www.jhsph.edu/dept/hpm/degrees/mha Management Rounds Johns Hopkins Master of Health Administration Program Johns Hopkins Bloomberg School of Public Health Department of Health Policy and Management August 2013

Director’s message Implementing Health Care Reform in Maryland: First Steps elcome to the August 2013 edition of Management Rounds. uch of the historic 2010 already had these high-risk pools and create WOur big news is that on June 1 Affordable Care Act (ACA) programs in the roughly one-third of states Bill Ward stepped down after 17 years centers on reforming the ways that lacked them prior to the ACA. MHIP as program director. I will be stepping in M in which individuals and small businesses was created in 2002 with funding from as the interim program director until we complete the search obtain private health insurance coverage. an assessment on hospital fees under the for Bill’s replacement. Moreover, much of the state’s all-payer rate-setting In addition, Doug implementation of the various mechanism. MHIP contracts Hough, PhD, from private insurance reforms with local insurance plan the JH Carey Business relies heavily on the states. CareFirst to help administer School, has joined our Several of Health Policy the program. program as associate and Management’s faculty “Interestingly, my fellow director. Our program continues its commitment affiliated with the MHA MHIP board members to stay abreast of the dynamic health program have been working and I initially figured our care environment through changes to with the state of Maryland on service would come to a our curriculum and activities. To help us these implementation efforts. close in December 2013,” along, this issue’s cover story from Brad Dr. Bradley Herring is Bradley Herring says Herring. Banning the Herring, HPM’s associate chair for Academic an associate professor of use of pre-existing health Programs, is about Maryland’s state-funded Health Economics in HPM who currently conditions by private insurers in January high-risk pool for medically uninsurable serves as chair of the board of directors for 2014 means that there technically won’t be residents and the challenges it faces. Our Management Rounds interview features the Maryland Health Insurance Plan and anyone who’s medically uninsurable. “But David Chin, MD, MBA, former senior partner recently was a co-chair of the state’s Small as we considered the matter more carefully, with PricewaterhouseCoopers, who is Business Health Options Program (SHOP) we realized that it might make sense to allow leading an executive education institute Exchange Advisory Committee. “One thing our current enrollees to stay in MHIP for a for transforming health systems to the that’s nice about this type of role for us while if they choose.” accountable care model. Dr. Chin discusses professors is that it’s a cool way for us to One of those considerations was how U.S. health care is changing and why he apply our research expertise to an issue that the difficulty the federal government is optimistic about the future. We also have serves the public,” says Herring. “But the encountered with the creation of the a number of other news items to report on, experience is also quite useful for us to apply including program updates. Medicare Part D drug benefit in 2006. As we prepare to welcome 25 members of in our classroom instruction,” he says. Switching low-income seniors’ supplemental the Class of 2015, we also wish you the best The Maryland Health Insurance Plan, coverage for drugs from state Medicaid for this coming year. or MHIP, is the state-funded “high-risk programs to a new federal Medicare benefit pool” for medically uninsurable residents led to some general confusion and specific administered by a small staff and overseen by problems with continuity of care. Ann-Michele Gundlach a nine-member board of directors. The ACA Another consideration was the impact on included funding to both bolster enrollment premiums brought about by transitioning in the roughly two-thirds of states that continued on page 9 Faculty Q & A MR: Should we, as some argue, let the U.S. coming in to see me. It incentivizes me to health care system collapse and rebuild it go looking for patients [with] whom I can

from scratch? intervene earlier and reduce their costs. It also incentivizes me to use services more DC: That’s the Alcoholics Anonymous model, cost-effectively for those patients who do right? You’ve got to crash and burn first. And come and see me. then you’ll be willing to change. I think the system is too big to ever want that to happen. MR: How does this affect physicians? Too many people would get hurt. Until this point, the pain hasn’t been great enough in DC: Not only is it a different reimbursement terms of cost to really drive change. But I model, it’s a different mindset. Physicians think we’re getting there, at 18 percent of aren’t classically equipped to deal with David Chin, MD, MBA GDP. Since the states cannot run deficits and thinking about population health, number they are on the hook for ever-increasing retiree one. But also, number two, [there is] the Distinguished Scholar health and benefits costs, they must come up notion of practicing in teams, like a patient- with creative solutions. Otherwise, they go centered medical home. Many medical avid Chin, a former senior bankrupt. They have the most motivation to schools don’t have a curriculum around national partner with find a solution. That’s why I think the states what’s the role of a physician inside a system DPricewaterhouseCoopers, joined will lead with innovation. I can imagine that of care. Classically, that’s a public health the Department of Health Policy and … different states will come up with some kind of discipline. I think that’s another Management last year as a Bloomberg model that will work, and then we’ll say, OK, potential source of discomfort for the docs. School Distinguished Scholar. In this role, if it works there, then we’re willing to adopt it Not only is the money, the reimbursement Chin is leading an executive education nationally. thing, different, but now you’re moving into program for transforming health systems an area where you’re no longer the expert. to the accountable care model. The first MR: Is fee-for-service really going away? cohort of doctors, nurses, managers and MR: Are ACOs something that physicians DC: It’s funny. I think fee-for-service will be pharmacists is from Johns Hopkins Health welcome or dread? always with us, but maybe moderated some. System and is learning from a similarly You could make the argument that you DC: I suspect you probably know the diverse group of educators from the schools might pay primary care physicians fee-for- answer to that question. Most doctors grew of Public Health, Medicine, Nursing service so you incentivize them to bring in up under fee-for-service, and that’s worked and Business. Their goal: to lead ACO patients at the primary-care level, but then very well. Whenever you start changing transformation. According to Chin, seismic you might put specialists on some kind of the rules, particularly about money, people changes in health care will soon be apparent global payment so there is an incentive for get kind of upset. But people do know that to all. When the dust settles, he sees the fee- them to be more cost-effective. the current trajectory is not sustainable. for-service model becoming a much smaller Physicians are rapidly offering themselves up part of the landscape. Soaring health care MR: How are ACOs incentivized to keep for employment with hospitals and health costs and estimates that 20–50 percent of their population healthy? systems trying to get shelter. They can see these expenditures are wasted have made the handwriting on the wall that the fee- change essential. ACOs will challenge the DC: [As a physician] in the current fee- for-service model is broken and that the fee-for-service model as they are basically for-service system, I only get paid if the inexorable rise in fees is no longer inexorable. networks of hospitals and doctors that are patient comes in to see me. I do not get continued on page 3 rewarded for keeping patients healthy. paid to keep a patient healthy or to keep a Management Rounds wasn’t the only patient out of the system. The more I do, Bloomberg School publication interested in the more I make. Under an ACO model, hearing from Chin about his take on how I’m given almost a lump sum, a set amount

U.S. health care is changing. Johns Hopkins of budget to take care of a population. And Mangement Rounds is published by the Public Health, the School’s magazine, I know that a certain proportion of patients Department of Health Policy and Management, interviewed Chin in its Spring 2013 issue to who are very, very sick and could use a lot Johns Hopkins Bloomberg School of Public Health. learn why he is optimistic about the future. of expensive therapy and inpatient days Editors: Teresa Schwartz, Jamila Savage Following is an excerpt from that interview. the next year aren’t necessarily the patients Designer: Doug Behr 2 Faculty Q & A MR: Are you optimistic about U.S. health DC: “Accountable care” really means a care? structure and a set of incentives to care continued from page 2 for a population of people. To do that, DC: Yeah. I tend to be inherently optimistic. MR: What’s the most important thing you there needs to be a set of measurements, I do think, given our pluralistic model and teach in the executive program? incentives, structures and processes. That’s our penchant for experimentation, that the public health focus. Accountable care DC: We actually spend a big chunk we’ve got some potential to fundamentally starts by saying, I’ve got a whole population of the curriculum focusing on change change the system. But I don’t think it’s of people I am responsible for. Not only management, how you work on teams, how going to happen right away. I think a 10- the people I see face to face in the office, you negotiate. Because we recognize that if year horizon is probably the right horizon. but also the people who are out there as you’re going to transform your system for part of my population, that I’m going to be accountable care—you can have a great idea, MR: Training health care executives sounds responsible for next year, and if I don’t get a but if you can’t get the people, the docs, the like business school. Why is this public handle on them, I’m going to be in trouble. managers and the nurses to buy it, it’s not health? That’s the public health twist to this thing. going to happen.

Spotlight on Full-Time Faculty

he Department of Health Policy and neoclassical economics to the new field of American Medical Association, a manager in Management is delighted to welcome behavioral economics. “Standard economics the health care consulting division of Coopers TDoug Hough to our full-time faculty. assumes that consumers are always rational, & Lybrand, and a partner in two health care Doug comes to JHSPH from the whereas behavioral economics strategy consulting firms. Carey Business School, where recognizes that often they are When Doug is not teaching or writing for the past 13 years he led the not. In fact, people can be a book, he has other, less academic, Business of Health program. ‘predictably irrational.’” And interests. He is taking fencing lessons, He expanded Carey’s Business no more so than in health inspired several years ago by his then 8-year- of Medicine program (an MBA care, where, Doug says, “you old granddaughter. He rates himself as designed for clinicians and have imperfect people making enthusiastic but still not very experienced. He administrators in health care imperfect decisions.” The is a huge baseball fan, rooting first for both delivery) and helped create the orientation of the Bloomberg versions of the Washington Senators and now MPH/MBA program with the Doug Hough School of Public Health fits for the Washington Nationals. Bloomberg School of Public nicely with this approach. His He says he is having difficulty Health and the MBA/MS in Biotechnology growing interest in behavioral economics adjusting to cheering program with the School of Arts and Sciences. led him to write a book titled Irrationality for a good team for Many know Doug from the MHA in Health Care: What Behavioral Economics once. Finally, he Strategic Planning course, which he has Reveals About What We Do and Why (Stanford loves to drive his 2006 taught for the past three years. The highlight University Press, 2013). Porsche Cayman S of that course—the trip to Gettysburg to In addition to his teaching and research on race tracks. (“It’s not explore strategy and leadership lessons from duties, Doug is associate director of the racing, it’s driver’s that battle—is surely a memorable part of his MHA program, and he looks forward to education,” he insists.) students’ programs. working with Ann-Michele and Teresa to His biggest pleasure is “I love teaching the MHA and MPH/MBA continue to improve the program (and driving at Watkins Glen students,” says Doug. “They are smarter than achieve CAHME reaccreditation). International, one of the premier tracks in the all get-out, and they are eager to learn what Doug earned his BS in economics from country, where NASCAR and Indy events they need to know for their future in health the Massachusetts Institute of Technology, are held. He says that “it is a total hoot” care. They are the reason I switched from the and his MS and PhD in economics from the screaming down the front straight by the main Business School to Public Health.” University of Wisconsin. He has more than grandstand and then diving into the climbing Another reason is that Doug has been 30 years’ experience in industry and academia. esses. shifting his professional focus from standard, He has been a research economist at the 3 Karen Davis Returns to Hopkins as the Second Lipitz Professor at the Bloomberg School of Public Health

fter leading The Commonwealth Fund for almost two decades, AKaren Davis, PhD, was officially installed as the second Eugene and Mildred Lipitz Professor in Health Policy and Management at the Bloomberg School of Public Health. Michael J. Klag, MD, MPH, dean of the Bloomberg School, and Ellen J. MacKenzie, PhD, Fred and Julie Soper Professor and chair of the Department of Health Policy and Management, presented the professorship at a ceremony attended by Roger C. Lipitz, his wife, Flo, members of the Lipitz family, faculty, students and guests. Prior to becoming president of The Flo Lipitz, Roger Lipitz, and Karen Davis Commonwealth Fund, Karen Davis was chair of the Department of Health Policy of the boomer generation, the need for policy and is frequently called on to and Management at the Bloomberg School, new models of patient-centered care that provide guidance to individual members and deputy assistant secretary for health improve quality of care while advancing of Congress and the administration on policy in the U.S. Department of Health efficiency is paramount.” issues related to health care spending, and Human Services. The center strives to discover and delivery systems for the uninsured and the “Karen will be a stalwart custodian of disseminate practical, cost-effective chronically ill, the Medicare program and the Lipitz family’s lifelong commitment approaches to providing comprehensive, the impact of a high-performing health to serving the elderly, the chronically ill coordinated and compassionate health care care system. and underserved to chronically ill The Roger C. Lipitz Center for populations,” people and their Integrated Health Care and the Eugene said MacKenzie. “Karen will be a stalwart families. and Mildred Lipitz Professorship were “Her vision and custodian of the Lipitz Following the created in 1998 through a generous gift leadership will official installation, from Roger Lipitz through the Lipitz form the new family’s lifelong commitment Karen moderated a Family Foundation to the Johns Hopkins bedrock of the to serving the elderly, panel on Innovation Bloomberg School of Public Health. Roger C. Lipitz the chronically ill and in Integrated Care. Roger C. Lipitz is the managing Center and define Panelists included member of Ocean Assets LLC and a former the center’s course underserved populations.” Gerard Anderson, chairman of the board of the Baltimore for generations to Development Corporation and of the —ELLEN J. MACKENZIE PhD, professor in come.” Health Policy and University of Maryland Medical System. “I am excited Management; Mary He also chaired the board of Meridian about the opportunity to head the Lipitz Jane Koren, MD, MPH, vice president for Healthcare, the largest provider of long- Center and continue its important work the Picker/Commonwealth Fund Long- term care services in Maryland. Mr. Lipitz on developing new, innovative health care Term Quality Improvement Program and is a trustee emeritus of the Johns Hopkins payment and delivery models in order the Dual Eligibles Initiative; and Jennifer University and former chair of the Health to improve care for our nation’s most Wolff, PhD, MHS, associate professor in Advisory Board at the Johns Hopkins vulnerable and the disabled,” said Davis. HPM at the Bloomberg School. Bloomberg School of Public Health. “With the imminent retirement of much Davis is a national leader in health

4 JHSPH Welcomes AcademyHealth’s Annual Research Meeting to Baltimore

Karen Davis presents the Distinguished Investigator Award to Donald Steinwachs.

nder the helm of Darrell Gaskin, health services research, co-produced by to the field of health services research. PhD, this year’s ARM Planning AcademyHealth and the Department of Distinguished Investigators are leaders and UCommittee chair, the Johns Health Policy and Management; a 5.5-foot role models for the field of health services Hopkins Bloomberg School of Public timeline display depicting milestones of the research. During his many years at JHSPH, Health was featured prominently at the Johns Hopkins Center for Health Services and Don has been a teacher, guide and mentor 30th anniversary ARM meeting held in Outcomes Research from 1969 to the present; for students and young faculty alike, June at the Baltimore Convention Center. a lively and well-attended HPM alumni while pursuing a well-regarded research The meeting was the largest ever in reception held at the waterfront Renaissance career. He was instrumental in the creation AcademyHealth’s history, with more than Hotel; and the Recognition Plenary, where of AcademyHealth and its success as an 2,600 attendees. Donald Steinwachs, PhD, a professor in HPM, influential voice for health services research Sessions featured our faculty as panel received AcademyHealth’s Distinguished and health policy. The award was presented chairs and presenters, and our students. Investigator Award. by Karen Davis, PhD, Eugene and Mildred Highlights included an HPM-sponsored The Distinguished Investigator Award Lipitz Professor and director of the Roger Meet-the-Experts breakfast; a video recognizes individuals who have made a C. Lipitz Center for Integrated Health Care, documenting the growth and impact of significant and long-lasting contribution and a former recipient of the award.

HPM Updates Hadi Kharrazi, MD, PhD, assistant professor Cheri Wilson, MHS, MA, research associate, and assistant director of the Johns Hopkins was appointed co-chair of the Public Policy and Eric Bass, MD, MPH, professor of Medicine Center for Population Health IT, was a recipient Advocacy Committee of the National Association with a joint appointment in Health Policy and of this year’s Faculty Innovation Fund award of Health Services Executives and elected an at- Management, and Albert Wu, MD, MPH, for Utilizing Maryland’s HIE to develop and large member of the Steering Committee of the professor, have been named co-directors of the evaluate an inter-provider hospital readmission American Medical Association Commission to Johns Hopkins Community Health Partnership risk detection and notification system. End Health Care Disparities. program (J-CHiP). William J. Ward Jr., MBA, associate professor Sara Bleich, PhD; Shannon Frattaroli, PhD Colleen Barry, PhD, MPP, associate professor, and former director of the Master of Health ’99, MPH ’94; and Keshia Pollack, PhD ’06, was elected to a four-year term at the Policy Administration program, has been elected MPH, were promoted to associate professor. Council of the Association for Public Policy to serve on the board of directors of Upper Analysis and Management. And the Student Awards went to….. Chesapeake Health, Harford Memorial Hospital Karen Davis, PhD, the Eugene and Mildred and the Upper Chesapeake Medical Center. In Tom Burke, professor, and Brad Herring and Lipitz Professor, received the 2013 TRUST addition to these local appointments, Bill is on Jon Vernick, associate professors, won AMTRAs Award from the Health Research & Educational the board of Al Noor Hospital Group PLC in Abu (Advising, Mentoring and Teaching Recognition Trust of the American Hospital Association. Dhabi and chairman of its quality committee. Awards).

5 Remembering MHA Weekend

Clockwise from top left: Dinner at Pullen Plaza; Class of 2014, Day of the Case Competition; Matt Drohan ’13 presenting at Capstone Symposium; Bill Ward thanks Mark Higdon; Mary Kim ’98 honors Higdon; Michael Finegan ’12 and Linda Sobh ‘13.

CASE COMPETITION. The first weekend of May ceremony and business meeting at the Mount Washington continues to be the highlight of the year for the MHA Conference Center. Faculty advisor Ann-Michele Gundlach program, its students, alumni and preceptors. The weekend and Fadi Rammo ’12 welcomed members and inductees. As started at 8 a.m. on May 3 with the program’s fifth Annual this year’s induction gift, Ann-Michele and Fadi chose Being Case Competition. First prize went to Signature Consulting Wrong: Adventures in the Margin of Error by Kathryn Schulz. Group, composed of Avantika Handa, Christine Laccay Michael Finegan ’12 assisted in the distribution of gifts and and Emily Lenneville; kpAMG Consulting, with Danielle certificates. Inducted this year in UPD were Prashant Dilwali DaSilva, Spencer Wildonger and Shivani Patel, came in ’13, Ahmed Elsayed-Ahmed ’10, Theresa Falcon ’13, Sneha second. n UPD INDUCTION. Later that afternoon, Jain ’12, Susanne Katz ’14, Sierra Long ’13, Dennis Martin and immediately before the MHA dinner, the Hopkins ’12, Evan Mead-Brewer ’13, Asmita Salil ’13, Julie Silver chapter of Upsilon Phi Delta held its annual induction ’13, and Linda Sobh ’13. n ALUMNI/PRECEPTOR

6 Remembering MHA Weekend

DINNER. Although the MHA dinner needed to relocate answer session followed each of the presentations. Lauren off campus this year, the Mount Washington Conference McQuillin ’13 thought the half day was not enough time. Center proved to be an ideal location. May 3 was a beautiful “I would have stayed there all day! I just loved hearing spring day, and the grounds of the center were a pleasant about everyone’s work and their accomplishments over the alternative to the School’s urban setting. A record number of past 10 months.” Papers included such topics as hospital attendees made it to Baltimore this year, coming from as far readmissions, ACOs and physician/hospital alignment. Matt away as San Francisco and Ottawa. n MHA CAPSTONE Drohan’s capstone, “The Emory Clinic’s Corporate Health SYMPOSIUM. After an evening of honoring their Strategy: A Case Study on Developing and Financing On- preceptors at the dinner, the Class of 2013 returned to site Corporate Health Models,” was recently nominated by campus bright and early on May 4 to present their capstone the MHA program office for the AAMA Student Research papers to program directors and classmates. A question-and- Paper of the Year Award.

7 MHA Program Honors Mark Higdon

t doesn’t take long for Hopkins MHA region. With more than 30 years’ experience Rammo, Class of 2012, presented Mark students to recognize the name Mark in health care advising, Mark has been a with his award during this year’s alumni/ IHigdon. Mark is KPMG’s health care valuable resource not only to his clients but preceptor dinner. Brett McCone, Class of industry sector leader in the Mid-Atlantic to all Hopkins MHA students and alumni over 1998, and a director in KPMG’s Baltimore region and a partner the past 15 years. practice, served as this year’s dinner in the Mid-Atlantic Mark is a member of speaker. His talk, “The Importance of Healthcare Advisory the MHA program’s Mentoring,” was a tribute to Mark. Joining Practice based Advisory Group and Brett at the podium on May 3 to honor in Baltimore. His has contributed as Mark were the following program alumni, areas of expertise a seminar speaker, all of whom worked for Mark as a resident include financial mentor, preceptor or graduate, or both: Sarani Banerji ’02, planning, strategic and employer to Zach Bechtle ’12, James Case ’07, Ahmed planning, mergers numerous Hopkins El-Sayed Ahmed ’10, Mary Kim ’98, Nicole and acquisitions, students and Orange ’07 and Marco Priolo ’10. hospital rate setting, graduates. It is the MHA program’s hope that Mark third party Fadi Rammo ’12 and Mark Higdon With Mark’s will consider the Department of Health reimbursement imminent retirement, the Hopkins chapter Policy and Management one of his homes, and risk management. Mark has provided of Upsilon Phi Delta recognized his many as we would certainly like to see him often in financial management and health planning contributions to the profession by awarding the coming years. services to the major health systems in the him one of this year’s UPD Honor Awards. Fadi

Diving Deep into Hospital Operations A focused approach for MHA students

n Academic Year 2012–13, the MHA hospital operations course was Icompletely retooled. Bob Marshall, administrator for Emergency Medicine at Hopkins Bayview Medical Center, co-taught the course with Bill Ward. In addition to traditional classroom lectures, discussions and site visits, students took part in a self-learning “Deep Dive” experience. They were assigned to one of five groups, each of which focused on a single area of hospital operations. At the conclusion of the course, each group taught the rest of the cohort, answered questions and led a discussion of their specific area. Teams of students also tackled workplace challenges identified by the Bayview competing technologies for cleaning patient practices” will work with preceptor-identified management team. These included such rooms. For the coming academic year, Bob projects to learn about consulting work and areas as improving the preoperative and Bill will split out a consulting practicum use the skills learned in the didactic portion medication order process and evaluating from the course. Student “consulting of the course. 8 Inaugural Cohort, April 2013 The Johns Hopkins Inter-professional Executive Education Program Set to Launch in January 2014 ow that the twenty-seven members adjusting their business model.” several members of the initial cohort have of the inaugural cohort of the The program is anchored in the interacted with MHA students as mentors NJohns Hopkins Inter-professional Bloomberg School’s Department of and guest lecturers; and Ann-Michele Executive Education Program for Health Health Policy and Management. The Gundlach and Doug Hough were an System Leaders have “graduated,” the cross- MHA program is proud of its connection integral part of the core faculty. school program will officially launch with a with the Executive Education program: new class in January 2014. Dr. David Chin (see MR’s Faculty Q&A) is leading the program. The inaugural cohort, comprised of rising-Hopkins’ stars, included 7 MDs, 7 Health Insurance RNs, 12 administrators and 1 pharmacist. The curriculum included 144 contact continued from page 1 will benefit from tax credit subsidies in the hours over 5 months. The objective of the more than 20,000 people with chronic exchange, so we’ll be embarking on a large program is to improve the capabilities of health conditions into the new state health outreach effort shortly to help those folks health care professionals and managers to insurance exchange for individuals. “Private actually make the transition right away.” build, lead, operate and manage the risks health insurers are keenly aware of the need So does this mean that Herring and his of healthcare organizations that provide to account for so-called ‘averse selection’ fellow MHIP board members have just integrated services to improve the health of when transitioning from ‘experience rating’ another year or so before concluding their defined populations. to ‘community rating’ rules for selling state service with a phased-in transition of “This program marks the first time ever coverage,” Herring explains. By allowing MHIP members to the exchange? The state four schools are entwined and deans united so many high-cost people to remain in Legislature has recently charged the MHIP to establish a bold footprint in our brand’s MHIP next year rather than enroll into a and exchange boards to study the desirability expansion in the Executive Education private plan in the exchange, the MHIP and of having MHIP begin to administer a new arena,” said David Chin. “This program exchange boards jointly figured that they “reinsurance” program for the private plans mines the intellectual assets across Hopkins could improve the prospects for a successful in the state exchange in 2016 using the to create a unique learning opportunity for launch of the new exchange with more current hospital assessment. “If asked to health care providers who are embracing affordable premiums. “But at the same time, continue, we’ll happily do that,” he says. Accountable Care transformation and we know some low-income MHIP enrollees 9 Alum/Student Connect to Develop Cultural Competency Workshop

hen Monica Shah arrived at the care disparities. Previously, she served as course work, Monica assisted Cheri with Johns Hopkins Bloomberg School of an acting assistant director of the Quality work involving the COA360, with the goal of WPublic Health, she knew she wanted Improvement Department at Johns Hopkins improving health care quality through cultural to use her health administration degree toward Hospital. Cheri is also a certified professional competency. the promotion of cultural competency in in health care quality and the past president Cultural competency is becoming a hot health care. A native of Mystic, Connecticut, of the Maryland Association for Healthcare topic within the health care setting, especially she graduated from Quality (2009). She in light of the DHHS Office of Minority the University of is involved in cultural Health’s National Standards for Culturally and Connecticut in competency and Linguistically Appropriate Services in Health 2010 with a double health disparities and Health Care and the Joint Commission’s Bachelor of Science initiatives at the Standards on Effective Communication, degree in molecular national and state Cultural Competence, and Patient- and and cell biology and levels. Family-Centered Care required of hospitals. in cultural diversity Monica and In this exciting time for the field, Cheri and international Cheri had an instant and Monica hosted a Cultural Competency health studies. After connection: Not only Seminar for the MHA class of 2014 in late college, she worked did they both grow March. The workshop will now become a for two years in up in Connecticut valuable part of the MHA seminar series, various roles at three and attend UConn, allowing Cheri to continue to provide future different nonprofits but they were both MHA cohorts with a comprehensive vision in New York City, passionate about of what being culturally competent means for serving communities Monica Shah and Cheri Wilson the managerial health care leaders. as diverse as South role needed at the In the year to come, while completing Asian immigrant youth and the disadvantaged intersection of cultural competency and her field placement with Johns Hopkins HIV/AIDS population. While working as health disparities with patient safety and International at the medical center in a case manager at the AIDS Service Center health care quality. Not long after they Singapore, Monica will continue her of NYC, Monica decided to pursue health met, Monica started working for Cheri as a education on diverse and cultural workforces administration as a career. Seeing New Yorkers research assistant. In addition to her MHA in health care. from various backgrounds struggle through mazes of hospitals and community providers, Monica became a passionate spokesperson for the importance of cultural competency in the he American College of Healthcare Executives delivery of effective patient care. (ACHE) selected Prashant Dilwali, a second-year As a first-year MHA student, Monica TMHA student, as the first-place award winner in the nationwide Richard J. Stull Essay Competition. Prashant was delighted to meet program alumna presented his paper and received his award at the ACHE’s Cheri Wilson. Before joining JHSPH, Cheri Annual Congress on Healthcare Leadership, held March 13 received a BA in Russian from Howard in Chicago. His adviser, Ann-Michele Gundlach, attended University and an MA in Russian area studies the session and represented the program. “Prashant is the from the University of Minnesota, where she Prashant Dilwali first student in our MHA program to receive the first-place was later a PhD candidate (ABD) in Russian award in the essay competition, and we are very proud.” His paper, “From Acute Care to Home Care: The Evolution of history. Since 2010, Cheri has been a faculty Hopkins MHA Hospital Responsibility and Rationale for Increased Vertical research associate in the Hopkins Center Candidate Integration,” will be published in the Journal of Healthcare for Health Disparities Solutions, where Management later this year. Prashant graduated in May she works with health care organizations Receives Stull and will continue his employment with his administrative on organizational cultural competency as a Award residency site, Alvarez and Marsal’s healthcare division in mechanism to improve health care quality New York City. and patient safety, and to reduce health

10 HPM Hosts Alumni Wine Tasting in DC

iven the number of departmental countries. alumni working or living in the Jerry updated the audience by rattling off GD.C. area, the Department of the department’s recent accomplishments. Health Policy and Management wisely He teased the crowd by letting them know chose a restaurant in Washington, Johnny’s that based on the applicant pool of recent Half Shell on North years “some of you might Scholarships key Capitol Street, as this year’s not have been admitted priority for new JHU venue for its wine-tasting under today’s admission event. Hosting the event standards.” Nevertheless, campaign on behalf of department he applauded the alumni chair Ellen MacKenzie was for their achievements Professor Gerard Anderson, and thanked them for director of HPM’s Center not only attending the for Hospital Finance and event on April 18 but also Management. Jerry is giving their support to certainly no stranger to current students who are D.C. Before joining the launching their careers in faculty at Hopkins, he both the public and private Bill Ward held various positions in sectors of health services the Office of the Secretary, administration. ohns Hopkins has launched the U.S. Department of Health Included in the crowd largest fundraising campaign Gerard Anderson and Human Services, of departmental and Jin the University’s history. where he helped develop MPH alumni were MHA With a $4.5 billion goal, to be Medicare prospective payment legislation. graduates Ashley Spivey ’11, Sierra Long achieved by 2018, the Rising to the Since joining HPM, Jerry has continued ’13 and Jennie Newcomb Rhodes ’11. In Challenge campaign is intended to be a resource to Congress; he has also addition to working in D.C., what else to strengthen JHU’s financial directed reviews of health systems for do these three have in common? All are foundation, particularly in the the World Bank and USAID in multiple graduates of UNC, Chapel Hill! area of student financial aid. As part of this initiative, the School announced that members of the Class of 2002 had established the William Ward Scholarship Fund in Bill’s honor. The School intends to help grow this fund further to increase the number of students who receive financial support. Although the Ward Scholarship Fund is only a small part of the overall campaign, the MHA program hopes that support will be forthcoming. Donations can be made online at www.jhsph.edu/ giving or by contacting the School’s director of development, Heath Elliott, at [email protected] or 410-602-5275. Ashley Spivey ’11; Sierra Long ’13; and Jennie Newcomb Rhodes ’11

11 Administrative Residency Placements for the MHA Class of 2014

Alex Bash Chantal Haberman Samantha Pruden Deloitte Consulting, LLP, The Wilmer Eye Institute at Johns Greater Baltimore Medical Center McLean, VA Hopkins, Baltimore, MD (GBMC), Baltimore, MD Joubin Bavarian Avantika Handa Mrithyunjay Ramgopal Alvarez & Marsal, Sibley Memorial Hospital, The Advisory Board, Austin, TX New York, NY Washington, DC Ashna Saxena Aaron Burch Robert Hart The Johns Hopkins Hospital/Department Johns Hopkins Home Care Group, KPMG, LLP, Baltimore, MD of Medicine, Baltimore, MD Baltimore, MD Susanne Katz Monica Shah Danielle DaSilva The Johns Hopkins Health System Johns Hopkins Medicine International, Greater Baltimore Medical Center Operations Integration, Baltimore, MD Singapore (GBMC), Baltimore, MD Christine Laccay Neethi Srinivasan Dane Denby MedStar Institute for Innovation New England Baptist Hospital, Health Strategies & Solutions, MedStar Emergency Physicians, Boston, MA Philadelphia, PA Washington, DC Lauren Stearns Mahesh Devnani Johns Hopkins Clinical Practice University of Maryland Medical Center Emily Lenneville Association, Baltimore, MD Operations, Baltimore, MD Howard County General Hospital, Columbia, MD Amanda Surber Carlos Diaz-Carrera KPMG, LLP, Baltimore, MD Sibley Memorial Hospital, Zahra Nathu Washington, DC Deloitte Consulting, LLP, McLean, VA Stephanie Vicent Kristen DiTucci Shivani Patel The Emory Clinic, Atlanta, GA The Johns Hopkins Hospital/Department University of Maryland Medical Center Spencer Wildonger of Anesthesiology and Critical Care Planning, Marketing & Business The Johns Hopkins Hospital/Department Medicine, Baltimore, MD Development, Baltimore, MD of Surgery, Baltimore, MD Congratulations to the Class of 2013

osing with former program director speaker, Nelson K. Sewankambo, dean Silver and Linda Sobh, received special Bill Ward are 17 of this year’s 23 emeritus of the School of Medicine in recognition at the ceremony. MHA PMHA graduates who met outside Uganda, described JHSPH not just as an graduates and their guests celebrated Meyerhoff Symphony Hall after the American school but a global institution. afterward at a brunch reception hosted by Convocation ceremony, which started at Recent Delta Omega inductees, including the HPM department. 9 a.m. on Tuesday, May 21. This year’s MHA graduates Sierra Long, Julie