Becker's Hospital Review

Sign up for the COMPLIMENTARY Becker's Hospital Review CEO Report & CFO Report E-Weeklies at www.BeckersHospitalReview.com or call (800) 417-2035 for nurses, create secure retirement for healthcare workers and promote a single-payer system. Earlier this year, on author and talk show host Tavis Smiley's "Vision for a New America: A Future Without Poverty" tour, Ms. DeMoro promoted the union's goals for a single-payer system and a Robin Hood tax, which would levy a fee on Wall Street transactions to fund public causes, like healthcare. Karen DeSalvo, MD. In late December 2013, HHS announced Dr. DeSalvo, a general internal medicine and geriatrics physician, is the National Coordinator for Health IT at the ONC — making her the foremost authority on all health IT issues. She replaced Jacob Reider, MD, CMO of the ONC who acted as national coordinator for two months following the departure of Farzad Mostashari, MD. Dr. DeSalvo served as health commissioner of New Orleans and senior health policy advisor to New Orleans Mayor Mitch Landrieu. She has spearheaded efforts to modernize the New Orleans healthcare system, including leading health IT-focused projects to augment the city's neighborhood-based medical homes and to improve access to care for underserved populations following Hurricane Katrina. Dr. DeSalvo also oversaw the construction of the city's newest hospital, which will feature a fully integrated health IT network. Judith Faulkner. In 1979, Ms. Faulkner founded Epic Systems, one of the largest technology and electronic health record companies in the U.S. and worldwide. She currently serves as CEO of the private Epic, which posted $1.5 billion in revenue in 2012, up roughly 25 percent from 2011, according to Forbes. Epic's near-omnipresence within hospitals and health systems has risen drastically since Oakland, Calif.-based Kaiser Permanente adopted the EHR in 2003. Forbes estimates almost half of U.S. patients have their medical information in an Epic EHR system. In a rare interview with Forbes in May, Ms. Faulker, a computer programmer by background, said she began working in the EHR and data management system sector to create a patient-centric product. "One of the things that made Epic strong when I wrote the original code was that it never occurred to me to do anything other than put the patient at the center," she said. Trevor Fetter. Mr. Fetter, president and CEO of Tenet Healthcare Corp., an investor-owned hospital company in Dallas, was behind one of the biggest moves in healthcare in 2013. Tenet agreed to buy Vanguard Health Systems, a Nashville, Tenn.-based hospital chain, for $1.8 billion in cash and the assumption of $2.5 billion of Vanguard's debt. The transaction vastly grew Tenet's portfolio, and now Tenet operates 77 hospitals, more than 170 freestanding outpatient centers and business solutions firm Conifer Health Solutions. In fiscal year 2012, Tenet posted $141 million of profit on more than $9.1 billion of net revenue, and the company's revenues are expected to rise significantly when factoring in the newly acquired Vanguard hospitals. Mr. Fetter has been president of Tenet since 2002 and added the CEO title in 2003. He joined Tenet in 1995 and served as CFO from 1996 to 1999. Tom Frieden, MD. In June 2009, Dr. Frieden became director of the Centers for Disease Control and Prevention. Dr. Frieden's physician special- ties include internal medicine, infectious disease, public health and epidemiology. He joined the CDC in 1990 and worked at the agency until 2002, when he became commissioner of the New York City Health Department. Dr. Frieden has several notable accomplishments during his time at the CDC and the NYC Health Department. When he started as CDC director, Dr. Frieden handled the 2009 H1N1 flu virus pandemic. He also created Vital Signs, a CDC periodical discussing the most critical health problems confronting the U.S. today. During his tenure, New York City also became the first U.S. city to ban trans fats from restaurants. Also in New York, he oversaw the largest community electronic health record project in the country, which eventually became the model to expand EHR use nationwide. Atul Gawande, MD. A "Renaissance Man" of sorts, Dr. Gawande is a surgeon at Brigham and Women's Hospital in Boston, a staff writer for The New Yorker magazine, an author and a public health researcher. He also is a professor of surgery at Harvard Medical School in Boston and a professor of health policy and management at the Harvard School of Public Health. Two of Dr. Gawande's most influential pieces include a 2009 New Yorker essay, "The Cost Conundrum," that described why healthcare costs have inflated so much and his book The Checklist Manifesto: How to Get Things Right, which explains how simple checklists can dramatically make patient care safer. Dr. Gawande, who still actively writes and teaches, has received many accolades, including recognition as a MacArthur fellow and a Hastings Center fellow. Richard Gilfillan, MD. For almost three years, Dr. Gilfillan served as the first director of the Center for Medicare and Medicaid Innovation, which was created under the PPACA to test "innovative payment and service delivery models to reduce program expenditures" while enhancing quality of care. In 2013, he stepped down and was later named president and CEO of Livonia, Mich.based CHE Trinity Health, one of the largest Catholic health systems in the U.S. CHE Trinity Health was formed through a merger of Trinity Health and Catholic Health East. The combined entity owns 80 hospitals across 20 states and has more than $13 billion in annual operating revenue. Dr. Gilfillan, a family medicine physician, previously spent time as CEO of Geisinger Health Plan, the insurance arm of Danville, Pa.-based Geisinger Health System, and held other executive roles within commercial insurers. Gary Gottlieb, MD. Since 2010, Dr. Gottlieb has been president and CEO of Partners HealthCare System in Boston, one of the largest and most influential systems in the country. At the core of Partners is Massachusetts General Hospital and Brigham and Women's Hospital, two leading academic medical centers. Partners has expanded its reach significantly under Dr. Gottlieb's tenure, and the system includes six other community hospitals and is in the process of acquiring several more. In FY 2012, Partners reported operating income of $191 million on $9 billion of revenue, and its total assets are valued at $12.6 billion. Previously, Dr. Gottlieb was president of 17 Brigham and Women's and Brigham and Women's Faulkner Hospital. He is board-certified in psychiatry and geriatric psychiatry. Glenn Hackbarth, JD. Mr. Hackbarth chairs one of the most discreetly powerful U.S. government healthcare agencies — the Medicare Payment Advisory Commission. Established under the Balanced Budget Act of 1997, MedPAC advises Congress on all issues affecting the Medicare program, including provider reimbursements, new payment delivery models and quality of care. In 2013, MedPAC suggested all Medicare accountable care organizations should take on more financial risk and that Congress should cut reimbursement rates to hospitals for procedures that can be performed in lower-cost clinic settings. Mr. Hackbarth, a lawyer, has served as MedPAC's chair since 2001. He previously founded and was CEO of Harvard Vanguard Medical Associates, a multispecialty group practice in Boston and an affiliate of Atrius Health in Newton, Mass. From 1986 to 1988, Mr. Hackbarth was the deputy administrator at CMS, then known as the Health Care Financing Administration. Margaret Hamburg, MD. Dr. Hamburg, an internist, became the 21st commissioner of the Food and Drug Administration in 2009. The FDA, part of HHS, is responsible for protecting and advancing public health by assuring the safety and efficiency of drugs, medical devices, the country's food supply and other medical innovations. In 2013, the FDA joined much of the world by declaring trans fats as no longer safe, essentially banning their use from the food supply. Dr. Hamburg, a graduate of Harvard Medical School, previously was the senior scientist at the Nuclear Threat Initiative, a nonprofit organization with a goal to ultimately prevent the spread of nuclear, biological and chemical weapons. Dr. Hamburg also served as assistant secretary for policy and evaluation within HHS. Stephen Hemsley. Since 2006, Mr. Hemsley has served as president and CEO of UnitedHealth Group in Minnetonka, Minn., the largest health insurer in the U.S. in terms of both revenue and membership. In 2012, UnitedHealth Group posted $5.5 billion of profit after pulling in $110.6 billion of revenue. The health insurer has several prominent subsidiaries, including UnitedHealthcare and Optum, and in October 2012, it dipped its toes further into international waters by acquiring a 90 percent stake in Amil Participações, the largest hospital and healthcare company in Brazil. Mr. Hemsley joined UnitedHealth Group in 1997 as senior executive vice president and later became the company's COO and president. He is one of the highest-paid healthcare executives in the U.S., earning more than $38 million over the past three years. Ardis Dee Hoven, MD. Dr. Hoven became the 168th president of the American Medical Association in June 2013. She has been an AMA board of trustees member since 2005 and served as board chair for 2010-11. Board-certified in internal medicine and infectious disease, Dr. Hoven's reputation in the medical field spans far and wide. She previously served as president of the Kentucky Medical Association. When Dr. Hoven was inaugurated as AMA president, she said: "The one constant in the field of medicine is change. Some is positive: My

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