Population Health programs are structured to serve all patients by providing the information, resources, and clinical support necessary to improve and maintain their health outcomes. Several programs feature dedicated clinical teams, comprising clinicians and case managers, who are supported by key ancillary personnel.

The Ancillary Team includes UVA Health Pharmacists and Physician Champions who provide the following services:

  • Conduct medication reconciliation to promote adherence, ensure medication access, and address drug-related concerns
  • Serve as a dedicated pharmacy resource for patients enrolled in the Interactive Home Monitoring (IHM) program
  • Assist patients in identifying and accessing appropriate pharmacy services
  • Offer medical oversight to support the work of Population Health clinicians and care teams
  • Contribute to the development and refinement of new initiatives and data-driven programs, ensuring healthy outcomes for all patients
Amber Inofuentes, MD

Founding Provider, Medicine HOME

Amy Boitnott, DNP, APRN, FNP-BC, CPNP-PC

Co-Medical Director, Mobile Care

Ashley Balazs, COTA/LPTA

Population Health Clinical Care Coordinator, Transitions of Care

Ava Thomas, MD

Medical Director, Virginia at Home

Bethany Delk, PharmD, BCPS

Pharmacist, Virginia at Home

Carly Frazier, BSN, RN, CMSRN

RN Care Coordinator, Virginia at Home

Christina Williamson, BSN, RN, OCN

RN Navigator, IHM/Bridge to Primary Care

F. Marie Perucci-Bailey, PharmD

Pharmacist, Assistant Manager

George H. Lindbeck, MD

Medical Director, Community Paramedicine

Gregory "Ory" Streeter, MD

Physician Champion - Family Medicine

Hannah Lesniak, BSN, RN

RN Clinician, Virginia at Home

Johnnie Carrico, DNP, FNP-BC

Nurse Practitioner, UVA Student & Employee Health Wise Clinic/IHM

Justin Mutter, MD

Founder, Virginia at Home

Karen Duffy, AG-ACNP

Nurse Practitioner, Virginia at Home

Kelly Love-Schwarz, MSN, RN, CCCTM

RN Care Coordinator, IHM/Bridge to Primary Care

Kristal "Kristi" Miles, RN

RN, UVA Student & Employee Health Wise Clinic

Leslie Barbour, BA, RN

RN, IHM/Bridge to Primary Care

Leza Sisley, NRP, EC

Community Paramedicine Specialist, Community Paramedicine/Mobile Care

Malinda Whitlow, DNP, RN, FNP-BC

Nurse Practitioner, Mobile Care

Margaret Hayden, MD

Co-Medical Director, Medicine HOME

Mary Mulshine-Rosadina, BSN, RN, ACM

Population Health RN Case Manager, Transitions of Care

Mary Wade, RN, BSN

RN Clinician 3, Medicine HOME

Matthew Elliot Allen, MD

Lead Clinician, UVA Health Community Outreach Clinic at The Haven, Medicine HOME/Homeless Consult Service

Michelle Clark, BSN, RN-BC

RN Clinician 3, IHM/Bridge to Primary Care

Michelle Decker, RRT

Population Health Clinical Care Coordinator, Transitions of Care

Miriam Gomez-Sanchez, MD

Hospitalist, Medicine HOME

Nahed Elias, PharmD

Pharmacist

Natalie Jefferson, DNP, APRN, FNP-BC

Nurse Practitioner, IHM/Bridge to Primary Care

Patrick McKeegan, FNP

Nurse Practitioner, Virginia at Home

Patrick Watson, NRP

Pre-Hospital Clinician, Community Paramedicine/Mobile Care

Rachel Adams, BSN, RN

RN, Mobile Care

Sanjay Kishore, MD

Co-Medical Director, Medicine HOME

Suzanne Malone, BSN, RN, ACM

Population Health RN Case Manager, Transitions of Care

Taylor Tereskerz, AS, EMT-I

Pre-Hospital Clinician, Community Paramedicine/Mobile Care

Teresa Babineau, MD, FAAFP, MSt

Co-Medical Director, Mobile Care

Teresa Radford, BSN, CMSRN

Clinical Program Coordinator, Medicine HOME