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Workshops
PLENARY SESSIONS
Plenary
Sesion: Wednesday, September 29, 2004, 8:30-8:45am
WORLDS
APART
A documentary film and medical education project to improve multicultural
health
Directed by award-winning physician/filmmaker Maren Grainger-Monsen and
filmmaker Julia Haslett, the films follow patients and families faced
with critical medical decisions as they navigate their way through the
health care system. Shot in patients’ homes, neighborhoods, and places
of worship, hospital wards and community clinics, Worlds Apart provides
a balanced yet penetrating look at both the patient’s culture and
the culture of medicine.
Accompanying the four videos is a study guide designed by cross-cultural
medicine educators Drs. Alexander Green and Joseph Betancourt. With the
support of the Association of American Medical Colleges, Worlds Apart
will be used to teach medical students and health care professionals about
cross-cultural communication and cultural sensitivity.
FEATURED VIDEO:
Robert P. needs a kidney. Two years ago when his kidneys failed he had
to fight to get placed on the transplant list. Since then he’s sought
care with a new nephrologist who he hopes will be more sensitive to his
needs and concerns, and most importantly, be someone he can trust. As
a health policy analyst, Robert, who is African-American, knows he’s
going to wait twice as long as a white patient for a transplant. He’s
determined to find out why.
Dr. Grainger-Monsen is currently producing a full-length documentary
film for broadcast that will be released in the fall of 2004. The film
will explore in greater detail the interactions between culturally diverse
patients and their healthcare providers in the United States. In examining
the effect of sociocultural barriers on communication and health outcomes,
the film will reveal a great deal about both problems and opportunities
in cross-cultural healthcare.
These projects are funded in part by the generous support of The California
Endowment, the Commonwealth Fund, the Greenwall Foundation, and the Arthur
Vining Davis Foundations.
Worlds Apart is distributed by:
Fanlight Productions
4196 Washington Street
Boston, MA 02131
800/937-4113
http://www.fanlight.com
Maren Grainger-Monsen, M.D. is the Director of the Biomedical
Ethics in Film Program at the Stanford University Center for Biomedical
Ethics. She received her medical training at the University of Washington
and Stanford University School of Medicine, and studied film at the London
International Film School. Grainger-Monsen’s most recent project,
Worlds Apart, a series of four short films for medical education
exploring cultural conflicts over medical treatment, is currently being
used in more than 260 medical schools and other institutions. Her previous
work includes the Emmy-nominated The Vanishing Line, a chronicle
of her journey toward understanding the art and issues of dying, which
was broadcast in 1998 and in 2000 on the national PBS “Point of View”
series and was awarded First Place at the Nashville Independent Film Festival;
Where the Highway Ends: Rural Healthcare in Crisis, which won a
regional Emmy Award; and Grave Words, awarded first place in the
American Medical Association Film Festival.
Maren Grainger-Monsen, M.D.
Director, Bioethics in Film Program
Stanford University Center for Biomedical Ethics
701 Welch Road, Building A, Suite 1105
Palo Alto, CA 94304
Phone: 650-498-5386 / Fax: 650-725-6131
mmonsen@stanford.edu
http://scbe.stanford.edu/research/programs/film/index.html
Plenary
Sesion: Wednesday, September 29, 2004, 8:45-9:00am
Julia
Puebla Fortier
Co Producer
National Conference Series on Quality Health Care for Culturally Diverse
Populations
Julia Puebla Fortier has more than 15 years experience working in and
writing about the health sector, and specializes in linguistic and cultural
competence in health care. As founder and director of Resources for
Cross Cultural Health Care since 1995, she works with a national alliance
of individuals and organizations in ethnic communities and health care
to offer information and technical assistance on linguistic and cultural
competence. Key activities include policy development and analysis, research,
program design, and community advocacy.
Through RCCHC, Ms. Fortier has spearheaded the development of several
key policy tools in this area. She was the principal author of the National
Standards for Culturally and Linguistically Appropriate Services (CLAS)
in Health Care for the USDHHS Office of Minority Health. She has consulted
with other HHS agencies to develop model contracting specifications on
cultural competence for state Medicaid agencies and the managed care organizations
they contract with, as well as a national research agenda to promote outcomes-related
research on cultural and linguistic health care interventions. She is
currently working with the Agency for Healthcare Research and Quality
to facilitate a dialogue with key national stakeholders on a framework
for integrating cultural competence into national healthcare quality improvement
efforts.
Ms. Fortier has developed and manages the DiversityRx website--a comprehensive
clearinghouse of information on model programs and policies related to
cross cultural health--and its listserv of over 400 participants. RCCHC
is the co producer of the national conferences series “Quality Health
Care for Culturally Diverse Populations,” held four times since October
1998, and supported by USDHHS and major foundations, corporations, and
national organizations.
Ms. Fortier previously worked for 7 years on the U.S. House of Representatives
Subcommittee on Health and the Environment (Rep. Henry A. Waxman, Chairman),
authoring legislation on Federal programs related to minority and Indian
health, primary health care, health professions training, developmental
disabilities, and Medicaid. She was Chair of the Board and a volunteer
for the Washington (DC) Free Clinic, and led one of the first efforts
to raise awareness about language access issues in the Washington metropolitan
area. She brings a strong professional commitment to integrating the health
needs and concerns of traditionally underserved populations into health
policy discourse and practice, and has extensive experience working with
Latino and other ethnically diverse or underserved communities. Ms. Fortier
graduated from the University of California at Berkeley, Bachelor of Arts,
in "Social and Historical Issues in Science and Medicine,” speaks
native Spanish and acquired French, and is raising two cross-cultural
children overseas with her husband, Alex Ross.
Julia Puebla Fortier
Director
Resources for Cross Cultural Health Care
c/o 5120 Geneva Place
Dulles, VA 20189
Tel: 011-41-22-757-2339 (Geneva, Switzerland)
rcchc@aol.com
www.diversityRx.org
Plenary
Sesion: Wednesday, September 29, 2004, 8:45-9:00am
Dennis
Paul Andrulis, Ph.D., M.P.H.
Co Producer
National Conference Series on Quality Health Care for Culturally Diverse
Populations
Dr. Andrulis received his Ph.D. in Educational-Community Psychology from
the University of Texas at Austin, and his M.P.H. from the University
of North Carolina at Chapel Hill. He is currently Visiting Research Professor
in the Department of Preventive Medicine and Community Health. He is responsible
for creating, developing, and conducting policy-relevant research related
to national and New York State health issues.
In his current work and preceding tenure as Director, Office of Urban
Populations at the New York Academy of Medicine in New York City, Dr.
Andrulis has created and overseen the development of projects, prepared
major reports, and published on a wide range of issues affecting hospitals
and safety net providers, vulnerable populations and their communities.
Dr. Andrulis has served as Principal Investigator for an investigative
report, published by Jossey-Bass, entitled Managed Care and the Inner
City: The Uncertain Promise for Providers, Plans and Communities. A primary
area of concentration concerns cultural diversity in health care.
His work has included creation of a cultural competence self-assessment
tool for hospitals and health plans, a national conference series on quality
of health care for culturally diverse populations, publications on reducing
racial and ethnic disparities in health care, and serving as expert faculty
and advisor on related efforts. His focus on urban issues led to the creation
of a compendium and analysis of information on the social and health characteristics
of the nation’s major urban areas, published by The American Hospital
Association Press, entitled The Social and Health Landscape of Urban
and Suburban America. This ten-year project has included reports on
race, culture and key indicators of health in the nation’s 100 largest
cities and their suburbs and city-suburban progress in meeting healthy
people goals.
In his ten-year tenure as President of the National Public Health and
Hospital Institute, Dr. Andrulis instituted a research and education agenda
concerning public hospital systems and the safety net, including national
surveys on hospital HIV care, teaching hospitals and their adaptation
to managed care, patient-centered care and health care professional training
on policy. He is a founding member and board member of the American International
Health Alliance, which, with Agency for International Development assistance,
establishes health care partnerships between the U.S. and Central-Eastern
Europe. He has also served as a member of the Board of Trustees for the
Hospital for Sick Children in Washington, D.C. Dr. Andrulis has held academic
appointments in the George Washington University Department of Health
Services Management and Policy, and the Columbia University School of
Public Health. His experience includes tenures in the Office of the Secretary,
the Department of Health and Human Services, specializing in alcohol,
drug abuse and mental health programs, the Institute of Medicine-National
Academy of Sciences, and the Congressional Office of Technology Assessment.
Dennis P. Andrulis, Ph.D.
SUNY Downstate Medical Center
Dept of Preventive Medicine & Community Health
450 Clarkson Avenue
Box #1240
Brooklyn, NY 11203
Office: 718-270-7726
Fax: 718-270-7565
dennis.andrulis@downstate.edu
Plenary
Sesion: Wednesday, September 29, 2004, 9:00-9:30am
Congresswoman
Hilda L. Solís,
Working for the People of the 32nd District of California
Congresswoman Hilda L. Solis first came to congress in 2000 and is currently
serving her second term in the U.S. House of Representatives. She represents
the 32nd Congressional District of California, which encompasses the San
Gabriel Valley and parts of East Los Angeles. This district includes the
cities of Azusa, Baldwin Park, Duarte, El Monte, South El Monte, Irwindale,
Rosemead, Covina, West Covina, the community of El Sereno and part of
Monterey Park.
Congresswoman Solis serves on the powerful House Energy and Commerce
Committee becoming the first Latina to serve on this committee. She is
the Ranking Member of the Environment and Hazardous Materials Subcommittee.
Solis is also Assistant Whip, Chairwoman of the Congressional Hispanic
Caucus' Task Force on Health and Democratic Vice-Chair of the Congressional
Caucus on Women's Issues. Her priorities include protecting the environment,
improving the quality of health care and fighting for the rights of working
families.
Congresswoman Solis' hard work and passion to fight for environmental
justice is nationally recognized. In August 2000, she was the first woman
awarded the John F. Kennedy Profile in Courage Award for her pioneering
work on environmental justice issues in California. The Profile in Courage
Award served to recognize Solis' perseverance against anti-environmental
groups and polluters. She has proven her dedication to the pursuit of
good environmental public policy.
Solis graduated from California State Polytechnic University, Pomona
in 1979, and earned a Masters degree in Public Administration from the
University of Southern California in 1981. During the Carter Administration
she was the Editor-In-Chief of the White House Office of Hispanic Affairs
and was later appointed as a management analyst with the Office of Management
and Budget in the Civil Rights Division.
Solis was first elected to public office in 1985 as a member of the Rio
Hondo Community College Board of Trustees. She served in the California
State Assembly from 1992 to 1994, and in 1994 she made history by becoming
the first Latina ever elected to the State Senate. As a trailblazing State
Senator, she passed innovative environmental justice legislation aimed
at improving low-income and minority communities most affected by pollution
and waste. This legislation was the first of its kind. Furthermore, as
the chairwoman of the powerful Senate Industrial Relations Committee she
worked with labor groups and led the battle to increase the minimum wage
in California from $4.25 to $5.75 an hour in 1996.
Congresswoman Solis is a lifetime resident of the San Gabriel Valley
and currently resides in the City of El Monte. Her parents and her six
siblings continue to be a great source of inspiration to Congresswoman
Solis. Her parents still live in the house where she was raised and her
husband, Sam, is a small business owner.
Plenary
Sesion: Wednesday, September 29, 2004, 9:30-10:30am
Risa Lavizzo-Mourey,
M.D., M.B.A.
President
The Robert Wood Johnson Foundation
Executive Officer of The Robert Wood Johnson Foundation, a position she
assumed in January 2003. She originally joined the staff in April 2001
as the Senior Vice President and Director, Health Care Group. Prior to
coming to the Foundation, Dr. Lavizzo-Mourey was the Sylvan Eisman Professor
of Medicine and Health Care Systems at the University of Pennsylvania,
as well as Director of the Institute on Aging. Under both Democratic and
Republican administrations, Dr. Lavizzo-Mourey was the Deputy Administrator
of the Agency for Health Care Policy and Research now known as the Agency
for Health Care Research and Quality within the Department of Health and
Human Services. While in government service, Dr. Lavizzo-Mourey worked
on the White House Health Care Policy team, including the White House
Task Force on Health Care Reform where she co-chaired the working group
on Quality of Care.
Dr. Lavizzo-Mourey’s contributions to health and healthcare include
service on many federal committees such as the National Committee for
Vital and Health Statistics, where she chaired the Subcommittee on Minority
Populations; and the President’s Advisory Commission on Consumer
Protection and Quality in the Health Care Industry aw well as private
bodies such as the Board of Directors of the American Board of Internal
Medicine and the Board of Regents of the American College of Medicine.
Dr. Lavizzo-Mourey recently completed work as co-director of a congressionally
requested Institute of Medicine study on racial disparities in health
care resulting in the publication of Unequal Treatment, Confronting Racial
and Ethnic Disparities in Health Care. She is the author of scores of
articles and several books.
Dr. Lavizzo-Mourey is a member of the Institute of Medicine of the National
Academy of Sciences. She is the recipient of two honorary doctorates and
numerous other awards, including ones from the Harvard School of Public
Health, Department of Health and Human Services, The National Academy
of Sciences, American College of Physicians, National Library of Medicine,
American Medical Women’s Association, National Medical Association
and University of Pennsylvania.
Dr. Lavizzo-Mourey earned her medical degree at Harvard Medical School
followed by a Masters in Business Administration at the University of
Pennsylvania's Wharton School. After completing a residency in internal
medicine at Brigham and Women's Hospital in Boston, Massachusetts, Dr.
Lavizzo-Mourey was a Robert Wood Johnson Clinical Scholar at the University
of Pennsylvania where she also received her geriatrics training.
Plenary
Sesion: Wednesday, September 29, 2004, 12:30-1:45pm
Katherine
Gottlieb, M.B.A.
President/CEO
Southcentral Foundation
Putting
Healthcare into Culture, not Culture into Healthcare
Healthcare is in crisis. Patients are frustrated, healthcare staff are
frustrated and angry, and payers are unhappy with the outcomes. Populations
who are different from the mainstream in terms of language, culture, financial
status, and other attributes continue to experience huge health disparities.
The proposed ‘fixes’ and ‘improvements’ are mostly
focused on improving the current system. We at SCF assert that this approach
will never ‘fix’ the system. We need to quit ‘forcing’
customers into what ‘works’ for healthcare and start figuring
out how to put ‘healthcare’ into customer’s lives in ways
that work for them and put the power and control into their hands. National
data, and our data from SCF, demonstrate that impressive improvements
in outcomes, patient satisfaction, employee satisfaction, and markedly
decreased costs are all possible to obtain all at the same time when systems
apply all known best practices in a fundamentally changed focused system
based on customer power and control.
Our successes include utilization data that includes decreases on a per
person basis of 50% in the Emergency Room and Urgent Care, 65% in use
of medical specialists, and nearly 20% in use of primary care visits.
We also have demonstrated customer satisfaction and employee satisfaction
levels that are well above industry averages. Clinical process measures
and clinical outcomes are also mostly better than national averages and
some are better by a large amount. We also have received recognition in
many quarters for our culturally based approaches to residential and outpatient
treatment programs addressing substance abuse, prevention of fetal alcohol
affected infants, behavioral health, and troubled youth. Our completely
integrative approaches to incorporating Native Traditional Healers, chiropractors,
massage therapists, and acupuncture are also receiving widespread attention.
Huge challenges existed for us in finding funding, creating Native centered
– customer centered programs, and changing the existing provider-centric
models present in the medical services we took over from the Indian Health
Service. Moving to a system designed and managed based on Native driven
operational principles has been transforming in terms of our ability to
build a radically different system. Finding and keeping talented leadership,
intentional development of Native leadership, and overall intentional
workforce development have been key to our progress.
We feel that the following are some of the most critical success factors:
1. Center the entire design on relationship and customer control
2. The entire healthcare system needs redesign – needs to think
and act as a single, integrated, coordinated, service-industry, system
3. Radically improved cost, outcomes, satisfaction will occur
4. Systematically and thoroughly addressed workforce issues are critical
5. Creating customer centered systems will improve indigenous health
issues AND the health issues of other sectors of society
6. Culturally based, customer centered systems are at least as important
in urban settings as in rural settings.
Katherine Gottlieb has personal roots in rural village Alaska
and a long professional career in leadership in urban Alaska. She has
been the President/CEO of a large Native owned health corporation (SCF)
for over 12 years. Under her leadership this customer-owned Native health
corporation has developed an international reputation as a leader in health
related system design and innovation based on Native values and Native
ways of thinking, leading, and organizing. The work of SCF has become
a template for many locations across the nation and internationally. Her
leadership work has resulted in interactions and relationships in many
cultures and locations around the world. Her passion and vision for making
healthcare customer owned and customer controlled while managing a large
complex, financially successful health corporation are admired by many.
Southcentral Foundation at the Alaska Native Medical Center
4320 Diplomacy Drive, Anchorage, Alaska 99508
907-729-4955
Fax 907-729-3265
deby@anmc.orgdeby@anmc.org
Plenary
Sesion: Wednesday, September 29, 2004, 4:15-5:45pm
Garth N.
Graham M.D., M.P.H.
Acting Director
Office of Minority Health
Department of Health and Human Services
The Office of Minority Health was created by the U. S. Department of
Health and Human Services (HHS) in 1985 as a result of the Report of the
Secretary's Task Force on Black and Minority Health. The office operates
under the provisions of the Health Professions Education Partnerships
Act of 1998. The mission of the Office of Minority Health is to improve
the health of racial and ethnic populations through the development of
effective health policies and programs that help to eliminate health disparities.
These populations include Blacks/African Americans, American Indians and
Alaska Natives, Asian Americans, Native Hawaiians and Other Pacific Islanders
and Hispanics/Latinos.
As Acting Director, Dr. Graham reports to the Assistant Secretary for
Health and works closely with all agencies throughout the Department.
The Office of Minority Health develops and coordinates Federal health
policy that addresses minority health concerns and ensures that Federal,
State and local health programs take into account the needs of disadvantaged,
racial and ethnic populations.
Dr Graham serves as the Executive Director of the HHS Council on Health
Disparities. The Council made up of senior leadership across the department
serves to coordinate and track progress on disparities related projects
undertaken by the department. He was previously appointed a White House
Fellow and special assistant to Secretary Tommy G. Thompson at the Department
of Health and Human Services, the White House Fellows program is America's
most prestigious program for leadership and public service. Dr. Graham
has significant experience working in minority communities, he founded
the Boston Men's Cardiovascular Health Project, a project designed to
find behavioral explanations for decreased adherence to adequate diet
and exercise by African American men. Dr Graham was Founding Senior Editorial
Board Member of the Yale Journal of Health, Law, Policy, and Ethics, and
served on the Editorial Board of the Yale Journal of Biology and Science
and as a reviewer for the Journal of Health Services Research. He has
served on the Public Health Executive Council of the Massachusetts Medical
Society, Board of Directors of Physicians for Human Rights, Chairman of
the American Medical Association/ MSS National Minority Issues Committee
and on the Steering Committee of the Boston Men’s Health Coalition.
Dr. Graham has taught on the Faculty of the Observed Structured Clinical
Exam at Harvard Medical School and has authored scientific articles and
presentations on cardiovascular disease, HIV/AIDS and community medicine
and medical education.
Dr. Graham earned an M.D. from the Yale School of Medicine, where he
graduated cum laude was inducted into the Alpha Omega Alpha medical honor
society and named a Yale President Public Service Fellow. He also earned
an M.P.H. from the Yale School of Epidemiology and Public Health with
a focus in health policy administration and did his residency in Internal
Medicine at Massachusetts General Hospital and was also a Clinical Fellow
at Harvard Medical School. His awards include the 2002 American Medical
Association Leadership Award, the Partners in Excelellence Award and the
the Miriam Kathleen Dasey Award from Yale Medical School.
Plenary
Sesion: Wednesday, September 29, 2004, 4:15-5:45pm
Richard
M. Campanelli, J.D.
Director, Office for Civil Rights
Office of the Secretary
U.S. Department of Health and Human Services
Washington, DC
Richard Campanelli was named by Department of Health and Human Services
Secretary Tommy G. Thompson to be Director of the Department’s Office
for Civil Rights in July 2002. The Office for Civil Rights (OCR) is charged
with ensuring that the quarter of a million programs which receive federal
financial assistance from the Department do not illegally discriminate
on the basis of race, color, national origin, age or disability. In addition,
OCR is charged with protecting the rights of individuals to their personal
health information as set forth in the Standards for the Privacy of Individually
Identified Health Information, the HIPAA “Privacy Rule.”
Mr. Campanelli has over 20 years of public and private sector experience
in the law practice focusing on civil rights, public policy and government
regulation of private entities. He began his law career in 1983 as a Trial
Attorney in the U.S. Department of Justice Civil Rights Division, Special
Litigation Section. In that capacity he litigated unconstitutional conditions
at health care facilities and prisons. In 1986 Mr. Campanelli was named
as the Legal Counsel to the U.S. Department of State South Africa Working
Group, which promoted initiatives that pressed for an end to apartheid.
In 1987 Mr. Campanelli returned to the Department of Justice, where he
was appointed Senior Special Assistant to the Attorney General, and Deputy
Chief of Staff. His responsibilities included serving as the Department
liaison to the Cabinet and Domestic Policy Council, reviewing applications
submitted to the Attorney General under the Foreign Intelligence Surveillance
Act, reviewing matters arising from the Justice Department’s Civil
Rights, Civil, and Tax Divisions, and serving as the Department’s
representative to the Interagency Task Force on Welfare Reform.
In 1989 he joined the law practice of Gammon & Grange, P.C., in McLean,
Virginia. Mr. Campanelli co-chaired the firm’s nonprofit practice
group, focusing particularly on federal and state regulation of tax exempt
entities, employment law, contract law, and intellectual property rights.
He was a frequent lecturer on these topics.
Mr. Campanelli also served as Adjunct Associate Professor in the Masters
of Public Administration program at George Mason University, teaching
Nonprofit Law, Governance and Ethics. He has served on the board of various
nonprofit and community organizations.
Plenary
Sesion: Wednesday, September 29, 2004, 4:15-5:45pm
Mireille
B. Kanda, M.D., M.P.H., F.A.A.P.
Mireille B. Kanda joined the National Center on Minority Health and Health
Disparities (NCMHD) at the National Institutes of Health (NIH) on April
20, 2003. In the capacity of Deputy Director, Dr. Kanda oversees activities,
initiatives and policies of the Center. She is also responsible for advising
the Director on issues relating to health disparities.
From her extensive experience in general pediatrics, child protection,
Head Start and Early Head Start, family planning and adolescent pregnancy
prevention, Dr. Kanda brings to her responsibilities a deep commitment
to improving the health of individuals in the context of families, and
reducing and eliminating health disparities.
Dr. Kanda came to NCMHD from the Office of Population Affairs, Office
of Public Health and Science where she served as Acting Director and Deputy
Director. She provided oversight to the Office of Adolescent Pregnancy
Programs and the Office of Family Planning, both of which are federal
focal points for reducing unintended pregnancies. Previously, she was
with the Administration on Children and Families as Director of Health
and Disabilities Services in the Head Start Bureau. Prior to joining the
Federal government, she directed the Division of Child Protection at the
Children=s Hospital National Medical Center in Washington, D.C.
Dr. Kanda received her Bachelor of Science degree in biology from American
University. She is a graduate of the George Washington University School
of Medicine and completed a residency in Pediatrics at Children=s National
Medical Center in Washington, DC. She also studied Tropical Pediatrics
at the State University General Hospital, in Port-au-Prince, Haiti and
she has a Masters of Public Health from the Johns Hopkins University Bloomberg
School of Public Health.
Between 1978 and 1981, Dr. Kanda was a Senior Instructor in Pediatrics
at Case Western Reserve University School of Medicine and between 1982
and 1993, an Assistant Professor of Child Health and Development at George
Washington University School of Medicine. She is board certified by the
National Board of Medical Examiners, the American Board of Pediatrics,
and a Fellow of the American Academy of Pediatrics. She has served on
numerous committees and task forces relating to child victimization, including
the Mayor's (Washington, D.C.) Advisory Committee on Child Abuse and Neglect,
and the Committee on Child Abuse and Neglect of the American Academy of
Pediatrics. She also co-chaired the District of Columbia's child fatality
review committee for several years. She is the recipient of many distinguished
awards including a mayoral proclamation for her services to the children
of the District of Columbia and the Assistant Secretary of Health=s Award
for Distinguished Service.
Plenary
Sesion: Thursday, September 30, 2004, 8:30-10:00am
Georges
C. Benjamin, M.D., F.A.C.P.
Executive Director
American Public Health Association
Georges C. Benjamin, MD, FACP, a nationally renowned leader in public
health assumed leadership of The American Public Health Association (APHA)
in December 2002. APHA is the largest and oldest public health association
in the world, with over 50,000 members. He is a former Secretary of Health
for the State of Maryland, Chief of Emergency Medicine at the Walter Reed
Army Medical Center, and Commissioner for Public Health for the District
of Columbia.
Dr. Benjamin is a seasoned professional, with a proven record in administrative
medicine, health policy development and clinical care at the local, state
and national level. An expert in emergency medicine, Dr. Benjamin is an
active participant in the national debate on how best to protect the American
people against the risks of bioterrorism.
A graduate of the Illinois Institute of Technology and the University
of Illinois College of Medicine, Dr. Benjamin is board certified in Internal
Medicine and is a Fellow of the American College of Physicians. He is
a Past President of the Association of State and Territorial Health Officials
(ASTHO), and has served on several national advisory groups. His most
recent appointments are to the Boards of Research America, Partnership
for Prevention and the Advisory Committee to the Director of the U.S.
Center for Disease Control and Prevention.
Plenary
Sesion: Thursday, September 30, 2004, 8:30-10:00am
Nuha Abudabbeh,
Ph.D.
Nuha Abudabbeh is a clinical and forensic psychologist. She was born
in Jaffa, Palestine, raised in Turkey, and has lived in Beirut, Lebanon
and Libya. She did her undergraduate work at the American University in
Lebanon and received her PhD from the University of Maryland, College
Park. Dr. Abudabbeh has held several positions with the District of Columbia
as a psychologist; the most recent one was as a clinical administrator
at St. Elizabeth Hospital. She is the founder and CEO of a nonprofit organization
that provides mental health and social services to Arab Americans in the
Washington D.C. area. Dr. Abudabbeh presently serves as a mental health
consultant to Court Services, and conducts workshops on Arab Americans
and Mental Health. . In the past three years, as the lead consultant to
the Court Services Dr. Abudabbeh designed a mental health service to meet
the needs of inner city African American offenders who were diverted to
the court system as a result of their inability to access appropriate
mental health services. She has also served as an international consultant
to the United Nations, produced and broadcasted a weekly radio program
on mental health as well as working with the Washington D.C. correctional
system as a Staff Psychologist and Clinical Administrator. She has written
several publications on Arab Americans and mental health as well as four
chapters in three different books that will be published in March of 2005.
She has also received many awards for her work, including the American
University of Beirut graduates’ award for community service.
Plenary
Sesion: Thursday, September 30, 2004, 12:30-1:45pm
 Marguerite
M. Johnson
Vice President for Programs Health
W.K. Kellogg Foundation
Marguerite M. Johnson is vice president for programs at the W.K. Kellogg
Foundation. She is responsible for overseeing program development and
administration as well as program/project evaluation and dissemination
in health grantmaking.
Prior to joining the Foundation, Ms. Johnson was vice president of programs
at the Rose Community Foundation in Denver, Colorado. As one of the first
staff members to be hired, Ms. Johnson was instrumental in establishing
the organization’s grantmaking strategies, policies and procedures.
Before that, she was a senior program officer at The Robert Wood Johnson
Foundation in Princeton, New Jersey.
In addition, Ms. Johnson's work as a community health professional has
included: high risk prenatal program coordinator at the Colorado Department
of Public Health in Denver; community health planner at Framingham Union
Hospital in Massachusetts; adolescent program director at the Roxbury
Comprehensive Community Health Center in Boston, Massachusetts; community
health educator at Planned Parenthood of Southeastern Pennsylvania in
Philadelphia; and a psychotherapist/case manager at the Children’s
Aid Society, also in Philadelphia.
An active community volunteer, Ms. Johnson has served as Board member
of numerous nonprofit organizations, including: Board Chair, ETR Associates,
Santa Cruz, California; Officer of the Colorado Association of Nonprofit
Organizations and Planned Parenthood of the Rocky Mountains both in Denver,
Colorado; and Grantmakers in Health in Washington, DC. She was appointed
Chair of the Denver Great Kids Head Start Commission by Mayor Wellington
Webb and served in that capacity from 1998-2000.
Ms. Johnson holds a Bachelor of Arts degree from Smith College in Northampton,
Massachusetts, a Master of Social Services degree from Bryn Mawr College
Graduate School of Social Work in Pennsylvania, and a Master of Science
degree in health policy and management from Harvard University School
of Public Health in Boston, Massachusetts.
The W.K. Kellogg Foundation was established in 1930 “to help people
help themselves through the practical application of knowledge and resources
to improve their quality of life and that of future generations.”
Its programming activities center around the common vision of a world
in which each person has a sense of worth; accepts responsibility for
self, family, community, and societal well-being; and has the capacity
to be productive, and to help create nurturing families, responsive institutions,
and healthy communities.
To achieve the greatest impact, the Foundation targets its grants toward
specific areas. These include: health; food systems and rural development;
youth and education; and philanthropy and volunteerism. Within these areas,
attention is given to exploring learning opportunities in leadership;
information and communication technology; capitalizing on diversity; and
social and economic community development. Grants are concentrated in
the United States, Latin America and the Caribbean, and the southern African
countries of Botswana, Lesotho, Mozambique, South Africa, Swaziland, and
Zimbabwe.
Plenary
Sesion: Friday, October 1, 2004, 8:30-9:45am
Michael
J. Reardon, M.D.
National Medical Director
Member Advantage Programs
Michael J. Reardon is the National Medical Director for Aetna’s
Member Advantage Programs which include Disease Management, Women’s
Health, Informed Health Nurse Support Line, and Wellness Counseling. Dr.
Reardon’s expertise is in medical management, disease management
program development, and strategies for health care delivery. He creates
innovative, member-centric programs which provide proven results and improvement
in utilization of services, financial return, and member empowerment.
In 2003, Aetna’s Disease Management program for chronic heart failure
won “Best Disease Management Program Award” from the Disease
Management Association of America for its innovative design and proven
results.
Dr. Reardon is also leading Aetna’s efforts to address racial and
ethnic disparities in healthcare, a key corporate initiative. In addition
to developing programs to address disparities among Aetna’s member
population, Dr. Reardon put in place a training program developed with
Critical Measures, called “Quality Interactions,” for Aetna’s
medical staff, to bring to the forefront the differences in healthcare
provided to people of different races and ethnicities.
Prior to joining Aetna, Dr. Reardon served as the regional medical director
for Cigna HealthCare’s Tri-state region, that company’s largest
market with over 2 million members. In that role, he developed a cutting-edge,
fully integrated disease management program which focused on Chronic Obstructive
Pulmonary Disease, and streamlined medical management processes. This
program integrated behavioral health, pharmacy, and medical management.
Dr. Reardon has also served as assistant professor of clinical surgery
at SUNY Science Center at Brooklyn and was assistant director of the burn
unit for St. Joseph’s Hospital in Elmira, NY. He is Board Certified
in plastic surgery, and has experience in reconstruction of complex traumatic
maxillofacial and extremity injuries.
Plenary
Sesion: Friday, October 1, 2004, 8:30-9:45am
Winston
F. Wong, M.D., M.S.
Clinical Director, Community Benefit
Kaiser Permanente National Program Office
Dr. Winston Wong joins Kaiser Permanente after serving ten years as a
Commissioned Officer of the U.S. Public Health Service, rising to the
rank of Captain and earning the Outstanding Service Medal for his achievements
and service to the Department of Health and Human Services. Appointed
in 2000 as the Division Director of Health Resources and Services Administrations
(HRSA) programs for California, Dr. Wong oversaw policy implementation
and program development for maternal and child health programs, community
health centers, Ryan White (HIV) services, and health profession development
grants totaling in excess of $400 million. In addition, he served concurrently
as HRSA’s Chief Medical Officer for the four state region of Arizona,
Hawaii, California, Nevada, and the Pacific Basin, and in this capacity,
coordinated and led various federal clinical and quality improvement initiatives.
A highlight of his federal service career was the development and coordination
of HRSA activities in Micronesia, Guam, Saipan, Palau, America Samoa,
and the Marshall Islands.
As a member of the Associate Clinical Faculty of the University of California
San Francisco School of Medicine, and a frequent guest lecturer at the
Stanford University School of Medicine, Dr. Wong has addressed cultural
competency in health care in a variety of settings and roles, including
the classroom and as a clinical preceptor, and as a member of a number
of California State Task Forces including Tuberculosis, Immunization,
and Multicultural Health. He has served on various federal task forces,
and on an Institute of Medicine Group focusing on Multicultural Health
Communication. He was selected and completed leadership training with
the Public Health Leadership Institute and the Interagency Institute for
Federal Health Care Executives.
Dr. Wong received his baccalaureate in Ethnic Studies and his Masters
Degree in Health and Medical Sciences at the University of California
at Berkeley, and his medical degree at the University of California, San
Francisco. A board certified Family Practitioner, Dr. Wong was previously
the Medical Director of Asian Health Services, a federally funded community
health center in Oakland, California, and continues to specialize in care
of immigrant non-English speaking Asian patients. An avid San Francisco
Giants fan, Dr. Wong resides in San Francisco with his wife and three
children.
Kaiser
Permanente: Measuring for the Elimination of Disparities
Kaiser Permanente, the nation’s largest and oldest integrated health
care delivery organization with a membership of 8.2 million members, provides
care to a highly diverse population in eight states. Through its health
professional training programs, independent research, population care
management initiatives, clinical quality programs, and its Institute for
Culturally Competent Care, it has demonstrated a sustained commitment
in providing health care to culturally diverse populations.
Kaiser’s Care Management Institute (CMI) develops and disseminates
evidence base guidelines to promote the highest standards of medical practice
among Permanente clinicians. Through this work, CMI collects data for
1.8 million patients with chronic conditions. Data elements include approximately
140 fields reflecting clinical outcomes and processes for twelve chronic
conditions. Although data is collected at the member level, racial identity
is not currently a specific identifier. However, member survey data, conducted
on an annual basis, provides an opportunity to extrapolate racial and
ethnic trends in care and case management.
Moreover, working with the National Minority Health Month Institute (Gary
Puckrein, Ph.D.), and most recently with the Agency for Health Care Quality
and Research, CMI has embarked on analyzing its data utilizing geo-coding
methodology. Data captured at the zip code and census tract level provides
a useful, if imperfect lens to examine specific performance measures for
minority populations. Geo-coding analysis of chronic condition data can
guide organizational initiatives to address racial and ethnic disparities
in outcomes and interventions. With the establishment of Health Connect,
Kaiser’s automated medical management system in the next two years,
racial data on morbidity will be captured routinely and will provide the
template for integrated access and medical management strategies that
can target health disparities in culturally diverse populations.
Plenary
Sesion: Friday, October 1, 2004, 12:15-1:15pm
 Surgeon
General Richard H. Carmona
Vice Admiral Richard H. Carmona, M.D., F.A.C.S., was sworn in as the
17th Surgeon General of the United States Public Health Service on August
5, 2002.
Born and raised in New York City, Dr. Carmona dropped out of high school
and enlisted in the U.S. Army in 1967. While enlisted he received his
Army General Equivalency Diploma, joined the Army's Special Forces, ultimately
becoming a combat-decorated Vietnam veteran, and began his career in medicine.
After leaving active duty, Dr. Carmona attended Bronx Community College,
of the City University of New York, where he earned his associate of arts
degree. He later attended and graduated from the University of California,
San Francisco, with a bachelor of science degree (1977) and medical degree
(1979). At the University of California Medical School, Dr. Carmona was
awarded the prestigious gold headed cane as the top graduate. He has also
earned a masters of public health from the University of Arizona (1998).
Dr. Carmona has worked in various positions in the medical field including
paramedic, registered nurse and physician. Dr. Carmona completed a surgical
residency at the University of California, San Francisco, and a National
Institutes of Health-sponsored fellowship in trauma, burns and critical
care. Dr. Carmona is a Fellow of the American College of Surgeons, and
is also certified in correctional health care and in quality assurance.
Prior to being named Surgeon General, Dr. Carmona was the chairman of
the State of Arizona Southern Regional Emergency Medical System, a professor
of surgery, public health and family and community medicine at the University
of Arizona, and the Pima County Sheriff's Department surgeon and deputy
sheriff.
Dr. Carmona has also held progressive positions of responsibility as
chief medical officer, hospital chief executive officer, public health
officer, and finally chief executive officer of the Pima county health
care system. He has also served as a medical director of police and fire
departments and is a fully-qualified peace officer with expertise in special
operations and emergency preparedness, including weapons of mass destruction.
Dr. Carmona has published extensively and received numerous awards, decorations,
and local and national recognition for his achievements. A strong supporter
of community service, he has served on community and national boards and
provided leadership to many diverse organizations.
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