Consultant Bios

Joan Cerniglia, RN, MPA, FACHE
Joan, the founder of JRC Health Care Consultants, Inc., is a senior health care executive, board certified in health care management, with diversified experience and a successful track record as a change agent. She has the unique combination of strategic analytical skills and the ability to convert strategy into successful implementation. Joan is experienced in start-ups, turn around and outsourcing and has skills in strategic planning, managing, motivating, training, developing, influencing and communicating.

Harry Blair
Creative Health Concepts and JRC Health Care Consultants, Inc. have formed a strategic alliance to provide effective consulting services to every component of the the health care industry including all payers and providers. Harry, Vice Chairman of CHC, has a background in insurance, managed care and the public sector and is the principal responsible from CHC for the coordination of the alliance with JRC Health Care Consultants.

Anne Barrins
Anne, a behavioral health JCAHO surveyor, has 20 years experience in behavioral healthcare management. She has the expertise and hands-on experience to deliver proven solutions for managing behavioral healthcare quality. Anne's expertise is in preparing organizations for JCAHO surveys.

Janet Spalding, BSN, MA
Jan has had 25 years of public mental health service. She is expert in innovative program development and state managed care programs (PPMHP). Jan is also uniquely qualified in Kendra's law compliance (outpatient commitment), having initiated its implementation in 16 counties of NYS. She is especially expert in the court procedures for processing Kendra law cases.

Kathleen K. Frampton, RN, BSN, MPH
Kathleen has extensive experience in the managed behavioral and medical field, primarily in the areas of quality management, clinical policy development, accreditation achievement, preparation, regulatory compliance surveying, market research and clinical/technical writing for marketing and sales. She has worked in the managed care, medical communications and e-learning markets.

Faith Couvillon, MS, LPC
Faith is a licensed mental health clinician with 12 years experience as a senior healthcare professional, with a focus on managed behavioral healthcare organizations and their partnership and integration with medical/surgical organizations. Her background includes clinical services development, project and account management, policy development and quality improvement program development, implementation and training. She has extensive experience in successful accreditation preparation, including NCQA, JCAHO, URAC and COA.

Richard H. Bernstein, MD
Spanning a 25 year career in the managed care industry, Rich has served as the senior medical director in start up and established health care organizations, including Group Health plan of New Jersey, US Healthcare and Aetna. Board certified in internal medicine, he is in clinical practice at Mount Sinai Medical Center for over 25 years. Dr. Bernstein is senior medical director at CareAdvantage, Inc involved in population risk stratification software and predictive modeling. He also consults with Continuum Health¹s MSO in New York City. Dr. Bernstein has spoken on healthcare financial incentives, organizational ethics, technology assessment and quality improvement at meetings in the U.S., Europe and South America. He has been a visiting lecturer at the National Institutes of Health, has published in medical journals and the New York Times and has been quoted in the Wall Street Journal, Newsday, Crain¹s New York Business, the Dallas Morning News, the Village Voice, the Times Union of Albany and Managed Care Week.

Suzanne Rives, RN, MSW
Suzanne has over 19 years of medical management experience with local and national health plans and integrated delivery systems. Core areas of expertise and consulting experience include program operations and strategic design evaluation, development and/or enhancement to improve program performance and results (utilization, case, disease, quality and network management programs), managed care and care management training to improve efficiency and effectiveness, external accreditation program evaluation and readiness to achieve compliance, and business development, marketing support, and project management to leverage existing resources and maximize program impact.

Tara Geary-Fidalgo, MPA
Tara has extensive and diverse experience and a successful track record in health care including: government program start up and operations, network contracting and development, provider relations and project management. She has worked in provider relations at Healthnet, HIP and Empire Blue Cross and Blue Shield. Ms. Geary-Fidalgo has a BA from SUNY Buffalo and an MPA from New York University, Robert F. Wagner Graduate School of Public Service.

Cynthia Feiden-Warsh, MSW
Ms Feiden-Warsh is an independent health care consultant working in the areas of consumer driven health care and Medicaid product development and strategy. Until recently, Ms. Feiden-Warsh had been the Vice President of Development for Government Programs at Lumenos and before that the Vice President of Sales for the Mid-Atlantic and Northeast. Lumenos is a subsidiary of Wellpoint and was one of the pioneers in the field of consumer driven health. She spent five years at Lumenos, beginning during the product development phase through March 2006. She has over 25 years experience in health care. She was previously at ValueOptions where she held the positions of SVP for Public Sector Sales and SVP for Product Development. Ms. Feiden-Warsh spent 14 years working for the State of New York in a variety of senior health policy positions, including Executive Director of the Governor's Health Care Advisory Board and Chief of Staff at the Office of Mental Health. She holds a Master of Social Work degree from New York University.

Kathleen M. Fox, MHS, PhD
Dr. Fox, an adjunct assistant professor at the University of Maryland School of Medicine, Department of Epidemiology and Preventive Medicine is an accomplished epidemiologist and health outcomes researcher. She has served as an investigator on numerous multi-center, large prospective studies funded by the federal government (NIH) and pharmaceutical industry assessing the epidemiology of osteoporosis, hip fracture recovery, osteoarthritis, women's health, functional status and quality of life. Dr. Fox specializes in strategic marketing and health outcomes research and pharmacoeconomic services across a variety of chronic conditions including cardiovascular disease, diabetes, gastrointestinal disorders, musculoskeletal and rheumatologic conditions and oncology. Dr. Fox received her Masters of Health Science from the Johns Hopkins University School of Public Health, Department of Epidemiology and completed her doctoral program at the University of Maryland School of Medicine, Department of Epidemiology and Preventive Medicine. She has authored over 40 publications in peer-reviewed journals.

Kelli C. Davis
Kelli C. Davis's healthcare career spans over two decades and includes experience in acute care, public health service, research design, accreditation preparation, performance measurement, study design and implementation, data analysis, medical management and continuous quality improvement facilitation. Ms. Davis received her Master of Public of Health from California State University-San Jose with honors in Epidemiology and Program Planning and Evaluation.

Mary Cris Crawford, RN
Ms. Crawford is an experienced health care professional with technical expertise in utilization management, case management, quality improvement and credentialing operations with both commercial and Medicaid health plans. She has designed, re-engineered and implemented medical management processes to meet federal and state regulatory and accrediting standards. As a consultant, she has assisted health plans and physician organizations achieve and maintain accreditation. She maintains current knowledge of URAC and NCQA standards and accreditation requirements. Ms. Crawford trained as an RN at the Brackenridge Hospital School of Nursing, Austin, Texas and received a BFA in art history at the University of Texas at Austin.

Daniel J. Potterton, MSW
Dan Potterton is a senior executive with over 20 years experience in the healthcare industry with extensive experience in managed care, strategic planning, organizational management and behavioral clinical practice. His career includes having held positions as president of CIGNA Behavioral Health as well as senior leadership positions with CareAdvantage and Value Behavioral Health. Dan’s consulting assignments have included working with health care systems, health plans, EAP programs and venture capital firms.

Virginia Stillman, MS
Ginny is a computer consultant to managed healthcare organizations (MCOs). With more than 23 years of diverse experience in information technology (IT), she has expertise in project management, database development, computer desktop & networking technical support, quality improvement, and Microsoft Office training. In the past five years she consulted to three MCOs in the NYC metro area, where she implemented Provider Credentialing systems and managed a Quality Assurance Reporting Requirements (QARR) project. She has knowledge of Provider Relations and Credentialing business needs, and NCQA HEDIS, NYS QARR and NYS HPN (Healthcare Provider Network) reporting requirements. Eight years of Occupational Therapy (OT) experience in hospital and home care settings and a strong knowledge of medical and healthcare business needs play a strong counterpart to her IT expertise. Ginny has a BA from Brown University., an MS in Occupational Therapy from Columbia Univ., and an MS in Computer Science from Pace University.