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Alaska

Rebecca Madison, MBA, CPHIT, CLS, MT (ASCP)
Executive Director, Alaska eHealth Network

Rebecca Madison, MBA, CPHIT, CLS, MT (ASCP)
Rebecca Madison, MBA, CPHIT, CPHIE, CLS, MT (ASCP), MBA is the Executive Director of the Alaska eHealth Network (AeHN). AeHN provides health information exchange (HIE) services and clinician assistance for Electronic Health Records (EHR) implementations. Rebecca and the AeHN HIE team coordinate connectivity for providers, patients, payors and health facilities to allow the secure transfer of health information for treatment and payment.

Rebecca is an accomplished, results-driven Senior Health Care IT Executive with over 30 years of successful experience transforming health care clinical settings through innovative use of technology. Her track record nationally, and in Alaska, includes large-scale implementation projects and building Telehealth and Health IT systems from the ground up. Rebecca is successful in obtaining public funds through federal, state, and local grants to support the start-up and growth of Health IT and Telehealth programs. She is an expert in assessing existing clinical operations to develop a customized IT strategy. Her unique blend of business acumen, technical expertise, and administrative experience comes from clinical background both as a Medical Technologist and a healthcare CEO to give her a personal understanding of industry trends and needs of health care service providers.

Rebecca served as the Chair of the Alaska Federal Health Care Access Network (AFHCAN) Telehealth Advisory Board for seven years. Her career includes positions as CIO, VP of IS and CEO for rural health care organizations in both Alaska and the lower 48.
Rebecca Madison, MBA, CPHIT, CLS, MT (ASCP)

Cindy Roleff, MS, BSN, RN-BC
ANTHC Telehealth Program Development Manager, AFHCAN

Cindy Roleff, MS, BSN, RN-BC
Cindy is the Telehealth Program Development Manager for the Alaska Native Tribal Health Consortium (ANTHC).  ANTHC is a non-profit Tribal health organization that serves over 158,000 Alaska Native and American Indian people throughout the state of Alaska.  The system includes approximately 200 telemedicine access locations.

Cindy has worked in telehealth for the past seven years and has a total of more than 30 years of nursing experience.  Cindy's team currently offers telehealth consultation and training services to all of the Tribal organizations and clinics throughout Alaska.  Her team provides support for video and store & forward telehealth which is used broadly in primary care and in over 30 specialty care services.  Cindy has also designed, coordinated and taught classes and courses on dozens of clinical and technical topics to local, national and international audiences.  

Cindy holds a Bachelor of Arts in Child Psychology and a Bachelor of Science in Nursing from the University of Minnesota.  She also holds a Master of Science in Business Organizational Management from the University of LaVerne.  Her board certification is in Nursing Professional Development.
Cindy Roleff, MS, BSN, RN-BC

Idaho

Robert Cuoio
Executive Director, The Hospital Cooperative, The Hospital Cooperative

Robert Cuoio is the Executive Director of the Hospital Cooperative.  The Hospital Cooperative (THC) is a non-profit hospital consortium with 16 members in Idaho and Wyoming.  The mission of THC is to improve regional health care by providing support and value to members through shared resources, knowledge, and information.  THC members feel that they are stronger together than they are as individuals.

Robert has worked in rural health care for the past 12 years and has spent most of that time heavily involved in telehealth.  With the help of a federal grant from HRSA, Robert helped develop telehealth services throughout the region.  The initial main focus was adult mental health but has since included other services such as oncology and child/adolescent mental health.  The grants allowed for the purchase of equipment into all of the member hospitals.  Robert has extensive experience writing and maintaining federal grants, accessing government subsidies for connectivity, troubleshooting, physician relations, and selection of telehealth equipment.  Robert has worked in different capacities within Idaho to help improve reimbursement for telehealth services.

Robert holds a master's in business administration and a bachelor's in health care administration from Idaho State University.  Robert is currently an adjunct faculty member at Idaho State University, facilitating the health care administration internship program for students. 

Tom Hauer
Director, North Idaho Rural Health Consortium

Tom Hauer
Tom is the TeleHealth Director for Kootenai Medical Center and the North Idaho Rural Health Consortium. The TeleHealth network has provided northern Idaho with educational and consultative services since 1996.

Mr. Hauer has over thirty years’ experience as a Maintenance and Sales Engineer in the communications industry with emphasis on private line video, voice, data and fiber optic services.

Tom got his formal education at the University of Utah in Electrical Engineering (1977).
Tom Hauer

Montana

Doris Barta, MHA
Director, Telehealth Services, Northwest Regional Telehealth Resource Center (NRTRC)

Doris Barta, MHA
Doris received her Masters Degree in Health Administration from Montana State University – Billings in 1999, and her Certification of Telehealth Program Manager in 2013. Ms. Barta is the Director of Telehealth Services for St. Vincent Healthcare, a regional Level II Trauma Center serving southcentral Montana, eastern North and South Dakota, northern Wyoming and western Idaho. The Partners in Health Telemedicine Network, which is managed by Ms. Barta, was established in 1994, as a partnership of healthcare facilities and providers in Montana and Wyoming offering telemedicine, teleconferencing, and medical and community education. Partner sites include 20 unique communities with 15 additional sites, serving a 35 member network.

Membership includes 12 critical access hospitals, 6 outpatient/mental health clinics, 11 specialty physician practices, and the Montana Hospital Association. In addition we have connections to 7 Indian Health Service clinics and hospitals, as well as the Indian Health Service Billings Area Office. PHTN is capable of linking to any other Telemedicine site in Montana and throughout the region and nation.

Ms. Barta has worked extensively in grants management for several years, and has helped secure over $50 million in federal, state and foundational support for healthcare initiatives including telehealth, trauma education and training, pediatric services, women’s health services, and capital expenditures for healthcare development.

Ms. Barta also serves as the PI for the Northwest Regional Telehealth Network (NRTRC), which is a region-wide (seven-state) consortium of healthcare organizations and educational institutions. The mission of the NRTRC is to advance the development, implementation, and integration of telehealth through sharing information, leveraging resources and creating a synergistic telehealth community; its vision is to insure access to quality healthcare for everyone. The NRTRC represents seven western states (Alaska, Idaho, Oregon, Montana, Utah, Washington and Wyoming). The NRTRC assists healthcare organizations, networks, and providers implementing cost-effective telehealth programs serving rural and medically underserved populations, with a special emphasis on program development through shared training and expertise.
Doris Barta, MHA

Thelma McClosky-Armstrong
Executive Director, Eastern Montana Telemedicine Network (EMTN)

Thelma McClosky-Armstrong
Ms. McClosky Armstrong has over 35 years of experience in the development and management of healthcare services. As director of the Eastern Montana Telemedicine Network, Thelma is responsible for the overall management of a 39-site interactive videoconferencing network providing medical and mental health services, continuing professional education and administrative services throughout eastern and central Montana, northern Wyoming and western North Dakota.

The Eastern Montana Telemedicine Network received the 2002 American Telemedicine Associations Presidents Award for the Advancement of Telemedicine. This award is given annually to a program for its outstanding and lasting contribution to the field of telemedicine. Ms. McClosky Armstrong served on the board of the American Telemedicine Association for 8 years, 4 years in executive leadership, serving as President in 2005- 2006. In 2009 Ms McClosky Armstrong was elected to the first class of the American Telemedicine Association College of Fellows.

This is a high honor that recognizes significant achievements in telemedicine, service to the general telemedicine community, and service to ATA.

Ms McClosky Armstrong actively promotes telemedicine services at the local, state, regional, national and international level. Ms McClosky Armstrong:

  • Worked collaboratively with third party payers. Montana was one of the first telemedicine networks in the nation to secure reimbursement from both public and private payers. 
  • Was instrumental in development and subsequent passage of the State of Montana’s telemedicine licensure legislation. 
  • Was one of the founding members of the Montana Healthcare Telecommunication Alliance. This alliance was organized to promote and advocate for telemedicine services throughout the state of Montana. 
  • Has been engaged at the federal level, influencing policy development in the areas of Universal Service Support and reimbursement.
  • Hosted several visits from national and international groups researching the potential benefits of telemedicine services to their organization and country.
  • Presented at multiple regional and national conference. (Examples include, American Psychiatric Association, American Psychological Association, The National Rural Health Association, the International Society for Telehealth and the American Telemedicine Association


Thelma McClosky-Armstrong

Oregon

Cathy Britain
Executive Director, Telehealth Alliance of Oregon, CSBritain Consulting

Cathy Britain
Catherine Britain is a co-founder and a past president of the Telehealth Alliance of Oregon (TAO) and currently serves as the Program Director. She is the principal and owner of CSBritain Consulting in Medford, Oregon. Catherine served as the chair of the TAO reimbursement workgroup which was responsible for developing Oregon’s telehealth reimbursement legislation in 2009. She also serves on the advisory board for the NRTRC.
Cathy Britain

Doug Romer, RN, BS
Executive Director Patient Care, Chief Nursing Officer, Grande Ronde Hospital

Doug Romer, RN, BS
Doug is the Telehealth Director for Grande Ronde Hospital.  Grande Ronde is a 25 bed critical access hospital which provides a wide variety of inpatient, outpatient and specialty services.  Doug has been involved with telehealth for ten years and has developed a robust remote presence healthcare system for its community and region.  As a result of these accomplishments Grande Ronde Hospital has been honored with multiple awards including Outstanding Rural Health Organization from the NRHA, ECRI Health Devices Achievement Award, the 2017 NRHA Top 20 CAH and the 2017 Most Wired Award.

Doug holds a bachelor's degree in Liberal Arts from Eastern Oregon University.
Doug Romer, RN, BS

Utah

Kristy Haun, MSN, RN
Manager of Education and Training for the Office of Network Development and Telehealth , University of Utah

Kristy  Haun, MSN, RN
Kristy Haun, MSN, RN is the Manager of Education and Training for the Office of Network Development and Telehealth at University of Utah Health.  She has been a Registered Nurse for more than 12 years, specializing in clinical education and ambulatory care nursing.  She is also a PhD candidate, with a focus in health care systems research.  She manages the Project ECHO tele-education program for University of Utah, and is currently building an educational platform to support clinical and patient education for all current telehealth programs offered through the University of Utah.
Kristy  Haun, MSN, RN

Brian Wayling, MBA
Assistant Vice-President Telehealth Services, Intermountain Healthcare

Brian Wayling, MBA
Brian Wayling, MBA, joined Intermountain in 2015 as Assistant Vice-President of Intermountain Healthcare TeleHealth Services.  Intermountain considers telehealth an integral option for improving access, and Brian is responsible for developing system-wide telehealth strategies that enable care delivery throughout the Intermountain Healthcare system and elsewhere.  He leads efforts to provide appropriate technologies and services that clinical programs and support functions can utilize for increasing access, reducing costs, and improving quality. 

Prior to joining Intermountain, Brian was the founding Director of the eHealth and eNovation Center at the University of Iowa Hospitals and Clinics.  In addition to healthcare, he has extensive executive and operational management experience in the financial, technology and design industries.  His Six Sigma Black Belt and PMP certified.
Brian Wayling, MBA

Washington

Tammy Arndt
Director, Northwest Telehealth (NWTH)

Tammy  Arndt
Tammy Arndt is Director of Northwest TeleHealth, a regional video conference network, providing a platform of connectivity to thirty-three communities in Eastern Washington and Northern Idaho.  Utilizing collaborative tools and established protocols, Northwest TeleHealth facilitates and supports healthcare administration, distance education, and clinical services to improve access to healthcare and promote healthy communities.  

With over 20 years' experience in the healthcare industry, Tammy has a pragmatic approach to program development and delivery.  Focusing on workflow integration of virtual services, she has facilitated the successful launch of multiple telemedicine programs, extending care to rural hospitals, clinics, and patient's homes.  Tammy is proud to represent Northwest TeleHealth, a founding organization of the NRTRC, and Eastern Washington on the advisory board.
Tammy  Arndt

Cara Towle, RN, MSN, MA
Associate Director, Integrated Care Training Program/Psychiatry Consultation & Telepsychiatry, University of Washington

Cara Towle, RN, MSN, MA
Cara is the Associate Director for the UW Integrated Care Training Program and the UW Psychiatry Consultation & Telepsychiatry program.  UW Medicine is an academic medical center serving the 5-state region, and UW Department of Psychiatry and Behavioral Sciences annually provides ~15,000 Telepsychiatry consultations in over 150 inpatient and outpatient settings. 
Cara established UCSF International Medical Services in 1996, offering telemedicine services to Europe, the Middle East, and Asia.  At the UW, she directed UW Telehealth Services 2001-2015, and began her current position in 2016 to help initiate these two new programs.  She is a member of the Washington State Telehealth Collaborative, and a founding board member of the NRTRC.
Cara Has an MSN (University of California San Francisco), and an MA in International Administration (School for International Training).
Cara Towle, RN, MSN, MA

Wyoming

Jim Bush, MD, FACP
Medical Director, Wyoming Medicaid

Jim  Bush, MD, FACP
Dr Bush joined the Wyoming Dep’t of Health in March 2007 as Staff Physician and Medicaid Medical Director. Prior to that he had a solo practice on Internal Medicine in Fort Collins, CO. Interested in Medical Policy and Organization, he has filled many roles including that of Chief of Staff at Poudre Valley Hospital, President of the Colorado Society of Internal Medicine, and President of the Fort Collins IPA . Enjoying teaching as well he has been on the Clinical faculty of the U of Colorado for 23 years, and has also been involved with teaching Residents in Family Practice in Fort Collins.

In 2010 he was elected to be Governor of the Wyoming Chapter of the American College of Physicians for 2012-2016. He is Chairman of the Wyoming Telehealth Consortium and oversees the State of Wyoming’s Telehealth contract.
Jim  Bush, MD, FACP

David Wheeler, MD, PhD, FAAN, FAES
President, Wyoming Neurologic Associates

David Wheeler, MD, PhD, FAAN, FAES
Dr. Wheeler grew up in Missoula, Montana where he attended the University of Montana and studied Zoology and Chemistry.  While there he received a Rhodes Scholarship and then spent two years at the University of Oxford doing neurophysiology research.  He then went to Stanford University School of Medicine obtaining a PhD in Neurosciences along with his medical degree.  Dr. Wheeler received training in Neurology at Harvard University hospitals and is now board certified in Neurology, Clinical Neurophysiology and Epilepsy.  He came to Casper in 2005 where he founded Wyoming Neurologic Associates.  Dr. Wheeler practices general neurology with special interest in dimentia, epilepsy and stroke.  He is the director of the hospital's stroke program and epilepsy center.  While serving on the boards of a number of local and national health care organizations, Dr. Wheeler has been involved in the development of telemedicine services in Wyoming for the past 10 years.
David Wheeler, MD, PhD, FAAN, FAES
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