2013 Practice Change Leaders:

D. Clay Ackerly, MD, MSc

Project: "Skilled Nursing Facility Network Development for High-Risk Patients"
Massachusetts General Hospital
Massachusetts


Randi Berkowitz, MD

Project: "Skilled Nursing Facility Network Increase Days at Home (SNIDH Intervention)"
Commonwealth Care Alliance
Massachusetts


Stephanie R. Bruce, MD

Project: "Total Elder Care"
Medstar Washington Hospital Center
Washington DC


Jennifer DeCubellis, LPC

Project: "Hennepin Health"
Hennepin County
Minnesota


Christian Davis Furman, MD, MSPH

Project: "Advance Care Planning: Ensuring Patients’ Wishes are Honored"
University of Louisville School of Medicine
Kentucky


Corita Grudzen, MD, MSHS

Project: "Triggered Palliative Care Consultation for Older Adults Transferred to the ED from Long-Term Care"
Mount Sinai Medical Center
New York


Suzanne E. Landis, MD, MPH

Project: "Enhanced Primary Care in a Retirement Community"
Mountain Area Health Education Center, Inc.
North Carolina


Stephen K. Liu, M.D., MPH

Project: "Re-engineering the Geriatric Inpatient Stay and Transition Home (REGISTRY)"
Trustees of Dartmouth College
New Hampshire


Margaret Namie, RN, BSN, MPH, CPHQ

Project: "Care Transitions from Hospital to Home"
Mercy Health
Ohio


Nancy Roberts, RN, MSN

Project: "A Transitional Care Model (from hospital to home to the community) for Patients with Heart Failure"
Kent County Visiting Nurse Association d/b/a VNA of Care New England
Rhode Island

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Please join us in congratulating the 2015 cohort of Practice Change Leaders for Aging and Health. To learn more about our new Change Leaders, Click Here..


To be added to our distribution list for future cohorts, please sent an e-mail to info@changeleaders.org. We have updated our list to include all who have expressed interest during our the 2015 application cycle.