Jim Bailey is Executive Director of the Tennessee Population Health Consortium. He
also serves as the Robert S. Pearce Endowed Chair in Internal Medicine, Professor
of Medicine and Preventive Medicine, and Director for the Center for Health System
Improvement. Dr. Bailey continues to practice general internal medicine as a primary
care physician for adults with complex chronic illness and teaches doctors-in-training.
He is principal investigator (PI) for the Patient-Centered Outcomes Research Institute
(PCORI)-funded study, Management of Diabetes in Everyday Life (MODEL), which recently
demonstrated the effectiveness of low-cost motivational text messaging and health
coaching to improve healthy eating and other essential diabetes self-care decisions
in low-income people with uncontrolled diabetes. He was PI for the Center for Medicare
and Medicaid Services (CMS)-funded SafeMed study that demonstrated how hospitals can
drastically reduce hospital re-admissions and overall costs through better outpatient
care. Dr. Bailey has served as PI for over 10 major grants and health systems improvement
research initiatives and has over 75 journal articles, book chapters, and publications.
His research appears in many peer-reviewed medical journals, including JAMA, Journal of General Internal Medicine, and Annals of Internal Medicine. His novel, The End of Healing: A Journey Through the Underworld of American Medicine, received a Benjamin Franklin Book Award for popular fiction. Dr. Bailey’s work focuses
on patient-centered approaches to improve quality of care and health outcomes for
people living in medically underserved areas with multiple chronic conditions. He
enjoys leading multidisciplinary teams to address systemic challenges using innovative
approaches to meet the triple aim and simultaneously improve patient experience, maximize
population health, and reduce healthcare costs.
Annie Ninan brings diverse business, informatics and clinical experience to the Consortium
and Tennessee Heart Health Network team. As a board-certified Family Nurse Practitioner,
she saw patients in the primary care setting prior to moving into the operations and
informatics arena of healthcare. At Hospital Corporations of America (HCA) she managed
and led the clinical informatics team across the enterprise. She was responsible for
piloting new programs, implementing them and rolling out these programs and products
in the Ambulatory setting across the Enterprise. At HCA, she and her team received
the Innovators Award for rolling out and standardizing documentation in the electronic
health record (EHR) to capture documentation for Healthcare Quality Patient Assessment
forms for Medicare patients across all payors. As the Director of strategic operations,
she implemented Annual Wellness and Episodes of Care programs throughout the LifePoint
Health organization’s network of rural hospitals and practices. At Elevance Wellpoint,
she worked closely with TennCare and developed greater knowledge of TennCare initiatives
and programs. She has collaborated with all the Tennessee managed care organizations
(MCO) on several programs. She brings her vast knowledge and experience to drive,
roll-out, implement, and evaluate several programs including Patient Centered Medical
Home (PCMH), Episodes of Care (EOC) program, Center for Medicare Services (CMS) quality
initiatives such as MACRA/MIPS/CCM/CPC+ and value-based programs. In her current role,
Annie is responsible for all the operational and business aspects of the consortium
and serves as the program director of the TN- HHN. She is passionate about pursuing
greater equity, inclusion, and opportunity, from a focus of better health and access
to care for all.
Umar Y. Kabir, DVM, MPH, PhD Director of Operations
Umar Kabir serves as Director of Operations for the Tennessee Population Health Consortium
as well as Research Leader at the Center for Health System Improvement at UTHSC College
of Medicine. With a PhD in Health Systems Management at the University of Memphis
School of Public Health, he brings a wealth of research experience in various areas
including process improvement, health information technology (HIT), health systems
strengthening, and healthcare disparities in low-resource communities and among vulnerable
populations. Dr. Kabir earned his Master of Public Health from Western Kentucky University
in 2016 and holds a Doctor of Veterinary Medicine degree from Ahmadu Bello University
(2011). He is a published author in several peer-reviewed journals and is a seasoned
presenter at both national and international conferences. As an educator Dr. Kabir
has taught at the University of Memphis and the National Institute for Hospitality
and Tourism in Abuja, FTC. He also completed a fellowship in Process Improvement at
Qsource. Dr. Kabir’s professional experience includes working as an epidemiologist
fellow for the Shelby County government, where he managed the Department of Health’s
COVID-19 Cluster Investigation Unit and Special Investigations Teams. Early in his
career, he was a clinician at the State House Veterinary Clinic in Abuja.
Satya Surbhi, PhD Director of Measurement and Reporting
Satya Surbhi, an Assistant Professor in the Center for Health System Improvement,
College of Medicine, UTHSC, serves as Director of Measurement and Reporting for the
Tennessee Population Health Consortium. Dr. Surbhi obtained her Bachelor of Pharmacy degree in India, completed her Master's
in Pharmacy Administration from St. John’s University, and obtained her PhD in Health
Outcomes and Policy Research from UTHSC. Her current work focuses on medication adherence,
social determinants of health, care transitions, quality improvement, and comparative
effectiveness of therapies, among vulnerable patients with multiple chronic conditions.
She has experience in conducting health services research among medically underserved populations
using administrative claims data and electronic medical records, as well as in conducting
pragmatic randomized controlled trials. Currently, she is the principal investigator
of a study funded through the National Institute on Minority Health and Health Disparities
(NIMHD). The major goal of this project is to test the effectiveness of a pharmacy-led
care transitions intervention to provide free medications, convenient medication delivery,
and care coordination in improving adherence and reducing hospitalizations, emergency
department use, and costs. She is also the principal investigator on the CDC 1815
project in collaboration with the Tennessee Department of Health, which focuses on
CDC strategies to improve prevention and management of diabetes, heart disease, and
stroke in Tennessee. Additionally, she is the Co-Investigator on quality improvement
projects funded by the Agency for Healthcare Research and Quality and by UnitedHealthcare.
Asos Mahmood is an Assistant Professor in the Center for Health System Improvement
at the UTHSC’s College of Medicine and serves as Director of Population Health Research
Education for the Tennessee Population Health Consortium. Dr. Mahmood received his
Ph.D. in Health Systems Management and Policy from the University of Memphis School
of Public Health and received his Master of Public Health from the same school. He
also earned a Bachelor of Medicine and Bachelor of Surgery (MBChB) degree from the
University of Sulaimani School of Medicine. Dr. Mahmood’s research is focused on the
biopsychosocial determinants of health, chronic medical conditions, health care disparities,
and health services access and utilization among aging, low-income, and underserved
populations. He is also interested in research assessing and evaluating the role of
evidence-based interventions and health policies in prevention and improving health
outcomes for patients with chronic medical conditions. His other research interests
include examining impacts of health informatics and patient-empowering tools, such
as mobile health (mHealth) apps, in enhancing the quality of life and quality of delivered
care. Dr. Mahmood has presented his research at various scientific conferences and
has successfully published in many peer-reviewed prestigious national and international
journals including the European Heart Journal, Health Services Research, Cancer Causes
& Control, and Journal of Medical Internet Research.
Ashley Ellis is Director of Practice Implementation for the Tennessee Population Health
Consortium and serves as Assistant Dean for Strategic Partnerships & Innovation at
the University of Tennessee Health Science Center College of Pharmacy. Dr. Ellis received
her PharmD degree at the University of Mississippi School of Pharmacy in 2007 and
completed a PGY-1 Community Pharmacy Residency program at Shenandoah University with
Leesburg Pharmacy. She earned her MBA from the University of Tennessee. Dr. Ellis
has served in academia in positions at Shenandoah University and the University of
Mississippi School of Pharmacy with practice sites in underserved populations, community
pharmacy and ambulatory care. She has also worked in independent pharmacy as an owner,
within a primary care clinic building clinical services, and in account management
and clinical operations as Vice President in chronic care management and remote patient
monitoring. In her position as Assistant Dean at the College of Pharmacy she is leading
expansion of pharmacy services specifically in primary care to better serve Tennesseans
and training opportunities for student pharmacists. She was named as one of Memphis
Business Journal's Super Women in Business in 2021. Her daughter's battle with severe
eczema has led to some of her favorite work with the National Eczema Association as
an ambassador, the Global Parents for Eczema Research as a Senior Caregiver Mentor,
and the 2020-2022 Spokesperson for the educational Understand AD Campaign.
Susan Butterworth serves as an Associate Professor in the Center for Health System
Improvement, College of Medicine, at UTHSC, and serves as Director of Patient Engagement
for the Tennessee Population Health Consortium. As Director of Patient Engagement,
Dr. Butterworth oversees the curriculum, program development, delivery, and competency
assessment for UTHSC Motivational Interviewing, Health Coach, and Community Health
Worker Training and Certification programs for lay and clinical health care workers. She has a clinical background in exercise
physiology and received her doctoral degree in adult education and training, with
a cognate in health promotion from Virginia Commonwealth University. During her 20-year
tenure as faculty at Oregon Health & Science University, she founded Health Management
Services which won several national awards. Dr. Butterworth's special area of expertise
and research is the practical application of behavior change science, such as Motivational
Interviewing-based health coaching, to various healthcare settings. She has been the
principal investigator or co-investigator on numerous NIH, HRSA and PCORI grants to
study the efficacy and impact of health management interventions and has published
multiple articles on the theory and outcomes of health coaching. Dr. Butterworth has
been an active member of the Motivational Interviewing Network of Trainers (MINT)
since 2002, and has developed certification courses on motivational interviewing and
health coaching for clinicians, health coaches, and community health workers for premier
health systems nationwide.
Cori Cohen Grant is an Assistant Professor in the Department of Preventive Medicine,
the Center for Health System Improvement, and Tennessee Population Health Consortium.
As a co-investigator, she leads the qualitative and implementation science teams for
the Tennessee Heart Health Network. In her role, Dr. Grant conducts research in partnership
with healthcare systems and community-based organizations. Dr. Grant has held a variety
of roles which included leading large-scale quality improvement initiatives on behalf
of CMS, implementation studies, and learning collaboratives. As the director of marketing
research and planning for Methodist Le Bonheur Healthcare, she conducted research,
often including consumers, to guide business decisions and quality improvement initiatives
for the organization. During this time, she designed and analyzed dozens of qualitative
and quantitative research studies utilizing market research techniques such as focus
groups, qualitative interviews, and surveys. Cori is a six-sigma green belt and earned
a Master of Science in Public Health from The University of Texas School of Public
Health and an MBA from The University of Tennessee. She received a PhD in Epidemiology
from the University of Memphis School of Public Health. Dr. Grant’s research interests
are focused on improving chronic disease management and prevention and removing barriers
to care that promote equitable health outcomes. Outside of work, Cori enjoys playing
competitive tennis and volunteering on the Assisi Foundation Community Board to help
identify health and social needs in the Memphis community.
Nicky Hitching serves as Marketing and Communications Lead for the Tennessee Population
Health Consortium and its signature initiative, the Tennessee Heart Health Network,
as well as the Center for Health System Improvement. She has experience as a writer
for Memphis nonprofits, and in her previous career worked for many years as a journalist
for Memphis Business Journal and for national business and finance publications. She
received her BA from Vanderbilt University.
Gladys Hunt serves as the Research Coordinator for the TN Heart Health Network initiative
and Patient Advisory Council Coordinator for the Tennessee Population Health Consortium.
As PAC Coordinator she is responsible for organizing patient partner experts in patient
advisory councils in hub cities in each of Tennessee’s grand regions. She received
her BA in International Business at Memphis State University. After a long career
in management for an international corporation, she shifted her focus to healthcare
in 2002. Prior to joining the Center for Health System Improvement, she worked for
a healthcare consulting organization working to improve healthcare quality in all
clinical settings.
Data Analyst, Tennessee Population Health Data Network (TN-POPnet)
Avinash Pakker serves as Data Analyst for the Center for Health System Improvement
and Tennessee Population Health Data Network (TN-POPnet). He is responsible for the
analysis of EHR and administrative claims databases, production of quality/practice
improvement reports for TN-POPnet participating health systems and practices and for
assisting with the design, analysis, and interpretation of various health services
research studies. He also helps to operationalize research questions, create study
cohorts, apply analytic approaches, and assist with interpretation. Avinash has a
MS in Health Informatics from Indiana University and a Doctor of Pharmacy from Jawaharlal
Nehru Technological University in Hyderabad, India.
Anissa J. McHenry serves as the Administrative Coordinator for the Tennessee Population
Health Consortium. In her role, she helps coordinate & create materials needed for
grants, budgets, contracts, etc. as it relates to the work for the Consortium. With
her finance background, Ms. McHenry also ensures accuracy and compliance with UT fiscal
and research policies, as well as sponsor policies. She received her BBA in Accounting
and Finance from the University of Memphis in Spring of 2020 and will receive her
MBA in Fall of 2024.
Aravind Dhanabal serves as a Data Analyst for the Center for Health System Improvement
and the Tennessee Population Health Data Network (TN-POPnet). His responsibilities
encompass the analysis of Electronic Health Records and administrative claims databases
by generating quality and practice improvement reports for TN-POPnet, supporting participating
health systems and practices. He assists in supporting the design, analysis, and understanding
of various health services research studies. Aravind's responsibilities also include
operationalizing research queries, establishing study cohorts, utilizing analytical
methods, and providing significant assistance with interpretation tasks. Aravind has
a master’s degree in business Analytics from Oklahoma State University and bachelor’s
degree in mechanical engineering from PSG College of Technology from India.
Sultan Mahmud is a Data Engineer in the Tennessee Population Health Consortium at
UTHSC College of Medicine. Dr. Mahmud received his Ph.D. in Computer Engineering and
MS in Electrical and Computer Engineering at the University of Memphis (UofM). His
first MS degree is in Electrical and Electronic Engineering from the Bangladesh University
of Engineering & Technology, Bangladesh. He received his BS degree in Electrical and
Electronic Engineering from Dhaka University of Engineering & Technology (DUET), Bangladesh.
Prior to studying at UofM, Dr. Mahmud served as an Assistant Professor in the Electrical
and Electronic Engineering department at DUET, Bangladesh. He also worked as a Postdoctoral Research Associate at St. Jude Children’s Research Hospital and as a Senior Data Scientist at FedEx. Mahmud has published in many peer-reviewed journals and presented his research at
various scientific conferences.
Deborah Ogunsanmi is a PhD student in the Institute for Health Outcomes and Policy
at UTHSC and a graduate research assistant in the Center for Health System Improvement.
She also actively supports research initiatives of the Tennessee Population Health
Consortium. She received her bachelor's degree in Pharmacy from the University of
Lagos, Nigeria. Her research interest is focused on social determinants of health
(SDOH) and on improving health care quality, health outcomes, access to medicines,
and medication adherence especially amongst those with chronic conditions. Ms. Ogunsanmi
has gained valuable experience working with various databases including Registry,
electronic medical records, and federal clains (Medicaid claims).In her free time
she enjoys working out, traveling, and making new friends.