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Improving
Cardiovascular Care
Through Local Partnership Efforts:
The Guidelines Applied in Practice (GAP) Initiative
in Southeast Michigan
Harlan
M. Krumholz, MD, FACC
Dr. Harlan Krumholz is an Associate Professor of Medicine
at the Yale University School of Medicine He is a member of
both the American College of Cardiology and the American Heart
Association. He chairs the Cardiovascular Conditions Clinical
Advisory Panel of the Joint Commission on the Accreditation
of Healthcare Organizations and he chairs the AMI Performance
Measures Writing Group of the ACC/AHA. He also serves as a
clinical coordinator for two of CMS' national priority improvement
topics, the National Acute Myocardial Infarction Project and
National Heart Failure Project.
Stephen
Jencks, MD, MPH
Dr. Stephen Jencks is the Director of the Quality Improvement
Group in the Office of Clinical Standards and Quality, Centers
for Medicare and Medicaid Services (formerly HCFA) and Assistant
Surgeon General in the U.S. Public Health Service.
He
leads Medicare's Peer Review Organization and ESRD Network
Programs, which are national systems of contractors that are
funded to improve the quality and efficiency of care for Medicare
beneficiaries. Dr. Jencks led the reengineering of the PRO
and ESRD Network programs from a primary focus on deficient
practitioners and providers to the current focus on national
efforts to achieve measurably improved care and outcomes for
all Medicare beneficiaries through systems improvements.
As
Director of the Quality Improvement Group at CMS he manages
both a contractor budget of $370 million that is primarily
devoted to quality improvement and a program to create national
and local partnerships to support improvement.
Douglas
Zipes, MD, FACC
Dr. Douglas P. Zipes graduated cum laude from Dartmouth College
in 1961, received his medical degree cum laude from Harvard
Medical School in 1964, and completed his postgraduate training
at Duke University Medical Center in 1968. He joined Indiana
University School of Medicine as an assistant professor in
1970 and became Distinguished Professor of Medicine, Pharmacology,
and Toxicology in 1994 and director of the Cardiology Division
and Krannert Institute of Cardiology in 1995.
He
is President of the American College of Cardiology and Chair
of the ACC Board of Trustees; he is a member of the Executive
Committee; the Educational Programs Committee; the Budget,
Finance, and Investment Committee; the ACC/American Heart
Association (AHA) Joint Officers Committee; the Annual Scientific
Session Program Committee; and the Government Relations Committee.
Dr. Zipes chaired the ACC Development Committee, through which
he has played a key role in developing the new charitable-giving
program and overseeing the ACC's corporate partnerships.
Dr.
Zipes is a member of the Board of Directors of the North American
Society of Pacing and Electrophysiology (NASPE), of which
he is a past president. He has served on the Board of Directors
of the AHA, and is past president of the Association of University
Cardiologists and of the Cardiac Electrophysiology Society.
He is also a member of the Executive Committee of the American
Board of Internal Medicine (ABIM) and served as chair on ABIM
Committees. He is Chair-Elect of the ABIM.
He
is founding editor and editor in chief of the Journal of
Cardiovascular Electrophysiology and of Cardiology
in Review, consulting editor for Circulation and
for thse Journal of Cardiovascular Pharmacology, and
associate editor of the American Journal of Physiology.
He has published almost 700 articles and 13 books and is a
co-editor of the third edition of Cardiac Electrophysiology:
From Cell to Bedside and of the sixth edition of Heart
Disease: A Textbook of Cardiovascular Medicine.
Lynn
Smaha, MD, PhD, FACC
Lynn A. Smaha, M.D., Ph.D., of Sayre, Pa., is executive vice
president of Guthrie Clinic Ltd., a multi-specialty group
practice of 240 physicians, 65 mid-level providers and more
than 1,000 employees. The clinic provides a full range of
diagnostic, medical and surgical services. Dr. Smaha relinquished
the post of president and chief executive officer of the clinic
in 1998 after being named president-elect of the American
Heart Association.
Born
and reared in Marshalltown, Iowa, Dr. Smaha received a bachelor
of science degree in 1964 from Iowa State University and a
master's degree in 1967 from the University of Iowa. He also
earned his Ph.D. degree in neuroscience in 1970 and his medical
degree in 1972 from the University of Iowa. He did his internship
and his residency at Robert Packer Hospital in Sayre.
Dr.
Smaha began his career at the University of Iowa where he
was involved in basic science research and was a member of
the faculty. He also has been a practicing invasive cardiologist
for almost two decades. He has been a visiting lecturer at
the Sloan School of Health Care Administration at Cornell
University. Between his internship and residency, Dr. Smaha
served as an Air Force flight surgeon. In 1973 he was honored
as "Flight Surgeon of the Year." He flies his own plane to
see patients at the Guthrie Clinic's regional sites and to
attend American Heart Association meetings. He is also one
of the senior aviation medical examiners for the Federal Aviation
Administration. He has traveled extensively, including trips
to the People's Republic of China where he assisted in modernizing
cardiovascular facilities and equipment in that country.
Dr.
Smaha has served the American Heart Association at all levels
beginning with the local division. He chaired the organization's
Emergency Cardiac Care Business Oversight Committee that produced
a detailed strategic business plan for the association's Emergency
Cardiac Care activities.
Dr.
Smaha also was a member of the 21st Century Steering Team
that helped to create a strategic driving force, which was
determined to be gathering, evaluation and dissemination of
information about cardiovascular disease and stroke. As chairperson
of the Strategic Planning and Integration task force, he played
a leading role in the development of a 10-year goal that places
new emphasis for the American Heart Association on reaching
people at risk for heart disease and stroke.
Dr.
Smaha was president of the Pennsylvania Affiliate in 1989-90
and has served on the American Heart Association's Board of
Directors since 1990. He received the Award of Meritorious
Achievement in 1996 for "important service in developing American
Heart Association programs."
Kim
A. Eagle, M.D., F.A.C.C.
Dr. Kim Eagle is the Albion Walter Hewlett Professor of Internal
Medicine and Chief of Clinical Cardiology at the University
of Michigan Medical Center. He graduated from Oregon State
University in 1976 and from Tufts University Medical School
in 1979. He completed his residency and chief residency in
Internal Medicine at Yale-New Haven Hospital from 1979 to
1983 followed by research and clinical fellowships in cardiology
and health services research at Harvard Medical School and
the Massachusetts General Hospital from 1983 through 1986.
From 1986 to 1994, Dr. Eagle served the Massachusetts General
Hospital where he was promoted to Associate Director of Clinical
Cardiology and Associate Professor of Medicine at Harvard.
Since
his recruitment to the University of Michigan, he has overseen
a vigorous outcomes research program focusing on quality,
cost-effectiveness, use of practice guidelines in cardiovascular
care, evaluation and management of acute coronary syndromes,
the evaluation and management of aortic dissection, and the
use of modern mathematical models to assess outcomes and risk.
He maintains an active inpatient and outpatient practice and
is working with colleagues in creating the University of Michigan
Cardiovascular Center.
Dr.
Eagle has served the American College of Cardiology as a director
of numerous extramural programs, a member of the Guideline
Task Force, Chair of the newly formed Task Force for the Development
of Performance Measures in Cardiovascular Care, Annual Scientific
Sessions Program Committee, and is the new editor of the American
College of Cardiology Current Journal Review.
Cecelia
Montoye, RN, MSN, CPHQ
Cecelia Montoye received her BSN from Eastern Michigan University
and her MSN from Madonna University and has been in nursing
for more than 20 years. With a background in critical care
and emergency nursing, Cec started work as a project manager
at MPRO in 1995. As AMI project manager in the 6th Scope of
Work, she served as co-principle investigator with Dr. Kim
Eagle on the GAP project in Michigan.
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