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 Healthｹs 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, Crainｹs 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.

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.

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.

Spencer Jonathan Marks, MPA
As an epidemiologist with 30+ years of experience Spencer Marks established one of a few public health department clinical research units in the nation. and first in NYS.  A partner at Associates of Clinical Trial Sciences, Inc. (ACTS), a clinical research site-management organization (SMO), Spencer blends public health and Pharma to assure ‘win-win’ public/private partnerships providing state-of-art health care to constituencies. He is a creative well-respected published public health researcher of several prestigious federal grants.  As an epidemiologist and health planner, he is exceptional at developing new or using current multiple databases to monitor and analyze standards of care and predetermined outcome measures.    
Graduate, undergraduate, international and national conference faculty Spencer has presented and provided training on: 
• Clinical research: site selection and capacity building
• Bioterrorism: Use of Traditional and Syndromic Surveillance Models
• Infectious disease epidemiology and infection control
• Clinic management
• Grant writing, grant management and budgeting   
 He is an experienced Scientific Reviewer for several federal agencies, including Health Resources and Services Administration (HRSA), National Institutes of Health (NIH) and Centers for Disease Control and Prevention (CDC).

 Anne Iasiello, RN, MS, CPHQ  

. Ms. Iasiello is an experienced health care professional with a strong regulatory and operations background as well as having extensive expertise in the areas of Risk Management, Patient Safety, Medical Staff Affairs, Regulatory Affairs, Infection Control, Care Management, Performance Improvement, Patient Relations, Utilization Review, Systems Development, and successful accreditation preparation for the Joint Commission Readiness Compliance.  She attended the Institute for Healthcare Improvement (IHI) Patient Safety Officer Executive Development Program in 2006 when she became the Patient Safety Officer for a New York City Network Hospital.  She has integrated risk management, regulatory affairs and quality management to create and maintain an effective patient safety program and most recently received the 2009 Lorraine Tregde Patient Safety Leadership Award.  

Anne has written publications on the “Importance of QA/Outcome Data in Marketing Hospital Services in a Managed Care Environment.” NAPH Management Fellowship Book and “Strategies to Limit CNS Malpractice Liability Exposure.” Clinical Nurse Specialist, Vol. 7, #3.  She also holds certificates in Healthcare Quality Certification Board, CPHQ #9822, InterQual Criteria, ISD, ISP, ISX, Registered Professional Nurse, New York and Notary Public. Anne has an M.S. and a B.S.N. from Pace University.  

 

 Deborah Benjamin

Ms. Benjamin has over 23 years of extensive experience in the health insurance industry, medical claim consulting and medical claim auditing. She serves as a technical consultant for CPT, HCPCS, ICD9, and revenue coding. She specializes in the performance of medical claim audits and operational reviews for employers. Her expertise includes data collection and analysis, on-site audits and outcome reporting to senior management, Third Party Administrators and clients. She has vast experience with industry payers, many major healthcare claim adjudication systems, procedures and standards; allowing her to conduct self-insured employer reviews efficiently and effectively. She is able to target specific areas of concern and identify the root causes of claim errors so that clients can avoid future overpayments on medical claims. Prior responsibilities included Procedure Analyst, Group Claim Consultant, Operations Consultant, Business Analyst, Claim Manager, Trainer and Senior Auditor Manager for several Third Party Administrators and Audit firms. She has accreditation with HIAA, LOMA (with a specialization in life and health insurance claims).  Ms. Benjamin’s Bachelor's degree is from the State University of New York (SUNY) at New Paltz, New York.