keynote speakers

LJ Fagnan, MD
Dr. Fagnan is the founding director of the Oregon Rural Practice-based Research Network (ORPRN) and a Professor of Family Medicine at Oregon Health & Science University. He also serves as Director of the Community Engagement Program at the Oregon Clinical and Translational Research Institute.  Dr. Fagnan received his medical degree from the University of Oregon Medical School in Portland and following his internship in Hartford, Connecticut he joined the United States Public Health Service, Indian Health Service (IHS) in Bethel, Alaska where he was a general medical officer and the Community Health Director. In 1977, Dr. Fagnan founded a family medicine clinic in the rural community of Reedsport, Oregon, which was selected as one of the 13 model rural practices funded by the Robert Wood Johnson Foundation's Rural Practice Project. This model rural practice clinic emphasized community-oriented practice with integration of mental health, dental care, patient educators and a community board of directors. Dr. Fagnan maintains an active family medicine practice and he was named as the “Family Doctor of the Year” by the Oregon Academy of Family Physicians in 2005. The ORPRN studies directed by Dr. Fagnan have emphasized new models of care for delivering well-child care and chronic illness care in Oregon. Dr. Fagnan is the principal director of several ORPRN studies, including Shared Decision Making in Rural Primary Care and the Integration of Primary Care Practices and Community-based Programs to Manage Obesity. He is the director of an AHRQ funded PBRN Center for Excellence—the Meta-network Learning and Resource Center (Meta-LARC), a consortium of six practice care practice-based research networks in North America.
Gina Lasky, PhD
Dr. Lasky is a licensed psychologist who has worked in the behavioral health public sector since 1997. In that time she has worked in residential facilities with youth, community mental health centers, public hospitals, and one of the State of Colorado's state hospitals. In her five years at the state hospital she specialized in treatment of dangerousness and worked on numerous multi-disciplinary (medical and behavioral health) teams. This experience sparked her interest in team development and leadership in the public sector. Dr. Lasky went on to a fellowship in Public Sector Psychology Administration and Evaluation at the University of Colorado, School of Medicine and had the opportunity as part of this training to work at the Colorado Department of Health Services-Division of Behavioral Health. In 2011, Dr. Lasky served as the Director of Behavioral Health for Axis Health System, a community behavioral health agency transforming into an integrated healthcare organization serving five rural counties in Colorado. In that position she and the Director of Psychiatry lead the opening and development of an integrated care clinic. Dr. Lasky trained and supervised behavioral health providers throughout the organization as well as worked with the Director of Psychiatry and Director of Primary Care to oversee development of all clinical staff in the integrated clinic. Part of her focus was moving integrated care into all aspects of clinical programming including inpatient and outpatient behavioral health. In this role, Dr. Lasky learned first-hand about the challenges of implementation of integrated care which furthered her interest in the unique leadership required and the importance of team development as essential elements of this innovative model. Dr. Lasky currently works with Health Management Associates Community Strategies building partnerships between traditional healthcare and community organizations addressing social determinants of health. She is currently pursuing a master’s in Public Leadership with a Specialization in Multi-Sector Management at George Washington University.
Clint MacKinney, MD
Dr. MacKinney has worked in rural health care for 30 years – the first 14 years as a rural family physician, practicing the full scope of family medicine. He has both owned a private practice and worked with large health care systems. Currently, Dr. MacKinney works as an emergency department physician in rural Minnesota. Dr. MacKinney is an assistant professor in the Department of Health Management and Policy at the College of Public Health, University of Iowa. He is also Deputy Director of the Rural Policy Research Institute (RUPRI) Center for Rural Health Policy and Analysis. Prior to his position at the University of Iowa, Dr. MacKinney worked with nearly 50 rural providers and communities as a health care consultant. Dr. MacKinney has served on national committees for the Institute of Medicine, the Department of Health and Human Services, the American Academy of Family Physicians, and the American Medical Association. In his capacity as a rural health advocate, Dr. MacKinney regularly writes and presents nationally. Dr. MacKinney's professional interests include rural health policy, rural health care delivery and financing innovations, physician and administration relationships, health care value, and population-based healthcare.
Wayne Myers, MD

Dr. Myers arrived in Alaska as an army pediatrician in 1968 with assignments to Bassett Army Hospital and UAF.  After the army he taught WAMI students and practiced pediatrics, each half time, until he became the WAMI Program Director at UAF in 1975.  Over the next decade he served on served on various statewide committees and boards as the Alaska grew its own in-state health care system, replacing the old, Seattle oriented referral arrangements from territorial days. In 1985 Dr. Myers became Associate Dean for Regional Affairs & Director of the WAMI and AHEC Programs at the UW Medical School. In 1990 he went to the University of Kentucky Medical Center as founding director of an outreach campus in the coal fields.  In 1998 through 2000 he directed the Federal Office of Rural Health Policy, helping establish the Critical Access Hospital program. Since retiring in 2000 he has consulted for the new medical schools in Iraq in 2004,  2007 and 2009.  He was President of the National Rural Health Association in 2003, is a member of the National Advisory Committee on Rural and Frontier Health & Human Services.  He has a regular column in the Rural Monitor titled, “Look What’s Coming!”.  He and his wife, JoAnn, raise endangered breeds of livestock on a visitor farm in Waldoboro Maine.

Lori Raney, MD
Dr. Raney is the Medical Director of Axis Health System in Durango, Colorado. She has worked in the design and development of collaborative care models in diverse locations including Federally Qualified Health Centers, Rural Health Centers and School-based Health Centers in rural Colorado. Dr. Raney participated in the design of a fully integrated healthcare facility that combines both primary care and traditional behavioral health services which opened in December 2011. Cortez Integrated Healthcare brings together primary care services for the patients with mental illness and provides integrated services to the larger community seeking this form of care. She is the Project Manager for an Advancing Care Together grant to assess the outcomes of this innovative concept. Through working with national leaders in integrated care she helped design a curriculum to teach these models to psychiatrists and primary care providers and has been active in presenting this across the country. She was asked to chair the American Psychiatric Association's Workgroup on Integrated Care in January 2011 and continues to hold this position. She speaks nationally on the topic of collaboration with primary care and works with organizations to design and implement these evidence- based care teams. She is the owner of Collaborative Care Consulting, serves as a consultant for the National Council, and has a small private practice. Dr. Raney started her career as the Director of the Counseling Services Department at the Indian Health Service Clinic in Kayenta, AZ, an ambulatory care center on the Navajo Indian reservation. Mental Health services are traditionally co-located in IHS clinics, serving as an introduction for working in close proximity to primary care. She next served as the Clinical Director of this same medical facility, managing clinical operations including supervision of primary care providers and ancillary clinical departments.