MACRA Episode-Based Cost Measures Wave 4 Clinician Expert Workgroup .

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Project Title:MACRA EPISODE-BASED COST MEASURESWAVE 4 CLINICIAN EXPERT WORKGROUPCOMPOSITION (MEMBERSHIP) LISTMACRA Episode-Based Cost Measures – Wave 4 Clinician Expert Workgroups MembershipProject Overview:The Centers for Medicare & Medicaid Services (CMS) has contracted with Acumen, LLC(“Acumen”) to develop care episode and patient condition groups for use in cost measures tomeet the requirements of the Medicare Access and CHIP Reauthorization Act of 2015(MACRA). The contract name is “Physician Cost Measure and Patient Relationship Codes(PCMP).” The contract number is 75FCMC18D0015, Task Order 75FCMC19F0004. As part ofthe development and maintenance processes, Acumen convenes groups of stakeholders andexperts who contribute direction and thoughtful input during development of episode-based costmeasures.The project’s overall objective is to develop episode-based cost measures suitable for potentialuse in the Quality Payment Program. For more details about the project background, includingdevelopment activities undertaken in previous years, please review this MACRA cost measuredevelopment approach summary on the MACRA Feedback Page.Acumen’s measure development approach typically includes convening clinician expert panelscalled Clinical Subcommittees (CS) focused on particular clinical areas in cycles of development(“waves”). In Wave 4 beginning in 2021, Acumen is convening 4 Clinician Expert Workgroups(“workgroups”): Emergency Medicine, Heart Failure, Low Back Pain, and Major DepressiveDisorder.MACRA Episode-Based Cost MeasuresClinician Expert Workgroup Composition (Membership) List Acumen, LLC 1

Clinician Expert Workgroup Membership:Please note that the workgroups provide clinical expertise for the MACRA Episode-Based Cost Measure project. Workgroupmembers may have experience in areas other than their listed primary clinical specialty. The individuals in the following tables wereselected and have agreed to serve as workgroup members for this project.Emergency Medicine Workgroup Members:Name, Credentials,Professional RoleClinicalSpecialtyConflict PhysicalTherapistNoneXN/AN/ACritical CareNoneN/AXN/AN/AInternalMedicineNoneSouthern CaliforniaPermanente Medical Group,Los Angeles, CAN/AXN/AN/AUrologyNoneAmerican College ofPhysicians, Seattle, WAN/AXN/AN/AInternalMedicineNoneIcahn School of Medicine atMount Sinai, New York,NYN/AXN/AN/AEmergencyMedicineNoneMcKenzie Health System,Novi, MIN/AXN/AN/AFamily MedicineNoneOrganizational Affiliation,City, StateConsumerPerspectiveClinicalContentUS Acute Care Solutions,College Station, TXN/AXN/ACarondelet Health Network,Tucson, ARN/AXCarolyn Fruci, MD, DivisionChiefPrimaCARE and St Anne'sHospital, Fall River, MAN/ADipali Ruby Sahoo, DO,MBA, FACP, SFHM, HospitalMedicine PerformanceDirectorTeamHealth, Austin, TXBrandon Lewis, DO, MBA,FACOEP, FACEP, RegionalVice PresidentCarleen Jogodka, PT, DPT,OCS, FAAOMPT, EmergencyCare Physical Therapist andLead Physical TherapistJohn Lam, MD, MBA,PhysicianJoshua Liao, MD, MSc,Associate Chair of HealthSystems, Department ofMedicineMichelle Lin, MD, MPH, MS,FACEP, Assistant Professor ofEmergency MedicineMustafa Mark Hamed, MD,MBA, MPH, MedicalDirector, Department ofEmergency Medicine andHospital MedicinePerformance Coding andMeasurement InformaticsMACRA Episode-Based Cost MeasuresClinician Expert Workgroup Composition (Membership) List Acumen, LLC 2

ClinicalSpecialtyConflict /AXN/AN/AInternalMedicineNoneEmory University NellHodgson Woodruff Schoolof Nursing, Snellville, GAN/AXN/AN/AEmergencyMedicineNoneUT Health San Antonio,San Antonio, TXN/AXN/AN/ADiagnosticRadiologyNoneSarah Eakin, MD, PhysicianPathology Associates ofErie, Erie, PAN/AXN/AN/APathologyNoneStephen Epstein, MD, MPP,FACEP, Assistant Professor ofEmergency MedicineBeth Israel DeaconessMedical Center, Boston,MAN/AXN/AN/AEmergencyMedicineNoneSMN Health PolicyInsights, Chicago, ILN/AXN/AN/AEmergencyMedicineNoneMemorial Health System,Williamstown, WVN/AXN/AN/AEmergencyMedicineNoneName, Credentials,Professional RoleOrganizational Affiliation,City, StateConsumerPerspectiveClinicalContentNabil Khoury, MD, RegionalMedical directorEmergency PhysicianMedical Group, Bloomfield,MIN/AXN/ASound Physicians, NewHope, PAN/AXNicholas Mohr, MD, MS,Professor and Vice Chair forResearchUniversity of Iowa CarverCollege of Medicine, IowaCity, IAN/APatricia Bartzak, DNP, RN,CMSRN, TCRN, Staff NurseLahey Hospital & MedicalCenter, Natick, MANathan Ruch, MD, ChiefMedical OfficerPaula Tucker, DNP, FNPBC, ENP-C, FAANP, ClinicalAssistant Professor/Emergency Nurse PractitionerRajeev Suri, MD, MBA,Professor and Vice ChairRadiologySusan Nedza, MD MBA,PresidentTyler Hill, DO, FACEP,Associate Physician Executiveof Medical Specialties,Medical Director ofEmergency and Urgent CareServicesPerformance Coding andMeasurement InformaticsMACRA Episode-Based Cost MeasuresClinician Expert Workgroup Composition (Membership) List Acumen, LLC 3

Heart Failure Workgroup Members:Name, Credentials, ProfessionalRoleOrganizationalAffiliation, City, StateConsumerPerspectiveClinicalContentCharles Rhee, MD, AssistantProfessor of MedicineUniversity of Chicago,Chicago, ILN/AXN/AClinicalSpecialtyConflict ofInterestDisclosureN/AHospice andPalliative CareNonePerformance Coding andMeasurement InformaticsConnie Lewis, MSN, ACNP-BC,NP-C, CCRN, CHFN, FHSA,Heart Failure NPCynthia Cox, APRN, MS, MBA,NP-C, ACNS-BC, NursePractitionerDirk Steinert, MD, MBA,Medical Director QualitySpecialty Care Ascension WIVanderbilt UniversityMedical Center, Retired,Franklin, TNN/AXN/AN/ANursePractitionerNoneNorthside CardiovascularInstitute, Atlanta, GAN/AXN/AN/ACardiologyNoneAscension, Milwaukee,WIN/AXN/AN/AInternalMedicineNoneDonnie Batie, MD, FAAFP,Medical DirectorThe Physicians AllianceCorporation, BatonRouge, LAN/AXN/AN/AFamily MedicineNoneEric Velazquez, MD, Chief ofCardiovascular MedicineYale School of Medicine,New Haven, CTN/AXN/AN/ACardiologyNoneJames Blankenship, MD,MHCM, Director of CardiologyGeisinger, neMayo Clinic,Jacksonville, FLN/AXN/AN/AInternalMedicineNoneUniversity of Colorado,Aurora, CON/AXN/AN/APhysicianAssistantNoneUniversity of ArizonaCollege of Medicine,Tucson, AZN/AXN/AN/ACardiologyNoneKonrad Dias, PT, DPT, PhD,ProfessorMaryville University ofSaint Louis, Ballwin, MON/AXN/AN/APhysicalTherapistNoneMargaret "Midge" Bowers,DNP, FNP-BC, AssociateProfessor and Nurse PractitionerDuke University, Durham,NCN/AXN/AN/ACardiologyNoneMidwest CardiovascularInstitute, Naperville, ILN/AXN/AN/AInternalMedicineNoneJennifer Cowart, MD,HospitalistKaren Ream, PAC, MBA,Assistant ProfessorKhadijah Breathett, MD, MS,FACC, FAHA, FHFSA, AssistantProfessor of MedicineMaria Rosa Costanzo, MD,Heart Failure SpecialistMACRA Episode-Based Cost MeasuresClinician Expert Workgroup Composition (Membership) List Acumen, LLC 4

Name, Credentials, ProfessionalRoleMarvin Konstam, MD, ChiefPhysician Executive, TheCardioVascular CenterNamirah Jamshed, MD,Associate Professor Internal andFamily and Community MedicineNihar Desai, MD, MPH,Associate Professor of MedicineOrganizationalAffiliation, City, StateConsumerPerspectiveClinicalContentTufts Medical Center,Boston, MAN/AXN/AUT Southwestern MedicalCenter, Dallas, TXN/AXN/AWilliam Van Decker, MD,Professor of Medicine(Cardiology)Conflict edicineNoneN/AXN/AN/ACardiologyResearchgrants andconsultingservices withvarious gyNoneN/AXN/AN/ACardiologyNoneAlbany Medical Center,Albany, NYN/AXN/AN/ACardiac SurgeryNoneTemple University,Philadelphia, PAN/AXN/AN/ACardiologyNoneYale School of Medicine,New Haven, CTPaul Heidenreich, MD, ProfessorVA Palo Alto HCS,and Vice-Chair for QualityStanford University, PaloStanford, Chief of MedicineAlto, CAUniversity of WisconsinPeter Rahko, MD, Professor ofSchool of Medicine andCardiovascular MedicinePublic Health, Madison,WISanjay Samy, MD, AssociateProfessor, Cardiac SurgeryClinicalSpecialtyPerformance Coding andMeasurement InformaticsMACRA Episode-Based Cost MeasuresClinician Expert Workgroup Composition (Membership) List Acumen, LLC 5

Low Back Pain Workgroup Members:Name, Credentials, Professional RoleOrganizational Affiliation, Consumer Clinical Performance Coding andCity, StatePerspective Content Measurement InformaticsClinicalSpecialtyConflict ofInterestDisclosureAlice Bell, PT, DPT, Physical TherapistAmerican Physical TherapyAssociation, Alexandria, VAN/AXN/AN/APhysicalTherapistNoneAndrew Gordon, MD, PhD,FAAPMR, PhysiatristUS Physiatry LLC, Vienna,VAN/AXN/AN/ACarlo Milani, MD, MBA, AssistantAttending PhysiatristHospital for Special Surgery,New York, NYN/AXN/AN/ADavid Seidenwurm, MD, NetworkMedical Director; Quality and SafetyMedical Director; RadiologistSutter Medical Group,Sacramento, CAN/AXN/ADheeraj Mahajan, MD, MBA, MPH,FACP, President/CEOChicago Internal MedicinePractice and Research(CIMPAR), SC, Oak Park,ILN/AXErica Bisson, MD, MPH, Professor ofNeurosurgeryUniversity of Utah, SaltLake City, UTN/AFearon Physical Therapy,Inc, Phoenix, AZPhysicalMedicine andRehabilitationPhysicalMedicine oneStanford University Schoolof Medicine, Stanford, CAN/AXN/AN/ANeurosurgeryNoneJohn Heick, PT, DPT, PhD, AssociateProfessor of Physical TherapyNorthern ArizonaUniversity, Flagstaff, AZN/AXN/AN/APhysicalTherapistNoneKristian Anderson, DC, MS,ChiropractorPerformance Chiropractic,Grand Forks, NDN/AXN/AN/AChiropracticNoneLeo Bronston, DCMAppSC,Chiropractic PhysicianSelf-Employed, Onalaska,WIN/AXN/AN/AChiropracticNoneBaptist Health SouthFlorida, Miami, FLN/AXN/AN/AInternalMedicineNoneBillings FamilyChiropractic, Billings, MTN/AXN/AN/AChiropracticNoneHelene Fearon, BS, VicePresident/SecretaryJay Nathan, MD, Clinical InstructorLuis Rodriguez, MD, FAMSSM,PhysicianMarcus Nynas, DC, Doctor ofChiropracticMACRA Episode-Based Cost MeasuresClinician Expert Workgroup Composition (Membership) List Acumen, LLC 6

Organizational Affiliation, Consumer Clinical Performance Coding andCity, StatePerspective Content Measurement InformaticsMatthew Smith, MD, MHL, Directorof System IntegrationUniversity Orthopedics, EastGreenwich, RIN/AXN/AN/AUniversity of Kentucky,Lexington, KYN/AXN/AN/AMichael Zychowicz, DNP, ANP, ONP,FAAN, FAANP, Professor & Director,MSN ProgramDuke University School ofNursing, Hillsborough, NCN/AXN/AN/ANursePractitionerNoneMohamad Bydon, MD, NeurosurgeonMayo Clinic, Rochester, lTherapistNoneN/AXN/AN/ARheumatologyNoneMichael Harned, MD, ProfessorRichard Young, MD, Director ofResearch, Co-Associate ProgramAcclaim Physician Group,Director, John Peter Smith HospitalFort Worth, TXFamily Medicine Residency Program,JPS Health NetworkRobert Kropp, MD, MBA, CPHI,Aetna, Inc., St. Petersburg,FAAN, Regional Medical Director,FLAetna Accountable Care SolutionsSabrena McCarley, MBA-SL, OTR/L,Select Rehabilitation, Napa,CLIPP, RAC-CT, QCP, FAOTA,CADirector of QualityShraddha Jatwani, MD, FACP,Einstein HealthcareFACR, RhMSUS, Associate ProgramNetwork, Philadelphia, PADirector, Clinical FacultyClinicalSpecialtyConflict ofInterestDisclosureName, Credentials, Professional RolePhysicalMedicine oneMACRA Episode-Based Cost MeasuresClinician Expert Workgroup Composition (Membership) List Acumen, LLC 7

Major Depressive Disorder Workgroup MembersName, Credentials, ProfessionalRoleBarbara Spivak, MD, Presidentand Chairman of the BoardOrganizational Affiliation,City, StateMount Auburn CambridgeIndependent PracticeAssociation (MACIPA),Brighton, MANYC Department of HomelessServices, New York City, NewYorkConsumer Clinical Performance Coding andPerspective Content Measurement InformaticsClinicalSpecialtyConflict ofInterestDisclosureN/AXN/AN/AInternal MedicineNoneN/AXN/AN/APsychiatryNoneNGALE, Los Angeles, CAN/AXN/AN/AObstetrics &GynecologyNoneDavid Kroll, MD, Director ofQuality and Safety and ClinicalCare DesignBrigham and Women'sHospital/Harvard, Boston, MAN/AXN/AN/APsychiatrySpouseconsultancyGerard Hogan, DNSc, CRNA,ARNP-BC, Teaching FacultyFlorida State University,Panama City, FLN/AXN/AN/ACertifiedRegistered NurseAnesthetistNoneJames Gajewski, MD, MedicalDirectorVeterans Administration,Modesto, CAN/AXN/AN/AInternal MedicineNoneUniversity of SouthernCalifornia, Los Angeles, CAN/AXN/AN/AOccupationalTherapistNoneAnthem Blue Cross BlueShield St. Louis MO,Kirkwood, MON/AXN/AN/AFamily MedicineNoneRedefined Medicine, Dallas,TXN/AXN/AN/APsychiatryNoneClinica Family Health,Lafayette, CON/AXN/AN/AFamily MedicineNoneNaakesh Dewan, MD, VicePresident, Behavioral HealthFlorida Blue, Tampa, FLN/AXN/AN/APsychiatryNoneRobert Roca, MD, AssociateProfessor and Vice Chair forClinical Business Development,Department of PsychiatryJohns Hopkins UniversitySchool of Medicine,Baltimore, MDN/AXN/AN/APsychiatryNoneBecky Fenton, PsyD, SeniorExecutive Director of MedicalServices/Mental Health DirectorCarolyn Dueñas, MBA, RN,RNC-OB, FounderJamieson Wilcox, OTD, OTR/L,Assistant Professor of ClinicalOccupational TherapyKate Lichtenberg, DO, MPH,FAAFP, FACPM, PhysicianDirector, Value Based CareLuisa Collins, MSN, FNP-C,APRN, ABAAHP, CPHIMS,Nurse PractitionerMegan Adamson, MD, MHS-CL,FAAFP, Clinic Medical DirectorMACRA Episode-Based Cost MeasuresClinician Expert Workgroup Composition (Membership) List Acumen, LLC 8

Name, Credentials, ProfessionalRoleOrganizational Affiliation,City, StateTerry Lee Mills, MD, MMM,CPE, FAAFP, Chief MedicalOfficerCommunityCare, Tulsa, OKN/AXN/AAmerican PsychologicalAssociation, Washington, DCN/AXN/AVaile Wright, PhD, SeniorDirector, Health Care InnovationClinicalSpecialtyConflict ofInterestDisclosureN/AFamily MedicineNoneN/AClinicalPsychologyNoneConsumer Clinical Performance Coding andPerspective Content Measurement InformaticsMACRA Episode-Based Cost MeasuresClinician Expert Workgroup Composition (Membership) List Acumen, LLC 9

use in the Quality Payment Program. For more details about the project background, including development activities undertaken in previous years, please review . this MACRA cost measure . development approach summary on the MACRA Feedback Page. Acumen's measure development approach typically includes convening clinician expert panels