Rebalancing Health Care in the Heartland

Speaker information

Michael Bousselot
Health Policy Advisor
Office of the Governor of the State of Iowa

Michael Bousselot advises Governor Terry E. Branstad and Lt. Governor Kim Reynolds on policy matters, including health care. Michael has worked on several major health care projects, including Iowa’s Healthiest State Initiative, MHDS Redesign and Medicaid payments on behalf of the Governor. Before joining Governor Branstad’s staff, Michael worked as an attorney in private practice in his hometown of Davenport, Iowa, where he represented individuals, businesses and medical professionals throughout Iowa and Illinois. Before practicing as an attorney, he worked as a consultant for Deloitte & Touche in Chicago, Illinois. Mr. Bousselot earned a B.B.A. in accounting and Master’s degree in accounting from The University of Iowa as well as a J.D. from Drake University Law School. He remains active on the Davenport Schools Foundation Board, the Tippie College of Business Young Alumni Board and as a volunteer locally in Des Moines.

Susan J. Curry, PhD
Dean and Distinguished Professor of Health Management and Policy
University of Iowa College of Public Health

Sue Curry, PhD, was appointed Dean of the University of Iowa College of Public Health and Distinguished Professor in the Department of Health Management and Policy in 2008.

Prior to joining the College of Public Health, Dean Curry served as professor of health policy and administration and director of the Institute for Health Research and Policy in the School of Public Health at the University of Illinois at Chicago. From the late-1980s until joining UIC in 2001, Dean Curry was professor of health services in the School of Public Health and Community Medicine at the University of Washington and senior investigator and director at the Center for Health Studies, Group Health Cooperative. She also served as a scientist in the country’s first Cancer Prevention Research Unit at the Fred Hutchinson Cancer Research Center in Seattle.

Dean Curry is recognized internationally for her expertise in behavioral science and translation of research findings into health policy. Her bibliography includes over 190 publications. Her extensive research in chronic disease prevention and management includes studies of tobacco cessation, dietary change, modification of risky drinking patterns, and methods of increasing compliance with recommended cancer screening. Dean Curry’s research also encompasses studies of the use and cost effectiveness of prevention treatments under different health insurance plans, and health care costs and utilization associated with tobacco cessation.

She has served as a principal investigator or co-investigator on 30 grants funded by NIH, CDC, and major foundations. Dean Curry is a fellow of both the Society of Behavioral Medicine and the American Psychological Association. She is the recipient of numerous awards, including the American Society for Preventive Oncology’s Joseph R. Cullen Memorial Award in 2000 and the Society of Behavioral Medicine’s Distinguished Scientist Award in 2001. Dean Curry’s many professional activities include service on the Board of Directors of the American Legacy Foundation and as a member of the US Preventive Services Task Force. Dean Curry was elected to the Institute of Medicine in 2010.

Susan Dentzer
Editor-In-Chief, Health Affairs
PBS NewsHour

Susan Dentzer is the editor-in-chief of Health Affairs, the nation’s leading peer-reviewed journal focused on the intersection of health, health care and health policy in the United States and internationally. One of the nation’s most respected health and health policy journalists, she is an on-air analyst on health issues with the PBS NewsHour, and a frequent guest and commentator on such National Public Radio shows as This American Life and The Diane Rehm Show.

Dentzer is an elected member of the Institute of Medicine, the health arm of the National Academy of Sciences, and of the Council on Foreign Relations, the independent, nonpartisan membership organization and think tank dedicated to exploring the foreign policy choices facing the United States and other countries.

At Health Affairs, Dentzer oversees the journal’s team of nearly 30 editors and other staff in producing the monthly publication and web site. Health Affairs has been described by the Washington Post as the “Bible” of health policy. Its articles and their authors are frequently cited in the Congressional Record and in congressional testimony as well as in the news media. The Health Affairs web site recorded 50 million page views in 2010.

Before joining Health Affairs in May 2008, Dentzer was on-air Health Correspondent at the PBS NewsHour. From 1998 to 2008, she led the show’s unit providing in-depth coverage of health care and health policy. Prior to joining the PBS NewsHour, she was chief economics correspondent and economics columnist for U.S. News & World Report, and previously was a senior writer at Newsweek.

Dentzer’s other work in television has included appearances as a regular analyst or commentator on CNN and The McLaughlin Group. Her writing has also earned her several fellowships, including a Nieman Fellowship at Harvard University, where she studied health economics and policy, and a U.S.-Japan Leadership Program Fellowship, during which she researched the effects of the rapidly aging Japanese population.

Dentzer is an elected member of the National Academy of Social Insurance, a nonprofit, nonpartisan organization made up of the nation's leading experts on social insurance, is a fellow of the Hastings Center, a nonpartisan research institution dedicated to bioethics and the public interest.

Dentzer is a member of the Board of Directors of Research!America, the nation's largest not-for-profit public education and advocacy alliance committed to making research to improve health a higher national priority. She is also a member of the Board of Overseers of the International Rescue Committee, a humanitarian organization providing relief to refugees and displaced persons around the world. She chairs the IRC board’s Program Committee, which oversees the organization’s activities in resettling refugees in the United States and in dealing with refugees and displaced persons in roughly 25 countries. Formerly, Dentzer served on the Board of Directors of the Global Health Council and was its chair from 2008-2010.

A graduate of Dartmouth and holder of an honorary master of arts from the institution, Ms. Dentzer is a Dartmouth trustee emerita and chaired the Dartmouth Board of Trustees from 2001 to 2004. She serves on the Board of Overseers of Dartmouth Medical School.

Dentzer, her husband and their three children live in the Washington, DC area.

Tom Evans, M.D.
President and CEO
Iowa Healthcare Collaborative

Tom Evans, M.D. is the President and CEO of the Iowa Healthcare Collaborative (IHC). The Collaborative focuses provider-led initiatives to promote transparency, improve clinical performance, improve patient safety and reduce cost.

Dr. Evans received both BA and MA degrees from Drake University. He received his MD degree from the University of Iowa in 1983 and completed his Family Medicine residency at Broadlawns Medical Center in 1986. He practiced family medicine for 13 years, and served as Chief Medical Officer for the Iowa Health System from 1999 to 2005. He has served as President of both the Iowa Medical Society and the Iowa Academy of Family Physicians. He has also served on the board for the National Patient Safety Foundation, and on the delegations for both the American Medical Association and the American Academy of Family Physicians. Dr. Evans currently serves as a faculty member with the Institute for Healthcare Improvement, Des Moines University, and the University Of Iowa College Of Public Health.

Daniel S. Fick, M.D.
Associate Director of the University of Iowa Physicians
University of Iowa Health Care

Dr. Fick is a Clinical Professor in the Department of Family Medicine at the University of Iowa Carver College of Medicine. He is the Associate Director of the University of Iowa Physicians and the Assistant Dean for Clinical Affairs. His other duties include Campus Health Officer for the University of Iowa and Medical Director of the University of Iowa Health Plans. Dr. Fick is the President of Iowa Medical Mutual Insurance Company. He is currently the physical lead for Accountable Care Organization development at UI Health Care.

Rita A. Frantz, PhD, RN, FAAN
Kelting Dean & Professor
University of Iowa College of Nursing

Rita Frantz joined the faculty of the University of Iowa College of Nursing in 1972. She was appointed Dean on July 1, 2007. She is a co-leader of the Iowa Action Coalition, which is implementing the recommendations from the Institute of Medicine report, “The Future of Nursing: Leading Change, Advancing Health.”

Dr. Frantz’s professional career spans over three decades of experience in university professorships and wound healing research. She is recognized nationally and internationally for her work in pressure ulcer prevention and treatment. For the past twenty-five years she has conducted a funded program of research focusing on pressure ulcers and chronic wound healing. She has served as a member of multiple government and professional expert panels that have developed guidelines for prevention and treatment of pressure ulcers. Dr. Frantz has collaborated extensively with practitioners across the state of Iowa and nationally to promote the transfer of research-based practice to care of elderly populations at risk for pressure ulcers.

Pam Halvorson
Regional VP Clinic Operations/Executive Sponsor ACO
Trinity Pioneer Accountable Care Organization

Pam Halvorson is responsible for the overall management of the Trimark Physicians Group Regional Clinics, Fort Dodge Multi-Specialty and Primary Care Clinics. She consults, advises and assists the Trimark Physicians Group Board of Directors in providing leadership in planning, directing and coordinating both patient and non-patient care activities. Pam oversees daily operations of the medical practices and other affiliated healthcare organizations (e.g. the Norma Schmoker Women’s Center and the Veterans Administration primary care clinic).

She is responsible for all facilities including management and business services. Pam received her bachelor’s degree from the University of North Dakota in Occupational Therapy and has held leadership positions in the healthcare industry for over 30 years. This leadership history includes 17 years of experience managing multiple locations and operations for RehabVisions, a rehabilitation management company based in Omaha NE. Pam has extensive experience and success in recruitment and retention of personnel during critical shortages.

Pam most recently served as the Executive Director of Business Development for Trinity Regional Medical Center. Previous positions in the Trinity Health System included Director of Rehabilitation, Trinity Wound Center, Trinity Corporate Health Services, Employee Health and Renal Dialysis. Pam has served as the President of the Iowa Occupational Therapy Association, the American Occupational Therapy Association State Presidents Council, and Member of the North Dakota Occupational Therapy State Board of Practice. Within the rehabilitation fields, Pam is considered to be an expert on reimbursement and regulatory standards. She has served as an advisor/speaker in this capacity to the Iowa Rehab Manager’s Association, the American Occupational Therapy Association and the Iowa and North Dakota Occupational Therapy Associations. She has provided expert testimony to legislative bodies in three states regarding the impact of reimbursement changes on consumers and access to affordable healthcare.

Jack Hatch
Iowa State Senator

Jack Hatch is presently serving his third term in the Iowa Senate after being elected in November 2002. His legislative district represents some of the highest and lowest family incomes in the state. Senator Hatch is the Chair of the Senate Health & Human Services Budget Committee.

Senator Hatch demonstrated his commitment to affordable, quality health care for vulnerable Iowans as he led passage of the Health Care Reform legislation which guaranteed health care for all children by 2011. In addition, he created the Community Health Center Incubator Program and the Iowa Collaborative Safety Net Provider Network which provided greater access for low income Iowans and undocumented children and collaborated with Governor Vilsack in creating the Iowa Care program for uninsured Iowans. He also provided state funding for the first time for Community health centers, free clinics and rural clinics. For his involvement in health care, Senator Hatch has been recognized by the Iowa/ Nebraska Primary Care Association, the Iowa Health Care Association, Iowa Association of Homes and Services for the Aging, Iowa Care Givers Association, Broadlawns Medical Center, Iowa for Health Care – SEIU, Iowa Academy for Family Physicians, Iowa Dental Association, Polk County Medical Society, Iowa Association of Home Care, Eyerly Ball, Brain Injury Assn., American Chiropractic Society, Iowa Osteopathic Medical Association and the American Cancer Society.

In 2009, the White House asked Senator Hatch to chair the Working Group of State Legislators for Health Care Reform. He served as chair until November 2011 and still sits on the executive committee.

Senator Hatch has presented to several national workshops on health care reform and leadership presentation. These include: National Conference of State Legislatures’ Health Care Chairs, 2007 & 2008, National Health Policy Forum, July 2008, Milbank Memorial Fund, December 2008 & 2011, Progressive States Network, December, 2008 and the Midwest Conference of Public Interest Research Groups.

Senator Hatch graduated with a BA in Political Science in 1972 and a MPA in 1973 from Drake University. He was elected student body president at Drake where he started the student volunteer program, the Revitalization Corps which became the largest student volunteer program in the Midwest in the early 1970’s with over 750 students volunteered annually. He also founded the Iowa Student Public Interest Research Group (ISPIRG), a Nader sponsored citizen action network which operates today as Environmental Iowa. For his leadership, Senator Hatch received the Orin E. Scott Outstanding Student Award.

Dave Heaton
Iowa State Representative

Dave Heaton is the State Representative for the 91st District of Iowa, including all of Henry County and the northern half of Lee County.  Representative Heaton is Chair of the Health & Human Services Appropriations Subcommittee and member of the Appropriations, Human Resources and Judicial Standing Committees.

David Lyons
Founding Director and Chief Executive Officer
CoOportunity Health

David Lyons is a Founding Director and Chief Executive Officer of CoOportunity Health. Throughout his career, Lyons has been a passionate advocate for the power of public-private partnerships and is recognized for his ability to foster collaboration.

Lyons is the Founder of The Iowa Institute and President of TII Corp. Through the Institute, Lyons works to identify challenges and opportunities in the state, implements research to outline options and develops strategies, tools and support to enable Iowa communities and industries to successfully respond. Economic development, sustainability, healthcare, and tax policy are just a few of the areas of present activity for the Institute. Lyons serves on numerous public and private boards and has held several professional leadership positions including Chief Business Development Officer for the Iowa Farm Bureau Federation, Director of the Iowa Department of Economic Development, Insurance Commissioner for the State of Iowa and Legal Counsel with the Iowa Legislature. David has a long history of leading innovative and successful public-private partnerships in Iowa, including legal (tort) reform, health reform, rural development, environmental protection and renewable energy, as well as spearheading numerous projects for both Republican and Democratic administrations. David grew up on a family farm near Bernard, Iowa. He received his undergraduate degree from Loras College in Dubuque and his law degree from the University of Iowa.

Andrea McGuire
Co-Chair
Partnership for Better Health

Dr.  McGuire is a physician, health care executive, and a mother of seven. The focus in her life through her professional work and public service has been on those less fortunate. She strives on making a positive impact in their lives, especially woman and children. Dr. McGuire is a nuclear medicine physician with research interests in breast cancer and positron emission tomography. She is presently the President/COO of Meridian Health Plan, managing the Medicaid population with a focus on quality. She is also the Chair of the College of Public Health Board of Advisors at the University of Iowa and the co-chair of the Partnership for Better Health, both organizations who promote better health locally, nationally and internationally. Dr. McGuire has been active nationally in health care through her work on the CPT Committee, influencing health care policy and payment, and the National Advisory Committee for the Agency for Healthcare Research and Quality. She has been involved in state and local economic development through her work as a governor appointee to the Iowa Department of Economic Development Board and the Des Moines Partnership Board. Through the United Way’s Women’s Leadership initiative, she is an advocate for quality early childhood education.  All of these interests led her to run for Lieutenant Governor to champion these causes.  

Michael Murphy
President and CEO
Iowa Health System's Accountable Care Organization & Integrated Care Organization

Michael Murphy leads the transition of Iowa Health System from a fee for service reimbursement environment to one that is rewarded for exceptional clinical care in a cost effective fashion across the healthcare delivery continuum. He is responsible the strategic development and execution of population health management initiatives, reimbursement methodologies and the development and management of a high performing clinical network of employed and aligned physicians in order to demonstrate value to patients, external stakeholders, payers and the government.

Murphy brings a great deal of experience as a healthcare leader. He most recently served as Executive Vice President for Health Networks with Trinity Health in Novi, Michigan. While at Trinity he led their accountable care development and clinical integration program. His background includes experience in hospital and physician leadership roles. Trinity Health owns 35 hospitals and manages a dozen more, as well as a large network of outpatient, home health and hospice programs in ten states.

When it comes to reimbursements and collaborative care, Murphy says, "The national health care regulations and payment models are changing. Iowa Health System is an organization leading in strategy development to embrace these changes. It is our job to continue to lead in the innovation of care.”

“The key to that innovation is the physician. By putting the physician, at the center of the patient care model, physician leaders can foster a collaborative environment. One of the things that really caught my attention at Iowa Health System was the organization's commitment to physician alignment and coordination. Investing in physician leadership to improve outcomes is crucial to leading the direction of health care delivery into the future."

The strategic addition of Murphy to Iowa Health System’s leadership team is another major step in the System’s transition to become a physician-driven organization.

Charles Palmer
Director
Iowa Department of Human Services

Charles (Chuck) M. Palmer was appointed Director of the Iowa Department of Human Services by Governor Branstad and Lt. Governor Reynolds on January 14, 2011. DHS is an agency that directly serves approximately 900,000 Iowans per year. The agency provides authority and financing for a range of services including health care for Iowans of all ages through the Medicaid program and health insurance for children through the Iowa hawk-i program. The agency also is the lead agency for behavioral health care, including services to people with mental illness and developmental disabilities.  The agency provides child support collection services, financial assistance, child care, foster care, adoptive services, child protective services, juvenile justice services, long-term care support for elderly and disabled persons, food assistance through the food stamp program, and adult protective services. DHS operates and oversees the management of nine state institutions; two juvenile justice facilities, two resource centers for people with disabilities, four mental health institutions, and the Civil Commitment Unit for Sexual Offenders (CCUSO). The agency operates a number of combined state and federally-financed programs and has an annual budget of just under $5 billion.

Previously, Chuck served as President of the Iowans for Social & Economic Development (ISED) from 1999-2011. He has decades of experience in state and local government including holding the position of Director of the Department of Human Services from 1989-1999; and Division Administrator of the Division of Mental Health, Mental Retardation and Developmental Disabilities within DHS (1979-1989). He has also worked for the Casey Foundation and the Milbank Memorial Fund in the areas of child welfare, asset development, workforce and health care.

Other experiences also include Director of Planning and Allocation Division, United Way of Greater Iowa (1973-1979); Chief Psychiatric Social Worker at the Des Moines Child Guidance Center (1967-1973); and Psychiatric Social Worker at the Des Moines Child Guidance Center (1964-1967). 

Tim Quinn
President
MercyCare Community Physicians

Timothy Quinn, MD, is the President of MercyCare Community Physicians and also serves the Cedar Rapids area as a practicing family physician at MercyCare’s Blairs Ferry location. His passion for high quality patient care shows through on a daily basis, and in September he was awarded the Mercy Hero award for making a very real difference in the life of a patient (not his own) and the patient’s significant other. Dr. Quinn also contributes to the medical landscape through frequent speaking engagements and articles, most recently “Physician-Led Quality Program Yields Lifesaving Results” featured in the July 2012 edition of MGMA’s Connexion.

Jean Robillard
Vice President for Medical Affairs
University of Iowa Health Care

Jean E. Robillard, M.D., is vice president for medical affairs at the University of Iowa. He began his appointment as vice president in January 2007, after serving four years as dean of the Carver College of Medicine, a position he continued to hold until June 2008.

Dr. Robillard is a pediatric nephrologist whose work focuses on the developmental physiology of the kidney. He has published more than 220 scientific papers during his career, many of which have contributed to advances in the field.

Prior to his appointment as dean of the Carver College of Medicine, Dr. Robillard served as chair and professor of the Department of Pediatrics at the University of Michigan Medical School and physician-in-chief at C.S. Mott Children’s Hospital.

A native of Montreal, Dr. Robillard earned Bachelor’s and Medical degrees from the University of Montreal. Following post-doctoral training in Montreal, Los Angeles and Iowa City, he joined the faculty at the University of Iowa in 1976 as an assistant professor. He was later promoted to professor in 1982 and appointed as vice chair of the Department of Pediatrics in 1987 while he was also director of the Pediatric Nephrology Division.

Dr. Robillard is a Fellow of the American Association for the Advancement of Science and in 2006 served as Chair of the Board of Directors of the American Board of Pediatrics.  He is also a member of the American Clinical and Climatological Association, the Iowa Business Council and Rotary International.

Debra Schwinn
Dean
Roy J. and Lucille A. Carver College of Medicine, University of Iowa Health Care

Debra A. Schwinn, M.D., began her work as the next dean of the University of Iowa Roy J. and Lucille A. Carver College of Medicine on Nov. 1, 2012.   Prior to this, she served as professor and chair of the Department of Anesthesiology and Pain Medicine, the Allan J. Treuer Endowed Professor of Anesthesiology, and adjunct professor of Pharmacology and Genome Sciences at the University of Washington in Seattle.

Schwinn is a nationally known investigator in molecular pharmacology with active funding from the National Institutes of Health (NIH). She is an elected member of the Institute of Medicine of the National Academies of Science, and numerous other national and international organizations. She holds four U.S. patents and one Australian patent. 

Schwinn has served on numerous national and international committees and boards, including as 2012-2014 chair of the Board of Trustees for the International Anesthesiology Research Society. Schwinn is the author or co-author on more than 180 journal articles and book chapters; the editor of two books; and served as a reviewer on many journals and on the editorial boards of several journals. During her academic career she has received many honorary awards, including several teaching awards.

Schwinn received her medical degree from Stanford University School of Medicine, completed a residency in anesthesiology at the Hospital of the University of Pennsylvania, and a clinical fellowship in cardiac anesthesiology (including training in transesophageal echocardiography) at Duke University Medical Center. She completed a research fellowship in the Departments of Biochemistry and Medicine at Duke, as well as the national Executive Leadership in Academic Medicine (ELAM) program.

Tanya Uden-Holman
Associate Dean for Education and Student Affairs
Associate Professor (Clinical), Department of Health Management and Policy, University of Iowa College of Public Health

Dr. Tanya M. Uden-Holman is associate dean for education and student affairs and associate professor (clinical) in the University of Iowa College of Public Health, Department of Health Management and Policy. She also serves as the Deputy Director of the Institute for Public Health Practice. Dr. Uden-Holman’s current funding includes serving as principal investigator of the Upper Midwest Public Health Training Center (funded by the Health Resources and Services Administration) as well as the Upper Midwest Preparedness and Emergency Response Learning Center (funded by the Centers for Disease Control and Prevention). These grants are primarily focused on assessing, developing, and maintaining a well prepared and qualified public health workforce. Dr. Uden-Holman, on behalf of the College of Public Health, is also facilitating the Iowa Interprofessional Education initiative on the University of Iowa Health Sciences campus. This initiative involves all five of the health sciences colleges and builds on the highly collaborative culture of the UI campus and current interprofessional education activities.

Jennifer Vermeer
Director
Iowa Medicaid

Jennifer Vermeer was appointed the State Medicaid Director in September 2008. Prior to being named Director Jennifer served as the assistant Medicaid Director for 3 years. Before her work with Medicaid she was a senior analyst for the non-partisan Iowa Legislative Service Agency for two and a half years, specializing in Medicaid and other Department of Human Services programs. Jennifer served for seven years at the Joint Legislative Budget Committee in the Arizona Legislature, the last three years as Deputy Director, before moving to Iowa in December 2002. Jennifer earned her Masters of Public Administration from the University of Arizona and is a graduate of Central College in Pella.

In her work at Iowa Medicaid Vermeer manages Iowa’s $4 Billion Medicaid program. The Iowa Medicaid Enterprise processes over 20 million medical claims per year and contracts with over 38,000 Iowa health care providers.  Iowa Medicaid serves over 450,000 Iowans.  Iowa Medicaid is currently undertaking a variety of new endeavors including implementation of the Medical Home Model (a team approach to patient-centered care), expanded access to the IowaCare program, implementation of the Affordable Care Act, and modernization of the 30-year-old Medicaid Management Information System (MMIS), among other projects.  Vermeer is committed to ensuring the delivery of health care to the most vulnerable Iowans while utilizing best practices to maintain program integrity to fight fraud and abuse. Vermeer believes that holding the program to the highest quality standards is the best way to fulfill her responsibilities to Medicaid recipients, health care providers and taxpayers.  In addition, Vermeer is a believer in strengthening partnerships in the delivery of health care and increasing awareness among policy makers about Medicaid programs.  She is a frequent speaker at Iowa Legislative hearings and other settings such as the University of Iowa.

In 2011 Vermeer was awarded the “Underserved Champion of the Year Award” by the Iowa Nebraska Primary Health Care Association, now known as the Iowa Primary Care Association.  In 2011 Vermeer was selected in a competitive process to participate in the Medicaid Leadership Institute, an advanced professional development program managed by the Center for Health Care Strategies (CHCS) and funded by the Robert Wood Johnson Foundation.  Iowa was one of only six states represented in the program.