Governor's Commission on Rationalizing Health Care Resources

Charge: to identify basic primary health, inpatient, specialty and mental health services to which New Jersey should have access; to develop specific recommendations on how and where such services can be provided; and to identify minimum requirements for individuals to be able to access such services (i.e., miles from home, travel time, other considerations).

Jennifer Velez, J.D. – EX-OFFICIO
Subcommittee Co-Chair
Member, Commission on Rationalizing Health Care Resources
Commissioner, Department of Human Services

Peter Velez, M.P.H.
Subcommittee Co-Chair
Member, Commission on Rationalizing Health Care Resources
Executive Director, Newark Community Health Centers, Inc.

James Lape
Subcommittee Co-Chair
Vice President of Behavioral Health & Psychiatry
Trinitas Hospital

Linda Garibaldi, J.D.
Member, Commission on Rationalizing Health Care Resources
Senior Attorney, Legal Services of NJ

JoAnn Pietro, R.N., J.D.
Member, Commission on Rationalizing Health Care Resources
Partner, Wahrenberger, Pietro and Sherman LLP

Carolyn Holmes
Lead Staff to Subcommittee
Senior Advisor to DOH Commissioner

Carolyn Beauchamp
Executive Director
Mental Health Association of NJ

Elsa Candelario, M.S.W.
Executive Director
Hispanic Family Center of Southern NJ

Marlene Lao Collins
Director for Social Concerns
New Jersey Catholic Conference

Jim Dieterle
Executive Director
AARP of New Jersey

Larry Downs, Esq., (INVITED)
President
Medical Society of NJ

Charles “Shai” Goldstein
Executive Director
New Jersey Immigration Policy Network

Katherine Grant-Davis
Executive Director
NJ Primary Care Association

Peter Haytaian
AmeriGroup Corporation

Harvey Holzberg
Chief Executive Officer
Hoboken University Medical Center

Suzanne Ianni
President/Chief Executive Officer
Hospital Alliance of NJ

Phyllis Kinsler
Executive Director
Planned Parenthood of Central NJ

Paul R. Langevin
President
Health Care Association of NJ

John McGee
President/Chief Executive Officer
Solaris Health System

Christopher Olivia, M.D., (INVITED)
President/Chief Executive Officer
Cooper University Health System

Beverly Roberts
ARC of New Jersey

Gloria Bonilla Santiago, Ph.D., (INVITED)
Director
Center for Strategic Urban Community Leadership

Muriel Shore, Ed.D., R.N.
Dean, Division of Nursing
Felician College

Cecilia Zalkind
Executive Director
Association for the Children of New Jersey

Illise Zimmerman, P.H.N., M.S.
President
Northern NJ Maternal Child Health Consortium

Charge: to ensure that (1) public funds are used to support an efficient and high quality health care facility and (2) decisions about whether a facility is essential should consider both quality and efficiency in addition to community need and financial performance.

David Hunter, M.P.H.
Subcommittee Co-Chair
Member, Commission on Rationalizing Health Care Resources
Health Care Consultant

Robert Jacobs, M.D.
Subcommittee Co-Chair
Acting Chief Medical Officer
Jersey City Medical Center

JoAnn Pietro, R.N., J.D.
Member, Commission on Rationalizing Health Care Resources
Partner, Wahrenberger, Pietro & Sherman LLP

Cynthia Kirchner
Lead Staff to Subcommittee
Senior Policy Advisor to DOH Commissioner

Phillip Bonaparte, M.D.
Chief Medical Officer
Horizon NJ Health

Maureen Bueno, R.N., Ph.D.
Executive Director of Practice Operations
RWJ University Medical Group

Derek DeLia, Ph.D.
Senior Policy Analyst
Rutgers Center for State Health Policy

Peter A. Gross, M.D.
Senior Vice President & Chief Medical Officer
Hackensack University Medical Center

Aline Holmes
Senior Vice President for Clinical
New Jersey Hospital Association

Robert Iannaccone
Executive Vice President/Chief Operating Officer
St. Mary’s Hospital

David Knowlton
President & Chief Executive Officer
NJ Health Care Quality Institute

Richard P. Miller
President & Chief Executive Officer
Virtua Health

William Phillips
Senior Vice President of Finance & Chief Executive Officer
Jersey Shore Medical Center

Trish Zita
The Kaufman-Zita Group

+Tentative charge: to review successfully implemented large scale health care information technology systems used by insurers (governmental and private) and large health care provider systems to manage utilization and improve quality and recommend applications that can be adopted in NJ hospitals and/or other high volume providers; to review high cost medical technologies and recommend ways to achieve the optimum distribution of same around the state; and to research new hospital prototypes and recommend methods for converting NJ facilities to the model.

Uwe Reinhardt, Ph.D., Chairman
Subcommittee Co-Chair
Chairman, Commission on Rationalizing Health Care Resources
The James Madison Professor of Political Economy
The Woodrow Wilson School of Public & International Affairs, Princeton
University

Bruce Vladeck, Ph.D.
Member, Commission on Rationalizing Health Care Resources

Matthew D’Oria
Lead Staff to Subcommittee
DOH Deputy Commissioner

Mark Barnard
Senior Vice President
of Information Technology
Horizon Blue Cross/Blue Shield of New Jersey

Annette Catino
President & Chief Executive Officer
QualCare, Inc.

Sonia Delgado
Princeton Public Affairs Group, Inc.

Richard Goldstein, M.D.
President
NJ Council of Teaching Hospitals

Vincent Joseph
Senior Vice President
University Medical Center at Princeton

Michael Maron
President/Chief Executive Officer
Holy Name Hospital

Mitchell Rubin, M.D.
Neurology Consultants of BC

Kevin Slavin
President/Chief Executive Officer
East Orange General Hospital

Joseph Sullivan
Chief Information Officer
St. Barnabas Health Care System

Tentative charge: to review the long term viability and adequacy of the Charity Care payment system; to review the adequacy of the current Medicaid payment rates, to both general acute care hospitals and to physicians including recommendations for potential changes (the subcommittee will address the recommendation of the NJHA proposal for the establishment of a Medicaid Commission to review the performance of the Medicaid Managed Care companies operating in New Jersey and overall payment rates for Medicaid Services); to review current policy (with the Dept. of Banking & Insurance) regarding Medical Loss Ratio’s of private health insurers in New Jersey and other issues related to the adequacy of private insurer payment rates to general acute care hospitals; to assess and quantify the loss of Medicare outlier payments to the State of New Jersey in light of recent Medicare changes; to identify the potential impact to New Jersey hospitals of proposed Medicare changes to GME and DSH payments; and to propose a plan of work for a robust forecast of likely impacts of payment changes over the next several years to the financial state of hospitals in New Jersey. As appropriate, the subcommittee will solicit the views from a wide range of stake holders on the items listed above.

Gerry Goodrich, J.D., M.P.H.
Subcommittee Co-Chair
Member, Commission on Rationalizing Health Care Resources
Director of Practice Operations, Weill Medical College, Cornell
University

Steven Goldman, J.D., L.L.M. – EX-OFFICIO
Member, Commission on Rationalizing Health Care Resources
Commissioner, Department of Banking and Insurance

Bruce Vladeck, Ph.D.
Member, Commission on Rationalizing Health Care Resources

Stephen Fillebrown
Lead Staff to Subcommittee
Director of Research, Investor Relations and Compliance
NJ Health Care Facilities Financing Authority

Karen Clark
President/Chief Operating Officer
Horizon NJ Health

Michael D’Agnes
President/Chief Executive Officer
Raritan Bay Medical Center

Douglas Duchak
President/Chief Executive Officer
Englewood Hospital & Medical Center

John J. Gantner
Treasurer, Executive Vice President
Robert Wood Johnson University Hospital

Richard Keenan
Senior Vice President of Finance & Chief Financial Officer
Valley Hospital

Michael Kornett
Chief Executive Officer & Executive Director
Medical Society of NJ

George Laufenberg
Healthcare Payers Coalition of NJ

Jim Leonard
Senior Vice President
Governmental Relations
NJ Chamber of Commerce

William MacDonald
President/Chief Executive Officer
St. Joseph’s Healthcare System

Ward Sanders
President
NJ Association of Health Plans

Christine Stearns, Esq.
Vice President, Health, Legal Affairs & Small Business Issues
NJBIA

Mike Ungvary
Regional Head of Contracting
Aetna, Inc.

Patrick Wormser
Vice President, Contracting
United Healthcare

Tentative charge: gather and review background information about current statutory and regulatory requirements governing health care facilities specifically in regards to licensing, certificate of need, and oversight through reporting of administrative, financial, and quality data; identify and review issues  pertaining to the Certificate of Need Program including impact of trends in health care delivery, issues related to the implementation of the Certificate of Need Program, and recommendations; identify and review issues related to licensure and health care delivery; recommend revisions in statutes, administrative rules and programs; and serve as liaison to commission subcommittees to assess necessity for legislative reforms.

Joel Cantor, Sc.D.
Subcommittee Co-Chair
Member, Commission on Rationalizing Health Care Resources
Director, Center for State Health Policy
Rutgers, the State University of New Jersey

Debra DiLorenzo
Member, Commission on Rationalizing Health Care Resources
President, Chamber of Commerce of Southern New Jersey

Steven Goldman, J.D., L.L.M. – EX-OFFICIO
Member, Commission on Rationalizing Health Care Resources
Commissioner, Department of Banking and Insurance

Ruth Charbonneau
Lead Staff to Subcommittee
DOH Director, Legal & Regulatory

Andrea Aughenbaugh, R.N.
Chief Executive Officer, New Jersey Nurses Association
Trustee, New Jersey Health Care Quality Institute

Michael P. Baker, Esq.
Chair, Health Care Administration Board
Hoagland, Longo, Moran, Dunst & Doukas

Kathleen M. Boozang J.D., L.L.M.
Seton Hall Law School
Founding Director of the Health Law & Policy Program

Sherl Brand, R.N., B.S.N., C.C.M.
President & Chief Executive Officer
Home Care Association of New Jersey

Robert W. Burchell
Distinguished Professor at the Center for Urban Policy
Research

Frank Ciesla

William Dressel
Executive Director
New Jersey League of Municipalities

Judy Donlen, R.N., D.N.Sc.
Chair, State Health Planning Board
Southern Perinatal Cooperative

Harold B. Garwin
President/Executive Director
Community Health Law Project

Enza Guagenti
President, The New Jersey Association of Ambulatory
Care Centers

David Kostinas
Kostinas & Associates

Alan Lieber
Chief Operating Officer
Overlook Hospital

Connie Bentley McGhee, Esq.
Member, State Health Planning Board
Private Practice

Elizabeth McNutt
President, The Healthcare Planning & Marketing Society of NJ

David P. Pascrell
Gibbons, P.C.

Judith M. Persichilli
Member, Health Care Administration Board
Executive Vice President, Mid-Atlantic Division
Catholic Health East

Jeffrey Rubin, Professor
Rutgers University, Department of Economics

Elizabeth Ryan, Esq.
Chief Executive Officer
NJ Hospital Association

Rebecca B. Wolff
Director, Corporate Planning
Meridian Health

Charles Wowkanech
President, NJ State AFL-CIO

Barbara Wright, Ph.D., R.N., FAAN
Former Assemblywoman

Charge: to identify and characterize the most significant factors and aspects of the relationship between New Jersey’s acute care hospitals and physicians affecting institutional viability and financial integrity, cost-effective use of resources, physician relations and practice efficiency, and the delivery of quality health care.  The Subcommittee will focus on high cost-high reward aspects of physician practices and performance and will examine key criteria, including length of stay, prescription drug charges, procedure charges, consults, etc.  The Subcommittee will evaluate the importance and application of available standards and metrics, e.g., best practices, Leapfrog, "report cards," etc. It will pay special attention to the impact and importance of these issues to the situation of New Jersey's most financially stressed acute care hospitals. The Subcommittee will report its findings and conclusions to the full Commission and recommend institutional, legislative and policy initiatives that will positively impact the financial and care crisis affecting New Jersey’s acute care institutions.

Risa Lavizzo-Mourey, M.D.
Subcommittee Co-Chair
Member, Commission on Rationalizing Health Care Resources
President and CEO, Robert Wood Johnson Foundation

Anthony C. Antonacci, M.D., S.M., FACS
Subcommittee Co-Chair
Vice President for Medical Affairs and Chief Quality Officer
Christ Hospital

Fred M. Jacobs, M.D., J.D.
Member, Commission on Rationalizing Health Care Resources
Commissioner, Department of Health

David Hunter, M.P.H.
Member, Commission on Rationalizing Health Care Resources
Health Care Consultant

Gabriel Milton
Lead Staff to Subcommittee
Executive Director, NJCSCR/DOH

Henry Amoroso
President/Chief Executive Officer
Cathedral Healthcare System

Carolyn E. Bekes, M.D.
Senior Vice President
Academic and Medical Affairs
Chief Compliance Officer
Cooper Health System

Darlene Cox
President/Chief Executive Officer
University Hospital, Newark

William B. Felegi, D.O.
Past President
American College of Emergency Physicians
New Jersey Chapter

Linda Gural, R.N.
President
New Jersey State Nurses Association

Gary Horan
President/Chief Executive Officer
Trinitas Hospital

Michael J. Kalison, Esq.
Kalison, McBride, Jackson & Murphy, P.A.

Joseph W. Kukura, Rev.
President
Catholic Health Care Partnership of NJ

Ira P. Monka, D.O.
President
New Jersey Association of Osteopathic Physicians and Surgeons

Charles M. Moss, M.D.
President
Medical Society of New Jersey

Richard G. Popiel, M.D., M.B.A.
Vice President, Chief Medical Officer
Health Affairs
Horizon Blue Cross/Blue Shield of NJ

Gregory J. Rokosz, D.O., J.D.
Senior Vice President for Medical and Academic Affairs
St. Barnabas Health Care System

William A. Rough, M.D.
President
American College of Surgeons

Robert Spierer, M.D.
President
New Jersey Academy of Family Physicians

Virginia Treacy
Executive Director
JNESO District Council 1 IUOE- AFL/CIO

Ann Twomey
President
Health Professionals and Allied Employees

Sarah Wallach, M.D.
President
NJ Chapter, American College of Physicians

Benjamin Weinstein, M.D., Ph.D.
Senior Vice President, Medical Director
CentraState Healthcare System