Institute on Healthcare Systems

Project Leaders

Monica O'Reilly Jacob

Monica O'Reilly-Jacob, PhD, FNP-BC

Monica is a board-certified family nurse practitioner, health services researcher and assistant professor at the Connell School of Nursing, Boston College. The overarching goal of her research is to capitalize on the cost-effective practice style of NPs to improve the appropriate utilization of primary care. Through Medicare claims analysis and survey research, Dr. O’Reilly-Jacob examines NP scope of practice, the cost and quality of NP care and (re)emerging delivery system innovations such as NP-owned practices and NP home-based primary care.
Jennifer Perloff, PhD'06, IHS Director

Jen Perloff, PhD

Jen is a health services researcher at the Heller School, Brandeis University and the Director of Research at the Institute for Accountable Care (IAC), a new research non-profit dedicated to improving the practice and design of alternative payment models. In this capacity, she has done research on the cost savings of the Medicare Shared Savings Program (MSSP), led evaluations of ACO care redesign activities, participated in research to support payment model design and led several learning collaboratives for ACOs including one specifically addressing social determinants of health. In addition, Dr. Perloff has spent almost 10 years conducting research on the cost and quality of NP led primary care.

Betty Rambur, PhD, RN, FAAN

Project Role: Chair of the Technical Expert Panel

Dr. Rambur is the Routhier Endowed Chair for Practice at University of Rhode Island and a former academic dean at University of Vermont. A recognized leader in the area of workforce redesign within alternative payment models and a member of the Medicare Payment Advisory Commission, she previously served on Vermont’s quasi-judicial body to provide oversight of the transition to value-based care. Her program of research includes over 60 published articles, a textbook, and numerous invited presentations on payment reform, reducing disparities and overtreatment, healthcare cost containment, and value-informed nursing practice.

Andrea Acevedo, PhD

Technical Expert Panel

Andrea is a health services researcher and Associate Professor in the Department of Community Health at Tufts University. With over 15 years of experience, her research has focused on racial/ethnic inequities in substance use services, mental health care, andnursing home care as well as the impact of payment policies on health services utilization, outcomes, and inequities in care. Dr. Acevedo will offer an equity lens to the implementation of the project.

Hilary Barnes, PhD, FNP-BC, FAANP

Technical Expert Panel

Hilary is a board-certified family nurse practitioner, health services researcher and assistant professor in the Widener University School of Nursing. She brings expertise in the NP workforce and NP-specific instrument development. She haspublished multiple studies on trends in NP employment in primary care, most notably the relationship between Medicaid reimbursement and density of NPs employed in a practice.

Laura Black, DNP-C, FNP

Technical Expert Panel

Laura is a board certified Family Nurse Practitioner with over a decade of experience developing health plan based integrated care models for complex populations. Her expertise is in the Duals space, having led teams supporting Massachusetts D-SNP and MMP models at Commonwealth Care Alliance. She is currently the Vice President of Population Health at Point32Health, the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan.

Lorraine Bock, DNP, FNP-BC, ENP-BC, FAANP

Technical Expert Panel

Lorraine is a dually boarded Family and Emergency Nurse Practitioner, owner of multiple NP practices, and co-founder of the National Nurse Practitioner Entrepreneur Network. She is a pioneer practice owner and served as a founding member of the American Advanced Practice Network’s Board of Directors. In 1997 she received the AANP Award of Clinical Excellence and in 2021 she was awarded AANP Excellence in NP Advocacy Award. Dr. Bock will bring her expertise in NP practice ownership.

David Geyer MSN, RN, CPNP-PC

Technical Expert Panel

David is a primary care pediatric nurse practitioner, home health care pediatric registered nurse and PhD student at the Boston College School of Nursing. His research focus is on pediatric home care and the experiences that families of medically complex children have while navigating the home-based health system. He hopes that his work will promote much-needed positive change to the multifaceted pediatric home care system.

Cherlie Magny-Normilus, PhD, FNP-BC

Technical Expert Panel

Cherlie is a board-certified family nurse practitioner and NIH-funded health disparities assistant professor at the Boston College Connell School of Nursing. Her program of research goals is to reduce health disparities and improve health equity among historically underrepresented minorities with problems related to self-management of chronic illness. Her current research focuses on using self-management activities to improve glycemic targets for underserved populations, focusing on adult Haitian immigrants. In this pilot project, she will bring her expertise and ensure the study prioritizes equity.

Benjamin McMichael, PhD, JD

Technical Expert Panel

Benjamin is an economist with expertise in how law influences the provision of healthcare. He is a leading scholar in NP scope of practice laws, authoring publications examining the impact of scope of practice laws on NP opioid prescribing, physician malpractice rates and emergency department use. He brings an expertise in how payment law intersects with NP-owned practices.

Jennifer Wall, DNP, RN, CENP

Technical Expert Panel

Jennifer is a nationally health solutions operations capability for the provider market at FTI Consulting. Previously, she was the Chief Quality Manager for Hebrew SeniorLife, Chief Nursing Officer at Atrius Health, an Ambulatory Multi-specialty Practice System and Accountable Care Organization in Boston and the Director of Advanced Practice at Lahey Hospital. Dr. Wall is nationally recognized for her advocacy role regarding advanced practice fellowship development, as well as driving nurse engagement through education and development. She is passionate about leadership development and colleague engagement.