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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)
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.
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
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.
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.
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
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
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
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