Staff Biographies

Center for Outcomes and Effectiveness Research

Professional Staff

Henrietta (Heddy) D. Hubbard, M.P.H., R.N., Acting Director
William B. Baine, M.D., Medicine
Joanne Book
Lynn A. Bosco, M.D., M.P.H., Medicine, Public Health
Sepheen C. Byron, M.H.S., Health Policy
Yen-pin Chiang, Ph.D., Health Policy
Judy Consalvo
Steven H. Fox, M.D., M.P.H., Medicine, Epidemiology
David Hsia, J.D., M.D., M.P.H., Law, Medicine, Public Health
William Lawrence, M.D., M.S., Healthcare Outcomes Assessment
Susan Meikle, M.D., M.S.P.H., Reproductive Health
Charlotte A. Mullican, B.S.W., M.P.H., Public Health, Social Work
Joanna E. Siegel, Sc.D., Clinical Economics

Heddy Hubbard, M.P.H., R.N., is the Acting Director of the Center for Outcomes and Effectiveness Research. She received her nursing diploma from Presbyterian Hospital/Bloomfield College, her B.S.N. from the University of Maryland School of Nursing and her M.P.H. from Johns Hopkins University School of Public Health. Her major interests include management, maternal and child health, women's health and nursing research. She serves as AHRQ's Senior Advisor for Nursing and in this role she leads efforts to integrate nursing research and health services research, to build the capacity of nurse researchers and to administer the AAN-AHRQ Senior Nurse Scholar in residence program. Before joining the Agency in 1990, Ms. Hubbard worked in the areas of maternal and child health, health professions, substance abuse, mental health and health policy within various Public Health Service (PHS) agencies. She is the recipient of the U.S. PHS Primary Care Policy Fellowship, the Surgeon General's Exemplary Service Award, and several other PHS recognition awards.

William B. Baine, M.D., is a graduate of Princeton and Vanderbilt. He holds board certification in internal medicine, infectious disease, and geriatric medicine and is a Fellow of the American College of Epidemiology. Dr. Baine has been an Epidemic Intelligence Service Officer and medical epidemiologist at the Centers for Disease Control and Prevention, serving in Atlanta and Rome, Italy. He joined AHRQ after 11 years on the faculty of the University of Texas Southwestern Medical School and 4 years in private practice. His major investigative interest is the application of Medicare claims data to outcomes and effectiveness research and cost-effectiveness analysis. He remains active clinically and teaches at the Uniformed Services University of the Health Sciences, where he is Adjunct Associate Professor of Preventive Medicine and Biometrics and Adjunct Associate Professor of Medicine. Additional research interests include Hepatitis C and the appropriate use of antimicrobials.

Lynn A. Bosco, M.D., M.P.H., is Director, Pharmaceutical Studies Dr. Bosco received a B.A. in psychology from the University of Illinois and an M.D. from Rush Medical College, in Chicago. She interned at the Los Angeles County Hospital and completed a residency in preventive medicine within the Department of Epidemiology, at the Johns Hopkins School of Hygiene and Public Health, where she also received an M.P.H. Dr. Bosco is Board Certified in Preventive Medicine and in Clinical Pharmacology. She is the Program Officer for the Centers for Education and Research on Therapeutics (CERTs). Her research interests are focused in the area of pharmacoepidemiology, and have resulted in peer-reviewed publications using both Medicaid and drug marketing data. Dr. Bosco represents AHRQ to the U.S. Pharmacopeia (USP). She holds an academic appointment at the University of Maryland School of Medicine (Adjunct Associate Professor, Department of Epidemiology and Prevention). Before working at AHRQ, Dr. Bosco was a Section Chief, Epidemiology Branch, in the Center for Drug Evaluation and Research, Food and Drug Administration (FDA). While in that position, she headed a group responsible for research, of adverse drug reaction and drug utilization information. Dr. Bosco has been a commissioned officer in the U.S. Public Health Service since 1984 and holds the rank of Captain. She represents AHRQ on the Physicians' Professional Advisor Committee (PPAC) which advises the Surgeon General on issues related to government physicians. She is an active member of the Commissioned Corps Readiness Force (CCRF).

Sepheen C. Byron, M.H.S., received her undergraduate degree from the University of Virginia and her Master of Health Science in Health Policy degree from the Johns Hopkins University School of Hygiene and Public Health. She is particularly interested in outcomes research and the economic evaluation of health care interventions. At COER, she is working on the Research Initiative in Clinical Economics (RICE) and selected intramural research projects. Prior to graduate work, Ms. Byron was a project manager at the Cancer Research Foundation of America, where she aided in the development, implementation, and evaluation of cancer prevention and early-detection programs. Throughout her studies, she has focused on how the structure, delivery and financing of health care systems affect health outcomes and quality of care. In addition, she has concentrated on how to assess the effectiveness and efficiency of health services and how to use these findings to promote evidence-based decisionmaking.

Yen-pin Chiang, Ph.D., received his Ph.D. in Health Policy from the University of Rochester, and his M.A. and B.A. in Political Science from National Taiwan University. Currently a Health Scientist Administrator with the Center for Outcomes and Effectiveness Research, he serves as the project officer for numerous multi-center PORT (Patient Outcomes Research Team) projects, including those on diabetes, dialysis choices, and stroke prevention. He also is project officer for research grant projects that pertain to economic assessment in clinical studies or randomized control trials, preference/utility assessments, patients health/functional status and health-related quality of life measures, cost-effectiveness analysis, and other outcomes research methodology issues. Prior to joining the Agency in 1996, Dr. Chiang worked at the Health Care Financing Administration, the Office of Technology Assessment and Georgetown University.

Steven Fox, M.D., M.P.H., attended Swarthmore, Stanford (B.S. chemistry), the University of Chicago (M.D., S.M. Biochemistry), and the University of Washington (M.P.H. epidemiology). In addition to clinical training in pediatrics, Dr. Fox was a fellow at Yale Law School (law, science, and medicine) and the Hastings Center of the Institute for Society, Ethics and the Life Sciences. He currently holds academic appointments as Adjunct Associate Professor at the George Washington University School of Public Health (Epidemiology and Biostatistics) and the University of Maryland School of Medicine (Department of Epidemiology and Prevention). A physician and epidemiologist, Dr. Fox has worked for the Agency since 1990. The research he directs focuses primarily on pediatric and/or perinatal health services, but he has projects that evaluate management of a variety of adult conditions as well, particularly prostate cancer.

Dr. Fox has worked for the U.S. Public Health Service (PHS) since 1981, at the Centers for Disease Control and Prevention, the National Institutes of Health, and the Health Resources and Services Administration. Prior to joining the PHS, in 1979-81 he lived and worked at the Beijing Medical College and Beijing Children's Hospital as a grantee of the National Academy of Science in the initial phase of the U.S.-China National Education Exchange. Subsequently he consulted for the Chinese Academy of Medical Sciences (1983), the World Bank (1985), and the RAND Corporation (1988-89) for projects involving epidemiology and health care financing in China. In 2001 AHRQ seconded Dr. Fox for six months to the World Health Organization, where his work concerned methods for evaluating differences in the effectiveness and cost-effectiveness of standard health interventions in different locales.

David Hsia, J.D., M.D., M.P.H., is a graduate of Yale Law School, University of Illinois Medical School, and Harvard School of Public Health. His postgraduate clinical training was in internal medicine (Georgetown-DC Veterans Administration Medical Center) and public health (Johns Hopkins). As a medical officer, Dr. Hsia oversees a portfolio of extramural projects focuses on malpractice, legal medicine, health policy, health finance, Medicare, Medicaid, and cost effectiveness analysis. His intramural research interests include Medicare solvency and intergenerational equity, comparative expenditure of diseases, artificial societies, and representativeness of registries. Prior to joining the Agency in 1991, Dr. Hsia worked in the Office of the Inspector General, Department of Health and Human Services.

William Lawrence, M.D., M.S., is a graduate of Duke University and the West Virginia University School of Medicine. He completed residency training in internal medicine and a fellowship in general internal medicine at the University of Wisconsin. During his fellowship, he received a Masters' degree in industrial engineering, concentrating on decision analysis and health preference measurement. Dr. Lawrence has served on faculty at the University of Wisconsin, and currently holds an appointment as Assistant Professor of Medicine and Oncology at Georgetown University. Dr. Lawrence is a general internist and clinical decision analyst with research interests in cost-effectiveness analysis, health-related quality of life, and health preferences. His research focuses on improving the acceptability and usefulness of health care outcomes assessments, particularly measurement of health-related quality of life.

Susan Meikle, M.D., M.S.P.H., graduated from the University of Colorado Medical School and then completed residencies in obstetrics and gynecology and preventive medicine. During and after her preventive medicine residency, she worked as a clinician-researcher with the Colorado Kaiser Permanente Group, and as a clinician at the Tri-County Health Department and Planned Parenthood and on staff at Denver General Hospital. She then moved to the Division of Reproductive Health at the CDC where her job duties included research and program development in the areas of HIV in women, assisted reproductive technology, and refugee reproductive health. Recently at NICHD/NIH, Dr. Meikle acted as the program officer for maternal-fetal medicine units and initiated a large new cooperative agreement network co-funded by the Bill and Melinda Gates Foundation to study interventions in maternal and child health in developing countries. This network included sites in Tibet, India, Pakistan, Brazil, Guatemala, and Uruguay. Other duties included acting as program officer for the maternal-fetal medicine network and continued work in the area of perinatal epidemiology research.

Charlotte A. Mullican, M.P.H., B.S.W., received her Bachelor of Science degree in Social Work from Kansas State University and her M.P.H. at Johns Hopkins University. A Health Scientist Administrator, Ms. Mullican's research areas focus primarily on mental health and substance abuse issues. She was the program officer on the Schizophrenia and Depression PORTs and is currently managing the child mental health projects and AHRQ's portfolio on domestic violence. Her responsibilities also extend to a variety of other mental health related research projects. She serves on various committees to include the HHS Coordinating Committee on Mental Health, the Interagency Coordinating Committee on Fetal Alcohol Syndrome, and the Surgeon General's Task Force on Underage Drinking, and the Government Performance Reporting Act committee. Before working at the Agency, Ms. Mullican spent 5 years with the National Institute of Mental Health (NIMH) in the Schizophrenia Research Branch. There she coordinated the Psychosocial Research Program and was Branch representative on the National Suicide Consortium. Before her work with NIMH, Ms.Mullican worked at the Administration on Aging (AoA) where she handled discretionary grants. Prior to the AoA, she spent 10 years in direct services to violent families as a child advocate.

Joanna E. Siegel, Sc.D., R.N., received her undergraduate degree from the University of California—Los Angeles (UCLA), and her masters in Health Policy and doctorate in Health Decision Sciences from Harvard School of Public Health. As a faculty member at Harvard School of Public Health from 1991 to 1997, her research focused on cost-effectiveness analysis and its applications in HIV/AIDS policy, diabetes, and drug policy, and health status measurement and policy issues affecting women and children. During a 3-year leave from the Department of Health and Human Services, she worked with the Panel on Cost-Effectiveness in Health and Medicine to propose guidelines for the practice of cost-effectiveness analysis. After relocating to Washington, DC, in 1997, she joined the newly-created Arlington Health Foundation as its Director of Evaluation, overseeing evaluation activities for the Foundation's $4 million annual grants program and developing its initiative in children's health. Dr. Siegel joined AHRQ in 2000. She directs the Research Initiative in Clinical Economics, a program to support and promote the development of tools and knowledge for the efficient allocation of health care resources.

Visiting Scholars

Patricia Hinton Walker, Ph.D., F.A.A.N., Scientific Advisor for Nursing

Patricia Hinton Walker, Ph.D., F.A.A.N., originally joined COER as AHRQ's 5th Senior Nurse Scholar. Currently she is the Dean of the Graduate School of Nursing at the Uniformed Services University and serves as AHRQ's Scientific Advisor for Nursing.

Dr. Walker who was a professor at the University of Colorado Health Sciences Center, School of Nursing, also served as Dean of the School of Nursing and Vice President for Patient Affairs. She was a member of the American Nurses Association Task Force on Standards and Regulation of Managed Care and has published broadly on the topic of nursing practice and education. In addition, she has provided significant national and international consultation in the areas of faculty practice, development of cost and quality outcomes research, and competency-based online education.

Dr. Walker received her doctorate in Higher Education Administration and her Masters in Nursing from the University of Mississippi. Her research interests include: cost effectiveness analysis with focus on cost savings in managed care environments, activity-based costing; practice-based research in community-based settings; and the value of interdisciplinary care.

Current as of July 2003

Internet Citation:

Staff Biographies: Center for Outcomes and Effectiveness Research. July 2003. Agency for Healthcare Research and Quality, Rockville, MD.

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