The Scottsdale Institute 2019 CMIO/CNIO Roundtable sponsored by Hearst Health convened 18 chief medical information officers (CMIOs), chief clinical information officers (CCIOs) and chief nursing information officers (CNIOs), convened April 11 during the Scottsdale Institute 2019 Annual Conference in a roundtable to tackle the vexing problem of how to reduce the cognitive burden of the EMR, often cited as a primary cause of clinician burnout.
A pre-conference survey generated 20 responses from 18 SI organizations which ranked the top three focus areas:
Training and Education | Clinical Decision Support | Display of Information
Read Reducing the Cognitive Burden of the EMR to explore the insights and key strategies for success gained from this thought-provoking discussion.
Ranjit Aiyagari, MD, FACC
CMIO at Michigan Medicine
Ranjit Aiyagari, MD, FACC is Chief Medical Information Officer (CMIO) of the University of Michigan Health System (Michigan Medicine). He is also a Clinical Associate Professor of Pediatric Cardiology at the University of Michigan Medical School with an area of focus in pediatric cardiac critical care. He is board certified in both Pediatric Cardiology and Clinical Informatics. In his role as CMIO, he drives Michigan’s health information technology strategy and oversees its operational deployment across a landscape of approximately 4000 physicians who conduct > 2,300,000 clinic visits and > 48,000 hospital discharges per year and in the context of a top medical school with ~0,000,000 sponsored awards to support research and > 6000 publications per year. He is dedicated to making computer systems work for rather than against physicians, as well as improving the health of children with the most severe forms of congenital heart disease.
Posted May 2019
David W. Bates, MD, MSc
Chief, Division of General Internal Medicine at Partners HealthCare System
Dr. David Westfall Bates is the Medical Director of Clinical and Quality Analysis, Information Systems at Partners HealthCare System, Inc. Dr. Bates is Chief of the Division of General Internal Medicine and Primary Care at Brigham and Women’s Hospital. He is a Professor of Medicine at Harvard Medical School and Professor of Health Policy and Management at the Harvard School of Public Health, where he is the Co-Director of the Program in Clinical Effectiveness. He is a member of the Institute of Medicine of the National Academies and External Program Leader, Patient Safety Research, WHO World Health Alliance for Patient Safety, World Health Organization, Geneva, Switzerland. Dr. Bates is the Executive Director of the Brigham and Women’s Center for Patient Safety Research and Practice that focuses on improving medication safety across the continuum of care and patient groups.
At a time when patient safety has become a key driver for focusing national attention on health-care quality, Dr. Bates’ work has not only shown the magnitude of the problem but also provided a blueprint for helping solve it. He led a seminal study on the epidemiology of drug-related injuries, demonstrating that the most effective way to prevent serious medication errors is to focus on improving the systems. He has also performed many studies on how computerized, evidence-based guidelines can improve quality and efficiency. Dr. Bates has been recognized for several years by Modern Healthcare magazine as one of the “100 most powerful” individuals in U.S. health care.
Dr. Bates received a Bachelors of Science Degree in Chemistry from Stanford University, a Doctorate of Medicine from Johns Hopkins School of Medicine, and a Masters of Science in Health Policy and Management from the Harvard School of Public Health. After his residency training in Internal Medicine at Oregon Health Services University in Portland, he completed a postdoctoral research fellowship in medicine at the Harvard Medical School in Boston, MA. In 1987, Dr. Bates held a faculty position at the Oregon Health Sciences University, and then joined the Brigham and Women’s Hospital in 1988.
Dr. Bates’ primary informatics focus concerns the use of information technology to measure and improve the quality of care within the field of medication safety. He has completed extensive research evaluating the incidence and prevention of adverse drug events (ADEs) and clinical decision support. Other areas of research interest include: evaluating the impact of patient computing applications, improving provider satisfaction through electronic communications, improving quality of care and cost-effectiveness in electronic communications, and outcomes assessment.
Posted February 2019
Dave Bensema, MD, FACP
Former CIO/CMIO at Baptist Health
David J. Bensema, MD, MBA, FACP, is the former Chief Information Officer and Chief Medical Information Officer for Baptist Health, and a board certified internist who, after 16 years of private practice in Lexington, became the Executive Director of Physician Services for Central Baptist Hospital and Medical Director of Baptist Physicians Lexington, Inc. in August 2006.
Bensema received a bachelor’s degree in biology from the University of Kentucky in 1982, followed by his medical degree in 1986. Bensema continued his training at UK, completing his residency in internal medicine in 1989 and his chief residency in 1990. He completed his MBA at Auburn University in May 2013.
Bensema has participated in the start-up of three life insurance companies and in 2004 became board certified in insurance medicine. From 2007 to 2017 he served on the e-Health Board for the Commonwealth of Kentucky. He is a past-president of the Lexington Medical Society and past President of the Kentucky Medical Association as well Delegate to the House of Delegates of the American Medical Association from Kentucky. He was a founding investor and Board Member for the Bank of Lexington from 2005 until its sale in 2018.
He and his wife, Dr. Marian Bensema, a pathologist, reside in Lexington and have two grown sons and daughter-in-laws, and three grandsons; Dr. Steve and Dr. Heather Harrell, J.D. and sons William Elliston (Eli), Theodore Lachlan, and Andrew Sebastian, and Dr. Michael and Lindsay Harrell and son, Franklin Cline.
Updated March 2019
John Chang, MD
SVP, Head Clinical Team at Zynx Health, part of Hearst Health
John Chang is the Senior Vice President, Head Clinical Team, at Zynx Health. In this role, he oversees the methodology, development, and maintenance of evidence-based and experience-based clinical content used in Zynx solutions that support healthcare organizations’ achievement of their quality and financial goals.
Dr. Chang brings to Zynx Health over 20 years of clinical, operations, and healthcare research experience and is also a general internist, is board-certified in clinical informatics, and serves as an assistant clinical professor of medicine at the David Geffen School of Medicine at UCLA. He has given numerous presentations at national meetings and has published multiple articles on improving care and quality measurement in peer-reviewed journals including: Annals of Internal Medicine, The BMJ, Medical Care, Journal of General Internal Medicine, and Journal of the American Geriatrics Society.
Prior to his current role, Dr. Chang served as senior director, director, and manager of clinical content over his more than 10 years at Zynx Health, and was instrumental in the development and launch of Knowledge AnalyzerTM. Before joining Zynx Health, Dr. Chang was a primary care physician and clinician investigator with the Division of General Internal Medicine and Health Services Research at UCLA, a practicing physician at Kaiser Permanente, an affiliated investigator at RAND Health, and a consultant to the National Committee for Quality Assurance. He completed his residency in internal medicine at Georgetown University Medical Center and completed two fellowships–the UCLA NRSA Primary Care Research Fellowship and the UCLA Specialty Training and Advanced Research Fellowship. He is a fellow of the American College of Physicians and a member of the American Medical Informatics Association, the Society of General Internal Medicine, AcademyHealth, and the American Association for Physician Leadership.
Dr. Chang holds BA and MD degrees from Northwestern University, an MPH from Yale University, and a PhD in health policy and management (with a focus on healthcare outcomes research and operations management) from the University of California, Los Angeles.
Posted May 2019
David Classen, MD
Professor of Medicine at University of Utah; CMIO at Pascal Metrics
Dr. Classen is the CMIO at Pascal Metrics, a Patient Safety Organization (PSO) and is a Professor of Medicine at the University of Utah and an Active Consultant in Infectious Diseases at The University of Utah School of Medicine in Salt Lake City, Utah.
He received his medical degree from the University Of Virginia School Of Medicine and a Masters of Science degree in medical informatics from the University Of Utah School Of Medicine. He served as Chief Medical Resident at the University of Connecticut. He is board certified in Internal Medicine and Infectious Diseases. He was the chair of Intermountain Health Cares Clinical Quality Committee for Drug Use and Evaluation and was the initial developer of patient safety research and patient safety programs at Intermountain Healthcare. In addition he developed, implemented and evaluated a computerized physician order entry program at LDS Hospital that significantly improved the safety of medication use.
He was a member of the Institute of Medicine Committee (IOM) that developed the National Healthcare Quality Report and he was also a member of the Institute of Medicine Committee on Patient Safety Data Standards.
He chaired the QUIC (Federal Safety Taskforce)/IHI Collaborative on Improving Safety in High Hazard Areas. Dr. Classen was Co Chair of the Institute of Healthcare Improvements Collaborative on Perioperative Safety and the Surgical Safety Collaborative at the Institute of Healthcare Improvement (IHI). He was also a faculty member of the IHI/National Health Foundation Safer Patients Initiative in the United Kingdom. In addition Dr. Classen is a developer of the “Trigger Tool Methodology” at IHI, used for the improved detection of adverse events, which is currently being used by more than 500 different healthcare organizations through out the Unites States and Europe.
Dr. Classen also lead the development and publication of the new Compendium of Strategies for the Prevention Of Healthcare Associated Infections jointly released by the Infectious Disease Society of America, Society Of Healthcare Epidemiology, Joint Commission, American Hospital Association, and the Association Of Practitioners of Infection Control.
He currently co chairs the National Quality Forum’s Patient Safety Common Formats Committee and Dr. Classen is an advisor to the Leapfrog Group and has developed and implemented the CPOE/EMR flight simulator for the Leapfrog Group and National Quality Forum which has been funded and overseen by AHRQ. This EMR Flight simulator has been used to evaluate hundreds of inpatient and ambulatory EMR systems after implementation across the United States and The United Kingdom.
He is currently a member of the Institute of Medicine Committee on Patient Safety and Health Information Technology.
Updated December 2018
Darby K. Dennis, MS, RN
VP of Clinical Informatics, Clinical Systems and Epic Project Executive at Houston Methodist
Darby is the Vice President of Clinical Informatics and Clinical Systems for Houston Methodist’s IT department. Her responsibilities include managing IT operations and strategic initiatives impacting clinical care for the organization. She was named IT Executive Sponsor for the Epic Project in 2013. The organization completed the rollout for all hospitals in 2017.
Darby’s career spans over 35 years in healthcare in a variety of roles. She started as an inpatient nurse in in New York before moving into teaching and administrative roles over the course of the last thirty years. While working on her Master’s Degree from the University of Michigan (Go Blue!) she worked on their EMR implementation and leveraged that experience with all future roles. She has implemented a variety of vendor solutions which began a journey with understanding the impact of change on individuals, departments and organizations. Change Management has since been imbedded in every project under her responsibility.
Nicholas Desai, MD
Enterprise CMIO at Houston Methodist
Dr. Desai, a practicing foot and ankle surgeon and CMIO at Houston Methodist, is an experienced physician executive who has led many physician driven implementation, optimization, and large scale IDN and ambulatory EHR conversions. His primary interest in IT is to maximize adoption by hardwiring efficiency tools and processes to enhance the physician workflow.
Posted February 2018
John Doulis, MD
Sr VP, Clinical Solutions at First Databank, part of the Hearst Health Network
As Senior Vice President of Clinical Solutions, John Doulis, MD, leads teams responsible for all content curation, clinical and technology solutions at FDB. Dr. Doulis is a physician with more than 20 years of broad experience in health informatics and in designing, managing and perfecting information systems that support health enterprise innovation and patient safety.
Prior to joining FDB, Dr. Doulis was Chief Informatics and Information Officer at MedCare Investment Funds in Nashville, where he was responsible for the development of the information technology investment strategy. In that capacity, he served CEO and President of digiChart, Inc. and more recently CEO of Informatics Corporation of America.
Earlier in his career, as Assistant Vice Chancellor for Health Affairs and Chief Operations Officer of the Informatics Center at Vanderbilt University, Dr. Doulis led the Informatics Center’s efforts to provide the most effective informatics and information technology infrastructure to meet the needs of the diverse operating units of VUMC.
Dr. Doulis currently serves as a Director for Quire, Inc. and for Angel Eye, Inc. Dr. Doulis received a Bachelor of Medicine/Bachelor of Surgery (MBBS) and MD degrees from Monash University, Melbourne, Australia and has an extensive publication and presentation record.
Posted May 2019
Sherri Hess, MS-IS, BSN, RN-BC, FHIMSS
CNIO at Banner Health
Chief Nursing Informatics Officer, Banner Health
Sherri has over 30 years in healthcare with the past 19 as a healthcare IT leader. She serves as the strategic liaison between clinical leaders and IT. She does this by addressing the information and knowledge needs of healthcare professionals and patients to promote safe, effective, efficient use of health IT in clinical setting. Sherri role models change management and evidence-based practice in all strategies with the patient as the focus.
She provides strategic leadership in the development, deployment, and re-engineering of the electronic health record (EHR) and other technology to support clinicians leading to improving patient safety, quality, and outcomes. She is focused on improving the work life of clinicians to aid in decreasing the burn out and dissatisfaction of our clinicians.
Sherri served on the Colorado HIMSS Board and currently serves on the AZ HIMSS Board. She teaches at the University of Denver as an Adjunct Professor. Sherri is a Nightingale Luminary.
Posted March 2019
Kim W. Jundt, MD
CMIO at Avera Health
Dr. Jundt, a Board-Certified Family Physician, is the Chief Medical Information Officer of Avera. Born and raised in northern South Dakota, he is a graduate of the University of South Dakota School of Medicine. He completed his residency at Siouxland Medical Education Foundation, Sioux City, Iowa.
Dr. Jundt has been employed with Avera for seven years and is a leader in the
implementation of Meditech 6.1. In his spare time Dr. Jundt enjoys golfing.
Shaun Miller, MD, MBA
Associate CMIO at Cedars-Sinai Medical Center
Medical Director, Inpatient Clinical Technology
Doctorate Education: Medical Degree (MD), University of California, Irvine (2006)
Other Education: Master of Business Administration (MBA), University of California, Irvine (2006)
Residency: Internal Medicine Residency, Cedars-Sinai Medical Center (2010)
Certifications: Internal Medicine, Clinical Informatics
Dr. Miller has significant experience with leading and facilitating electronic medical record implementation, optimizations, and provider adoption. His particular focus includes enhancing inpatient provider workflows and improving care quality by leveraging existing and novel information technology (inside and outside of the electronic medical record). Additional expertise includes developing and implementing information technology tools to improve care transitions, support population health strategies, and enhance the patient experience.
Posted March 2019
Thomas Moran, MD
VP and Chief Medical Information Executive at Northwestern Medicine
Thomas Moran, MD, is Vice President and Chief Medical Information Executive (CMIE) for Northwestern Memorial Health Care. He has been serving the organization since 1995, when he joined the Medical Staff at Central DuPage Hospital as an attending emergency physician. He was named chair of the CDH Department of Emergency Medicine in 2009 and served in that capacity until he was promoted to CMIO of Cadence Health in 2012 and to VP and CMIE of NMHC in 2016.
As CMIE, Dr. Moran is responsible for helping the organization leverage technology to improve patient safety and quality of care. He leads strategic planning, adoption and optimization of the electronic health record in support of patient care delivery across the Northwestern Medicine system.
Dr. Moran is a fellow of the American College of Emergency Physicians and an active member of the Illinois College of Emergency Physicians. He volunteers his time with Access DuPage Medical Advisory, and the Northwestern Foundation. He is actively involved in the MM Foundation, a charity founded in the name of Dr. Moran’s father that supports local families of children who have been diagnosed with cancer. He is also past president of St. James the Apostle School Board in Glen Ellyn.
Dr. Moran earned his bachelor’s degree in biology from Illinois Benedictine College, Lisle, and his medical degree from the University of Illinois College of Medicine, Chicago. He completed his residency at the University of Illinois Hospital, Chicago.
Updated December 2018
Craig Norquist, MD
CMIO at HonorHealth
Graduated from Harvard Medical School and completed his residency in Emergency Medicine at Maricopa County Medical Center. Has been working as an ED physician for over 20 years and has become board certified in Clinical Informatics. He recently moved from Network Patient Safety Officer into the role of CMIO for HonorHealth. His emphasis is on provider wellbeing, use of clinical decision support, and Health IT safety.
Posted May 2019
Christopher Sharp, MD
CMIO at Stanford Health Care
Dr. Sharp serves as Chief Medical Information Officer for Stanford Health Care with responsibility for driving the enhancement and expansion of clinical information systems to drive organizational strategic outcomes in quality, experience and value. Dr. Sharp is accountable for the content, design, and workflow of key clinical systems as well as provider and staff clinical systems adoption and proficiency.
Dr. Sharp is a mentor for the Stanford Clinical Informatics Fellowship program. He is a practicing General Internal Medicine physician at Stanford in both clinic and hospital medicine. He holds board certifications in Internal Medicine and Clinical Informatics.
Dr. Sharp has held lead roles in clinical technology transformation at Stanford since 2006. He was the physician lead for hospital EHR implementation including CPOE replacement, pharmacy replacement, nursing and physician electronic documentation, surgical scheduling and documentation, and emergency department and intensive care CPOE initial implementation. He served as lead physician for EHR implementation across more than 60 clinic areas of all specialties.
Education and Certifications
|Medical School:||Dartmouth Medical School|
|Certifications:||Clinical Informatics Subspecialty, American Board of Preventive Medicine, American Board of Internal Medicine|
Posted May 2019
Pete Stetson, MD, MA
CHIO, Deputy Physician-in-Chief at Memorial Sloan Kettering Cancer Center
Pete is the Chief Health Informatics Officer at Memorial Sloan Kettering Cancer Center. Our group’s overall goal is to be leaders in the development and implementation of new Informatics solutions that impact quality cancer care and cancer research. Dr. Stetson’s role at MSKCC is to optimize clinical systems, set clinical systems strategy, and ensure quality and financial goals are met using innovative Informatics solutions. His teams are responsible for developing, implementing and evaluating next-generation Informatics solutions for cognitive support, team-based care, precision oncology, and patient engagement.
MSK defines Health Informatics as the study and application of people, processes and technology to improve healthcare value, where value is a function of quality, cost, and efficiency. Dr. Stetson’s teams are responsible for establishing an Informatics-enabled ecosystem for MSK’s new buildings and relationships at MSK, including the Josie Robertson Surgery Center, and the David H. Koch Cancer Center which opens in the near future. These new locations and partnerships will feature novel patient-centered Informatics to improve care quality and patient experience.
Pete also works as a Hospitalist, an Informatics researcher, and teaches and mentors in Informatics.
Update October 2019
Alan Weiss, MD
VP & CMIO at BayCare Health System
Dr. Alan M. Weiss joined the BayCare Health System as their CMIO in August, 2018. His primary responsibilities are over all clinical systems, their associated governance as well as over providing executive leadership over data and analytics.
Prior to BayCare, Dr. Weiss spent five years in the Memorial Herman System in Houston, Texas, as their first Ambulatory CMIO. In that role, he had responsibilities over GE Centricity, Cerner and eClinic Works EHRs. Central to that role was EHR optimization efforts as well as the conversion of GE Centricity to Cerner.
Prior to Memorial Hermann, Dr. Weiss was the Assoc. Medical Director of Inpatient Systems at Cedar-Sinai in Los Angeles where he helped develop and implement their EHR.
A general internist by training, Dr. Weiss spent 10 years practicing at the Cleveland Clinic in Cleveland, Ohio. He also reported directly to their CIO to assist on EHR implementation and optimization efforts, was named the head of their business informatics group in primary care and acted as an internal medicine section head. Furthermore, Dr. Weiss spent time teaching medical student and residents while providing both ambulatory and inpatient care.
Before medical school, Dr. Weiss worked for Eli Lilly as a clinical information analyst, helping to develop data entry systems for clinical trials as well as analyzing that data for FDA reporting and for medical journals. Dr. Weiss earned a B.S. from the University of Michigan with a double major in computer science and philosophy. He also has both an M.B.A. and an M.D. from Case Western Reserve University. His M.B.A involves a double focus on health care management as well as the management of information systems.
Dr. Weiss is passionate about patient care and advocates for the proper use of data and analytics to refine EHR development towards the inclusion of evidence based medicine.
Updated March 2019
Gianna Zuccotti, MD, MPH
CMIO & VP Digital Health Transformation at Partners HealthCare System
Gianna Zuccotti, MD, MPH serves as the Vice President, Digital Health Transformation and Chief Medical Information Officer at Partners Healthcare System where she works at the intersection of Partners Information Systems, Quality Safety Value and Population Health Management with direct responsibility for the development and delivery of an electronic health record that supports diverse care and business needs in a reliable, safe and efficient manner.
Dr. Zuccotti has a long-standing interest in applying information technology to identify and facilitate improvements in patient care, physician workflow, quality and safety. She joined Partners in May 2008 as the Senior Medical Informatician for Patient Safety and Risk Management at Partners IS and Associate Medical Director for Risk Management Informatics at the Harvard Risk Management Foundation (CRICO/RMF). This position allowed her to leverage strengths in quality and medical administration in the burgeoning field of medical informatics. In a relatively short period of time, she established research and clinical collaborations, obtained intra- and extramural research support, and became an integral member of many Partners Performance Improvement initiatives.
In her current this role she manages a complex team of Physicians, Nurses, Health Professionals and Project Managers involved the content development, maintenance and optimization activities for the health system’s enterprise electronic medical record. She also oversees Partners’ Health Information Management (HIM) department and associated data services. Her research interests focus on informatics initiatives designed to improve patient safety and mitigate risk. Such initiatives have included physician documentation, clinical workflow, results management, decision making and care coordination, among others. Dr. Zuccotti remains an active member of the Division of Infectious Diseases at Brigham and Women’s Hospital and Dana Farber Cancer Institute, specializing in infections in oncology patients and hematopoietic stem cell and solid organ transplant recipients.
Originally from New York City, Dr. Zuccotti trained at New York Presbyterian Hospital-Weill Cornell Medical College in Internal Medicine and at Albert Einstein College of Medicine in Infectious Disease. She served as the Vice Chair for Clinical Affairs in the Department of Medicine at Memorial Sloan Kettering Cancer Center, as well as Assistant Director of Infection Control. On a national level she is active as a Medical Editor. Since 1999, she has been an Editor at The Medical Letter, a biweekly medical newsletter devoted to publishing independent, unbiased reviews of newly-approved drugs. Currently as Executive Editor, she guides content development, technology implementation and strategic planning for the publication. In addition, she is a past Contributing Editor with expertise in Infectious Diseases at the Journal of the American Medical Association.
Posted May 2019
Jeffrey Rose, MD
SVP of Clinical Strategy at Hearst Health
Jeffrey Rose, MD is the Senior Vice President of Clinical Strategy for Hearst Health, leading care guidance initiatives that reach across FDB, Zynx Health, MCG, Homecare Homebase and MedHOK. He is a key advisor to M2Gen, a precision medicine and oncology genomics company of which Hearst owns a minority stake, and to Hearst Health Ventures and the Hearst Health Innovation Lab. In addition, Dr. Rose leads the Hearst Health government policy council.
The mission of Hearst Health is to help guide the most important care moments by delivering vital information into the hands of everyone who touches a person’s health journey. Each year in the U.S., care guidance from Hearst Health reaches 85 percent of discharged patients, 205 million insured individuals, 70 million home health visits and 3.2 billion dispensed prescriptions.
Dr. Rose is a nationally recognized informaticist and fellowship-trained physician with proven expertise in the development, implementation and use of health information technology across the industry and in clinical practice. He has extensive experience leading major initiatives ranging from clinical excellence and decision support to payor and provider collaboration in existing and emerging industry markets. He has twice been named one of Modern Healthcare’s Top 25 Clinical Informaticists.
Throughout his career, Dr. Rose’s passion has centered on systems for the improvement of care quality for patients in every setting where care is delivered. Prior to joining Hearst, Dr. Rose held various leadership roles in clinical informatics, including Vice President of Clinical Excellence in informatics at Ascension, Chief Medical Officer of Cerner Corporation, Chief Medical Officer of Health Language Inc., and director of clinical information systems for the Rocky Mountain division of Kaiser Permanente. He most recently served as the Chief Medical Information Officer at TriZetto Corporation, where his focus was on revenue cycle management, payor claims software systems and evolving payment models in the post-ACA healthcare world.
His humanitarian work in healthcare includes the African Health and Hospital Foundation, which he and his wife Jill founded in 2007 to provide medical aid and supplies for impoverished communities in East Africa.
Dr. Rose completed his medical doctorate and fellowship training at the University of Colorado Health Science Center. He is a board certified interventional radiologist and has 15 years of clinical practice and physician group leadership experience in addition to his informatics work. He is an instructor for the American Association for Physician Leadership, an author of multiple pieces, including the books Invasive Radiology: Risks and Patient Care and Medicine and the Information Age.
ABOUT HEARST HEALTH
The Hearst Health network includes FDB (First Databank), Zynx Health, MCG, Homecare Homebase, MedHOK, Hearst Health Ventures and the Hearst Health Innovation Lab (www.hearsthealth.com). Hearst also holds a minority interest in the precision medicine and oncology analytics company M2Gen. The mission of Hearst Health is to help guide the most important care moments by delivering vital information into the hands of everyone who touches a person’s health journey. Each year in the U.S., care guidance from Hearst Health reaches 85 percent of discharged patients, 205 million insured individuals, 70 million home health visits and 3.2 billion dispensed prescriptions.