2nd Annual Substance Use Disorder Symposium - Tuesday, May 29, 2018 Dorrance H. Hamilton Building - Thomas Jefferson ...
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2 Annual Substance nd Use Disorder Symposium Addressing the Opioid Crisis Tuesday, May 29, 2018 Dorrance H. Hamilton Building 1001 Locust Street, Philadelphia, PA 19107 Presented by 1
he devastating effects of substance abuse on patients, their families, the healthcare system, and society has led to the creation of numerous initiatives aimed at training healthcare professionals and students to identify, intervene, and care for those individuals who have or are at risk for substance use disorders. Jefferson is committed to addressing the abuse of both prescription and nonprescription opioids, which has become a crisis locally and nationally. The opioid epidemic affects a broad spectrum of people and industries, and there are many factors that contribute to the rising numbers of opioid addictions and deaths. While the crisis is too complex to settle in a day, this multidisciplinary, full-day symposium aims to bring together stakeholders and thought leaders and start a conversation about what can be done in the healthcare industry to protect those suffering from addiction and prevent others from becoming addicted. The symposium will arm attendees with the knowledge and skills needed to help address addiction in their specific environment and identify strategies to assist and support those suffering from substance use disorders. Local, state, and national speakers will deliver presentations on topics such as Philadelphia’s response to the crisis, innovative care models, how the private sector can address public health emergencies, and accessing available community resources. The overall goal of the symposium is to create a platform to discuss and disseminate best practices, create standardized action plans, and to take the first step in a coordinated approach to addressing the opioid crisis. Special thanks to our presenting sponsor, the AmerisourceBergen Foundation, for providing the funds that made this event possible. The content, topics, and views and opinions expressed in this symposium are those of the presenters and do not necessarily reflect the views or interests of AmerisourceBergen. 2
SYMPOSIUM AGENDA 7:00 AM - Registration and Breakfast, 9:40 AM - Break, Conrady Lobby Conrady Lobby 10:00 AM - Morning Session #2, Connelly 8:00 AM - Morning Session #1, Auditorium Connelly Auditorium Panel, Community Resources: Making Opening Remarks the Match Edmund Pribitkin, MD, MBA, FACS Loren K. Robinson, MD, MSHP, FAAP (Moderator) Chief Medical Officer, Deputy Secretary for Health Promotion Thomas Jefferson University Hospitals and Disease Prevention Keynote Lecture, Opioid Epidemic Silvana Mazzella Associate Executive Director, in the US: The CDC Response Prevention Point Philadelphia Jamie Mells, PhD Lieutenant, U.S. Public Health Service, Lara C. Weinstein, MD, MPH Program Integration and Evaluation Associate Professor in the Department of Family Branch Division of Analysis, Research and Community Medicine, Sidney Kimmel Medical and Practice Integration, Centers for College, Thomas Jefferson University; Director of Disease Control and Prevention Integrated Care, Pathways to Housing, PA; Project Director, Center of Excellence at Pathways to Housing 8:55 AM - Panel, Philadelphia’s Response and Project HOME Health Services and Path Forward Christine Simiriglia Jean Bennett, PhD (Moderator) President and CEO, Pathways to Housing PA Regional Administrator, Substance Abuse and Mental Health Services Administration Carol Rostucher Founder, Angels in Motion Thomas Farley, MD, MPH Commissioner, Philadelphia Adam Fussaro Department of Public Health Project Supervisor, Center of Excellence, PHMC - Care Clinic Health Center Deputy Commissioner Joseph P. Sullivan Philadelphia Police Department Bruce Herdman, PhD, MBA Chief of Medical Operations, Philadelphia Department of Prisons Roland Lamb, MA Strategic Planning and Innovation Division, Department of Behavioral Health and Intellectual Disability Services Sam Gulino, MD Chief Medical Examiner, Philadelphia Medical Examiner's Office 2
11:00 AM - Lecture, Identifying the Causal 1:55 PM - Panel, New Models of Care Agents of the Opioid Mortality Epidemic: Priya Mammen, MD, MPH (Moderator) Toxicology and Chemistry of Synthetic Director of Public Health Programs, Department Opioids of Emergency Medicine, Sidney Kimmel Medical College at Thomas Jefferson University Barry K. Logan, PhD, F-ABFT Sr. Vice President of Forensic Science Initiatives and Kurt Haspert, MS, CRNP, APN-BC Chief of Forensic Toxicology, NMS LABS Clinical Director of Addiction Services University of Maryland Baltimore Washington 11:45 AM - Lunch Session, Conrady Lobby Medical Center Keynote, The Crisis in PA Sharon Larson, PhD Rachel Levine, MD, MPH Executive Director, Center for Population Health Secretary of Health, Physician General, State of PA Research, Lankenau Institute for Medical Research (LIMR) and Professor, College of Population Health, 12:15 PM - Community Resource Table Thomas Jefferson University Visitation, Conrady Lobby Terry L. Horton, MD Medical Director, Project Engage, Christiana Care 1:00 PM - Afternoon Case Studies, Health System Connelly Auditorium Rachel Haroz, MD Panel, How the Private Sector and Assistant Professor of Emergency Medicine Medical Toxicology Addiction Medicine, Cooper Medical Philanthropy Can Address a Health Crisis School of Rowan University Sara Appleyard Adams (Moderator) Senior Director, Communications and Marketing, CECP: The CEO Force for Good 2:50 PM - Break, Conrady Lobby David Barash, MD Chief Medical Officer, GE Foundation Gina Clark President, The AmerisourceBergen Foundation Rev. Lorina Marshall-Blake, PhD Vice President of Community Affairs, Independence Blue Cross and President, Independence Blue Cross Foundation Lisa Dalesandro DiChristofer Vice President, SAP Regulated Industries, Industry and Value Advisory Practice 3
3:10 PM - Closing Session and Town Hall, Connelly Auditorium Panel, Jefferson’s Path Forward Brian Swift, PharmD, MBA Enterprise Vice President and Chief Pharmacy Officer, Jefferson Health, Associate Dean of Professional Affairs, Jefferson College of Pharmacy Edmund Pribitkin, MD, MBA, FACS Chief Medical Officer, Thomas Jefferson University Hospitals Theodore Christopher, MD, FACEP The Green Family Foundation and John and Patricia Walsh Professor and Chair, Department of Emergency Medicine, Sidney Kimmel Medical College, Thomas Jefferson University and Hospitals, President, Pennsylvania Medical Society Eugene Viscusi, MD Professor, Anesthesiology, Thomas Jefferson University, Director, Acute Pain Management, Jefferson Health Robert C. Sterling, PhD Medical Director, Narcotic Addiction Rehabilitation Program (NARP) and Professor, Psychiatry and Human Behavior, Thomas Jefferson University
Symposium Planning Team Theodore Dr. Christopher is past president of the Association of Academic Chairs of Emergency Medicine, the Pennsylvania Chapter of the Christopher, American College of Emergency Physicians, receiving the Chapter’s Meritorious Service MD, FACEP Award, and the Philadelphia County Medical Society, serving as its liaison to the Philadelphia Theodore Christopher, Health Management Corporation (PHMC). He MD, FACEP, is the Green has also served as a Pennsylvania Delegate to Family Foundation and John and Patricia the American Medical Association for many Walsh Professor and Chair of the Department years. of Emergency Medicine at the Sidney Kimmel Medical College (SKMC) of Thomas Jefferson A summa cum laude graduate of Harvard University, Philadelphia. He became the 168th University, Dr. Christopher attained his medical president of the Pennsylvania Medical Society degree at the Icahn School of Medicine at (PAMED) on October 14, 2017, having served Mount Sinai in 1981. He then completed on its board of trustees since 2011. residencies in internal medicine at Brown University’s Rhode Island Hospital (1984) and Since becoming a physician, Dr. Christopher emergency medicine at Thomas Jefferson has been active in emergency medicine University Hospital (1986); he is board-certified clinical practice, administration, education, in both specialties. and research. Under his leadership, Jefferson’s Department of Emergency Medicine has Dr. Christopher has written or co-authored treated millions of patients and has helped more than 80 peer-reviewed articles and establish Thomas Jefferson University Hospital delivered more than 140 abstracts and research as one of Philadelphia’s premier safety net presentations, nationally and internationally, hospitals. He has volunteered extensively in his on a wide range of topics, including ischemic community and assumed leadership positions reperfusion injury, hospital patient access and not only in his medical institution, but also flow, advocacy in medicine, and the future within several medical organizations. of emergency medicine and health care. Under his academic leadership, Jefferson’s He currently serves on the Governor’s Department of Emergency Medicine is Pennsylvania State Opioid Crisis Task Force, currently ranked No. 7 nationwide in specialty- and co-chairs the Thomas Jefferson University specific NIH funding. Hospitals’ Opioid Task Force. He has also been the chair of Thomas Jefferson University Dr. Christopher resides outside of Philadelphia Hospitals’ Pharmacy and Therapeutics with his wife of 33 years, Claudia, a head Committee for the past 16 years. trauma and spinal cord physical therapist. He has three daughters: Monica, a plastics and reconstructive surgery physician’s assistant 5
at the Johns Hopkins Medical Center in Philadelphia County Medical Society, and Baltimore; Adrienne, a general surgery resident the Philadelphia Overdose Prevention Task at Thomas Jefferson University Hospitals Force. She currently facilitates Emergency in Philadelphia; and Vanessa, a fourth-year Department–based public health initiatives medical student at the Sidney Kimmel Medical within Jefferson Health, such as safe opioid College in Philadelphia. prescribing guidelines, overdose prevention and education, and HIV and hepatitis C screening as director of Public Health Priya Programs. Mammen, Dr. Mammen was appointed to the Mayor’s Task Force to Combat the Opioid Epidemic MD, MPH in Philadelphia and also served on the subcommittee for Service Access, Best Practices and Treatment Providers. She Priya Mammen, MD, was inducted as a Fellow of the College of MPH, is director of Physicians of Philadelphia in 2015 and was Public Health Programs elected to the Executive Committee of the and clinical associate professor in the Section of Public Health and Preventative Department of Emergency Medicine at Sidney Medicine in 2017. Dr. Mammen’s career is Kimmel Medical College at Thomas Jefferson marked by the consistent application of her University. After graduating from Tufts experience and perspective as an emergency University with a Bachelor of Science in biology clinician to serve the well-being of her patients and child development in 1997, she worked on the spectrum from individual to population with John Snow, Inc and the US Agency for health. International Development (USAID). She was engaged in health systems development in war-torn countries such as Cambodia, and specifically focused on the integration of reproductive health services to the community health infrastructure by facilitating interagency collaborations. Dr. Mammen completed a master’s in public health at Johns Hopkins Bloomberg School of Public Health in 2004 and her medical education at Temple University School of Medicine in 2005. She completed her residency training in emergency medicine at Temple University Hospital in 2008. Her research interests include emergency department utilization by the medically underserved and as a point of access to care. Interagency work has continued throughout her academic career, involving the American Public Health Association (APHA), the Philadelphia Medical Examiner’s Office, the 6
Brian G. Administration Medical Center in 1986. He received his master’s in business administration in healthcare administration from Saint Swift, Joseph’s University in 2004. Dr. Swift has served as a clinical assistant professor PharmD, of Pharmacy for Philadelphia College of Pharmacy and Science since 1985, and is a MBA clinical professor at the Jefferson School of Pharmacy. Brian G. Swift, PharmD, MBA, is currently the Dr. Swift served on the 2015 Task Force and vice president and chief pharmacy officer Advisory Committee on Opioid Prescription at the Thomas Jefferson University Hospital Drug Proliferation in Harrisburg and is the and a clinical professor and associate dean current co-chair of the Jefferson Opioid for professional affairs at the Jefferson Task Force. Dr. Swift also serves on the Saint School of Pharmacy. In this capacity, Dr. Swift Joseph’s University Bioethics Institute advisory has responsibility for acute care Pharmacy board and the Lehigh University Healthcare operations servicing approximately 14 Systems Engineering program advisory Hospitals, 2,300 patient beds, five outpatient board. He has published numerous articles retail pharmacy operations, a health system– in professional and scientific journals and based Home Infusion program, and a Specialty presented at international, national, state, and Pharmacy program. local meetings. He and his wife, Colleen, live in Havertown, PA, with their family Kara, Eric, Dr. Swift served as the first chair of the Anna, and Danny. American Society of Health System Pharmacists (ASHP) Section of Home Care Practitioners and was instrumental in the success of the launch of the Section. He has also represented ASHP on the Joint Commission of Health Care Organizations (JCAHO) Home Care Professional and Technical Advisory Committee (PTAC) and was chair of the group for a number of years. Dr. Swift had previously been a home care surveyor for the JCAHO, and he served on the Health Care Finance Administration Task Force to establish Peer Review Organization Criteria for Catastrophic Healthcare Coverage. He has served as the vice chair of the Standards Committee for The National Home Infusion Association (NHIA) and as the ASHP representative to the Joint Commission’s Home Care PTAC. Dr. Swift received his Bachelor of Science in pharmacy and his Doctor of Pharmacy from Philadelphia College of Pharmacy and Science. He completed a clinical residency in ambulatory care at Philadelphia College of Pharmacy and Science and The Veteran’s 7
Symposium Speakers Committee member of the board of directors Sara Adams of the Newtown Memorial Fund. She is active with the Junior League of Stamford-Norwalk As senior director of and is a member of the Ad Council’s Advisory Communications and Committee on Public Issues. Marketing for CECP: The CEO Force for Good, Ms. Adams provides counsel to leading global corporations David Barash, on their social strategies—how they effectively engage with stakeholders such as community, MD employees, and customers. Engaging top-tier media and like-minded partners, she strives David Barash, MD is the to change the dialogue on business and chief medical officer for the communicate the vital role of corporations in GE Foundation, leading their solving societal challenges. Through her role, investment strategy to impact the opioid and Ms. Adams builds awareness of CECP’s thought addiction crisis in Boston and Massachusetts. leadership by putting CECP’s companies, He is also responsible for the GE Foundation’s spokespeople, data, research, and networks commitment to improve surgical access to front and center. underserved populations globally. Dr. Barash is founder and past co-chair of the Private Sector Prior to CECP, Ms. Adams was vice president Roundtable, a collaboration of multinational at Widmeyer Communications, spending companies supporting the work of the Global time in both their Washington, DC, and Health Security Agenda. New York offices. For more than 10 years, she provided communications counsel on Prior to joining the GE Foundation, Dr. Barash a wide variety of domestic policy issues to was chief medical officer of Life Care Solutions the nation’s leading foundations, nonprofits, at GE Healthcare. He was also founder and and corporations, as well as federal agencies. president of Concord Healthcare Strategies, She brought to Widmeyer a background in where he provided strategic and operational federal policy through her work at the U.S. expertise to medical technology investors Department of Education and the Education and development stage medical technology and Workforce Committee in the U.S. House companies. of Representatives. Working in politics on both sides of the Atlantic, Ms. Adams logged Dr. Barash is a practicing emergency physician experience with the Clinton-Gore Campaign and received his Bachelor’s and medical in Florida and New Hampshire, and the Greater degrees from Cornell University. He is the London Labor Party in England. author of several clinical publications and patented innovations. Ms. Adams has an MA in public administration from The George Washington University and a BA in political science from the University of New Hampshire, and was a founding Executive 8
Jean Bennett, Gina Clark PhD Gina Clark is executive vice president and chief Jean Bennett, PhD, is the communications and regional administrator for the administration officer for Substance Abuse and Mental AmerisourceBergen, where Health Services Administration, responsible for she oversees strategic communications, federal Region III, which includes Pennsylvania, marketing, government affairs, human Delaware, DC, Maryland, Virginia, and West resources and corporate citizenship. With more Virginia. Dr. Bennett chairs the HHS Region than 25 years of experience in the healthcare III Opioid Task Force and collaboratives, industry, Ms. Clark’s dynamic and insightful including the Philadelphia Medical Schools, leadership supports one of the world’s largest MAT Expansion, Naloxone Coordination, global pharmaceutical services companies. Suicide Prevention, Harm Reduction, Peers, Her expertise also includes thought leadership, and Virginia and West Virginia Medical public relations, managed care contracting, Schools. Dr. Bennett was also a member of and strategic development. the Mayor’s Task Force to Combat the Opioid Epidemic in Philadelphia. In addition to her In May 2016, Ms. Clark was named the other federal roles with HHS in DC and Dallas president of the AmerisourceBergen and for the Department of Veterans Affairs Foundation, the company’s independent not- in San Francisco, Dr. Bennett served in the for-profit charitable giving organization that Navy, where she retired at the rank of captain supports health-related causes that enrich the after serving in clinical roles and medical global community. As president, Ms. Clark has recruiting leadership roles. Dr. Bennett has an guided the nonprofit’s efforts to help combat undergraduate degree in nursing, a master’s in opioid abuse and provide communities with nursing, master’s in management, and a PhD in the critical resources needed to drive sustained organization and management. change. In recent months, the Foundation announced a number of new partnerships and grants, as well as the launch of two programs: a Municipal Support Program and Opioid Resource Grant Program. Ms. Clark earned a bachelor’s degree from Georgia Southwestern University. Her board affiliations, memberships and honors include: • National Multiple Sclerosis Society (current) • CMO Forum Advisory Board (current) • PA Women’s Forum Member (current) • IFPW Foundation’s Trustee Advisory Committee (current) • Business of Personalized Medicine Summit Advisory Board (current) • National Leukemia Society (former) • National Heart Association (former) • Named a 2015 Woman of Distinction by the Philadelphia Business Journal • Member of the Union League of Philadelphia 9
Lisa Thomas Dalesandro Farley, MD, DiChristofer MPH Lisa Dalesandro Thomas Farley, DiChristofer is national vice president for SAP’s MD, MPH, has been Regulated Industries – Industry & Value and commissioner of health for Philadelphia Advisory practice. She is responsible for driving since 2016, where he is working to reduce thought leadership and digital transformation tobacco and alcohol outlets in low-income across the federal defense, civilian, aerospace, neighborhoods, improve child health, and state and local government, higher education, address the opioid crisis. From 2009 to 2014, healthcare, and utilities industries. Dr. Farley was commissioner of the New York City Department of Health and Mental She is a highly effective leader with over 23 Hygiene. There, he advocated for innovative years of business process and enterprise public health policies, including prohibiting transformation experience excelling in price discounting of cigarettes, raising the building and leading high performing teams. legal sales age of tobacco to 21, and restricting She has a proven record of successfully the burning of air-polluting dirty fuels to heat helping clients solve their unique business buildings. Earlier, Dr. Farley was chair of the problems by developing and implementing Department of Community Health Sciences best practices to build high-performing, high- at Tulane University. He is co-author of more growth organizations. Since joining SAP in than 100 scientific publications on topics such 1996, Ms. DiChristofer has been instrumental as HIV, Legionaires’ disease, gun violence, in all aspects of the field sales-and-operations infant mortality, and obesity. He also is co- organizations across multiple public sector author of Prescription for a Healthy Nation and commercial industries. She is a seasoned (Beacon Press) with RAND Senior Scientist professional and a positive, motivated, Deborah Cohen, and author of Saving Gotham: empathetic leader who is highly dedicated to A Billionaire Mayor, Activist Doctors, and the her clients success. Fight for Eight Million Lives (W.W. Norton). Ms. DiChristofer possesses a purpose-driven agenda focused on improving peoples’ lives and advancing society through technology. She has strong execution skills to drive rapid business growth, helping clients deliver on expectations today while preparing for the future. Focus areas: • Women in technology – STEM outreach • Business process transformation and value creation • Postmerger technology and operational consolidation • Design thinking and digital transformation 10
Adam Fussaro of Medicine and the Drexel University School of Public Health. Adam Fussaro is the program supervisor of the Center Rachel Haroz, of Excellence (COE) at Public Health Management MD, FAACT Corporation (PHMC), a targeted intervention that engages individuals Rachel Haroz, MD, FAACT who have opioid use disorder and facilitates is assistant professor in the linkage to the appropriate treatment levels Department of Emergency of care. PHMC COE is imbedded in PHMC’s Medicine at Cooper Medical School of Rowan Federally Qualified Health Centers as part of University. She is board-certified in emergency an integrated primary healthcare model. Mr. medicine, medical toxicology, and addiction Fussaro oversees the facilitation of medication- medicine. She helps staff the Outreach Clinic assisted therapy (MAT) at the Care Clinic at at the Urban Health Institute at Cooper 1200 Callowhill Street in coordination with University Hospital, an addiction-medicine the COE. Prior to spearheading the COE, Mr. specialty clinic dedicated to treating patients Fussaro’s 15-year career has focused on ending with substance use disorders, and the Early chronic homelessness in Philadelphia, and he Intervention Program Clinic dedicated to the has held leadership positions at Project Home care of patients with HIV and substance use and Pathways to Housing. Mr. Fussaro holds a disorders. She helped create and implement Masters in Social Work from Temple University an initiative to bridge patients to treatment and is a licensed clinical social worker. with buprenorphine from the Emergency Department. She is heavily involved in education of residents, medical students, Sam Gulino, MD and pharmacists and organizes education forums focused on topics related to opioid Sam Gulino, MD, has more than 20 years of dependency and treatment. She also works experience as a forensic pathologist, and has closely with local government and emergency been the chief medical examiner of the City provider organizations such as the EMS staff and County of Philadelphia since 2008. and the Camden County Addiction Drug Task Force. He is a native of Chicago and a graduate of Northwestern University, where he received both his undergraduate and medical degrees. Kurt Haspert, After training in anatomic pathology at the Mayo Clinic (Rochester, MN), he completed a MS, CRNP, fellowship in forensic pathology at the Dade County Medical Examiner’s Office in Miami, APN-BC under the mentorship of Dr. Joseph Davis. Prior to being recruited to Philadelphia to be Kurt Haspert is a graduate of its chief medical examiner, he was the deputy Catonsville Community College in Maryland, chief medical examiner for Hillsborough where he received his associate’s degree in County in Tampa, Florida. nursing in 1996. In 2009, he graduated from the University of Maryland School of Nursing Dr. Gulino has a career long interest in the with a bachelor’s degree in nursing. In 2011, evaluation of suspected fatal child abuse. His he graduated from the same institution with other professional interests are epidemiology— a master’s in science and was awarded the especially the epidemiology of child abuse and Master’s Program Special Award – Excellence neglect—and cardiovascular pathology. He is in Primary Care Nursing. on the faculty of the Drexel University College 11
That same year, he began work at the University of Maryland Baltimore Washington Terry L. Medical Center as the hospital’s first addiction medicine nurse practitioner. In that role, he is Horton, MD, responsible for the diagnosis and management of all patients admitted to the medical center FACP, FASAM who are thought to have substance use disorders. Additionally, he has worked as Terry L. Horton, MD, FACP, hospital liaison with Anne Arundel County FASAM, is a member Health Department. He was instrumental of the teaching faculty of the Department in implementing the Opiate SOS grant, the of Medicine, attending physician, chief of Overdose Education and Naloxone Distribution the Division of Addiction Medicine, and grant, and the SAMHSA pilot project ROAR. associate physician lead of the Behavioral Health Service Line at Christiana Care Health Services in Wilmington, Delaware. In addition Bruce to teaching medical students and residents in inpatient and outpatient medicine, he has Herdman, chaired the Alcohol Withdrawal Workgroup, which developed and implemented alcohol screening, treatment, and referral protocols PhD, MBA into the institution’s electronic health record— an effort recognized nationally by the Agency Bruce Herdman, PhD, for Healthcare Research and Quality (AHRQ) MBA, is the chief of medical operations at the Innovation Exchange as a model effort. More Philadelphia Department of Prisons (PDP), a recently, Dr. Horton helped develop and role he has held since it was created in 2006; launch the Opioid Withdrawal Pathway, a he is responsible for the delivery and quality groundbreaking effort to screen, identify and of the medical, behavioral health, and dental treat opioid addicted patients who are admitted services provided to more than 30,000 inmates into the hospital. He has similarly developed a annually in prison and the community. new Substance Abuse Consultation Liaison role assisting with the care of hospitalized patients. Dr. Herdman earned a Bachelor of Arts degree from Pennsylvania State University (1969), Dr. Horton is also the founder and medical served as an officer in the United States Coast director of Project Engage, a nationally Guard (1969–1973) and earned an MBA in recognized and award-winning program using health care Administration (1975), a Masters in peer counselors integrated into health systems management (1980), and a PhD in economics to help identify and transition substance use (1981) from the Wharton School of Business at disordered patients into ongoing drug and the University of Pennsylvania. alcohol treatment. Dr. Herdman’s career in healthcare Dr. Horton currently chairs Delaware’s new administration in Philadelphia includes Drug Overdose Fatality Review Commission service as executive director of the Mayor’s and has served on a number of similar efforts Commission on Health, senior vice president both in New York and Delaware. His interests for Psychiatric Services at Pennsylvania include improving the care of hospitalized Hospital, vice president for Risk Arrangements substance disordered patients as well as and Ancillary Services at Independence Blue understanding their impact on health systems, Cross, and senior vice president of Provider innovating and researching methods to better Network Management at Keystone Mercy integrate addiction medicine into inpatient Health Plan. Dr. Herdman has served on the and outpatient systems of care, and physician boards of federally qualified health centers, and student training. Dr. Horton has published healthcare foundations, and hospitals. broadly and is a frequent speaker regionally 12
and nationally on these topics. chair for the American Association for the Previously, Dr. Horton worked as the medical Treatment of Opioid Dependence (AATOD). director and vice president of Phoenix House On April 15, 2016, Mr. Lamb was appointed Foundation in New York developing innovative deputy commissioner for the Department of models of on-site primary care and the use Behavioral Health and Intellectual Disability of buprenorphine within substance abuse Services (DBHIDS). He currently serves treatment settings. He was a member of as an adjunct faculty to the University of the Clinical Trials Network of the National the Sciences of Philadelphia and Villanova Institute on Drug Abuse from 2000 to 2015, University. participating in a number of national research efforts. Sharon Roland Larson, PhD Lamb, MA Sharon Larson, PhD, Roland Lamb, MA has is a professor and the been working in the field executive director of the of alcohol and substance Main Line Health Center for Population Health abuse/dependence treatment for more than Research at the Lankenau Institute for Medical 44 years as counselor, therapist, supervisor, Research, Wynnewood, PA. Her research focus coordinator of addictive services, program encompasses behavioral health, epidemiology, director, trainer, lecturer, consultant, and policy, access to care, care delivery models, administrator. Because of the extent and conditions that co-occur with depression, and nature of the various positions held within the survey design. At Main Line Health she works behavioral health system, i.e., managed care, with clinical partners to conduct research services to the uninsured, and coordinating aimed at improving the healthcare delivery the Single County Authority, he currently system and patients’ outcomes. provides cross-system management over Before joining Main Line Health, Dr. Larson several different work cultures. Over the last held positions of increasing responsibility at 10 years, Mr. Lamb has been very involved Geisinger Health System, including chair of in the development and implementation of the Department of Epidemiology and Health Integrated Behavioral Health models, and for Services Research. Prior to that she served as the last five years has played a significant role the associate director of science and division under the leadership of Arthur C. Evans PhD director for Evaluation, Analysis and Quality in Philadelphia’s Transformation to a Recovery at the Substance Abuse and Mental Health Oriented System of Care. Services Administration of the U.S. Department of Health and Human Services. Her doctorate Mr. Lamb was honored in 2010 by the in sociology was awarded from the University American Association for the Treatment of of Nebraska, Lincoln. Opioid Dependence (AATOD), receiving the Nyswander/Dole award. In 2011 he was honored by Faces And Voices Of Recovery (FAVOR) with the Vernon Johnson Award, and in 2012 he received the Lucien Blackwell Award. Mr. Lamb was the keynote speaker for the Alcohol Recovery Conference in Sheffield England. In 2013 he served as the conference 13
Rachel Levine, Barry K. MD Logan, PhD, Rachel Levine, MD, is F-ABFT currently the secretary of health for the Barry K. Logan, PhD, is a Commonwealth of Pennsylvania and Professor Fellow of the American of Pediatrics and Psychiatry at the Penn State Board of Forensic Toxicologists and has College of Medicine. more than 100 publications in toxicology and analytical chemistry, including work on the Her previous posts include vice chair for effects of drugs and driving impairment, and clinical affairs for the Department of Pediatrics cause and manner of death for a wide range of and chief of the Division of Adolescent drugs and toxins. His recent work has focused Medicine and Eating Disorders at the Penn on the analytical and interpretive toxicology of State Hershey Children’s Hospital-Milton S. emerging recreational and designer drugs. Hershey Medical Center. His other appointments include executive She graduated from Harvard College in 1979 director of the Robert F. Borkenstein course and the Tulane University School of Medicine in at Indiana University and holds academic 1983. She completed her training in pediatrics appointments at Indiana University, Arcadia at the Mount Sinai Medical Center in New University, Thomas Jefferson University, and York City in 1987 and then did a fellowship in Temple University, and he oversees a variety of adolescent medicine at Mount Sinai from 1987 research initiatives with academic institutions to 1988. and medical examiners’ offices. In recognition of his work and contributions, Dr. Logan has received numerous national and international awards, including the AAFS Rola Harger Award, the ICADTS Widmark Award, and the National Safety Council’s Robert F. Borkenstein Award, and in 2013–14 he served as president of the American Academy of Forensic Sciences. 14
Rev. Dr. Lorina Doctorate of Humanities from Albright College. She is pursuing her Master of Divinity Degree Marshall- from Palmer Theological Seminary. Blake, MGA, Silvana Mazzella FAAN Silvana Mazzella is associate executive director of Prevention Point Philadelphia, which seeks Rev. Dr. Lorina Marshall-Blake, MGA, FAAN, to promote health, empowerment, and safety serves as the president of the Independence for communities affected by drug use and Blue Cross Foundation, where she leads the poverty. Foundation’s strategic, programmatic, and operational efforts to fulfill its mission of leading sustainable solutions to improving the health and wellness of our neighborhoods Jamie Mells, that can be replicated on a national scale. This includes overseeing grantmaking work for the PhD $65 million Foundation. Jamie Mells, PhD, is a lieutenant in the U.S. Outside of work, Rev. Dr. Marshall-Blake is Public Health Service devoted to her church and community. She Commissioned Corps. He is serving as the serves as an associate minister at the Vine lead project officer for the Centers of Disease Memorial Baptist Church in Philadelphia. In Control and Prevention’s (CDC) Opioid addition, she is affiliated with more than 30 Prevention in States (OPIS) cooperative professional and civic organizations, including agreements. Lt. Mells is a member of the state the Anti-Defamation League and the United support team providing technical assistance Negro College Fund, and is the past president and guidance in support of CDC’s opioid of Alpha Kappa Alpha Sorority, Inc. prevention work. He also serves as a public health advisor in the Division of Analysis, She also serves on 25 nonprofit boards and Research and Practice Integration at CDC’s committees of local, state, and national National Center for Injury Prevention and organizations, including Albright College, Blue Control. He has a diverse background in Cross Blue Shield Association – Corporate nutritional biochemistry and liver biology, Responsibility Committee, Pennsylvania having completed a PhD in nutrition and Conference for Women, the Urban Affairs biomedical sciences at Emory University in Coalition, and the Urban League of 2011. Philadelphia. In 2016, Rev. Dr. Marshall-Blake was inducted into the American Academy of Nursing as an honorary fellow and received an appointment to the National Advisory Council on Nursing Education and Practice in the U.S. Department of Health and Human Services. She graduated from Antioch College with a BA in human services and holds an MA in government administration from the University of Pennsylvania. She also received an Honorary 15
Edmund Loren K. Pribitkin, MD, Robinson, MD, MBA MSHP, FAAP Edmund Pribitkin, MD, Loren K. Robinson, MD, MBA, serves as SVP and chief medical officer MSHP, FAAP, is the deputy secretary for Health for Thomas Jefferson University Hospitals Promotion and Disease Prevention for the (TJUH) and president of Jefferson University Commonwealth of PA. In this capacity, she Physicians (JUP) and Jefferson Community is responsible for overseeing the Bureaus of Physicians in Center City. Family Health, Communicable Disease, Health Promotion Risk Reduction, and Women Infant Dr. Pribitkin aligns and promotes strategies for and Children’s Supplemental Nutrition Program the success of TJUH, JUP, and our growing (WIC), and the Office of Health Equity. Her Community Physician network in Center City. focus is on preventive health and wellness As an innovator and collaborative team builder, programming, geared toward improving the Dr. Pribitkin works closely with clinicians to well-being of all Pennsylvanians of all ages. enrich programs at Jefferson that provide Dr. Robinson completed her Masters in health state-of-the art diagnosis and treatment, policy through the Robert Wood Johnson while creating important opportunities Foundation Clinical Scholars Program at for clinical and translational research. He the University of Pennsylvania, her internal engages affiliated physician groups in efforts medicine and pediatrics residency program targeted for improvement to ensure success at UNC Chapel Hill in North Carolina, and her in the evolving healthcare market and assists medical degree from Duke University. Prior senior management and chairs in designing to her career in health, she graduated from and developing comprehensive physician Spelman College, where she has recently recruitment and retention strategies. Dr. become the youngest member of Spelman’s Pribitkin also directs the enterprise Value Board of Trustees. Originally from Buffalo, NY, Analysis process. and residing now in Philadelphia, Dr. Robinson enjoys mentoring and running to stay healthy A recipient of the Jefferson Career in the City of Brotherly Love. Achievement in Medicine Award and the Dean’s Outstanding Clinician Award, Dr. Pribitkin is regularly listed as one of Carol Philadelphia’s Top Docs by Philadelphia magazine and one of America’s Top Docs by Rostucher Castle & Connolly. Dr. Pribitkin is a professor at Thomas Jefferson University, where he co- “I can proudly say that I am founded the Jefferson Thyroid and Parathyroid the mother of two amazing Center, the first multidisciplinary center of its sons. My youngest is Dylan, kind in the region. He received his medical a freshman at Temple. My oldest son, Drew, degree from the Perelman School of Medicine is a talented artist with an amazing heart. He at the University of Pennsylvania and his MBA suffers with the disease of addiction; he is 28 from The Wharton School. years old and is currently in recovery. “Drew is the reason I started Angels in Motion. The concept of AIM was formed when I started to reach out to people struggling with 16
substance use disorder. There are over 10,000 Her work around homelessness and mental members. Since AIM started I have become illness been published, and she offers a certified recovery specialist. AIM distributes consulting services relating to nonprofit over 1,000 blessing bags monthly consisting development, personal productivity, and of nonperishable snacks—this is how we organizational management. build trust and relationships with those on the streets. We assist and transport more than 100 people monthly to get into treatment, get to doctor’s appointments, obtain IDs, Robert get insurance reinstated, and provide CRS services.” Sterling, PhD Robert Sterling, PhD, is Christine a professor and director of the Department of Simiriglia Psychiatry’s Division of Substance Abuse Programs at Thomas Jefferson University, Christine Simiriglia a position he has held since 2011. After established Pathways to completing doctoral studies in psychology in Housing PA in Philadelphia 1986, Dr. Sterling began his academic career in in 2008. Pathways serves approximately 400 the Department of Community Medicine at the chronically homeless people with multiple Mount Sinai School of Medicine. Coming to disabilities in permanent, scattered-site Jefferson in fall 1989, he oversaw the Division housing. The program has remarkable results of Substance Abuse Program’s innovative with a population that doesn’t usually see a lot intensive treatment program, designed to of successes. address the needs of cocaine dependent individuals. Under her leadership, Pathways to Housing PA has grown exponentially, launching the The recipient of numerous awards for Philadelphia Furniture Bank (PFB) in 2014, mentoring, research, and clinical service, providing free furnishings to individuals and Dr. Sterling has been the principal or co- families moving out of homelessness. In investigator of multiple NIH- and city-funded 2016, Pathways became the first Housing research projects. In addition to publishing First program to use a scattered-site/harm- more than 70 peer-reviewed articles on reduction model to work with chronically addiction treatment, Dr. Sterling has served on homeless people addicted to opioids, and the editorial board of the American Journal in 2017, developed a Housing First Training of Drug and Alcohol Abuse, and reviewed Program for agencies and communities articles for journals such as Drug and Alcohol looking to use the model. Dependence, the Journal of Substance Abuse Treatment, and the Journal of Consulting and Holding several positions at the Mental Health Clinical Psychology. Association of Southeastern Pennsylvania, Ms. Simiriglia left as vice president in 2008. She worked as assistant director for the Center City Proprietors’ Association, ran the Outreach Coordination Center at Project HOME, was assistant director at the Office of Services to the Homeless and Adults, and served as assistant director for the Philadelphia Committee for the Homeless. 17
Joseph P. State University and a Master’s degree in public safety from St. Joseph’s University. He Sullivan teaches as an adjunct professor at several area colleges. He is also a graduate of the FBI National Academy. He has completed several Deputy Commissioner in-depth training seminars, including the Anti- Joseph P. Sullivan oversees Defamation League’s (ADL) study of counter Patrol Operations for the terrorism techniques with Israeli Military, Police Philadelphia Police Department. As a 35-year and Civil Defense Authorities in Israel, and the veteran of the Philadelphia Police Department, FBI-sponsored Leadership in Counterterrorism his experience in the department is vast. (LINCT) project, where senior-level state and local counter terrorism officials collaborate He began his career in 1982 serving as an with the FBI and international counterparts officer in the 39th district. Since then he has to create or enhance methods used in the held virtually every rank in the department. detection, prevention, and disruption of Deputy Sullivan has supervised in several terrorism. districts and the elite Special Weapons and Tactics (S.W.A.T) Unit. He has also commanded Deputy Sullivan’s service to the community two districts, the Narcotics Bureau and the continues in his off-duty hours as president Training and Education Bureau. and board member of the Irish Pub Children’s Foundation. This 501(c)(3) nonprofit has Prior to his appointment to deputy raised $42 million for children in need and the commissioner, Sullivan was a chief inspector families of fallen first responders in the greater and commander of the Department’s Philadelphia and South Jersey region. Homeland Security Bureau, Counter-Terrorism, and Special Operations. His responsibilities ranged from bomb disposal and dignitary protection to Highway Patrol and the Joint Lara Carson Terrorism Task Force. For several years he served as the Department’s incident Weinstein, commander at all major protests, where he established nationally heralded procedures MD, MPH on handling demonstrations and marches in Lara Carson Weinstein, MD, Philadelphia. MPH, is a board-certified family practitioner and public health researcher. Her clinical and Deputy Sullivan’s father was a civilian employee research interests are focused on realizing of the Police Department. Becoming deputy health equity for people with experiences commissioner is the realization of a lifelong of psychiatric disabilities, substance use dream. Despite his tactical background, he disorders, and complex chronic disease. She remains committed to fostering relationships is an associate professor in the Department that enable the Department to work of Family and Community Medicine, Sidney cooperatively in partnerships with the diverse Kimmel Medical College, Thomas Jefferson communities of Philadelphia while utilizing University. She is the director of Integrated data and technology to drive down crime. He Care at Pathways to Housing, PA, and a is also committed to ensuring officers have the clinician at the Steven Klein Wellness Center of training, support, and tools needed to support Project HOME. the mission. She completed a fellowship in primary care Deputy Sullivan holds a Bachelor’s degree research in the Department of Family and in the administration of justice from Penn 18
Community Medicine at Jefferson and a Master in Public Health in the Bloomberg School of Public Health at Johns Hopkins University. She is presently concluding her doctoral degree in the Department of Community Health and Prevention at the Dornsife School of Public Health at Drexel University. As a clinician and researcher, Dr. Weinstein has implemented programs of system innovation in integrated medical and behavioral healthcare and community-based participatory research in partnership with people with serious mental illness and substance use disorder with funding from organizations such as the American Cancer Society, the National Institute of Mental Health, and the Substance Abuse and Mental Health Service Administration. She is currently the project director of a Primary and Behavioral Healthcare Integration grant funded by the Substance Abuse and Mental Health Service Administration to coordinate and integrate primary care services into publicly funded, community-based behavioral health settings, as well as the project director of a newly funded Center of Excellence for Opioid Use Disorder Treatment, with support from the Pennsylvania Department of Human Services. Her work is done in collaboration with two nationally recognized community organizations in Philadelphia, Pathways to Housing PA and Project HOME, that provide permanent supported housing for people with experiences of homelessness and serious mental illness. Eugene Viscusi, MD Eugene Viscusi, MD, is a professor of Anesthesiology at Thomas Jefferson University and director of Acute Pain Management at Jefferson Health. 19
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Community Resource Partners Case Management and Treatment Providers Advocacy Services Crozer Keystone Health System- Center of Excellence Allied Against Opioid Abuse www.crozerkeystone.org www.againstopioidabuse.org Thomas Jefferson University, Angels in Motion (AIM) NARP Center of Excellence www.aimangelsinmotion.org www.jefferson.edu/university/jmc/ departments/psychiatry.html Community Legal Services www.clsphila.org Penn Foundation www.pennfoundation.org Maternity Care Coalition www.maternitycarecoalition.org Penn Presbyterian Penn Mothers MATTER www.med.upenn.edu/recovery Philadelphia FIGHT www.fight.org Foundations and PHMC Health Network Government Support www.phmchealthnetwork.org/ Philadelphia Department of Public Health RHD-MCRC-COE www.phila.gov/health www.rhd.org/opioid-services/ The Amerisource Bergen Foundation Temple-Wedge Opioid Program www.amerisourcebergen.com/abcnew/ www.wedgepc.com/ 22
For more information about any of the topics addressed today, or to provide feedback on the symposium, please contact events@jefferson.edu. @jeffersonuniv | @tjuhospital 18-1155
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