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VICKY PEBSWORTH DEBOLD, PhD, RN


Academic Preparation:

Postdoctoral Research Fellowship
Michigan Peer Review Organization (MPRO) and the Agency for Healthcare Research and Quality, National Research Service Award Program (January 1999 – December 2000).

Doctor of Philosophy in Health Services Organization and Policy and Nursing, Conferred 1999 University of Michigan, Ann Arbor, Michigan (September 1992 – December 1998). Dual Degree from School of Public Health, Department of Health Management and Policy, Health Services Organization and Policy Program and from the School of Nursing, Division of Nursing Administration and Patient Care Systems, with a cognate in Sociology (Social Organization).

Master’s Coursework in Health Systems Management
University of California, Los Angeles, California (September 1989 - June 1990)
Johns Hopkins University, Baltimore, Maryland (November 1990 - January 1991

Bachelor of Science in Nursing, Conferred 1978
Rush University, Chicago, Illinois (September 1976 - June 1978)
Cornell College, Mount Vernon, Iowa (September 1974 - May 1976)

Professional Experience:

Food and Drug Administration, Rockville, Maryland (December 2007 – present). Vaccines and Related Biological Products Advisory Committee, Consumer Representative (voting member). Review and evaluate data concerning the safety, effectiveness, and appropriate use of vaccines and related biological products.

National Vaccine Information Center, Vienna, Virginia (October 2006 – present). Director of Patient Safety, Health Policy Analyst. Review and analyze: vaccine safety and public policy literature, vaccine injury data and reports, waiver harassment reports and provide counseling services related to vaccine injury reporting and medical and legal resources.

Michigan Health and Safety Coalition, Detroit, Michigan (June 2000 – present). Policy Analyst and Technical Research Consultant to Coalition and Michigan State Commission on Patient Safety. Areas of responsibility include developing a statewide patient safety center and system for reporting errors and near miss data, addressing the effect of workforce shortages on safety and addressing knowledge gaps through licensure and regulatory mechanisms. Other work included developing evidence and consensus-based hospital referral guidelines, conducting a survey of Michigan hospitals, and developing guideline implementation strategies.

Department of Defense, Washington, DC (August 2007 – November 2007). Consumer reviewer for 2007 Congressionally Directed Medical Research Programs (CDMRP) Autism Spectrum Disorder Research Program: Concept Awards and Idea Development Awards proposals.

University of Michigan, Ann Arbor, Michigan (January 2002 – April 2004). Assistant Professor, Division of Nursing Business and Healthcare Systems, School of Nursing. Areas of responsibility included teaching, research and service primarily for graduate students. Teaching assignments include N879, Outcomes Research; N664, Nursing and Healthcare Policy; N659, Systems Assessment and Strategic Planning. Research topics included: Utilization Patterns, Co-morbidities, and Potential Risk Factors among Children with Autism Spectrum Disorders; Nurse Staffing and Avoidable Adverse Outcomes among Hospitalized Patients: Comprehensive Review of Literature and Development of Web-based Resources; and Comprehensive Review of the Nursing, Medical, and Health Services Autism Literature. Served on multiple faculty committees.

University of Detroit Mercy, Detroit, Michigan (January 1996 – January 2002). Associate Professor and Director of Health Systems Management Program, College of Health Professions, McAuley School of Nursing (September 2000- January 2002), Adjunct Assistant Professor/Clinical Instructor (1996-2002). Areas of responsibility included teaching, research and service primarily for graduate students and included management of a HRSA grant, BHP, Advanced Education Program including developing curriculum and courses, hiring faculty and staff, recruiting and mentoring students, managing budgets, developing program outcome measures, and submitting periodic reports to HRSA. Teaching responsibilities included serving as faculty of record, clinical instructor and guest lecturer; courses detailed under Teaching Activities. Committee assignments include Steering Committee, Recruitment, Student Database Development, Graduate Operations, and Interdisciplinary Leadership meetings.

MPRO/NRSA Postdoctoral Research Fellow, Plymouth, Michigan (January 1999 - December 2000). Fellowship was funded by the Michigan Peer Review Organization (MPRO) and the Agency for Health Care Policy and Research, National Research Service Award Program. Fellowship work involved: (1) developing and pre-testing a method to assign relative work values to the Nursing Intervention Classification System and initial work to draft an RO1 proposal; (2) surveying Michigan hospitals regarding the processes of care involved in caring for persons experiencing acute
myocardial infarction and congestive heart failure and associating processes of care data to performance rates for HCFA-designated quality of care indicators; and (3) assessing the ability to quantify and analyze computerized documentation of nursing process and outcomes.

University of Michigan, Ann Arbor, Michigan (June 1994 – December 1998). Telemedicine Study Research Assistant (June 1994 - December 1998). Worked on HCFA-funded study of the effects of telemedicine systems on costs, quality and access to care. Participated in development of research plan, questionnaire, and interviewer training materials; and data coding, preparation, and analysis. Health Services Research Institute Research Assistant and Committee Staff (January 1996 - October, 1996). Responsibilities included compiling, summarizing, and analyzing data; and drafting the interim and final reports. Teaching Assistant, Nursing 486-Clinical Integration (January 1997- May 1998). Supervised 12 to 15 senior BSN students, facilitating student/staff RN preceptors, conducting weekly student-staff conferences and student seminars, and evaluated clinical performance. Pharmacy Administration 540-Pharmacy and the Health Care System (September 1996 - December 1996). Prepared lectures, mentored students graded assignments, term papers, and exams for 52 third-year pharmacy students. Nursing 428-Client Care Management in Health Care Systems (May 1996 - June 1996). Worked with 12 generic and RN-completion students, organized weekly seminars, supervised clinical experiences, and graded journals and term papers. Health Management and Policy 600 and 601, Health Services Systems I and II (September 1993 - May 1994). Graded papers and exams, prepared lectures and course handouts, and conducted office hours for 120 graduate students in the health administration program.

US Congress, Physician Payment Review Commission, Washington, DC (June 1990 - April 1992). Health Policy Analyst. Participated in the refinement of relative work scale, the Medicare Fee Schedule and cross-specialty linkages for Phase I and II of the Hsiao study. Interacted with 60 medical specialty societies and HCFA to conduct a face validity study of the resource-based relative-value scale. Analyzed the potential for practice guidelines to improve quality and contain costs.

State of New Mexico, Human Services Department, Santa Fe, New Mexico (March 1988 - August 1989). Medical Care Administrator. Developed policy for four state-wide Medicaid waiver programs (frail elderly, developmentally disabled, medically-fragile children, and persons with HIV/AIDS). Supervised 125 providers to ensure compliance with HCFA regulations, determined medical eligibility status for program recipients, analyzed provider budgets, negotiated payment rates, and developed prospective payment schedules.

Open Hands, Inc., Santa Fe, New Mexico (February 1987 - March 1988). Director of Nurses and Case Management. Managed all aspects of a non-profit home health agency serving rural areas including supervision of over 40 employees, monitored quality of patient care, revised the financial management system, maintained compliance with multiple state and federal program requirements, and developed a Medicaid case management program.

Recovery Care, Inc., Santa Monica, California (April 1983 - December 1986). Founder and Executive Director. Directed home health agency that specialized in the delivery of high-tech nursing services to patients of all ages, particularly persons with AIDS. Responsibilities included recruiting and training over 75 staff; maintaining quality assurance standards; developing marketing, personnel, and accounting policies; negotiating loans, investments, malpractice policies, and employee benefit packages; and supervising all accounting tasks including billing, collections, payroll, and purchasing.

University of California Hospital and Clinics, Los Angeles, California (January 1981 - September 1983; September 1989 - May 1990). Clinical Nurse II. Staff and charge nurse for neonatal, pediatric and adult patients in the cardio-thoracic surgical ICU with duties that included mentoring new staff and nursing students, developing standards of care, and preparing staff in-service presentations. Member of the UCLA Hospital Bioethics Committee.

Independent Nurse Contractor and Consultant, Los Angeles, California (August 1979 - December 1985). Nurse Consultant. Contracted with hospitals to work as interim director of hospital-based home health agency, hospital supervisor, private-duty nurse, and critical care float nurse.

St. Joseph’s Hospital, Chicago, Illinois (June 1978 - July 1979). Staff Nurse. Medical/surgical ICU.

Research Projects, Principal Investigator:

Utilization Patterns, Co-morbidities, and Potential Risk Factors among Children with Autism Spectrum Disorders. Project was sponsored by the University of Michigan Health System (UMHS) under the Collaborative Health Services Research Initiative to Improve Clinical Practices. Served as the project’s Principal Investigator. Project involved retrieving and integrating data from all four of the UMHS databases. Findings were expected to result in several papers including: 1) Role of Nursing in the Early Detection, Diagnosis, Development of Treatment Plans and On-going Monitoring for Children with Autism Spectrum Disorders; and 2) Co-morbid Conditions Associated with Autism Spectrum Disorders: A Comprehensive Review of the Literature Organized by the ICD-9-CM Classification System.

Nurse Staffing and Avoidable Adverse Outcomes among Hospitalized Patients: Comprehensive Review of Literature and Development of Web-based Resources. Project was funded through the Michigan Nurses Association, CURN Project. Collaborating organizations: Michigan Health and Safety Coalition, Michigan Nurses Association, Michigan Health and Hospital Association, and Michigan Organization of Nurse Executives. Project conducted a comprehensive review of the literature as it relates to various staffing measure and three patient outcomes: pressure ulcers, falls, and length of stay. Products from this effort were expected to produce three papers suitable for publication and materials that can be used by nurse administrators to assign staffing.

Choice of Telemedicine and Nurse Practitioner in Rural Areas: The Role of Health Status. Funded by the Health Care Financing Administration and University of Michigan, School of Public Health, Dissertation Award, and the University of Michigan, School of Nursing, Award for New Investigators. Doctoral Dissertation — Choice of Telemedicine and Nurse Practitioner in Rural Areas: The Role of Health Status. Project funded by HCFA.

Implementing Innovation in the Hospital Setting: Effects of Critical Pathway Programs on Caregiver Team Interaction, Cohesiveness and Outcomes. Funded by the Blue Cross Blue Shield of Michigan Foundation Student Award Program and the Federal Employees Education and Assistance Scholarship Award. Master’s Project — Effects of Critical Pathways on Team Interaction, Cohesiveness and Outcomes.

Research Projects, Research Assistant:

The Effects of Telemedicine on Accessibility, Quality and Cost of Health Care, Health Management and Policy, School of Public Health, University of Michigan, 1994-1998. Funded by the Health Care Financing Administration.

Health Services Research Initiative Task Force, School of Nursing, University of Michigan.

Measuring Functional Outcomes After Three Common Surgical Procedures, Division of Nursing Administration and Patient Care Systems, School of Nursing, University of Michigan, 1994. Funded by University of Michigan Medical Center Small Grants Program.

Refereed Publications:

Valade, D., Orlik, A.B., Mohr, R., Debold, V., Talsma, A., McDonald, B., Simmer, T. (in press). From public testimony to vehicle for statewide action: experience of the Michigan State Commission on Patient Safety. Advances in Patient Safety: New Directions and Alternative Approaches, Agency for Health Care Quality and Research.

Debold, V. P., Redwood, L. (2005). Response to the Editor re: Vaccines, thimerosal, and neurodevelopmental outcomes. Journal of the American Academy of Physician Assistants, 19(1), 16-19) http://jaapa.com/issues/j20060501/articles/letter0506.htm (Accessed November 30, 2006) [unabridged response available at www.safeminds.org060502Herman-unab.pdf]

Debold, V. P. (1997). Managerial decision making in critical care: Effectiveness and efficiency of new managerial technologies. Critical Care Nursing Clinics of North America, 9(1), 35-44.

Debold, V. P., Johnson, E., Schoff, J., Silberman, S. L., Cameron, A, Chuang, D. (1996). Telemedicine: An annotated bibliography: Part V, Telemedicine Journal, 2(2), 151-170.

Johnson, E., Cameron, A., Debold, V. P., Schoff, J. (1996). Telemedicine: An annotated bibliography: Part IV. Telemedicine Journal, 2(1), 49-77.

Debold, V.P., Johnson, E., Cameron, A., Chuang, D. (1995). Telemedicine: An annotated bibliography: Part III. Telemedicine Journal, 1(4), 377-394.

Cameron, A., Johnson, E., Debold, V.P., Miller, E., & Chuang, D. (1995). Telemedicine: An annotated bibliography: Part II. Telemedicine Journal, 1(3), 257-405.

Johnson, E., Debold, V.P., Chuang, D., Tolbert, J., Cameron, A., Miller, E. (1995). Telemedicine: An annotated bibliography: Part I. Telemedicine Journal, 1(2): 155-165

Policy Analyses:

National Vaccine Information Center (Debold V, Downey C, Fisher B). (2007). NVIC Analysis of Vaccine Adverse Events Reporting System Reports: Part III, Human Papilloma Virus Vaccine Safety, Analysis of Vaccine Adverse Events Reporting System Reports: Part III (August 15, 2007) http://www.nvic.org/Diseases/HPV/HPV_Vaccine_Safety_Report_-_Part_III_(081507_revised)[1].pdf (Accessed on January 08, 2008).

National Vaccine Information Center (Debold V, Fisher B). (2007). Human Papilloma Virus Vaccine Safety, Analysis of Vaccine Adverse Events Reporting System Reports: Part II (February 21, 2007). http://www.nvic.org/Diseases/HPV/HPVRPT2.htm (Accessed on January 08, 2008).

National Vaccine Information Center (Debold V, Fisher B). (2007). Human Papilloma Virus Vaccine Safety, Analysis of Vaccine Adverse Events Reporting System Reports: Adverse Reactions, Concerns and Implications (undated). http://www.nvic.org/Diseases/HPV/HPVrpt.htm (Accessed on January 08, 2008).

State Commission on Patient Safety (2005). Call to Action: A Plan to Improve Patient Safety in Michigan’s Health Care System. (Primarily responsible for chapters on statewide patient safety center, collecting and using data on errors and near misses, addressing workforce shortages effectively, and regulating and licensing with safety in mind) Detroit, Michigan.

State Commission on Patient Safety (2005). Call to Action: A Plan to Improve Patient Safety in Michigan’s Health Care System Technical Appendix (Primarily responsible for chapters on statewide patient safety center, collecting and using data on errors and near misses, addressing workforce shortages effectively, and regulating and licensing with safety in mind) http://www.mihealthandsafety.org/statecommission/barefoot/technical_appendix.html
Detroit, Michigan.

Michigan Health and Safety Coalition (2001). Assessment of the Scientific Merit of Leapfrog Guidelines for Coronary Artery Bypass Graft Surgery, Coronary Angioplasty, Abdominal Aortic Aneurysm Repair, Carotid Endarterectomy.

Esophagectomy for Cancer, Low Birthweight Infants, Infants with Congenital Anomalies, and Intensive Care Unit Physician Staffing. Detroit, Michigan: Report to the Michigan Health and Safety Coalition.

Health Services Research Initiative Task Force (1996). Final Report to the Health Affairs Senior Team. Ann Arbor, Michigan, University of Michigan.

Physician Payment Review Commission (1992). Developing Practice Guidelines to Improve Quality and Contain Costs. In Annual Report to Congress 1992 (pp. 211-243). Washington, DC: Physician Payment Review Commission.

Physician Payment Review Commission (1991). The Role of Specialty Societies and Physicians in the Commission's Evaluation of Relative Work Values (Report No. 91-1). Washington, DC: Physician Payment Review Commission.

Physician Payment Review Commission (1991). Refining the Scale of Relative Work. In Annual Report to Congress 1991 (pp. 22-52). Washington, DC: Physician Payment Review Commission.

Physician Payment Review Commission (1991). Private Payers and the Medicare Fee Schedule. In Annual Report to Congress 1991 (pp. 259-272). Washington, DC: Physician Payment Review Commission.

Other Publications:

Debold, V. P. (1999). Choice of Telemedicine and Nurse Practitioner in Rural Areas: The Role of Health Status, (Dissertation) University of Michigan, Ann Arbor, Michigan.

Debold, V. P. (1997). Effects of Critical Pathways on Team Interaction, Cohesiveness and Outcomes. (Master’s Project) School of Nursing, University of Michigan, Ann Arbor, Michigan.

Debold, V. P. (October, 1996). The patient protection act: Nurse-initiated legislation targets patient care delivery systems. Oakland District Nurses Association, pp. 5, 8.

Pebsworth, V. (1991). Payment Reform Will Affect RNs' Practice. The American Nurse, 3(10):3.

National Paper and Poster Presentations:

Autism One, Chicago, IL, May 26, 2007. “Vaccines: Safety and Economic Issues.”

Autism One, Chicago, IL, May 28, 2006. “Who Has the Power in the Health Care System and Why.”

Blue Cross Blue Shield Association Annual Meeting: National Meeting of Best Practices in Medicine and Pharmacy, October 23, 2001, “Improving Patient Safety in Michigan.”

Columbia University School of Nursing, Sigma Theta Tau, and the American Academy of Nursing, Health Policy and Health Services Research: Nursing’s Essential Contribution, May 14, 1999, “Organizing Primary Care Services: What Do Consumers Prefer and Why?”

Second Conference on Nursing Diagnoses, Interventions, and Outcomes, Documenting Nursing Effectiveness by Using Nursing Informatics, April 16, 1999, “NIC-based Relative Work Values: A Basis for Costing Nursing Services.”

National Rural Health Association, Keeping Rural Healthy: A Community Challenge, May 15, 1996, panel member, Nurses and the Information Superhighway: Decreasing the Highways and Byways to Provide Nursing Care, “Past and Future Research on Nurses and Telehealth Technologies.”

Midwest Nursing Research Society, Exploring Nursing Research: Urban Health Issues, April 1, 1996, “Effects of Critical Pathway Programs on Caregiver Team Interaction, Cohesiveness, and Outcomes.”

University of Michigan National Leadership Conference, Leadership Transition: People, Places and Principles, November 16 and 17, 1995, “Implementing Innovation in the Hospital Setting: Effects of Critical Pathway Programs on Caregiver Team Interaction, Cohesiveness and Outcomes.”

Sixth Annual Conference on Critical and Feminist Perspectives in Nursing, October 13-15, 1995. Prouts Neck, Maine, “A Habermasian Analysis of Primary Care Policy Debates: Identifying and Transforming Distorted Communication.”

Other Selected Presentations:

HPV Vaccine Adverse Events, New York City, April 13, 2007, Center for Medical Consumers.

Autism in Young Children, November 19, 2001. Oakland University, Special Education 559.

The Biology of Autism, May 4, 2001. Biomedical Conference Autism Society of America, Oakland County Chapter, presentation to health care professionals.

Use of Nursing Standardized Languages at the University of Detroit Mercy, October 3, 2001. Michigan Nurses Association Annual Convention, panel presentation.

Nursing Standardized Languages: The Key to Determining the Value of Nursing, November 2000. University of Detroit Mercy, Faculty Development Seminar.

Using Nursing Diagnoses, Interventions, and Outcomes to Assess and Improve Nursing-dependent Quality of Care, May 11, 1999. Michigan Peer Review Organization, Executive Staff Committee, Program Planning and Advisory Meeting.

Nursing and Telemedicine, March 12, 1996. Division of Health Promotion and Risk Reduction Programs, School of Nursing, University of Michigan.

Effects of Critical Pathway Programs on Caregiver Team Interaction, Cohesiveness and Outcomes, February 14, 1996. Trauma/Burn Intensive Care Unit Staff, University of Michigan Medical Center.

Effects of Critical Pathway Programs on Caregiver Team Interaction, Cohesiveness and Outcomes, January 24, 1996. Thoracic Intensive Care Unit Staff, University of Michigan Medical Center.

Effects of Critical Pathway Programs on Caregiver Team Interaction, Cohesiveness and Outcomes, December 14, 1995. Case Management and Critical Pathway Users Group, University of Michigan Medical Center.

Telemedicine and Nurse Practitioners, November 17, 1995. Department of Health Management and Policy, University of Michigan.

Critical Theory and Public Policy Toward Nurse Practitioners, October 30, 1995. Division of Health Promotion and Risk Reduction Programs, School of Nursing, University of Michigan.

Effects of Critical Pathway Programs on Caregiver Team Interaction, Cohesiveness and Outcomes, October 29, 1995. Nursing Systems Interest Group, Division of Nursing Administration and Patient Care Systems, School of Nursing, University of Michigan.

Issues in Rural Health, October 27, 1995. Department of Health Management and Policy, University of Michigan.

A Habermasian Analysis of Primary Care Policy Debates: Identifying and Transforming Distorted Communication, October 3, 1995. Women in Society and Health, School of Nursing, University of Michigan.

Measuring Rural Consumer Preferences Regarding Primary Care Delivery Options, November 9, 1994. Nursing Systems Interest Group, Division of Nursing Administration and Patient Care Systems, School of Nursing, University of Michigan.

Nursing in the United States, October 26, 1993. Health Services Systems I, Department of Health Management and Policy, School of Public Health, University of Michigan.

Women’s Health and Public Policy, October 21, 1993. Women’s Political Caucus, University of Michigan.

Policymaking Roles for Nurses, Spring, 1994. Nursing 287, Issues in Professional Nursing, School of Nursing, University of Michigan.

Teaching Activities:

University of Michigan, Ann Arbor – Assistant Professor/Teaching Assistant / Clinical Instructor

NUR 659 Systems Assessment and Strategic Planning
NUR 664 Nursing and Healthcare Policy
NUR 887 Health Outcomes Research
HMP 600 Health Services Systems I
HMP 601 Health Services Systems II
PHARM 540 Pharmacy and the Health Care System
NUR 486 Clinical Integration
NUR 428 Client Care Management in Health Care Systems

University of Detroit Mercy – Associate Professor / Adjunct Faculty / Clinical Instructor / Guest Lecturer

NUR 630 Leadership and Management for Nurse Practitioners
NUR 530 Nursing and Health System Informatics
NUR 514 Strategic Leadership in Health Systems Management
NUR 480 Nursing Leadership and Management
NUR 364 Pediatrics
NUR 360 Nursing Research

Honors and Awards:

Statewide Taskforce to Establish Medical and Nursing Competencies Related to Autism, 2001

Board of Directors, Vice President, Medical Interventions for Autism, 2001

Board of Directors, Oakland County Chapter Autism Society of America, 2001

National Research Service Award/Michigan Peer Review Org. Postdoctoral Fellowship, 1998

Delegate, Michigan Nurses Association, House of Delegates, 1997

Board of Directors, Oakland County Nurses Association, 1996

Blue Cross Blue Shield of Michigan Foundation Student Award, 1995

Sigma Theta Tau International Honor Society of Nursing, Rho Chapter, 1995

Health Alliance Plan Student Scholarship, 1994

Health Services Organization and Policy Student Representative, 1993

University of Michigan Regents' Fellowship, 1992

Delta Omega Public Health Honor Society National Essay Contest, Third Place, 1990

Hortense Fishbaugh Memorial Scholarship for Leadership in Public Service, 1990

Community Service:

National Vaccine Information Center (NVIC), Board of Directors
SafeMinds, Board of Directors, Research and Government Affairs Committees
National Autism Association, Government Affairs Committee
US Autism and Asperger Association, Advisory Board

Professional Memberships:

American Nurses Association, 1995-2004
American Public Health Association, 1989-2002
           Medical Care and Community Health Planning Sections
Association for Health Services Research, 1989-2004
International Network for Social Network Analysis, 1996-2000
Michigan Nurses Association, 1995-2004
Medical Outcomes Trust, 1996-2000
Midwest Nursing Research Society, 1994-2004
          Health Policy Analysis Section, Planning Committee Member 1998-99
          Nursing Administration Section
          Informatics Section
National Rural Health Association, 1996-2000
          Research and Education Constituency Group
Oakland District Nurses Association, 1995-2004
          Board of Directors, 1996
          Delegate, 1997 Michigan Nurses Association, House of Delegates, 1997
          Legislative Liaison, District 41, State of Michigan, House of Representatives, 1998
Sigma Theta Tau, Rho Chapter, 1995-2004