Board of Directors

Executive Committee

Steve Cline, DDS, MPH

Steve Cline, DDS, MPH

Board Chair

Dr. Cline currently serves as the Vice President for Strategic Partnerships for Community Care of North Carolina (CCNC). His responsibilities include exploring and developing opportunities with provider networks, dental health providers, and other healthcare organizations.  He is also an advisor to the NC Health Information Exchange. Prior to joining CCNC, Dr. Cline was the Assistant Secretary for Health Information Technology in the North Carolina Department of Health and Human Services (DHHS). Spending most of his career in public health, his last position in public health was as Deputy State Health Director in DHHS, where his responsibilities included formulating division policies and priorities as well supervising all programmatic areas of the Division which included Epidemiology, Women’s and Children’s Health, Chronic Disease and Injury Prevention, Oral Health, and Public Health Preparedness.

From 1999 to 2006, Dr. Cline served as Chief of the Epidemiology Section in the North Carolina Division of Public Health where he led the state’s public health response to bioterrorism, SARS, Hurricanes Fran and Katrina, and other public health emergencies. Prior to that, Dr. Cline spent 13 years in local public health with the Wake County Health Department where he held the positions of Dental Director, Deputy Health Director and finally Acting Wake County Health Director.  In 1996 he moved to the state health department where he was the State Dental Director for three years before becoming the Chief of Epidemiology.

Dr. Cline received his B.S. degree from Davidson College in Davidson, North Carolina and both his DDS degree and his MPH degree from the University of North Carolina at Chapel Hill.  He is married with four children and living in Raleigh, North Carolina.

J. Lloyd Michener, MD

Lloyd MichenerLloyd Michener, MD

Vice Chair

Lloyd Michener, MD, is Professor and Chairman of the Department of Community and Family Medicine. Dr. Michener has spent his entire professional career at the interface between communities and academic health centers, focusing on finding ways of making health care more effective through teams, community engagement and practice redesign. He has overseen the Obesity/Chronic Disease Prevention Programs of the Kate B. Reynolds Trust, a program designed to lower chronic disease rates in low-income minority communities across North Carolina, and the obesity prevention programs of the North Carolina Health and Wellness Trust Fund.

He now directs a national program for the “Practical Playbook” which facilitates the integration of primary care and public health, supported by the Centers for Disease Control and Prevention, the Health Resources and Services Administration, and the de Beaumont Foundation.  He also leads the technical support service of “The BUILD Health Challenge”, a national competitive award program aimed at increasing the number and effectiveness of hospital, community, and public health collaborations that improve health, supported by the de Beaumont Foundation, The Advisory Board Company, the Kresge Foundation, The Colorado Health Care Foundation, and the Robert Wood Johnson Foundation.

Dr. Michener has also served as an advisor to the CDC/CMS Million Hearts program, and as a member of the Institute of Medicine Committee that led to the publication of “Primary Care and Public Health:  Exploring Integration to Improve Population Health”.  In addition, Dr. Michener has served as President of the Association for Prevention Teaching & Research, Chair of the Council of Academic Societies of the Association of American Medical Colleges and as a member of the Board of the Association of Academic Medical Colleges, the Association of Departments of Family Medicine, and the National Patient Safety Foundation Board of Governors.  He has also served as a member of the Council of the National Center for Complementary and Alternative Medicine, the National Academic Affiliations Advisory Council of the Department of Veterans Affairs, and the North Carolina Institute of Medicine, and as co-chair of the Community Engagement Key Function Committee for the Clinical Translation Science Awards of the National Institutes of Health, and leader of the annual NIH-funded meeting on community engagement in research.

Notable professional awards and recognition have included Phi Beta Kappa (Oberlin), Mead Johnson Award for Graduate Education in Family Medicine (American Academy of Family Physicians), Kellogg Family Medicine Faculty Fellowship, Alpha Omega Alpha (Duke School of Medicine), and Duncan Clark Award (Association for Prevention Teaching and Research).

Dr. Michener graduated from Oberlin College, received his MD from Harvard Medical School, and completed his family medicine residency and fellowship at Duke University Medical Center.

Thomas Ricketts, PhD

Dr. Thomas Ricketts, Board of Directors

Thomas Ricketts, PhD


Dr. Ricketts is a Professor of Health Policy and Management and Social Medicine at the University of North Carolina Gillings Schools of Global Public Health and the UNC School of Medicine. He is also co-director of the American College of Surgeons (ACS) Institute for Health Policy Research. His work with the ACS focuses on the future supply of surgeons and access to surgical care. Dr. Ricketts works actively in health workforce policy making and research. He has developed national and state policies governing the distribution of health resources and health care practitioners including the development of a new approach to designating primary care and dental health professional shortage and medically underserved areas.

In 2008, he was named Gillings Visiting Professor at the Ecole des Hautes Études en Santé Publique in Paris and Rennes, France, and in 2010, he was appointed a member of the National Health Care Workforce Commission created by the Affordable Care Act.

Thomas G. Irons, MD

Dr. Thomas G. Irons, Board of Directors

Thomas G. Irons, MD

Past Chair

Dr. Irons is currently the Associate Vice Chancellor for Health Sciences at East Carolina University (ECU) and Professor of Pediatrics at Brody School of Medicine.

He joined the faculty of the ECU (now Brody) School of Medicine in 1981 and has continued an active teaching practice since that time. In 1999, he founded HealthAssist, a health improvement and health care program for low-income and uninsured residents of Eastern North Carolina. Beginning in 2005, working in close partnership with Greene County Health Care, he led the fund-raising for the construction of the the James D. Bernstein Community Health Center. The center, which is operated by Greene County Health Care, provides comprehensive medical, dental, and behavioral health services and a broad range of educational programs for community members. Dr. Irons also serves on a number of state and national boards and presents frequently throughout the country and abroad on the subjects of leadership, institutional service commitment, service-learning, community health, and a wide variety of topics related to child and adolescent health.

In 2008, he was honored by the UNC Medical Alumni Association with its Distinguished Service Award. He was most recently recognized in October 2011 by the University of North Carolina System Board of Governors with its Award for Excellence in Public Service. Dr. Irons is a graduate of Davidson College and the University of North Carolina School Of Medicine, where he graduated in 1972, having received awards and honors for both academic achievement and service commitment. He completed his pediatric internship at the University of California, San Francisco, and residency at the North Carolina Memorial Hospital. From 1975 to 1978, he served in the United States Army in West Germany, and practiced pediatrics in Raleigh, NC from 1978-1981.

A Greenville, North Carolina native, he was married for almost 49 years to Carol Fleming Irons, a former member of the School of Nursing faculty at East Carolina University, who died in May of 2016. Their three children, Tom Jr., Sarah, and James are the parents of seven wonderful grandchildren.

Board Members

Charles Ayscue, MBA

Charles Ayscue, Board of DirectorsCharles Ayscue, MBA

Charles Ayscue joined Mission Health System, Inc. (the Parent Corporation) as the Chief Financial Officer in March 2007. Mission Health System, Inc. (MHS) owns, operates and manages healthcare facilities providing a broad spectrum of inpatient, outpatient and long-term acute care services to a large, 18-county service area in western North Carolina. Prior to joining MHS, Mr. Ayscue served as the Chief Financial Officer at the University of North Carolina Health Care System in Chapel Hill, North Carolina and the University of North Carolina Hospitals for 20 years.

Mr. Ayscue also served for more than 4 years as the Comptroller and Associate Director of Financial Services for the Moses H. Cone Memorial Hospital in Greensboro, North Carolina. He is recognized as an “advanced member” of the North Carolina Hospital Financial Management Association, having active membership for more than 40 years, and is a former recipient of the Follmer Bronze award for outstanding volunteer service. Mr. Ayscue has also been recognized for his community service related to volunteer fundraising and volunteer coaching for several community recreation departments. His professional affiliations include prior and continuous service on numerous boards and foundations.

In September of 2013, Mr. Ayscue was the recipient of The Order of the Long Leaf Pine as conferred by the Governor of the State of North Carolina. Mr. Ayscue was also recognized in September 2014 as one of the nation’s “150 Hospital and Health System CFO’s to know” in a publication by Becker’s Hospital Review. In October of 2014, Mr. Ayscue was recognized as a Distinguished Alumnus by his alma mater, Campbell University. Mr. Ayscue holds a Master’s degree in Business Administration from the University of North Carolina at Greensboro and a Business Administration degree from Campbell College, now Campbell University, in Buies Creek, North Carolina.

Chris Collins, MSW

Chris Collins, Board of DirectorsChris Collins, MSW

Chris currently serves as the Associate Director of Health Care for the Duke Endowment. The Duke Endowment’s Health Care program area focuses on work in North Carolina and South Carolina that promotes prevention, improves the quality and safety of services, and increases access to care. In 2016, the Endowment awarded more than $34 million in new grants through the program area.

Prior to her current position, Chris served as Director of the N.C. Department of Health and Human Services Office of Rural Health (ORH) and held a joint appointment within DHHS as an Assistant Director for the Division of Medical Assistance, overseeing the managed care program. She has also previously worked as human service planner and evaluator with Buncombe County and as executive director of Community Care of Western North Carolina. Currently, her community leadership includes serving on the boards of the NC Healthcare Quality Alliance and the Foundation for Health Leadership & Innovation.

Chris received a Bachelor of Social Work from St. Louis University and a Master of Social Work from Southern Illinois University.

Olson Huff, MD

Dr. Olson Huff, Board of DirectorsOlson Huff, MD

Olson Huff is a developmental pediatrician who practiced in North Carolina for more than forty years. A well-known child advocate, he was the founder of the Olson Huff Center for Child Development and the founding medical director of Mission Children’s Hospital in Asheville, NC. He initiated many programs to assist in the health care of vulnerable populations e.g. the dental program that serves children in rural western North Carolina.

He has also served as the North Carolina Chapter of the Academy of Pediatrics as vice-president and president, was a member of the Academy of Pediatrics National Nominating Committee and the Committee on Federal Government Affairs as well as chair of that committee. He has received numerous awards for his work as an advocate for children and for the advancement of health care access to vulnerable populations, including the Order of the Long Leaf Pine, the advocacy award from the senior section of the Academy of Pediatrics and the Lewis Hine Award from the National Child Labor Committee. He is also an author of many scientific articles, regularly writes a blog on children’s health and social justice issues, and has written four books, one of which, “How to Enjoy the First 60 Days of Life”, won the gold medal from the Independent Publishers Association.

He is a veteran of the USAF, a graduate of the University of Kentucky, and received his medical degree from the University of Louisville. He is also an elder in the Presbyterian Church, a jogger, and an avid reader of US History.

John Kauffman, Jr. D.O.

Kauffman_John_M_John Kauffman, Jr. D.O., FACOI, FACP

John M. Kauffman, Jr., DO, is currently the Founding Dean of Campbell University’s School of Osteopathic Medicine and has been a medical educator for the past 23 years. From 2001-2006, Dr. Kauffman worked for University Hospitals of Cleveland and established University based osteopathic residencies in Dermatology and Pediatrics. In 2006, he joined the Edward Via College of Osteopathic Medicine, in Virginia, as the Associate Dean for Postgraduate Affairs and was promoted to Vice Dean for Postgraduate Affairs over the Virginia and South Carolina campuses in 2010.

Named founding dean in 2011, Dr. Kauffman was named the American Osteopathic Foundation’s Educator of the Year in 2014 for his leadership in establishing the medical school at Campbell University. Dr. Kauffman obtained his medical degree from the Philadelphia College of Osteopathic Medicine and completed a residency in Internal Medicine at Lehigh Valley Hospital in Allentown, Pennsylvania. He completed his undergraduate education at Allegheny College.

Tina Markanda, MBA, MSPH

Tina Markanda, MBA, MSPH

Since 2014, Tina Markanda has served as the inaugural Executive Director of the Foundation for a Healthy High Point. This organization exists to encourage, support, influence, and invest in efforts that improve health and wellness throughout Greater High Point, and is centered in examining and addressing health issues that affect the community.

Prior to this role, Tina served as a Program Officer with the Health Care Division at The Duke Endowment, in private industry, at an academic medical center, and with a private not-for-profit community hospital.

Tina is a Fellow of the American College of Health Care Executives and is a Hull Fellow with the Southeastern Council of Foundations. She holds an MBA from Wake Forest University and MSPH from the University of North Carolina at Chapel Hill.

Warren Newton, MD, MPH

Dr. Warren Newton, Board of DirectorsWarren Newton, MD, MPH

Warren Newton serves as Vice Dean and Director of the North Carolina Area Health Education Center (AHEC) Program. AHEC has nine regional centers, employs 350 physicians and over 1400 staff in running 16 residencies, providing over 200,000 hours of CME/CE annually, and supporting community-based educational experience for all professions across the state. AHEC works across the state with all health professions and hospitals, and has played a major role in developing a health careers pipeline for underrepresented minorities, improving hospital safety, and providing practice support in Health Information Technology, PCMH and Quality Improvement to over 1100 primary care practices across the state.

Dr. Newton just finished a five-year term as Dean of Education at UNC School of Medicine, where he led a successful LCME reaccreditation, expanded the school to include formal campuses in Charlotte and Asheville, reformed the curriculum and student services, and admissions up by 50% and increased underrepresented minorities.

Dr. Newton also serves as the William B. Aycock Professor and Chair of Family Medicine and Adjunct Professor of Epidemiology at the UNC Gillings School of Global Public Health. Working with many partners, he founded Community Care of Central Carolina and the Carolina Health Net system, serving over 20,000 uninsured in Alamance, Caswell, Chatham, and Orange Counties. He founded and led the statewide Improving Performance in Practice initiative and the I3 POP collaborative of 25 Family Medicine, Internal Medicine and Pediatrics residencies to improve quality of care and implement the triple aim.

Dr. Newton serves as Chair of the Board of Advisors of the Cecil G. Sheps Center for Health Services Research. He is past Chair of the American Board of Family Medicine, serves on the Institute of Medicine’s Global Forum on Innovations in Health Professional Education and is Chair of the ABMS Committee on Continuing Certification. He is a graduate of Yale University, Northwestern Medical School and the Family Medicine Residency and the Robert Wood Johnson Clinical Scholars Program at UNC.

Steve North, MD, MPH

Dr. Steve North, Board of DirectorsSteve North, MD, MPH

Dr. North is a nationally recognized leader in school-based telemedicine and rural telehealth. He founded the Health-e-Schools school-based telemedicine program that currently provides access to primary care, preventive cardiology, and psychiatry to over 8,000 students at 22 schools in the mountains of western NC. Additionally, he serves as the Outpatient Medical Director at the Mission Center for Telehealth.

Dr. North is also a practicing Family Physician and Adolescent Medicine specialist in rural Mitchell County, NC. He currently serves on the boards of the Foundation for Health Leadership & Innovation, the Mid-Atlantic Telehealth Resource Center, and the North Carolina School Based Health Alliance. He lives in Spruce Pine, NC with his sons Eli and Oscar.

William (Bill) A. Pully, JD

William A. Pully, Board of DirectorsWilliam (Bill) A. Pully, JD

William (Bill) A. Pully joined the North Carolina Hospital Association (NCHA) in 1984, first as chief lobbyist and, for the past 15 years, as president. NCHA serves 130 hospitals and health systems as member’s voice in legislative, regulatory, and judicial arenas, and as member’s resource for current healthcare information and education.

During his tenure as president, Bill has led the association and the field to a forward-thinking agenda for transforming healthcare in North Carolina. He oversaw NCHA’s creation of the North Carolina Quality Center and the Center for Affordable Healthcare. The NCHA’s quality work has resulted in several noteworthy achievements, including a successful campaign to prevent harm to mothers and babies by reducing early elective deliveries before 39 weeks’ gestation. Through the Center for Affordable Healthcare, NCHA provides support to member hospitals and health systems in identifying opportunities for reducing costs and improving performance and health outcomes.

In 2012, Bill was honored by the N.C. Division of Public Health with the Ronald Levine Legacy Award for his significant, sustainable and positive improvements to health and quality of life in North Carolina. Bill received his B.A. from the University of North Carolina at Chapel Hill and his J.D. from Campbell University School of Law.

Kim Schwartz, MA

Kim Schwartz, MA

©les atkins Photography


Kim Schwartz currently serves as the Chief Executive Officer of Roanoke Chowan Community Health Center (RCCHC), a Federally Qualified Community Health Center in Eastern North Carolina.   In this role, she champions the unique challenges of the health care needs of rural communities in underserved areas and has generated key collaborations and innovations to advance RCCHC’s mission of enhancing the lives of Eastern North Carolinians. Kim leads RCCHC’s team as a member of the Institute of Health Improvement (IHI) Leadership Alliance, represents US Congressional District 1 on the North Carolina Medical Care Advisory Committee, and serves as Chair of the North Carolina Institute of Medicine Board and immediate past Chair of the North Carolina Community Health Center Association.

Prior to this role, Kim was a national clinical consultant with Magellan Health Services specific to public sector solutions and  CEO of Guidance Center of Lea County, NM, a comprehensive community mental health agency.  Under Kim’s leadership, the Guidance Center became a FQHC-Look Alike that integrated a primary care site into their scope of service.

Kim has many professional affiliations and frequently presents at national and regional conferences including as an expert panelist at the World Congress Global Health Medicaid Summit in Washington, DC in 2015. Kim was a recipient of the Robert J. Greczn, Jr. Community Health Center Leadership Award, the National Association of Community Health Centers – Cooke Advocacy Award and the BD Building Health Communities Award.  She received her BA in Psychology and MA in Counseling Education from the University of New Mexico.

Vandana Shah, LLM

Vandana Shah, Board of DirectorsVandana Shah, LLM

Vandana Shah is the Director of South Asia Programs for the Campaign for Tobacco-Free Kids (CTFK), a US based non-profit organization that works in the United States and globally as part of the Bloomberg Initiative to reduce tobacco use in developing countries. Vandana leads CTFK’s policy advocacy programming in India and Bangladesh and directs legislative/legal work in Indonesia.  She also supports advocacy efforts in in many other South Asian countries. She provides strategic leadership for both direct and indirect political advocacy, litigation, and media efforts in these countries, working closely with in-country staff and funded partners/grantees. Prior to this position, she served as the Executive Director of the North Carolina Health and Wellness Trust Fund (HWTF), a state foundation that was responsible for awarding $30 million in grants for key health care prevention programs with an emphasis on tobacco control projects.

She is also the co-founder of KIRAN, a domestic violence and crisis services organization for South Asians in North Carolina and is currently serving as chair for the Board. She has also served on the board of North Carolina Society for Health Care Attorneys, Indian American Forum for Political Education, and the International Affairs Council. She has law degrees from Duke University and Calcutta University, India and has practiced in both North Carolina and India. Vandana was born and raised in Kolkata, India currently lives in North Carolina with her husband and two children.