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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 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. Dr. Bloomberg teaches health care quality improvement at Harvard School of Public Health. He is also a Physician Executive with HealthNEXT, a new enterprise that develops a culture of health within major employers seeking to reduce their health care costs by improving the health of their employees and covered dependents. Dr. Bloomberg was previously the Chief Medical Officer of Private Health Care Systems, a national managed care company, and prior to that 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 faculty at the Institute for Clinical Research and Health Policy Studies (ICRHPS) at Tufts 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. His research focus is evidence-based medicine and meta-analysis, including developing reliable and efficient methods and tools to conduct systematic reviews and meta-analyses, cumulative meta-analysis of randomized controlled trials, and systematic reviews of diagnostic tests, nutrition, clinical practice guidelines, and dissemination of evidence-based methods to other biomedical/healthcare disciplines.

 
 
Amy L. Lee, MD, FAAFP

Dr. Amy Lee is Assistant Professor in the Department of Family Medicine at Tufts University School of Medicine, where she leads the curricular key theme group on Culture and Health. She is also the founder and leader of the Tufts Culture and Health Curriculum Development Team, a group of diverse physicians, medical students, 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.

 
 
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.

 
 
Helen M. Manson, MBChB, MRCGP
Dr. Helen Manson is currently a Family Physician, Lecturer in Medical Ethics and organizer of the Ethics and Law theme at Dundee University School of Medicine, Scotland. She qualified in Medicine 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. In the past, she was a Clinical Instructor in the Department of Public Health and Family Medicine at Tufts University Medical School, Boston and served on the Culture and Health Curriculum Development Team. Her special interests include medical ethics education and the ethics of healthcare resource allocation.
 
 
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

David Nash is the Founding Dean and the Dr. Raymond C. and Doris N. Grandon Professor of Health Policy at the Jefferson School of Population Health (JSPH) of Thomas Jefferson University in Philadelphia, Pennsylvania. JSPH provides innovative educational programming designed to develop healthcare leaders for the future. Dr. Nash is a board certified internist who is internationally recognized for his work in outcomes management, medical staff development and quality-of-care improvement. Among his numerous awards, in 2006, he received the Elliot Stone Award for leadership in public accountability for health data from the National Association of Health Data Organizations (NAHDO) NAHDO. Repeatedly named to Modern Healthcare’s list of Most Powerful Persons in Healthcare, his national activities cover a wide scope. Dr. Nash is a consultant to organizations in both the public and private sectors, and has numerous publications and appearances. He is on the Board of Directors for Humana Inc. and for Endo Pharmaceuticals.

 
 
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, faculty at the Institute for Clinical Research and Health Policy Studies (ICRHPS) at Tufts Medical Center, and a practicing internist. Dr. Zucker is Director of the core course on Ethics in Clinical Investigation for the Clinical Research Training Program. Her research focus is on putting research into practice and in particular, on developing methods to enable widespread practice-based clinical research for the evaluation of treatment effectiveness. She also investigates clinical care in specific populations, and helps health practitioners understand evidence-based medicine and its implementation.