Kelly Anne Barnes, MS, is a black belt II and center project lead for the Center for Transforming Healthcare (CTH) at The Joint Commission. She is responsible for leading strategic CTH projects with external customers and hospitals, providing expert advice to process improvement teams, assisting in the development of the Targeted Solutions Tool® for CTH projects, and providing quality improvement training. Barnes is currently serving as the project lead for CTH projects aimed at reducing sepsis mortality and preventing venous thromboembolism. She has also served as a project co-lead on healthcare-related improvement projects aimed at preventing falls with injury and preventing avoidable heart failure hospitalizations. Barnes received her master’s degree in kinesiology from the University of North Texas and a bachelor’s degree in psychology from Eastern Illinois University.
Matthew Grissinger, RPh, FISMP, FASCP, is the director of error reporting program for the Institute for Safe Medication Practices (ISMP) and manager of medication safety analysis for the Pennsylvania Patient Safety Authority. Prior to joining ISMP, he served as a home care and long-term care pharmacy surveyor for the Joint Commission. Grissinger is a frequent speaker on pharmacy and medication safety issues. Grissinger has published numerous articles in Pharmacy and Therapeutics (P&T) and the Patient Safety Authority and is a reviewer for the Joint Commission Journal on Quality and Patient Safety, Pharmacoepidemiology and Drug Safety, and Annals of Internal Medicine. He serves on the National Coordinating Council for Medication Error Reporting and Prevention, National Quality Forum, Common Formats Expert Panel, Editorial Board for P&T, Faculty Advisory Board for the Pharmacy Learning Network and the Publications Advisory Board for Davis’s Drug Guide for Nurses. Grissinger has also served on the United States Pharmacopeia’s Safe Medication Use Expert Committee, FDA Proprietary Name Review Concept Workshop panel, and the Naming, Labeling and Packaging Practices to Minimize Medication Errors Workshop panel. Grissinger received a bachelor’s degree in pharmacy from the Philadelphia College of Pharmacy and Science and is a fellow of the Institute for Safe Medication Practices and American Society of Consultant Pharmacists.
Stephen Hadzima, MD, MBA, is the chief medical officer and chief quality officer for Texas Health Presbyterian Hospital. He has previously served as the central region chief medical officer, senior medical director and vice president for physician engagement activities at UnitedHealthcare Medicare Solutions, St. Louis; clinical instructor of medicine at St. Louis University; and examiner for the Malcom Baldrige National Quality Award. Hadzima is currently responsible for all initiatives, programs and achievements in the areas of quality management, patient safety and risk management, infection control, medical staff services, care management, medical staff governance and performance improvement. Hadzima received his bachelor’s and Doctor of Medicine degrees from the University of Missouri – Kansas City School of Medicine. He completed his internship and residency at Saint Louis University and was awarded a master’s degree in business administration from the Washington University Olin School of Business Executive Program. He is board-certified in internal medicine.
Karen Hicks, MSH, RN, NE-BC, is a quality consultant at Inova Alexandria Hospital (IAH). She supports direct care staff, physician providers and hospital leadership in various initiatives and performance improvement projects to ensure ongoing regulatory compliance and clinically excellent patient care. Hicks recently served as co-chair of a year-long project to reduce patient falls at IAH. She has been a practicing registered nurse for 38 years and has held nursing leadership positions at various levels for the past 25 years.
Ziad Karam, MPH, is a lean six sigma and change management black belt for high reliability initiatives at the Joint Commission Center for Transforming Healthcare (CTH). Karam is responsible for leading and coordinating activities that support the adoption of high reliability practices within hospitals and state hospital associations. He leads both internal and external improvement projects and facilities engagement to help organizations prioritize their efforts on their high reliability journey. Karam holds a master’s degree in public health from Benedictine University. He graduated from the University of Illinois at Chicago as a pre-med student with a bachelor’s degree in French literature. He is a certified Lean Six Sigma and Change Management Green Belt.
Anne Jordan Kilpatrick, RN, BSN, CSSBB, is a black belt clinical II for the Joint Commission Center for Transforming Healthcare (CTH). She currently serves as the project lead for preventing falls at - CTH and is a member of the High Reliability team. Kilpatrick has held performance improvement and leadership roles in healthcare and is a certified Lean Six Sigma Black Belt. Prior to joining CTH, Kilpatrick served as director of performance improvement for a large community hospital and executive director of perioperative services in emergency and immediate care departments. Kilpatrick earned a Bachelor of Science in nursing from Texas Christian University and is currently completing a master’s degree in business administration from Benedictine University.
Stephen E. Muething, MD, is the vice president for safety and co-director for the James M. Anderson Center for Health Systems Excellence, Cincinnati Children’s Hospital. He is also a professor of pediatrics at the University of Cincinnati College of Medicine. Muething was awarded the Michael and Suzette Fisher Family Chair for Safety at Cincinnati Children’s Hospital. He currently focuses on the strategic goal of Cincinnati Children’s to improve all aspects of care, including safety, outcomes, experience and affordability. His improvement work and research focus on high reliability culture, situation awareness, managing by prediction and lean leadership. Muething was one of founders of the Children’s Hospital Solution for Patient Safety and now serves as its strategic advisor. He also serves on multiple national pediatric safety groups, is a frequent consultant for regional, national and international safety and quality initiatives, and has lectured in more than a dozen countries. Muething started as a solo practitioner and spent the first decade of his clinical career building a pediatric practice and inpatient unit in rural Indiana. Next, he focused on inpatient systems at Cincinnati Children’s as the first leader of the hospital medicine program and was at the forefront of multiple transformations in care delivery, including family-centered rounds, systematic adoption of evidence-based practices and inpatient microsystems.
Coleen Smith, RN, MBS, CPHQ, CPSS, is director of high reliability initiatives for the Joint Commission Center for Transforming Healthcare (CTH). She leads the development, coordination and implementation of activities that support the adoption of high reliability practices in healthcare. Smith previously served as project lead and robust process improvement black belt at CTH. Her background includes safety and quality work in other areas of the Joint Commission and in acute care pediatric hospitals. Smith is a registered nurse, certified Robust Process Improvement Black Belt and certified professional in healthcare quality and patient safety. She holds a bachelor’s degree in nursing and a master’s degree in healthcare administration.
LuAnn Vis, RN, MSOD, CPHQ, is an association director of high reliability initiatives at the Joint Commission Center for Transforming Healthcare (CTH). She is responsible for the coordination and implementation of activities supporting the adoption of high reliability practices in healthcare. Vis is a certified Change Agent and can support the Joint Commission’s activities associated with establishing and sustaining a robust process improvement culture. She previously served as associate vice president for quality and patient safety at Loyola University Medical Center. Vis received her nursing diploma from the Evangelical School of Nursing, bachelor’s degree in nursing and psychology from Elmhurst College, and master’s degree in organization development from Loyola University. She also completed a healthcare leadership certificate program through the Harvard School of Public Health. Vis is currently licensed as a registered nurse and maintains a certification as a certified professional in healthcare quality.
Kathleen Vollman, MSN, RN, CCNS, FCCM, FAAN, is a clinical nurse specialist, consultant and educator at Advancing Nursing, LLC. She is published and has lectured nationally and internationally on a variety of topics, including pulmonology, critical care, healthcare-acquired injury prevention, work culture and sepsis recognition and management. She previously served as a clinical nurse specialist in the medical intensive care unit at Henry Ford Hospital. Vollman is an expert in catheter-associated urinary tract infection and central line-associated bloodstream infection prevention, sepsis recognition/management and the culture of safety for Health Research & Ed Trust and Michigan Hospital Association. In 2004, Kathleen was inducted into the College of Critical Care Medicine. She was also inducted into the American Academy of Nurses in 20019. In 2012, Vollman was appointed to serve as an honorary ambassador to the World Federation of Critical Care Nurses.