2008 Practice Change Fellows

Ellen Barrington, MSN, RN, BC;    Ocean Medical Center;   "A Comprehensive Approach to Delirium" (project description)
James W. Campbell, MD, MS;    The MetroHealth System;   "Impact of an Integrated Service Model on Quality and Costs of Care Delivery" (project description)
Lee Greer, MD;    North Mississippi Medical Clinics, Inc.;   "Improving Care of Older Adults with CHF in a Rural Health System" (project description)
Elizabeth B. Hart, MD;    Maine General Health;   "Cultivating Meaningful Conversations to Guide Care" (project description)
Christina McQuiston, MD;    Mission Health System;   "Geriatric Hip Fracture Program" (project description)
Amy Minnich, RN, BSN;    Geisinger Health System;   "Implementing a Geriatric Service Line within Geisinger Health System" (project description)
Ciona Regev, LCSW;    Harris County Hospital District;   "Capacity Assessment and Treatment Model" (project description)
Karyn Rizzo, RN, MS;    Notre Dame Hospice;   "I PiCC: Integrated Patient-Centered Care" (project description)
Miriam E. Schwartz, MD, MA, PhD;    Gallup Indian Medical Center;   "Comprehensive Geriatric Care of Elderly Native Americans" (project description)
James Tew, MD;    University of Pittsburgh Medical Center;   "Enhancing Transitional Care Quality for Older Adults Discharged from Psychiatric Hospitals" (project description)

Ellen Barrington, MSN, RN, BC
"A Comprehensive Approach to Delirium"
Ocean Medical Center
Brick, NJ

Ellen is the Nurse Manager of the Acute Care of the Elderly (ACE) Unit at Ocean Medical Center, Brick, NJ. She holds an MSN in Health Systems Administration from Seton Hall University and a BSN from Seton Hall University. Driven by a commitment to improve the care of the elderly, Ellen was instrumental in the development and design of the ACE unit at Ocean Medical Center. She chairs the hospital ACE committee which is responsible for the development of quality initiatives in the care of the elderly. She has further extended her commitment to improving care of the elderly by supporting the implementation and development of dedicated geriatric units across the country. Ellen is a member of the Alzheimer's Memory Walk Planning Board, and a member of the Organization of Nurse Executives of New Jersey, the American Nurses Association and the New Jersey State Nurses Association. In 2007 Ellen was awarded the Governor's Nursing Merit Award in the category of Acute Care Nurse Manager. Ellen is enthusiastic about the Practice Change Fellows program; it is an exciting opportunity and challenge to positively impact the care of the elderly.
James W. Campbell, MD, MS
"Impact of an Integrated Service Model on Quality and Costs of Care Delivery"
The MetroHealth System
Cleveland, OH

Dr. Campbell currently serves as the Chairman of the Department of Family Medicine and Director of the Geriatric Center, Case Western Reserve University School of Medicine, MetroHealth campus. He has been actively involved in geriatric academic programs for over twenty years and as been honored to be chosen as one of the Hartford/ADGAP Geriatric Leadership Scholars and most recently as a Practice Change Fellow. He has served on the Board of the American Geriatrics Society and the National Chronic Care Consortium. He has been President of the Ohio Geriatrics Society and Co-Chair of the Council on State-Affiliate Representatives. He has developed a large successful geriatric academic program in Cleveland at MetroHealth with twenty geriatricians and seven geriatric nurse practitioners. He most recently successfully opened the Senior Health & Wellness Center, a 225,000 square foot center in Cleveland devoted to the care of geriatric patients including long term care, outpatient care, hospice care, PACE care and community organizations such as the Western Reserve Area Agency on Aging.
Lee Greer, MD
"Improving Care of Older Adults with CHF in a Rural Health System"
North Mississippi Medical Clinics, Inc.
Tupelo, MS

Dr. Greer graduated with honors from the University of Mississippi School of Medicine. He completed a residency in family medicine at the University of Tennessee where he served as chief resident. He pursued his geriatric medicine fellowship at the University of Alabama at Birmingham. He is board certified in family medicine with a CAQ in geriatric medicine. Lee is currently a practicing geriatric medicine physician performing both inpatient and outpatient services. He is also enrolled in the Leadership in Healthcare MBA at Yale University.
Dr. Greer serves as Assistant Medical Director of North Mississippi Medical Clinics, a large multispecialty clinic system that has thirty-three offices across north Mississippi. His primary role is to improve clinical quality and service across the system. He is actively involved in diabetes and congestive heart failure management. He also serves as vice-chairman on the Board of Directors for Mississippi's Quality Improvement Organization. He has been instrumental in guiding geriatric care for their organization.
Lee is married to Reena, a veterinarian, and they have one daughter, Rani. They live on a small farm where they raise and show American Quarter Horses.
Elizabeth B. Hart, MD
"Cultivating Meaningful Conversations to Guide Care"
Maine General Health
Augusta, ME

Dr. Hart is Medical Director for MaineGeneral Rehabilitation and Nursing Care at Glenridge and is enthusiastically developing a new position as MaineGeneral's Associate Medical Director for Geriatric Palliative Care. Elizabeth received her undergraduate degree from Harvard-Radcliffe Colleges and her medical degree with honors from Dartmouth Medical School. She completed residency and her geriatric fellowship at Maine-Dartmouth Family Practice Residency. She is board-certified in Family Medicine, with a Certificate of Added Qualifications in Geriatric Medicine, and is a Diplomate of the American Board of Hospice and Palliative Medicine. She enjoys a clinical practice that focuses primarily on caring for people with dementia in long-term care, residential care and home settings. She serves as a member of MaineGeneral's Ethics Committee and Palliative Care Partnership Council, and as a facilitator for the Maine Humanities Council's Literature and Medicine Program. She is delighted to be working collaboratively to improve comfort and quality of life for people with life-limiting illnesses through several initiatives with the Office of Elder Services of the Maine Department of Health and Human Services, the Institute of Health Policy at the Muskie School of Public Service, and the Maine Hospice Council and Center for End of Life Care.
Christina McQuiston, MD
"Geriatric Hip Fracture Program"
Mission Health System
Asheville, NC

Dr. McQuiston is a graduate of the University of Glasgow, Scotland,(M.B. Ch.B.1977) and completed her training in internal medicine at the New England Deaconess Hospital in Boston MA. Dr. McQuiston practiced in the UK for four years, including six months in Nigeria prior to relocating to the US.
For the past 22 years Dr. McQuiston has been an active member of the medical community in Western North Carolina in a variety of practice settings with experience in nursing home care, primary care, and hospital medicine. For the most recent eight years she has been a hospitalist with The Asheville Hospitalist Group and has served as Clinical Director for Geriatric Services at Mission Hospital, Asheville, NC for the last four years. As Geriatric Clinical Director at Mission, she has been involved in quality improvement projects for the elderly including The Geriatric Hip Fracture Project, Delirium Performance Improvement Program and several initiatives in transitions in care for older adults. Through the Practice Change Fellows program, Dr. McQuiston plans to heighten visibility of geriatric issues within her institution and expand her ability to be an effective advocate for the elderly.
Amy Minnich, RN, BSN
"Implementing a Geriatric Service Line within Geisinger Health System"
Geisinger Health System
Kulpmont, PA

Ms. Minnich is the Executive Director for LIFE Geisinger, Living Independently for Elders Program operated by Geisinger Health System in northcentral Pennsylvania. The Medicare and Medicaid funded program exclusively serves the frail elderly in a home and community based setting rather than a nursing home. Currently LIFE operates two adult day health facilities in both urban and rural communities with services across six counties in Pennsylvania. Ms. Minnich completed her diploma in Nursing from Geisinger Medical Center School of Nursing, Bachelors Degree from Pennsylvania State University and is currently enrolled in graduate school at Marywood University focusing on Health Care Services Administration and majoring in long-term care. Ms. Minnich's professional background includes leadership positions in acute hospital and critical care, home health, managed care and she now serves as Director for an integrated provider and payor program. She serves on various community committees including Board member for Leadership Susquehanna Valley, a local program designed to develop community leaders. The project selected for Fellowship is to engage and develop a formal geriatric service line among the integrated health delivery system partners including three owned hospitals, outpatient clinical practice, research, community programs such as home health, hospice and LIFE, as well as the systems own Medicare managed care plan.
Ciona Regev, LCSW
"Capacity Assessment and Treatment Model"
Harris County Hospital District
Houston, TX

Ciona has served as a social worker in the geriatric outpatient clinic at Quentin Mease since 1996. Expanding upon the Baylor College of Medicine (BCM) affiliation, she extended her function beyond clinical care to education, research, and expertise in geriatric assessments and elder mistreatment. An interdisciplinary team approach and collaboration between HCHD, BCM, University of Texas Medical School (UT), and APS directed Ciona to become an active founding member of the Texas Elder Abuse and Mistreatment (TEAM) Institute. Under her affiliation with BCM, she embarked on a new social work leadership role to serve as a TEAM consultant and a senior liaison coordinator for BCM and UT. Furthermore, she was instrumental in developing, and implementing a capacity assessment service.
Most of her 26-year career has taken place in large non-profit organizations serving older adults from diverse populations. Ciona earned her Master's degree in social work from the University of Houston (UH), Texas, specialized in gerontology. She is an active field instructor for social work interns, classroom lecturer and research collaborator with the UH Graduate College of Social Work. Ciona is also a founding member of AGIFT, the Partnership Program in Aging Education supported by the John A. Hartford Foundation.
Karyn Rizzo, RN, MS
"I PiCC: Integrated Patient-Centered Care"
Notre Dame Hospice
Needham, MA

Mrs. Rizzo joined Dovetail Health, located in Needham, Massachusetts, in 2008 as the Director of Clinical Services. She was previously employed by the Miriam Hospital as the Geriatric Clinical Nurse Specialist. Prior to these positions, she worked in managerial or consultative roles in the hospice industry for 8 years. Her areas of expertise include clinical and operational aspects of hospice, census growth and business development, staff education, and maintaining ongoing compliance with the Medicare Conditions of Participation (CoPs). Her areas of interest include geriatrics, pain management, and hospice and palliative care. She is an active member of The New England Alliance of Hospice of Hope in Romania, The Hospital Association of RI (HARI) Palliative Care Committee, as well as the Rhode Island Falls Prevention Task Force. Karyn graduated from the New England Baptist School of Nursing and later completed her Masters in Nursing at the University of Rhode Island and looks forward to continuing her doctoral studies in 2009. Prior to working in hospice, Karyn owned a nursing agency with operations in the United States, Europe, and the Middle East.
Miriam E. Schwartz, MD, MA, PhD
"Comprehensive Geriatric Care of Elderly Native Americans"
Gallup Indian Medical Center
Gallup, NM

Dr. Schwartz graduated from California State University at Los Angeles with a Bachelor's degree in Biology. She continued her studies at Purdue University and obtained a Ph.D. in Biological Sciences specializing in Nucleic Acid Biochemistry. She received her M.A. and M.D. degrees from the University of Dublin (Trinity College), Ireland. She completed her residency in family medicine at the University of Southern California, where she served as a chief resident. She obtained her geriatric training in the Veterans Administration-University of California at Los Angeles Geriatric Medicine Fellowship Program.
Dr. Schwartz works as a geriatrician in the Department of Family Medicine at the Gallup Indian Medical Center in New Mexico. She developed a Geriatric Interdisciplinary Program which provides comprehensive geriatric care to elderly Native Americans in the Gallup Indian Health Service Unit. She also started a Fall Risk Reduction Clinic which assesses fall risk factors and provides preventive measures for elderly patients. Her interest in geriatrics stems from her volunteer church activities visiting the sick and elderly in her community while she was in college. Her aim is to improve the quality of life for elderly patients through preventive medicine.

James Tew, MD
"Enhancing Transitional Care Quality for Older Adults Discharged from Psychiatric Hospitals"
University of Pittsburgh Medical Center
Pittsburgh, PA

Dr. Tew is Assistant Professor of Psychiatry, and inpatient teaching attending, at the Western Psychiatric Institute & Clinic's inpatient geropsychiatry unit (part of UPMC Health System). Dr. Tew has a clinical interest in addressing gaps in care for older adults with mental illness. He is team leader for the interdisciplinary 'Transitions in Care' quality improvement project at WPIC, which seeks to improve care coordination at the time of hospital discharge. This is the focus of his Practice Change Fellowship. Dr. Tew also serves as Medical Director for the VA Pittsburgh Healthcare System's Behavioral Health Laboratory (BHL). He supervises a team of nurses and technicians providing telephone-based mental health disease management for primary care physicians and their veterans at five VA medical centers across Western Pennsylvania.
From 2006-2007, Dr. Tew was a Clinician-Educator Fellow for the University of Pittsburgh's John A. Hartford Foundation Center of Excellence in Geriatric Psychiatry. Dr. Tew received his undergraduate degree in psychology from Georgetown University. He received his medical degree and clinical training in adult and geriatric psychiatry from the University of Pittsburgh. He and his wife, Sun Woo Park (a pediatrician), have three young children: Elias, William, and Annabel.