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VII. Disclosures and Conflicts of InterestB. 2020 ASAM Board of Directors Relationships with Industry and OtherEntitiesBoardMemberSalaryConsultan /Princ Organizational oripalother financialbenefitResearchAnthony P.Veterans HealthGileadGileadAgape FamilyAlbanese,Administration - Chief ofSciencesSciencesMinistries - BoardMD,Hepatology, VA Northern AbbVieof DirectorsAbbVieDFASAMCalifornia lsCalifornia ImpairedVeterans HealthDriving TaskforceAdministration –Affiliations Officer, VAOffice of AcademicAffiliationsNoneNoneAnikaJohns Hopkins UniversityAlvanzo,School of Medicine MD, MS,Faculty (95%)FACP,Uzima Consulting Group,DFASAMLLC (5%)Uzima ConsultingGroup, LLCNoneNoneGavin Bart, Hennepin HealthcareNationalNoneMD, PhD, National Institutes of HealthAllianceFACP,for– Federal GrantsDFASAM Substance Abuse and MentalMedication AssistedHealth ServicesRecoveryAdministration – FederalGrantsNoneAmerican College ofNoneAcademic AddictionMedicineNational Institute onDrug Abuse Investigator onseveral grantsSubstance Abuse andMental HealthServicesAdministration –Director ofInternationalTechnology TransferGrantGregoryPrivate Practice - Outpatient NoneBoehm,IOP (90%)MD,Salvation Army DFASAMChild/AdolescentPsychiatry (10%)Psychiatric Patient Care inRe-Entry ProgramNoneNoneNoneBrent Boyett, Pathway Healthcare (99%) MississippiDO, DMD, Mississippi Board ofBoard ofDFASAMMedicalMedical Directors (no payDirectorsas of yet, will be about1%)ALANAPathway Healthcare - Outpatient AddictionChief MedicalRecovery CentersOfficer, Board of IndiviorDirectors MemberNoneCleanSlate Centers - CleanSlate Centers was Chief MedicalEquity InterestOfficerDisposeRX - EquityAddiction CrisisInterestSolutions FounderDisposeRx - DirectorNoneKelly J.Addiction Crisis SolutionsClark,Dr Kelly Clark, PLLC;MD,DisposeRxMBA,DFAPA,DFASAMNoneNoneCouncil ofNoneStateGovernmentsSandozNone
BoardMemberSalaryConsultan /Princ Organizational oripalother financialbenefitResearchPrivate Practice - DrKelly Clark, PLLCPaul H.Earley Consultancy, LLC - DynamiCare NoneEarley,PhysicianHealth,MD,Inc.Georgia ProfessionalsDFASAMHealth program - MedicalDirectorDynamiCare Health, Inc. ConsultantFederation of StatePhysician HealthPrograms PresidentNoneNoneKenneth I.MA Department of PublicFreedman,Health, Lemuel ShattuckMD, MS,HospitalMBA,averHealth - Chief MedicalFACP,Officer (15%)AGAF,DFASAMNoneaverHealth - ChiefMedical OfficerAmerican Society ofAddictionMedicine –Corporate RoundTable MemberBoston MedicalLibrary – Trusteeand FinanceCommitteeMemberNoneNoneJosephCaron Treatment Centers - NoneGarbely,Vice President of MedicalDO,Services, MedicalDFASAMDirector (95%)CollaborativeNeuropsychiatricServices, LLC - AddictionPsychiatrist (5%)NoneCaron TreatmentPenn State College ofNoneCenters - ViceMedicine - ClinicalPresident ofAssociate ProfessorMedical Services,of PsychiatryMedical DirectorStony Brook College ofReading HospitalMedicine - ClinicalAddictionAdjunct AssociateMedicineProfessor of FamilyFellowshipMedicineProgram - ProgramDirectorMurtuzaGhadiali,MD,FASAMNoneNoneBay Area Physicians Nonefor Human Rights PresidentAlliance HealthProject of UCSF Advisory BoardMemberNoneAdam J.Department of VeteransNoneGordon,Affairs (75%)MD, MPH, University of Utah School ofFACP,Medicine (25%)DFASAM National Institutes of Health– Grant Reviews ( 1%)Charitable Organizations,e.g. ASAM, AMERSA Activity Participation( 1%)NoneNoneNoneThe Permanente MedicalGroup (100%)Sandoz AdvisoryPanel forreSETAMERSA Journal ofSubstance Abuse Editor in ChiefNational Institutes ofHealth – GrantReviews
BoardMemberSalaryConsultan /Princ Organizational oripalother financialbenefitResearchWilliam F.University of Hawaii School NoneHaning,of Medicine - EmeritusIII, MD,Professor, Department ofDFAPA,Psychiatry RetirementDFASAMPension (40%)University of HealthPartners - Director ofAddiction TrainingPrograms (20%)U.S. Navy - RetirementPension (20%)Social Security Benefits(20%)NoneAmerican Board ofPsychiatry andNeurology AddictionPsychiatryExaminationCommittee ChairPacific HealthResearch andEducation Institute- Board ofDirectors MemberAmerican MedicalNoneResponse – Physician(Spouse)Fire Departments ofHonolulu, Kauai, andMaui CountiesDepartment of WaterSafety, HonoluluEmergency Departmentof the Queen'sMedical CenterRandolph P.Holmes,MD,FASAMNoneNoneNonePrivate Practice MedicalNoneGroup (90%)Residency Faculty (5%)Treatment Program MedicalDirector (5%)NoneBrian Hurley, Los Angeles CountyValeraPsyBARMD,Department of MentalHealthMBA,Health - Clinical and(2016)DFASAMAdministrative WorkAmerican(66%)AcademyPrivate Practice - ClinicalofWork (13%)AddictionPsychiatryPsyBAR Insurance ReviewsState- Expert Clinical OpinionsTargeted(7%)ResponseCenter for Care InnovcationsTechnicalTreating Addiction in theAssistancePrimary Care Safety NetConsortiuProgram - Training Workm(5%)Cedar Sinai Health System Psychiatrist (5%)Friends Research Institute Senior Scientist (4%)Annenberg PhysicianTraining Program inAddictive Disease Associate Director ( 1%)Annenberg Physician NoneTraining Programin AddictiveDisease - FinancialOfficerUniversity ofCalifornia SmokingCessation Grant PrimaryInvestigatorFrank James, United HealthCareMD, JD,OptumFASAMNoneNoneNoneNoneNoneMargaret A. Geisinger - Chief ofE. Jarvis,Addiction MedicineMD,(90%)DFASAM Addiction Solutions Consultant (10%)AddictionSolutionsGeisingerAmerican Board ofPreventiveMedicine AddictionMedicine ExamCommitteeMemberNoneNoneMiriamUniversity of New MexicoKomaromyHealth Sciences Center, MD,FACP,DFASAMLawfirm of Rubicon,Albuquerque Insight NoneBaron andMDMeditation SocietyBudd– Board ofAmericanDirectors MemberMedicalAssociationNone
BoardMemberSalaryConsultan /Princ Organizational oripalother financialbenefitResearchMarla D.Private Practice; InsightInsightAlkermesKushner,Behavioral Health BehavioraDO,Consultantl HealthFSAHM, New Hope Recovery Center Dane StreetFACOFP,Mercy Hospital - Part-TimeDFASAMEmployeeAdvocate Physician's GroupHMOIndependent Physicians ofMercy HMOMidwestern University TeachingAdvocate Hope Children'sHospital - TeachingResidentsWeiss Hospital - TeachingResidentsCaribbean MedicalUniversity - TeachingDes Moines University TeachingDane Street - ConsultantAlkermes - SpeakerAmericanNoneOsteopathicAcademy ofAddictionMedicine - Boardof DirectorsMemberNew Hope RecoveryCenter - MedicalDirectorInsight BehavioralHealth ARCHProgram - MedicalDirectorNoneIlse Levin,DOMid Atlantic PermanenteMedical GroupNoneNoneNoneAmerican MedicalAssociation Liaisonto the NationalCommission ofCorrectionalHealthcare Board ofDirectorsUnited States Navy –Physician (Spouse)American Academy ofFamily Physicians –Board of Directors(Spouse)Kaiser - ShareholderNonePenny S.Mills,MBAAmerican Society ofAddiction Medicine(100%)NoneNoneNoneNoneNoneAlliance forHealthPolicyYngvild K.Outpatient Non-ProfitBehavioral NoneOlsen,Specialty AddictionHealthMD, MPH,Treatment Center (70%)AdministrDFASAM Maryland's BehavioralationHealth Administration Medical Consultant (25%)PCSS - ASAM ClinicalExpert ( 5%)National Council on Oxford University Press NoneAlcoholism and- Co-Author of BookDrug Dependence on Opioid EpidemicBoard of DirectorsMember
BoardMemberSalaryConsultan SpeakerstBureauKen Roy,CMO of AddictionMD,Recovery Resources DLFAPA,EmployeeDFASAM Legal ConsultationsConsultation and SpeakerEfforts for PharmaNonePeter Selby, Centre for Addiction andMBBS,Mental Health - Chief ofCCFP,Medicine in PsychiatryFCFP,Division (20%)MHSc,University of TorontoDFASAMDepartment of Family andCommunity Medicine Clinician Scientist (20%)Centre for Addiction andMental Health AddictionsResearch Program Clinician Scientist (60%)Johnson &NoneJohnson E-NRTAdvisoryBoardNVisionInsightGroupMylein al Society of the State NoneSelzer,of New York - MedicalMD,Director of the CommitteeDFASAMfor Physician Health(80%)Northwell Health - Directorof Employee AssistanceProgram (20%)Ownership/Institutional,Partnership/Princ Organizational oripalother financialbenefitUS WorldAddiction Recovery NoneMeds,ResourcesLucymeraTreatment Program- Chief MedicalAlkermes,OfficerVivitrolUS World Meds Advisory BoardMemberAlkermes - AdvisoryBoard MemberNoneResearchNoneUniversity of Toronto NoneAddictionMedicineFellowship,American Board ofAddictionMedicine Program DirectorPfizer Canada Inc.Centre forAddiction andMental HealthOntario Ministry ofHealth and LongTerm CareCanadian Institutesof HealthResearchCanadian Centre onSubstance Useand AddictionPublic HealthAgency ofCanadaMedical PsychiatryAllianceCanadian CancerSociety ResearchInstituteCancer CareOntarioOntario Institute forCancer ResearchBhasin ConsultingFund Inc.Patient-CenteredOutcomesResearch InstituteNew York StatePsychiatricAssociation AddictionPsychiatryCommittee ChairMedical Society ofthe State of NewYork - Addictionand BehavioralHealth CommitteeMemberAmerican Society ofAddictionMedicine Secretary andPublic PolicyCommittee ChairNoneNone
BoardMemberSalaryConsultan SpeakerstBureauScottUniversity of Florida Health NoneTeitelbaum- Vice Chair of, MD,Department of Psychiatry,DFASAMChief of AddictionMedicineFlorida Recovery Center Medical Director,Fellowship inc Organizational oripalother financialbenefitResearchIBH AddictionNoneRecovery Center –Board of DirectorsMemberNoneMelissaSt. Peters Health Partners - AlkermesMCENoneWeimer,Employee (50%)(2017)ConferencDO, MCR, Yale School of Medicine eIndiviorFASAMEmployee (50%)(2016)US Department of Justice - AmericanConsultant (2%)Association ofSCOPE of Pain - ConsultantAddiction(0.5%)PsychiatrySCOPE ofPainInforMed - Author ofCME MaterialNoneTimothyURMC Faculty PracticeNoneWiegand,(71%)MD,Other Clinical Practice - e.g.FACMT,Huther Doyle OutpatientFAACT,CD (18%)DFASAM Expert Witness (8%)Royalties/other - e.g.Uptodate (3%)NoneNew York Society of NoneAddictionMedicine President ElectAmerican College ofMedicalToxicology Board of DirectorsMember, Chair ofAddiction andPracticeCommittees;Medical ToxicologyFoundation Finance ChairNoneAleksandraUniversity of WisconsinZgierska,MD, PhD,DFASAMNoneNonePfizer Inc. Research Grantsawarded toUniversity ofWisconsin Principal/CoPrincipalInvestigatorNoneNoneThe above table presents relationships of the ASAM Board of Directors during the past 12 months with industry and other entitiesthat were determined to be relevant to this document. These relationships are current as of the completion of this document and may notnecessarily reflect relationships at the time of this document’s publication.
C. 2020 ASAM Quality Improvement Council (Oversight Committee)Relationships with Industry and Other peakers Ownership/Institutional,ResearchBureau Partnership/Principal Organizationalor otherfinancial benefitJohn P. Femino, FeminoMD, DFASAMConsultancy CEOKenneth I.Aetna/CVSFreedman,Health –MD, MS,MedicalMBA, FACP,Director, eaverHealth**Sandoz**Pfizer*Substance Abuseand MentalHealth ServicesAdministration*NoneMassachusetts Department Noneof Public Health**R. JeffreySelf-EmployedGoldsmith,Specialist inMD, DLFAPA,AddictionDFASAMMedicineBarbara Herbert, Column Health –MD, DFASAMSeniorPhysicianMargaret M.Emerita CaseKotz, aret A.Geisinger HealthJarvis, MD,SystemDFASAMDepartment ofPsychiatry –Chief ofAddictionMedicineP. StephenAvita HealthNovack, DOSystem –AddictionProviderDavid R. Pating, San FranciscoMD, FASAMCounty EmployeeNoneNoneNoneNoneAmerican Academyof AddictionPsychiatry* Research GrantSubstance Abuseand Mental HealthServicesAdministration* Research GrantNoneAdvocates NoneNoneNoneGeisinger Health System** NoneNoneNoneNoneNoneNoneNoneNoneNoneNational Quality ForumBehavioral HealthSteering CommitteeAmerican Society ofAddiction MedicineQuality CommitteeNoneNoneNoneSandrine Pirard,MD, PhD,MPH, FAPA,FASAMSalaryNoneNoneBeacon HealthNoneNoneNoneNoneOptions – VicePresident,MedicalDirectorThe above table presents relationships of the ASAM Quality Improvement Council during the past 12 months with industry andother entities that were determined to be relevant to this document. These relationships are current as of the completion of this document andmay not necessarily reflect relationships at the time of this document’s publication. A relationship or arrangement is considered to besignificant if the individual receives compensation which includes cash, shares, and/or anything else of value including direct ownership ofshares, stock, stock options or other interest of 5% more of an entity or valued at 10,000 or more (excluding mutual funds), whichever isgreater. A relationship or arrangement is considered to be modest if it is less than significant under the preceding definition. A relationship orarrangement is considered to be unpaid if the individual does not receive monetary reimbursement. **Indicates significant relationship.*Indicates modest relationship.
E. 2020 External Reviewers Relationships with Industry and Other nstitutional,Organizational orother financial in, ewerNoneNoneNoneNoneNoneUniversity ParisSud, FranceBioprojetNonePfizerAmerican Society ofClinicalPsychopharmacology –Member of AlcoholClinical Trials Initiative(ACTIVE)UniversiAssistance PubliqueHopitaux de Paris,FranceOptim-Services,FranceD&A PharmaJohnson &JohnsonEthypharmEthypharmMichael BacaAtlas, MDLouis erGillian A.Beauchamp,MD, FASAMIndividualReviewerJanet M. Beebe,CRNPIndividualReviewerBret Bellard,MD, MSc,FASAMBradford D.Bobrin, MD,FASAMIndividualReviewerSuzanneBrissette, MDIndividualReviewerIndividualReviewerUNC Hospitals(100%)Private Practice(80%)Consultant (20%)Lehigh ValleyHealth Network listBowie InternalMedicineAssociatesLifestream HealthCenterPrivate Practice –AddictionMedicineHospital (90%)Private Practice(10%)Centre Hospitalierde l’Universite deMontreal –Manager ofMental Health,Addiction andHIV SectionKinnovPharmaceuticalsAmericanSociety neNoneNoneAmmon LabsNoneNoneNoneNoneNoneNoneNoneChamp NoneNoneNoneCentreHospitalierdel’Universitede MontrealNone
ExternalReviewerRepresentationSalaryGiuseppe Carra,MDIndividualReviewerQuebec PublicHealth CareSystem PhysicianMinistry of HealthUniversityMedical SchoolKimberlyCorace, PhD,CPsycIndividualReviewerEdward C.Covington,MDIndividualReviewerThe Royal OttawaMental HealthCentre – Directorof ClinicalProgramming andResearch (95%)Consultation,Education andTraining (5%)Cleveland Clinic –Consultation PrincipalInstitutional,Organizational orother financial benefitNoneNoneNoneNoneNoneUniversity ofMilanoBicoccaCanadianPsychological Association– Board alCompanies –Consultation (2%)Triveni Defries,MD, PhDIndividualReviewerDerek Eisnor,MD, ABEM,ABMTPatricia Glover,LCSWIndividualReviewerJavier BallesterGonzales, MDIndividualReviewerDonaldGronbeck, MDIndividualReviewerKennon Heard,MD, PhDJewish Family y ofCalifornia SanFranciscoSelf-Employed –EmergencyPhysicianJewish Family andChildren’sServices – ClinicalManagerUniversity of UtahDepartment ofPsychiatryRecovery ClinicYellow SpringsPrimary Care OwnerOhio ValleyMedical CentersCollaborativeGroupUniversity ofColoradoNoneEndo PharmaceuticalsNoneNoneNoneAcelRx n PharmaceuticalsTrevenaSage cademyofFamilyPhysicians SpouseNoneNoneNoneNoneNoneNone
onal,Organizational orother financial benefitDelia C.Hendrick, MDIndividualReviewerNoneNoneNoneNoneAnn HerbstYoung People inRecovery (YPR)IndividualReviewerWestBridge –Psychiatrist (90%)Research (7%)Consultant, ExpertWitness (3%)YPRNoneNoneYPRAlkermesPrivate Practice(20%)NoneNoneNoneCanadian Society ofAddiction MedicineArnold Hill, MD,MSc,DFASAMAnthony Khoury,DO, FACEPIndividualReviewerGeorge F. Koob,PhDNational Institutesof Alcohol Abuseand Alcoholism(NIAAA)AmericanAcademy ofPhysicianAssistants(AAPA)National Institutesof Alcohol Abuseand Alcoholism(NIAAA)Marie-MicheleLeger, MPH,PA-CLorenzo Leggio,MD, PhD,MScRobert D.Lovinger, MDIndividualReviewerAlex Manini,MDIndividualReviewerDavid M.Mathis, DO,DABAM,FASAM,CCHPIndividualReviewerChad L.McDonald,MDIndividualReviewerClean SlateAddictionMedicine Center(80%)MedicatedAssistedTreatment Clinic(50%)CorrectionalMedicine –Medical Director(50%)U.S. FederalGovernmentInternational Society ofAddiction neNoneNoneU.S. Elsevier – Author of Bookon Addiction Medicinefor Health oneNoneNoneNoneUK Council onAlcohol (4%)Methadone Clinic– Medical DirectorRehabilitationFacility –LaboratoryDirectorSubstance AbuseLegal IssuesConsultantHospital –EmergencyPhysicianLocun Tenems –AdultPsychiatry/Addiction Work (90%)VeteransAdministrationRetirement (10%)InterCommunity –Provider (99%)
ExternalReviewerRepresentationCalvin McGinn,RIndividualReviewerLorraine A.Milio, MD,FASAMIndividualReviewerNiki Miller, MS,CPSIndividualReviewerKirk D. Moberg,MD, PhD,DFASAMIndividualReviewerDiane Morris,MD, FASAMMeridian HealthServicesRaymond W.Moy, MDIndividualReviewerRoberto Muga,MD, MPHIndividualReviewerSalaryCmcdonald LLC –IndependentContractor (1%)Advocate HealthCare - EmergencyDepartment CareManager (80%)Private Practice Family Therapist(20%)McRISC, Inc. –Founder andPrincipleResearcher (0%)Johns HopkinsSchool ofMedicine (9899%)Consultant Feesand Honorarium(1-2%)AHP, Inc. - SeniorResearchAssociateBureau of JusticeAssistance – GrantReviewerUnityPoint Health– Physician (95%)Medical EducationResources –Instructor ( 5%)AmericanAssociation forPhysicianLeadership –Instructor ( 5%)American Societyof AddictionMedicine –Instructor ( 5%)Meridian HealthServices –Medical DirectorRogers BehavioralHealth – StaffPhysicianUniversityHospital inBadalona, Spain –Professor rship/PrincipalInstitutional,Organizational orother financial benefitNoneNoneMcRISC, Inc. FounderNoneMarylandMaternalMortalityReview BoardNoneMarylandPerinatalSafetyCollaborative– MedicalDirector,Opioid UseDisorder inPregnancyMedChi AddictionsCommittee - il University of Michigan –Waiver CourseInstructorNoneNoneNoneNoneNone
onal,Organizational orother financial benefitSharonMulvehill, MDIndividualReviewerNoneNoneNoneNoneJadwiga S. Najib,PharmDStephanie L.Peglow, llyQualified HealthCentern/aNoneNoneNoneNoneEastern VirginiaMedical School –AssistantProfessor (90%)Behavioral HealthGroup – OpiateTreatmentProgram (10%)NonePsychiatricSociety ofVirginiaVirginiaPsychiatricSociety –SecretaryCollege onProblems ofDrugDependence– MediaCommitteeMemberVirginiaDepartmentof BehavioralHealth andDisabilityServices –PolicyAdvisorNationalInstitutes viders Clinical SupportSystem – shnan, MBBS, MDIndividualReviewerYale UniversityNoneNoneAlma Ramic,MDIndividualReviewerNoneNoneGary M.Reisfield, MDIndividualReviewerDepartment ofVeterans Affairs –Clinical andAdministrative(100%)Cook CountyHospital – Clinical(50%)University ofFlorida College ofMedicine –FacultyNoneNoneKanchanRelwani, MDJonathan I.Ritvo, MDAlkermesAlkermesNoneNoneAmericanBoard ofPainMedicine –Board rk –AdvisoryMember,Board ofDirectorsMemberNoneIndividualReviewerUniversity ofColorado Schoolof Medicine –Clinical Professor,Senior Director ofNoneNoneNoneSubstance Abuse andMental Health ServicesAdministration –Training InstructorNoneNoneNone
ExternalReviewerRepresentationRicardo A. Rius,MD, FASAMCarol Rogala,DOBarbara Rogler,PharmD, viewerCarolyn C. Ross,MD, MPH,CEDSSharon Ryan,CNM, DNPIndividualReviewerStephen J.Ryzewicz,MD,DFASAM,FACPRichard Saitz,MD, MPH,FACP,DFASAMAmerican Collegeof ership/PrincipalInstitutional,Organizational orother financial benefitTreatmentProgram (50%)Private Practice –Psychiatry andAddictionPsychiatry (50%)n/aNoneNoneNoneNonePrivate PracticeNoneNoneNoneNoneState University atBuffalo School ofPharmacy andPharmaceuticalSciences –Clinical oneACNM – Directorof MidwiferyPracticeNoneNoneFlower of HopeOutreach ChairNoneBaystate Health –Physician lSociety ofAddictionJournalEditors PresidentAmerican MedicalAssociation – JAMAAssociate EditorNoneNoneMedicaSafeConsulting forAttorneys (1%)Boston University(80%)NCQA (2.5%)Andrew J.Saxon, MD,FASAMIndividualReviewerAmerican MedicalAssociation (10%)University ofOregon (2.5%)WoltersKluwer/UptoDate( 2.5%)American Societyof AddictionMedicine ( 2.5%)MassachusettsMedical Society( 2.5%)Department ofVeterans Affairs –Psychiatrist (75%)University ofWashington –Professor (15%)Expert Witness(10%)NationalCommittee onQualityAssuranceAlkermesUpToDate
onal,Organizational orother financial benefitJulie Seitz,LADC, LSWNationalAssociation ofDrug CourtProfessionals(NADCP)IndividualReviewerNADCP – rograms, TheAssociation forPublic Health,Israel – NationalDirector (95%)Tel AvivUniversityMedical School –Group Leader(5%)Cigna – ManagedCare, Training andEpidemiology(95%)Private Practice –ForensicsPsychiatryEvaluations (5%)Rushford – PartTime n Society ofAddiction MedicineAmericanSociety ofAddictionMedicineConnecticutChapter –PastPresidentAmericanBoard ofPreventiveMedicine –Founder andPast ProgramDirectorTryCycle DataServices –ChiefMedicalOfficerNoneStacy Shoshan,MD, PhDKarl G. Sieg,MD, FAPA,MROCignaSamuelSilverman,MD, FAPA,DFASAMIndividualReviewerSmall PrivatePractice (10%)TryCycle DataServices –Consulting (10%)Jody K. Joshua Sonkiss,MDASAM AlaskaState ChapterPresidentSonkiss MedicalConsulting, LLCNoneNoneJack Stem, AAS,CDCA, CRNAAmericanAssociation ofNurse Anesthetists(AANA)University ofCincinnati Collegeof Nursing (50%)NoneNoneAlaska Societyof AddictionMedicineAlaskaPsychiatricAssociationOhio StateAssociationof NurseAnesthetists– PeerAssistanceCommitteeChair andPeer AdvisorCommunity NursePractitioner Volunteer,Mental Health InstructorNoneNone
ExternalReviewerRepresentationGregory L.Taylor, MDIndividualReviewerMishka Terplan,MD, MPH,FACOG,DFASAMIndividualReviewerSalaryHotel Californiaby the SeaCincinnati Drugand AlcoholTreatment Facility– IndependentGroup Facilitator(20%)IndependentLecturer (20%)AANA –ConsultingAdvisor andLecturerOSANA –ConsultingAdvisor andLecturerUniversity ofMaryland Schoolof Medicine –Physician,Teacher, AssociateProfessorResearch Institute– Grant FundedWork (50%)ConsultantSpeakersBureauHomer Venters,MDBridgette sAdministration –Nurse PractitionerPrivate Practice –Nurse PractitionerInstitutional,Organizational orother financial benefitAANA – oneAmericanCollege ofObstetriciansandGynecologistsAmericanSociety ofAddictionMedicine –Public PolicyCommitteeResearch Triangle Institute– U.S. Department ofHealth and HumanServices TechnicalExpert PanelNoneNoneSenior Healthand JusticeFellowNoneVirginia Medicaid– AddictionMedicineConsultant (10%)Los AngelesCounty HealthDepartment (10%)University ofCalifornia SanFrancisco –Adjunct Faculty(20%)CommunityOrientedCorrectionalHealth Services –Medical ExpertConsultantSenior Health andJustice Fellow –Medical ntal HealthAmericaRoanoke –Board ofDirectorsMemberNone
ExternalReviewerRepresentationJoseph B.Williams, MDIndividualReviewerMelanie D.Willows, MDIndividualReviewerJulia Wilson,RN, CASACAaron Wolfgang,MDIsmael D. Yanga,III, dualReviewerSalaryRadfordUniversity FacultyUniversity ofNorth CarolinaSchool ofMedicineRoyal OttawaMental HealthCentre - nership/PrincipalInstitutional,Organizational orother financial benefitNoneNoneNoneNoneNoneNoneAbbott Point of Care –Employee (Spouse)NoneNoneCanadianSociety ofAddictionMedicine PresidentNoneNoneU.S. Army –NoneNoneNoneNoneClinical WorkAscensionNoneNoneNoneNoneBrighton Centerfor Recovery –Chief MedicalOfficerThe above table presents relationships of the external reviewers during the past 12 months with industry and other entities that weredetermined to be relevant to this document. These relationships are current as of the completion of this document and may not necessarilyreflect relationships at the time of this document’s publication.
Medical Center None Randolph P. Holmes, MD, FASAM Private Practice Medical Group (90%) Residency Faculty (5%) Treatment Program Medical Director (5%) None None None None None Brian Hurley, MD, MBA, DFASAM Los Angeles County Department of Mental Health - Clinical and Administrative Work (66%) Private Practice - Clinical Work (13%)
