PA Jail MOUD Archives - Health Management Associates

Linda Follenweider

With more than two decades of clinical expertise and system transformation experience, Linda Follenweider is an accomplished consultant and practitioner.

An advanced practice registered nurse (APRN) and board-certified family nurse practitioner, Linda has worked directly with patients and populations including in team-based and corrections settings. Her experience includes design and implementation work with health systems and health plans across the country particularly in the areas of innovative models of care and care delivery including Patient-Centered Medical Homes (PCMH), Health Homes, and specialty practices.

Linda has extensive experience in correctional healthcare delivery, from leadership to boots-on-the-ground delivery of care. Most recently as chief operating officer (COO) of Correctional Health and as a direct result of systems established under her leadership, Cook County Jail was able to contain and mitigate spread of COVID-19 in a complicated congregate setting while providing access to care. This included creating new efficiencies and processes as well as expanding telehealth services for patients.

Linda utilizes a data-driven approach and quality science to measure and move systems and groups to improve patient outcomes and create efficiencies in processes. She has been recognized for her work using robust data gathering and quality improvement science to elevate care for detainees, engage and elevate staff, and sustain these changes.

Linda has led and expanded care for patients with opioid use disorder which included a fully licensed medication-assisted treatment program for detainees as well as a naloxone on release education and provision program. She has assisted in diversion and intercept modeling for communities seeking solutions for complex issues surrounding the justice involved population.

In community and ambulatory settings, she has created and operationalized curriculum and training, including nurse competencies, for all members of practice staff to increase confident functioning at their highest level of licensure and skill set as part of a larger team. She also created and implemented a train-the-trainer protocol for nurse care managers for multiple large health systems including LA County, San Francisco, and Cook County with a special focus on chronic disease, multimorbidity, and behavior change.

As interim clinic director for a large mental health service provider in Detroit, she opened its physical health clinic to provide clinical services for patients with serious and persistent mental illness, and/or substance abuse that included linkages with recently released detainees. Linda has also done extensive work in the area of workforce development and training, including curriculum and competency development to support right staffing and system redesign as models of care and expectations for staff change.

Linda re-joined HMA in 2020 after serving as COO for Correctional Health at Cook County Health (CCH), which provided healthcare services to patients at the Juvenile Temporary Detention Center and the Cook County Jail. As COO she led the creation of a national model for correctional health that has resulted in better outcomes for patients and the dissolution of 10 years of U.S. Department of Justice oversight at the jail. In addition, under her leadership, the Juvenile Temporary Detention Center was recertified by the National Commission on Correctional Health Care, and she created robust reporting for data-driven care using electronic health records and jail management systems. Her system contributions in leadership also led to her recognition with the Pinnacle Nurse Leader at Cook County Health awarded by UIC Power of Nursing Leadership, having been nominated by CCH leadership.

She has served on the Board of Illinois Society for Advanced Practice Nursing (ISAPN) as the founding member and three-term regional chair and the co-chair of the Reimbursement Committee. In these roles she served as an advisor to employers, practices, and APNs in Illinois around practice and licensure as well as the practice act, rules and regulations that guide APN and physician assistant practice in Illinois. She is an expert in billing and practice for Advanced Practice Providers.

Linda was named the Advanced Practice Nurse of the Year in 2009 by the Illinois Society for Advanced Practice Nursing and has served as graduate school adjunct faculty for Loyola University, University of Illinois-Chicago, Rush University and the University of St. Francis in Joliet, Illinois. Linda earned her Bachelor of Science degree in nursing and Master of Science degree at St. Xavier University.

Marc Richman

A licensed and practicing psychologist for more than 30 years, Marc Richman is a strong clinical, systems and policy leader who believes merging his clinical and policy knowledge have made him stronger in both areas.

Prior to joining HMA, Marc held executive leadership positions throughout the State of Delaware before retiring after 27 years of state service. He began his career in the child mental health division, spending his last five years as the division deputy director. While there, his primary focus was incorporating mental health and substance use into an integrated and holistic system. Marc also served as the chief liaison between the health division and Delaware’s Family Court.

Marc served on the adult side of the behavioral health system as an assistant director of community mental health and substance abuse services. Among other initiatives, he co-led expansion of the Substance Use Disorder Continuum to address the rising opioid epidemic ravaging the community, public, and private behavioral health systems. He also oversaw the statewide case management and assessment system for individuals with behavioral health challenges who were involved in the adult judicial system.

Marc was appointed bureau chief of healthcare services for the Delaware Department of Correction and administered all the medical, behavioral health, and pharmacy contracts for the statewide prison system. In that role and until his retirement from the state, he was proud to lead his team on several key strategic initiatives throughout the system.

Marc led the bureau and department through several class action lawsuits to improve healthcare, resulting in a reduction in restrictive housing for the seriously mentally ill, as well as significantly increasing services for this vulnerable population.

His bureau also successfully tackled the management and expansion of clinical services for the transgender population. In addition, Marc and his team oversaw the increase in assessment and treatment of offenders with Hepatitis C, while managing the significant fiscal impact on the system.

Dr. Richman’s proudest and most notable contribution was leading the design and implementation of a full continuum of medications for addiction treatment (MAT) throughout the entire Delaware prison system.

He earned a doctorate in clinical and school psychology and a master’s degree in psychology, both from Hofstra University in Hempstead, New York, and a bachelor’s degree in psychology from Gettysburg College in Gettysburg, PA.

Marc and his wife, Amy, love to travel, garden, hang with their dogs and cats and enjoy being involved in the lives of their three adult children. Born in New York, he is a life-long and die-hard Yankees fan who frequently has one of his guitars in hand pretending…he sounds good!

Shannon Robinson

Shannon Robinson, MD is board certified in psychiatry and addiction medicine and a Fellow of the American Society of Addiction Medicine. She has spent decades working in behavioral health, primary care, and behavioral health specialty care integration.

Before joining HMA, she served as director of the Alcohol and Drug Treatment Program at the San Diego Veterans Administration (VA). She oversaw screening, brief intervention, referral, assessment, level of care determination, initiated medications for addiction treatment (MAT), and expanded access to evidenced-based psychotherapies. In addition, she worked on developing the VA’s national educational materials for alcohol use disorders, opioid use disorders, pain management and treatment of insomnia.

Dr. Robinson served as the chief of addiction service for California Correctional Healthcare Services where she was the champion change management agent for administration and line staff while initiating MAT within primary care. She also helped develop enhanced evidence-based substance use disorder treatment and person-centered care throughout the California Department of Corrections and Rehabilitation.

Dr. Robinson provided and supervised telehealth in the VA and California Correctional Healthcare Services, where she was part of a team that greatly expanded telepsychiatry, and she started the teleaddiction service.

Her research, clinical, training experience and publications cover psychopharmacology, cognitive behavior therapies, Hepatitis C, addictions, telehealth, correctional healthcare, primary and behavioral health integration and related topics.

She also has two decades of teaching experience with mental health, primary and speciality care, pharmacy and nursing staff, which includes curriculum development, in-person presentations and interactive webinars, and virtual trainings for all healthcare disciplines, non-healthcare staff, patients, family and lay persons.

As part of her prior work, she has experience with design, implementation, and oversight of operations for substance use disorder treatment programs and staff including alcohol drug counselors, psychologists, social workers, nursing, prescribers and pharmacy staff. This work included creation of workflows, policies, procedures, standardized practices/protocols, data reporting, and quality and performance improvement.

Dr. Robinson earned her medical degree from the University of Louisville School of Medicine and received a bachelor’s degree from the University of Kentucky in psychology. She completed her residency and psychosomatic psychiatry fellowship at the University of California, San Diego, where she remained a faculty member for over 15 years.

Rich VandenHeuvel

As a former behavioral health executive, Rich VandenHeuvel knows how to help organizations successfully navigate the challenges of the health reform era.

Rich has facilitated regional and statewide technical and strategic responses to opportunities presented by the Affordable Care Act (ACA). He has extensive experience collaborating with government partners at all levels, building consensus among diverse stakeholders, and moving projects from conception to completion. His background in providing direct services offers an important perspective for determining the impact of policy on communities, families and individuals.

Prior to joining HMA, Rich served as the CEO for a newly formed public behavioral health managed care organization. As the organization’s first employee, he was responsible for building it from the ground up. He oversaw an annual budget of more than $250 million to provide specialty behavioral health services across a diverse population and geographic area. In addition to managing multiple funding waivers, he was responsible for integration and management of substance abuse services, collaboration with Medicaid managed care health plans, and governing board and leadership development. Rich led the creation of regional service standards, cost comparison standards, and provider network management standards.

As executive director of a multi-county community mental health organization, Rich oversaw a comprehensive restructuring of the organization, managed government funding streams, and led efforts to form local collaborative partnerships in the areas of health care, human services, law enforcement, housing, and children’s services. Rich also served as clinical director for a mental health organization serving adults and children living with mental illness, developmental disabilities and/or substance use disorders in three Michigan counties. He spearheaded strategic planning and organizational restructuring and managed affiliations and service network partnerships.

Rich has served as spokesperson for the 10 Prepaid Inpatient Health Plans responsible for the Specialty Behavioral Health Services Benefit throughout Michigan, which included the lead role in joint contract negotiations with the State of Michigan.

He received his master’s degree in social work from Grand Valley State University and his bachelor’s degree from Michigan State University.

Rich enjoys all of his children’s activities and a few of his own, including hiking, cooking, traveling, history and watching or playing nearly any sport (enthusiastically, if not all equally well).

Bren Manaugh

Bren Manaugh is a seasoned healthcare leader and specialist in organizational and systems transformation as well as whole person care. An innovative strategist focused on operations systems design and funding for the safety net and complex care populations, she effectively engages stakeholders across systems to develop and drive person-centered, culturally responsive, and trauma-informed care to optimize outcomes and reduce costs.

Bren provides practice transformation technical assistance and coaching to behavioral health and primary care providers and has served as a clinical subject matter expert and coach in California and Delaware expanding access to substance use disorder (SUD) treatment, including medication assisted treatment (MAT) for opioid use disorder. She brings together community providers, hospitals, peer supports, and the criminal justice system to improve service delivery, coordination and quality.

Bren works with hospital/health systems and multidisciplinary county teams to develop strategies for reducing avoidable emergency department and inpatient use by analyzing and responding to root causes such as mental illness, addiction, and/or homelessness.

At the leading edge of community innovations to improve law enforcement and emergency response to people challenged by these issues, she conducted an analysis and created a report and community guide for Arnold Ventures for communities developing behavioral health crisis and law enforcement diversion solutions.

Bren’s experience with, and insights into, the complex care population have also informed her work with the Hospital Association of Southern California in the six-county Los Angeles region and for Sierra Health Foundation in Sacramento. In this capacity, she assessed the service delivery system and developed solutions for hospitals’ discharge of patients experiencing homelessness. Her work with community systems of care includes engaging stakeholders, formulating common aims and implementation plans, and developing data sharing and evaluation structures. She has extensive experience with strategic planning and fostering organizational performance through change management, transformational leadership and staff development, and quality improvement.

Prior to joining HMA, Bren was vice president of adult services at a large behavioral health agency in San Antonio where she developed and administered programs in the nationally recognized Bexar County Restoration Center and Diversion Program partnering with multiple hospitals, city and county leadership, and the criminal justice system. She oversaw operations across a continuum of mental health and SUD services, including integrated primary and behavioral healthcare, outpatient clinic operations, MAT, peer/recovery support services, and residential services. As an executive operations leader, she developed and successfully implemented innovative programs including one focused on super utilizers which resulted in a 60 percent reduction in emergency department utilization. Her successful approach engaged multiple stakeholders and decision makers to generate innovative strategies that produce results.

Bren has more than 25 years’ experience in trauma-informed care and developing resilience for both individuals and organizations. She is a certified clinical trauma specialist who has provided direct clinical services, had executive responsibility for medical and behavioral health services providing trauma-informed care, developed and delivered trauma training curricula, and served as the executive lead to transform an organization to trauma-informed care, incorporating 1,400 employees and 27 facilities.

As a certified professional in healthcare quality, she is adept at applying metrics and data analytics, and Lean and change management methodology to develop, implement, and evaluate clinical systems that drive targeted outcomes and reduce costs.

Bren earned her master’s degree in social work from the University of Kansas, and her bachelor’s degree from the University of Minnesota. She is a licensed clinical social worker and certified clinical supervisor.

Jean Glossa

Dr. Jean Glossa is an experienced physician and business leader whose career has focused on improving access to healthcare for underserved and low-income populations. She has a broad background of clinical and leadership roles in a variety of practice settings throughout the safety net including primary care, public health department and community clinics, migrant clinics, Medicaid managed care, graduate medical education and private practice.

Having worked as a primary care physician for many years in remote areas and underserved communities, Dr. Glossa understands their unique challenges to delivering quality health care for all and seeks solutions to address these needs. Therefore, her work at HMA has included projects regarding bidirectional integration of primary care and behavioral health, implementation of technology solutions such as telehealth and digital solutions and strengthening the best practices of team-based care and care management.

Dr. Glossa appreciates the opportunities to work directly with clinicians at the practice level to assess and improve systems of care through customized technical assistance unique to each client. Currently, Dr. Glossa is using her clinical and leadership practice transformation experience to work with HMA colleagues on projects focused on the response to the opioid epidemic. This complex crisis requires multidimensional solutions, so the approach includes education and collaboration of stakeholders across the system: primary care and behavioral health, hospitals and emergency departments, first responders, corrections, payers, health departments and state and local governments working together to combat the epidemic in their communities.

Dr. Glossa’s business leadership and experience has been augmented by furthering her education with an executive MBA from Auburn University. She completed medical school and her internal medicine residency at the University of South Florida. Dr. Glossa has been continuously certified through the American Board of Internal Medicine.

Mary Kate Brousseau

With front-line experience in health promotion and the delivery of human services, Mary Kate Brousseau is passionate about quality improvement and serving vulnerable populations.

Mary Kate has experience developing, implementing, and evaluating state and regional programs focused on preventive and primary care. Most recently, she created and directed the National Capital Area Breast Health Quality Consortium, a project funded by Susan G. Komen for the Cure. The consortium fosters a regional learning community and engages in data collection and on-site process improvement to drive systems change throughout the entire system of care to reduce disparities and improve outcomes for low-income women. She also has managed a Medicaid project to assist safety-net primary care providers through the transition to serve and bill for Medicaid patients.

During her time at the Oregon Breast and Cervical Cancer Program, Mary Kate refined health promotion, data collection, and patient navigation services as the program transitioned to a state-administered program.

For nearly four years she coordinated community development, technical assistance, and clinical workforce development programs at the Oregon Primary Care Association while collaborating with other state and federal agencies to enhance health care services in Oregon. She gained extensive knowledge of the health system, grants, and the importance of the community health center model to ensure access to care.

Mary Kate received her master’s degree from Oregon State University and her bachelor’s degree from the University of Virginia.

When she’s not working, you’ll likely find Mary Kate hiking, running a race or trying out a new recipe or restaurant.

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Linda Follenweider