OpenNotes Team

Tom Delbanco, MD

Co-Director

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Jan Walker, RN, MBA

Co-Director

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Suzanne Leveille, RN, PhD, is the OpenNotes Team’s Research Director and is a Professor of Nursing in the College of Nursing and Health Sciences at the University of Massachusetts, Boston, where she directs the Nursing PhD Program.  In addition, she is an epidemiologist at Beth Israel Deaconess Medical Center and lecturer at Harvard Medical School.  She has expertise in the conduct and analyses of epidemiologic studies and is currently leading a longitudinal cohort study of chronic pain as a risk factor for disability and falls in older adults living in the Boston area, funded by the National Institute on Aging.  She co-led an RWJF-funded study of a portal-based health coaching intervention to improve patient-doctor communication about chronic health problems in primary care.  This was among the first such studies conducted entirely online from patient screening and recruitment through study follow-up.

As a member of the OpenNotes team, Dr. Leveille is examining new approaches to patient access to online medical records in order to empower patients for self-management of chronic conditions. Dr. Leveille served on the Board of Directors for the Boston Partnership for Older Adults, a city-wide coalition of aging services funded by the Robert Wood Johnson Foundation, whose purpose was to improve community-based long term care services of Boston’s elder population.  She is currently a member of the Mayor’s Advisory Board for the Boston Commission for Persons with Disabilities.


Melissa Anselmo, MPH,
 is the National OpenNotes Program Director in the Division of General Medicine and Primary Care at Beth Israel Deaconess Medical Center.   She studied at Bucknell University (BS) and the University of Otago (MPH) in New Zealand as a Rotary International Ambassadorial Scholar.  She has conducted quantitative and qualitative research on health systems in developing countries.  She is interested in the implementation of low cost interventions that improve access to health services and promote patient engagement.

 

Sigall Bell, MD,  received her medical degree from Harvard Medical School, and completed her residency training in Internal Medicine at Brigham and Women’s Hospital, and a fellowship in Infectious Diseases at Beth Israel Medical Center, where she is now on staff.  She is Co-Director of Patient Safety and Quality Initiatives at the Institute for Professionalism and Ethical Practice(IPEP), Children’s Hospital Boston.  The IPEP’s  mission is to promote relational learning that integrates patient and family perspectives and the everyday ethics of clinical practice.  Dr. Bell is part of an IPEP team  that has trained over 600 interdisciplinary clinician-leaders in medical error disclosure nationally.  She has participated in two AHRQ liability reform projects focused on disclosure and offer programs, involving patients in post-adverse event learning.

As a recipient of the Arnold P. Gold Professorship, her research probes the effects of organizational culture and the “hidden curriculum” – the customs that shape communication and moral decision-making in the clinical learning environment – on patient safety. Currently, she is developing a new educational paradigm for “Patients as Teachers” in inter-professional training sessions on medical error disclosure and patient safety.  Her interest in partnering with patients also grounds her efforts on OpenNotes, where she focuses on educational innovations that derive from this platform, including involving patients in medical education, and studying the relationship between transparency and patient safety.  Dr. Bell has received several teaching awards, and is a member of Academy of Medical Education at Harvard Medical School.

 

Bradley Crotty, MD, MPH, is an Instructor in Medicine at Harvard Medical School and a Research Investigator at the Division of Clinical Informatics at Harvard Medical Faculty Physicians. Dr. Crotty graduated from Tufts University and Harvard Medical School before completing his residency training in Internal Medicine at Beth Israel Deaconess Medical Center where he also served as chief medical resident. He completed the Harvard Medical School Research Fellowship in General Medicine and Primary Care in 2013, when he also received his MPH from the Harvard School of Public Health. Dr. Crotty’s academic and research interests include patient-doctor electronic communication, systems improvement and technology, and the role of social media in healthcare.

 

Jonathan Darer, MD, MPH is Chief Innovation Officer for the Division of Clinical Innovation for Geisinger Health System. His major areas of expertise include leveraging analytics, clinical decision support and reengineering solutions that result in improved chronic disease care and reductions in preventable harm. He holds a bachelor’s degree (Cum Laude) in engineering from Harvard University, his MD from the University of Connecticut Medical School and a Master of Public Health degree from Johns Hopkins University School of Hygiene and Public Health. His residency training was performed at Oregon Health Sciences University, and he completed a fellowship in General Internal Medicine at The Johns Hopkins University School of Medicine. Dr. Darer’s scientific interests include improving quality of care of patients and families through disruptive innovation, human-HIT interface, and quality and value measurement.

Joann G. Elmore, MD, MPH, is Professor of Medicine at the University of Washington (UW) School of Medicine, Adjunct Professor of Epidemiology at the UW School of Public Health, and a practicing attending physician at Harborview Medical Center.  Dr. Elmore received her medical degree from the Stanford University School of Medicine and completed residency training in internal medicine at Yale-New Haven Hospital, with advanced training in epidemiology from the Yale School of Epidemiology and Public Health and the Robert Wood Johnson Clinical Scholars Program.  She was Associate Director of the Robert Wood Johnson Clinical Scholars program at Yale and the University of Washington, recipient of the Robert Wood Johnson Generalist Faculty Award, and subsequently a member of the National Advisory Committee for the Robert Wood Johnson Generalist Faculty award and the Clinical Scholars Program.

Dr. Elmore’s clinical and scientific interests include variability in cancer screening, diagnostic testing, and the evaluation of new technologies.  She has co-authored a textbook on epidemiology, biostatistics, and preventive medicine.  In addition, Dr. Elmore enjoys seeing patients as a primary care internist and teaching clinical medicine to students and residents.

 

RossanaRossana Fazzina, MS, is the OpenNotes Research Program Administrator in the Division of General Medicine at Beth Israel Deaconess Medical Center. She studied at the University of Turin (BS, MS) and at SDA Bocconi University where she received her second Master’s degree in Healthcare Management, Economics and Policy. She has experience conducting healthcare quality improvement research and performance improvement initiatives at the University of California, San Francisco.

Her scientific interests have a strong focus on supporting measurable improvements in health care systems’ performances and fostering a culture of creativity and innovation.

 

Henry Feldman, MD, is Assistant Professor in Medicine at Harvard Medical School and holds dual appointments at Beth Israel Deaconess Medical Center: in the Division of General Internal Medicine in the section of Hospital Medicine, and in the Division of Clinical Informatics. He works as a hospitalist at BIDMC on the teaching and non-teaching medical services and is the Chief Information Architect of the Division of Clinical Informatics. He currently heads all software development for the division.
He received his undergraduate degree from Northeastern University in Boston and has held positions at Microsoft, The Boston Consulting Group, and other companies in the computer industry.  He completed his medical degree at the NYU School of Medicine, followed by an Internal Medicine Residency at NYU Medical Center/Bellevue, a year as Chief Medical Resident, and a 2 year research fellowship in Medical Informatics at NYU.

 

Photo by Scott KingsleyMacda Gerard, B.A., is a Clinical Research Assistant II for the OpenNotes Project in the Division of General Medicine and Primary Care at Beth Israel Deaconess Medical Center. She cooperates in the investigation of the impact of increased transparency between clinicians and patients. She has experience screening research subjects, facilitating focus groups, and evaluating clinical factors in clinical research projects. Educated at Brown University, she is interested in disparities in healthcare access and delivery within underserved communities and is committed to projects which aim to encourage individuals’ autonomy in their personal health through improvements in access.

Kelly Lawman, BS, is a multimedia producer and a member of the media team at Beth Israel Deaconess Medical Center. In Boston, she leads film production, media relations, and website development for the OpenNotes team. She has a versatile background in film and television production, having worked her way through independent film and television documentary to land squarely and comfortably in science and medical media, first at WGBH-TV and now for BIDMC. A graduate of Emerson College, where the journalism seeds sprouted at Emerson’s WERS-FM, Kelly has always embraced the challenge of telling a good story. She is deeply engaged in promoting social justice and the notion of personal empowerment and responsibility.

 

OpenNotes Picture MafiJohn N. Mafi, MD is a Fellow in General Internal Medicine at Beth Israel Deaconess Medical Center and Harvard Medical School. Dr. Mafi completed his undergraduate studies at Northwestern University and then went on to complete medical school at Case Western Reserve University School of Medicine, where he served as Student Body President and was an elected member and President of the Alpha Omega Alpha Honors Society. He then finished his internal medicine residency training at Beth Israel Deaconess Medical Center in 2012, where he also served as Chief Medical Resident in 2013-2014.

Dr. Mafi’s research interests include quality improvement, health information technology, healthcare delivery innovation and patient engagement. He recently led an analysis assessing the quality of back pain management in the United States and found alarming increases in rates of imaging, referrals, and opioid medication use. He is particularly interested in how the intersection of transparency and health information technology can enhance patient engagement and the quality of care.

 

Long Ngo, PhD, is a member of the research faculty in the Department of Medicine at the Beth Israel Deaconess Medical Center and Associate Professor of Medicine in biostatistics at Harvard Medical School.  He collaborates with colleagues in general medicine, radiology, emergency medicine, and environmental health. His methodology research interests are in model selection, longitudinal data analysis, and semiparametric modeling.  Dr. Ngo received his doctorate in Biostatistics from the University of California at Berkeley, and completed a fellowship in Biostatistics at Harvard School of Public Health.

 

James Ralston, MD, MPH, is an Associate Investigator at Group Health Research Institute at Group Health Cooperative in Seattle. His research focuses on Web-based and mobile communications technologies to improve health and health care for patients with chronic medical conditions—an effort that requires carefully evaluating whether such technologies foster stronger connections between patients and care teams. He has led and contributed to research showing that using the Internet to move care from the provider’s office to the patient’s home leads to promising outcomes for patients with conditions such as hypertension and diabetes.

In addition to his position at Group Health, Dr. Ralston serves as an Affiliate Assistant Professor of both Health Services in the School of Public Health and Biomedical and Health Informatics in the School of Medicine at the University of Washington. Dr. Ralston also practices internal medicine at Group Health Cooperative.

 

Rebecca Stametz, D.Ed, MPH, is the Operations Lead that supports Clinical Innovation Research & Evaluation in the Geisinger Health System. The Clinical Innovation Research & Evaluation team is devoted to rigorous scientific evaluation and research that will identify factors associated with successful (and unsuccessful) adoption, use, and performance of particular changes in health care delivery. Dr. Stametz’s scientific interests are focused on the influence of adult learning on obesity prevention and health promotion.  Other research interests include the impact of weight stigma and the adoption of health behaviors and the intersection of the built environment and health and the evaluation of new technologies.  Dr. Stametz received her undergraduate degree from Bloomsburg University and her MPH from East Stroudsburg University. She received her doctorate in Adult Education at The Pennsylvania State University.

We wish to acknowledge the many other contributors for their invaluable work on the OpenNotes project:

Elaine Bianco, BSN; Carolyn Conti, BS; Shireesha Dhanireddy, MD; Christopher Dries, BA; Nadine Farag, MPH; Amy Goldman, BA; Robert Harrington, MD; James I. Hoath, PhC; Sarah Jackson, MD, MPH; Margaret Jeddry; Jing Ji, MS;  Marc Lichtenfeld, PhD; J. Andrew Markiel, PhD; Lawrence Markson, MD, MPH; Roanne Mejilla, MPH; Natalia Oster, MPH; Steve Ross, MD; Joan Topper, BS; Neha Trivedi, BS; Bethye Vodicka, MHA;Qiang Wang, MD; Clara De La Cruz Watral, MBA