The Taking Action on Overuse project was carried out by a comprehensive team from across the MacColl Center for Health Care Innovation and Kaiser Permanente Washington Health Research Institute. Our team members bring diverse expertise to the aim of laying a clear pathway toward reducing medical overuse.
Michael Parchman is Director of the MacColl Center for Health Care Innovation. For over 20 years his research and work have focused on improving the dissemination and implementation of innovations such as the Chronic Care Model into primary care settings.
Dr. Parchman is the Principal Investigator on the Robert Wood Johnson Foundation-funded Taking Action on Overuse project. He is responsible for leading the multi-disciplinary Taking Action on Overuse team, coordinating work with Foundation leaders and collaborators, designing and implementing the project, and overseeing all dissemination activities.
In other work, Dr. Parchman is testing methods to build QI capacity across more than 200 smaller primary care practices with a goal of improving cardiovascular risk factors. He also leads a study team to improve the safety of opioid prescribing in rural health clinics across Eastern Washington and Central Idaho. Prior to joining MacColl, Dr. Parchman served as a project officer at the Agency for Healthcare Research and Quality, and was on the faculty in the Department of Family & Community Medicine at the University of Texas Health Sciences Center in San Antonio.
Brian Austin is Associate Director of the MacColl Center for Health Care Innovation and on the executive leadership team of the Kaiser Permanente Washington Health Research Institute.
He has served as MacColl’s administrative lead since its founding and participated in numerous programs related to the development and dissemination of the Chronic Care Model, the development of Patient Centered Medical Homes in safety net environments, and the study and propagation of team-based Improvements in primary care.
Mr. Austin serves as Co-Director of the Taking Action on Overuse project and is active in all aspects of the work, taking lead responsibility for coordination with the multiple collaborators involved in the effort.
Diana Buist is an epidemiologist, health services researcher, and Senior Scientific Investigator at Kaiser Permanente Washington Health Research Institute, an affiliate Professor at the University of Washington School of Public Health, and an affiliate member in Public Health Sciences at the Fred Hutchinson Cancer Research Center.
In June 2014, she published a white paper on the current landscape of funding and priority areas of research for decreasing low-value care, tied to the Choosing Wisely initiative. Dr. Buist participates in the measurement and evaluation, and operational leaders working groups sponsored by the American Board of Internal Medicine Foundation, which meets virtually eight times per year to discuss measurement and intervention work tied to Choosing Wisely. Dr. Buist provided expertise to inform the environmental scan and literature review of efforts to reduce low-value care, and is contributing to other aspects of the Taking Action on Overuse project.
Nora Henrikson is an investigator with the Kaiser Permanente Research Affiliates Evidence-Based Practice Center designated by the Agency for Healthcare Research Quality.
She is a behavioral scientist with expertise in qualitative, survey, and mixed methods, behavioral epidemiology, policy analysis, and evidence synthesis. She has led several evidence synthesis projects and environmental scans on a variety of clinical and health services topics.
Dr. Henrikson led all aspects of the Taking Action on Overuse literature review, including stakeholder engagement, design and conduct of searches, daily operations of project staff, interpretation of findings, and production of deliverables. She also participated in the environmental scan of efforts to reduce low-value care, and is contributing to other parts of the project.
Paula Blasi is a Research Associate at the MacColl Center for Health Care Innovation and Kaiser Permanente Washington Health Research Institute. Ms. Blasi is an experienced writer and editor, and her research interests include prevention, behavior change, and evidence-based medicine.
Ms. Blasi worked on the Taking Action on Overuse literature review and environmental scan of efforts to reduce low-value care, and is contributing to the development of the change package and training materials. In her other work, Ms. Blasi is working on systematic evidence reviews of clinical preventive services and conducting research on team-based care.
Diana Charbonneau is a Senior Research Associate at the Center for Community Health and Evaluation at Kaiser Permanente Washington Health Research Institute.
Her work with partners like the W.K. Kellogg Foundation, the Robert Wood Johnson Foundation, and the Public Health Institute focuses on multi-site and cross-sector initiatives, with an emphasis on developmental evaluation and capacity building. She plays a key role in evaluation design and instrument development. Her background spans education, project management, research, and nonprofit development.
Ms. Charbonneau will facilitate Taking Action on Overuse project learning by conducting a developmental evaluation of the project in real-time that will allow the project to adapt quickly to changing contextual and individual needs.
Lorella Palazzo is a sociologist who focuses on health care. She has used both quantitative and qualitative methods to research health disparities, health workforce trends, and how alternative modes of healing are being integrated into delivery systems.
Dr. Palazzo is supporting the development and delivery of the Taking Action on Overuse change package training, as well as taking an active role in learning from partner sites and co-authoring related publications.
In addition to Taking Action on Overuse, Dr. Palazzo focuses on optimizing care delivery and improving access to health services by evaluating innovative programs at Kaiser Permanente Washington Health Research Institute to help ensure that patients, doctors, and staff all have the best possible care experience.
Nicole Van Borkulo, a Research Associate for the MacColl Center for Health Care Innovation, will take primary responsibility for designing the Taking Action on Overuse change package.
Ms. Van Borkulo has over 18 years of experience in education, health care QI methodology, and patient and family engagement. In her work as an independent consultant she has worked with ambulatory care clinics, clinical teams, and health care professionals to facilitate trainings, coach staff, and develop curriculum and conduct learning workshops on how to use QI strategies to implement and sustain changes. As an independent consultant, Ms. Van Borkulo has worked on many change initiatives with organizations such as Qualis Health, Cincinnati Children’s Hospital and Medical Center, Acumentra Health in Oregon, the National Initiative for Children’s Healthcare Quality, and the Academic Innovations Collaborative at Harvard Medical School.
Gabrielle Gundersen joined the Kaiser Permanente Washington Health Research Institute in 2009. She has managed a variety of studies ranging from cancer and diabetes prevention to working with the Kaiser Permanente Washington Health Research Institute quality team on resource stewardship and how to decrease the delivery of low-value health care.
She has over 15 years of experience in health care research and recently received her Masters of Public Health (MPH) from the University of Washington.
Gabrielle is the Project Manager for the Taking Action on Overuse project, coordinating and managing the day-to-day flow of project activities. Prior to joining the Kaiser Permanente Washington Health Research Institute, Gabrielle was a Project Coordinator at the Fred Hutchinson Cancer Research Center where she managed a range of breast cancer prevention studies and clinical trials, and a Projector Director at the UCLA-NPI Center for Community Health where she managed a research study targeting risk reduction of sexual behaviors with HIV+ individuals.
Sherry Lee Lauf is a grants and contracts professional who is responsible for organizing business systems to meet the unique requirements of MacColl Center for Health Care Innovation’s multi-site, national projects.
Ms. Lauf works with the Grants and Contracts department at Kaiser Permanente Washington Health Research Institute to facilitate consultant agreements and other contracts. She also provides financial compliance oversight for the Taking Action on Overuse project.
Leslie Jauregui provides administrative support on the Taking Action on Overuse project. She has been with Kaiser Permanente Washington Health Research Institute since 2015 and is currently working on three different MacColl projects and a pilot research project in which Kaiser Permanente Washington Health Research Institute is partnering with Palo Alto Research Center.
Before moving to Seattle and joining GHRI, Ms. Jauregui held different research related positions at University of Miami and Jackson Hospital in Miami. Her areas of research included HIV care and prevention in Hispanic populations and injury prevention for children and families. Ms. Jauregui worked as a Psychotherapist for 13 years at New Horizons Community Mental Health Center and Center for Child and Family Enrichment in Miami Florida.