Faculty Milestone Expertise

Carol Greenlee, MD

FACP, FACE

Email: cgreenlee@westslopeendo.com

Experience in transformation: Dr. Carol Greenlee is board certified in Internal Medicine and in Endocrinology, Diabetes and Metabolism with over 30 years of practice and patient care experience. Her work in care delivery includes representing the physician and patient at the policy and standards level especially regarding care coordination in the Medical Neighborhood. She has worked with the ACP with their High Value Care (HVC) initiative, including chairing efforts regarding High Value Care Coordination for the referral process and Pediatric to Adult care transitions. She has led task force efforts on shared decision making and quality improvement/practice improvement. She served on the NCQA Clinical Programs Committee (oversight of PCMH and other programs) and on the initial design as well as revision committees for Patient-Centered Specialty Practice (PCSP) recognition. She has on-the-ground personal experience with transforming her private solo specialty practice, receiving NCQA recognition as tier 3 Patient-Centered Specialty Practice as an early adopter in 2014.

Specific areas of expertise:

  • Medical Neighborhood/ referral processes/care coordination agreements
  • High Value Care/ Reducing unnecessary Utilization/ Cost Savings
  • Using Data for Improvement
  • Patient-Centered Care and Shared Decision Making

Kathy Reims, MD

Family Physician, Assistant Clinical Professor, UCHSC

Email:kreims@spreadinnovation.com

Experience in transformation: Kathy began her experience with practice transformation in 1999 as a medical director of a Colorado FQHC.  She has worked on a variety of transformation efforts at the community, regional, state and national level in both the US and Canada.  Topics for transformation have been both disease specific including diabetes, depression, diabetes prevention, oral health, obesity prevention, improving response to toxic stress, access to oncology clinical trials, and HIV care as well as broader initiatives in primary care such as behavioral health integration, care for seriously mentally ill, PCMH recognition and improving clinical flow.  Kathy enjoys working across teams to improve coordination and has a special interest in engaging patients and their circle of support in health.  She also trains health care professionals in motivational interviewing and action planning skills.

Specific areas of expertise:

  • Patient and Family Engagement in Care
  • Self-Management Support
  • Leadership and Change Management
  • Measuring Success

Gail Armstrong, PhD, DNP, ACNS-BC, CNE

Associate Professor, University of Colorado College of Nursing

Email: gail.armstrong@ucdenver.edu    

Experience in transformation: Gail Armstrong, PhD, DNP, ACNS-BC, CNE is an Associate Professor at the University of Colorado in the College of Nursing (CON) where she has been on faculty since 2000.  Gail is an Adult Clinical Nurse Specialist and she teaches several graduate programs in the College, focusing on health systems leadership.  Along with her work in TCPI, Gail works with healthcare teams through the Institute of Healthcare Quality, Safety and Efficiency (IHQSE) in Denver. This regional institute offers a twelve-month training program for interprofessional clinical teams, offering education in the areas of systems leadership, process improvement, and patient safety.   Gail’s teaching and practice in IHQSE focused on interprofessional teamwork, improving microsystem culture, addressing change fatigue, and maximizing multi-generational work teams

Specific areas of expertise:

  • Teamwork and Collaboration
  • Practice Culture
  • Team Morale (including change fatigue)

George DelGrosso

Email: gdelgrosso2002@hotmail.com

Experience in transformation: George is a national, state, and regional leader in the area of behavioral health. He has over 40 years of experience in behavioral health including 14 years as the Chief Executive Officer of Colorado Behavioral Healthcare Council the membership organization for all the Community Mental Health Centers, and organizations who managed behavioral health contracts for publically funded mental health and substance use disorder services. Prior to this position he was the Executive Director of two community mental health centers. George started as a psychotherapist, then a marriage and family therapist, clinical supervisor, and program developer before moving into senior management.

George combines his years of experience in different facets of community behavioral health to consult with local, regional, statewide organizations and associations to implement effective health care policy, models for payment reform, integrating health care, contracting with managed care entities, service delivery issues as they relate to mental health and substance use disorders, board of directors training, and developing new business structures to meet the challenging environment of health care delivery and payment reform.

Specific areas of expertise:

  • Value-Based Payments
  • Behavioral Health Delivery at the Community Level
  • Forming Collaborations and Partnerships to Deliver Integrated Care
  • How Current Trends in Health Reform will Impact the Delivery of Behavioral Health

Kyle Knierim, MD

Assistant Professor, Associate Director of Practice Transformation, Department of Family Medicine, UC School of Medicine

Email: kyle.knierim@ucdenver.edu

Experience in transformation: Dr. Knierim is a board certified Family Medicine physician and Assistant Professor at the University of Colorado Department of Family Medicine, where he also completed fellowship training in Primary Care Practice Transformation. He cares for patients and trains students and residents at AF Williams Family Medicine Clinic in Denver, CO. In addition to clinical care, he is the Associate Director of Practice Transformation and oversee the clinical informatics support for primary care and specialist practices through several state and regional practice transformation projects including Colorado's State Innovation Model (SIM) and Transforming Clinical Practice Initiative both funded by CMMI, and the AHRQ-funded Evidence Now Southwest Cooperative. He serves on the core leadership team of several state and national committees including the including the Colorado Health Extension System, SIM HIT workgroup, and the PCPCC Collaborative of the Collaboratives. Dr. Knierim consults for other practice transformation organizations and speaks at regional, national and international conferences on topics related to using data to guide population health, behavioral health integration, care management, and patient engagement.

Specific areas of expertise:

  • Behavioral Health Integration
  • Team Based Care
  • Data to Guide Quality Improvement
  • Population Health
  • High Risk Care Management
  • Patient and Family Engagement
  • Medication Assisted Treatment for Opioid use Disorders

Kellyn Pearson, MSN, APN, RN

Email: kellyn.pearson@ucdenver.edu

Experience in transformation: Ms. Pearson is an Advanced Practice Nurse who also completed the Health Information Management and Exchange (HIM/HIE) Specialist Certificate Program.  Her practice transformation experience began with her work to improve immunization rates in clinical setting in rural Colorado.

She provided Regional Extension Services (REC) for Eligible Providers to attest to being “Meaningful Users” for the Medicare and Medicaid EHR Incentive Program.  She facilitated the development, implementation and use of a Measures Database to improve clinical quality in primary care offices that were participating in practice transformation activities.   She was Manager of Practice Support at the American College of Physicians where she managed their web based learning product, Practice Advisor, that contained modules geared to helping primary care and specialty practices implement changes that foster patient centered value based care.

She is currently Learning Community Manager in the Department of Family Medicine Practice Innovation Program.

Specific areas of expertise:

  • Medical Neighborhood/ Referral Processes/Care Coordination Agreements
  • High Value Care/ Reducing Unnecessary Utilization/ Cost Savings
  • Using Data for Improvement
  • Patient-Centered Care and Shared Decision Making

Allyson Gottsman

Email: allyson.gottsman@ucdenver.edu

Experience in transformation: Allyson Gottsman has been in healthcare her entire career, coming from the administrative perspective of healthcare delivery, predominantly in primary care. She began experimenting with practice facilitation in the early nineties with a focus on patient centeredness, patient education and efficient workflow. She expanded to clinical transformation in her role as executive vice president for HealthTeamWorks. Allyson was the original Colorado Director of the national Improving Performance in Practice program,(IPIP) one of the early primary care practice transformation programs in the country. Ms Gottsman was actively engaged in the Colorado Multi-payer Patient Centered Medical Home pilot.

Specific areas of expertise:

  • Value Based Payment Models
  • Emergency Department Reductions
  • Value Based Care

Perry Dickinson, MD

Email: perry.dickinson@ucdenver.edu

Experience in transformation: Perry Dickinson, M.D., is a Professor in the University of Colorado Department of Family Medicine and Director of the Department’s Practice Innovation Program and the Colorado Health Extension System. He is Past President of the Society of Teachers of Family Medicine, the North American Primary Care Research Group, the Board of Directors of the Annals of Family Medicine, and the Council of Academic Family Medicine. Dr. Dickinson has led multiple studies investigating the process of practice transformation, particularly focusing on the implementation of the Chronic Care Model, the Patient Centered Medical Home (PCMH) model, self-management support, and integrated behavioral health services in primary care practices. He has also worked with many primary care residency programs and practices on implementing the PCMH in their practices and curricula, including leading the Colorado Residency PCMH project over the past seven years. He is the lead for the practice transformation portions of the Colorado State Innovation Model, Transforming Clinical Practice Initiative, and EvidenceNOW Southwest projects.

Specific areas of expertise:

  • Trends in Payment Reform
  • Team-Based Care
  • Quality Improvement
  • Practice Leadership

Stephanie Kirchner, MSPH, RD

Email: stephanie.kirchner@ucdenver.edu

Experience in transformation: Stephanie Kirchner joined the Department of Family Medicine in May of 2013 as the Practice Transformation Program Manager. Stephanie has been working in quality improvement, and practice transformation in primary care since 2006, supporting practices in patient-centered medical home (PCMH) initiatives including Enhancing Practice Improving Care initiative, PCMH Foundations, the Comprehensive Primary Care initiative and Advancing Care Together. As Practice Transformation Program Manager for the Department of Family Medicine, Stephanie collaborates with project partners and stakeholders to advance practice transformation efforts across multiple initiatives, including the State Innovation Model, EvidenceNow Southwest and the Transforming Clinical Practice Initiative. Her work supports the development of practice teams that adopt sustainable, evidence-based, patient-centered quality improvement methods to achieve improved patient experience, improved patient outcomes and decreased costs of care.

Specific areas of expertise:

  • Building Practice Infrastructure to Support Quality Improvement
  • Process/Workflow Mapping
  • Empanelment/Risk Stratification
  • Using Clinical Data to Support Quality Improvement
  • Model for Improvement/PDSA Development
  • Operationalizing Behavioral Health Integration