Cambia Grove Innovator Fellowship


The 2020 Cohort is ready to present their findings! Join us October 27 for the virtual event.

This is a two hour event in total. If you can't attend the full two hours, register and tune in for the specific session you are interested in. We will also send a follow up email to anyone registered with a link to their findings. 


11:05-11:30: Payer Perspectives: The CMS Patient Access API Rule and the Future of Interoperability

  • Daya Sharmand, Michael Barabe, Aju Jacob

11:30-11:45: Advance Care Planning and FHIR

  • Kevin Williams

11:45-12:10: Moving Towards Standardization of Social Determinants of Health

  • Phung Matthews, Joseph Kliegman, Jen Garcia, Mark Francis

12:10-12:25: Riding the Silver Tsunami

  • Tyrone Grandison

12:25-12:50: Patient Access API: The Current State of Consent and Opportunities for Innovation

  • Michael Barabe, Phung Matthews, Doan Ha, Daya Sharmand, Aju Jacob

Congratulations to the 2020 Cohort of Innovator Fellows!! *cue the confetti machine*

About our Fellows:

Michael Barabe is a Enterprise Data Architect at the Washington State Health Care Authority (HCA) and has spent his entire 20 year career in the area of healthcare information technology and data. Michael has had key roles in several large IT and data initiatives here at HCA, including implementation of the HIPAA X12 standardized transactions, served as the Technical Manager of the ProviderOne Medicaid Management Information System, and, helped establish HCA’s first enterprise data management and governance team. In his current role, Michael is working across the agency to make improvements in data and technical architecture to allow analysts produce robust data products that inform critical policy decisions. Michael is currently working to help the agency solve the data and technical challenges in the exchange of patient consent, master data and metadata management and expanding HCA’s Enterprise Data Warehouse. At HCA, the vision is “A Healthier Washington” for the more than 2 million Washington State residents they cover, and that can only achieve through secure and standardized exchange of healthcare data. As a lifelong resident of Washington State, Michael is proud to serve as a public employee working to improve the lives and health of not only Washingtonians, but through the work of the 2020 Cambia Grove Innovator Fellowship, the entire country. 

Michel holds a B.A. in Management Information Systems from Washington State University, and lives in Shelton, WA with his wife Crystal, and their two children, Amelia and Anthony.

Mark Francis is Chief Digital Health Integration Officer of Electronic Caregiver and co-founder of Caregiver Zone. Previously, Mark served as the Global Head of Marketing (Robotics/Augmented Reality) at AWS where he provided product marketing leadership for the launch and growth of AWS RoboMaker and Amazon Sumerian. In this capacity, Mark was responsible for strategy, adoption, engagement, advocacy, and enablement for these newly released AWS services. During his ten years at Intel, Mark created new ventures in the wearable computing, mixed reality, smart play/gaming, and digital health markets. During this time, he took four products from concept to commercialization and was awarded 17 US patents. Prior to joining Intel, Mark was a senior executive with Health Hero Network (pioneering telehealth firm), Age Wave, Life Eldercare, and Community Solutions. He began his career as a geriatric care manager and program manager with the City of Boston Area Agency on Aging. Mark holds a Bachelor of Science from the University of Pittsburgh and a Master’s in Public Policy from the Harvard Kennedy School.

Jen M. Garcia, RN CHC is a graduate student at the University of Washington, pursuing her Master’s of Science in Clinical Informatics and Patient Centered Technologies (MS-CIPCT). She will complete her degree in August 2020. Jen started her nursing career in cardiac critical care but discovered opportunities in clinical documentation improvement, medical necessity documentation and billing, and hospital compliance. Presently, Jen is working as an EPIC Credentialed Trainer at Seattle Children’s hospital for their EPIC EHR implementation later this year. Jen is interested in the space where hospital billing compliance, clinical documentation, and health informatics uniquely intersect, and how these elements are affected by today’s healthcare industry issues of patient privacy/security, payor policy, evolving health/medical record technology and interoperability.

Dr. Tyrone Grandison's work is at the intersection of technology, data, and social good. He has spent the last two decades developing and deploying data-driven, impact-focused, people-centered products and services that improve the lives of under-represented, and often ignored, American communities. Dr Grandison is a HIMSS Fellow, a Human Rights Commissioner for the City of Seattle, executive, software engineer, coach, and mentor. He has extensive experience in the healthcare industry; most recently leading the technology development of a long-term care booking engine.

Doan Ha is a dedicated and motivated professional who has spent her entire education and career in health care. She received a bachelor’s degree in Pharmacy, a Master’s in Public Health at Emory University and a PhD in Health Behavioral Sciences at the University of Texas (UT). She has a strong background in change management, organizational leadership, and data analysis. She possesses years of successful experience consulting on multifaceted projects, streamlining internal processes to enhance overall productivity, and fostering positive relationships with a wide range of physicians, stakeholders, and other key partners in the healthcare community. She is very passionate for a data-driven approach and for leveraging technology to transform healthcare.

Aju Jacob is an information technology professional presently serving as the Enterprise Architect for Interoperability at BlueCross BlueShield of Tennessee. Aju has over 16 years of experience in IT as an architect, team lead, and software developer on technologies such as web, mobile, SOA, and cloud. He has had the opportunity to work in the health payer, retail, consumer goods, disability insurance, and annuities business domains.

Joseph Kliegman, PhD is a scientist, public policy manager and technology strategist with deep expertise in the genomics of cancer, technology innovation, public-private partnerships, technology commercialization strategy, and data-driven decision making. Currently, he is accountable for the national strategy for research data integration as Veterans Affairs transitions to the Cerner EHR. He took his current position out of a strong desire to address challenges around interoperability and reproducible research due to the potential for knock-on improvements to healthcare delivery and patient care.

Phung Matthews currently resides in North Salt Lake, Utah. She received her PharmD from the University of Utah over a decade ago and decided to go back to school. Phung is looking forward to completing her master’s degree in biomedical informatics. She is extremely interested in informatics relating to healthcare practices and finding new solutions to help in preventing medication errors. In her free time, Phung is chasing after her kids, dogs and cats. Her family enjoys being outdoors, hiking, playing games and going to the movies. Phung also loves having a nice cup of coffee and a good book.

Dayanand Sharma is the Co-Founder and CTO of The Handoff Company, a digital health startup that leverages AI to predict patient safety outcomes before they occur. The startup offers a software solution, Caringly, that hardwires the transition of patient care responsibility across the care continuum between different healthcare settings and/or providers. Dayanand has been a software engineer for more than two decades working with varying types of systems ranging from distributed to centralized applications, from SPA to traditional frontends, from medium to enterprise scale across multiple verticals including cloud computing. He successfully led the IT Team for the end-to-end development, implementation and launch of Caringly for Hospitalists and Case Managers at a hospital in South Los Angeles. 

Kevin Williams is a software architect with extensive experience in application development, with a focus on platform interoperability and performance. He has created software for the financial, government, and mortgage industries, and in recent years has brought his experience to the healthcare vertical. He currently runs his own consulting firm, HealthTech Solutions LLC, and works with clients to leverage technologies such as FHIR to help their systems interact with each other and with electronic medical record systems. He has a strong interest in data representation and exchange and sees the latest challenges in the healthcare space as an opportunity to drive innovation and build systems that better serve the needs of patients, providers, and insurers, and lead to better outcomes in these challenging times

About the Innovator Fellowship Program 

Cambia Grove has convened partners from around the country to support the 2020 Innovator Fellowship Program. This year, Fellows will work with national health care leaders to:

  • Address new federal rules to use HL7 FHIR standards across health care organizations
  • Create national frameworks for health systems across the country to make it easier to implement FHIR 
  • Adopt new business models that include third party apps and a patient-centered approach to data sharing and communication

Individuals taking part in this fellowship will be well positioned to be leaders in digital health care transformation for years to come.

This Advancing FHIR to Ignite Innovation panel discussion with key stakeholders was an introduction to the importance of training individuals in FHIR data standards and will provide context for the Cambia Grove Innovator Fellowship. Watch the event video here


  • Application Period:  May 11 - 31
  • Fellows Announced: June 23
  • Fellowship Program:  July – October

Month 1

  • Kickoff meeting via teleconference on July 9th
  • HL7 FHIR Fundamentals Online Training:  July 16 – August 13
  • Connect with assigned mentor
  • Create project plan with other fellows for the frameworks

Month 2

  • Mentors and Mentees connect for job shadowing and informational interviews regarding FHIR training and creating the frameworks

Month 3

  • October TBD:  Present the frameworks

Cambia Grove

  • Cambia Grove will pay for the cost of the HL7 FHIR Fundamentals Online Training program for up to 10 fellows. 
  • Cambia Grove will facilitate introductions to mentors and health system leaders across the country.
  • Cambia Grove will provide each fellow a $3,000 stipend for their development of the national frameworks.


  • Fellows will be responsible for their own travel and equipment costs (if needed).
  • Fellows will be required to participate in all events and meetings as well as the 4-week online training. Fellows should anticipate spending 10 hours per week during the duration of the program.
  • Fellow applicant criteria: Developers with coding experience and/or professional experience working in health care is preferred.

Example of the Work to Build a Framework

  • The framework will allow a consumer (patient/member) to provide specific consent to a HIPAA covered entity (i.e. a Health Plan) to share their data with a third party (i.e. App, Family member, Care Giver, Provider, Health Plan, etc.)
  • The framework should support consents with appropriate granularity for the Health Plan domain so that the data sharing is subject to filtering/conditions based on:
    • Consumer’s confidential communication restrictions
    • State and local agencies’ sensitive diagnostic and procedure codes requirements
    • Type of data (i.e. type of claims, type of clinical data, etc)
    • Type of third party or specific third parties










Partners will be organizations working with health care data with subject matter expertise in FHIR. Those subject matter experts will spend time mentoring them virtually. The fellows will work with the partner organization stakeholders to identify requirements and recommendations for the national frameworks.

  • Mentor fellows who are being trained on FHIR standards
  • Provide input on national frameworks (using FHIR)
  • Facilitate introductions for informational interviews about the use of FHIR and new rule compliance to build out frameworks


Background: After extensive feedback from the health care innovation community, Cambia Grove took on data as the first topic for our Solutions Lab. This Solutions Lab systematically breaks down barriers to innovation by convening stakeholders around high-priority health care topics, identifying specific challenges within those topics and then catalyze solutions that support system-wide transformation.