Advanced Care at Home

Dr. Cunningham serves as Group Vice President and Chief of Virtual Care and Digital Health for Providence. Her portfolio includes eight fully scaled virtual care enterprise service lines, a hospital at home, remote patient monitoring programs, a virtual nursing team, a virtual behavioral health platform for payers and employers, and MedPearl, a digital assistant and knowledge management product for clinicians and a digital clinical content team. Dr. Cunningham’s team has successfully incubated and launched multiple virtual care and digital health products and services that have scaled within Providence and beyond, including 55 partners outside of the organization.   

Dr. Cunningham has developed a strong passion for applied technologies and care transformation in healthcare, with a goal of improving the cross-continuum care experience. Dr. Cunningham has a strong background in clinical informatics, clinical operations, and leading transformational change. 

Dr. Cunningham received her medical degree at Saint Louis University School of Medicine and postgraduate OBGYN residency training at Kaiser Los Angeles Medical Center. She received her Master’s in Business Administration from University of Massachusetts- Amherst. 

Payam Parvinchiha, MD, MPH serves as SCAN’s Interim Chief Medical Officer. He and his team lead SCAN’s clinical care delivery programs including primary care, case management and pharmacy. Driving a differentiated clinical experience for members in collaboration with SCAN’s partner medical groups is the primary focus of his department.

Previously, Payam held medical management positions at Anthem, including as medical director of virtual health, and served as medical director for CareMore Health, overseeing home-based care for seniors. Before that, he gained valuable experience with leadership roles in hospice and hospitalist medicine. A practicing internist, Payam received his Medical Degree from Case Western Reserve University School of Medicine and his Masters of Public Health from the University of Southern California.

Dr. Sohan Japa, an engineer, doctor, and entrepreneur, exemplifies versatility in healthcare. His role in launching the Hospital in Home program at the VA in San Diego showcases his innovative mindset. His diverse experience in hospital medicine and emergency care at UCSF and the VA in San Diego, combined with his entrepreneurial journey as co-founder of Droplet Life and HealthCrew, brings a unique mix of engineering skills, medical knowledge, and business insight to healthcare innovation. 

Stephen Dorner, MD, MPH, MSc is the Chief Clinical and Innovation Officer at Mass General Brigham Healthcare at Home, leading the design, implementation, and ongoing process improvement of key service lines and capabilities, shifting the site of care from the hospital setting into the home. His primary responsibility is the growth of Mass General Brigham’s Home Hospital, which provides acute inpatient care episodes within the comfort of patient’s home environment as an alternative to traditional hospital-based care. Since launching as demonstration programs in 2017, the MGB Home Hospital has grown into one of the largest full-length of stay Home Hospital offerings in the country, delivering acute episodic care at lower cost than facility-based care while expanding access, generating facility-based capacity, improving quality, and delivering a more patient- and caregiver-centered experience. He also practices as an Emergency Physician at Massachusetts General Hospital, where his clinical expertise and operational insights drive his work to address the gaps, inequity, and deficiencies in the healthcare system. He earned his MD from Vanderbilt University School of Medicine, MPH from Harvard T.H. Chan School of Public Health, and MSc in Global Health from Trinity College, Dublin.

Mandy McGowan is a Registered Nurse in the Madison, WI, area. She is the Director of Home-Based Care Programs for UW Health, including Home-Based Primary Care and Home-Based Hospital Care. Mandy has worked in the home health arena for 17+ years and has spent most of that time in various leadership roles, with a focus on integrating home-based care services into the larger health system continuum of care. Prior to home health, Mandy worked as a bedside nurse, charge nurse and flight care nurse in NICUs in Madison, WI, and New Orleans, LA.

Kristin Bloom is the Assistant Vice President, Hospital at Home Clinical Operations at Virtua Health, the largest health system in Southern New Jersey. Kristin has been responsible for designing and operationalizing both Virtua’s Hospital at Home and Care After Discharge programs. Virtua’s Hospital at Home program has treated more than 750 patients since its launch in January of 2022 and the Care After Discharge program has treated more than 800 patients since its launch in April of 2023. Both programs are currently operating out of all of the health systems acute care hospitals and continue to be incredibly well received by participating patients and their families. Kristin achieved a NJBiz Nurse of the Year award in 2023 for her work in the development of Virtua’s Hospital at Home Program.

Kristin also oversees Virtua’s Centralized Staffing Office which currently delivers staffing resource assessment and allocation of the majority of Virtua’s acute care nursing staff as well as procurement, onboarding, and billing for all of the nursing agency resources that are utilized across the health system. Through Kristin’s leadership and direction, Virtua’s Centralized Staffing Office ensures system capacity needs are met to maintain patient flow across the heath system. 

Prior to her role as Assistant Vice President, Kristin held progressive leadership roles within the Virtua health system. Beginning her decade long Virtua tenure as an emergency department RN, Kristin was quickly promoted to Assistant Nurse Manager of the department. Her skillset in managing patient flow and the capacity needs of the emergency department led to her transition into a bed management/house supervisor role that eventually evolved into her crafting the patient movement strategy for the largest division within the Virtua network. Kristin’s strategy led to elimination of ED boarders and unprecedented throughput metrics. To date, she continues to provide strategic guidance related to patient movement strategies across the health system. 

Kristin achieved an Associates of Science in Nursing degree from Gwynedd Mercy College in 2005 and began working as a staff RN within multiple hospitals across the Philadelphia region. She went on to also complete a Bachelors of Science in Nursing from Immaculata University in 2011 and a Masters of Business Administration with a concentration in Health Care Administration from Wilmington University in 2022.

Vivian Reyes, MD, serves as the national physician lead for Kaiser Permanente’s Care at Home Program for The Permanente Federation and the regional medical director of Strategic Hospital Initiatives for The Permanente Medical Group. The Permanente Medical Group is the largest medical group in the United States — and one of the most distinguished, delivering superior clinical outcomes through nation-leading quality, preeminent research, and advanced technology systems.

In her regional medical director role, Dr. Reyes co-leads the Advanced Care at Home, TeleCritical Care, Emergency Department Substance Use Disorder, Geriatric Emergency Department, and Enhanced Recovery Medical programs. She previously led other regional initiatives, including Enhanced Recovery after Surgery, the Regional TeleStroke Program Design and Implementation, the Regional Delirium Prevention and Management Program, and the Advance Alert Monitor, which is an early warning system that uses predictive analytics to address potentially serious complications before they happen.

Dr. Reyes is board certified in Emergency Medicine and has practiced at Kaiser Permanente’s San Francisco Medical Center since 2003. She is a past president for the California Chapter of the American College of Emergency Physicians. She completed an executive leadership program at the Harvard Business School in 2017, obtained her medical degree from Albany Medical College in New York, and completed her residency in Emergency Medicine at Highland Hospital in Oakland. In her spare time, she enjoys visiting less traveled parts of the world. Closer to home she enjoys hiking with her family and dog.

Michael J. Maniaci, M.D. is the Enterprise Medical Director of Care Anyplace in the Mayo Clinic Center for Digital Health, the Enterprise Physician Lead for the Advanced Care at Home program, and the current Medical Director of Mayo Clinic Hospital in Florida.  His previous leadership positions include the Chair of the Division of Hospital Internal Medicine in Florida, the Associate Chair of Inpatient Practice for the Department of Medicine in Florida, the Associate Program Director for the Internal Medicine Residency Program, the Associate Medical Director of the Mayo Clinic Multidisciplinary Simulation Center, and the Medical Director of Patient Experience in Florida.  He currently holds the academic rank of Professor of Medicine in Mayo Clinic College of Medicine and Science.

He received his M.D. from Saint Louis University Medical School in 2003.  He completed his residency training at the Mayo Graduate School of Medicine in 2006 and is boarded in Internal Medicine.  He then completed a one-year Chief Residency program at the Mayo Graduate School of Medicine in 2007.  Following this, he joined the Hospital Internal Medicine Practice at Mayo Clinic in Florida.

He has a passion for innovation and technology in the medical field.  He is recognized as leader in faculty development for the teaching of simulation medicine and has had several invited professorships to teach faculty development in simulation both in United States and throughout Asia.  His current focus is developing the Advanced Care at Home program and the Care Hotel program, Mayo Clinic’s first expansion into the virtual home hospital and surgical aftercare realm. 

Kristina D. Ko is the Vice President of Government Relations and Public Policy, Chief Government Affairs Officer, at Corewell Health, a Michigan-based non-profit health system with 20+ hospitals and an affiliated health plan. In her role, Kristina oversees the organization’s state and federal government relations advocacy strategy and public policy development to advance Corewell Health’s mission and vision in delivering care.

Kristina has spent over 25 years working on health care issues across non-profit and for-profit industries, and local, state and federal government. Before joining Corewell Health, Kristina was the University of Michigan’s Executive Director of Federal Relations / Assistant Vice President for Research, Federal Relations where she led the university’s federal advocacy efforts in Washington, D.C. Prior to this, she served as a health care adviser for the office of former-U.S. Senator Carl Levin where she worked on the Affordable Care Act and supported the Senator’s work as Chair of the Senate Armed Services Committee and Chair of the Permanent Subcommittee on Investigations in the Senate Committee of Homeland Security and Governmental Affairs. She also was a senior consultant for a health policy firm working on issues related to health care financing.

Kristina earned a bachelor’s degree in psychology from the University of California, Berkeley, and a Master of Public Policy degree in finance and health administration from the University of Chicago’s Harris School of Public Policy.  

Dr. Neill received his M.D. from The University of Vermont College of Medicine and completed his Emergency Medicine residency as well as a Clinical Operations & Administration Fellowship at Northwestern Medicine. Dr. Neill completed his M.B.A. from the Kellogg School of Management at Northwestern University where he was selected as a recipient of the Dean’s Distinguished Service Award. Dr. Neill served as the Assistant Medical Director for the Department of Emergency Medicine at Northwestern Memorial Hospital where he helped design and implement the COVID-19 response plan in addition to leading the development and implementation of the Northwestern Medicine Outpatient Care Pathway program. Most recently, as Medical Director of the Hospital at Home program for Northwestern Memorial Hospital, Dr. Neill was instrumental in successfully drafting and obtaining federal approval of the Acute Hospital Care at Home Waiver in partnership with CMS. Dr. Neill subsequently operationalized the Hospital at Home Pilot Program and personally admitted the first Hospital at Home patient in the city of Chicago.

Seth Staton is a dynamic healthcare executive with extensive experience in health tech and building innovative clinical programs. As the Head of Clinical Program Development & Innovation at Walgreens Health, he is responsible for developing and implementing solutions across retail, virtual, and in-home care delivery channels that improve patient outcomes and drive business growth.

Seth has a proven track record of success in the healthcare industry, having held leadership positions at Fortune 100 organizations and early stage companies. Prior to joining Walgreens Health, he served as the Vice President of Virtual Care at CareMore & Aspire Health, where he was responsible for overseeing telehealth programs and leading digital health strategy.

Sandeep Sankineni, MD, is the Regional Medical Director of the award-winning Advanced Care at Home Program at Kaiser Permanente in the Mid-Atlantic. 

In his role, Dr. Sankineni oversees two novel branches of ACAH: Acute Care at Home, which provides patients with resources equivalent to hospital-level care in the comfort of their own homes, and Restorative Care at Home, which provides patients with coordinated care plans for the weeks following an acute medical episode. The ACAH team has been able to provide care to over 60,000 patients across the D.C., Maryland, and Virginia region since 2019. 

Dr. Sankineni is Board Certified in Internal Medicine and has been with the Mid-Atlantic Permanente Medical Group since joining as a hospitalist in 2018. He has authored articles, book chapters, and blog posts. And has been an invited speaker on the topics of care at home, virtual care, and remote monitoring. 

Dan is a Partner at Flare Capital Partners and was a practicing Internal Medicine Physician at the Massachusetts General Hospital, as well as appointed Faculty Instructor in Medicine at Harvard Medical School from 2010-2019.

Previously, Dan served as a Medical Director at the Harvard Pilgrim Health Plan, leading Population Health Analytics, Value-Based Purchasing, and General Strategy. Dan also spent time as an entrepreneur and operator, co-founding and managing two separate businesses in the Electronic Health Records and Online Medical Education industries.

Dan served on Former Massachusetts Governor Charlie Baker’s Board of Nursing Home Administrators from 2016-2020, as a Senior Health Policy Advisor for the Campaigns of Former Governor Charlie Baker, Former Congressman Joseph Kennedy III and Congressman Jake Auchincloss. He has worked to expand healthcare infrastructure in the developing world, serving as a consultant for the Clinton Foundation Health Access Initiative (CHAI) in Ethiopia.

Dan earned a BS with honors from the University of California, San Diego, an MD Summa Cum Laude from the Morehouse School of Medicine, and an MBA from the Harvard Business School. Dan completed his Internal Medicine Residency at the Massachusetts General Hospital.

Ann Elizabeth Mohart is a physician with twenty years experience working in emergency medicine and in the health care industry. Dr. Mohart is dedicated to creating the safest hospitals possible. Dr. Mohart is skilled in Hospital Operations, Emergency Medicine, Quality and Safety tracking, public health, Infection Control, and Emergency Services. Dr. Mohart graduated from Washington University School of Medicine in St. Louis. Dr. Mohart loves working in hospitals, digging in the dirt and mulching with her husband and children and exploring new places.

Soumya Rangarajan is a Clinical Assistant Professor in the Division of Geriatric and Palliative Medicine, Department of Internal Medicine at the University of Michigan Medical Center. A longtime Midwest native, she grew up in Cleveland, Ohio, and attended college at the University of Michigan, where she graduated in 2006 with a BS, double majoring in Political Science and General Biology. She went on to get her Masters in Public Policy at the Harvard Kennedy School of Government, graduating in 2008. She returned to the Midwest, and after spending a year doing research at the intersection of medicine and social policy, she went on to medical school at the University of Illinois (Urbana/Champaign and Peoria campuses), graduating in 2013. She did her residency in Internal Medicine and Fellowship in Geriatric Medicine at the Medical College of Wisconsin in Milwaukee, completing her training in 2017.

Dr. Rangarajan has always had an interest in serving vulnerable Geriatric populations and ensuring adequate transitions of care for those living in rural areas, as much of her training and work in the Midwest encompasses rural populations who travel great distances for care at the academic medical centers she’s worked in. This interest drew her to the Hospital Care at Home model, and she became Medical Director of the University of Michigan’s then brand-new Hospital Care at Home program in July 2021. Since that time, the program has been wildly successful, enrolling over 330 patients with great patient satisfaction. Dr. Rangarajan is passionate about this model, and expanding it to underserved populations in the Midwest and nationally.

Kate Baars develops and supports scaled virtual service lines as part of Virtual Care & Digital Health, including remote patient monitoring, Hospital at Home, and acute care telehealth programs. Prior to her current role, Kate served as part of the enterprise strategy team at Providence, working with various divisions and stakeholders to accelerate strategic initiatives across the organization.

Kate is humbled by the opportunity to advance programs that meaningfully impact patients and their experience with the healthcare system, and by building partnerships that enable clinicians to seamlessly support their patients and each other.

Kate earned her BA with honors in Business Leadership from University of Puget Sound in Tacoma, WA and her MBA in health sector administration from Boston University. She lives in Seattle with her husband and two young daughters.

Yonatan Keschner is the Associate Medical Director at the MGB Springboard Studio. Yonatan is an Emergency Medicine physician and trained at Massachusetts General Hospital and Brigham and Women’s Hospital. He earned a master’s degree in Healthcare Management at the Harvard T.H. Chan School of Public Health. Prior to medical school, Yonatan earned a degree in Ecological Technology and Design. He brings his expertise in design and passion for creativity to solving healthcare problems by re-imagining the future of healthcare delivery. He has led numerous innovative healthcare solutions, with a focus on leveraging technologies to enhance healthcare delivery while improving patient care and experience. Yonatan also brings an array of outside experience, including working with healthcare start-ups and venture capital. Yonatan currently works clinically at Brigham and Women’s Hospital, where he is completing a Mass General Brigham fellowship in administration, operations, and innovation.

Jill FitzGerald, MSW, LICSW, Senior Vice President of Clinical Operations at Confidant Health is a clinical leader and operations expert. She has designed and implemented innovative care-team models across multiple states and care settings to align high-quality behavioral health service delivery with value-based payments. At Confidant Health, Jill is designing the future of virtual care for addiction by leveraging both her clinical expertise and the use of technology to support data-driven care-team model design, implementation, and intervention efficacy. Jill has over 20 years of experience working, innovating, and teaching in the behavioral health space. She received her bachelor’s degree in Social Work from the University of Vermont, and her master’s degree in Clinical Social Work with a Specialization in Law from Fordham University.

Lauren Dunning is a director focused on the Future of Aging at the Milken Institute, where she develops initiatives and strategic partnerships that advance healthy longevity and financial security across the life course. In her role, Dunning oversees the Future of Aging Advisory Board, a group of global leaders across sectors that provides advisement, expertise, and collaboration to maximize the impact of the Institute’s work on aging. Before joining the Milken Institute, Dunning served in key policy leadership roles over 10 years at the Los Angeles County Department of Public Health, most recently as the director of Government Affairs. She has written and presented on a variety of issues spanning health and aging, and is an adjunct professor of law at Georgetown University Law Center. Dunning holds a JD from Georgetown University Law Center, a Master of Public Health from Johns Hopkins Bloomberg School of Public Health, and a bachelor’s degree from George Washington University. She works at the Milken Institute’s Santa Monica office.

Sam is the VP of Marketing at Vivalink where he is responsible for global brand awareness and commercial demand. Since joining in 2018, Sam has worked with countless customers and partners, and helped grow Vivalink’s customer base to over 50 countries worldwide.  Prior to Vivalink, Sam was the VP of Marketing at Synthego, a genome engineering company, where he launched the company from stealth to commercial visibility in over 30 countries worldwide.

Gregory R. Beliles, Jr., M.B.A., is the enterprise and Mayo Clinic in Florida director for Advanced Care at Home. In this role, he works with physicians, nursing and Center for Digital Health partners to drive programmatic growth and maturation by leading efforts to envision, execute and accelerate Mayo Clinic’s transition from a location-centric paradigm to a digitally enabled and location-agnostic model harnessing the capabilities of the Mayo Clinic home hospital platform. Mr. Beliles joined Mayo Clinic in 2015 as an administrative fellow in Arizona. He has served as operations administrator for the Office of Access Management and the Division of Endocrinology and most recently as the site planning administrator partnering with the Mayo Clinic in Florida CEO, chief administrative officer and Executive Operations Team to identify, initiate and implement strategic priorities to advance Mayo Clinic in Florida and Mayo Clinic.

Mr. Beliles received his bachelor’s degree from Auburn University in Biomedical Sciences and the University of South Alabama in Nursing. He holds master’s degrees in business administration and healthcare administration from The University of Alabama at Birmingham.

Dr. Bretzing has served as Medical Director of Home Recovery Care at Baylor Scott & White Health since 2022. He also serves as Associate Director of Inpatient Medicine, Core Faculty of Texas A&M Health Science Center College of Medicine – Scott & White Internal Medicine Residency, and Adjunct Clinical Assistant Professor of Medical Education for Texas A&M College of Medicine. 

Hoy Garvin is one of Telehealth’s earliest voices for Virtual Urgent Care expansion.  Hoy currently serves as Community Health Network’s Executive Director of On-Demand care. His healthcare career spans over 15 years. Half of that time he has spent growing and expanding Telehealth programs. The other half has been spent in private equity healthcare. This experience allows Hoy to think about the patient’s needs first, the provider’s needs second, and the systems’ needs third. He leads a team of over 120 providers who see patients in traditional urgent cares, convenient care clinics and telehealth platforms.

Hoy’s passion for supporting caregiver’s grew out of his first professional experience running operations in home healthcare. Since that time he has focused on creating efficiencies that scale clinical operations.  He enjoys speaking at conferences and consulting with health care teams as to who telehealth care spread and scale clinical efficiencies. Hoy and his wife Angela reside in Fishers, Indiana where they raise their three children. He enjoys hiking, running, and coaching youth sports.

Jessica has obtained a doctorate degree in nursing and is a board-certified nurse practitioner who manages the home recovery care program for Prisma Health. Her combined clinical and leadership experience provide a unique, knowledgeable foundation of the necessary skills required to provide exceptional service. 

She currently manages all daily operational processes including budget consideration, workflow processes, staffing and supply management of an innovative hospital at home program to ensure efficient and effective program performance, growth, and ongoing business development. Jessica has created advancements to the program that includes technological improvements, development of departmental guidelines and policies specific to home recovery care and redesigned their medication administration process to ensure high quality, safe patient care. 

Jessica has participated in the scalability of the program into additional markets that included helping to obtain vendor contracting, SLA’s and recruitment. She ensures compliance with all regulatory, procedural, policy and licensing requirements for the program while working collaboratively with the quality team for the hospital and the post-acute service line. She is team focused and initiated a shared governance council for her nursing team that affords them representation in the hospital system. 

If you are curious what Jessica does in her free time, you will likely find her spending time with her family, hiking with her dog, reading a book, or clearing Amazon packages from her porch.