Administrative Fellowship Health System Executive Team Health System Executive TeamClick on an image to open the bio. Executive Team Timothy J. Harlin, DSc, MBA, FACHE, Executive Vice President and CEO, UTMB Health System × Timothy J. Harlin, DSc, MBA, FACHE, Executive Vice President and CEO, UTMB Health System Timothy J. Harlin, DSc, MBA, FACHE, EVP & CEO Dr. Harlin has an extensive background in helping complex health care organizations reach their potential in terms of patient experience, clinical outcomes, operational efficiency and growth, and financial stability Prior to joining UTMB, Dr. Harlin served as chief operating and acceleration officer at Denver Health and Hospital Authority in Colorado—an academic integrated health system that includes a 555-bed acute care hospital, nine Federally Qualified Health Centers, a health plan, emergency medical services, the Rocky Mountain Poison & Drug Center and correctional care services. Denver Health employs more than 7,000 people and trains about 1,000 residents and fellows across 16 Graduate Medical Education programs affiliated with the University of Colorado School of Medicine. Prior to Denver Health, Harlin served as chief operating officer at Hennepin Health System in Minneapolis, CEO at Randolph Medical Center in Roanoke, Alabama, and a health care consultant. Dr. Harlin is a Fellow of the American College of Healthcare Executives. After receiving his Bachelor of Science degree from Auburn University, he earned a Master of Business Administration degree at Emory University and a Doctor of Science degree from the University of Alabama at Birmingham. Katrina Lambrecht, JD, MBA, Vice President, Health System Operations & Regional Hospitals - PRECEPTOR × Katrina Lambrecht, JD, MBA, Vice President, Health System Operations & Regional Hospitals - PRECEPTOR Katrina Lambrecht, JD, MBA, Vice President Health System Operations & Regional Hospitals Katrina Lambrecht, JD, MBA, serves as Vice President, Health System Operations & Regional Hospitals at the University of Texas Medical Branch (UTMB Health). In this role, Ms. Lambrecht oversees community hospital operations, as well as operations at UTMB's Angleton Danbury and League City campuses. She oversees UTMB's collaborative partnership with the University of Texas MD Anderson Cancer Center, who has an outpatient facility on UTMB's League City Campus. Ms. Lambrecht oversees the organization’s involvement in the 1115 Medicaid Waiver and the UTMB Multi-share plan. Under the Medicaid 1115 Waiver, UTMB serves as the anchor for a 16-county region in southeast Texas and also manages more than 30 delivery system innovation projects aimed at increasing access to care. Tying into this work, Ms. Lambrecht oversees models for reform (e.g., bundled payments, chronic care management, etc.). She is over the Patient Placement Center, Access Operations & Services, Care Transitions and Health Maintenance. Katrina earned both her JD and her MBA from the University of Wisconsin in Madison, Wisconsin. Gulshan Sharma, MD, MPH, FCCP, Vice President, Chief Medical and Clinical Innovation Officer × Gulshan Sharma, MD, MPH, FCCP, Vice President, Chief Medical and Clinical Innovation Officer Gulshan Sharma, MD, MPH, FCCP, Vice President, Chief Medical and Clinical Innovation Officer Dr. Sharma completed his medical school training in India and came to the United States in 1995 to an externship at the University of Texas Medical Branch (UTMB) which allowed him to complete his medical degree. He completed his residency in internal medicine at Henry Ford Hospital in Detroit, Michigan and stayed an additional year as a chief resident. For his pulmonary and critical care medicine fellowship, he moved to the East Coast and joined Yale New Haven Hospital in New Haven, Connecticut. Always interested in outcomes research, he was fortunate to benefit from good mentoring, which enabled him to hone his skills and ultimately earn a Master’s degree in Public Health at Yale University while completing his fellowship training. In 2004, he and his wife, along with two small children, decided to return to the Houston area where he joined UTMB’s Division of Pulmonary and Critical Care as an assistant professor. During his tenure at UTMB, he has served as medical director of the MICU/CCU and the Texas Department of Correctional Justice’s Hospital Galveston ICU; he is also the program director for the Pulmonary and Critical Care Medicine Fellowship Program. Dr. Sharma is a Sealy and Smith Distinguished Chair in the Department of Internal Medicine and Professor & Director, Division of Pulmonary, Critical Care and Sleep Medicine. In 2014, he was appointed Associate Chief Medical Officer, where his focus was on quality, patient safety and assisting with the transformation to Version 2.0 Medicine—from "fee-for-service" to "value-based care." He was also the physician champion on a regional collaborative effort to reduce readmissions and create model bundle payments for the 16-county “Region 2” under the Texas 1115 Medicaid Transformation Waiver Demonstration Project. His research interests include health services, quality and outcomes. He received a K-08 Career Development Award from the NIH and serves as co-investigator on PCORI and NIH grants. Dr. Sharma has also received Systems Engineering Grants from the University of Texas System for Health IT integrations and improving the care of patients with COPD. His work on these projects led UTMB to become the first COPD Center of Excellence in Texas as certified by The Joint Commission, a certification which it has maintained since 2015. Nationally, he is involved with the COPD Foundation® in its newly launched PRAXIS® platform, which is used to share best practices to improve care of patients with COPD across the care continuum. His work is published in leading journals such as the New England Journal of Medicine, Journal of American Medical Association and JAMA Internal Medicine (formerly Archives of Internal Medicine). In December 2016, he was appointed Vice President & Chief Medical and Clinical Innovation Officer at UTMB Health. In this role, Dr. Sharma led UTMB’s initiative to improve quality and patient safety as measured by Vizient, the largest member-driven, health care performance improvement company in the country. In 2016, UTMB ranked No. 76 out of 107 academic medical centers nationally in the Vizient Quality and Accountability Study. Following the launch of the initiative, UTMB achieved a five-star rating for three consecutive years, ranking No. 9 in 2017, No. 4 in 2018 and No. 9 in 2019. In 2017, he spearheaded a High Value Practicing Organization (HVPO) initiative focused on five stewardship pillars: antibiotics stewardship, lab stewardship, imaging stewardship, blood management and opioids stewardship. The goal of the HVPO program is to reduce unnecessary tests and treatments while teaching concepts of value-based care to healthcare providers. Josette Armendariz-Batiste, DNP, RN, CCRN, CENP, Vice President, Patient Care Services & System Chief Nurse Executive × Josette Armendariz-Batiste, DNP, RN, CCRN, CENP, Vice President, Patient Care Services & System Chief Nurse Executive Josette Armendariz-Batiste, DNP, RN, CCRN, CENP, Vice President, Patient Care Services & System Chief Nurse Executive Dr. Armendariz-Batiste currently serves as the Vice President, Patient Care Services & System Chief Nurse Executive at the University of Texas Medical Branch (UTMB Health). She began her association with UTMB Health in 1998 as a staff nurse, subsequently holding positions as Assistant Nurse Manager, Nurse Manager in the Surgical Intensive Care and Transplant Units, and as Director and Assistant Chief Nursing Officer. Dr. Armendariz-Batiste earned her Bachelor of Science in Nursing from the University of Texas Medical Branch in Galveston, and her Master in Nursing Leadership and Management and Doctor of Nursing Practice degrees from Walden University. Among many achievements, Dr. Armendariz-Batiste recently guided UTMB’s Neurosciences Critical Care Unit to recognition by the American Association of Critical-Care Nurses as a Silver-level Beacon Awardee for Excellence in 2019. She also helped lead UTMB on its journey to accreditation by Det Norske Veritas as a Comprehensive Stroke Center. Josette was instrumental in the opening of Jennie Sealy Hospital in 2016, including the safe transportation of patients from the existing facility to the new hospital. She contributes to the ongoing implementation of an innovative mixed method orientation program for new graduate nurses. She also helped lead UTMB to AACN Magnet Recognition in 2012 and 2017. Dr. Armendariz-Batiste was a recipient of the American Association of Critical Care Nurses’ (AACN) Circle of Excellence Award in 2016 and is a member of the American Association of Critical Care Nurses and the American Organization of Nurse Executives. Owen Murray, DO, MBA, Vice President, Offender Services × Owen Murray, DO, MBA, Vice President, Offender Services Owen Murray, DO, MBA, Vice President, Offender Services As Vice President of Offender Health Services for the University of Texas Medical Branch Correctional Managed Care program (UTMB-CMC), Dr. Murray is responsible for ensuring the provision of all medical, mental health, and dental services for about 120,000 adult offenders in Texas Department of Criminal Justice state jails and prisons as well as juvenile offenders in Texas Juvenile Justice Department facilities. He oversees a staff of approximately 3,800 UTMB-CMC healthcare and clinical support employees located at more than 100 correctional facilities throughout the state. Dr. Murray also holds an appointment as assistant professor in the Department of Preventive Medicine and Community Health at UTMB. After earning a bachelor’s degree in biology from Boston College in 1983, Dr. Murray graduated from the Chicago College of Osteopathic Medicine in 1988 and completed a residency in Family Medicine at Michigan State University in 1991. He earned an MBA from the University of Houston-Clear Lake in 1999. He is board certified by the American Board of Family Medicine and also holds certification as a Correctional Health Professional by the National Commission on Correctional Health Care. In addition, he is an active member of the American Academy of Family Physicians and the Texas Osteopathic Medical Association. Dr. Murray has served on a number of UTMB committees, has published and lectured extensively on correctional health care, and has provided invited testimony before various committees of the Texas Legislature and other governing bodies. Dr. Murray has more than 20 years of experience in correctional health care. Before joining UTMB as medical director of the Correctional Managed Care program in 1995, he served as the medical director of Chicago’s Cook County Jail and several correctional centers operated by the Illinois Department of Corrections. Ann O'Connell, MS, MSN, RN, Vice President, Ambulatory Operations × Ann O'Connell, MS, MSN, RN, Vice President, Ambulatory Operations Ann O'Connell, MS, MSN, RN, Vice President, Ambulatory Operations Since 2013, Ann O’Connell has served as Vice President for Ambulatory Operations of the University of Texas Medical Branch (UTMB) Health System, where she oversees all operations for over 90 clinics both on Galveston Island and the mainland. Under her leadership, UTMB clinics has grown patient volume by 30% by opening nine new practices, three practice acquisitions, transitioned 13 Regional Maternal Child Health practices, and opened four new urgent care clinics. In FY18, UTMB clinics visits are expected to exceed 1M. Ms. O’Connell has led numerous quality improvements, including increase in patient satisfaction and improved access to care. During her tenure, UTMB achieved Patient Centered Medical Home (PCMH) recognition utilizing the National Committee for Quality Assurance (NCQA) Level III certification standards for all Family Medicine and Community Based Clinics. Ms. O’Connell implemented 10 Delivery System Reform Incentive Payment (DSRIP) projects aimed at transforming care delivery, growing primary care and urgent care, and expanding access to underserved populations. Ms. O’Connell led a collaborative access improvement initiative by creating new access goals for each clinical service and developing contingency plans to ensure that access goals are achieved. Before joining the UTMB family, O’Connell was vice president of ambulatory care at Oregon Health Sciences University in Portland, Oregon. She spent 25 years at OHSU in a wide variety of leadership roles, including serving as executive director of a federally qualified health center and director of operations for 11 primary care practices. Prior to OHSU, she served as nurse manager for respiratory intensive care at National Jewish Center for Immunology and Respiratory Medicine in Denver, Colorado. She has also held a variety of clinical and administrative roles at East Carolina University where she was a clinical nurse specialist for nutrition support and clinical nurse in surgical intensive care. She brings a rich experience of health care administration, a clinical nursing background and a broad understanding of academic medical centers. Originally from North Carolina, O’Connell received her bachelor’s and master’s degrees in nursing from East Carolina University. She received her master’s in health care administration from Oregon Health Sciences University. David C. Gruener, CPA, Vice President, Finance, Health System × David C. Gruener, CPA, Vice President, Finance, Health System David C. Gruener, CPA, Vice President, Finance, Health System David C. Gruener, CPA joined UTMB Health as vice president of Finance, Health System in Dec. 2016. He is responsible for providing overall financial leadership to the Health System. David comes to UTMB from Catholic Health Initiatives’ (CHI) St. Luke’s Health in Houston, where he served as chief financial officer. He has more than 20 years of extensive financial experience in operational finance, accounting, auditing, strategic planning and business development. David holds a bachelor’s degree in accounting from the University of Texas at Austin and is a Certified Public Accountant. James Amato, MBA, Vice President, Health System Operations × James Amato, MBA, Vice President, Health System Operations James Amato, MBA, Vice President, Health System Operations Jim comes to UTMB with more than 38 years of experience in radiology and health care administration. Most recently he served as Chief, Clinical Ancillary Services at University of Virginia Health System, Charlottesville, Virginia. Jim began work at UVA in 2001 as the Medical Center Administrator, Radiology and progressed through roles as Interim Administrator, and Interim Chief Operating Officer of Hospital and Clinics Operations. During his time at UVA, Jim increased outpatient net revenue in ancillary services by 65 percent in three years as a result of expanding retail and specialty pharmacy services, improving medical lab turnaround times, expanding outpatient imaging services and reducing the base operating budget across all areas of clinical ancillary services. Jim earned a Bachelor of Science in Management from Salve Regina University in Newport, Rhode Island and his Master’s in Business Administration from University of New Haven in West Haven, Connecticut. He is a member of the American College of Healthcare Executives, earned the AHRA (American Health Care Radiology Administrators) Award for Excellence in 2006, serves as a Court Appointed Special Advocate (CASA) for Piedmont CASA, and chaired the 2011 Community Giving Campaign at the University of Virginia Medical Center. Jim oversees Laboratory, Radiology and Rehabilitation Services, Pharmacy Operations, the Poison Control Center and support services including Laundry, Clinical Nutrition, Patient Transportation, Inpatient Food Services and Clinical Equipment Services. He is also the Contract Services Liaison for Environmental Services and Institutional Liaison for Campus Police, Purchasing, Supply Chain and UTMB's affiliation with the Texas Medical Center. Annette Macias-Hoag, DNP, MHA, RN, NEA-BC, Vice President, Health System & Service Line Operations × Annette Macias-Hoag, DNP, MHA, RN, NEA-BC, Vice President, Health System & Service Line Operations Annette Macias-Hoag, DNP, MHA, RN, NEA-BC, Vice President, Health System & Service Line Operations Annette Macias-Hoag serves as Associate Vice President, Health System Operations. Prior to joining UTMB, Annette was the Director of Patient Care, Heart & Vascular Institute at Memorial Hermann TMC where she was responsible for the direction and leadership of operational and clinical activities for the Cardiothoracic Surgery units and nursing services as well as Neuroscience clinical areas and house-wide telemetry. Prior to this position, she served as Director of Clinical Services at Baylor College of Medicine, where she oversaw operational, financial, programmatic and personnel activities for the Baylor Clinics and Hospital Pulmonary Care Services, Emergency Care Programs, Endoscopy Services, and Nursing Services. Annette received an Associate's degree in Nursing from Madison Area Technical College, a Bachelor's degree in Nursing from the University of Wisconsin and a Master's degree in Healthcare Administration from the University of Phoenix. She served as a nurse at the University of Wisconsin, an academic medical center located in Madison, where she later became a Care Team Leader and was promoted to Clinical Nurse Manager of the UW Cardiothoracic Surgery and Transplant, a 27-acuity-adaptable-unit. Annette is currently a member of the American Academy of Medical Administrators, American Association of Critical Care Nurses, ACHE and Texas Nurses Association. She oversees Trauma Services, the Patient Placement Center, Respiratory Services, Invasive Cardiac Services, Non-Invasive Cardiac Services, Vascular Services, Neurodiagnostic Services, Stroke Services, ECMO Services, Perfusion and Service Lines (Neurosciences, Heart, Thoracic & Vascular).