About the Collaborative

Our Vision

Optimized person-centered care experiences in LTPAC leveraged with health information technologies.

Our Mission

The mission of the LTPAC Health IT Collaborative is to support providers and other stakeholders serving persons with chronic and/or complex needs. We do this by advocating for the development of meaningful, effective, and accessible health information and technology policies, strategies, standards, resources, products and services. This advocacy enhances the delivery of coordinated, effective, and satisfying care, wellness, and support experiences.

Our Collaborative

The Long-Term Post-Acute Care Health Information Technology (LTPAC Health IT) Collaborative is an invitation only public-private group of stakeholder organizations. We support meaningful, effective, and accessible health information and technology policies, strategies, standards, resources, products, and services. These services enhance the delivery of coordinated, quality care for persons with chronic and/or complex needs.

The Collaborative was formed in 2005 to advance health IT issues by encouraging coordination among national associations representing clinicians, providers, information technology developers, researchers, and others with specific expertise in Long-Term Post-Acute Care (LTPAC).

We Value

We value quality and coordination of care that benefits the specific needs of the person in LTPAC.

Person-centered care with
Longitudinal health records

Health, wellness, and supports and services should be coordinated, personal, preventive, predictive, and participatory.

Coordinated quality care

Electronic health information should be person-centered; longitudinal, individually controlled and directed; population informed; and available, as needed, to the systems, practitioners, and settings that deliver healthcare, wellness, and support and services experiences.

Accessible to all persons

Healthcare, wellness, and supports and services and information should be affordable, available, and accessible for all persons with chronic and/or complex needs.

Great care experiences

Experiences are supported by delivering person-centered, coordinated, effective, affordable, and satisfying healthcare, wellness, and supports and services.

Core Member Organizations


Formerly NASL – the National Association for the Support of Long Term Care – ADVION represents ancillary care and services providers in the long term and post-acute care (LTPAC) sector. ADVION members include health information technology (health IT) companies that develop and distribute full clinical electronic medical records (EMRs), billing and point-of-care health IT systems and other software solutions serving the majority of LTPAC providers; rehabilitation therapy companies; providers of clinical laboratory and portable x-ray services; and suppliers of complex medical equipment and other specialized supplies.


The American Health Care Association and the ​National Center for Assisted Living (AHCA/NCAL) is the largest association in the United States representing long term and post-acute care providers, with more than 14,000 member facilities. Our diverse membership includes non-profit and proprietary skilled nursing centers, assisted living communities, sub-acute centers and homes for individuals with intellectual and development disabilities. By delivering solutions for quality care, AHCA/NCAL aims to improve the lives of the millions of frail, elderly and individuals with disabilities who receive long term or post-acute care in our member facilities each day.​​


AMDA – The Society for Post-Acute and Long-Term Care Medicine is the only medical specialty society representing the community of over 50,000 medical directors, physicians, nurse practitioners, physician assistants, and other practitioners working in the various post-acute and long-term care (PALTC) settings. The Society’s 5,500 members work in skilled nursing facilities, long-term care and assisted living communities, CCRCs, home care, hospice, PACE programs, and other settings. The Society has two affiliate organizations. The American Board of Post-Acute and Long-Term Care Medicine runs a certification program for medical directors in PALTC, credentialing Certified Medical Directors (CMDs). The Foundation for Post-Acute and Long-Term Care Medicine oversees awards, community outreach, education, and research with the mission to advance the quality of life for persons in PALTC through inspiring, educating, and recognizing future and current health care professionals.

LTPAC HIT Collaborative

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The American Society of Consultant Pharmacists-ASCP - is a membership association that represents pharmacists, health care professionals, and students serving the unique medication needs of older adults. ASCP is an international organization with members located in all 50states, Puerto Rico, and 12 countries. The society’s mission is to promote healthy aging by empowering pharmacists with education, resources, and innovative opportunities. Founded in 1969, ASCP is a 501(c)(6) non-profit organization based in Alexandria, Virginia. The ASCP Foundation is a 501(c)(3) non-profit organization; its purpose is to carry out the charitable – including scientific, literary, and educational – purposes of ASCP.


The College of Healthcare Information Management Executives (CHIME) is an executive organization dedicated to serving senior digital health leaders. CHIME includes more than 5,000 members in 56 countries and two U.S. territories and partners with over 150 healthcare IT businesses and professional services firms. CHIME and its three associations provide a highly interactive, trusted environment that enables senior industry leaders to collaborate, exchange best practices, address professional development needs and advocate for effective use of information management to improve health and care in their communities. CHIME's members are chief information officers (CIOs), chief medical information officers (CMIOs), chief nursing information officers (CNIOs), chief innovation officers (CIOs), chief digital officers (CDOs), and other senior healthcare leaders.


HIMSS (Healthcare Information and Management Systems Society) is a global advisor, thought leader and member-based society committed to reforming the global health ecosystem through the power of information and technology. As a mission-driven nonprofit, HIMSS offers a unique depth and breadth of expertise in health innovation, public policy, workforce development, research and digital health transformation to advise leaders, stakeholders and influencers across the global health ecosystem on best practices. With a community-centric approach, our innovation engine delivers key insights, education and engaging events to healthcare providers, payers, governments, startups, life sciences and other health services organizations, ensuring they have the right information at the point of decision. HIMSS has served the global health community for more than 60 years, with focused operations across North America, Europe, the United Kingdom, the Middle East and Asia-Pacific. Our members include nearly 120,000 individuals, 430+ provider organizations, 500+ nonprofit partners and 550+ health services organizations.  


We represent more than 5,000 nonprofit aging services providers and other mission-minded organizations that touch millions of lives every day. Alongside our members and 38 state partners, we use applied research, advocacy, education, and community-building to make America a better place to grow old. Our membership, which now includes the providers of the Visiting Nurse Associations of America, encompasses the continuum of services for people as they age, including those with disabilities. We bring together the most inventive minds in the field to lead and innovate solutions that support older adults wherever they call home.

National PACE Association

The National PACE Association (NPA) provides leadership and support for the growth, innovation, quality and success of the Program of All-Inclusive Care for the Elderly (PACE®) Model of Care. PACE is an innovative long-term care delivery model that places each individual at the center of an interdisciplinary approach to care planning and delivery, with a mission to help frail seniors remain in the community for as long as possible.  While eligibility for enrollment in PACE requires that one must need a nursing home level of care, a key measurement of the success of the PACE model is that 95 percent of enrollees continue to live in the community.  NPA supports PACE expansion through public policy, education, data collection and awareness building.   www.npaonline.org

RTI International

RTI International is an independent, nonprofit research institute dedicated to improving the human condition. Our vision is to address the world's most critical problems with science-based solutions in pursuit of a better future. In recent years, massive changes in health policy, care delivery, and payment have shifted the landscape of the health care system in the United States and abroad. Working on behalf of clients in the public and private sector, our researchers analyze and evaluate issues and trends that impact health policy and care delivery worldwide. We deliver methodologically rigorous, objective evidence that translates into practical solutions—all in service of supporting policymakers and clinicians in improving health care. We focus on a diverse set of areas, including health information technology, health care quality, patient engagement, and measurement of health care processes and outcomes. Our work aims to understand and advance the needs of underserved populations, focusing on health equity and low-income and uninsured populations, as well as issues in aging, disability, and long-term care.

LTPAC HIT Collaborative

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Core Member Representatives

Gregory L. Alexander

Dr. Alexander has a broad background in human factors, informatics, gerontology, patient safety and quality measures. Dr. Alexander isa Fulbright Scholar Ambassador. He is a Fellow in the American Academy of Nursing, American College of Medical Informatics, and International Academy of Health Sciences Informatics. He is currently completing a third national study titled the Impact of Nursing Home Leadership Care Environments and Health Information Technology on Outcomes of Residents with Alzheimer’s Disease and Related Dementia (ADRD). This study is funded by the National Institute of Aging. Dr. Alexander is currently serving as a co-chair on the national Moving Forward Coalition, which has been established to ensure that the quality of nursing home life improves in the United States.

Majd Alwan
BEng, MSc, PhD

Majd Alwan, Ph.D., is an independent digital health, health IT, and strategy expert and a noted authority on aging-services technologies. 
In his previous role at LeadingAge CAST, Dr. Alwan was responsible for creating and leading a network of technology companies, providers and research institutions focused on technology solutions for an aging society. The network advanced the interests of older consumers, caregivers and providers and fostered opportunities for collaboration between provider organizations, technology companies, and research institutions in exploring product development, testing prototypes, evaluating technology and deploying technology-enabled care models. 
Prior to joining CAST, Majd served as an Assistant Professor and the Director of the Robotics and Eldercare Technologies Program at the University of Virginia's Medical Automation Research Center. His research interests there included passive functional and health assessment, biomedical instrumentation, medical automation, as well as eldercare and assistive technologies.

Alex Bardakh

Alex Bardakh, MPP, CAE, PLC is the Senior Director of Advocacy and Strategic Partnerships for AMDA – The Society. Mr. Bardakh works for the Society’s extensive Public Policy agenda through advocacy in Congress and numerous Federal Agencies. He is a thought leader in the field and represents the organization with a variety of coalitions and industry partners. A graduate from the University of Maryland Baltimore County (UMBC) in Political Science/Psychology and master’s degree in Public and Legal Policy, Mr. Bardakh has extensive experience in specialty society executive leadership focusing on advocacy and strategic growth of organizations. He is a Certified Association Executive (CAE) through the American Society for Association Executives (ASAE),has a certificate in Non-Profit Financial Management, as well as a Professional Lobbying Certificate from the National Institutes for Lobbying and Ethics, and has been a recognized speaker throughout the country.

Daniel Ciolek

Dan Ciolek is Associate Vice President, Therapy Advocacy at the American Health Care Association/National Center for Assisted Living (AHCA/NCAL). He offers the unique depth and breadth of healthcare policy and data knowledge obtained over a 35+ year career as a formerly board-certified specialist in geriatric physical therapy, as a project management professional and subject matter consultant to the Centers of Medicare and Medicaid Services in payment and quality policy, provider and beneficiary education, and data systems projects, and most recently as a long-term and post-acute care advocate for AHCA/NCAL.

Arnold Clayman

Arnold Clayman. PD, FASCP, in his role as VP of Pharmacy Practice & Government Affairs, serves as a resource to ASCP members and staff on practice-related issues. He oversees activities relating to professional and clinical affairs, product development, health information technology, as well as managing ASCP’s policy and advocacy efforts, including working with regulatory agencies, Congress and the Administration. A graduate of the University of Maryland School of Pharmacy, he has worked in hospital, community, home infusion, and long-term care pharmacy practice. Arnie has served on the ASCP Board of Directors and is the recipient of both the George F. Archambault Award and the Richard S. Berman Service Award.

Scott Code
VP, CAST, LeadingAge

Scott Code is the Vice President of the Center for Aging Services Technologies (CAST) at LeadingAge with over 15 years of experience helping aging service providers strategically adopt and implement technology. CAST is leading the charge to expedite the development, evaluation and adoption of emerging technologies that can improve the aging experience.  Scott has Master's degree in both Gerontology and Business Administration, providing him with the unique ability to both evaluate and implement new technology across the care continuum.

John F. Derr

An esteemed asset to the Loran Group, John has a great depth and breadth of expertise in post-acute care management and the development of IT infrastructure for Long Term Post-Acute Care (LTPAC) programs. He has held several executive leadership roles for national networks including skilled nursing, assisted living, mental health and hospice facilities, as well as home care and rehabilitation therapy agencies.

Michelle Dougherty
Senior Health Informaticist

Michelle Dougherty is an expert in health informatics, health IT, and related policy areas with leadership experience throughout the healthcare standards community. Much of her work focuses on health informatics in long-term care, post-acute care and home- and community-based services for an aging population. She has extensive experience in the use of health information and technology to support the care delivery process, emerging payment models, quality measurement, and standards.

Alan Gay

Alan is the Senior Director of Data Technology and Measurement Services for the National PACE Association (NPA). The Program of All-Inclusive Care for the Elderly (PACE) is an innovative care program for seniors providing both medical and social services that help older adults remain in their home in the community for as long as possible. Alan has worked on benchmarking services for NPA for 17 years helping improve care outcomes for those served by PACE, as well as growth of the model of care. Alan has a master's Degree in economics.

Robert “Bob” Latz

Dr. Latz is a member of the CHIME Policy Steering Committee, HIMSS LTPAC Committee, CIO Consortium, and the past President of the APTA Academy of Leadership and Innovation Technology SIG. He is a Board Member of Advion, the next generation of NASL and the Chief Information Officer of Trinity Rehabilitation Services.

Dr. Terrence O'Malley

Former Medical Director, Non-Acute Care Services at Partners HealthCare in Boston and Geriatrician at the Massachusetts General Hospital, Terry was a member of the ONC HITAC and co-chaired the USCDI Taskforce while participating in Gravity, 360X, and the LTPAC HIT Collaborative.  He co-chairs the PACIO Project Transitions of Care Workgroup and the Moving Forward Coalition HIT Committee which is developing standards for an individual's goals, preferences, and priorities.  He is a board member of the Long Term Quality Alliance (LTQA). 

Mari Rose Savickis

A long-time advocate for leveraging technology smartly, she champions policies that improve the clinical experience for providers and patients alike, and promote innovation and competition. In her position as Vice President of Public Policy with the College of Healthcare Information Management Executives (CHIME) she serves as the voice in Washington, DC for chief information officers (CIOs), chief security officers, and other c-suite executives charged with the purchase and secure deployment of healthcare technology. Mari oversees all advocacy and interaction with federal agencies, the White House, and Congress on behalf of CHIME. Mari leads a wide swath of health IT policy priorities including those touching interoperability, cybersecurity, privacy, patient safety, telehealth, connected care, and next generation technologies including machine learning and 5G. She has adeptly led several coalitions, and she thrives working with a variety of stakeholders. Her policy expertise spans numerous federal laws including the Health Insurance Portability and Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health (HITECH) Act, the Medicare Access and CHIP Reauthorization Act (MACRA), the 21stCentury Cures Act, and the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) Act. Mari is also a Medicare subject matter expert. Prior to joining CHIME in 2015, she served as Assistant Director of Federal Affairs at the American Medical Association (AMA) for nearly a decade leading their health IT and HIPAA advocacy.  She formerly served in the Centers for Medicare& Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ONC). Mari initially entered the federal government after being selected for the highly competitive Presidential Management Fellows (PMF)program. Mari graduated from the University of Delaware with a Master’s in Public Administration and dual bachelor’s degrees in political science and Spanish from Ohio Wesleyan University. She is a certified yoga instructor and founder of BlueTruck Wellness.

Shelly Spiro

Shelly Spiro is Executive Director of the Pharmacy HIT Collaborative (PHIT). PHIT is an organization of the major national pharmacy associations and associate members focused on advocating and educating key stakeholders regarding the use of health IT to better enable pharmacists to help optimize person-centered care by the inclusion of pharmacists within a technology-enabled integrated health care system. Spiro is active in national pharmacy associations, standards development organizations (NCPDP and HL7) and is a leader in Pharmacy health IT.  She is an American Society of Consultant Pharmacists (ASCP) Past President, 2014 Archambault Award recipient and 2019 Women’s Spotlight Award recipient. She was named in 2019 by Becker Hospital Review’s 102 women in health IT. She earned her BS Pharm degree in 1976from University of Illinois College of Pharmacy She has authored several articles and is a national speaker on topics relating to various professional pharmacy, health IT systems, terminology, electronic prescribing, digital transformation, and pharmacist eCare plan.

Fil Southerland

Fil Southerland is the Director of Healthcare Solutions at Yardi Systems, Inc., one of the nation’s largest health information technology developers serving long-term and post-acute care (LTPAC)providers . Fil was appointed to the Federal HITAC Committee in 2022 by the Government Accountability Office (GAO and is currently serving a 3-year term to represent health information technology perspectives for the LTPAC sector to the Office of the National Coordinator (ONC). Mr. Southerland co-founded one of the first EMRs in the LTPAC space and is an active participant in Carequality Interoperability Framework and a Kno2 TEFCA QHIN Governance Council member, where he focuses on interoperability advancement for long-term and post-acute health care providers. He also serves as a commissioner for the LeadingAge Center for Aging Services Technologies, is an active HL7 member, a member of Choctaw Nation, and a Sequoyah Fellow of the American Indian Science and Engineering Society. He received his Bachelor of Science in Computer Engineering from California Polytechnic State University.

Michelle Dougherty
Senior Health Informaticist

Michelle Dougherty is an expert in health informatics, health IT, and related policy areas with leadership experience throughout the healthcare standards community. Much of her work focuses on health informatics in long-term care, post-acute care and home- and community-based services for an aging population. She has extensive experience in the use of health information and technology to support the care delivery process, emerging payment models, quality measurement, and standards.


Our History

Founded in 2005...

The LTPAC Health IT Collaborative was founded in 2005, one year after President Bush’s Executive Order to digitize healthcare and form the sub-cabinet Office of the National Coordinator (ONC) of Health Information Technology (HIT). John F. Derr, RPh was present at the announcement Press Conference. At the time, John was Executive VP of American Health Care Association & National Center for Assisted Living (AHCA/NCAL). As the Press Conference progressed, it was obvious that the focus was on hospitals and physicians. This meant that Skilled Nursing Homes, Home Care Agencies, Assisted Living, Long Term Acute Care Hospitals, Independent Care, as well as other professionals were not recognized as part of care. John went to the attendee microphone and respectfully asked the then Secretary of HHS (Tommy Thompson) to include Long Term Care. Secretary Thompson asked John to head up the coordination of LTC HIT.

John then asked the American Association for Homes and Services for the Aging (Now called Leading Age) and the American Health and Information Management Association (AHIMA) to join AHCA/NCAL in forming an informal group to represent long term care in issues and programs developed by the Office of the National Coordinator (ONC). The original name of the group was the LTC HIT Collaborative. Since our formation in 2005, several members have joined this group, which is now called the LTPAC Health IT Collaborative. Our members represent most of the care providers in the Long Term and Post-Acute (LTPAC) segment of healthcare.

Our collaborative voice...

The primary reason for the formation of the LTPAC Health IT Collaborative was to coordinate health IT for care provided in the LTPAC sector. This coordination continues today and is reflected in roadmaps, comment letters, and educational sessions provided by our collaborative.

For clarification, in 2004, all providers in the US Healthcare system were basically silos of care. The regulatory focus at the time was on the care provider and fee-for-service, not the patient. Hospitals and Physicians were represented by two very strong advocate associations: The American Hospital Association (AHA) and the American Medical Association (AMA). LTPAC was represented by multiple different and smaller associations representing their specialty providers of care. LTPAC was fragmented and many times spoke to CMS and other regulatory agencies as individual organizations.

Our early Collaborative members recognized that in the field of Clinical Information Technology it is necessary to speak as one voice. This one voice enabled LTPAC to be recognized by the ONC. This allowed the Collaborative to make congruent comments on health IT issues which concerned all members, including Interoperability and Cyber Security. When the ONC requested comments on proposed regulations, the Collaborative responded. We submitted a collective document of comments. In addition, many of our Collaborative members also submitted their own association comments. In this way, comments from LTPAC better complemented one another.

The LTPAC Health IT Collaborative has made many contributions to health IT during our tenure of activity.

Some of our accomplishments... 

Strategic Plans and Roadmaps: The Collaborative has produced four major LTPAC HIT Roadmaps. The last Roadmap currently available was created in 2012-2014, the same year that the ONC started including LTPAC in their Strategic Plans. Currently, we are in process of creating a new and updated Roadmap.

LTPAC Health IT Summits: In 2005 the Collaborative held it's first Summit in Chicago. Most Health IT conferences at this time did not include LTPAC topics in their sessions. Every year since 2005 our Collaborative has held an annual Summit in June. Many members of the ONC and CMS speak at the Summit, as well as other Thought Leaders in Health IT and clinical medicine. 

Comments on Proposed Rules and Requests for Information: Since 2005, our Collaborative has commented multiple times on proposed rules and Requests for Information.

Representation: Members of the Collaborative have served as subject matter experts, technical experts, and contributors on many Public and Private Committees, workgroups, and task forces. As a reminder, LTPAC settings did not receive ANY HITECH Act funding and would be completely ignored without this representation. The representation of LTPAC on these official groups has enabled LTPAC to be understood and included in this Spectrum of Care. Without the volunteer work of the Collaborative, our healthcare system would be even more restricted and convoluted.  

ONC Brief: In March of 2015 the ONC, Karen DeSalvo, MD asked John Derr, a member of the Federal Advisory Committee on Standards (and a member of the LTPAC Health IT Collaborative) to provide a Brief on the LTPAC Sector. John asked for and received assistance from collaborative members in preparing this Brief titled, "The Value Proposition of LTPAC" This Brief was provided to ONC in May 2015 and outlines the positive value advantages of LTPAC Providers and Support Services. This Brief outlined five Value Quality Coordination of Care (VQCC) Differentials between LTPAC and the other sectors of care. These five VQCC Differentials include:

  • Duration of Care
  • eAssessments
  • Chronic Care Comorbidity Care
  • Medication Management
  • Technology

These five differentials highlight how LTPAC's holistic approach to care benefits the individual.

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