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Our funding for updating this website ended in 2011, but the resources we developed are still helping clinical practices from around the world to transform the care they provide to better serve patients with chronic illness. Please visit our home page to learn more—or check out our more recent tools and resources at:



Ed H. Wagner, MD, MPH, MACP
Dr. Wagner was Director of Improving Chronic Illness Care.  A general internist/epidemiologist, he was Founder and Director (Emeritus) of the Seattle-based MacColl Center for Health Care Innovation at the Kaiser Permanente Washington Health Research Institute (KPWHRI, formerly Group Health Research Institute), an organization which he also founded in 1983. His research interests included the development and testing of population-based care models for diabetes, frailty in the elderly and other chronic illnesses; the evaluation of the health and cost impacts of health promotion/disease prevention interventions; and interventions to prevent disability and reduce depressive symptoms in older adults. He has written two books, authored more than 200 publications, and is an elected member of the Institute of Medicine. Ed Wagner retired in June 2017.

Michael Parchman, MD, MPH
Dr. Parchman is a Scientific Investigator with the MacColl Center for Health Care Innovation, which he joined in 2012. His research focuses largely on improving chronic illness care in primary care clinics by approaching them as complex adaptive systems. Dr. Parchman has extensive health services research expertiseience with a focus on advancing the field of implementation science.with practice facilitation and coaching, and implementation of the patient-centered medical home. A family medicine physician, Dr. Parchman previously served the Agency for Healthcare Research and Quality as the director of Practice-Based Research Network Initiative and senior advisor for primary care. Before joining AHRQ in 2010, he was the Mario Ramirez Endowed Pprofessor of family and community medicine at the University of Texas Health Science Center at San Antonio. He is currently Principal Investigator for Healthy Hearts Northwest, an AHRQ-funded study of scale-up and spread methods to accelerate improvements in heart health risk factors across 320 small primary care practices in Washington, Oregon and Idaho. He is also leading an implementation study of team-based approaches to safer opioid use for chronic pain in rural health centers in Eastern Washington and Central Idaho. He has a joint appointment at the Department of Family Medicine and the Department of Health Services Research at the University of Washington and is a collaborator in their Institute of Translational Health Science.

Brian Austin
Brian Austin is Associate Director of the Kaiser Permanente Washington Health Research Institute's MacColl Center for Health Care Innovation, which he helped found in 1992. He helped to develop and refine the Chronic Care Model which originated at MacColl in the mid‐1990s. He was active in the Commonwealth Fund's Safety Net Medical Home Initiative and provides technical assistance to the Robert Wood Johnson Foundation Aligning Forces For Quality program.   Within Kaiser Permanente Washington Health Research Institute, Mr. Austin organizes the Partnership for Innovation, an internal grant program to test system innovations.  Mr. Austin is also a member of the executive leadership team of the MacColl Center’s parent department, KPWHRI, which conducts epidemiologic, health services, behavioral, and clinical research addressing a wide and evolving range of clinical and public health questions.

Michael Von Korff, ScD
Dr. Von Korff was a co-investigator for the ICIC program, a scientific advisor to the MacColl Center, and Senior Investigator at KPWHRI, which he joined in 1983.  His major research interests are the management and outcomes of depression and of chronic pain among primary care patients, patients with comorbid chronic conditions.  His current work is concerns the development and evaluation of approaches to reducing risks and harms resulting from increased prescribing of opioid analgesics among primary care patients with chronic musculoskeletal pain.  He has worked on a series of World Health Organization studies, and most recently the World Mental Health Surveys.   Dr. Von Korff is a Fellow of the Society for Behavioral Medicine and the Association for Health Services Research.

Judith Schaefer, MPH
Judith Schaefer is an Emeritus Senior Research Associate at ICIC, the MacColl Center, and KPWHRI.  Ms. Schaefer has expertise in self-management support and practice team intervention programs that engage patients, families, and community partnerships in expanding the reach of primary care.  She provides expertise on consumer engagement in quality improvement, care coordination and service coordination. She directed the Self-Management Support Learning Community, New Health Partnerships: Improving Care by Engaging Patients, a RWJF-funded program in the Institute for Healthcare Improvement. Ms. Schaefer co-chaired the Self-Management Workgroup for the Bureau of Primary Health Care’s Health Disparities Collaboratives.  She directs the PCT-LEAP Learning Community, is a faculty member with the Institute for Healthcare Communication, and is a “T” trainer for Stanford Patient Education Research Center’s Chronic Disease Self-Management Program. Her publications include studies on self-management support, measurement of patient experience of care, collaborative management of chronic illness, and care management.  Ms. Schaefer retired in 2018.

Katie Coleman, MSPH
Katie Coleman is a research associate at the MacColl Center where she is exploring various methods to help primary care practices improve health care quality. Ms. Coleman worked with collaborators at the Commonwealth Fund and Qualis Health in supporting 65 safety net practices in five states become patient-centered medical homes (PCMH).  In addition, she  developed a National PCMH Curriculum to help coaches introduce, measure, and support practices as they become medical homes. She served on the Group Health Medical Home evaluation team and works with the Robert Wood Johnson Foundation Aligning Forces for Quality communities to support ambulatory quality improvement.

Dona Cutsogeorge, MA
Dona Cutsogeorge has led the Improving Chronic Illness Care website since its inception. She collaborates with researchers to create communications materials and clinical practice resources, including the Safety Net Medical Home Initiative's online practice coaching curriculum and the Taking Action on Overuse Framework. A member of the MacColl Center for Health Care Innovation team since 2001, she oversees project websites and social media.  Ms. Cutsogeorge served as staff writer for Implementing Innovations into Practice, and is communications lead for Healthy Hearts Northwest.

Sherry Lauf
Sherry Lauf is Business Manager of the ICIC program. She has worked at KPWHRI for the past 27 years, holding various positions in office management and research administration. She previously worked for the University of Missouri School of Medicine as a departmental administrator. Her interests include research contract negotiation and financial system design.

Susan Bennett
Susan Bennett is a Grants Management Specialist for the MacColl Center, assisting with the development of proposals and the administration of awards.  

Affiliated Partners
Connie Davis, RN, MN, GNP: Creating better health care experiences for everyone
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Mike Hindmarsh: Hindsight Healthcare Strategies
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