Thank you to the project team that works to make a Multiple Chronic Condition Care Plan possible.

Agency for Health Research and Quality (AHRQ) Team Members 

Arlene S. Bierman, MD, MS

Chun-Ju (Janey) Hsiao, PhD

Steve Bernstein, BS
Djibril Camara, MD, MPH
Tia Powell, MD
Stephanie Ndudikwa, PharmD, MPH
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Team Members
Kevin Abbott, MD, MPH
Jenna Norton, PhD, MPH
Neha Shah, MSPH
EMI Advisors & IG/App Development Team Members
Evelyn Gallego, MBA, MPH, CPHIMS
Karen Bertodatti, MPH
Emma Jones, MSN, RN-BC
Gay Dolin, MSN, Namaste Informatics
Himali Saitwal, MS
Savanah Mueller, MPH
Dave Carlson, PhD, Clinical Cloud Solutions
Sean Muir, JKM Software
RTI International Team Members
Laura Marcial, PhD
Alexa Ortiz, MSN, RN
Christopher Johns, PhD, MSN, RN
Erin Mallonee, MS
Jacqueline Bagwell, MMCi, MS
Sara Armson, MS
OHSU Team Members
David Dorr, MD
MJ Dunne, MA
Bethann Thorson, BS
Dena Iadanza, BA
Emily Morgan, MD
Matthew Storer, BS
Pavan Chopra, MD, MS
Taylor King, MPH
Cardiovascular Disease (CVD) Technical Expert Panel 
Laura Kierol Andrews, PhD, APRN, ACNP-BC
Theresa Cullen, MD, MS, FAMIA
George (Holt) Oliver, MD
Melissa Wei, MD, MPH
Aanand Naik, M.D. 
Tiffany Washington, PhD, MSW
Felicidad Green BSN RNC
Elizabeth Palena Hall, MIS, MBA, RN
Stan Huff, MD
Blackford Middleton, MD, MPH, MSc
Cheryl Dennison Himmelfarb, PhD, RN, ANP, FAAN, FAHA, FPCNA
Douglas B. Fridsma, MD, PhD, FACP, FACMI
Chanel Whittaker, PharmD
Julia Skapik, MD
Lindsey Hoggle, RD, MS
Richard Knight, MBA
James D Ralston, MD, MPH
Maureen Henry
David Schopfer, MD
Pain and Opioid Use Technical Expert Panel 
David Thomas, PhD
Mary Lynn McPherson, PharmD, MA, BCPS, CPE
Marc Overhage, MD, PHD, Cerner, CMIO
Laura Heermann Langford, PhD
Ashok Reddy, MD
Christopher Harle, PhD
Nicole Ruggiano, PhD
Sarah DeSilvey, APRN-C
Shelly Spiro, RPh, FASCP
Alex Krist, MD, MPH
Bob Philips, MD, MSPH
Karol Tapias, MSW
Anika Alvanzo, MD, MS
Sharon McDaniel
Julisa Voinche
Sean Mackey, MD, Ph.D.
Sara Bausch
Type 2 Diabetes Technical Expert Panel 
Christine Everett, PhD
Dave Carlson, MBA, PhD
Daniel J. Vreeman, PT, DPT, MS, FACMI 
Jennifer Wolf, PhD
Cynthia Boyd, MD 
Patricia C. Dykes, MA, PhD, RN
Nancy Kusmaul, PhD, LMSW
John D Piette, PhD
Veronica Gordon, MS, BSN
David A. Dorr M.D., M.S.
Malaz A Boustani, MD
Evelyn Gallego, MBA, MPH, CPHIMS
Neda Laiteerapong MD MS
Kenrick Cato, PhD
Ian J. Stewart, MD 
Shabina Khan
Ravinder Chawla, MD, MBA
COVID 19, Long COVID and Caregivers Working Group
Alecia Clary, Ph.D., MSW
Alex Spyropoulous, MD
Allan Levey, MD, PhD
Aluko Hope, MD
Andrea Lerner, MD, MS
Anuj Dalal, MD
Audie Atienza, PhD
Barrett Bowling, MD
Beth Unger, MD, PhD
Bill Adams, MD
Carla Rodriguez-Watson, PhD
Carole White, PhD, RN
Caroline Blaum, MD, MS
Carolyn Clevenger, DNP, RN
C. Grace Whiting, JD
Charisse Madlock-Brown, PhD, MLS 
Claire Ashton-James, PhD
David Dorr, MD
David Graham, MD
Diana Berrent
Emily Taylor
Esther Oh, MD, PhD
Glenna Brewster, PhD, RN
Hector S. Izurieta, MD, MPH, PhD
Henry Parkman, MD
Ian Plumb, MBBS, MS
Ivonne H. Schulman, MD
Jeff Sparks, MD, MMSc
Jennifer Wolff, PhD
Jerry Osheroff, MD
Jerry Suls, PhD
Kailah Davis, PhD
Karen Rose, PhD, MS, RN
Katie Brandt
Kevin Bozic, MD, MBA
Laura Plantinga, PhD, MS
Loretta Christensen, MD, MBA, MSJ
Marcel Salive, MD, MPH
Marlıs Gonzalez-Fernandez, MD, PhD
Pradeep Podila, PhD
Rachel Garfield, PhD, MHS
Shelly Spiro, RPh, FASCP
Tim Carney, PhD, MPH, MBA
Vanessa Diaz, MD


We want to acknowledge the work of previous project team members who have contributed to this project. 

NIDDK and AHRQ
Nivedha Vedy
Helen Fu, MSN, PhD
Betsy Hose, PhD
Marjorie Kelley, PhD, MS, RN
Alex Ip
Nicole Ruggiano, PhD, MSW
Contractors
Gena Ford, MS, PMP, CSM, ICP-ACC, Cognitive Medical Systems, Inc.
Joe Bormel, MD, MPH, Cognitive Medical Systems, Inc.
Andrew Schutzman, BIS, Cognitive Medical Systems, Inc.
Lorraine Constable, B Sc, Constable Consulting Inc.
Jerry Goodnough, BS, Saperi Systems