496-6567
E-mail: tookem@dfmc.org
John Tooker M.D.
Executive Vice President
American College of Physicians
Phone: (215) 351-2400
Email: Jtooker@acponline.org
Rich Umbdenstock
COO and President-Elect
AHA
Phone: (202) 626-2352
Email: rumbdenstock@aha.org
Tom Valuck
CMS
Phone: (410) 786-7479
Email: thomas.caluck@cms.hhs.gov
Margaret VanAmringe
JCAHO
Phone: (202) 783-6655
Jan Van Vlack
Physician Liaison
Clinical Quality Services
Indiana Health Information Exchange
Phone: (317) 644-1750
E-mail: jvanvlack@ihie.com
Andy Webber
President
National Business Coalition on Health
Phone: (202) 775-9300
Email: awebber@nbch.org
Kevin Weiss
Veterans Health Administration
Efficiency-Episodes of Care Work Group
Phone: (202) 261-4500
Email: kevin.weiss@va.gov
15