Mary Elizabeth Miotto MD, MPH, FAAP
Northborough, MA 10532
************@*****.***
Twitter: @MAhealthforkids
Operational Interests
Healthcare quality improvement design and evaluation, population health integration, systems engineering in healthcare, reimbursement optimization, mission-driven operating budgets and financial management, accountable care organizations, provider engagement and wellness
Clinical and Research Interests
Care of youth with developmental and behavioral disorders, population health measures of child wellness, children with special healthcare needs, health equity, school success as a child health outcome, secondary care model of health delivery, cross-functional collaborations in school health
Education
Master of Public Health, Johns Hopkins School of Public Health, Baltimore MD,
May 2019; Capstone: A Community-Based Collaboration for Expanding Access to Autism Diagnosis and Treatment Using Project ECHO Videoconference Networks.
M.D., George Washington University, Washington, DC, 1992
Doctoral Studies, Neurobiology, Duke University School of Medicine, 1986
B.A., Biology and Russian Area Studies, Williams College, Williamstown, MA, 1985
Postdoctoral Training
Pediatric Residency, Children’s National Medical Center, Washington DC, 1993-1995
Pediatric Internship, Children’s National Medical Center, Washington DC, 1992-1993
Appointments
Assistant Professor of Pediatrics, University of Massachusetts Medical School
Certification and Licensure
Diplomate, American Board of Pediatrics, 1995, Maintenance of Certification current.
Massachusetts Medical License, Active, 2001-present
California Medical License, Currently Inactive, 1997-2001
Virginia Medical License, Currently Inactive, 1995-1998
Clinical Discipline
Pediatrics with 60% time devoted to ADHD, developmental and behavioral pediatrics, and children with complex medical needs. 1995-present
Leadership Positions
Family Health Center of Worcester
-Associate Medical Director, Pediatric Population Health, 2018-present
-Medical Director, School-Based Health Centers (7 schools), 2018-present
-Medical Director, ADHD Clinic, 2018-present
-Reach Out and Read Medical Champion, 2018-present
Clinical Activities and Employment
Family Health Center of Worcester, Pediatrics Practice, 2017-present
-Secondary Referral for Management of Children with Chronic Health Conditions
-ADHD Clinic and Developmental-Behavioral Pediatrics Patient Management
-Adapted ADHD Clinical Care Pathways for the Unique Needs of FHCW patients
-Led New Transition of Care Process for Hospitalized Children and Neonates.
-Delivering limited ADHD care in the school-based health centers
-Leading implementation and QI for developmental and behavioral screening.
-Delivering pediatric clinical teaching to family medicine providers and residents.
-Integrating child health priority workflows into health center priorities
-Providing real-time consultation and retrospective clinical review of pediatric care
Grafton Job Corps, North Grafton MA, Adolescent Medicine Practice, 2015-present
Reliant Medical Group per diem (part-time assignments), Worcester, MA, 2017-2018
Community Health Connections, Fitchburg MA, Pediatric Practice, 2015-2016
Toby Nathan, MD, PC, Bedford MA, Pediatrics Practice, 2007-2010
Suburban ADHD Clinic, Marlborough MA, Founder/Director, 2003-2007
Marlborough Pediatrics, Marlborough MA, Pediatric Practice, 2002-2003
Harbor Pediatrics, Newport Beach CA, Pediatric Practice, 1998-2001
Permanente Medical Group, San Diego CA, Per Diem Pediatric Practice, 1997-1999
Union Mill Pediatrics, Clifton, VA, Pediatric Practice, 1995-1997
HBO and Company, Clinical Decision Support Associate and Office Manager in a Healthcare Computing Company, Tarrytown, NY and Foster City, CA. 1986-1988. Provided Education, Financial Management Reporting and Utilization Management Consulting to Hospital Corporate and Clinical Executives Utilizing Advanced Clinical Cost Accounting Methods.
Advising and Mentoring
Direct Supervisor and Collaborating Physician for Seven Nurse Practitioners, Family Health Center of Worcester and Worcester School-Based Health Centers, 2018-present
Preceptor, Nurse Practitioner Students, Family Health Center of Worcester and Community Health Connections, 2015-present.
Collaborating Physician for Nurse Practitioners and Physician Assistants at Job Corps, 2016-present
Educational Development: Curricula and Educational Materials
Chairperson, Committee on Quality Improvement Webinars, AAP Council on Quality Improvement and Patient Safety, 2019-present
Program Oversight and Curriculum Review Working Group, EQIPP Online Quality Improvement Course Program, American Academy of Pediatrics,
Subject Matter Expert and Planning Group, EQIPP: ADHD Online AAP Quality Improvement Course, January 2019-June 2019
Chair, Subcommittee, MCAAP Annual Meeting 2019
Curriculum Developer, Legislative Advocacy Educational Website, MCAAP, 2018
CME Planning Committee, Girl Med Media Live Conference, 2018
Chair of Committee on CME, MCAAP, 2003-2011; Developed annual meeting curricula
Curriculum Developer and Faculty, Pediatric Leadership Alliance, AAP, Multiple Live Events and E-learning Curricula, 2001-2010
Clinical Innovations, Safety, and Quality Improvement Projects
Multiple Quality Improvement Cycles for the FHCW ADHD Clinic involving use of Vanderbilt surveys, frequency of visits, prescription pickup and coordination of care. September 2018-current.
Registry Development for Children with Special Health Care Needs, Identify and track referral and care planning to reach goals of child-centered medical home elements for 35% of identified high-risk children in a 9-month period, 2019
Early Screening for Developmental Delay Quality Improvement, Increased timely screening for autism and developmental delays in children 0-5 years of age to 80%, Community Health Connections (three sites),2015
Adolescent and Young Adult Screening for Chlamydia Quality Improvement. Increased annual screenings to 93% within a 6-month period through rapid cycle PDSAs. Community Health Connections, 2016.
Childhood Lead Screening Quality Improvement. Increased timely venous lead screening of children ages 9 months to 4 years to 95% within 6 months. Community Health Connections, 2015
Scholarship
Peer-reviewed publications
Leslie, L.K., Miotto, M.B., Liu, G.C., Ziemnik, S., Cabrera, A.G., Calma, S., Huang, C., & Slaw, K.M. (2005). Training young pediatricians as leaders for the 21st century. Pediatrics, 115 3, 765-73.
General publications
Whitaker, T., Zubler, J., Earls, M., Miotto, M. B., Radecki, L., Faro, E. Z., & Gerndt, K. (2019). Strategies for improving developmental screening. Contemporary Pediatrics, 36(1).
Whitaker, T., Zubler, J., Earls, M., Miotto, M. B., Radecki, L., Faro, E. Z., & Gerndt, K. (2019). 9 ways to improve developmental screening referrals. Contemporary Pediatrics, 36 (10).
Chan E, Gephart H, Lynch R, Miotto M, Wolraich M. EQIPP: ADHD – Diagnose, Treat, and Monitor
[online course]. PediaLink. American Academy of Pediatrics. http://bit.ly/EQIPP-ADHD. Published 10/7/2019. Accessed 10/10/2019.
Invited Presentations
Lessons from A Tweetiatrician: Using Social Media to Advocate for Childhood Immunization, MCAAP Immunization Initiative Pediatric Immunization Update Webinar Series. December 5, 2019.
School Nurses + Pediatricians=Powerful Partners. New Jersey Chapter of the AAP, October 16, 2019.
Tweetiatrician or Mediatrician: Using Social Media and Traditional Media to Effectively Deliver Child Advocacy Messages. Massachusetts Chapter of the American Academy of Pediatrics Annual Meeting, May 2019.
Childhood ADHD in the Primary Care Practice, UMass Medical Center Family Practice Resident Workshop, April 16, 2019.
Evaluating a Limp in a Toddler, Case Review and Didactic, Family Medicine Faculty, Family Health Center of Worcester, March 27, 2019.
School Nurses + Pediatricians=Powerful Partners. Rutgers-Camden School Nurse Certificate Program. November 14, 2018.
Detecting, Understanding and Addressing Health Issues behind School Absenteeism and Presenteeism, Massachusetts Department of Public Health School-Based Health Center Quarterly Program, October 23, 2018.
Developing Your Toolkit to Help Children and Teens with Anxiety, Massachusetts Department of Public Health School-Based Health Center Quarterly Program, October 23, 2018.
Developmental Hip Dysplasia in a Diverse and Evolving Healthcare Environment. University of Massachusetts Medical School, Department of Family Medicine and Community Health Morbidity and Mortality. Expert Discussant, June 19, 2018
Identifying and Accessing Resources: Developing Local Relationships and Communicating with Stakeholders, Presented at the Act Early State Summits, October 2017 and April 2018
Professional Advocacy and Membership
Massachusetts Chapter of the American Academy of Pediatrics
Treasurer, Executive Board, July 2018- present
Chair, Continuing Medical Education Subcommittee, 2018-2019
Member and Subcommittee Co-Chair, Committee on Children and Youth with Special Health Care Needs, 2016-present
Member, Legislative Committee, 2017-present
Member, Children’s Mental Health Task Force, 2003-present
Chair, Committee on Continuing Medical Education, 2003-2011
Massachusetts Medical Society
President, Middlesex West District, 2019-present
Delegate, Middlesex West District, 2016-present
Chair, House of Delegates Reference Committee on Public Health, 2019-2020
Member, Committee on Member Services, 2017-present
Member, Committee on Communications, 2018-present
Member, House of Delegates Reference Committees, 2017-present
Member of Committee on CME Reaccreditation, 2005-2007
American Academy of Pediatrics
Expert Group Member, QUIIN Quality Improvement Innovation Network, ADHD Quality Improvement Project, November 2019-present
Member, EQIPP Planning Group, 2017-present
Member, “Don’t Just Wait and See: Early Detection of Developmental Delay” Working Group, 2016-present
Member, Section on Developmental Behavioral Pediatrics
Member, Councils on Quality Improvement and Patient Safety, Community Health, Communications, Clinical IT, and School Health, 2016-present
Nominating Committee, Council on Quality Improvement & Patient Safety, 2017
Abstract Review Committee Member, Council on Quality Improvement & Patient Safety, 2017-2019
Abstract Review Committee, Council on Clinical IT, 2018
Attendee and DBP Scholarship Recipient, 2018 Annual Legislative Conference
Participant, 2019 Annual Legislative Conference
Massachusetts Act Early Steering Committee
Member and Course Presenter, 2017-present
Massachusetts League of Community Health Centers
Member, Pediatric Medical League Forum, 2019-present
Brandeis University, Review Panel Member, Studies of Transitioning Medically Complex Pediatric Patients to Adult Providers, 2015-2018.