Leadership Team
Executive Team
Pierre M. Barker, MD, MBChB, Chief Scientific Officer, Institute for Healthcare Improvement (IHI), leads IHI’s commitment to use effective improvement science methods to achieve its mission of improving health and health care worldwide. Dr. Barker oversees IHI’s cutting-edge innovation, design, and learning activities, ensuring that we maximize the opportunities for impact and that practical improvement methods and tools are accessible to all who seek to improve health and health care. He has extensive experience in designing effective health improvement interventions across a variety of health systems and economies, and has worked closely with the World Health Organization to help develop a global implementation strategy to improve quality of care for mothers and newborns. He attended medical school in South Africa and has practiced pediatrics for more than 30 years in South Africa, UK, and US. Before joining IHI, Dr. Barker was Professor of Pediatrics and Medical Director of University of North Carolina (UNC) Children’s Hospital clinics. He has extensive experience in basic, clinical, and implementation science research and is Clinical Professor of Pediatrics in the Maternal and Child Health Department at Gillings School of Global Public Health at UNC Chapel Hill.
Amy Hosford-Swan, CPA, MS, MBA, Chief Financial and Administration Officer, Institute for Healthcare Improvement (IHI), has held progressively responsible finance and administration positions in a wide variety of environments, from fast growing not-for-profits to small and large company corporate environments, including the global accounting firm, KPMG Peat Marwick. She joined IHI in 2007 from her most recent role as a senior consultant at Accounting Management Solutions. Prior to that, Ms. Hosford-Swan was Vice President of Finance and Administration of Jumpstart For Young Children, Inc., where she helped lead the organization's growth from four to 44 sites. She is a Certified Public Accountant in the Commonwealth of Massachusetts, a graduate of the University of Massachusetts at Amherst, and received her master’s degrees in Accounting and Business Administration from Northeastern University.
Kedar Mate, MD, is President and Chief Executive Officer at the Institute for Healthcare Improvement (IHI), President of the IHI Lucian Leape Institute, and a member of the faculty at Weill Cornell Medical College. His scholarly work has focused on health system design, health care quality, strategies for achieving large-scale change, and approaches to improving value. Previously Dr. Mate worked at Partners In Health, the World Health Organization, Brigham and Women’s Hospital, and served as IHI’s Chief Innovation and Education Officer. He has published numerous peer-reviewed articles, book chapters, and white papers and has received multiple honors, including serving as a Soros Fellow, Fulbright Specialist, Zetema Panelist, and an Aspen Institute Health Innovators Fellow. Dr. Mate graduated from Brown University with a degree in American History and from Harvard Medical School with a medical degree. You can follow him on Twitter at @KedarMate
Melissa Panagides-Busch, MPH, Chief Operating Officer, is responsible for developing and executing IHI's operational plan, ensuring operational excellence across IHI and overseeing key business lines, including business development, marketing, and communications. She previously served as a Managing Director for BDO USA and has held progressively responsible programmatic and operational positions in a variety of professional service nonprofit and for-profit organizations, including FHI 360 and the American Institutes for Research. She has experience managing research and evaluation projects and programs for the Bill & Melinda Gates Foundation and the National Center for Education Statistics. Her program experience also includes management of technical assistance contracts, including the support of American Indian Alaskan Native (AIAN) and Migrant Head Start grantees through the US Department of Health and Human Services. She has worked internationally for the World Bank and USAID and has expertise in strategic planning, process improvement, project and program management, and change management. She is a trustee of The Phillips Programs for Children and Families, a 50-year-old private nonprofit organization serving individuals with emotional and behavioral needs through education, family support services, and advocacy. She graduated from Oberlin College with a degree in Sociology and has a master’s degree from George Washington University’s Milken Institute School of Public Health.
Nana Twum-Danso, MD, MPH, FACPM, Senior Vice President, Institute for Healthcare Improvement (IHI), leads all global strategy and client development, with top-line revenue responsibility. Previously she was Managing Director for Health at The Rockefeller Foundation, overseeing a strategy designed to transform the practice of public health through data science. She is a public health and preventive medicine physician with 20 years of experience in health policy, practice, strategy, monitoring, learning, evaluation, research, and philanthropy at local, national, and international levels. Dr. Twum-Danso is also an Adjunct Assistant Professor in the Department of Maternal and Child Health at the Gillings School of Global Public Health at the University of North Carolina, Chapel Hill. She worked at the Task Force for Global Health in Atlanta, Georgia; was Director of IHI’s nationwide CQI initiative in Ghana; Senior Program Officer in the MNCH Department at the Bill & Melinda Gates Foundation; independent consultant; and Founder and CEO of MAZA, a social enterprise that provided on-demand health care transportation for pregnant women and sick infants in remote areas of Ghana. She also served on technical advisory committees for the World Health Organization, the US National Academy of Sciences, Engineering and Medicine, and the Canadian International Development Research Centre. Dr. Twum-Danso received her undergraduate and medical education from Harvard University and her public health and preventive medicine residency training from Emory University. She has been a Fellow of the American College of Preventive Medicine since 2006 and a member of the International Society for Quality in Health Care since 2010.
Management Team
Jafet Arrieta, MD, DrPH, MMSc, Vice President, Institute for Healthcare Improvement (IHI), oversees IHI’s portfolio in the Latin America region and Measurement, Evaluation, Learning & Dissemination (MEL-D). In her role, she supports global partners in the design and implementation of large-scale quality improvement and health system strengthening initiatives and oversees global efforts to advance improvement science through MEL-D activities. Dr. Arrieta has extensive experience in operational, oversight, management, and leadership roles within the areas of public health, quality improvement, and health systems strengthening across low-, middle-, and high-resource settings. She is an Instructor at Harvard Medical School and the Harvard T.H. Chan School of Public Health. She also serves a Policy Advisor for Partners In Health and is an Associate Faculty of Ariadne Labs. Dr. Arrieta previously served as Director of Operations for Partners In Health Mexico. She holds a medical degree from Tecnologico de Monterrey School of Medicine, a Doctor of Public Health degree from the Harvard T.H. Chan School of Public Health, and a Master of Medical Sciences in Global Health Delivery degree from Harvard Medical School.
Alice Bonner, PhD, RN, FAAN, FAANP, Senior Advisor for Aging, Institute for Healthcare Improvement (IHI), has been a nurse practitioner for over 30 years. She is currently Chair of the Moving Forward Nursing Home Quality Coalition and Adjunct Faculty at the Johns Hopkins University School of Nursing. She received an AB from Cornell University, a BSN from Columbia University, an MSN from University of Massachusetts–Lowell, and a PhD from the University of Massachusetts Graduate School of Nursing. From 2015 to 2019, Dr. Bonner served as Secretary of the Executive Office of Elder Affairs for the Commonwealth of Massachusetts. From 2011 to 2013, she served as Director of the Division of Nursing Homes in the Centers for Medicare and Medicaid Services (CMS) in Baltimore, MD. Her research interests include home- and community-based programs, nursing home quality, and nursing workforce development.
Camille Burnett, PhD, MPA, APHN-BC, BScN, RN, DSW, FAAN, CGNC, Vice President, Health Equity, Institute for Healthcare Improvement (IHI), has extensive professional health care experience within the US and Canada in public health and health equity, research and administration, and as an academic and consultant. At IHI Dr. Burnett oversees the US Equity portfolio that includes large-scale and place-based national and local equity initiatives spanning the health care ecosystem. Prior to joining IHI, she served as Associate Vice President, Education and Health Equity, at Virginia Commonwealth University (VCU), with appointments as a tenured Professor at VCU School of Nursing, Associate Executive Director of the Institute for Inclusion, Inquiry, and Innovation, and in VCU Institute for Women’s Health, School of Medicine. Previously Dr. Burnett was at the University of Kentucky (UK), as the Strategic Advisor for Community Engagement and Academic Partnerships in the Office of the Provost; Assistant Dean for Equity, Outreach and Social Justice; tenured Associate Professor in the College of Nursing; the Cralle-Day Endowed Professor in the UK Center for Research on Violence Against Women; and Co-Director for Integrated Special Populations in the UK Center for Clinical and Translational Sciences. Prior to this while at the University of Virginia, her roles included Academic Director for Community Engagement and Partnerships, tenured Associate Professor in the School of Nursing, and co-founder of the University of Virginia Equity Center. Dr. Burnett’s research amplifies structural influences that shape disparate outcomes and uses her structural justice lens to identify solutions to redress inequity. She has served on numerous boards with appointments locally, nationally, and internationally and is an Advanced Practice Public Health Registered Nurse, a certified Global Nurse Consultant, a Fellow of the American Academy of Nursing, and a member of the American Nursing Association, American Public Health Association, and the American College of Healthcare Executives.
Claire Celeste (CC) Carnes, MBA, Vice President, Marketing and Communications, Institute for Healthcare Improvement (IHI), has extensive experience in marketing and strategic communication for organizations at the intersection of health care and innovation. She joined IHI in 2024 and leads the brand, product marketing, go-to-market planning, and strategic communications. Prior to joining IHI, Ms. Carnes led marketing, partnerships, compliance, business development, and operations for an AI-enabled digital health joint venture focused on diagnostics. Previously, she served as the Vice President of Marketing and Communication for Legacy Health; managed marketing, digital strategy, communication, and innovation for Providence Health & Services; oversaw regional marketing at Kaiser Permanente; and enjoyed several roles spanning global marketing, communications, and sales at Intel Corporation. Her teams have received numerous national health care marketing awards including Health Leaders Marketing and the eHealth Health and Wellness web site award. Ms. Carnes developed the graduate-level Healthcare Marketing and Strategic Communications curriculum for the New York University Wagner School and subsequently taught several cohorts of clinical and operations professionals. She has served as a moderator, speaker, and panelist at professional conferences including HIMSS. She has experience with both nonprofit and corporate boards and currently serves as board chair for a boutique consultancy. Ms. Carnes received her MBA from the Kellogg School at Northwestern and her bachelor’s degree from the Edward R. Murrow School of Communication at Washington State University.
Josh Clark, RN, MHA, Vice President, Quality and Safety Operating Systems, Institute of Healthcare Improvement (IHI), partners with health care systems to deploy a series of technology-enabled workflows that seamlessly embed quality, safety, and experience within clinical operations across a variety of settings. Prior to joining IHI, he served as the Senior Vice President of Quality and Safety Operations for Jefferson Health, an 18-hospital system covering the greater Philadelphia region and southern New Jersey. At Jefferson Health, he led the implementation of an industry-leading operating system that included an innovative serious safety event review program, enterprise escalating huddles, an organizational learning and triage platform, and a state-of-the-art enterprise analytics platform. Mr. Clark previously served as Enterprise Senior Director of Quality and Safety at Carilion Clinic. At Carilion, he helped develop and lead one of the largest clinically-informed human factors teams in the country. He has participated in National Quality Forum Action Teams for both Opioid Safety and Medication Safety and serves on the Board of the Health Care Improvement Foundation. His work to integrate translational human factors within clinical operations was recognized by the National Quality Forum with its 2018 Next Generation Innovator Award. His work at Jefferson Health was recognized by ECRI and ISMP’s 2021 Safety Excellence Award. Mr. Clark received his RN and Master of Healthcare Administration degrees from Jefferson College of Health Sciences.
David Coletta, Executive Director, Alliance Development, Institute for Healthcare Improvement (IHI), is responsible for developing organizational alliances designed to advance IHI’s mission, enhancing avenues of partner engagement across programs and quality and safety imperatives, and managing and evolving these relationships. Prior to joining IHI, he spent nine years at the National Patient Safety Foundation as a member of the executive team, engaged in strategic partner, operational, financial, and marketing priorities. His past experience includes diverse relationship management, business development, marketing, communications, and program design activities in start-up, mid-size, and large organizations.
Pedro Delgado, MSc, Vice President, Institute for Healthcare Improvement (IHI), oversees IHI’s portfolio of work in three regions (Latin America, Europe, and Australasia) and the IHI Open School. Based in the United Kingdom, he has been a driving force in IHI’s global expansion. From work on reducing C-sections and healthcare-acquired infections in Brazil and several Latin American countries, to improving early years education in Chile, to improving patient safety in Portugal and mental health in London, Mr. Delgado has led the key senior relationships and design and implementation of large-scale health system improvement efforts and networks globally. He coaches senior leaders and teams, and lectures extensively worldwide on large-scale change, patient safety, and quality improvement. He is an Instructor at the Harvard T.H. Chan School of Public Health and an Associate Editor of BMJ Leader. Prior to joining IHI in 2010, he held roles in hospital management and large-scale improvement leadership in the UK, and accumulated experience working in mental health in Venezuela and the UK.
Cathleen Duffy, Vice President, Finance, Institute for Healthcare Improvement (IHI), oversees the organization’s financial operations and the financial planning and reporting processes, including annual audits, budgeting, forecasting, and all financial analysis and reporting for the organization. She serves as a critical member of the operational planning team responsible for implementing IHI’s strategic plan. Ms. Duffy works with the Regional Leads and Executive Team to achieve program and financial results within their areas of responsibility by effectively managing their resources while understanding the financials of the organization as a whole. She also serves as the point person for all IHI programs within developing countries and works directly with the sub-grantees in Africa, serving as a mentor and supervising staff as needed. She joined IHI in 1997 as a Staff Accountant and during her tenure she has led various internal improvement efforts. Ms. Duffy earned her Bachelor’s degree in Accounting from Stonehill College.
Jill Duncan, RN, MS, MPH, Vice President, Institute for Healthcare Improvement (IHI), oversees IHI’s portfolio of strategic networks. She leads IHI’s US-based Leadership Alliance and is accountable to the success of global teams in catalyzing and accelerating improvement knowledge exchange through robust relationship-based networks across IHI communities. Ms. Duncan is an active partner, facilitator, and advisor to large-scale efforts focused on leadership, workforce well-being, clinical quality improvement, and the development of dynamic learning networks. Her previous IHI responsibilities include daily operations and strategic planning for the IHI Open School, leadership for a number of results-oriented initiatives, and the design and development of workforce development programming. Ms. Duncan draws from her learning as a Clinical Nurse Specialist, quality leader, nurse educator, and frontline care provider. She received her undergraduate nursing degree from Georgetown University and her Master of Science and Master of Public Health from the University of Illinois Chicago.
Jennifer Lenoci-Edwards, RN, MPH, CPPS, Vice President, Institute for Healthcare Improvement (IHI), leads a team responsible for the development and execution of regional priorities in service of achieving IHI’s mission. Her team works in partnership with others at IHI to cultivate collaborative relationships, support new business development, and design large-scale initiatives that help organizations meet their aims and aspirations. Ms. Lenoci-Edwards began her career in health care as a Registered Nurse in 1999, working in a variety of emergency departments over 15 years. In 2004, she went on to implement a statewide immunization registry at the Maryland Department of Health and Mental Hygiene. Back in Boston at Partners Healthcare, she supported the development of standards for timely reporting and escalation of lab and radiology results across the Partners system, started an ambulatory patient safety workgroup, represented patient safety concerns in the Epic electronic health record rollout, and worked with primary care teams as consultant to Partners’ Patient Centered Medical Home effort. Since joining IHI in 2015, she has led teams and contributed to IHI’s knowledge base for reducing diagnostic error, patient safety reporting systems, ambulatory patient safety, and improved care in nursing homes. As the lead for IHI’s Strategic Partnership with the Military Health System, Ms. Lenoci-Edwards oversees the overall strategy for the partnership. She has also led several North America-based safety and quality diagnostics for partnering organizations.
Robert Lloyd, MRPL, PhD, Senior Advisor, Improvement Science and Methods, Institute for Healthcare Improvement (IHI), provides leadership in the areas of performance improvement strategies, statistical process control methods, development of strategic dashboards, and capacity and capability building for quality improvement. He also serves as faculty for the IHI Improvement Advisor Professional Development Program, the Improvement Coach Professional Development Program, and various IHI initiatives and demonstration projects. Dr. Lloyd supports IHI’s work in the US, Canada, the UK, Sweden, Denmark, Norway, Africa, the Middle East, Singapore, Australia, and New Zealand. His degrees were awarded by the Pennsylvania State University. He is an internationally recognized speaker on quality improvement concepts, methods, and tools. Dr. Lloyd also advises senior leadership teams on how to create the structures and processes that make quality thinking and practice part of daily work. He is the author of three leading books on measuring quality improvement in health care settings and has published numerous articles and chapters on quality measurement and improvement.
Patricia A. McGaffigan, RN, MS, CPPS, Senior Advisor, Patient and Workforce Safety, Institute for Healthcare Improvement (IHI), is IHI’s senior sponsor for the National Steering Committee for Patient Safety and President, Certification Board for Professionals in Patient Safety. She is the former Chief Operating Officer and Senior Vice President of Safety Programs at the National Patient Safety Foundation. Ms. McGaffigan is a Certified Professional in Patient Safety (CPPS), a graduate of the AHA-NPSF Patient Safety Leadership Fellowship Program, and a member of the Joint Commission National Patient Safety Committee, the Joint Commission Journal on Quality and Patient Safety Editorial Advisory Board, and the Advisory Committee of the Coalition to Improve Diagnosis. She serves as a Board Member of the Massachusetts Coalition for the Prevention of Medical Errors and on Planetree’s Person-Centered Certification Committee. Ms. McGaffigan represents IHI on numerous committees, taskforces, and professional panels and is a frequent speaker at national and regional conferences. A recipient of the Lifetime Member Award from the American Association of Critical Care Nurses, she received her BS in Nursing from Boston College and her MS in Nursing from Boston University.
Lisa McKenzie, BPhysio(Hons), MHA, GAICD, Vice President, Asia-Pacific, Institute for Healthcare Improvement (IHI), supports organizations in the region to accelerate the pace of improvement and achieve impactful results. She oversees multi-year partnerships with Safer Care Victoria (Australia) and the Singapore Ministry of Health to deliver transformative changes for the populations they serve. Ms. McKenzie advises leaders on strategies to advance the quality of health systems and presents programs internationally to build improvement science capability. She has worked for more than 20 years in the health sector and has extensive experience in the co-design, delivery, and spread of large-scale improvement programs. Prior to joining IHI, Ms. McKenzie was in various leadership roles, including Chief of Staff and Director of Transformation and Quality, at Melbourne Health, one of Australia’s major tertiary health services. She has a Masters of Health Administration, a clinical background in physiotherapy, has completed IHI’s onsite Fellowship Program, and is a graduate of the Australian Institute of Company Directors.
Jeff Salvon-Harman, MD, CPE, CPPS, Vice President, Safety, Institute for Healthcare Improvement (IHI), is a Certified Physician Executive, Certified Professional in Patient Safety, and IHI Fellow who is resolute about creating safety and belonging for patients and the health care workforce. He provides strategic leadership in safety, with deep operational expertise in implementing change initiatives and applying quality improvement methods. Dr. Salvon-Harman is a recognized subject matter expert in high reliability, patient and workforce safety, human factors application to root cause analysis, and system-level management of quality and safety. Previously, he was the Chief Patient Safety Officer/VP, Quality Institute and Medical Director of Infection Prevention and Control for Presbyterian Healthcare Services in New Mexico. He is retired from the US Public Health Service, where he dedicated 20 years to the Indian Health Service and the US Coast Guard in roles ranging from clinical service delivery to management and leadership. Dr. Salvon-Harman completed his residency in Family Medicine at Carilion Health System in Roanoke, VA, after graduating from Tufts University School of Medicine in Boston, MA.
Sodzi Sodzi-Tettey, MD, MPH, Vice President, Institute for Healthcare Improvement (IHI), provides strategic technical and relationship guidance for IHI’s work in Africa while also securing new business opportunities in the region. Prior to this role, he was IHI’s Senior Technical Director, Africa, leading Project Fives Alive! in Ghana to deliver a large-scale quality improvement project in more than 80 percent of public sector hospitals and 30 percent of Ghanaian sub-districts, contributing to a 34 percent reduction in facility-based child deaths. He also supported the design of a large-scale improvement initiative in Ethiopia. Additionally, he is leading IHI’s ongoing support to the Liberian Health Ministry’s health system rebuilding efforts post Ebola. A public health physician, Quality Improvement Advisor, and a Fellow of the International Society for Quality in Healthcare, Dr. Sodzi Sodzi-Tettey also has years of clinical and management experience in frontline district medical practice. Before joining IHI, he conducted high-level trainings and short-term consultancies in quality improvement with organizations in Saudi Arabia, India, Ethiopia, Liberia, Nigeria, and the US. He serves on the governing board of Ghana’s National Health Insurance Authority and the Council of the University of Health and Allied Sciences.
Valerie Spalding, MBA, MSc, Vice President, Business Development and Operations, Institute for Healthcare Improvement (IHI), provides leadership in developing and executing on IHI’s business strategy, creates and develops new business opportunities, and provides expertise on business and relationship development, project design, translation of customer needs, and operational planning. Prior to joining IHI in 2014, she led operational planning for an international non-governmental organization and worked in product marketing for a US-based global software company. She received her undergraduate degree from Queen’s University in Canada, her MSc from New Jersey Institute of Technology, and her MBA from the University of Geneva in Switzerland.
Jennifer Walker, SHRM-SCP, Vice President, Human Resources, Institute for Healthcare Improvement (IHI), works to ensure that our most valued resource at IHI — our people — feel appreciated and supported in meaningful ways. She is responsible for developing and executing IHI’s human resource strategy in support of the overall mission and strategic direction of the Institute, specifically in the areas of organizational equity, joy in work, employee well-being, continuous workforce improvement and planning, talent acquisition, change management, performance management, succession planning, training and development, total rewards, and policy development and compliance. Prior to joining IHI, Ms. Walker served as Vice President, Administration, at the National Patient Safety Foundation, leading HR as a “team of one,” administering organization-wide systems, and managing the Lucian Leape Institute. She graduated summa cum laude with a Bachelor’s Degree in English from Illinois State University.
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