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Curriculum Guide on Managing Care

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Faculty
 
Paul Abourjaily, PharmD, BCPS
Dr. Paul Abourjaily is a clinical pharmacy specialist in primary care at Tufts-New England Medical Center, Boston, MA, where he directs an outpatient medication clinic in the General Medical Associates primary care practice, and serves as pharmacy consultant to the hospital IPA. He is board certified in pharmacotherapy and also serves as an adjunct assistant professor of clinical pharmacy for students from the Massachusetts College of Pharmacy. Dr Abourjaily serves as an active member on various pharmacy committees on both the hospital and health plan level.
 
 
Mark A. Bloomberg, MD, MBA, FACPE
Dr. Mark Bloomberg is President of The Bloomberg Health Care Group, a consulting practice dedicated to the education of medical students, residents, practicing physicians and physician executives. He was previously the Chief Medical Officer of Private Health Care Systems, a national managed care company, at which he was clinically responsible for more than 120 health plans located throughout the country with a combined membership of over 7 million lives. Prior to that position, Dr. Bloomberg was the Corporate Medical Director of Tufts Health Plans.

 
Marc M. Edelstein, MD, PhD

Dr. Marc Edelstein is the Chief Medical Officer and Co-Director for the Tufts Health Care Institute (THCI) and Tufts University School of Medicine Office of Continuing Education (TUSM/OCE). Dr. Edelstein has more than 25 years experience in both clinical and administrative health care. He served as the CEO for a large community-based Physician Organization in the Greater Boston area as well as a senior Physician Executive in several roles, including Chief Medical Officer for a large Florida-based, not-for-profit Managed Care Health Plan. He has practiced medicine in a number of clinical settings including as a fulltime faculty member of the University of Miami School of Medicine. In addition to his medical degree, Dr. Edelstein also earned a PhD in Philosophy/Medical Ethics. He has served on several institutional Ethics Committees and taught courses in both the Philosophy of Medicine and Medical Ethics.

 
 
Elaine Enright, RN, CCM

Ms. Elaine Enright is the Director of Case Management and Clinical Education for Primary Care, LLC of Braintree, Massachusetts. Primary Care, LLC is a community based physician organization consisting of over 200 primary care physicians on Massachusett's south shore. Ms. Enright is responsible for the development and coordination of continuing education for physicians, case managers, and clinical staff across the Primary Care network. She provides support and resources for a staff of 17 RN Case Managers, and is the Case Management liaison to contracted health plans, providers, and tertiary facilities in Boston. In addition, Ms. Enright is responsible for the development and implementation of Case Management programs and initiatives.

 
 
Neal Friedman, MD
Dr. Neal M. Friedman is a Board Certified Endocrinologist with an extensive background in diabetes, disease management, care management, and quality improvement. He most recently was the Vice-President and Medical Director for Quality Improvement and Evidence Based Practice at Kaleida Health in Buffalo, New York. He is also a Clinical Associate Professor, Department of Medicine at the State University of New York and active on the Evidence Based Medicine Committee. Previously, Dr. Friedman spent nineteen years at Lovelace Health Systems, the Lovelace Clinic Foundation, and Lovelace Healthcare Innovations in various clinical, research and administrative positions.
 
 
James Hyde MA, SM

James Hyde is an Associate Professor in the Department of Public Health and Family Medicine at the Tufts University School of Medicine and Director of the Tufts Master’s Program in Health Communication. He has written, published and presented extensively on issues related to risk communication and health literacy. He is co-author of three papers, two of which focused on the development of enhanced literacy materials for low literacy populations. In addition, his work on asthma management in managed care settings focused on issues related to the readability of clinical asthma management materials used in managed care settings. He was one of ten External Reviewers for the recently issued IOM Report: Health Literacy: A Prescription to End Confusion (IOM 2004) and is a member of the Editorial Board of the Journal of Health Communication. He also serves as a member of the Tufts-NEMC/TUHS IRB.

 
 
Joseph Lau, MD

Dr. Joseph Lau is Professor of Medicine at Tufts University School of Medicine and clinical-investigator at the Division of Clinical Care Research at Tufts-New England Medical Center. He is the director of one of the twelve Agency for Healthcare Research and Quality's Evidence-based Practice Centers and of the Training Evidence-based Practitioners project.

 
 
Harry L. Leider, MD, MBA, FACPE

Dr. Harry Leider, a board certified internist, is Senior Vice President of Interactive Forums, Inc. a national health care consulting and market research firm. He has provided consultative services to a broad range of managed care and physician organizations in the areas of leadership training for physician executives, organizational change, disease management, clinical quality improvement, and practice management. Previously Dr. Leider was Chief Medical Officer and Senior Vice President of Product Strategy for CardioContinuum, a national disease management company. He has held several positions in the managed care arena.

 
 
Susan M. Murray, RN, ANP, MPH
Ms. Susan Murray has over 25 years of experience as a health-care clinician and executive. She practiced nursing in the acute care setting, taught staff nurses, and was the administrator of the Employee Health Service at a West Suburban Hospital. Ms. Murray is also an Adult Nurse Practitioner.
 
 
Thomas Mayer, MD, MBA
Dr. Thomas Mayer is the Executive Director of Managed Care Education for the Institute for Health Care Advancement, a Southern California not-for-profit foundation dedicated to advancing and innovating the best practices and solutions to care for populations across the health care continuum. Dr. Mayer was previously the Senior Vice President of Medical Affairs for Friendly Hills Health Care Network, a 400 physician multispecialty medical group based in Southern California. Friendly Hills has accepted capitation for almost 20 years and provided health care to over 400,000 members through 25 different capitated HMOs. This includes more than 22,000 capitated Medicare members and 107,000 capitated MediCal (Medicaid) enrollees.
 
 
David B. Nash, MD, MBA, FACP

Dr. David B. Nash is the Dr. Raymond C. and Doris N. Grandon Professor and Chairman of the Department of Health Policy at Jefferson Medical College of Thomas Jefferson University in Philadelphia. Dr. Nash, a board certified internist, founded the original Office of Health Policy in 1990. From 1996 to 2003, he served as the first Associate Dean for Health Policy at Jefferson Medical College. In 2004, he was named Co-director of the Masters Program in Public Health at Jefferson.

 
 
Joseph Raduazzo, MD

Dr. Joseph Raduazzo is Medical Director of Pharmacy Services and Employer
Relations at Tufts Health Plan, Waltham, MA. Previously, he was the Medical Director of the Brockton Hospital, Brockton, Massachusetts, and its Physician Hospital Organization; and Assistant Program Director for the Boston University Medical Center Transitional Residency Program at Brockton Hospital. Dr. Raduazzo has been an active member of P&T committees on both the Hospital and Health Plan level.

 
 
Deborah R. Zucker, MD, PhD

Dr. Deborah R. Zucker is Assistant Professor of Medicine at Tufts University School of Medicine, clinical investigator in the Department of Medicine's Division of Clinical Care Research, and a practicing internist in the General Medical Associates clinic at Tufts-New England Medical Center. She is Assistant Director of the Tufts-NEMC-AHRQ Evidence-based Practice Center and co-investigator for an AHRQ sponsored Program to Train Evidence-based Practitioners. Dr. Zucker's research focuses on developing methods to enable widespread practice-based clinical research through the combination of individual patient (n-of-1) studies.

 
Helen M. Manson, MBChB, MRCGP
Dr. Helen Manson is a Clinical Instructor in the Department of Public Health and Family Medicine at Tufts University Medical School, Boston. She qualified in Medicine at Dundee University in Scotland, became a Member of the Royal College of General Practitioners of the United Kingdom in 1994, and completed the Fellowship in Medical Ethics at Harvard Medical School in 2004. She practiced Family Medicine in the United Kingdom for seven years and has also worked in the pharmaceutical industry. She serves on the Culture and Health Curriculum Development Team, which promulgates cultural competence educational initiatives at Tufts University Medical School. Her special interests include medical ethics education and the ethics of healthcare resource allocation.
 
Amy L. Lee, MD
Dr. Amy Lee is Assistant Professor in the Department of Public Health and Family Medicine at Tufts University School of Medicine, and Community Faculty at the Tufts Family Medicine Residency at Cambridge Health Alliance. She is the founder and leader of the Tufts Culture and Health Curriculum Development Team, a group of diverse physicians and community leaders dedicated to improving cultural competency training. She has an undergraduate degree in Medical Anthropology from Brown University, and graduated from Tufts University School of Medicine and the Tufts Family Medicine Residency where she served as Chief Resident. She is board certified in Family Medicine and cares for a diverse patient population in private practice in addition to teaching medical students and residents.