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CHIDS NEWSLETTER
Volume 5 Issue
1
Fall 2011
In This Issue
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The Information Value of Online Physician Ratings
Read More
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CHIDS on Maryland ONC HIE Challenge Grant Team
Read More
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HIE Gets a
New
Evaluation
Framework
Read More
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Development of a Model EHR Format for
Children
Read More
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Personal Health Records and Secure
Messaging for Military Personnel Pilot Program
Read More
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UMD Health IT Seed Grant Program
Read More
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Public Health Collaboratory for Training
and Learning
Read More
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2nd Annual Workshop on Health IT and
Economics (WHITE)
Read More
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University of Maryland Fall Health IT
Summit
Read More
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CHIDS Co-Hosts 11th Annual CIO Forum
Read
More
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COE HITR Lunch Seminar Series (Ongoing)
Read
More
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Newest Member of the CHIDS Team:
Emily McPherson
Read
More
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Featured Partner: CareFirst
Read
More
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Featured 2010-2011 Student Fellow:
Helen Culbertson
Read
More
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CHIDS Director Gains AHRQ Appointment
and is Named Distinguished Scholar-Teacher
Read
More
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CHIDS Student Fellows
Read More
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Letter from the Director
With your continued support we have made significant strides in our mission to
improve quality and reduce cost in the healthcare ecosystem and launched a
number of new projects. For example, recognizing that as with other sectors of
the economy the world of healthcare is going to be transformed by social media,
our team is investigating how social media can help healthcare finance
organizations meet objectives related to cost and patient and provider
engagement. We also have initiated a new Health Information Exchange (HIE)
project with the Maryland HIE (the
Chesapeake Regional Information System for Our Patients or CRISP), which
examines how electronic health information exchange can improve care
coordination and safety across acute care and long-term care facilities.
Additionally, the conclusion of our study of the DC HIE (the DC Regional Health
Information Organization or RHIO) resulted in an evaluation framework for HIE
efforts that can serve as a model as the nation moves forward with the
electronic exchange of health information.
CHIDS is leading two efforts to facilitate
a multidisciplinary community of health researchers.
1.) Our annual Workshop on Health IT and Economics (WHITE), now in its second
year, will be held in Washington DC on October 21-22. The Agency for Healthcare
Research and Quality (AHRQ), acknowledging the value of such a venue, has
recently awarded CHIDS a three-year co
nvening grant for WHITE.
2.) Together with the UMD School of Public Health, we are leading a cross-campus
effort to pool capabilities across academic disciplines at our College Park and
Baltimore Campuses. The newly established Center of Excellence in Health IT
Research (COEHITR) serves as the focal organization to accelerate transformation
efforts.
A final area that I will draw your
attention to is one that affects each of us in a deep and personal way: how can
we progress toward becoming a more patient-centric healthcare system where
patients are engaged and focal players in managing their healthcare needs and
well-being? We have several research projects in this area, e.g., a longitudinal
study of the US Air Force's implementation of personal health records and secure
patient-provider messaging to understand the effects of these interventions on
health outcomes and healthcare utilization.
As always, the success of our efforts is constructed on a foundation of
partnerships. I invite you to continue the dialog, challenge our assumptions,
ask difficult questions, and offer your insights on our shared mission. Join us!
Ritu Agarwal
Founder and Director of CHIDS
Professor and Dean's Chair of Information Systems
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The Information Value of Online Physician Ratings
CHIDS Fellow Brad
Greenwood presented findings from his Working Paper "The Information Value of
Online Physician Ratings" at INFORMS Healthcare 2011 in Montreal, Quebec. The
paper examines the usefulness and potential biases among user ratings on
physicians on the Internet.
Working Paper: http://bit.ly/InfoValueofDoctorRatings
Podcast: http://bit.ly/InfoValuePodcast
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CHIDS on Maryland ONC HIE Challenge Grant Team
A team of CHIDS researchers including those from the University of Maryland,
College Park and the School of Medicine at the University of Maryland, Baltimore
have been awarded Office of the National Coordinator for Health IT (ONC) funds to develop and evaluate innovations designed to
improve healthcare coordination, convenience and safety for patients.
ONC has awarded $16 million in Health Information Exchange (HIE) Challenge
Grants nationwide to encourage innovations that facilitate the secure sharing
and "Meaningful Use" of patient health information.
Ritu Agarwal and Kenyon Crowley of the Robert H. Smith School of Business and
Ram Miller of the School of Medicine will work with the Chesapeake Regional
Health Information Systems for Patients (CRISP), the Maryland Health Care
Commission, Erickson Living, Lorien Health Systems, Audacious Inquiry and other
partners to study the impact of HIE on patient care in post-hospital and
long-term care environments. The team of researchers is part of CHIDS and the
multi-campus University of Maryland Center of Excellence in Health Information
Technology Research (COE HITR), an organization which seeks to accelerate the
transformation of healthcare through science-based solutions.
"We are thrilled to work with these partners to drive innovation and help
evaluate, improve and share new solutions to improve care transitions" says Mr.
Crowley. "The strain on patients, their families and the healthcare system from
missing or incomplete information is huge and can be deadly. We hope what we
learn in Maryland can be a model for improvement nationwide." According to one
study, 22 percent of transfers from hospitals to nursing homes and other
post-hospital environments were not accompanied with a formal summary of patient
information.
CHIDS research will involve a series of quantitative and qualitative techniques
to determine the social, technical and other factors that affect the successful
adoption and use of HIE tools to improve care transitions between acute and
long-term care environments.
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HIE Gets a New Evaluation Framework
CHIDS has developed a health information exchange (HIE)
Evaluation Framework to help states and other HIE operators create
self-sustaining and effective networks for the exchange of electronic health
information. Co-authored by CHIDS Director Ritu Agarwal, Sunil Mithas, Smith
School of Business Associate Professor, Kenyon Crowley, CHIDS Associate
Director, and Jiban Khuntia, Smith School of Business PhD candidate, the
Framework provides an assessment methodology for Regional Health Information
Organizations (RHIOs). RHIOs are evaluated on five key performance components:
1.)
Value creation and sustainability - the value generated by the HIE for society
and other relevant stakeholders, and whether the business model and revenue
stream offset operational costs.
2.)
Governance - policies, structural mechanisms and decision-making processes that
guide the strategic, tactical and operational activities of the enterprise
3.)
Technology - the quality of the RHIO or HIE infrastructure, measured by
cost-effectiveness, adherence to standards and usability. This also includes
change management and other activities necessary for adopting the technology.
4.)
Community engagement - success in engaging all concerned parties
5.)
Public trust - privacy practices and policies crafted and the degree of public
trust in the enterprise.
The Framework and associated recommendations encompass information and documents
provided by an environmental scan of HIE efforts across the nation, best
practices from the literature, benchmarking with leading HIEs, and comments from
key public and private stakeholders of the DC RHIO. Recently used to evaluate
the DC RHIO (Washington's primary HIE), the Framework ranked the RHIO among the
top 20 percent of HIEs as a fully operational exchange, but also offered
recommendations on how to make the organization sustainable through operating
revenue. Although the DC RHIO has made progress in most dimensions of the HIE
Assessment Model and has reached operational status (transmitting data that is
being used by healthcare stakeholders), it is noted that much work remains to be
done to reach a sustainable state.
Earlier this year Kenyon Crowley presented the Framework at the Healthcare
Information and Management Systems Society (HIMSS) annual conference, HIMSS11.
Key points from his presentation included: performance criteria for HIE
sustainability, how to apply the Evaluation Framework to improve strategic
planning for HIE initiatives, ancillary activities that drive successful HIE
operations, and how the DC RHIO is using the framework to support its HIE
activities. Access the complete report at
http://bit.ly/CHIDS_HIE_Evaluation
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Development of a Model EHR Format for Children
EHRs when implemented well, are
comprehensive systems that support the health record-related needs of clinicians
and patients. Unfortunately, for a variety of reasons, EHR systems often fail to
optimally support the idiosyncrasies of children's healthcare. This project aims
to develop a Model EHR Format for children that includes requirements for: a
minimum set of data elements; applicable data standards; usability,
functionality, and interoperability. It will demonstrate that the format can be
used and packaged in a way that facilitates broad incorporation into EHR
systems. This will facilitate care coordination and management throughout the
children's health "ecosystem."
CHIDS is working with a broad partnership led by Westat and supported by AHRQ
and CMS that includes the American Academy of Pediatrics, American Academy of
Family Physicians, Duke University, Cognosante and Intermountain Health Care and
a technical expert panel of the nation's leading minds on the application of
information system for children's healthcare.
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Personal Health Records and Secure Messaging for Military Personnel Pilot Program
Although there is significant momentum behind the use
of personal health records (PHRs) and other tools for managing and exchanging
personal health information, there exists little systematic evidence relating to
the benefits of use, especially with respect to clinical outcomes. CHIDS is
working with the Air Force Medical Service (AFMS) on a pilot implementation of a
PHR and patient-provider secure messaging (SM) technology within the clinical
context of specific disease cohorts. The pilot will assess the potential
influence of PHR with SM on attitudinal measures and clinical and operational
outcomes. It is carried out in cooperation with Deloitte and Relay Health with
support provided by AFMS.
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UMD Health IT Seed Grant Program
The University of Maryland Center of Excellence in Health IT Research has
made two awards of $15,000 to support promising health information technologies
as part of the inaugural Health IT Seed Grant Program. The investments
demonstrate UMD's commitment to advancing innovation and research to accelerate
the transformation of the nation's healthcare system.
The first awardee team is working with the UMD Medical System to develop a
network system to rapidly evaluate patients at risk for oral cancer and improve
efficacy, reduce the cost of care, and expand outreach and care coordination.
The project, called "A Real Time Electronic Network for Early Oral Cancer Risk
Assessment and Detection," will use web-based high-definition video streaming to
facilitate head and neck consultations online in real time. This will improve
decision making, eliminate the need for multiple referrals and decrease patients
"lost in the medical system." The program also seeks to reduce pronounced racial
disparities in oral cancer outcomes.
The project is led by Drs. Mark Scheper and Timothy Meiller of the School of
Dentistry at the University of Maryland, Baltimore; and collaborators Dr.
Douglas Barnes, head of the Advanced Education in General Dentistry Program at
the University of Maryland, College Park and head of the Division of General
Dentistry, University of Maryland, Baltimore; and Kent Buckingham, director of
Information Technology for the Dental School.
The other grant will support a team of doctors working on risk assessments for
bone fractures in the elderly. The project, "Investigating Disparity of Bone
Health by Integrating Bone Mineral Density Data," will build and test
statistical models to improve individual risk assessments using a newly
developed methodology called threshold regression. Osteoporosis and bone health
are global public health problems affecting more than 200 million people. Across
the United States, 10 million people have osteoporosis and 18 million more are
at risk. The team will use multiple clinical datasets integrated with health
insurance claims to create a combined data warehouse for studying and analyzing
bone fractures that may enhance prevention and treatment of bone-related
illnesses. They will develop computer software for public use that can produce
improved risk assessments. The team's integrated approach and the models and
techniques they develop have the potential to be used in many other disciplines
and therapeutic areas.
The project team includes lead investigators Drs. Xin He and Mei-Ling Ting of
the School of Public Health at the University of Maryland, College Park, and Dr.
Marc C. Hochberg who heads the Division of Rheumatology and Clinical Immunology
in the Department of Medicine at the University of Maryland, Baltimore.
"We are proud to support these research teams who are applying advanced methods
for improving care coordination and using secondary use of EHR data,
respectively, and look forward to spurring innovation among faculty, students
and partners in future rounds. We are committed to leveraging the rich
capabilities and deep resources across the University of Maryland campuses to
drive improved healthcare in Maryland and beyond, support economic development
and job growth, and continue to firmly establish ourselves as an academic leader
in the drive to accelerate health transformation" said Kenyon Crowley, program
director for the center.
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School of Public Health - "Public Health Collaboratory for Training and Learning"
The School of Public Health has been awarded $100,000 -- the most any school
can receive -- from the 2010 Student Technology Fee fund to develop a "Public
Health Collaboratory for Training and Learning." The team leading the project
aim to create a space where students and others across campus can "see" and
"touch" current and emerging Health IT applications (EHR, PHR, surveillance) in
a single location. This opportunity seeks to foster innovation and an improved
understanding of potential applications of these tools; it will ultimately
enable students to make a difference both in their own health and the health
issues of real communities.
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2nd Annual Workshop on Health IT and Economics (WHITE)
Building on the success of last fall CHIDS held its
inaugural Workshop on Health IT and Economics (WHITE) in Washington, DC. WHITE's
mission is to gather prominent scholars in a multidisciplinary setting to build
the foundation for a multidisciplinary health IT and economics research
community and to stimulate new ideas applicable to both policy and business. The
forum is a great venue to facilitate interaction and collaboration between
academia, government, and industry.
The second annual WHITE will be held on October 21-22 in Washington, DC. It will
be chaired by CHIDS Director Ritu Agarwal and co-chaired by Guodong (Gordon)
Gaoof the R.H. Smith School of Business and Jeffrey McCullough of the University
of Minnesota School of Public Health. Todd Park, Chief Technology of HHS will
provide the welcome keynote. Over two dozen faculty from leading institutions
will share briefs of their leading edge research. Practitioner panels will share
the latest in data set utlization, Accountable Care Act implications, ROI of HIT
and more. AHRQ and AcademyHealth are providing support. Join us for this high
impact event!
WHITE2011 Website & Registration: http://bit.ly/WHITE_2011
Conference support from:

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University of Maryland Fall Health IT Summit
Accelerating Information Technology Enabled
Healthcare Transformation in Maryland and the Nation
When: Friday, October 7, 2011, 9:00am - 5:00pm
Where: Stamp Student Union, University of Maryland, College Park
Event website: http://bit.ly/FallHealthITSummit
Hosted by the University of Maryland Center of Excellence in Health IT Research,
this Summit will showcase, through its College Park and Baltimore campuses, the
University of Maryland's multi-disciplinary resources that are being leveraged
to accelerate health transformation. The event will stimulate collaboration
between the University and potential partners in government, industry, clinical
organizations and advocacy groups. Stakeholders will discuss health IT strategy,
policy and technology issues that face Maryland and the nation. The event will
also be a forum for engaging students and furthering intra-campus collaboration
and research opportunities.
Sign up to our mailing list to receive updates about these events and more!
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CHIDS Co-Hosts 11th Annual CIO Forum
More than 130 people gathered at the Ronald Reagan
Building and International Trade Center on Nov. 5, 2010 to discuss "Innovation
2.0: Information Technology in Government and Business" - the topic of the
Robert H. Smith School of Business' 11th Annual CIO Forum.
Keynote speaker, Spain "Woody" Hall, Chief Information Officer (CIO) of General
Dynamics IT, argued that "it's the people stuff that is really challenging when
it comes to innovation. ... Innovation doesn't just happen, it is a process that
needs to be managed and driven." Sujal Patel, fouding president and CEO of
Isilon Systems, presented "The Era of On-Demand IT - Innovating to Catch the Big
Data Wave." Andy Baer, senior vice president and CIO of Comcast Cable
Communications, LLC. Baer argued that the digital generation - people who do not
remember a time without the Internet - is leading the change in the industry.
The forum was sponsored by the Smith School's Center for Digital Thought and
Strategy (DIGITS) and the Center for Health Information and Decision Systems (CHIDS).
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COE HITR Lunch Seminar Series (Ongoing)
The Center has launched a lunch seminar series to
create a channel for knowledge sharing among Health IT researchers and
professionals. The March seminar featured University of Maryland Economics
Professor Peter Cramton discussing Medicare auctions and solutions to correct
design problems that could potentially yield billions in savings. In April,
Nathaniel Hupert, MD, MPH, Associate Professor of Public Health and Medicine at
Weill Medical College, Cornell University and Senior Medical Advisor
Preparedness Modeling Unit Epidemiology and Analysis Program Office, US Centers
for Disease Control and Prevention (CDC), shared the latest research in applying
modeling and simulation for emergency preparedness and disaster recovery. The
next seminar is scheduled for Spring 2012.
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Newest Member of the CHIDS Team: Emily McPherson
Emily McPherson has been a CHIDS Research Fellow
since February 2011. Manager of CHIDS' social media efforts and Health IT news
blog, she also contributes monitoring and evaluation support to several CHIDS
research projects. In her previous position as AcademyHealth Research Associate,
she facilitated "knowledge transfer" of clinical research from the Agency for
Healthcare Research and Quality (AHRQ). Emily has a Political Science BA from
the University of British Columbia and an Applied Economics MA from Johns
Hopkins University. She also has a baby daughter, Cathleen Aall McPherson.
Contact: emcphers@rhsmith.umd.edu
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Featured Partner: CareFirst
CHIDS is proud to be collaborating with CareFirst
to study the potential impact of emerging social media tools and determine the
strategic implications for healthcare finance and delivery. The results of this
research program may drive processes to improve care coordination, customer
service, internal processes and other activities in support of CareFirst'
mission to provide health benefit services of value to customers across the
region comprised of Maryland and the National Capital Area. CareFirst is an
independent licensee of the Blue Cross and Blue Shield Association and is the
largest healthcare insurer in the Mid-Atlantic region, serving more than 3.4
million members in Maryland, the District of Columbia, Delaware and portions of
northern Virginia.
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Featured 2010-2011 Student Fellow: Helen Culbertson
Helen Culbertson is a consulting professional with
significant experience in project management, client relationship management,
and data analysis. At Smith, she focused on General Management to pursue a
career in consulting and strategy. She has held several leadership positions at
Smith, including Vice President of the Women's MBA Association and a Dean's
Fellowship. Prior to her arrival at Smith, she held a client-facing role at a
small consulting firm where she developed new benchmarks and defined metrics to
support her clients' daily decision-making. Last summer she completed an
internship with the Government Accountability Office (GAO), where she had the
opportunity to shape the initial phases of the GAO's audit of the Federal
Reserve. She has since has taken a position with Booz Allen Hamilton where she
is working with the healthcare group to improve the value of HIT for federal
clients.
Helen is originally from Charlotte, NC, and moved to the DC area in 2007. She
went to undergrad in Chicago, IL where she majored in History and Secondary
Education. She grew up playing competitive tennis and was captain of her varsity
tennis team in college. The competitive drive developed at a young age through
sports sticks with her today in career and academic pursuits.
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CHIDS Director Gains AHRQ Appointment and is Named Distinguished Scholar-Teacher
Ritu Agarwal has been appointed to the AHRQ Health
Services Research Initial Review Group (IRG), Health Care Quality and
Effectiveness Research (HCQER) Study Section. In this role, Dr. Agarwal will
review programs related to the quality and cost-effectiveness of healthcare,
such as clinical outcomes studies and methods to develop/test quality measures,
tools and indicators.
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CHIDS Student Fellows
Ankit Agarwal is a first-year MBA student.
He previously worked as a Business Analyst at Computer Sciences Corporation
(CSC), India where he specialized in testing and designing the Lorenzo health IT
system, which is being deployed across National Health Service (NHS) hospitals
in the United Kingdom. He holds a Bachelor of Technology in Civil Engineering
from Banaras Hindu University, India. He is interested in exploring how the
application of technology in healthcare might improve patients' access to care.
He enjoys outdoors activities and playing tennis and badminton.
Santosh Chavan is a second year MBA student. He has worked for 4 years
as an onsite project coordinator for telecom client British Telecom (BT) and
implemented technology transformation projects in areas of IT strategy and cost
transformation. He has expertise in areas of IT systems implementation (SDLC),
Program and Delivery management, business process design and data migrations
projects. Santosh interned with CSC as Business Analyst creating profitability
analysis for Product and Market Strategy group. Santosh is a board member of MBA
Consulting Club and Vice President of Student Affairs for the MBA Association.
Andrew Cole is a first-year MBA student at the Smith School of
Business. His background in the healthcare industry includes experience at CIGNA
Healthcare focusing on outsourcing and operational improvement initiatives, as
well as at a privately-held health information technology company where he
developed and supported their patient management and health information exchange
strategies. Andrew is interested in exploring how technology can be utilized to
simultaneously improve patient care and reduce medical costs.
Clay Gaynor is a second-year MBA at the University of Maryland's Robert
H. Smith School of Business. Prior to business school, he worked in print and
digital media - first at Washington Life Magazine, a regional lifestyle
publication, and then at Virilion, an interactive media firm in Washington, DC
While at Virilion, Clay worked for a variety of clients, including PhRMA's
Partnership for Prescription Assistance. Clay recently completed a graduate
internship at Choice Hotels International, where he worked on the company's
co-branded credit card and other rewards program initiatives.
Brad Greenwood is a fourth-year PhD Candidate in the Decisions,
Operations, and Information Technology department. His research focuses on how
discourse affects the perception of the "fashionability" of technology as well
as gauging quality through different mediums of physician review. He earned his
Bachelors and Masters in Information Technology at Rensselaer Polytechnic
Institute and Virginia Tech respectively. He also holds an MBA from the
University of Notre Dame and spent several years working as an IT consultant in
the greater DC area.
Adam Kowalsky is a second year MBA student. He previously worked on
Capitol Hill in the Washington, DC office of the Governor M. Jodi Rell (CT),
where he worked on many issues including health and human services as well as
environmental and energy issues. As the respresentative for the Governor, Adam
worked closely with Congress, the Administration and the National Governors'
Association. At Smith, he serves as the Executive Vice President of the MBA
Association and enjoys spending his time playing on multiple intramural teams.
Shannon Lantzy is a second-year PhD student in Information Systems. Her
health IT research interests include the impacts of IT on patient experience,
the role of online information in provider choice, and meaningful use of health
IT. Her other research interests involve studying the nature of online community
membership and participation. Shannon recently finished her Masters of
Information Management at UMD's iSchool. In the seven years before coming to
Smith she worked as a management and IT consultant at NASA Headquarters.
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