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:

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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

#347

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

#366

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

#371

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

#387

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

#421

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

#433

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

#442

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

#452

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

#456

Barbara Strong

MD/Resident PGY4

OBGYN

#457

Lara Jirmanus, MD MPH