Office of the Vice Chancellor and Dean | UC Davis Health

Welcome Dr. David Lubarsky to UC Davis Health!

David A. LubarskyUC Davis Chancellor Gary May has appointed David A. Lubarsky to the position of vice chancellor of human health sciences and chief executive officer of UC Davis Health, which includes the School of Medicine, the Betty Irene Moore School of Nursing, the 1,000-member physician practice group, and UC Davis Medical Center, a 627-bed acute-care hospital. Lubarsky will join UC Davis on July 2, 2018.

Lubarsky most recently served as the chief medical and systems integration officer with the University of Miami Health System, a position he has held since 2012. As a leader within the system, he has overseen the system’s four hospital and practice chief medical officers as well as patient safety and quality. In addition, he led the university’s self-insured malpractice program, which focuses on prevention, and patient and visitor services, including patient experience. During his tenure at the University of Miami, Lubarsky integrated programs to create system-wide consistent approaches to care and quality improvement, including a new central safety and quality office, a system-wide safety and quality governing board, a system-wide chief medical officer council, a system-wide infection control and antibiotic stewardship program, and a central PI and project management office.

"David brings to UC Davis broad experience and proven results in a major healthcare market," May said. "He has an impressive record of sound financial management and innovative practices for a high functioning health care system that has gained national attention. His success in raising funds to meet pressing needs, including for enhanced access to Medicaid and indigent patients, aligns well with our values at UC Davis Health."

Lubarsky has been recognized for his success in helping establish a centralized scheduling system, improving infrastructure, and improving performance across many areas of the University of Miami health system. He raised more than $100 million annually for the University of Miami from state and federal funding sources to aid enhanced access for Medicaid and indigent patients. Previously, as CEO of the 1,100-physician practice, he turned a $100 million loss into a $32 million surplus in one year by growing patient volumes and optimizing the revenue cycle while making sure already high patient experience scores were maintained. Of note, every one of his major initiatives has explicitly prioritized quality and empathetic patient care.

In his efforts to meet community needs, Lubarsky has worked with the state of Florida and Centers for Medicare & Medicaid Services to expand access to Medicaid, forging a close partnership with the other major academic centers in Florida in pursuit of this goal. He has also been working with Florida’s state and congressional representatives to expand existing graduate medical education programs that would best meet the state’s needs and to secure the necessary federal funding which has been frozen for more than 20 years.

For the last 16 years, Lubarsky has been chief of service of anesthesia and pain management for the largest safety net hospital in the U.S., Jackson Memorial Hospital. He served on their board overseeing safety and quality, and throughout his tenure has been a forceful advocate for a uniform high quality of care.

"It is a privilege to join this highly regarded, progressive and nationally recognized health system," Lubarsky said. "I look forward to working closely with the accomplished faculty and staff, and routinely interacting with Davis’ talented students and trainees. I have already heard many great ideas about how to catapult Davis to greater heights, and I hope to harness those ideas to catalyze innovation so that we better serve our patients, our local community and our academic mission."

UC Davis School of Medicine is one of the nation's leading medical schools, recognized for its research and primary-care programs. Ranked 34th in National Institutes of Health funding in 2013, it is designated as one of the nation’s inaugural Clinical Translational Science Centers.

A few highlights include:

  • A national reputation for life-changing biomedical discoveries
  • A passion for clinical care and a commitment to engaging people from underserved communities and advancing rural health
  • Fully accredited master’s degree programs in public health and in informatics
  • A combined M.D.-Ph.D. program that is training the next generation of physician-scientists to conduct high-impact research and translate discoveries into better clinical care

The Dean’s Departments and Offices include:

Additional departments:

To learn more, visit the medical school site.

UC Davis Medical Center, based in Sacramento, Calif., is a nationally renowned academic medical center where clinical practice, teaching and research converge to advance human health.

A few highlights:

  • A 627-bed multispecialty academic medical center
  • Serves 33 counties covering a 65,000-square-mile area north to the Oregon border and east to Nevada
  • Recognized as one of the “Most Wired” hospitals in the U.S.
  • Recognized by The Leapfrog Group as a “Top Hospital” for delivery of high-quality care
  • Ranked Sacramento's top hospital by U.S. News & World Report

Centers of excellence include:

  • UC Davis Comprehensive Cancer Center, one of only 41 National Cancer Institute-designated comprehensive centers nationwide
  • State-of-the-art emergency departments that include the region's only Level I adult and pediatric trauma centers
  • The internationally recognized UC Davis MIND Institute, devoted to finding treatments and cures for neurodevelopmental disorders
  • UC Davis Children's Hospital, a nationally ranked pediatric hospital with more than 120 physicians in 33 pediatric subspecialties
  • A pioneering telehealth program, which gives remote, underserved communities access to academic specialty and subspecialty care

To learn more, visit the medical center site.

The Betty Irene Moore School of Nursing at UC Davis cultivates academic excellence and addresses urgent, societal needs through leadership development, interprofessional education, transformative research, cultural inclusiveness and innovative technology. The school plays a critical role in preparing nurse leaders who will shape the future of health care and inform health policy.

The School of Nursing has five research focus areas: chronic disease management, health technology, pain management, Healthy People and Healthy Systems. Faculty come from a wide range of backgrounds including nursing, business administration, sociology, gerontology, medicine, information technology and psychology. School of Nursing students engage in classroom and clinical environments with students in the School of Medicine, health informatics and other health-related programs.

A few highlights include:

To learn more, visit the School of Nursing’s website.

The Practice Management Group (TPMG) represents all organized medical group practices of UC Davis Health System’s primary and specialty care faculty physicians. The group's purpose is to serve the health system’s missions through high-quality, cost-effective care delivery. By delegation from the Office of the Vice Chancellor and Dean, TPMG has shared responsibility for the clinical operations of the health system's professional practice activities.

The formation of TPMG is an important step in formalizing the leadership of the health system's medical group practices and in refining the role of its group practice in achieving the health system's research, teaching, patient care and community engagement goals. Its primary goal is to maintain a clinical practice that distinguishes UC Davis Health System as a leading faculty and academic health center.

Specific goals of TPMG include:

  • Increasing efficiency of practice and revenue
  • Decreasing practice expenses
  • Reducing silos and improving integration
  • Identifying areas to increase quality
  • Aligning incentives

David H. Wisner is the executive director of the Practice Management Group, overseeing faculty practice operations as well as the overall vision and strategic direction of TPMG and its day-to-day activities. Wisner collaborates with the leadership of the School of Medicine and medical center to set and achieve joint strategic goals across the health system.

More information



Office of the Vice Chancellor and Dean | UC Davis Health

Welcome Dr. David Lubarsky to UC Davis Health!

David A. LubarskyUC Davis Chancellor Gary May has appointed David A. Lubarsky to the position of vice chancellor of human health sciences and chief executive officer of UC Davis Health, which includes the School of Medicine, the Betty Irene Moore School of Nursing, the 1,000-member physician practice group, and UC Davis Medical Center, a 627-bed acute-care hospital. Lubarsky will join UC Davis on July 2, 2018.

Lubarsky most recently served as the chief medical and systems integration officer with the University of Miami Health System, a position he has held since 2012. As a leader within the system, he has overseen the system’s four hospital and practice chief medical officers as well as patient safety and quality. In addition, he led the university’s self-insured malpractice program, which focuses on prevention, and patient and visitor services, including patient experience. During his tenure at the University of Miami, Lubarsky integrated programs to create system-wide consistent approaches to care and quality improvement, including a new central safety and quality office, a system-wide safety and quality governing board, a system-wide chief medical officer council, a system-wide infection control and antibiotic stewardship program, and a central PI and project management office.

"David brings to UC Davis broad experience and proven results in a major healthcare market," May said. "He has an impressive record of sound financial management and innovative practices for a high functioning health care system that has gained national attention. His success in raising funds to meet pressing needs, including for enhanced access to Medicaid and indigent patients, aligns well with our values at UC Davis Health."

Lubarsky has been recognized for his success in helping establish a centralized scheduling system, improving infrastructure, and improving performance across many areas of the University of Miami health system. He raised more than $100 million annually for the University of Miami from state and federal funding sources to aid enhanced access for Medicaid and indigent patients. Previously, as CEO of the 1,100-physician practice, he turned a $100 million loss into a $32 million surplus in one year by growing patient volumes and optimizing the revenue cycle while making sure already high patient experience scores were maintained. Of note, every one of his major initiatives has explicitly prioritized quality and empathetic patient care.

In his efforts to meet community needs, Lubarsky has worked with the state of Florida and Centers for Medicare & Medicaid Services to expand access to Medicaid, forging a close partnership with the other major academic centers in Florida in pursuit of this goal. He has also been working with Florida’s state and congressional representatives to expand existing graduate medical education programs that would best meet the state’s needs and to secure the necessary federal funding which has been frozen for more than 20 years.

For the last 16 years, Lubarsky has been chief of service of anesthesia and pain management for the largest safety net hospital in the U.S., Jackson Memorial Hospital. He served on their board overseeing safety and quality, and throughout his tenure has been a forceful advocate for a uniform high quality of care.

"It is a privilege to join this highly regarded, progressive and nationally recognized health system," Lubarsky said. "I look forward to working closely with the accomplished faculty and staff, and routinely interacting with Davis’ talented students and trainees. I have already heard many great ideas about how to catapult Davis to greater heights, and I hope to harness those ideas to catalyze innovation so that we better serve our patients, our local community and our academic mission."

UC Davis School of Medicine is one of the nation's leading medical schools, recognized for its research and primary-care programs. Ranked 34th in National Institutes of Health funding in 2013, it is designated as one of the nation’s inaugural Clinical Translational Science Centers.

A few highlights include:

  • A national reputation for life-changing biomedical discoveries
  • A passion for clinical care and a commitment to engaging people from underserved communities and advancing rural health
  • Fully accredited master’s degree programs in public health and in informatics
  • A combined M.D.-Ph.D. program that is training the next generation of physician-scientists to conduct high-impact research and translate discoveries into better clinical care

The Dean’s Departments and Offices include:

Additional departments:

To learn more, visit the medical school site.

UC Davis Medical Center, based in Sacramento, Calif., is a nationally renowned academic medical center where clinical practice, teaching and research converge to advance human health.

A few highlights:

  • A 627-bed multispecialty academic medical center
  • Serves 33 counties covering a 65,000-square-mile area north to the Oregon border and east to Nevada
  • Recognized as one of the “Most Wired” hospitals in the U.S.
  • Recognized by The Leapfrog Group as a “Top Hospital” for delivery of high-quality care
  • Ranked Sacramento's top hospital by U.S. News & World Report

Centers of excellence include:

  • UC Davis Comprehensive Cancer Center, one of only 41 National Cancer Institute-designated comprehensive centers nationwide
  • State-of-the-art emergency departments that include the region's only Level I adult and pediatric trauma centers
  • The internationally recognized UC Davis MIND Institute, devoted to finding treatments and cures for neurodevelopmental disorders
  • UC Davis Children's Hospital, a nationally ranked pediatric hospital with more than 120 physicians in 33 pediatric subspecialties
  • A pioneering telehealth program, which gives remote, underserved communities access to academic specialty and subspecialty care

To learn more, visit the medical center site.

The Betty Irene Moore School of Nursing at UC Davis cultivates academic excellence and addresses urgent, societal needs through leadership development, interprofessional education, transformative research, cultural inclusiveness and innovative technology. The school plays a critical role in preparing nurse leaders who will shape the future of health care and inform health policy.

The School of Nursing has five research focus areas: chronic disease management, health technology, pain management, Healthy People and Healthy Systems. Faculty come from a wide range of backgrounds including nursing, business administration, sociology, gerontology, medicine, information technology and psychology. School of Nursing students engage in classroom and clinical environments with students in the School of Medicine, health informatics and other health-related programs.

A few highlights include:

To learn more, visit the School of Nursing’s website.

The Practice Management Group (TPMG) represents all organized medical group practices of UC Davis Health System’s primary and specialty care faculty physicians. The group's purpose is to serve the health system’s missions through high-quality, cost-effective care delivery. By delegation from the Office of the Vice Chancellor and Dean, TPMG has shared responsibility for the clinical operations of the health system's professional practice activities.

The formation of TPMG is an important step in formalizing the leadership of the health system's medical group practices and in refining the role of its group practice in achieving the health system's research, teaching, patient care and community engagement goals. Its primary goal is to maintain a clinical practice that distinguishes UC Davis Health System as a leading faculty and academic health center.

Specific goals of TPMG include:

  • Increasing efficiency of practice and revenue
  • Decreasing practice expenses
  • Reducing silos and improving integration
  • Identifying areas to increase quality
  • Aligning incentives

David H. Wisner is the executive director of the Practice Management Group, overseeing faculty practice operations as well as the overall vision and strategic direction of TPMG and its day-to-day activities. Wisner collaborates with the leadership of the School of Medicine and medical center to set and achieve joint strategic goals across the health system.

More information



UC Davis study finds potential biomarker differentiating the ...
Office of the Vice Chancellor and Dean | UC Davis Health

Welcome Dr. David Lubarsky to UC Davis Health!

David A. LubarskyUC Davis Chancellor Gary May has appointed David A. Lubarsky to the position of vice chancellor of human health sciences and chief executive officer of UC Davis Health, which includes the School of Medicine, the Betty Irene Moore School of Nursing, the 1,000-member physician practice group, and UC Davis Medical Center, a 627-bed acute-care hospital. Lubarsky will join UC Davis on July 2, 2018.

Lubarsky most recently served as the chief medical and systems integration officer with the University of Miami Health System, a position he has held since 2012. As a leader within the system, he has overseen the system’s four hospital and practice chief medical officers as well as patient safety and quality. In addition, he led the university’s self-insured malpractice program, which focuses on prevention, and patient and visitor services, including patient experience. During his tenure at the University of Miami, Lubarsky integrated programs to create system-wide consistent approaches to care and quality improvement, including a new central safety and quality office, a system-wide safety and quality governing board, a system-wide chief medical officer council, a system-wide infection control and antibiotic stewardship program, and a central PI and project management office.

"David brings to UC Davis broad experience and proven results in a major healthcare market," May said. "He has an impressive record of sound financial management and innovative practices for a high functioning health care system that has gained national attention. His success in raising funds to meet pressing needs, including for enhanced access to Medicaid and indigent patients, aligns well with our values at UC Davis Health."

Lubarsky has been recognized for his success in helping establish a centralized scheduling system, improving infrastructure, and improving performance across many areas of the University of Miami health system. He raised more than $100 million annually for the University of Miami from state and federal funding sources to aid enhanced access for Medicaid and indigent patients. Previously, as CEO of the 1,100-physician practice, he turned a $100 million loss into a $32 million surplus in one year by growing patient volumes and optimizing the revenue cycle while making sure already high patient experience scores were maintained. Of note, every one of his major initiatives has explicitly prioritized quality and empathetic patient care.

In his efforts to meet community needs, Lubarsky has worked with the state of Florida and Centers for Medicare & Medicaid Services to expand access to Medicaid, forging a close partnership with the other major academic centers in Florida in pursuit of this goal. He has also been working with Florida’s state and congressional representatives to expand existing graduate medical education programs that would best meet the state’s needs and to secure the necessary federal funding which has been frozen for more than 20 years.

For the last 16 years, Lubarsky has been chief of service of anesthesia and pain management for the largest safety net hospital in the U.S., Jackson Memorial Hospital. He served on their board overseeing safety and quality, and throughout his tenure has been a forceful advocate for a uniform high quality of care.

"It is a privilege to join this highly regarded, progressive and nationally recognized health system," Lubarsky said. "I look forward to working closely with the accomplished faculty and staff, and routinely interacting with Davis’ talented students and trainees. I have already heard many great ideas about how to catapult Davis to greater heights, and I hope to harness those ideas to catalyze innovation so that we better serve our patients, our local community and our academic mission."

UC Davis School of Medicine is one of the nation's leading medical schools, recognized for its research and primary-care programs. Ranked 34th in National Institutes of Health funding in 2013, it is designated as one of the nation’s inaugural Clinical Translational Science Centers.

A few highlights include:

  • A national reputation for life-changing biomedical discoveries
  • A passion for clinical care and a commitment to engaging people from underserved communities and advancing rural health
  • Fully accredited master’s degree programs in public health and in informatics
  • A combined M.D.-Ph.D. program that is training the next generation of physician-scientists to conduct high-impact research and translate discoveries into better clinical care

The Dean’s Departments and Offices include:

Additional departments:

To learn more, visit the medical school site.

UC Davis Medical Center, based in Sacramento, Calif., is a nationally renowned academic medical center where clinical practice, teaching and research converge to advance human health.

A few highlights:

  • A 627-bed multispecialty academic medical center
  • Serves 33 counties covering a 65,000-square-mile area north to the Oregon border and east to Nevada
  • Recognized as one of the “Most Wired” hospitals in the U.S.
  • Recognized by The Leapfrog Group as a “Top Hospital” for delivery of high-quality care
  • Ranked Sacramento's top hospital by U.S. News & World Report

Centers of excellence include:

  • UC Davis Comprehensive Cancer Center, one of only 41 National Cancer Institute-designated comprehensive centers nationwide
  • State-of-the-art emergency departments that include the region's only Level I adult and pediatric trauma centers
  • The internationally recognized UC Davis MIND Institute, devoted to finding treatments and cures for neurodevelopmental disorders
  • UC Davis Children's Hospital, a nationally ranked pediatric hospital with more than 120 physicians in 33 pediatric subspecialties
  • A pioneering telehealth program, which gives remote, underserved communities access to academic specialty and subspecialty care

To learn more, visit the medical center site.

The Betty Irene Moore School of Nursing at UC Davis cultivates academic excellence and addresses urgent, societal needs through leadership development, interprofessional education, transformative research, cultural inclusiveness and innovative technology. The school plays a critical role in preparing nurse leaders who will shape the future of health care and inform health policy.

The School of Nursing has five research focus areas: chronic disease management, health technology, pain management, Healthy People and Healthy Systems. Faculty come from a wide range of backgrounds including nursing, business administration, sociology, gerontology, medicine, information technology and psychology. School of Nursing students engage in classroom and clinical environments with students in the School of Medicine, health informatics and other health-related programs.

A few highlights include:

To learn more, visit the School of Nursing’s website.

The Practice Management Group (TPMG) represents all organized medical group practices of UC Davis Health System’s primary and specialty care faculty physicians. The group's purpose is to serve the health system’s missions through high-quality, cost-effective care delivery. By delegation from the Office of the Vice Chancellor and Dean, TPMG has shared responsibility for the clinical operations of the health system's professional practice activities.

The formation of TPMG is an important step in formalizing the leadership of the health system's medical group practices and in refining the role of its group practice in achieving the health system's research, teaching, patient care and community engagement goals. Its primary goal is to maintain a clinical practice that distinguishes UC Davis Health System as a leading faculty and academic health center.

Specific goals of TPMG include:

  • Increasing efficiency of practice and revenue
  • Decreasing practice expenses
  • Reducing silos and improving integration
  • Identifying areas to increase quality
  • Aligning incentives

David H. Wisner is the executive director of the Practice Management Group, overseeing faculty practice operations as well as the overall vision and strategic direction of TPMG and its day-to-day activities. Wisner collaborates with the leadership of the School of Medicine and medical center to set and achieve joint strategic goals across the health system.

More information



Office of the Vice Chancellor and Dean | UC Davis Health

Welcome Dr. David Lubarsky to UC Davis Health!

David A. LubarskyUC Davis Chancellor Gary May has appointed David A. Lubarsky to the position of vice chancellor of human health sciences and chief executive officer of UC Davis Health, which includes the School of Medicine, the Betty Irene Moore School of Nursing, the 1,000-member physician practice group, and UC Davis Medical Center, a 627-bed acute-care hospital. Lubarsky will join UC Davis on July 2, 2018.

Lubarsky most recently served as the chief medical and systems integration officer with the University of Miami Health System, a position he has held since 2012. As a leader within the system, he has overseen the system’s four hospital and practice chief medical officers as well as patient safety and quality. In addition, he led the university’s self-insured malpractice program, which focuses on prevention, and patient and visitor services, including patient experience. During his tenure at the University of Miami, Lubarsky integrated programs to create system-wide consistent approaches to care and quality improvement, including a new central safety and quality office, a system-wide safety and quality governing board, a system-wide chief medical officer council, a system-wide infection control and antibiotic stewardship program, and a central PI and project management office.

"David brings to UC Davis broad experience and proven results in a major healthcare market," May said. "He has an impressive record of sound financial management and innovative practices for a high functioning health care system that has gained national attention. His success in raising funds to meet pressing needs, including for enhanced access to Medicaid and indigent patients, aligns well with our values at UC Davis Health."

Lubarsky has been recognized for his success in helping establish a centralized scheduling system, improving infrastructure, and improving performance across many areas of the University of Miami health system. He raised more than $100 million annually for the University of Miami from state and federal funding sources to aid enhanced access for Medicaid and indigent patients. Previously, as CEO of the 1,100-physician practice, he turned a $100 million loss into a $32 million surplus in one year by growing patient volumes and optimizing the revenue cycle while making sure already high patient experience scores were maintained. Of note, every one of his major initiatives has explicitly prioritized quality and empathetic patient care.

In his efforts to meet community needs, Lubarsky has worked with the state of Florida and Centers for Medicare & Medicaid Services to expand access to Medicaid, forging a close partnership with the other major academic centers in Florida in pursuit of this goal. He has also been working with Florida’s state and congressional representatives to expand existing graduate medical education programs that would best meet the state’s needs and to secure the necessary federal funding which has been frozen for more than 20 years.

For the last 16 years, Lubarsky has been chief of service of anesthesia and pain management for the largest safety net hospital in the U.S., Jackson Memorial Hospital. He served on their board overseeing safety and quality, and throughout his tenure has been a forceful advocate for a uniform high quality of care.

"It is a privilege to join this highly regarded, progressive and nationally recognized health system," Lubarsky said. "I look forward to working closely with the accomplished faculty and staff, and routinely interacting with Davis’ talented students and trainees. I have already heard many great ideas about how to catapult Davis to greater heights, and I hope to harness those ideas to catalyze innovation so that we better serve our patients, our local community and our academic mission."

UC Davis School of Medicine is one of the nation's leading medical schools, recognized for its research and primary-care programs. Ranked 34th in National Institutes of Health funding in 2013, it is designated as one of the nation’s inaugural Clinical Translational Science Centers.

A few highlights include:

  • A national reputation for life-changing biomedical discoveries
  • A passion for clinical care and a commitment to engaging people from underserved communities and advancing rural health
  • Fully accredited master’s degree programs in public health and in informatics
  • A combined M.D.-Ph.D. program that is training the next generation of physician-scientists to conduct high-impact research and translate discoveries into better clinical care

The Dean’s Departments and Offices include:

Additional departments:

To learn more, visit the medical school site.

UC Davis Medical Center, based in Sacramento, Calif., is a nationally renowned academic medical center where clinical practice, teaching and research converge to advance human health.

A few highlights:

  • A 627-bed multispecialty academic medical center
  • Serves 33 counties covering a 65,000-square-mile area north to the Oregon border and east to Nevada
  • Recognized as one of the “Most Wired” hospitals in the U.S.
  • Recognized by The Leapfrog Group as a “Top Hospital” for delivery of high-quality care
  • Ranked Sacramento's top hospital by U.S. News & World Report

Centers of excellence include:

  • UC Davis Comprehensive Cancer Center, one of only 41 National Cancer Institute-designated comprehensive centers nationwide
  • State-of-the-art emergency departments that include the region's only Level I adult and pediatric trauma centers
  • The internationally recognized UC Davis MIND Institute, devoted to finding treatments and cures for neurodevelopmental disorders
  • UC Davis Children's Hospital, a nationally ranked pediatric hospital with more than 120 physicians in 33 pediatric subspecialties
  • A pioneering telehealth program, which gives remote, underserved communities access to academic specialty and subspecialty care

To learn more, visit the medical center site.

The Betty Irene Moore School of Nursing at UC Davis cultivates academic excellence and addresses urgent, societal needs through leadership development, interprofessional education, transformative research, cultural inclusiveness and innovative technology. The school plays a critical role in preparing nurse leaders who will shape the future of health care and inform health policy.

The School of Nursing has five research focus areas: chronic disease management, health technology, pain management, Healthy People and Healthy Systems. Faculty come from a wide range of backgrounds including nursing, business administration, sociology, gerontology, medicine, information technology and psychology. School of Nursing students engage in classroom and clinical environments with students in the School of Medicine, health informatics and other health-related programs.

A few highlights include:

To learn more, visit the School of Nursing’s website.

The Practice Management Group (TPMG) represents all organized medical group practices of UC Davis Health System’s primary and specialty care faculty physicians. The group's purpose is to serve the health system’s missions through high-quality, cost-effective care delivery. By delegation from the Office of the Vice Chancellor and Dean, TPMG has shared responsibility for the clinical operations of the health system's professional practice activities.

The formation of TPMG is an important step in formalizing the leadership of the health system's medical group practices and in refining the role of its group practice in achieving the health system's research, teaching, patient care and community engagement goals. Its primary goal is to maintain a clinical practice that distinguishes UC Davis Health System as a leading faculty and academic health center.

Specific goals of TPMG include:

  • Increasing efficiency of practice and revenue
  • Decreasing practice expenses
  • Reducing silos and improving integration
  • Identifying areas to increase quality
  • Aligning incentives

David H. Wisner is the executive director of the Practice Management Group, overseeing faculty practice operations as well as the overall vision and strategic direction of TPMG and its day-to-day activities. Wisner collaborates with the leadership of the School of Medicine and medical center to set and achieve joint strategic goals across the health system.

More information



NEWS | October 8, 2013

UC Davis study finds potential biomarker differentiating the inattentive and combined subtypes of ADHD

Editor's note:

View this release in 中文 Chinese or en español.

(SACRAMENTO)

Using a common test of brain functioning, UC Davis researchers have found differences in the brains of adolescents with the inattentive and combined subtypes of attention-deficit/hyperactivity disorder (ADHD) and teens who do not have the condition, suggesting that the test may offer a potential biomarker for the types of the disorder.

Catherine Fassbender Catherine Fassbender

The differences were observed in brain waves exhibited during electroencephalograms (EEGs) of teens with the inattentive and combined subtypes of the condition and typical adolescents, illustrating that these groups display distinct physiological profiles. The research is published online today in the journal Biological Psychiatry.

When preparing to perform a computer task, the researchers found that the teens with the type whose primary symptom is inattentiveness exhibited different brain-wave patterns from those whose symptoms include hyperactivity and impulsivity.

“ADHD subtypes appear subjectively very different in the clinical setting, but there are few objective physiological markers that have been able to detect those differences,” said Ali Mazaheri, assistant professor at the Academic Medical Center, University of Amsterdam, the Netherlands, and guest researcher at the UC Davis Center for Mind and Brain. “This study shows that there are changes in brain waves related to visual processing and motor planning that can be used to distinguish ADHD subtypes.”

According to the U.S. Centers for Disease Control and Prevention, in 2007 an estimated 9 to 10 percent, or approximately 5.5 million children 4 to 17 years of age, were diagnosed with ADHD; the percentage of children with parent-reported ADHD increased by 22 percent between 2003 and 2007. ADHD is approximately twice as common among boys as girls, and is one of the most commonly diagnosed psychiatric illnesses among children.

The study was conducted in 57 children between 12 and 17 years, 23 without ADHD and 17 participants who fell into each of the inattentive- and combined-type groups. The collaborative study was conducted between 2009 and 2013 by the UC Davis Center for MIND and Brain and UC Davis MIND Institute.

The teens’ brain waves were assessed using EEG caps with 32 electrodes during evaluations of their performance on a computer task in which they received visual cues that could help aide their performance. Some cues were more helpful than others, so the task required the participants to sometimes override an initial impulse in order to respond correctly. Such situations are particularly challenging for people with ADHD. 

For example, brain waves were recorded during evaluations of the subjects’ performance on a computer task during which they were asked to look at a series of arrows pointing in different directions on a computer screen, and then indicate the direction in which the center arrow pointed by pressing a button for either left or right. In the following series of arrows the center arrow is pointing to the left: >><>>

The researchers examined the teens’ alpha and beta brain waves after they viewed the visual cues, and found differences between the teens with the subtypes of ADHD and typically developing teens. The alpha wave patterns of teens with the inattentive type did not process the important information in the visual cues, limiting their ability to succeed.

The researchers also examined the subjects' beta waves, which are associated with the performance of motor tasks. These also differed among those with and without ADHD and were most deficient in teens with the combined type, suggesting that these teens had greatest difficulty accomplishing the motor task — pressing a button.

Regardless of subtype, the participants with ADHD were less able to control attention to the task than were those without the disorder, validating a finding reported by the current research team in 2010.

“Researchers in the field of ADHD have questioned whether the ADHD combined subtype simply represents a more severe form of ADHD,” said Catherine Fassbender, a research scientist with the MIND Institute. Our study suggests differential impairment profiles in the ADHD subtypes, and not simply an additive effect of impairments in the ADHD combined subtype,” Fassbender said. "The inattentive group had problems processing the cues, whereas the combined type had problems using the cues to prepare a motor response."

“These differences, alpha wave changes in the brain’s visual cortex related to visual processing, and beta changes in the brain’s motor cortex related to motor planning could represent unique impairments between the two subtypes,” she said.

“This research also gives us clues regarding the development of treatments to address the underlying processing differences between ADHD subtypes,” Fassbender said. “Most treatments for ADHD do not take subtype differences into account. Our findings suggest targets for treatment should differ for the ADHD inattentive versus combined subtypes, and that advanced analysis of brain waves may provide a biomarker for testing treatment responses.”

Study authors include Mazaheri with UC Davis and the University of Amsterdam. Other study authors, all of UC Davis, include Fassbender, Sharon Coffey-Corina, Tadeus A. Hartanto, Julie B. Schweitzer and George. R. Mangun.

The study was funded by grants MH055714 and MH066310 from the National Institute of Mental Health of the U.S. National Institutes of Health, a Klingenstein Third Generation Foundation ADHD Fellowship; a UC Davis MIND Institute Pilot Research Grant and a grant from the Netherlands Organisation for Scientific Research.

For more than 100 years, UC Davis has engaged in teaching, research and public service that matter to California and transform the world. Located close to the state capital, UC Davis has more than 33,000 students, more than 2,500 faculty and more than 21,000 staff, an annual research budget of nearly $750 million, a comprehensive health system and 13 specialized research centers. The university offers interdisciplinary graduate study and more than 100 undergraduate majors in four colleges -- Agricultural and Environmental Sciences, Biological Sciences, Engineering, and Letters and Science. It also houses six professional schools -- Education, Law, Management, Medicine, Veterinary Medicine and the Betty Irene Moore School of Nursing.

Office of the Vice Chancellor and Dean | UC Davis Health

Welcome Dr. David Lubarsky to UC Davis Health!

David A. LubarskyUC Davis Chancellor Gary May has appointed David A. Lubarsky to the position of vice chancellor of human health sciences and chief executive officer of UC Davis Health, which includes the School of Medicine, the Betty Irene Moore School of Nursing, the 1,000-member physician practice group, and UC Davis Medical Center, a 627-bed acute-care hospital. Lubarsky will join UC Davis on July 2, 2018.

Lubarsky most recently served as the chief medical and systems integration officer with the University of Miami Health System, a position he has held since 2012. As a leader within the system, he has overseen the system’s four hospital and practice chief medical officers as well as patient safety and quality. In addition, he led the university’s self-insured malpractice program, which focuses on prevention, and patient and visitor services, including patient experience. During his tenure at the University of Miami, Lubarsky integrated programs to create system-wide consistent approaches to care and quality improvement, including a new central safety and quality office, a system-wide safety and quality governing board, a system-wide chief medical officer council, a system-wide infection control and antibiotic stewardship program, and a central PI and project management office.

"David brings to UC Davis broad experience and proven results in a major healthcare market," May said. "He has an impressive record of sound financial management and innovative practices for a high functioning health care system that has gained national attention. His success in raising funds to meet pressing needs, including for enhanced access to Medicaid and indigent patients, aligns well with our values at UC Davis Health."

Lubarsky has been recognized for his success in helping establish a centralized scheduling system, improving infrastructure, and improving performance across many areas of the University of Miami health system. He raised more than $100 million annually for the University of Miami from state and federal funding sources to aid enhanced access for Medicaid and indigent patients. Previously, as CEO of the 1,100-physician practice, he turned a $100 million loss into a $32 million surplus in one year by growing patient volumes and optimizing the revenue cycle while making sure already high patient experience scores were maintained. Of note, every one of his major initiatives has explicitly prioritized quality and empathetic patient care.

In his efforts to meet community needs, Lubarsky has worked with the state of Florida and Centers for Medicare & Medicaid Services to expand access to Medicaid, forging a close partnership with the other major academic centers in Florida in pursuit of this goal. He has also been working with Florida’s state and congressional representatives to expand existing graduate medical education programs that would best meet the state’s needs and to secure the necessary federal funding which has been frozen for more than 20 years.

For the last 16 years, Lubarsky has been chief of service of anesthesia and pain management for the largest safety net hospital in the U.S., Jackson Memorial Hospital. He served on their board overseeing safety and quality, and throughout his tenure has been a forceful advocate for a uniform high quality of care.

"It is a privilege to join this highly regarded, progressive and nationally recognized health system," Lubarsky said. "I look forward to working closely with the accomplished faculty and staff, and routinely interacting with Davis’ talented students and trainees. I have already heard many great ideas about how to catapult Davis to greater heights, and I hope to harness those ideas to catalyze innovation so that we better serve our patients, our local community and our academic mission."

UC Davis School of Medicine is one of the nation's leading medical schools, recognized for its research and primary-care programs. Ranked 34th in National Institutes of Health funding in 2013, it is designated as one of the nation’s inaugural Clinical Translational Science Centers.

A few highlights include:

  • A national reputation for life-changing biomedical discoveries
  • A passion for clinical care and a commitment to engaging people from underserved communities and advancing rural health
  • Fully accredited master’s degree programs in public health and in informatics
  • A combined M.D.-Ph.D. program that is training the next generation of physician-scientists to conduct high-impact research and translate discoveries into better clinical care

The Dean’s Departments and Offices include:

Additional departments:

To learn more, visit the medical school site.

UC Davis Medical Center, based in Sacramento, Calif., is a nationally renowned academic medical center where clinical practice, teaching and research converge to advance human health.

A few highlights:

  • A 627-bed multispecialty academic medical center
  • Serves 33 counties covering a 65,000-square-mile area north to the Oregon border and east to Nevada
  • Recognized as one of the “Most Wired” hospitals in the U.S.
  • Recognized by The Leapfrog Group as a “Top Hospital” for delivery of high-quality care
  • Ranked Sacramento's top hospital by U.S. News & World Report

Centers of excellence include:

  • UC Davis Comprehensive Cancer Center, one of only 41 National Cancer Institute-designated comprehensive centers nationwide
  • State-of-the-art emergency departments that include the region's only Level I adult and pediatric trauma centers
  • The internationally recognized UC Davis MIND Institute, devoted to finding treatments and cures for neurodevelopmental disorders
  • UC Davis Children's Hospital, a nationally ranked pediatric hospital with more than 120 physicians in 33 pediatric subspecialties
  • A pioneering telehealth program, which gives remote, underserved communities access to academic specialty and subspecialty care

To learn more, visit the medical center site.

The Betty Irene Moore School of Nursing at UC Davis cultivates academic excellence and addresses urgent, societal needs through leadership development, interprofessional education, transformative research, cultural inclusiveness and innovative technology. The school plays a critical role in preparing nurse leaders who will shape the future of health care and inform health policy.

The School of Nursing has five research focus areas: chronic disease management, health technology, pain management, Healthy People and Healthy Systems. Faculty come from a wide range of backgrounds including nursing, business administration, sociology, gerontology, medicine, information technology and psychology. School of Nursing students engage in classroom and clinical environments with students in the School of Medicine, health informatics and other health-related programs.

A few highlights include:

To learn more, visit the School of Nursing’s website.

The Practice Management Group (TPMG) represents all organized medical group practices of UC Davis Health System’s primary and specialty care faculty physicians. The group's purpose is to serve the health system’s missions through high-quality, cost-effective care delivery. By delegation from the Office of the Vice Chancellor and Dean, TPMG has shared responsibility for the clinical operations of the health system's professional practice activities.

The formation of TPMG is an important step in formalizing the leadership of the health system's medical group practices and in refining the role of its group practice in achieving the health system's research, teaching, patient care and community engagement goals. Its primary goal is to maintain a clinical practice that distinguishes UC Davis Health System as a leading faculty and academic health center.

Specific goals of TPMG include:

  • Increasing efficiency of practice and revenue
  • Decreasing practice expenses
  • Reducing silos and improving integration
  • Identifying areas to increase quality
  • Aligning incentives

David H. Wisner is the executive director of the Practice Management Group, overseeing faculty practice operations as well as the overall vision and strategic direction of TPMG and its day-to-day activities. Wisner collaborates with the leadership of the School of Medicine and medical center to set and achieve joint strategic goals across the health system.

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