For decades, he has been a strong
advocate of causes that support the viaFuture vision. His
strategic, policy, management, performance, and advocacy work
spans his service both in government and outside. His primary
work has been with creating and sustaining large scale, positive
change, improving health and reducing vulnerability.
"Thrive!", "viaFuture", "HealthePeople"
and "Vulnerable" grow out of many years of advocacy. It comes
from a realization that saving parts of a "community" is helpful
if done well, but is not enough. What is missing is an effort
that takes a "whole community" view and has a "whole community"
vision of what we must, can and will achieve. Communities can
be of any size from towns and cities to States to regions to
nations to multinational areas.
The "via" core set of strategies
and models have been developed from 30+ years of experience at
the local and nationals levels.
Parts or all of viaFuture and via
have been used in the White House, Congress, inner city health
systems, the Department of Defense's Military Health System, the
Department of Veterans Affairs' Veterans Health System and the
Department of Health and Human Services' Centers for Medicare
and Medicare Services.
They were used during his
service as Senior Executive (Strategy, Management and Policy)
with White House, Congress, and Departments of Defense, Veterans
Affairs and Health and Human Services.
Leadership & Management
Throughout career, he has focused on
strategic systems, management and performance and on national
policy issues and health and human service systems, models and
Founder of "Thrive!", "viaFuture",
Acting Assistant Secretary,
Principal Deputy Assistant Secretary, and Senior Advisor for
Health Affairs, DoD
Senior Advisor to Chief Operating
Officer, Centers for Medicare and Medicaid Services
Senior Advisor to Under Secretary
for Health, Veterans Health Administration.
Senior Fellow /
Scholar-in-Residence, Institute of Medicine, National
Academy of Sciences
Senior Fellow, National Academy of
Public Administration [Current]
Deputy Director, Quality Improvement
Group, Centers for Medicare and Medicaid Services.
Chief Information Officer, Veterans
Senior Advisor for Force Health
Protection, Assistant Secretary for Reserve Affairs, DoD
Associate Director, Office of
Presidential Personnel, White House
Director of Health Legislation, U.S.
House Select Committee on Aging
Bachelor’s in Political Science and
Master’s in Urban and Regional Planning from University of
Wisconsin - Madison. Doctoral work at John Hopkins University
School of Public Health.
- Founder of "Thrive!", "viaFuture", "Vulnerable",
- Managed $15+ billion Military Health System for Dept of
- Led and developed Strategic and Operational Plan for
Centers for Medicare and Medicaid Services
- Developed viaFuture (including "via" as strategy, models
and tools) for creating and sustaining large positive change
for a better future.
- Developed Thrive! - Building a Thriving Future as a
strategy for creating and sustaining large positive change
and a thriving future.
- Developed Vulnerable [Vulnerable In America and World
(via)] as a strategy for reducing vulnerability and
- Developed two national health reform proposals which
were introduced as legislation.
- Designed HealthePeople [Building A Healthy and Thriving
Future] initiatives for improving health and healthcare
- Managed $1.4 billion health information system for
Veterans Health Administration
- Designed (obtained new funding of $125M per year) next
generation HealtheVet health info system
- Developed national “virtual health system” model for
electronic health record systems, personal health/record
systems, standards and interoperability
- Developed and obtained Presidential approval for “force
health protection” program for military service members
- Developed “person-centered health” model used by VHA,
CMS and IOM
- Developed national model for “reducing vulnerability and
- Developed “behavioral effectiveness model” for
designing, operating and evaluating health and human
- Developed “care in the community” model for extending
care beyond health facilities’ walls
- Wrote legislation introduced to protect the un- and
- Wrote legislation introduced to reform Medicare and
- Developed and was lead staff for Congressional hearings
on un-/underinsured, Medicare and Medicaid reform,
Alzheimer’s research and care, long term care, and health
- Co-lead effort to increase Alzheimer’s research funding
- Designed, developed and managed inner city health system
in Milwaukee, WI
- Managed national grant program for The Robert Wood
- Acquired grant from The Robert Wood Johnson Foundation
and Medicare and Medicaid waivers from the Health Care