The Credentialing Resource Center (CRC) is led by the following boards and committees:

CRC Advisory Board

Carol S. Cairns, CPMSM, CPCS

Advisory Consultant
The Greeley Company, Inc.
Danvers, Massachusetts
President
PRO-CON
Plainfield, Illinois

Carol Cairns has more than 40 years of experience in the medical staff services profession. She is the president of PRO-CON, and an advisory consultant and frequent presenter with The Greeley Company, Inc., in Danvers, Massachusetts. A recognized expert in the field, Cairns has been a faculty member with the National Association Medical Staff Services since 1990. She presents frequently at state and national seminars on subjects such as basic and advanced credentialing and privileging, core privileging, AHP credentialing, CMS’ Conditions of Participation, and the standards of—and survey preparation for—The Joint Commission, NCQA, HFAP, and DNV GL. For the past 18 years, Cairns has been an advisor to healthcare attorneys, including providing expert witness testimony regarding credentialing and privileging issues. She has conceptualized and written all six versions of Verify and Comply, an industry textbook and favorite since 1999.

 

Michael R. Callahan, Esq.

Katten Muchin Rosenman, LLP
Chicago
 
 
 
Michael Callahan is a senior partner in the Health Care Practice Group at Katten Muchin Rosenman, LLP, in Chicago. Callahan assists hospital, health system, and medical staff clients on a variety of healthcare legal issues related to accountable care organizations (ACO), Patient Safety Organizations (PSO), healthcare antitrust issues, Health Insurance Portability and Accountability Act (HIPAA) and regulatory compliance, accreditation matters, general corporate transactions, medical staff credentialing, and hospital/medical staff relations. He is a frequent speaker on topics including ACOs, healthcare reform, PSOs, healthcare liability, and peer review matters. He has presented around the country for organizations such as the American Health Lawyers Association, the AMA, the American Hospital Association, the American Bar Association, the American College of Healthcare Executives, the National Association Medical Staff Services (NAMSS), the National Association for Healthcare Quality, and the American Society for Healthcare Risk Management. Callahan recently served as chair of the Medical Staff Credentialing and Peer Review Practice Group of the American Health Lawyers Association. He also was appointed as the public member representative on the NAMSS board of directors. He was an adjunct professor in DePaul University's Master of Laws in Health Law Program, where he taught a course on managed care. After law school, he served as a law clerk to Justice Daniel P. Ward of the Illinois Supreme Court.
 

William K. Cors, MD, MMM, FAAPL

Senior Medical Director
Lehigh Valley Health Network
Lehigh Valley Hospital—Pocono
East Stroudsburg, Pennsylvania
 
 
Dr. William Cors is an experienced physician executive whose background includes 15 years of clinical practice, 20 years of executive hospital/health system management experience, and experience as a national healthcare consultant. He currently serves as chief medical officer for Pocono Health System in Pennsylvania. Formerly, he was the vice president of medical staff services for The Greeley Company, Inc., in Danvers, Massachusetts. Dr. Cors is a member of the American Association of Physician Leaders teaching faculty. In addition to working with medical staffs, hospitals, and governing boards across the country, he has authored or co-authored numerous publications; most recently, he wrote The Medical Staff’s Guide to Employed Physicians (HCPro, 2016). Dr. Cors holds an AB degree from the College of the Holy Cross, an MD from Rutgers New Jersey Medical School, and a Master of Medical Management from Tulane University. He is a fellow of the American Association of Physician Leaders, and is board-certified in both neurology and medical management.
 

Todd A. Meyerhoefer, MD, MBA, CPE, FACS

Vice President Medical Affairs
Chief Medical Officer
Union Hospital
Dover, Ohio

Dr. Todd Meyerhoefer is vice president medical affairs and chief medical officer of Union Hospital in Dover, Ohio. He previously served as senior vice president of physician alignment for Akron (Ohio) General Health System and president of the health system’s Partners Physician Group. An experienced physician executive, Dr. Meyerhoefer has held various medical staff leadership positions, including trauma committee chair and bylaws committee chair, and has been a member of peer review, credentials, and utilization review committees. Meyerhoefer previously served on the Ohio Committee on Trauma and the Stark County Medical Society. He is a fellow of the American College of Surgeons and a lifetime member of the American College of Physician Executives. Dr. Meyerhoefer received his Doctor of Medicine from Northeast Ohio Medical University and his Master of Business Administration from Ashland University. He is the author of Criteria-Based Core Privileging: A Guide to Implementation and Maintenance (HCPro, 2016).

 

Sally Pelletier, CPMSM, CPCS

Advisory Consultant
Chief Credentialing Officer
The Greeley Company, Inc.
Danvers, Massachusetts

Sally Pelletier is an advisory consultant and chief credentialing officer with The Greeley Company, Inc., in Danvers, Massachusetts. She brings nearly 25 years of credentialing and privileging experience to her work with medical staff leaders and MSPs across the nation. Pelletier advises clients in the areas of accreditation and regulatory compliance; credentialing redesign, including change management, standardization, and centralization; medical services department operations; privileging redesign; and leadership and development training for MSPs.

 

News, Analysis, and Education Board

Credentialing and medical staff services

Carol S. Cairns, CPMSM, CPCS

Advisory Consultant
The Greeley Company, Inc.
Danvers, Massachusetts
President
PRO-CON
Plainfield, Illinois

Carol Cairns has more than 40 years of experience in the medical staff services profession. She is the president of PRO-CON, and an advisory consultant and frequent presenter with The Greeley Company, Inc., in Danvers, Massachusetts. A recognized expert in the field, Cairns has been a faculty member with the National Association Medical Staff Services since 1990. She presents frequently at state and national seminars on subjects such as basic and advanced credentialing and privileging, core privileging, AHP credentialing, CMS’ Conditions of Participation, and the standards of—and survey preparation for—The Joint Commission, NCQA, HFAP, and DNV GL. For the past 18 years, Cairns has been an advisor to healthcare attorneys, including providing expert witness testimony regarding credentialing and privileging issues. She has conceptualized and written all six versions of Verify and Comply, an industry textbook and favorite since 1999.

 

Leslie J. Cox, BS, MHA, CPMSM, CPCS

Sr. Director, Credentialing Verification Office
Banner Health
Phoenix

Leslie Cox currently serves as senior director of Banner Health’s Credentials Verification Office (CVO). Previously, she was director of medical staff services at Banner Estrella Medical Center in Phoenix. With over 30 years of experience in the field, Cox has a master’s degree in health administration, a Bachelor of Science degree in business administration, and dual certification in professional medical services management (CPMSM, CPCS). She enjoys leading process improvement teams, with a focus on customer service, creating efficiency, and facilitating collaboration among various teams and constituents. She is currently co-leading a Health System CVO Leadership Forum in collaboration with Morrisey, A HealthStream Company. Over the years, she has appreciated the many resources and publications provided by HCPro and is enjoying the opportunity to serve on this advisory board. 

 

Taylor Diefenderfer, MS-PSL

Medical Staff Coordinator/Risk Coordinator
Kansas Heart Hospital
Wichita, Kansas

Taylor Diefenderfer is a medical staff coordinator/risk coordinator at Kansas Heart Hospital. She has served in this role for the past four years. She specializes in privilege sheet development, form and tool development, committee meeting minutes, and credentialing to ensure patient safety. She has a Bachelor of Arts in communication sciences and disorders, a Bachelor of Science in healthcare management and community development, and a Master of Science in patient safety leadership. She also has a certificate in leadership in patient safety and quality from Johns Hopkins University. 

 

Christina W. Giles, MS, CPMSM

C. Giles & Associates
Nashua, New Hampshire 

Christina Giles has been a consultant and speaker for more than 30 years. She specializes in education/training of credentialing personnel; orientation/training of medical staff leaders and MSPs; administrative functions such as accreditation survey preparation, credentialing, privileging, and peer review; and assessment and development of medical staff governance documents and policies and procedures. Giles serves as an advisor to multiple medical staff publications. She is a co-author and editor of The Medical Staff Services Handbook: Fundamentals and Beyond and co-author of Health Care Credentialing: A Guide to Practical Innovations. She has presented nationally on multiple topics, including accreditation preparation, credentialing, privileging, and medical services management.  

 

Christine Hearst, CPMSM

Director, Medical Staff Services – Northwest Network
Peace Health
Bellingham, Washington 

Christine Hearst has more than 30 years of experience in medical staff services. As regional network director for PeaceHealth in Bellingham, Washington, Hearst oversees medical staff services in Ketchikan Medical Center, Peace Island Medical Center, St. Joseph Medical Center, and United General Medical Center. She has served on the boards of the California Medical Association and the Colorado Association of Medical Staff Services. Hearst has worked in several different health systems in California and Colorado, both as a consultant and as a permanent employee. Her strengths lie in coordination of systemwide peer review and OPPE/FPPE processes. Hearst is co-author of the HCPro book, Resolve Practitioner Turf Conflicts: Tools for Handling Your Medical Staff, AHP, and Offsite Disputes, and author of the Medical Staff Briefing article, “The Evolving Role of AHPs” (October 2013). 

 

Kathy Matzka, CPMSM, CPCS, FMSP

Consultant/Speaker
Lebanon, Illinois

Kathy Matzka is a speaker, consultant, and writer with 30 years of experience in credentialing, privileging, and medical staff services. She worked for 13 years as a hospital medical staff coordinator before venturing out on her own as a consultant, writer, and speaker. She holds certification from the National Association Medical Staff Services (NAMSS) in both medical staff management and provider credentialing. She is one of the first recipients of the NAMSS Fellow Designation. Matzka has authored a number of books related to medical staff services, including Medical Staff Standards Crosswalk: A Quick Reference Guide to The Joint Commission, CMS, HFAP, and DVN Standards; Chapter Leader’s Guide to Medical Staff: Practical Insight on Joint Commission Standards; Compliance Guide to Joint Commission Medical Staff Standards; and The Medical Staff Meeting Companion Tools and Techniques for Effective Presentations. For the past eight years, she has been the contributing editor for The Credentials Verification Desk Reference and its companion website, The Credentialing and Privileging Desktop Reference. She is co-author of HCPro’s Verify and Comply, Sixth Edition. Matzka has performed extensive work with NAMSS’ education committee developing and editing educational materials related to the field, including CPCS and CPMSM Certification Exam Preparatory Courses, and CPMSM and CPCS Professional Development Workshops. She also serves as instructor for NAMSS.

 

Maggie Palmer, MSA, CPMSM, CPCS

Vice President of Operations 
IntelliCentrics, Inc.
Consultant/Instructor/Speaker
Dallas

Maggie Palmer is a healthcare administration professional with many years of experience in medical staff services, quality improvement, risk management, and consulting, as well as other administrative areas of healthcare. Palmer holds a master’s degree in healthcare administration from Central Michigan University. She has been dual-certified in her field through the National Association Medical Staff Services (NAMSS) since 2000; she currently holds both the Certified Provider Credentials Specialist (CPCS) and the Certified Professional Medical Staff Management (CPMSM) designations. Palmer was also a fellow in the American College of Healthcare Executives (ACHE). She is currently Vice President of Operations, North America for IntelliCentrics, Inc., as well as a medical staff administration consultant and instructor/speaker. Her previous experience includes national director of credentialing for Tenet Health in Dallas; director at Scripps Health in San Diego; executive director of Hawaii Credential Verification Service; and credentials specialist at Castle Medical Center and at Straub Clinic and Hospital. Palmer currently serves as faculty for NAMSS and is an active member of the National Credentialing Forum. She also served as the president of the California Association Medical Staff Services, the bylaws chair for NAMSS, and a board member of the Hawaii Association of Medical Service Professionals.

 

Sheri Patterson, CPCS

Credentialing Specialist
Yavapai Regional Medical Center
Prescott, Arizona
 

Sally Pelletier, CPMSM, CPCS

Advisory Consultant
Chief Credentialing Officer
The Greeley Company, Inc.
Danvers, Massachusetts

Sally Pelletier is an advisory consultant and chief credentialing officer with The Greeley Company, Inc., in Danvers, Massachusetts. She brings nearly 25 years of credentialing and privileging experience to her work with medical staff leaders and MSPs across the nation. Pelletier advises clients in the areas of accreditation and regulatory compliance; credentialing redesign, including change management, standardization, and centralization; medical services department operations; privileging redesign; and leadership and development training for MSPs.

 

Cindy Radcliffe, CPMSM

Director, Medical Staff Services
St. Jude Medical Center
Fullerton, California

Cindy Radcliffe has more than 20 years of experience in the field of medical staff management, with more than nine of those years spent as director, medical staff services, at St. Jude Medical Center in Fullerton, California. Radcliffe served as president of the Orange County California Association Medical Staff Services Chapter from 2004–2005, and has extensive experience in many Orange County community hospitals. She has maintained her Certified Professional Medical Services Management (CPMSM) credential since 1994. Radcliffe completed the medical staff service science program at Cypress College, California.

 

Teresa P. Sappington, FACHE, MBA, CIPM, CAPPM, CPHQ, CPMSM

Consultant, Medical Staff Affairs and Healthcare Regulatory Compliance
Augusta, Georgia

Teresa Sappington specializes in medical staff affairs and healthcare regulatory compliance. She is a healthcare professional with more than 20 years of experience directing diverse medical staff and serving as an advisor in a wide variety of healthcare facilities, including healthcare systems and multi-site, acute care, community, rural, urban, academic, and faith-based hospitals. Sappington is adept at managing busy day-to-day operations while implementing best practices. She inspires individual and organizational excellence, creates a shared vision, and manages change to guide an organization to strategic goals and successful performance. Sappington applies business principles, including systems thinking, to the healthcare environment, with proven ability to mentor and create strong staff leadership teams.   

 

Marna Sorensen, CPMSM

Former Director, Medical Staff Services
Pocatello, Idaho

Marna Sorensen is former director of medical staff services at Portneuf Medical Center, a 187-bed comprehensive regional medical center in Pocatello, Idaho. She began her healthcare career as a respiratory therapist and has more than 20 years of experience in the medical staff services field. She is past president of the Idaho chapter of the National Association Medical Staff Services and a past recipient of the Charlotte Cochrane scholarship. Sorensen was a prepublication reviewer for the Joint Commission book Improving the Care Experience. She has written articles and reviews for Belles Lettres and the Idaho State Journal and edited a fictional account of Alaska’s Tanacross tribe. She is the author of The Medical Staff Office Manual: Tools and Techniques for Success and a contributor to The FPPE Toolbox: Field-Tested Documents for Credentialing, Competency, and Compliance, both published by HCPro. 

 

Mirjana Kasap Trifunovic, JD

Director, Medical Affairs
Oregon Health & Science University
Portland, Oregon
 

Terry Wilson, BS, CPMSM, CPCS

Independent Consultant
Director, Medical Staff Services
Flagler Hospital
St. Augustine, Florida

Terry Wilson has been in the medical staff services profession for 30 years, working in three hospital systems in Ohio and Florida. She has served as director of the medical staff services department at Flagler Hospital in St. Augustine, Florida, for the past 18 years. Wilson earned her bachelor’s degree in business from Bowling Green State University in Ohio, and received her Certified Professional in Medical Service Management (CPMSM) and Certified Provider Credentialing Specialist (CPCS) certifications in the 1990s. Wilson has been a member of the National Association Medical Staff Services since 1990 and a member of the Florida Association of Medical Staff Services (FAMSS) since 1998. She was a member of the Ohio Association of Medical Staff Services from 1990 to 1998 and served as the secretary of the northeast chapter of FAMSS from 2002 to 2003. Wilson is a firm believer in self-improvement through continuous education. As such, she was an instructor at Bryant & Stratton Business College in Ohio from 1996 to 1998; a GRE/LSAT/SAT instructor for Kaplan, Inc., from 1999 to 2012; a Kaplan freelance writer from 2001 to 2003; and an adjunct professor in healthcare sciences at St. John’s River State College from 2003 to 2013. Wilson was a collaborator and content expert with Team Med Global Consulting in Illinois from 2011 to 2012 and began serving on HCPro’s news, analysis, and education board in February 2016.

 

Medical staff leadership

Alpesh N. Amin, MD, MBA, MACP, SFHM, FACC

Executive Director, Hospitalist Program
Tom and Mary Cesario Chair, Department of Medicine
Professor of Medicine, Business, Public Health, Nursing, and Biomedical Engineering
University of California, Irvine

Dr. Alpesh Amin chairs the Department of Medicine at the University of California, Irvine (UCI). He is professor of medicine, business, public health, nursing, and biomedical engineering at UCI. He is also founder and executive director of the hospitalist program. Dr. Amin has served as vice chair for clinical affairs and quality for 12 years, chief of the Division of General Internal Medicine for six years, associate program director of the Internal Medicine Residency Program for 14 years, and medicine clerkship director for 14 years. Dr. Amin obtained his MD at Northwestern University Medical School in Chicago and completed his internship and residencies in internal medicine at UCI, where he also earned a healthcare MBA. Throughout his career, Dr. Amin has been innovative in clinical, quality, and educational program development. He has developed processes to improve patient care delivery by reducing readmission and avoidable admissions. He has also made improvements in length of stay, mortality, and customer service. He is a member of several professional organizations, including the Society of Hospital Medicine, the American College of Physicians, the Society of General Internal Medicine, and the Association of Chiefs and Leaders of General Internal Medicine. Dr. Amin has authored or co-authored more than 100 peer-reviewed articles. He is the co-editor/co-author of Core Competencies in Hospital Medicine, published by the Society of Hospital Medicine. 

 

William K. Cors, MD, MMM, FACPE

Chief Medical Officer
Pocono Health System
East Stroudsburg, Pennsylvania

Dr. William Cors is an experienced physician executive whose background includes 15 years of clinical practice, 20 years of executive hospital/health system management experience, and experience as a national healthcare consultant. He currently serves as chief medical officer for Pocono Health System in Pennsylvania. Formerly, he was the vice president of medical staff services for The Greeley Company, Inc., in Danvers, Massachusetts. Dr. Cors is a member of the American Association of Physician Leaders teaching faculty. In addition to working with medical staffs, hospitals, and governing boards across the country, he has authored or co-authored numerous publications; most recently, he wrote The Medical Staff’s Guide to Employed Physicians (HCPro, 2016). Dr. Cors holds an AB degree from the College of the Holy Cross, an MD from Rutgers New Jersey Medical School, and a Master of Medical Management from Tulane University. He is a fellow of the American Association of Physician Leaders, and is board-certified in both neurology and medical management.

 

Jeffery Jensen, DO, MPH, MBA

Vice President Medical Affairs
Morton Plant Hospital
Clearwater, Florida
 

Robert Marder, MD

Robert J. Marder Consulting
Colorado

Dr. Robert Marder is president of Robert J. Marder Consulting. He brings more than 30 years of healthcare leadership, management, and consulting experience to his work with physicians, hospitals, and healthcare organizations nationwide. A highly respected speaker, consultant, and author, he has helped hundreds of hospital medical staffs evaluate and improve their approach to peer review and physician performance measurement. He is the author of Effective Peer Review (HCPro, 2013) and Peer Review Benchmarking: Pursuing Medical Staff Excellence (HCPro, 2016). 

 

Todd Sagin, MD, JD

President
National Medical Director
Sagin Healthcare Consulting
Laverock, Pennsylvania 

Dr. Todd Sagin is a physician executive recognized across the nation for his work with hospital boards, medical staffs, and physician organizations. He is the national medical director of Sagin Healthcare Consulting, LLC, and HG Healthcare Consultants, LLC, which provide guidance on a wide range of healthcare issues. He served for more than half a decade as the vice president and national medical director of The Greeley Company, Inc. Dr. Sagin is a practicing family physician and geriatrician who has held executive positions in academic and community hospitals and in organized medicine. He frequently lectures and facilitates retreats on medical staff affairs, physician leadership skills, relationships between hospitals and doctors, strategic healthcare planning, governance, and related topics.

 

Richard A. Sheff, MD

Chief Medical Officer
The Greeley Company, Inc.
Danvers, Massachusetts

Dr. Sheff is Chief Medical Officer of The Greeley Company, Inc., in Danvers, Massachusetts. He brings more than 25 years of healthcare management and leadership experience to his work with physicians, hospitals, and healthcare systems across the country. With his distinctive combination of medical, healthcare, and management acumen, Dr. Sheff develops tailored solutions to the unique needs of physicians and hospitals. He consults, authors, and presents on a wide range of healthcare management and leadership issues.

Prior to joining The Greeley Company, Dr. Sheff served as VPMA, president of an independent practice association, medical director of a physician-hospital organization, president of a corporation that owned and operated physician practices, and a group practice medical director. He has taught at Tufts University School of Medicine and served as chair of the Massachusetts Academy of Family Practice Research Committee.

Dr. Sheff is a graduate of the University of Pennsylvania School of Medicine and the Brown University residency program in family medicine. He was an undergraduate at Cornell University and recipient of the Keasbey Scholarship for the study of politics and philosophy at Oxford University.   

 

Medical staff legislation, regulation, and accreditation

Bruce D. Armon

Saul Ewing, LLP
Philadelphia, Pennsylvania

Bruce Armon is Health Care Practice chair and managing partner of Saul Ewing, LLP’s Philadelphia office. He concentrates his practice in corporate healthcare law. He has assisted physicians, physician groups, hospitals, ancillary providers, healthcare entrepreneurs, and insurers in a host of matters, including drafting, editing, and negotiating contracts; statutory and regulatory compliance matters, such as HIPAA implementation, fraud and abuse statutes, and payment; and reimbursement issues. Armon frequently lectures to a variety of medical audiences on healthcare-related legal issues and writes articles for multiple publications. He is regularly quoted in publications regarding healthcare legal and regulatory issues.

 

Catherine M. Ballard, Esq.

Partner
Bricker & Eckler, LLP
Executive Director
The Quality Management Consulting Group, Ltd.
       Columbus, Ohio

Catherine Ballard is a partner at the law firm of Bricker & Eckler and vice chair of its healthcare practice group. She works with clients in the areas of hospital/medical staff integration, medical staff and hospital-employed physician integration, quality assessment and performance improvement, and related peer review matters. She develops medical staff/advanced practice provider governing documents, and she provides advice on Medicare Conditions of Participation and private accreditation, provider scope of practice, physician recruitment/employment, and general patient care. She also provides mediation and arbitration services. Ballard currently serves as the executive director for Bricker’s affiliated consulting company, The Quality Management Consulting Group, Ltd., which provides services in the areas of performance improvement, external peer review, community health needs assessments, and HIPAA compliance. From 1985 to 1987, she served as a law clerk to Judge John D. Holschuh of the Federal District Court for the Southern District of Ohio, and as an adjunct assistant professor in legal writing at The Ohio State University Mortiz College of Law. Ballard is a regular speaker for the Ohio Hospital Association and the American Health Lawyers Association on a variety of healthcare issues and speaks at national forums on topics, such as healthcare quality management, credentialing and peer review, medical staff governance, fair hearings, and ethics.

 

Michael R. Callahan, Esq.

Katten Muchin Rosenman LLP
Chicago

Michael Callahan is a senior partner in the Health Care Practice Group at Katten Muchin Rosenman, LLP, in Chicago. Callahan assists hospital, health system, and medical staff clients on a variety of healthcare legal issues related to accountable care organizations (ACO), Patient Safety Organizations (PSO), healthcare antitrust issues, Health Insurance Portability and Accountability Act (HIPAA) and regulatory compliance, accreditation matters, general corporate transactions, medical staff credentialing, and hospital/medical staff relations. He is a frequent speaker on topics including ACOs, healthcare reform, PSOs, healthcare liability, and peer review matters. He has presented around the country for organizations such as the American Health Lawyers Association, the AMA, the American Hospital Association, the American Bar Association, the American College of Healthcare Executives, the National Association Medical Staff Services (NAMSS), the National Association for Healthcare Quality, and the American Society for Healthcare Risk Management. Callahan recently served as chair of the Medical Staff Credentialing and Peer Review Practice Group of the American Health Lawyers Association. He also was appointed as the public member representative on the NAMSS board of directors. He was an adjunct professor in DePaul University's Master of Laws in Health Law Program, where he taught a course on managed care. After law school, he served as a law clerk to Justice Daniel P. Ward of the Illinois Supreme Court.

 

Sandra Di Varco, BSN, RN, JD

McDermott Will & Emery, LLP
Chicago

Sandra DiVarco is a partner in McDermott Will & Emery, LLP’s Health Industry Advisory Practice Group. She focuses her practice on the representation of hospitals and health systems. In addition to maintaining an active transactional practice, DiVarco has a deep knowledge of regulatory, licensing, and accreditation issues of concern to healthcare providers in today’s heightened enforcement climate. She regularly advises clients on the legal aspects of clinical regulatory issues, policy/procedure and operational subjects, and medical staff matters. A significant component of her practice involves assisting healthcare provider clients across the United States with regulatory, licensure, and accreditation issues, including state-level and CMS survey responses, formulation of successful plans of correction, Joint Commission complaint responses and Emergency Medical Treatment and Active Labor Act/regulatory investigations. Drawing on her experience as a registered nurse, and holding a license in the state of Illinois, DiVarco brings a pragmatic perspective and firsthand knowledge of healthcare operations to these complex matters.

 

J. Michael Eisner, Esq.

In-House Attorney
ProHealth
Farmington, Connecticut
 

Joanne P. Hopkins, Esq.

Law Office of Joanne P. Hopkins
Austin, Texas

Joanne Hopkins has been a healthcare attorney for more than 30 years and has been a solo practitioner since 1999. She represents hospitals, medical staffs, and other providers and entities in credentialing and peer review, operational, and regulatory matters. She also participates in peer review actions as a presiding/hearing officer and has served as a mediator for these actions. Hopkins is board-certified in health law by the Texas Board of Legal Specialization. She is a past chair of the State Bar of Texas’ Health Law Section and the Health Law Exam Commission of the Texas Board of Legal Specialization. Prior to becoming a lawyer, she was a nurse with the U.S. Army Nurse Corps.  

 

Robert W. McCann, Esq.

Partner
Drinker Biddle & Reath, LLP
Washington, D.C.

Robert McCann counsels healthcare clients on antitrust issues, litigation, and capital financing. He represents health industry clients in mergers, acquisitions, and strategic partnerships, providing pre- and post-transaction counseling and strategic positioning advice, and shepherding transactions through the federal pre-merger notification process under the Hart-Scott-Rodino Act. He works with clients to address antitrust issues in ongoing business relationships. McCann has represented hospitals, health systems, PHOs, physician organizations, and other health industry clients in federal and state antitrust investigations and litigation. He also works with healthcare and other nonprofit clients in public and privately placed tax-exempt and taxable bond offerings, as well as in negotiating construction loans, lines of credit, and credit enhancement with commercial banks and bond insurers. McCann is vice chair of Drinker Biddle & Reath’s Health Care Practice Group and has practiced law in the healthcare field since 1978.

 

Elizabeth A. “Libby” Snelson, JD

Legal Counsel to the Medical Staff
St. Paul, Minnesota

Snelson works for medical staffs around the country. In addition to medical staff bylaws analysis and drafting, she handles issues such as disruptive practitioner policies, conflict management, and credentialing questions. As a medical staff attorney, Snelson has extensive experience with peer review matters. A frequent speaker on medical staff legal issues, Snelson has participated in programs sponsored by the AMA; the National Association Medical Staff Services (NAMSS) and several state medical staff services associations; the Massachusetts Medical Society; the Medical Society of the State of New York; the Texas Medical Association; the California Medical Association and other state medical associations; the American Society of Anesthesiology; the American Bar Association; and other national organizations. Snelson presents medical staff leadership training and medical executive committee retreats and serves as an expert witness and consultant in peer review litigation. She is the author of Credentialing and Medical Staff Law, published by the NAMSS Institute, and The Physicians’ Guide to Medical Staff Organization Bylaws, published by the AMA. A more complete listing of Snelson’s publications and presentations is available at www.snelsonlaw.com

 

Fatema Zanzi, Esq.

Partner
Drinker Biddle & Reath, LLP
Chicago

Fatema Zanzi counsels healthcare providers and suppliers on how to achieve their business and service goals within a complex regulatory environment. Her practice encompasses all aspects of corporate, transactional, and regulatory legal issues facing the healthcare industry. A significant part of Zanzi’s practice involves guiding health systems and hospitals through major strategic transactions, including mergers, acquisitions, affiliations, and joint ventures. Zanzi counsels clients on compliance with various healthcare regulations, including federal and state fraud and abuse laws, Medicare and Medicaid provider enrollment and reimbursement laws, HIPAA privacy and security laws, and healthcare provider licensure and scope of practice requirements. She also advises clients on medical staff issues, including medical staff governance, peer review matters, and fair hearings and litigation arising from such matters. As more providers and vendors seek to provide healthcare to patients via telehealth, Zanzi helps clients navigate the web of laws that impact its delivery. As vice chair of education programs for the American Health Lawyers Association’s Children’s Hospital Affinity Group, Zanzi has a particular interest in advising pediatric providers and stakeholders. Her clients also include health systems, community hospitals, teaching hospitals and academic medical centers, physician group practices, and health industry suppliers.

 

Clinical Privilege White Papers Board

Carmine Cerra, MD

Associate Professor of Pathology
The Commonwealth Medical College
Scranton, Pennsylvania

Dr. Carmine Cerra is a board-certified pathologist with more than 30 years of practice experience and a special interest in breast and gastrointestinal pathology. Currently, he is an associate professor of pathology at The Commonwealth Medical College in Scranton, Pennsylvania. He serves on the board of directors for Pocono Medical Center in East Stroudsburg, Pennsylvania. He is also chair of the performance improvement committee for the Pocono Medical Center board. Dr. Cerra is a member of the College of American Pathologists, the American Society for Clinical Pathology, and the Pennsylvania Medical Society.

 

Christine Hearst, CPMSM

Director, Medical Staff Services – Northwest Network
Peace Health
Bellingham, Washington 

Christine Hearst has more than 30 years of experience in medical staff services. As regional network director for PeaceHealth in Bellingham, Washington, Hearst oversees medical staff services in Ketchikan Medical Center, Peace Island Medical Center, St. Joseph Medical Center, and United General Medical Center. She has served on the boards of the California Medical Association and the Colorado Association of Medical Staff Services. Hearst has worked in several different health systems in California and Colorado, both as a consultant and as a permanent employee. Her strengths lie in coordination of systemwide peer review and OPPE/FPPE processes. Hearst is co-author of the HCPro book, Resolve Practitioner Turf Conflicts: Tools for Handling Your Medical Staff, AHP, and Offsite Disputes, and author of the Medical Staff Briefing article, “The Evolving Role of AHPs” (October 2013). 

 

Keith Justice, MD

Chairman, Pharmacy and Therapeutics Committee
Chairman, Tumor Board
Credentials Committee member
Flagler Hospital
St. Augustine, Florida

Dr. Keith Justice is a board-certified medical oncologist who graduated from the University of New Mexico School of Medicine and completed internal medicine and medical oncology training at the University of Florida Jacksonville. He has been in practice since 1999 and currently practices in Saint Augustine, Florida, at Flagler Hospital. Dr. Justice has a special interest in patient safety, care, and engagement, and in resource utilization and operational efficiency in and out of the hospital practice environment. He has served as an appointed hospital board of trustees member and has been the medical director for the establishment of a physician hospital organization. His medical staff leadership posts have included president, past president, vice president, medicine department chair, credentials committee chair, quality subcommittee chair, and pharmacy and therapeutics chair.

 

Todd A. Meyerhoefer, MD, MBA, CPE, FACS

Vice President of Medical Affairs
Chief Medical Officer
Union Hospital
Dover, Ohio

Dr. Todd Meyerhoefer is vice president medical affairs and chief medical officer of Union Hospital in Dover, Ohio. He previously served as senior vice president of physician alignment for Akron (Ohio) General Health System and president of the health system’s Partners Physician Group. An experienced physician executive, Dr. Meyerhoefer has held various medical staff leadership positions, including trauma committee chair and bylaws committee chair, and has been a member of peer review, credentials, and utilization review committees. Meyerhoefer previously served on the Ohio Committee on Trauma and the Stark County Medical Society. He is a fellow of the American College of Surgeons and a lifetime member of the American College of Physician Executives. Dr. Meyerhoefer received his Doctor of Medicine from Northeast Ohio Medical University and his Master of Business Administration from Ashland University. He is the author of Criteria-Based Core Privileging: A Guide to Implementation and Maintenance (HCPro, 2016).

 

Sally Pelletier, CPMSM, CPCS

Advisory Consultant
Chief Credentialing Officer
The Greeley Company, Inc.
Danvers, Massachusetts

Sally Pelletier is an advisory consultant and chief credentialing officer with The Greeley Company, Inc., in Danvers, Massachusetts. She brings nearly 25 years of credentialing and privileging experience to her work with medical staff leaders and MSPs across the nation. Pelletier advises clients in the areas of accreditation and regulatory compliance; credentialing redesign, including change management, standardization, and centralization; medical services department operations; privileging redesign; and leadership and development training for MSPs.

 

Lisa Shea, MD

Medical Director
Butler Hospital
System Medical Director for Medical Staff Credentialing
Care New England Health System
Providence, Rhode Island

Dr. Lisa Shea is the medical director of Butler Hospital, where she oversees quality, regulation, and risk management and serves as the Care New England Health System medical director for medical staff credentialing. She also is the chair of the Providence Center’s patient care committee and serves on the board of Integra, an accountable care organization where she chairs the Governance & Nominating Committee. She sits on the board of the National Association of Psychiatric Healthcare Systems and on its Quality Committee. She is a member of the National Quality Forum’s Behavioral Health Steering Committee and of two Technical Expert Panels that advise CMS regarding behavioral health quality measures. Dr. Shea is a distinguished fellow of the American Psychiatric Association and is a clinical associate professor in the Department of Psychiatry and Human Behavior at the Alpert School of Medicine. She received her AB in Chemistry from Brown University and her MD at the University of Virginia School of Medicine. She completed her residency at the Brown University Alpert School of Medicine, where she served as chief resident.

 

Richard A. Sheff, MD

Principal
Chief Medical Officer
The Greeley Company, Inc.
Danvers, Massachusetts

Dr. Sheff is Chief Medical Officer of The Greeley Company, Inc., in Danvers, Massachusetts. He brings more than 25 years of healthcare management and leadership experience to his work with physicians, hospitals, and healthcare systems across the country. With his distinctive combination of medical, healthcare, and management acumen, Dr. Sheff develops tailored solutions to the unique needs of physicians and hospitals. He consults, authors, and presents on a wide range of healthcare management and leadership issues.

Prior to joining The Greeley Company, Dr. Sheff served as VPMA, president of an independent practice association, medical director of a physician-hospital organization, president of a corporation that owned and operated physician practices, and a group practice medical director. He has taught at Tufts University School of Medicine and served as chair of the Massachusetts Academy of Family Practice Research Committee.

Dr. Sheff is a graduate of the University of Pennsylvania School of Medicine and the Brown University residency program in family medicine. He was an undergraduate at Cornell University and recipient of the Keasbey Scholarship for the study of politics and philosophy at Oxford University.   

 

Jennifer Svetlecic, MD, FCCP

System Director of Medical Staff Development
St. Luke’s Health System
Assistant Clinical Professor of Medicine
University of Missouri–Kansas City, School of Medicine
Kansas City, Missouri

Dr. Jennifer Svetlecic is the director of medical staff development for Saint Luke’s Health System, which encompasses 10 hospitals in the Greater Kansas City area. In this capacity, Dr. Svetlecic creates standardized processes for OPPE and FPPE across the health system and is championing the conversion to centralized credentialing. One of her major accomplishments as director has been the development of a systemwide approach to peer review. Previously, Dr. Svetlecic served three terms as chair of the department of medicine at Saint Luke’s North Hospital, during which she led the transition to core privileging. In 2016, she was selected to participate in the Physician Leadership Development Program at the Bloch School of Management at the University of Missouri–Kansas City, a yearlong program in leadership, finance, quality, and human resource management. A practicing pulmonologist/intensivist, Dr. Svetlecic also serves as an associate clinical professor of medicine at the University of Missouri–Kansas City School of Medicine and as a guest faculty member in the cardiopulmonary section of the Kansas City University of Medicine and Biosciences. 

 

2018 CRC Contest Committee

Carol S. Cairns, CPMSM, CPCS

Advisory Consultant
The Greeley Company, Inc.
Danvers, Massachusetts
President
PRO-CON
Plainfield, Illinois

Carol Cairns has more than 40 years of experience in the medical staff services profession. She is the president of PRO-CON, and an advisory consultant and frequent presenter with The Greeley Company, Inc., in Danvers, Massachusetts. A recognized expert in the field, Cairns has been a faculty member with the National Association Medical Staff Services since 1990. She presents frequently at state and national seminars on subjects such as basic and advanced credentialing and privileging, core privileging, AHP credentialing, CMS’ Conditions of Participation, and the standards of—and survey preparation for—The Joint Commission, NCQA, HFAP, and DNV GL. For the past 18 years, Cairns has been an advisor to healthcare attorneys, including providing expert witness testimony regarding credentialing and privileging issues. She has conceptualized and written all six versions of Verify and Comply, an industry textbook and favorite since 1999.

 

William K. Cors, MD, MMM, FACPE

Chief Medical Officer
Pocono Health System
East Stroudsburg, Pennsylvania

Dr. William Cors is an experienced physician executive whose background includes 15 years of clinical practice, 20 years of executive hospital/health system management experience, and experience as a national healthcare consultant. He currently serves as chief medical officer for Pocono Health System in Pennsylvania. Formerly, he was the vice president of medical staff services for The Greeley Company, Inc., in Danvers, Massachusetts. Dr. Cors is a member of the American Association of Physician Leaders teaching faculty. In addition to working with medical staffs, hospitals, and governing boards across the country, he has authored or co-authored numerous publications; most recently, he wrote The Medical Staff’s Guide to Employed Physicians (HCPro, 2016). Dr. Cors holds an AB degree from the College of the Holy Cross, an MD from Rutgers New Jersey Medical School, and a Master of Medical Management from Tulane University. He is a fellow of the American Association of Physician Leaders, and is board-certified in both neurology and medical management.

 

James J. Fitzgibbon

Pediatrician
Former Director of Adolescent Medicine
Former Credentials Committee Chair
Akron Children's Hospital
Akron, Ohio

Dr. James J. Fitzgibbon is a pediatrician at Akron (Ohio) Children’s Hospital. He served as the director of adolescent medicine from 1980 to 2016. Since 1980, he has been involved with the medical direction of healthcare at the Juvenile Detention Center in Summit County, Ohio. He served as chair of the credentials committee from 2005 to 2016. During his tenure as chair, the committee developed OPPE and FPPE processes and incorporated advanced providers and other nonphysicians into the active medical staff. He served on the medical staff at Akron Children’s Hospital as secretary-treasurer from 2001 to 2002, vice president from 2002 to 2003, and president from 2003 to 2004. He also served as associate director of the residency program at Akron Children’s from 1998 to 2010. Dr. Fitzgibbon is currently a professor of pediatrics at Northeast Ohio Medical University.

 

Heather Johnson, CPCS

Manager of Physician and Practitioner Services
PinnacleHealth
Harrisburg, Pennsylvania 

Healther Johnson is manager of physician and practitioner services at PinnacleHealth and president of the South Central chapter of the National Association Medical Staff Services. A 15-year veteran of the medical staff services profession, Johnson recently applied her extensive skills and experience in creating PinnacleHealth’s CVO. Her professional objectives are to enhance the practitioner onboarding experience while empowering credentialing staff through ongoing education. 

 

Olivia Loeffler, CPMSM, CPCS

Director of Medical Staff Services
Glendale Adventist Medical Center
Glendale, California

Olivia Loeffler is director of medical staff services at Glendale (California) Adventist Medical Center. In this role, which she assumed in 2013, she has oversight of special projects, governance documents, and tasks assigned by the MEC and president of the medical staff. Loeffler uses her knowledge of regulatory requirements, state laws, and her hospital’s bylaws and rules and regulations to be a liaison between physicians and administration with patient safety in mind. Prior to working in medical staff services, she was a physician recruiter for Hawaii Medical Center. Loeffler earned her Bachelor of Business Administration in 1988.

 

Raechel Rowland, RN, BSN, LSSGB

Clinical Informatics Specialist 
Ascension Borgess Health
Kalamazoo, Michigan

Raechel Rowland is a clinical informatics specialist and is affiliated with Ascension Borgess Health. Rowland has 30 years’ experience in clinical nursing with expertise in quality, patient safety, regulatory compliance, and clinical informatics. She is known for her passion and commitment to process improvement. The MSQS role was created to focus on physician performance with a high-level goal of converting the current paper process to electronic physician scorecards, facilitating timely FPPE/OPPE processes for Ascension and its affiliated sites. Rowland is a Lean Six Sigma Green Belt and showcased her work on building this improved process in a capstone project for Ohio University when she completed her BSN this April.