Open Letter to Crisis Standards of Care Advisory Committee
We are writing today because of our grave concern regarding the Crisis Standards of Care issued on 4/7/20 and the impact that these crisis standards will have on equity of access to life-sustaining care for communities most impacted by COVID-19.
We are doctors, nurses, health workers, residents, medical students, social workers, patient navigators, and other members of multidisciplinary teams who are on the front lines of care for patients and families at Boston Medical Center and other hospitals and community health centers throughout Massachusetts.
On 4/7/20, Crisis Standards of Care were issued by the Crisis Standards of Care Advisory Committee convened by the Commissioner of Public Health. This committee had little to no representation from the communities most impacted by COVID-19 and had no community oversight. Only two of the sixteen authors were people of color.
The Crisis Standards of Care state that "tragically difficult decisions must be based on criteria that ensure that every patient has equitable access to any care from which they might benefit."
Subsequent to this stated commitment to health equity, the Advisory Committee proposed a "scoring system" for patients to determine how available resources (ventilators, etc) in crisis situations should be allocated when there aren’t sufficient quantities to care for all who need them to survive. Under this scoring system, the lower a patient’s score, the higher they are prioritized for access to life-saving resources. Points are added to a patient’s score for "major comorbid conditions with substantial impact on long-term survival" -- that is to say -- comorbid conditions that might affect a patient’s survival will count against them during such allocation decisions.
The scoring system does not reference or account for structural racism, economic injustice or poverty, ableism, ageism, or the resultant major health disparities that harm Black communities, Latinx communities, indigenous communities and other communities of color, low income communities, disabled communities, incarcerated individuals, and elders. These factors will make it statistically less likely that people from these communities will be allocated life-saving resources in a crisis.
Certain health conditions that directly or indirectly factor into the SOFA scoring system are disproportionately high among Boston’s communities of color. For instance, diabetes rates are highest in Mattapan (17.3%), Roxbury (14.1%), and Dorchester (02121/02125: 12.8%). Dorchester, Mattapan, Roxbury, and Hyde Park have the highest percentage of both diabetes-related and heart disease-related hospitalizations among Boston neighborhoods.
Due to a well-documented presence of housing and environmental triggers (e.g. mold hazards/violations, poor indoor air quality), asthma-related illnesses are disproportionately high in Dorchester, Mattapan, and Roxbury, placing residents in those neighborhoods at increased risk of more severe cases of infection.
The Massachusetts Department of Health has released limited racial and ethnic data on COVID-19 cases. As of April 8th, 67% of the confirmed cases and 69% of deaths are listed as “unknown” or “missing” racial or ethnic information.[1] The Massachusetts Public Health Association has stated that this data is “inconclusive and unactionable” and called on the governor to ensure timely and complete data collection. Despite this lack of critical information, there is every indication that Massachusetts, and specifically Boston have the same patterns of COVID-19 infection noted in other urban settings in the US.[2] Chicago is 30% Black, but Black people account for 70% of all COVID-19 cases in the city and more than half of the deaths. Michigan's population is 14% Black, but Black people account for at least 33% of COVID-19 infections and 41% of deaths. In Detroit, specifically, Black people are 7% of Michigan’s population but 26% of Michigan's infections and 25% of its deaths. Similar patterns have been noted in New York City, Philadelphia and North Carolina.
In Boston, significant health disparities for Black and Latinx people are emerging given the racial and ethnic make-up of neighborhoods most impacted by COVID-19, with disproportionate illness amongst residents of Hyde Park, Mattapan, and East Boston.[3]
Black, Latinx, and Asian populations are at heightened risk of contracting COVID-19 and exposing their families given overrepresentation as essential, frontline workers. A report from the New York City comptroller published two weeks ago shows that 75% of frontline workers are people of color, and 50% are foreign-born. Grocery and store clerks, package delivery and postal carriers, food and childcare service providers, caregivers, and cleaning staff may not be able to practice strict social distancing or respiratory hygiene, work remotely from home, nor receive paid time off, thus increasing their risk of infection, hospitalization, and the inequitable harm inherent to the current Crisis Standards.
Another group of people at higher risk of acquiring COVID-19 are correctionally-involved/incarcerated individuals who must live in crowded conditions and bear a higher burden of comorbid conditions as compared to the general population. Since mass incarceration is driven by racial and economic injustice, Crisis Standards of Care need to take into consideration that those individuals who are put at risk for COVID-19 because of their identities and socioeconomic status will also be the ones who will be further penalized by the scoring system due to comorbid conditions acquired during incarceration.
Moreover, the scoring system proposed in these guidelines discriminates against those living with disabilities or chronic conditions that are considered penalizable comorbidities. In their open letter to care providers, disability activists stress that “denying or withdrawing care based on protected characteristics violates many laws including the Americans with Disabilities Act, Section 504, the Affordable Care Act, state and local civil rights laws, and/or the U.S. Constitution.” Triage guidelines that evaluate patients by age or “comorbid conditions [that] impact survival” or “underlying medical diseases that may hinder recovery” implicitly rely on value judgements about these patients’ quality of life and deny these patients justice in our healthcare system.
These Crisis Standards of Care will result in the withdrawal of life-saving care-- including mechanical ventilation-- from a disproportionate number of indigenous people, Black people, Latinx people, other communities of color, elders, immigrants, asylees, refugees, and those who are undocumented, uninsured, incarcerated, homeless, experiencing poverty, or living with disability. These communities already experience oppression and marginalization through structural racism, economic injustice, ageism, and ableism, which altogether perpetuate healthcare disparities when compared to those who are granted privilege in our society.
We thus demand the following:
1) Just and ethical crisis standards that take into account political and social determinants of health to assure truly equitable allocation of resources;
2) Involvement of community stakeholders in developing and approving the crisis standards, keeping in mind the populations most affected by complications of COVID-19;
3) Transparency regarding the nature of mutual aid agreements between health care institutions to ensure that hospitals with higher demands for resources such as staffing support and ventilators can receive resources from hospitals that are serving fewer COVID-19 patients with maximal lead time to avoid acute crises when possible; and
4) If, after the above demands have been met, and a need for a scoring system remains, we demand, at minimum, the elimination of criteria designed to "save the most life years," which involves points added for comorbid conditions and would negatively impact communities historically experiencing health disparities from racial injustice and other political and social determinants of health.
To remain true to our professional and ethical obligations as health care providers and members of the health care team, we must implement standards that are responsible, ethical, and equitable. If we do not fight for and rapidly adopt standards that address structural racism and other forms of oppression, we will be complicit in that oppression, rather than fulfilling our moral obligation to do no harm.
Sincerely,
Please sign your name in form link below:
Electronic Signature | Title/Position (indicate year if medical student/resident) | Affiliation/Department |
Lana Habash, MD | Clinical Assistant Professor | Family Medicine, BMC, BUSM |
Carolyn Arnold | Resident | Family Medicine |
Anita L Roscoe | Certified CWA | BMC |
Julian Gonzalez | Resident Physician | Family Medicine |
Linda L Barnes | Professor | Family Medicine |
Sam Gonzalez, MD | Resident Physician PGY-2 | Family Medicine |
Giovannie C. Bejin | CPNP-PC | Pediatrics |
Caroline Royer | Resident, PGY-3 | Family Medicine |
Mandy Coles | Physician/Associate professor (MD, MPH) | Pediatrics |
Stephanie Martin | Family Planning Counselor | Adolescent Clinic, Pediatrics Department |
Rose Al Abosy | First Year Medical Student | BUSM |
Rohit Abraham | Resident Physician | Psychiatry-Family Medicine |
Sharon George | Community Wellness Advocate | Family Medicine/CCM |
Sara Stulac, MD | Pediatrician | Pediatrics |
Hannah Balleza | PGY-3 | Psychiatry |
Claudia Ma | Resident | Family Medicine |
Christine Cheston, MD | Assistant Professor | Pediatrics |
Hilana Scott | Nurse Practitioner | Pediatrics |
Wali Sabuhi | M1 | BUSM |
Laura J Sullivan MD | Chief, Family Medicine | Cambridge Health Alliance |
Lael Greenstein MD | Physician | Cambridge Health Alliance |
Malessa Dias | MD | CHA/Pediatrician |
Kate Zona | Psychologist | Cambridge Health Alliance - Department of Psychiatry |
Yamini Saravanan | Primary Care Physician | Internal Medicine |
Ellie Grossman | MD MPH / Codirector, Primary care behavioral health integration | Cambridge Health Alliance / Internal Medicine |
Alexis Ladd, MPH | Marketing Manager | Cambridge Health Alliance |
Camila R. Azuero | LICSW | Outpatient Psychiatry |
Judy Fleishman, PHD | Psychologist, Family Medicine Faculty | Family Medicine |
LIsa Dobberteen MD | attending physician | Pediatrics/Cambridge Health Alliance |
Racheli Schoenburg | PGY-3 | Cambridge Health Alliance/Family Medicine Department |
Jasleen Kaur | MD, PGY2 | Family Medicine |
Melanie J Brunt MD | MD, MPH | Cambridge Health Alliance physician |
Wesley Hauwei Chou | MS3 | Harvard Medical School |
Zoe Silver | Social Work Fellow | Outpatient Psychiatry, CHA |
Lee Robinson, MD | Child Psychiatrist | Cambridge Health Alliance, Department of Psychiatry |
Renee Cammarata Hamilton, MSW, MPA | Director, Community Health Improvement Team | Cambridge Health Alliance, Community Health Improvement Department |
Katherine Miller | MD | Harvard Medical School |
Rosanna Zuckerman | Physician Assistant | Cambridge Health Alliance |
Elizabeth Tammaro MD | PGY2 | CHA Family Medicine Residency |
Mary Catherine Ward | LICSW | Psychiatry |
Rachel Mott Keis | MD | BMC/Family medicine |
Lynne Crawford APRN, MSN | Nurse Practitioner | Cambridge Health Alliance, Cambridge, MA |
Brian Herrick | CIO/MD/Physician | IT/Family Medicine |
Soimise Verdieu | Nurse Practitioner | Cambridge Health Alliance |
Ira L.Mintzer,M.D. | Staff physician, Department of Medicine | Cambridge Health Alliance’s |
Abigail Love MD MPH | MD, Attending | Cambridge Health Alliance, Family Medicine |
Erika Fellinger | Physician-surgeon | Cambridge Health Alliance - Surgery |
Patty Chen | MD Candidate 2023 | Boston University School of Medicine |
Bari Brodsky MD | Assistant Clinical Professor, Tufts University School of Medicine | Cambridge Health Alliance, Family Medicine |
Honor MacNaughton | MD | Cambridge Health Alliance, Department of Family Medicine |
Charlene Saulnier FNP-BC | PCP- NP | Geriatrics |
Kirsten Mojziszek | First Year Medical Student | Boston University School of Medicine |
Christopher Lyons | Medical Student-Class of 2023 | Boston University School of Medicine |
Allan Sosa-Ebert | Medical Student | BUSM |
Leah hollander | Medical Student M2 | BUSM |
Andrea Gordon | MD | Family Medicine (Tufts/ CHA) |
Rachel Ingraham | Medical student 2023 | Boston University School of Medicine |
Jacqueline You | Medical Student, MS4 | Boston University School of Medicine |
Minh-Thuy Nguyen | Medical Student, 2021 | BUSM |
Natalie LaBossier | First year medical student | Boston University School of Medicine |
Taylin Im | Resident, PGY 1 | Family Medicine |
Genevieve Preer | Pediatrician | Pediatrics |
Francisco Giral Irby, MD | Clinician Burnout Taskforce Coordinator | Right Care Alliance / Lown Institute |
Luke Deems | Graphic Designer | Marketing/Communications |
Margaret W | Marketing Manager | Marketing and Public Relations |
Christopher Censullo | Cambridge Health Alliance | |
Sunny Kung | MD, PGY-2 | Brigham and Women's Hospital |
Elzbieta Jacek | Resident | Family Medicine, CHA |
Ivys Fernandez-Pastrana, JD | Program Manager | Pediatrics, Boston Medical Center |
Arvin Garg | Associate Professor of Pediatrics, general pediatrician | Pediatrics |
Tanya Geha | MD, Instructor | Pediatrics |
Rita Gehrenbeck-Shim | BUSM M1 | BUSM/BMC |
Scott Hadland, MD, MPH, MS | Assistant Professor of Pediatrics | Boston Medical Center / Department of Pediatrics |
Jodi Wenger | MD | Pediatrics |
Beth Silverberg Marx | LCSW | Family Medicine, Boston Medical Center |
Madeline Stewart | Medical Student | BUSM |
Afi Mansa Semenya MD MPH | Clinical Instructor | Family Medicine Boston Medical Center |
Noah Buncher | DO Pediatrician | Pediatrics |
Lauren Herzog, MD | Resident | Cambridge Health Alliance Department of Psychiatry |
Melanie Fossinger | Nurse Practitioner | Pediatrics, Adolescent Clinic |
Jennifer Fiore | Pediatrician | Pediatric Primary Care |
Marielle Baldwin | MD, MPH | BMC Family Medicine |
Elisa Caron | Third year medical student | BUSM |
Van Pham | First Year Medical Student | BUSM |
Aaron Afran | Medical Student 2022 | BUSM |
Vanessa Torrice | Second Year Medical Student | BUSM/BMC |
Carmen Rosa Norona | Child Trauma and Clinical Services Lead | BMC |
Wafaa Abbasi | MS1 | Boston University School of Medicine |
Judith Goldberger | RN, BSN | Labor & Delivery, BMC |
Mary Cassesso | Chief Community Officer | Cambridge Health Alliance |
Galina Tan, MD | Primary Care Physician and Instructor in Medicine | Cambridge Health Alliance and Harvard Medical School/Department of Medicine |
Nicole O'Connor MD | Family Medicine Physician | Cambridge Health Alliance |
Sophie Rosenmoss | Medical Student, Class of 2022 | Boston University School of Medicine |
Deyang Nyandak | Second year resident | Family Medicine |
Natasha Nazari, MD | PGY1 | Psychiatry |
Elvis Espero | PGY 4 | Psychiatry |
Micaela Owusu MD MSc | Assistant Professor, Child and Adolescent Psychiatrist | Boston University/Boston Medical Center |
Lara Jirmanus, MD MPH | Primary Care Physician | Cambridge Health Alliance/Family Medicine |
Jawad Husain, MD | PGY3 Resident | Boston Medical Center Department of Psychiatry |
Emmalee Boyle | PGY-3 Resident | Psychiatry |
Han Yue | PGY1 | Psychiatry |
Daphne Rulf | Medical Director Psychiatry Access Service | Cambridge Health Alliance |
Max Zhu | medical student | BUSM |
Edom Seyoum | PGY-1 | Psychiatry |
Menatalla Ads | PhD, psychologist | CHA, Psychiatry |
Melanie Wathugala, MD | Resident, PGY 1 | Cambridge Health Alliance - Family Medicine |
Meghna Srinath | Resident | Family Medicine |
Devin Cromartie | PGY3 Psychiatry Resident | Psychiatry |
Jayme Shorin | LICSW | Victims of Violence Program, Cambridge Health Alliance |
Hannah Richardson PhD | Psychologist | Cambridge Health Alliance |
Clara Kim | PGY-2 resident | Cambridge Health Alliance - Psychiatry |
Jessika Bailey | Psychology Fellow | Cambridge Health Alliance, Dept of Psychiatry |
Sam Lipschultz | Social Work Fellow | Cambridge Health Alliance |
Julia Fomicheva | Psychologist | Cambridge Health Alliance - Department of Psychiatry |
Rachel Sagor | MD, Pediatrician | Department of Pediatrics, Boston Medical center ; Assistant professor of pediatrics, BU school of medicine |
Jim Recht, MD | Assistant Professor of Psychiatry, Part Time | Cambridge Health Alliance/Harvard Medical School |
Daniel A. Gonzalez, MD, MPH | Psychiatrist & Medical Director of MCREW (Malden, Chelsea, Revere, Everett, Winthrop) | Cambridge Health Alliance, Department of Psychiatry |
Natalia Bracamonte Moreno | LCSW | MCREW/LATINEX MENTAL HEALTH-Cambridge Health Alliance |
Lior Givon | PhD MD | Cambridge Health Alliance |
Brooke Nusbaum | LICSW | Cambridge Health Alliance Psychiatric Emergency Services |
Bradford Lewis | Transitional & Emergency Psychiatric Services | CHA - Psychiatry |
Graham Smyth | APRN Intern | CHA, Addictions |
Caroline Kistin | Associate Professor | Pediatrics |
Eric Roll | PGY-4 | Psychiatry |
Edward Barton | NP | CHA/Psychiatry |
Julia Koehler | Staff, Infectious Disease | Boston Children's Hospital |
Taneequa Fields | Clinical Social Worker | Pediatrics - DBP CPT |
Maria Jose Lisotto | Attending Child Psychiatrist | Cambridge Health Alliance/Department of Psychiatry |
Laura Warren, MD | Assistant Director of Adult Psychiatry Residency Training | Cambridge Health Alliance |
PATRICIA HARNEY, PHD | DIRECTOR OF PSYCHOLOGY INTERNSHIP TRAINING | DIVISION OF PSYCHIATRY, DEPT OF PSYCHIATRY, CHA/HMS |
Emily Benedetto | Program Manager, Primary Care Behavioral Health | Cambridge Health Alliance |
Melissa Coco | LICSW | Cambridge Health Alliance |
Teresa Delgado | Social Work Clinician | CHA Psychiatry |
Laura Cotton | LICSW | Cambridge Health Alliance, Outpatient Psychiatry |
Lorky Libaridian, MD | Physician/Med Dir PI in Primary Care | CHA, Internal Medicine and Pediatrics; Instructor in Medicine, HMS |
Barbara Hamm | Psychologist, Instructor-PT | Psychiatry |
Courtney Scanlon | MD PGY-3 | CHA Family Medicine |
Tina Amerault MD | PGY3 resident | Cambridge Health Alliance |
Kathryn Litwak | LICSW | Psychiatry |
Fa'iz Bayo-Awoyemi | MD | FM CHA |
Janet E Guilfoyle | Physician Assistant | Cardiology Division |
Rebekah Rollston, MD, MPH | PGY-3 Family Medicine Resident Physician | Cambridge Health Alliance Family Medicine |
Mallika Sabharwal | Resident | BMC Family Medicine |
Elissa Kleinman | M.D. | Cambridge Health Alliance/Psychiatry/Latino Mental Health |
Deborah Sarson | ANP | CHA |
Tara Singh | MD | Cambridge Health Alliance |
Donna Capozzi | Practice Manager | CHA Eye Center |
judy fine-edelstein MD | neurologist | Cambridge Health Alliance |
Lynn E DeLisi, MD | Attending Psychiatrist | Psychiatry |
Caitlin G. D'Agata MD | Program Director Tuft University Family Medicine Residency | Cambridge Health Alliance |
Susie Yeo | MS2 | Tufts University School of Medicine |
Clara Y. Jones MD | Internal Medicine | Windsor Street Clinic, CHA |
Marshall Forstein, MD | Vice Chair for Education and Training | Department of Psychiatry, Cambridge Health Alliance |
Sarah Ash | Psychologist | Cambridge Health Alliance |
Michelle Rullan Johnson, MD | Physician/HMS Clinical Instructor | Cambridge Health Alliance/Department of Medicine Section of Geriatrics |
Maria P. Terra | APRN, MSN | Cambridge Health Alliance |
Brittany Gouse | PGY 2 | Psychiatry |
Amy Pasternack | Physician, internal medicine | Cambridge Health Alliance |
Karen Carney CNM | Certified Nurse Midwife | Cambridge Hospital OB\GYN |
Emma Hyde | Medical Student, MS4 | Boston University School of Medicine |
Michael Thackrey | Attending physician | CHA - Family Medicine |
Elizabeth Egan | MPH, LICSW | Boston Medical Center - Pediatrics - Child Protection Team |
Elizabeth Davis, MD | Clinical Director Addiction Care | CHA, Psychiatry, Primary Care |
Maria Openshaw | Certified Nurse-Midwife | Cambridge Hospital |
Claudio Demb | Staff Psychiatrist and Instructor in Psychiatry | Cambridge Health Alliance and Harvard Medical School/Department of Psuciatry |
Rachel A. Walinjom | RN | Psychiatry |
Julianna Brody-Fialkin | Social Worker/Project Manager | DotHouse |
Paula Cushner | APRN | CHA - HealthCare for the Homeless |
Morgan Malloy, MD | PGY4, Department of Psychiatry | Cambridge Health Alliance |
Katherine Stevenson | MD/MPH MS2 | Tufts University School of Medicine |
Andrea Gordon | MD. Faculty physician | Family medicine |
Sarah Bansen APRN | Women's Health and Psychiatric/Mental Health Nurse Practitioner | Cambridge Health Alliance and Refugee and Immigrant Assistance Center |
Praveena Kandasami | LCSW | IBH Psychiatry |
Eduardo Garza, MD | PGY-2 | Family Medicine and Psychiatry |
Meg Bradley | PA | Cambridge Health Alliance |
marcela horvitz lennon | MD MPH, attending physician | Cambridge Health Alliance/HMS Psychiatry |
Yash Prakash | M4 | BUSM |
Cara Fuchs, PhD | Director, Integrated Behavioral Health | Psychiatry, BMC |
Rohini Rau-Murthy | MD/PGY2 | Family Medicine |
Samuel Enumah | Resident, PGY-3 | Brigham and Women's Hospital |
Rashmi Jasrasaria | MD/ Primary Care Physician | MGH Chelsea HealthCare Center |
Julie Ramsey, LICSW | Clinical Social Worker | The Psychotherapy Collaborative |
Julie Bartoloneo | MD | BMC Family Medicine |
Cheryl McSweeney | MD, Family Medicine | BMC/BUSM |
Nicole Jackson MD | Family Physician | Boston Medical Center / Codman Square Health Center |
Brian Kroener, MD, MPH | Clinical Assistant Professor | Family Medicine, BMC, BUSM |
My Ngoc To | Clinical Researcher | Psychiatry |
Lindsay Christensen Corse | Attending physican | Boston Medical Center, family medicine |
Nicole Witham | Registered Nurse | Cambridge Health Alliance, OB/GYN |
julia rothenberg | RN/BSN | Cambridge Health Alliance |
Michelle Durham, MD, MPH | Assistant Professor, Psychiatrist | BU/BMC Psychiatry |
Carol Mostow LICSW | Associate Director, Psychosocial Training | Family Medicine/Boston Medical Center |
Alison Duncan | Instructor | BMC/BUSM Psychiatry |
Amareen Dhaliwal | M3 | BUSM |
Carol Mostow LICSW | Associate Director, Psychosocial Training | Family Medicine/Boston Medical Center |
Mateo Eckstat | MD MPH | Boston Medical Center Department of Family Medicine |
Larissa Wenren | PGY-1 Resident | Pediatrics, Boston Medical Center and Boston Children's Hospital |
Prium Deshmukh | Physician | Family Medicine |
Emily Cleveland Manchanda, MD, MPH | Assistant Professor if Emergency Medicine | Boston Medical Center/Boston University School of Medicine |
Marissa Hamrick | MD | Boston University Family Medicine |
Alden M Landry MD MPH | Assistant Dean, Office for Diversity Inclusion and Community Partnership, Harvard Medical School | Beth Israel Deaconess Medical Center |
Emily Palmer | NP | Hebrew SeniorLife |
Jessica Isom MD MPH | Attending Psychiatrist | Boston Medical Center |
Lara Holbrook | RN, CNM | Cambridge Health Alliance |
Rachel Atkinson, MD | PGY2 (research) resident | Department of Surgery, Brigham and Women's Hospital |
Nirupa Gadi | M1 | Boston University School of Medicine |
Gloria Carrera, MD | Child/Adolescent Attending Psychiatry | Cambridge Health Alliance |
Dinah Applewhite | Addiction Medicine Fellow | Massachusetts General Hospital |
Andrew Hoekzema | MD | Internal Medicine, MGH and BHCHP |
Annemarie Baldauf | PsyD, Licensed Psychologist | CHA, Psychiatry |
Kendyl Eskeli | RN | L&D |
Joan Klagsbrun | Psychologist | private practice |
Liliana Mantilla | Psy.D, LMHC | Cambridge Health Alliance |
Katherine Duhamel | PA | CHA |
Elvira Aronzon | CFH/CFN | |
Alister Martin | MGH ER Physician | MGH |
Joanne Suarez | Founder | MBE Candidate | LatinX Bioethics | Center for Bioethics Harvard Medical School |
Jane Cooper | Bioethics Student | Harvard Medical School |
Sana Sheikh | Psychologist | Cambridge Health Alliance Department of Psychiatry |
Anita Kostecki | Attending Physician | Boston Medical Center Family Medicine |
William Ruhm | Clinical Social Worker | Cambridge Health Alliance, PACE Program |
Rachel Nardin | Physician | Cambridge Health Alliance/Neurologist |
Philip Wang, M.D., Dr.P.H. | Chair and Chief | Department of Psychiatry, CHA, HMS |
Sam Tanyos | MD | Brigham and Women’s Hospital |
Miriam Tepper | Medical Director | Department of Population Behavioral Health Innovation, Department of Psychiatry, Cambridge Health Alliance |
Sarah Bayer | LICSW | Homes for Families |
Veronica White, APRn | NP | CHA |
Zara Cooper | Associate Professor of Surgery, HMS | Surgery |
Jessica Early | MD | Cambridge Health Alliance, Department of Family Medicine |
Elizabeth Philbert | RN | CHA L&D |
Sarah Keller | Medical Student 2023 | Boston University |
JENNIFER K. Brody MD, MPH,AAHIVS | Director, HIV Services | Boston Healthcare for the Homeless Program |
Angel Reyes | MS4 | Harvard Medical School |
Jennifer K. Brody MD, MPH | Director, HIV Services | Boston Healthcare Care for the Homeless Program |
Lindsay Christensen Corse | Attending physican | Boston Medical Center, family medicine |
Jennifer Kasper, MD, MPH | Asst Prof of Pediatrics and Global Health&Social Medicine | Harvard Medical School |
Michael Wilson, MD, PhD | Attending Physician | Department of Emergency Medicine, Brigham and Women's Hospital |
Jonathan Jackson, PhD | Director, Community Access Recruitment Engagement (CARE) Research Center | Division of Clinical Research, Massachusetts General Hospital & Harvard Medical School |
Howard Lanney | Resident | Boston Medical Center |
Erica Brooks | Cardiologist, Instructor in Medicine | Cambridge Health Alliance, Harvard Medical School |
Hazar Khidir | Resident Physician | Department of Emergency Medicine |
Clyde Lanford Smith, MD, MPH, DTM&H | Global Community Health Advisor, Southern Jamaica Plain Health Center, BWH | Primary Care/Medicine |
Tom Kieffer | Executive Director | Southern Jamaica Plain Health Center |
Jossie Carreras Tartak | PGY1 Resident | Emergency Medicine |
David Trimble, Ph.D. | Clinical Assistant Professor | Center for Multicultural Training in Psychology; Psychiatry Division |
Michelle Morse, MD, MPH | Assistant Professor | Harvard Medical School |
Bram Wispelwey MD MS MPH | Associate Physician | Division of Global Health Equity / Brigham and Women's Hospital |
Wendy Macias-Konstantopoulos, MD, MPH | Associate Professor of Emergency Medicine | MGH/Dept of EM |
Daniel Amponsah | Resident | Internal medicine |
Janine Petito | MD, PGY-3 | Cambridge Health Alliance/Internal Medicine |
Nancy Krieger, PhD | Professor of Social Epidemiology | Harvard T.H. Chan School of Public Health |
Elena Ong, PHN, MS | Former Executive Board Member | American Public Health Association |
Katie A Schmidt | Medical Student (MS3) | Elson S. Floyd College of Medicine |
Adam Haber | Assistant Professor | Harvard T.H. Chan School of Public Health |
Sunny Kung | MD, PGY-2 | BWH Internal Medicine |
#260
Andrew Glick, MD MPH | PGY-1 | Cambridge Health Alliance, Internal Medicine |
Rahil Rojiani | Resident, PGY-1 | Psychiatry, Cambridge Health Alliance |
Susan M Reverby | Professor Emeita | Wellesley College |
Robert R. Hall III | M3 | TUSM |
Imikomobong (Micky) Ibia | Resident (PGY-2) | Emergency Department |
Dalia Larios, M.D. | Intern | BWH Internal Medicine Department |
Dana S. Rubin MD, MSW | Attending psychiatrist, pediatrician | Psychiatry, Pediatrics |
Katherine Grace McDaniel | MS3 | Harvard Medical School |
Caitríona O'Grady | Social Work Intern | BCRHHR |
Florence On, MD | PGY4 | MGH & BWH Emergency Medicine |
Sanjay Kishore | PGY-1, Internal Medicinw | Brigham and Women’s Hospital |
Vishal S. Arora | PGY-1, Internal Medicine | Brigham and Women's Hospital, Department of Medicine |
Katherine Cicolello, MD | PGY1 | Psychiatry Department, Cambridge Health Alliance |
Marilyn Augustyn | Professor of Pediatrics BUSM | Pediatrics |
Mardge Cohen MD | Physician | Boston Health Care for the Homeless Program |
Felicia Nimue Ackerman | Professor of Philosophy | Brown University |
Rebecca Muller | Grantwriter/program developer | non-profit organization in W. MA |
Ayrenne A. Adams MD MPH | PGY-3 | BWH Department of Medicine |
Grace Joyce, CRNA | Nurse Anesthesiologist | Springfield Anesthesia Services |
Gordon D. Schiff MD | Associate Professor | Harvard Medical School, Brigham and Women's Hospital |
Radhika Jain | Resident/PGY2 | Department of Medicine, Massachusetts General Hospital |
Martha H. Testa | Speech-Language Pathologist (Retired) | Stoughton Public Schools |
Onyinyechi Eke, MD | Attending Physician | Massachusetts General Hospital/Department of Emergency Medicine |
Anela Stanic, PharmD | Clinical Pharmacist, Infectious Diseases | Boston Health Care for the Homeless Program |
Robert Riviello | Surgeon / Associate Professor | Brigham and Women's Hospital / Department of Surgery |
Adi Rattner | MD, Assistant Professor | Family Medicine |
Timothy Shea | Resident | Psychiatry |
Lucy M. Candib, M.D. | Professor Emerita | Department of Family Medicine and Community Health, UMass Medical School |
Abigail Alsaadi | LICSW | Psychiatry |
Marylou Carr | Nurse Midwife | OB-GYN CHA |
Evan Michael Shannon, MD, MPH | Hospital Medicine Research Fellow and Hospitalist | Brigham and Women’s Hospital/Department of General Medicine and Primary Care |
Sarah King McKeon | RN | BMC/OBAT |
Marie-Louise Jean-Baptiste | Attending Physician | Internal Medicine |
John O. Willis, Ed.D. | retired Senior Lecturer, Psy.D. Program in Counseling and School Psychology | Rivier University, Nashua, NH |
Vikram Pagaria | MPH | Harvard T H Chan School of Public Health |
Anthony Battista | Medical director | Health Integration Program, Psychiatry Dept, Cambridge Health Alliance |
Jaime Francisco Matorras | Licensed Mental Health Counselor | Cambridge Health Alliance/Adult Psychiatry |
Mary Ann Kopydlowski, RN | RN outpatient clinics | Boston Health Care for the Homeless Program |
Lynn Weed | President Non-Profit Trauma Survivors | Administrator activism |
Camilla Cracchiolo, RN | Retired | Retired |
Kenneth Correia | RN, BSN | Cambridge Health Alliance |
#301
Megan Hill | Midwife | Massachusetts Midwives Alliance |
Roxana Llerena-Quinn, Ph.D | Psychologist | Child and Adolescent Psychiatry- BMC |
Susan L Phillips | Teacher | Keetown,LLC |
Nina Passerini | Registered Nurse | Mom to a disabled son |
Regina LaRocque, MD MPH | Associate Professor of Medicine | Division of Infectious Diseases, Massachusetts General Hospital/Harvard Medical School |
Angela N. Ortiz | Founder | Mass Pediatric Home Nursing Care Campaign |
Madeline Freeman | Clinical Social Worker | Cambridge Health Alliance, PACE |
Robin Zachary | LICSW | Cambridge Health Alliance Department of Psychiatry |
William Schneider | Psych NP | Geri & Adult outpatient psychiatry |
Nicole Christian Brathwaite | Psychiatrist | Well Minds Consulting |
Dr Anne Dwyer Wilmer | Physician | Family Medicine, Boston Medical Center /Boston University /East Boston Neighborhood Health Center |
Zoe Agoos, MD | Attending Physician | Family Medicine |
Martha Ellen Katz, MD | Instructor, General Medicine | Brigham and Women's Hospital, Harvard Medical School |
Kathryn Himmelstein, MD MSEd | Resident | Department of Medicine, MGH |
Clinton Pong | MD, Family Medicine Assistant Professor | Cambridge Health Alliance/Tufts Medical School |
Amy Fogelman MD | Physician | Fenway Health (Can you please contact COVID action coalition- we would love to collaborate! amy.fogelman@gmail.com) |
Abigail Ortiz | Director of Community Health Programs | Southern Jamaica Plain Health Center |
Genevieve Daftary MD MPH | Pediatric Medical Director | Codman Square Health Center |
Ezra Cohen | Pediatrician | Pediatrics |
Treniece Lewis Harris, PhD | Clinical Psychologist | CHA/Psychiatry |
THELMA PALMA | EMERGENCY DEPARTMENT TECHNICIAN | EMERGENCY DEPARTMENT |
Kimberly Schwartz, MD | Physician | Boston Medical Center Pediatrics |
Scott Yapo, MD | Child & Adolescent Psychiatrist | Cambridge Health Alliance |
Wise Rynel | N/A | N/A |
Yvonne Bauer | Nurse Care Manager | Boston Healthcare for the Homeless |
Allison S. Brandt, MD, MPhil | PGY4 Psychiatry Resident | MGH/McLean |
Anastasia Evanoff | Resident, PGY-1 | Psychiatry |
Michelle D. Holmes, MD, DrPH | Associate Professor of Medicine & Epidemiology | Brigham & Women's Hospital, Harvard Medical School, Harvard School of Public Health |
Yoko Harumi | LICSW | CHA/Community Health Improvement |
Griffin Ayaz Tyree | PGY-1 | MGH/McLean Adult Psychiatry Residency |
Kathleen Pellecchia | Mental Health Care Partner | Cambridge Health Alliance's Primary Care Behavioral Health Integration Program |
madeline albvert | M.D. | Psychiatry |
Valerie Batts, Ph.d. | Executive Director | VISIONS, Inc. |
Kathleen Thelen | LICSW | Cambridge Health Alliance Department of Psychiatry |
Ana M. Progovac | Instructor / Senior Scientist | Harvard Medical School Dept of Psychiatry / Cambridge Health Alliance Department of Psychiatry |
Jack Beinashowitz, PhD | Psychologist | Cambridge Health Alliance |
Ana Schreck | Licensed Independent Clinical Social Worker | Psychiatry Access Service |
Khalil Saddiq | Community Actvist/Group Peer Support | The Wellness Collaborative |
Rina Bernardez | Family Care Partner Lead/MSW | Cambridge Health Alliance/Child and Adolecent Mental Health Integration |
jkauffman@challiance.org | Director, Addictions Consultation | Psychiatry |
Janice F. Kauffman RN, MPH, CAS, LADC-1 | Director, Addictions Consultation, Assistant Professor of Psychiatry, Harvard Medical School | Psychiatry |
Cheli Mennella | concerned citizen | |
Lindsay Christensen Corse | Attending physican | Boston Medical Center, family medicine |
Jennifer Valenzuela | Chief People Officer | Health Leads |
Emily R Chen MD, FAAP, FACP | Internal Medicine/Pediatrics PCP | Cambridge Health Alliance |
Mimiko Watanabe | Psychology Intern | Department of Psychiatry |
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Charles Carr | Legislativ Liaison | Disability Policy Consortium |
Catarina Kiefe, MD, PhD | Professor of Population and Quantitative Health Sciences | Univ of Massachusetts Medical School |
Nawal M. Nour | Assoc Prof, | BWH - Ob/Gyn |
Desta Lissanu | Resident Physician, PGY1 | MGH/McLean Psychiatry |
Cathy Schen | Assistant Professor of Psychiatry-Part Time | Psychiatry, Cambridge Health Alliance/Harvard Medical School |
Vananh Vuong, MPH, CPH | Program Manager | Seattle Indian Health Board |
Emily Malavenda, MD | PGY-1 | Psychiatry, Cambridge Health Alliance |
Alan Meyers | Emeritus Professor of Pediatrics | Boston University School of Medicine |
Elizabeth Garbitelli | Medical Student (Class of 2022) | Tufts University School of Medicine |
Robin L. Reed, MD, MBA | President/Cofounder | The Wellness Collaborative, Inc. |
Arlene Ash, PhD | Professor | University of Massachusetts Medical School/Department of Population and Quantitative Health Sciences |
Brita Lundberg, M.D. | CEO | Lundberg Health Advocates |
Sarah Stoddard-Gunn, MSW, LICSW | Cinical Social Worker | Cambridge Health Alliance, Psychiatry |
Felix Nwajei | PGY2 | Neurosurgery |
Sarah Dolisca, MD | Housestaff PGY-3 | BWH/MGH Ob/Gyn |
Brannon Weeks, MD | PGY-1 | BWH/MGH Integrated Program in Obstetrics & Gynecology |
rachidchakri | PA-C | Family med |
Alexandra Berco | 3rd Year Resident | OB/GYN |
Jennifer Bakkensen | Resident, PGY-4 | Obstetrics and Gynecology, BWH and MGH |
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Cody Cichowitz | Resident | MGH - Department of medicine |
Renita Kim | MD, PGY-4 | OB/GYN |
Ronan Sugrue | Resident PGY-3 | OBGYn |
Carolyn Brennan | RN, MSN | Chief Executive Officer |
Marita Barrett | PA-C | CHA |
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Donna Casali | Patient Benefits Coordinator | Boston Health Care for the Homeless Program |
Maeve O'Neill | Resident, 4th year | MGH/McLean Psychiatry |
Mariano Humphrey | Special Education Director | Boston Public Schools/Special Education |
Jeanette Callahan | Dr. | The Wellness Collaborative, Inc |
Jeanette Callahan | MD | Cambridge Health Alliance |
Thomas Adams, MD | Resident Physician, PGY3 | CHA Dept of Psychiatry |
Georgia Thomas | LMHC | Behavioral health |
Gina Weisblat | Director of Office of Community Engagement, Equity, Diversity and Inclusion/Assistant Professor at Case Western Reserve Medical School | Office of CEDI University Hospitals/Case Western Reserve University Medical School Assistant Professor |
Nancy Torres-Finnerty, MD | attending physician | Boston Health Care for the Homeless |
Ravi Agarwal | OB/Gyn | |
Alessandra De Franco | MS1 | Tufts University School of Medicine |
Anthony Norman | 4th year medical student | Tufts University School of Medicine |
Amber Giesmann | PA | CHA Family Medicine |
Katherine Mendez Lopez | Medical Case Manager | BHCHP |
Divya Dethier | MD PGY3 | OBGYN |
Tiffany Vassell | Registered Nurse | Maternity |
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Walter Willett MD, DrPH | Professor of Epidemiology and Nutrition | Harvard T.H. Chan School of Public Health |
Logan Mauney | PGY-2 | OBGYN |
Lena Jorde | MS2 | Tufts University School of Medicine |
Lizzeth Alarcon | MD | Family Medicine |
Adriana Black, MPH, ATC | Associate Director for Diversity and Inclusion Education | Tufts University |
C. Sola Ajewole | PGY-3 | Obstetrics and Gynecology |
Dorothy Kelleher | Psychologist | Cambridge Health Alliance |
Maria Suarez-Gama | Medical student, 2022 | Boston University School of Medicine |
Elizabeth Davis, MD | Clinical Director of Addiction Care | Cambridge Health Alliance |
Kathryn Himmelstein, MD MSEd | Resident | Department of Medicine, MGH |
Sandra DeJong, MD | Sr Consultant to Child Psychiatry Training | Cambridge Health Alliance |
Judith Bernstein, RNC, PhD | Professor Emerita | BUSPH |
Clare Rupp | Clinical Social Worker | Inpatient Psychiatry |
Rebecca Hillel | Psychology Intern | Cambridge Health Alliance Department of Psychiatry |
Elizabeth Gauberg | Associate Professor of Medicine and Psychiatry, Harvard Medical School | Cambridge Health Alliance |
Zoe Silver | LCSW Fellow | Outpatient Psychiatry |
Jennifer Littleton | Social Worker | Psychiatry |
Sarah Weiss | MS3 | HMS |
Cameron Nutt, MD | Resident physician, PGY-1 | Brigham and Women’s Hospital, Department of Medicine |
Emily Unger | MD/PhD candidate, G3 | Harvard Medical School and Harvard T. H. Chan School of Public Health |
Maria Carolina Izquiel | SWI | Cambridge Health Alliance - Department of Psychiatry |
Brita Lundberg, M.D. | CEO | Lundberg Health Advocates |
Francis X. Torres | Medical Student, Class of 2022 | Boston University School of Medicine |
George Dominiak, MD | Medical Director Adult Inpatient Psychiatry | Cambridge Health Alliance |
Anupriya Grover DO | Attending/Faculty | Family Medicine |
Daniela del Campo | Medical Student Year 2 | Boston University School of Medicine |
Isabelle Gell-Levey | MS2 | Boston University School of Medicine |
Prihatha Narasimmaraj, MD | Internal Medicine PGY-1 | Brigham & Women's Hospital |
Emily O. Hall, MD, MPH | PGY5 Fellow | Cambridge Health Alliance, Child and Adolescent Psychiatry |
Himabindu Reddy | Resident, PGY4 | OBGYN |
Dana Rosenberg | Public Health Student & Registered Nurse | Harvard T.H. Chan School of Public Health |
Penny Sun | MPH Candidate Class of 2021 | HSPH Global Health |
Greg Woods, MD | Resident - PGY-1 | Obstetrics & Gynecology - BWH/MGH |
Stephanie Cohen | MD (PGY4) | Cambridge Health Alliance, Department of Psychiatry |
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Fabiola Molina | PGY-2, Internal Medicine Resident | Internal Medicine |
Gretchen Kurdziel Adams | Psychology Fellow | Cambridge Health Alliance |
Anthony Schlaff | Director, Public Health Program | Tufts University School of Medicine |
Edward. Bernstein MD | Professor | Emergency Medicine and Community Health Science’s |
Vonzella Bryant | MD, Assistant Professor, EM Clerkship Director | Boston University SOM/Boston Medical Center |
Thomas Noah | Medical Device Product Manager | AliMed |
Sameen Ansari | Medical student | Oakland University William Beaumont School of Medicine |
Nathaniel F. Meyer | M2 Medical Student | Tufts University School of Medicine |
Sarah Swettberg | Nurse Practitioner | Cambridge Health Alliance |
Kelly Chacon | Resident Physician PGY-1 | OB/GYN |
Sejal Hathi | Resident physician | MGH Internal Medicine |
Renee Boynton-Jarrett, MD, ScD | Associate Professor of Pediatrics | Boston Medical Center / Pediatrics |
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Cynthia Akagbosu | Pediatrics Resident | Boston Medical Center and Boston Childrens Hospital |
Michelle Ikelau | MSc Candidate | Harvard T.H. Chan School of Public Health |
Judy Bigby | MD | Physician |
Nidhi Lal | MD, Family Physician | Boston Medical Center |
Alice Abernathy | Resident | OB/GYN |
Karen T Craddock | Applied Psychologist/Co-Founder | The Wellness Collaborative Inc. |
Carley Taylor | SEES | CHA |
Carolina Sopper | Social Work Trainee | Psychiatry |
Jeroan Allison | Professor of Population and Quantitative Health Sciences | Department of Population and Quantitative Health Sciences |
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Mary Bridget Lee | MS2 | Tufts University School of Medicine |
Tyler Hanna | Medical Student | Boston University School of Medicine |
Paulette Hines PhD | NJ Association of Black Psychologists | |
Marilyn P. Griffin, MD | Chief, Pulmonary section | New England Baptist Hospital |
Alexis I Griffin, MD | Resident Physician (PGY I) | Tufts OB/GYN Department |
Mary Mahoney Smith | R.N. | Obstetrics |
Alexa Kanbergs | PGY-1 | OB-GYN |
Lisa Mashburn | Nurse Practitioner | Cambridge Health Alliance - OBGyn |
Kaitlin Nichols, RN, BSN, ACRN | RN | BHCHP, Greater Roslindale Medical and Dental Center |
Kimberly Rawlins | Psychiatrist | Psychiatry |
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Sarah Rosenberg-Scott, MD, MPH | Family Physician | Tufts University School of Medicine, Newton-Wellesley Hospital |
Emily Cohen | Nurse | Boston Health Care for the Homeless Program |
Nana Yaa Misa | Resident, PGY2 | Highland Hospital/ Emergency Medicine |
Steven Yoshinaga | MS1 | Tufts University School of Medicine |
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Barbara Strong | MD/Resident PGY4 | OBGYN |
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Lara Jirmanus, MD MPH | Family Physician | Cambridge Health Alliance/Department of Family Medicine |
Regina Kelly | LICSW, JD | CHA Psychiatry |
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Alice Abernathy | Resident Physician | OB/GYN |
Amy L. Lee, MD | Associate Professor | Family Medicine TUSM and Greater Lawrence Family Health Center |
Milan Satcher MD MPH | Fellow | Graduate from BMC Family Medicine residency |
Nancy DiMeo MSOTRL | Occupational Therapist psychiatry | Brigham & Womens Faulkner Hospital |
Robert DiMeo LICSW | Clinical social worker | Life Transitions Inc |
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