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Codman Center for Clinical Effectiveness in Surgery
Meet our dedicated team of clinicians and staff at the Codman Center for Clinical Effectiveness in Surgery at Massachusetts General Hospital.
Matthew M. Hutter, MD, MPH, is the medical director of the Codman Center. He is also a surgeon at Mass General who specializes in general and advanced laparoscopic surgery. Dr. Hutter received his master’s in public health from the Harvard School of Public Health Program in Clinical Effectiveness. His research focuses on surgical outcomes and quality of care. He works closely with fellows within the Department of Surgery to complete division-specific research projects that utilize the data and resources of the Codman Center. Dr. Hutter is the co-director of the Department of Surgery Quality and Safety Program.
Dr. Hutter is the co-chair of the Massachusetts Surgical Quality Collaborative, a state-wide surgical collaborative with the Massachusetts State Chapter of the American College of Surgeons (ACS) that shares data and identifies best practices. Dr. Hutter sits on several national society committees, including the Board of Governors for the Society of American Gastrointestinal Endoscopic Surgeons and the Healthcare Quality and Outcomes Committee for the Society for Surgery of the Alimentary Tract. He was recently elected a councilperson at large to the Executive Council for the American Society of Metabolic and Bariatric Surgery. Dr. Hutter is the architect of and continues to lead the ACS Bariatric Surgery Data Collection Program, which has now become the sole national bariatric surgery data collection program. He is the chair of the Committee to Develop a Quality Metric for Complex GI Surgery for the GI Intersociety Group, which comprises members of all the GI surgical societies that work towards developing a quality metric for complex GI surgery.
David M. Shahian, MD, joined the Department of Surgery in May 2007. He currently serves as professor of surgery at Harvard Medical School, vice president of the Mass General Center for Quality and Safety and associate director of the Codman Center. A graduate of Harvard College and Harvard Medical School, Dr. Shahian trained in general surgery at Mass General and was a fellow in cardiothoracic surgery at Rush-Presbyterian-St. Luke’s Medical Center in Chicago. For nearly two decades, Dr. Shahian was chair of the Department of Thoracic and Cardiovascular Surgery at the Lahey Clinic.
In addition to his clinical career, Dr. Shahian has been involved in health policy issues for nearly two decades, particularly in the area of performance measurement. As chair of the Society of Thoracic Surgeons (STS) Workforce on National Databases and its Quality Measurement Task Force, he has led the development of numerous risk models and performance measures in cardiac surgery. Dr. Shahian has been a leader in the implementation of the mandatory cardiac surgery public reporting initiative in Massachusetts and the voluntary, nationwide public reporting program established by the STS. He is the author or co-author of more than 160 peer-reviewed journal articles and book chapters, many focused on performance measurement and related health policy issues.
Dr. Shahian is vice chair of the National Quality Forum (NQF) Health Professionals Council and a member of the NQF Board of Directors. He previously served as chair of the NQF Evidence Task Force and was a member of various NQF panels and steering committees. Dr. Shahian is a member of the American Medical Association Physician Consortium for Performance Improvement (AMA-PCPI) Executive Committee and co-chair of its National Quality Registry Network.
Donna Antonelli, BS, CPHQ, is the manager of the Codman Center. As part of the Department of Surgery Quality Program, she provides analytical, statistical and project management support for surgical outcomes reporting, research and quality improvement projects. Donna has more than three decades of experience in health care research, operations, quality measurement and project management. She has worked in various quality data management positions at Lahey Clinic, including the performance measurement analyst for clinical indicators. Donna also worked at UMass Memorial and the University of Massachusetts Medical Center, and as a private data management consultant to develop and utilize health care databases for quality improvement and research purposes. She has held research positions at UMass Medical School, University of Massachusetts Medical Center and Harvard School of Public Health and published articles on care coordination. Donna received a Bachelor of Science degree in Neuroscience from the University of Rochester and is a Certified Professional in Healthcare Quality (CPHQ).
Sarah Bird, BA, is the research coordinator for the Codman Center. She works with the Codman staff on quality initiatives, research projects and the National Surgical Quality Improvement Program (NSQIP) database in addition to providing administrative support. Prior to joining Mass General, Sarah worked as a research associate at Harvard Business School. Sarah brings her background in project management and research to her work at the Codman Center. Sarah has a Bachelor of Arts in Psychology and Theater from Amherst College.
David C. Chang, PhD, MPH, MBA, is an associate professor of surgery at Mass General, Harvard Medical School, and the director of healthcare research and policy development in the Codman Center. Dr. Chang earned his Doctor of Philosophy at the Johns Hopkins Bloomberg School of Public Health in 2004, after completing both his Master’s of Business Administration and Master’s of Public Health at Johns Hopkins University. Prior to Hopkins, Dr. Chang graduated Phi Beta Kappa from Cornell University with a double major in neurobiology and social psychology. Dr. Chang started his professional career with a primary appointment in the Department of Surgery at Johns Hopkins School of Medicine, with a joint appointment in the Department of Health Policy and Management and the Johns Hopkins Bloomberg School of Public Health; and then continued on to the University of California San Diego, where he was the director of outcomes research for the Department of Surgery.
Dr. Chang has committed his entire professional life to bridging the gap between clinical surgery and public health. Dr. Chang has published more than 250 peer-reviewed original research articles and book chapters on various issues related to surgical outcomes research, disparity research, quality improvement, and health policy issues, and has received numerous awards, including the EMS Geriatrics Award from the governor of Maryland. Dr. Chang is a member of several advisory committees and review groups, such as the Congressionally Directed Medical Research Programs at the Department of Defense, the Roundtable on Emergency Trauma Research sponsored by the National Institutes of Health, the California EMS Authority Core Measures Task Force, and the Surgical Patient Safety Advisory Committee for the State of California.
Lynn Devaney, RN, MSN, is a senior clinical nurse reviewer for the Codman Center and is the longest-serving member in the center. She brings many years of experience in the surgical/trauma intensive care unit at Mass General to her work in surgical outcomes. Along with her colleagues, she maintains the ACSNSQIP database and is involved in multiple projects around quality improvement and surgical research. Lynn is also the brand manager for the Department of Surgery’s On-Call Program and its Morbidity and Mortality Conference, website and database. She has been the recipient of the Department of Surgery STAR Award and the Mass General Partners in Excellence Award and has published in the Association of Perioperative Registered Nurses (AORN). She has a BSN from Salve Regina College.
Jhun de Villa, MD, CPHQ, is the surgical quality and patient safety project leader in the Codman Center. Dr. de Villa was involved in both undergraduate and postgraduate clinical education, having been trained in presentation skills, and delivering lectures in the field of surgery and quality. He earned his Doctor of Medicine and was trained by two top medical schools in the Philippines, the University of the City of Manila and the University of the Philippines-Philippine General Hospital. He completed his residency in General Surgery.
Prior to joining the Codman Center, he was the surgical clinical reviewer for the Surgical Performance Improvement at University of Florida Health in Jacksonville. The academic surgeons of the university needed careful support in their approach to link quality and research in surgical training. He was given much recognition for his great contribution to the UHC Rising Star Award of the University of Florida on his program that delivered an improvement in surgical quality and patient safety. Dr. de Villa is also a trained Lean Six Sigma Black Belt for Excellence in Healthcare Delivery and is recognized by the Healthcare Quality Certification Commission as a healthcare quality professional.
Alex B. Haynes, MD, MPH, is an attending surgeon in the division of Surgical Oncology at Massachusetts General Hospital, with a primary clinical focus on the surgical management of melanoma and sarcoma. He received his undergraduate, medical, and public health degrees from Tulane University, Wayne State University and Columbia University. He completed surgical residency training at Massachusetts General Hospital and a research fellowship at Harvard School of Public Health and subsequently completed a fellowship in complex general surgical oncology at the University of Texas MD Anderson Cancer Center.
Dr. Haynes’ research focuses on interventions to improve health care systems and delivery. His work includes development and evaluation of checklist-based interventions to improve surgical care, as well as analyzing factors critical to the coordination of multidisciplinary cancer care. He serves as a faculty member at the Codman Center, as well as the Ariadne Labs of the Harvard School of Public Health. In addition, he chairs the research board of Lifebox, an international non-profit organization committed to improving the safety of surgical care on a global basis.
Ginger Jin, MS, is the statistical analyst for the Codman Center. She participates in research activities focused on surgical quality and safety, and assists with the creation of a research enterprise around quality and safety issues. Ginger provides statistical, programming and project management support for a number of different projects. Ginger previously worked for the New York State Department of Health. She received her Master’s in Biostatistics from the School of Public Health at the State University of New York at Albany.
Haytham Kaafarani, MD, MPH, is a trauma surgeon at Mass General. He completed his medical degree from the American University of Beirut, Lebanon, internship at Brigham and Women's Hospital, residency in general surgery at Tufts Medical Center and a fellowship in Trauma, Emergency Surgery and Surgical Critical Care at Mass General. He is board certified in general surgery and surgical critical care. During his residency, Dr. Kaafarani also obtained a Master's in Health Policy and Management at Harvard University and completed a Health Services Research Fellowship at the VA Boston Healthcare System and the Center for Health Quality, Outcomes and Economic Research (CHQOER).Dr. Kaafarani's research focuses on improving surgical outcomes, patient safety and quality benchmarking of surgical care, using advanced health services methodologies. He is currently studying intraoperative adverse events and exploring methods to benchmark the quality of intraoperative surgical care. He serves as the director of quality and safety in the Division of Trauma, Emergency Surgery and Surgical Critical Care at Mass General.
Elizabeth Lancaster, MBA, is the executive director of the Department of Surgery and manages all administrative aspects of the Codman Center. Elizabeth received her Master’s in Business Administration from the State University of New York at Buffalo. She has an extensive background in managing quality improvement activities, including data management, operations and clinical and administrative teams, and has held positions as a project specialist in the Mass General Hospital Decision Support and Quality Management Unit and as a data analyst in Quality Improvement and Strategic Planning at Kaleida Health in Buffalo, New York. Prior to joining the Department of Surgery, Elizabeth served as program director in the Partners Healthcare Inc. High Performance Medicine “Uniform High Quality Initiative.”
Andrew Loehrer, MD, is a general surgery resident at Mass General and prior research fellow at the Codman Center. His research focuses on the impact of domestic health policy on surgical practice, with a particular interest in access to and outcomes of surgical care for low-income and marginalized populations. He also works closely with the Mass General Disparities Solution Center to identify and eliminate disparities in surgery through targeted research and quality improvement initiatives. Dr. Loehrer received his medical degree from Loyola University Chicago-Stritch School of Medicine and plans to enter surgical oncology after residency.
Naveen F. Sangji, MD, MPH, is a research fellow at the Codman Center for Clinical Effectiveness in Surgery. She received her medical degree from Harvard Medical School and a Master of Public Health degree from Harvard School of Public Health. She is a general surgery resident at Mass General and a health policy fellow at the ACS and the Massachusetts General Physicians Organization (MGPO). While at the Codman Center, she splits her time working on regulatory and legislative issues as related to entitlement reform with the ACS, and quality improvement and outcomes in general and trauma surgery with the MGPO.
Shaun Sutcliffe, RN, BSN, is a surgical nurse reviewer for the Codman Center whose background includes knowledge and skills in operations, information systems, change management, conflict resolution, negotiation and direct patient care. His responsibilities include identification of general and vascular surgical patients for inclusion in the program registry through the application of strict program inclusion/exclusion criteria and randomization protocol. In addition to managing the NSQIP database, Shaun is also responsible for managing the ASMBQIP bariatric workstation since 2007. Some of his key responsibilities include data collection, report generation, validation, analysis and system improvements.
Kathleen Swierzewski, RN, is a surgical nurse reviewer for the Codman Center. Since joining, Kathleen has been involved in pilot projects focusing on improved data collection, review and analysis with the American College of Surgeons, specifically working to evaluate the most effective methods to collect and predict patient outcomes. She brings broad clinical experience with more than 25 years of practice in surgical and cardiothoracic ICU settings. Prior to joining the Codman Center, Kathleen transitioned to the role of clinical nurse reviewer through experience working with databases from the American College of Cardiology and the Society of Thoracic Surgeons.
Cameron Wright, MD, graduated from the University of Michigan and the University of Michigan Medical School. He completed his residencies in surgery and thoracic surgery at Massachusetts General Hospital and is board certified in both areas. Dr. Wright’s clinical focus is on thoracic oncology, airway surgery (tracheal surgery) and pulmonary thromboendarterectomy. Dr. Wright sits on several boards and national society committees, including the American Board of Thoracic Surgery where he serves as director of the STS and as chair of the General Thoracic Database. His interest in quality and patient safety in surgery informs his role as chair of the Mass General Hospital Department of Surgery Quality Assurance Committee. Dr. Wright also serves as a colonel in the United Stated Army Reserve and has deployed to Iraq and Afghanistan in support of Operation Iraqi Freedom and Operation Enduring Freedom.
General and Gastrointestinal Surgery
Trauma, Emergency Surgery and Surgical Critical Care
Surgical Critical Care
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