Macra Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List
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MACRA EPISODE-BASED COST MEASURES CLINICAL SUBCOMMITTEE COMPOSITION (MEMBERSHIP) LIST Project Title: MACRA Episode-Based Cost Measures - Call for Clinical Subcommittee Dates: May – September 2019 Project Overview: The Centers for Medicare & Medicaid Services (CMS) has contracted with Acumen, LLC to develop care episode and patient condition groups for use in cost measures to meet the requirements of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The contract name is “MACRA Episode Groups and Cost Measures.” The contract number is HHSM-500-2013-13002I, Task Order HHSM-500-T00002. As part of the development and maintenance processes, Acumen, LLC convenes groups of stakeholders and experts who contribute direction and thoughtful input during development of episode-based cost measures. The project’s overall objective is to develop episode-based cost measures suitable for potential use in the Quality Payment Program. For more details about the project background, including development activities undertaken in previous years, please see this MACRA cost measure development approach summary on the MACRA Feedback Page. Acumen’s measure development approach includes convening clinician expert panels called Clinical Subcommittees (CS) focused on particular clinical areas in cycles of development (“waves”). The four CS convened in Wave 3 beginning in 2019 are: Chronic Condition and Disease Management, Dermatologic Disease Management, Hospital Medicine, and General and Colorectal Surgery. Future CS under this project will be convened through separate nomination periods. MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC 1 Please note that the Clinical Subcommittees provide clinical expertise for the MACRA Episode-Based Cost Measure Project. Clinical Subcommittee members may have experience in areas other than their listed primary clinical specialty. The following individuals were selected and have agreed to serve as the Clinical Subcommittee members for this project. Chronic Condition and Disease Management Clinical Subcommittee Members Organizational Conflict of Name, Credentials, Consumer Clinical Performance Coding and Affiliation, City, Clinical Specialty Interest Professional Role Perspective Content Measurement Informatics State Disclosure Adolph Yates, MD, University of Associate Professor, Pittsburgh, N/A X N/A N/A Orthopedic Surgery None Orthopaedic Surgery Pittsburgh, PA Alec Koo, MD, Skyline Urology, N/A X N/A N/A Urology None Physician Torrance, CA Amanda Chaney, DNP, APRN, Nurse Mayo Clinic, Practitioner; Chair of Ponte Vedra N/A X N/A N/A Nurse Practitioner None Advanced Practice Beach, FL Provider Subcommittee Kaiser Amandeep Sahota, Permanente, Los N/A X N/A N/A Internal Medicine None MD, MSc, Physician Angeles, CA Northwestern University Amisha Wallia, MD, Feinberg School N/A X N/A N/A Endocrinology None MS, Physician of Medicine, Chicago, IL MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC 2 Organizational Conflict of Name, Credentials, Consumer Clinical Performance Coding and Affiliation, City, Clinical Specialty Interest Professional Role Perspective Content Measurement Informatics State Disclosure Mount Auburn Cambridge Independent Barbara Spivak, MD, Practice N/A X N/A N/A Internal Medicine None President Association (MACIPA), Brighton, MA Caitlin Hicks, MD, MS, Johns Hopkins Assistant Professor of University, N/A X N/A N/A Vascular Surgery None Surgery Baltimore, MD Caroll Koscheski, MD, Gastroenterology FACG, Clinician & Associates, PA, N/A X N/A N/A Gastroenterology None President Hickory, NC Carolyn Fruci, MD, PrimaCARE, PhD, Director of PC, Westport, N/A X N/A N/A Pulmonary Disease None Pulmonary & Critical MA Care University of Christopher Yost, MD, Kentucky, N/A X N/A N/A Internal Medicine None Assistant Professor Lexington, KY Galen Medical Colleen Schmitt, MD, Group, N/A X N/A N/A Gastroenterology None MHS, President Chattanooga, TN MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC 3 Organizational Conflict of Name, Credentials, Consumer Clinical Performance Coding and Affiliation, City, Clinical Specialty Interest Professional Role Perspective Content Measurement Informatics State Disclosure Connie Lewis, MSN, ACNP-BC, NP-C, Vanderbilt CCRN, CHFN, FHFSA, University N/A X N/A N/A Cardiology None Heart Failure Nurse Medical Center, Practitioner; Assistant in Nashville, TN Medicine Cynthia Cox, RN, MS, Northside MBA, NP-C, ACNS-BC, Certified Clinical Hospital, N/A X N/A N/A None Cardiovascular Clinical Nurse Specialist Atlanta, GA Nurse Specialist David Seidenwurm, Sutter Medical MD, Network Medical Diagnostic Group, N/A X N/A N/A None Director; Quality and Radiology Sacramento, CA Safety Medical Director Debra Anoff, MD, FACP, FSHM, Medical Director of Care University of Management and Colorado Clinical Documentation N/A X N/A N/A Internal Medicine None Denver, Aurora, Integrity, Denver Metro CO Region; Associate Professor of Clinical Practice Chicago Internal Medicine Dheeraj Mahajan, MD, Practice and MBA, MPH, FACP, N/A X N/A N/A Internal Medicine None Research President & CEO (CIMPAR, SC), Oak Park, IL MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC 4 Organizational Conflict of Name, Credentials, Consumer Clinical Performance Coding and Affiliation, City, Clinical Specialty Interest Professional Role Perspective Content Measurement Informatics State Disclosure Ascension Dirk Steinert, MD, Medical Group - Medical Director, N/A X N/A N/A Internal Medicine None Wisconsin, Quality Milwaukee, WI Don Bukstein, MD, Allergy, Asthma Physician at Medicaid & Sinus Center, N/A X N/A N/A Allergy None Respiratory Clinic SC, Madison, WI Donna Kucharski, MD, Allegheny AHN Anesthesia Health Network, N/A X N/A N/A Anesthesiology None Institute Quality Officer Pittsburgh, PA Stanford University Edward Mariano, MD, School of MAS, Professor; Chief Medicine & VA N/A X N/A N/A Anesthesiology None of Anesthesiology and Palo Alto Health Perioperative Care Care System, Palo Alto, CA Texas Children's Eileen Brewer, MD, Pediatric Hospital, N/A X N/A N/A None Pediatric Nephrologist Nephrology Houston, TX Emran Rouf, MD, Seton Health MBA, FACP, VP, N/A X N/A N/A Internal Medicine None Plan, Belton, TX Medical Director Geoff Teehan, MD, MS, Kidney Care FACP, Fellowship Specialists, N/A X N/A N/A Nephrology None Director Philadelphia, PA MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC 5 Organizational Conflict of Name, Credentials, Consumer Clinical Performance Coding and Affiliation, City, Clinical Specialty Interest Professional Role Perspective Content Measurement Informatics State Disclosure Registered Harlivleen Gill, MBA Self-Employed, Dietitian or RD, Chief Executive N/A X N/A N/A None Bethesda, MD Nutrition Officer Professional American Heather Smith, PT, Physical Therapy N/A X N/A N/A Physical Therapist None MPH, Director, Quality Association, Alexandria, VA James Gajewski, MD, Self-Employed, Hematology- N/A X N/A N/A None Physician Portland, OR Oncology Privia Medical James Parker, MD, Group North N/A X N/A N/A Internal Medicine None CMIO Texas, Fort Worth, TX Massachusetts James Richter, MD, General N/A X N/A N/A Gastroenterology None MA, Physician Hospital, Boston, MA Michigan Jay Nathan, MD, House Medicine, Ann N/A X N/A N/A Neurosurgery None Officer Arbor, MI Medical Jennifer Bracey, MD, University of Assistant Professor of N/A X N/A N/A Internal Medicine None South Carolina, Medicine Charleston, SC MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC 6 Organizational Conflict of Name, Credentials, Consumer Clinical Performance Coding and Affiliation, City, Clinical Specialty Interest Professional Role Perspective Content Measurement Informatics State Disclosure Joanne Wisely, MA, Genesis Rehab CCC/SLP, FNAP, Vice Speech Language Services, Wayne, N/A X N/A N/A None President, Legislative Pathologist PA Advocacy Predictive Joel Brill, MD, Chief Health, Paradise N/A X N/A N/A Gastroenterology None Medical Officer Valley, AZ Penn State Kristina Newport, MD, Health, N/A X N/A N/A Internal Medicine None Director, Palliative Care Lancaster, PA Veterans Health Laura Hart, PA-C, Administration, N/A X N/A N/A Physician Assistant None Physician Assistant Salem, VA Louann Bailey, DNP, Vista Locum APRN, ACNP-BC, Tenens, N/A X N/A N/A Cardiology None FAANP, Hospitalist Richfield, OH Nurse Practitioner Miami Orthopedics and Sports Medicine Institute research Baptist Health on the response of Luis Rodriguez, MD, South Florida, N/A X N/A N/A Internal Medicine knee arthritis pain Physician Miami, FL to platelet-rich- plasma injections as measured by pain scores over time MACRA Episode-Based Cost Measures Clinical Subcommittee Composition (Membership) List | Acumen, LLC 7 Organizational Conflict of Name, Credentials, Consumer Clinical Performance Coding and Affiliation, City, Clinical Specialty Interest Professional Role Perspective Content Measurement Informatics State Disclosure University of Texas Health Science Center at Marc DeHart, MD, San Antonio N/A X N/A N/A Orthopedic Surgery None Orthopaedic Surgeon Department of Orthopaedic Surgery, San Antonio, TX Medstar Marc Gruner, DO, Physical Medicine Georgetown, N/A X N/A N/A None MBA, RMSK, Physician and Rehabilitation Washington, DC North Shore Mario Motta, MD, Physicians