BMNO’s Leadership Team members:
Walter is the operational and strategic lead for BMNO. In this capacity he provides regular consultation to health care and community-based organizations across the country, and aligns BMNO with CHaSCI and national population health priorities. He is also the lead trainer and training developer. While he loves this work, his colleagues believe he is a little too detail-oriented, and should occasionally just leave a bulleted list unformatted. Away from work he loves spending time with his family, reading, drumming, cruising on his motorcycle, and being sarcastic.
Xiaoling Xiang (pronounced as shaolin shawn), PhD, MSW leads the research and grant development activities at BMNO. Xiaoling joined the Bridge team in late 2015 during her postdoctoral fellowship at Northwestern University. She now resides in Ann Arbor, Michigan, working as an Assistant Professor at the University of Michigan School of Social Work. While Xiaoling possess some of the stereotypical characteristics of a scientist, being a bit nerdy and introverted, she is a social worker at heart and cares deeply about social justice. She conducts community-based services research concerning the physical and mental health of diverse older adult populations. She enjoys working with the Bridge team because this makes her research grounded.
Strategic Program Development
Bonnie has worked with the Bridge team since 2012 in a variety of roles, including strategic program development and building connections with national partners. She loves health care but doesn’t quite have the patience and resilience it takes to do direct service work in such a challenging system, so is grateful for opportunities to support important programs like Bridge from behind the scenes. When not working, Bonnie fills her time biking around town, road tripping, making crafts, and skimming the books she bought but never read in college.
Elizabeth (Lizzi) Cummings, MSW, LCSW is the Coordinator of Transitional Care within the Department of Social Work and Community Health of Rush University Medical Center where she provides clinical social work services to patients discharging home from the hospital. In addition to her work at Rush, Lizzi serves on Access Living’s Young Professionals Council which works to engage society to join the movement towards inclusion and independence for people with disabilities and is the Secretary for the Society for Social Work Leadership in Healthcare-Chicago District chapter. Lizzi holds a Master of Social Work from DePaul University in Chicago, IL and Bachelors of Arts in Psychology from DePauw University in Greencastle, Indiana. In her free time Lizzi enjoys searching for the best white queso dip and sharing fun facts about her pet raccoon, Schmunchkins.
Community Network Development
Dana Franceschini is the Transitional Care Supervisor at Aging Care Connections, where she provides oversight on the Bridge Model and Ambulatory Integration of the Medical and Social (AIMS) model, with a local area hospital, skilled nursing facility, and primary care offices. She provides continuous quality improvement efforts with partner facilities, supervises a team of clinical staff and interns, and participates in program expansion efforts. Dana also leads an interdisciplinary community network of more than 30 organizations committed to expediting community-based services. She received her BS in Psychology at Michigan State University and Masters in Social Service Administration at the University of Chicago. In her free time, Dana enjoys traveling, yoga, and being surrounded by animals; participating in goat yoga abroad is on her bucket list.
Communications and Grant Coordination
Rebecca (Becky) Sutton is the Project Coordinator at Aging Care Connections, where she supports the implementation and expansion of two CHaSCI care models, the Bridge Model and Ambulatory Integration of the Medical and Social (AIMS) model. She provides data collection and analysis of the programs for local primary care offices, hospital system, and skilled nursing facility, as well as supports the operations of the social worker care coordinators. Rebecca received her BA in English from the University of Illinois at Chicago and a MS in Health Communication from Northwestern University. She currently enjoys imagining doing all the fun things her coworkers talk about doing in their spare time while she sits on her couch watching Star Trek the Next Generation.
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The Bridge Model integrates into any health care or community-based organization in order to improve health care outcomes for recently discharged patients. Read More