What is ReThink Health?
At ReThink Health, a Rippel initiative, we work with national and regional stewards to discover what it takes to design and execute transformative change and produce better health and well-being for all.
Who are Stewards?

Stewards are people or organizations who take responsibility for working with others to create conditions that all people need to thrive, beginning with those who are struggling and suffering. Stewards may be affiliated with organizations or may act on their own agency, such as a resident. Stewards have (or are interested in developing) an equity orientation in regard to purpose, power, and wealth.

They understand
- Purpose must be larger than oneself and one’s organization.
- Power must be built and distributed with others, not consolidated.
- Wealth must be invested, not withheld, to create long-term value as well as address short-term urgent needs.
As a Rippel initiative, we are interested in working with a particular kind of steward—those who are positioned to influence how regional decisions are made, and how resources are spent—to equitably shift the system in ways that better produce health and well-being.
How do stewards shift the system that produces health and well-being?
Rippel’s best hypothesis is that as stewards mature in their ability to facilitate cross-sector collaboration and alignment, they are able to create a new ecosystem for health and well-being in their regions; an ecosystem known for producing equitable outcomes. This hypothesis is backed by both empirical and anecdotal evidence. Like Rippel, you might be wondering: how do stewards mature? Working together with stewards to discover “how” is the reason for Rippel’s ReThink Health initiative and its multiple projects.
One of the major contributions of the ReThink Health Frontiers and Ventures projects was to develop A Pathway for Transforming Health and Well-Being Through Regional Stewardship. This Pathway clarifies Rippel’s hypothesis about the essential practices stewards should commit to and develop as part of their quest. It also describes what stewards can expect to experience when they work together in these ways, across five phases of development.
As our team works with stewards, we all get more and more knowledgeable about what the Pathway ought to include. With the passing of time we have refined our hypothesis, making it stronger and better for stewards who want to use it as a framework for transforming the regions they serve. Refinement will continue as we take on each new initiative and project.
Dive into the Pathway and learn about
What happens when stewards work with Rippel’s ReThink Health team?
ReThink Health’s team works together with stewards as learning partners. As stewards mature, they conquer challenge after challenge, and then encounter new ones. Rippel works hard with stewards who are at the forefront of discovering what it takes to overcome these challenges, including:
- Regional cross-sector groups who are the furthest along on the Pathway. These groups often include regional philanthropists, policymakers, corporate, nonprofit, and resident leaders. For example, we worked with multisector partnerships in six regions on Ventures. We also worked with THRIVE, a coalition in central Michigan working to transform health and the economy in their region.
- Individual or cross-sector groups convening in state or nationwide networks to influence regional work. For example, we’ve partnered with the California Accountable Communities for Health Initiative (CACHI) to help networked leaders of regional multisector partnerships advance in their resident engagement and sustainable financing activities. We also work with the National Academies of Sciences, Engineering, and Medicine (NASEM) to shape the nation’s agenda for population health.
- Stewards who recognize the regional influence their organization has, and seek to have greater impact. These stewards often have major national influence on regional work, or who are anchor institutions with a vested interest in the region’s prosperity and are unlikely to leave the region. For example, we work with major hospital systems in a variety of regions on our Hospital Systems in Transition project, and that project is funded by the Robert Wood Johnson Foundation as part of their interest in learning how regional stewards can best transform health and well-being.
What is a region?
Regional stewards determine their geographic area of focus for their transformation effort, and there isn’t a standard way to do so. Stewards may draw a “regional area” boundary by neighborhood, zip code, county, city, hospital service area, hospital referral region, or other self-defined configurations.
We work with our steward partners to carefully consider the six conditions of systems change, and ask: what conditions are holding the problem in place and how can stewards shift them to produce better health and well-being for all? Then, we prototype, make sense of, and refine strategies that best help stewards move along the Pathway and nudge their systems forward. We share the most promising strategies widely, so many more stewards can benefit.
Shifting the Conditions That Hold the Problem in Place

Stewardship is an already-established practice
In 2000, the World Health Organization broadly defined stewardship as “the careful and responsible management of the well-being of the population”, and in the most general terms as “the very essence of good government.” [citation]Kapoor N, Kumar D, Nivedita Thakur N. Core attributes of stewardship; foundation of sound health system. Int J Health Policy Manag 2014; 3: 5–6. doi: 10.15171/ijhpm.2014.52https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4075105/

Highly respected leaders from around the world have also identified stewardship as a means to health and well-being. Here is a sample of their works:
Stewardship and Public Service: A Discussion Paper
From the Field
03/31/1997
This discussion paper prepared for the Public Service Commission of Canada presents stewardship as a bridge between purely market-based approaches and broader public sector responsibilities. While market-based reforms have shown many possible outcomes, they are not robust enough to embrace the full range of public sector activities, such as governance and guarding the public interest.
Health Stewardship: The Responsible Path to a Healthier Nation
From the Field
01/01/2009
The Aspen Institute published this paper explaining the value of health stewardship and making a case for its importance for successfully navigating the challenges facing the system that produces health and well-being.
What Help is a Steward? Stewardship, Political Theory, and Public Health Law and Ethics
From the Field
12/20/2011
As part of The Northern Ireland Legal Quarterly journal’s special issue on ‘super-stewardship’ and the related work of Roger Brownsword, this paper critically examines stewardship in public health.
Achieving Accountability for Health and Health Care Minneapolis, MN
From the Field
11/01/2012
This article in Minnesota Medicine proposes Accountable Health Communities (AHCs) as a way to establish health system stewardship. They would to review local data against the Triple Aim, create shared goals and investments, and involve citizens in reform and stewardship.
Stewardship: Choosing Service Over Self-Interest
From the Field
01/01/2013
In this book, Peter Block asserts that a fundamental shift in how we distribute power, privilege, and the control of money—away from self-interest and toward stewardship—can transform every part of an organization for the better, and he examines the nitty-gritty of implementing these reforms.
Core Attributes of Stewardship; Foundation of Sound Health System
From the Field
03/01/2014
This International Journal of Health Policy and Management Perspective offers one way to look at stewardship, positing that it has five core attributes: responsible management, political will, a “normative dimension” (equity), balanced interventions, and components of good governance.
Public Involvement and Health Research System Governance: a Qualitative Study
From the Field
08/30/2018
This article in Health Research Policy and Systems describes an exploratory, qualitative study of specific active stewardship efforts in two countries: England and Canada. It illustrates some of the benefits of stewardship while identifying three sets of common issues across both locations.
World Health Organization: Stewardship Resources
From the Field
01/01/2019
The World Health Organization has collected resources related to stewardship, with an emphasis on the health care sector.
Team
The Rippel Foundation, home of ReThink Health, is made up a team of dynamic individuals who share a passion for partnering with stewards as they design and execute the strategies they need to guide transformative change and produce better health and well-being for all. We think big, strive for excellence, take risks, and push boundaries.
Get to know the Rippel team below.
- Administration
- Board of Directors
- Strategy and Management
- Organizational Learning Evaluation
- Communications
- Programs


Lindsey Alexander


Ella D. Auchincloss


Molly Belsky


Nina Burke


Chicken


Maggie Cooke


Anna Creegan


Jane Erickson


Katy Evans


Bethlihem Gebremedhin


Bobby Milstein


Krishna Patel


Iueh Soh


Pedja Stojicic, MD


Katherine Wright
Lindsey Alexander
“Our health system is messy and complex, but I embrace that part of it because I get the opportunity to bring order to pockets of chaos in valuable ways. In the messiness there is a sense of possibility that I find very appealing.”—Lindsey Alexander, Project Director
Joined Rippel: 2015
Current Roles: Lindsey is project director of Rippel’s FORESIGHT initiative, overseeing all aspects of its development and implementation. She contributes intervention portfolio expertise to the ReThink Health initiative’s Regional Portfolio Design project.
Career: Lindsey guided the ReThink Health initiative’s place-based partnership with Michigan’s THRIVE Health Initiative and served as financing content lead for Rippel’s ReThink Health Ventures project. She also co-authored and managed the development of Beyond the Grant: A Sustainable Financing Workbook. Previously, Lindsey led her own consulting practice for 10 years that focused on designing and implementing catalytic local processes. She was also an analyst with the City of Minneapolis finance department.
More about Lindsey: Lindsey loves to spend time with her husband and three kids and is learning to “enjoy” camping in Minnesota, where the (unofficial) state bird is the mosquito.
Education: University of Minnesota (MPP), Iowa State University (BA)
Ella D. Auchincloss
“At Rippel, we pursue an inspiring, yet daunting transformative agenda for equitable health and well-being; it’s about a lot more than health care. We’re willing to strategically tackle the big issues, but with a sober sense of what is doable.”—Ella D. Auchincloss, Director of Enterprise Innovation
Joined Rippel: 2011
Current Roles: Ella serves as Rippel’s Director of Enterprise Innovation as well as a key contributor to the ReThink Health initiative’s Hospital Systems in Transition and Portfolio Design for Healthier Regions projects.
Career: Ella has spearheaded many resident engagement efforts for Rippel’s ReThink Health initiative, coaching a wide variety of partner organizations and teams in change leadership, and developing Community Activation for System Stewardship, in which she and her team advised the Center for Medicare and Medicaid’s Quality Improvement Organization Leadership, Organizing in Action program. She also directed a research project exploring tax credits’ potential as a source of sustainable financing for population health. Before joining Rippel, she founded The Leadership Development Initiative, a faith-based teaching and coaching program for resident outreach. She is also a fellow of the Leading Change Network at Harvard University’s Kennedy School of Government. Prior to her work in resident engagement, Ella worked in the financial services sector.
More about Ella: In 2015, Ella was awarded the Barbara C. Harris Award for Social Justice by the Episcopal City Mission in Boston, Massachusetts for her founding of The Leadership Development Initiative. Ella is a recovering Wall Street professional, and is most at home in drafty church basements and other community settings, leading story slams and singing freedom songs. She is at her best when she is near the ocean in the company of her beloved dog.
Education: Harvard Divinity School (MTS), Babson College (BS)
Molly Belsky
“I love that Rippel emphasizes the great importance of community building and interconnectivity to overall health and well-being.”—Molly Belsky, Program Coordinator for FORESIGHT
Joined Rippel: 2019
Current Roles: Molly coordinates logistics and research for the many branches of the FORESIGHT team, and acts as a catch-all support system for the Implementation Team.
Career: Molly held a number of different roles before coming to Rippel, all with the same through line of fostering communication and empathy between groups of people. She taught middle school history and theatre for two years before working as a canvass director for Planned Parenthood—two jobs that bore a striking resemblance to each other in terms of helping people discover and articulate causes that they believe in. Her love of storytelling and human connection is what drives her in all endeavors.
More about Molly: As a formerly hour-plus commuter—as well as being generally uncomfortable with silence while she does things like cleaning the bathroom or cooking dinner—Molly regularly listens to many podcasts, on topics as broad as women in business and politics, and as narrow as Harry Potter being read as a sacred text.
Education: Trinity College (BA)
Nina Burke
“I love that Rippel is a place where challenging the status quo is the status quo.”—Nina Burke, Consultant, Learning and Evaluation
Joined Rippel: 2016
Current Roles: As a consultant for organizational learning and evaluation, Nina contributes to the design, management, and implementation of Rippel’s learning and evaluation methods and processes across the enterprise. She also co-designs and facilitates internal organizational learning activities.
Career: Nina has provided project management, design, research, and evaluation to more than six projects in the ReThink Health portfolio. This includes advising the California Accountable Communities for Health Initiative (CACHI) on distributed leadership and leadership transitions and coordinating and evaluating the Center for Medicare and Medicaid’s Quality Improvement Organizations’ Leadership and Organizing in Action course as part of the Community Activation for System Stewardship project. As part of a research project exploring tax credits’ potential as a source of sustainable financing for population health, she co-authored a paper for the National Academy of Medicine (2018). She previously was project manager of a homeless prevention and re-housing project for a Boston-area nonprofit.
More about Nina: Nina is certified in conditions for effective teams; loves all things public: public space, public libraries, public transit; chatting with strangers; and cooking for the people she loves.
Education: Boston University (BS, MPH)
Chicken
“Chickens like me can help stewards understand systems thinking, including how overreliance on investments in urgent services so often causes us to drop the ball on pursuing the vital conditions that are so necessary to real success in bringing about equitable health and well-being.”—Chicken
Joined Rippel: 2008
Current Role: At The Rippel Foundation, Chicken helps stewards think about their work to improve health and well-being, helping them see the difference between traditional thinking and systems thinking. Chicken is part of an exercise called “Group Juggle,” in which Rippel staff ask stewards (who are working together to transform the ecosystem that produces health and well-being in their region) to stand in a circle and maximize the number of balls in the air. The only rule is that each person must always throw the ball to the same person in an endless process. Stewards slowly get the hang of it and begin to make progress in improving their performance, and then there is a major breakdown as the team begins to drop balls as they reach their capacity and the whole exercise collapses completely. The game concludes when Rippel staff toss in Chicken, right at the time when the team’s performance has devolved enough to make the desired point.
At this time, Rippel asks stewards to reflect on their performance. They agree it was not stellar, and start talking about how they could improve if they were to try again. What usually happens is that stewards brainstorm, and then they decide to vote to identify the best course of action.
Their brainstorm focuses in on one or both of two bright, shiny objects that immediately come to mind as the cause of all their problems. The first is often a single person, usually the person who first gets the balls from the facilitator. This person represents a choke point because they see the most balls at the same time. They get blamed for being “bad” and in need of even more training than the rest of the team members. The second shiny object is Chicken. Chicken is thrown in at the end of the game as a bit of humor, but it also distracts from the real systemic problem driving the failure of the system. The team is quick to blame the chicken or the various balls for their poor performance. The team says that if they were to try again, they would recommend replacing people, training more, or changing up their response to Chicken. Then they vote, they do one of them, and they fail again.
Chicken finds great relief when Rippel staff then points out that maybe the team is using traditional thinking in how they look at the problem. When the stewards do a more in-depth system analysis, they uncover that something else was truly at fault. Individual team members, of their own accord, invariably drop balls, and they invariably decide to pick them up. This action of picking up the balls leaves them unavailable for catching balls—and the ultimate demise of the process occurs. A systemic approach can highlight this and allow for an entirely different intervention to be considered, avoiding the urge to pick up dropped balls and, instead, focusing on actually keeping the existing balls in the air. Chicken is proud and humbled to be a part of the stewards’ journey in bringing about health and well-being.
More About Chicken: In its spare time, Chicken is collaborating on an effort to “make classical music relevant to the modern generation through fun, humor, and simplicity.”
It is also helping families come together and have fun. People regularly invoke its full name, Rubber Chicken, to mock the food they are served at large conferences and weddings.
Maggie Cooke
“Momentum is building in the movement toward a more equitable and sustainable future for health and well-being, which creates so many opportunities for collaboration and distributed leadership in all sectors—and at Rippel I get to bring that inspiration to action.”—Maggie Cooke, Senior Strategic Partnerships Associate
Joined Rippel: 2016
Current Roles: Maggie Cooke provides Rippel with project management, grants administration, proposal development, and high-level support around the development and cultivation of new partners and emerging projects. Working side by side with Rippel President and CEO Laura Landy, Maggie has helped lead the significant fundraising and strategic partnerships efforts of FORESIGHT.
Career: As part of a research project exploring tax credits’ potential as a source of sustainable financing for population health, Maggie co-authored a paper for the National Academy of Medicine (2018). This work also earned her an award of distinction for her practicum project at the Dartmouth Institute for Health Policy & Clinical Practice. Before joining Rippel, Maggie worked at Johnson & Johnson for 10 years, most recently as the senior executive assistant to the chief strategy and business transformation officer, and was a service coordinator at the Alaska Housing Finance Corporation before that, where she assisted residents by connecting them to critical resources in order to empower them in maintaining independent housing.
More about Maggie: Maggie enjoys living on the Delaware River with her family and is an active member of her community, participating in the Hunterdon County Anti-Racism Coalition, and serving on both the Frenchtown School Advisory Council and the Frenchtown Planning Board.
Education: Dartmouth College (MPH), University of Alaska Fairbanks (BA)
Anna Creegan
“My experience working in a part of Brooklyn where the life expectancy is 11 years shorter than in the neighboring Financial District—and infant mortality rates almost double NYC’s rate as a whole—made me want to change the system at the regional level to help improve these disparities.”—Anna Marie Creegan, Project Director
Joined Rippel: 2014
Current Roles: Anna is project director of the ReThink Health initiative’s Portfolio Design for Healthier Regions project.
Career: Anna led design and implementation for Rippel’s enterprise-wide evaluation framework, and has contributed to many R&D and place-based projects for the ReThink Health initiative. She also led the development of an assessment tool to measure regional progress along ReThink Health’s Pathway for Transforming Regional Health. Anna has over ten years of experience working with local and international health efforts across the US and Latin America, including as program manager for Community Planning and Health at nonprofit Community Solutions, where she led a health impact assessment and developed plans for revitalization, sustainability, and care coordination.
More about Anna: Anna loves traveling and the outdoors—especially hiking and skiing in her native Colorado Rocky Mountains—and seeing her young children growing to love it as well.
Education: University of Denver (MA), Fordham University (BA)
Jane Erickson
“It’s an exciting time to be part of the movement to transform health and well-being—new approaches to multisector collaboration are emerging, stewards are sharing ideas, and many are beginning to unify around a shared purpose for their regions.”—Jane Erickson, Project Director
Joined Rippel: 2013
Current Roles: Jane is project director of the ReThink Health initiative’s Amplifying Stewardship Together team. She also leads Rippel’s Organizational Learning and Evaluation team.
Career: Jane has worked with national philanthropies to advance social change for over a decade. Jane oversaw strategy and implementation of Rippel’s ReThink Health Ventures project (2016-2018), a large-scale project that advanced multisector stewardship approaches for health transformation. She also led numerous nation-wide research efforts to transform health, including the ReThink Health Pulse Check and research published in Health Affairs. Before that, Jane led Rippel’s communications and special projects with the executive team.
Prior to joining Rippel, she established and ran the grants department at the Clinton Health Access Initiative. Jane has also conducted research and led efforts to build civic engagement across communities in the US and internationally, including as a Fulbright Scholar in Indonesia and with the Center for Information and Research on Civic Learning and Engagement. She is currently a member of the Board of Trustees at Hobart and William Smith Colleges, her undergraduate alma mater.
More about Jane: Jane played varsity lacrosse in college, which brought her out east from her home state of Colorado. One of her favorite guilty pleasures is watching science fiction television shows, especially Battlestar Galactica.
Education: Syracuse University (MPA, MAIR), Hobart and William Smith Colleges (BA)
Katy Evans
“FORESIGHT has the potential to change how philanthropy does business to bring about a new future for health.”—Katy Evans, Project Manager
Joined Rippel: 2015
Current Roles: Katy is project manager of Rippel’s FORESIGHT initiative. In this role, she keeps things running on time and on budget by developing and overseeing workplans, managing the project budget, coordinating across the team and partners, and managing key meetings and events.
Career: Previously, Katy was senior program associate for Rippel’s ReThink Health Ventures project. She helped lead a collaborative and transparent process to articulate what was learned from the project and its significance for regional leaders and catalyzing organizations across the country. The products produced include toolkits to help leaders strengthen their resident engagement, public narrative, and value propositions—all critical for successful regional transformation efforts. Katy came to Rippel from the Edmond J. Safra Center for Ethics at Harvard University, where she ran communications and programming for a large-scale project on institutional corruption.
More about Katy: Katy’s doctoral dissertation looks at the writings of a group of American women who lived, worked, and wrote from the Western Front during the First World War such as Elizabeth Shepley Sergeant, who reported on changing professional opportunities for women for The New Republic, before being severely injured on a tour of a French battlefield.
Education: Boston University (doctoral candidate), Kings College London (MA), Boston College (BA)
Bethlihem Gebremedhin
“The Rippel Foundation’s commitment to health equity and health innovation is amazing to be a part of—it influences the work I do in both my personal and professional life.”—Bethlihem Gebremedhin, Administrative Associate
Joined Rippel: 2019
Current Roles: Bethlihem provides high level support to two Rippel directors as well as managing the Cambridge office. She also helps to support the Portfolio Design for Healthier Regions team and the Communications team.
Career: Bethlihem previously worked as an administrative/project specialist for the Department of Population Medicine at Harvard Medical School. She supported over five faculty members within the Therapeutics Research and Infectious Disease Epidemiology (TIDE) group, and provided administrative support for multiple project submissions. As an undergraduate, she majored in public health with a minor in afro-american studies. She is currently pursuing her masters in public health with a concentration in health services management and policy.
More about Bethlihem: Bethlihem loves to read, and a few of her favorite authors include Toni Morrison, Chimamanda Ngozi Adichie, and Bell Hooks. She is extremely passionate about holistic health, traveling, and learning about different cultures. Her dream vacation destination is Bali, Indonesia.
Education: University of Massachusetts Amherst (BS), Tufts University (MPH candidate)
Bobby Milstein
“ReThinking is the most practical thing any of us can do to change the future. It helps us see where we fit in a common system and shifts our own roles as change agents within a dynamic and democratic world.”—Bobby Milstein, Director of System Strategy
Joined Rippel: 2011
Current Roles: Bobby directs Rippel’s work on System Strategy, is a member of Rippel’s Strategy and Management Team, and is a Visiting Scientist at the MIT Sloan School of Management. Bobby is a principal contributor to the ReThink Health initiative’s projects Portfolio Design for Healthier Regions and Amplifying Stewardship Together. He also leads a suite of nationwide influence activities and coordinates ongoing development of the ReThink Health Dynamics Model, the Well-Being Portfolio Design Calculator , and other simulation tools that let leaders play out the consequences of their scenarios for change. In 2018, Bobby and four co-authors wrote the official brief that defines “health and well-being” as the central focus for the Healthy People 2030 Framework for the United States.
Career: Before joining Rippel, Bobby spent 20 years planning and evaluating system-oriented initiatives at the Centers for Disease Control and Prevention (CDC), where he was the principal architect of CDC’s framework for program evaluation. He received CDC’s Honor Award for Excellence in Innovation, the Applications Award from the System Dynamics Society, and Article of the Year awards for papers published in Health Affairs and Health Promotion Practice.
More about Bobby: Bobby once was a documentary filmmaker whose work was used by PBS to spotlight challenges of racism on college campuses. He also contributed storylines for The West Wing on how to get beyond zero-sum thinking when setting health priorities.
Education: Union Institute and University (PhD), Emory University (MPH), University of Michigan (BA)
Krishna Patel
“What’s most invigorating about Rippel is the passion and energy that everyone brings to the work, every day. It means we can do anything we set our minds to.”—Krishna Patel, Senior Program Associate
Joined Rippel: 2016
Current Roles: Krishna provides critical support to Rippel’s FORESIGHT initiative and the ReThink Health initiative’s Portfolio Design for Healthier Regions project. She assists the FORESIGHT Advisory Committee and leads the process to choose and implement tools to support regional engagement. For the Portfolio Design for Healthier Regions team, she is a jane-of-all-trades, with contributions ranging from logistical support to project design and management. Living the philosophy of servant leadership, Krishna’s earnest, helpful approach has resulted in growth, positive responses, and better collaboration and outcomes for Rippel’s internal teams and external partners.
Career: Krishna previously supported Rippel’s ReThink Health Ventures project, and worked closely with its coaching staff to coordinate three of the participating sites (Central Oregon; Sonoma, CA; and Bernalillo County, NM). During her time at Northeastern University, she held several professional positions in its library system.
More about Krishna: Krishna found her studies in public health to be an intersection of her interest in science and her passion for social justice and service. She continues to foster that passion by volunteering at a local shelter that serves homeless and low-income women.
Education: Northeastern University (MPH, BS)
Iueh Soh
“I believe that the health of communities is ultimately shaped by who is and isn’t at ‘the table.’ I’m excited to be part of a team that is boldly imagining a more equitable future while also developing tangible steps to take towards that future.”—Iueh Castro Soh, Project Manager
Joined Rippel: 2019
Current Roles: Iueh leads one of ReThink Health’s partnerships as part of the Hospital Systems in Transition project. He also contributes to ReThink Health’s Amplifying Stewardship Together project.
Career: Iueh cares about building healthy communities and developing leaders. He was previously a management consultant at Oliver Wyman where he advised C-suite executives in the provider, payer, and life science space. He focused primarily on helping health systems develop and pursue a population health strategy amid shifting competitive and reimbursement pressures. In 2018, he worked in the Boston Mayor’s Office of New Urban Mechanics, a civic innovation team. There, he pioneered Rebuilding Together, an ongoing meeting group and advisory council that aims to develop returning citizen (formerly incarcerated) leaders and reshape their image in Boston. Iueh has also served as a volunteer community organizer on racial and economic justice campaigns in Oakland and Boston. At Rethink Health, he is currently authoring a report investigating the role of community organizing on shaping the role of local healthcare systems.
More about Iueh: Iueh loves to hunt for tasty street foods—especially tacos. You can often find him at a park playing pick-up basketball to decompress and get to know his neighbors.
Education: Haas School of Business, University of California Berkeley (BS), Harvard University Kennedy School of Government (MPP)
Pedja Stojicic, MD
“Our work is about how people and communities could reach their full potential for health and well-being. Not some people, but all the people. Not some communities, but all communities. This is what gets me excited about Rippel.”—Pedja Stojicic, Project Director
Joined Rippel: 2015
Current Roles: Pedja is project director for the ReThink Health initiative’s Hospital Systems in Transition project.
Career: Pedja previously led the ReThink Health’s initiative’s resident engagement work, including an R&D project that studied and documented how different organizations engage residents and communities to participate in health system transformation. He also served on the Community Activation for System Stewardship team that advised the Center for Medicare and Medicaid’s Quality Improvement Organization Leadership, Organizing in Action program. The research work that Pedja co-created with the Resident Engagement Team is published in a second edition of The Practical Playbook: Public Health and Primary Care Together published by the DeBeaumont Foundation, Center for Disease Control, and Duke University. Pedja is an advisory board member of the Leading Change Network, and he taught community organizing at the Harvard Kennedy School of Government with Professor Marshall Ganz, one of the ReThink Health pioneers. In the past, Pedja has served as president and executive director of Youth of JAZAS, a large Serbian NGO fighting HIV/AIDS, and as a World Bank Consultant to the Ministry of Health of the Republic of Serbia supporting health care financing reform.
More about Pedja: Pedja describes himself as a radical optimist, which he practices whenever he organizes people to fight for social justice or prepares a cup of Ichibancha Japanese green tea for his partner. He has a passion for Mediterranean and Middle Eastern foods and flavors and is a big believer in community, science, and dogs (especially Jack Russell Terriers).
Education: University of Belgrade School of Medicine (MD), Harvard School of Public Health (MPH)
Katherine Wright
“Before joining Rippel, my work was confined to individual nutrition and health interventions with specific populations, funded solely by grants. At Rippel, I get to be part of work that breaks through the silos to help stewards move down the path towards sustainability—both of their finances and their mission.”—Katherine Wright, Senior Program Associate
Joined Rippel: 2016
Current Roles: Katherine leads the cross-coordination of Rippel’s three ReThink Health initiative project teams focused on jumpstarting transformative change, and provides high-level research and content support to ReThink Health’s Portfolio Design for Healthier Regions and Hospital Systems in Transition teams. She also continues to promote and present on Beyond the Grant: A Sustainable Financing Workbook (published in 2018).
Career: Katherine previously worked on multiple sustainable financing and R&D projects for Rippel’s ReThink Health initiative, where she explored topics like social impact investing, resident engagement, and the potential of tax credits as a source of sustainable financing for population health. Notably, she co-authored Beyond the Grant: A Sustainable Financing Workbook. Katherine led the design of the workbook’s Financing Wizard that lets users create and practice the art of financial planning for their collaborative population health work. Before joining Rippel, Katherine coordinated and provided research and evaluation support for interventions focused on healthy eating, SNAP-ED, and women’s heart health with Tufts Friedman School of Nutrition Science and Policy, the Jean Mayer USDA Human Nutrition Research Center on Aging, and Michigan State University Extension.
More about Katherine: Katherine was ranked second in the Indiana SkillsUSA Commercial Baking competition, which helped inspire her career path to health and nutrition work.
Education: Friedman School of Nutrition Science and Policy at Tufts University (MS), Michigan State University (BS)


Nina Burke


Jane Erickson
Nina Burke
“I love that Rippel is a place where challenging the status quo is the status quo.”—Nina Burke, Consultant, Learning and Evaluation
Joined Rippel: 2016
Current Roles: As a consultant for organizational learning and evaluation, Nina contributes to the design, management, and implementation of Rippel’s learning and evaluation methods and processes across the enterprise. She also co-designs and facilitates internal organizational learning activities.
Career: Nina has provided project management, design, research, and evaluation to more than six projects in the ReThink Health portfolio. This includes advising the California Accountable Communities for Health Initiative (CACHI) on distributed leadership and leadership transitions and coordinating and evaluating the Center for Medicare and Medicaid’s Quality Improvement Organizations’ Leadership and Organizing in Action course as part of the Community Activation for System Stewardship project. As part of a research project exploring tax credits’ potential as a source of sustainable financing for population health, she co-authored a paper for the National Academy of Medicine (2018). She previously was project manager of a homeless prevention and re-housing project for a Boston-area nonprofit.
More about Nina: Nina is certified in conditions for effective teams; loves all things public: public space, public libraries, public transit; chatting with strangers; and cooking for the people she loves.
Education: Boston University (BS, MPH)
Jane Erickson
“It’s an exciting time to be part of the movement to transform health and well-being—new approaches to multisector collaboration are emerging, stewards are sharing ideas, and many are beginning to unify around a shared purpose for their regions.”—Jane Erickson, Project Director
Joined Rippel: 2013
Current Roles: Jane is project director of the ReThink Health initiative’s Amplifying Stewardship Together team. She also leads Rippel’s Organizational Learning and Evaluation team.
Career: Jane has worked with national philanthropies to advance social change for over a decade. Jane oversaw strategy and implementation of Rippel’s ReThink Health Ventures project (2016-2018), a large-scale project that advanced multisector stewardship approaches for health transformation. She also led numerous nation-wide research efforts to transform health, including the ReThink Health Pulse Check and research published in Health Affairs. Before that, Jane led Rippel’s communications and special projects with the executive team.
Prior to joining Rippel, she established and ran the grants department at the Clinton Health Access Initiative. Jane has also conducted research and led efforts to build civic engagement across communities in the US and internationally, including as a Fulbright Scholar in Indonesia and with the Center for Information and Research on Civic Learning and Engagement. She is currently a member of the Board of Trustees at Hobart and William Smith Colleges, her undergraduate alma mater.
More about Jane: Jane played varsity lacrosse in college, which brought her out east from her home state of Colorado. One of her favorite guilty pleasures is watching science fiction television shows, especially Battlestar Galactica.
Education: Syracuse University (MPA, MAIR), Hobart and William Smith Colleges (BA)


Bethlihem Gebremedhin


Kimberly Hines Hart


Jane Novak


Farida O’Neill


Ed Rosen


Audrey Wells
Bethlihem Gebremedhin
“The Rippel Foundation’s commitment to health equity and health innovation is amazing to be a part of—it influences the work I do in both my personal and professional life.”—Bethlihem Gebremedhin, Administrative Associate
Joined Rippel: 2019
Current Roles: Bethlihem provides high level support to two Rippel directors as well as managing the Cambridge office. She also helps to support the Portfolio Design for Healthier Regions team and the Communications team.
Career: Bethlihem previously worked as an administrative/project specialist for the Department of Population Medicine at Harvard Medical School. She supported over five faculty members within the Therapeutics Research and Infectious Disease Epidemiology (TIDE) group, and provided administrative support for multiple project submissions. As an undergraduate, she majored in public health with a minor in afro-american studies. She is currently pursuing her masters in public health with a concentration in health services management and policy.
More about Bethlihem: Bethlihem loves to read, and a few of her favorite authors include Toni Morrison, Chimamanda Ngozi Adichie, and Bell Hooks. She is extremely passionate about holistic health, traveling, and learning about different cultures. Her dream vacation destination is Bali, Indonesia.
Education: University of Massachusetts Amherst (BS), Tufts University (MPH candidate)
Kimberly Hines Hart
“It’s a privilege to work with such a passionate, committed group of people who aren’t afraid to take bold steps towards transforming our health system.”—Kimberly Hines Hart, Corporate Counsel
Joined Rippel: 2014
Current Roles: Kim is responsible for leading all legal matters for Rippel, which includes negotiating and managing contracts, providing guidance on intellectual property, data privacy, and other issues, as well as advising the strategy and management team on legal risks.
Career: Since joining Rippel, Kim has been integral in bringing awareness of different legal risks to the strategy and management team, and implementing infrastructures to manage and minimize those risks. Kim spent six years as a litigation associate with McCarter & English in Newark after clerking for the Hon. Herbert Friend in the Superior Court of New Jersey. Post 9/11 when tensions were high, Kim argued and won an international parenting time issue at the New Jersey Appellate Division on behalf of her client who wished to exercise his visitation rights in the Middle East (see Abouzahr v. Matera Abouzahr).
More about Kim: For more than five years, Kim served on the board of trustees, including as co-president, for her children’s schools, and continues to do other volunteer work in her community. Kim is an amateur photographer who always has a camera with her (even if it’s just her iPhone), and whose work has recently been exhibited in three galleries.
Education: Wake Forest School of Law (JD), Boston University (BS and BA)
Jane Novak
“It is gratifying to work for such a passionate organization and help lay the groundwork for our team to succeed.”—Jane Novak, Finance Associate
Joined Rippel: 2014
Current Roles: Jane is responsible for managing Rippel’s payroll, investments, payables, receivables, and other financial transactions.
Career: Jane has two decades of experience as an accountant for both nonprofit and for-profit organizations. She worked in the manufacturing industry as well as real estate. Her nonprofit experience includes nine years with the Easter Seal Society of New Jersey.
More about Jane: Jane was born in St. Petersburg, and is fluent in Russian. She loves animals both great and small, and is obsessed with tiny tea cup dogs.
Education: Brooklyn College of the City University of New York (BS)
Farida O’Neill
“With our team blazing so many trails, there are a lot of balls in the air. I’m so thankful to have the opportunity to keep the juggling calm and enjoyable.”—Farida O’Neill, Executive Associate
Joined Rippel: 2017
Current Roles: Farida provides executive support to Rippel’s President and CEO Laura Landy, and also supports staff and key initiatives in a variety of ways, including serving as the organization’s first point-of-contact and assisting with multiple projects, meetings, conferences, and workshops.
Career: Farida worked for 25 years as an executive and legal assistant in the pharmaceutical industry, where she supported high-level executives and served as liaison for their direct reports.
More about Farida: Her love for animals has driven Farida to rescue and care for cats, dogs, foxes, birds, rabbits, and turtles—as she often says, “nothing can make my heart smile more than to see an animal in need happy again.”
Ed Rosen
“I’m pleased to support Rippel teams so they can efficiently and effectively do important work, especially in helping regional partners accelerate the transformation of their health ecosystems.”—Ed Rosen, IT Contractor
Joined Rippel: 2014
Current Roles: As president of ROLE services, Ed provides Rippel with information technology consulting. He develops, customizes, maintains, and improves information systems that are capable of supporting Rippel’s rapidly expanding portfolio.
Career: Previously, Ed held a variety of leadership positions at global medical technology company Becton, Dickinson & Co. in a wide variety of disciplines, including product development, manufacturing, customer service, and quality assurance.
More about Ed: Ed holds eight patents for medical products, such as insulin syringe and pen needle designs. He enjoys traveling to Europe with his wife to taste wines, particularly in France, where he lived, worked, and enjoyed himself for four years.
Education: Farleigh Dickinson University (MBA), Rutgers University (BS)
Audrey Wells
“I’m proud to support the entire Rippel team and its projects by making budgeting and other administrative processes smooth, freeing everyone up to focus on making an impact on health and well-being.”—Audrey Wells, Director of Finance and Administration
Joined Rippel: 2015
Current Roles: Audrey leads Rippel’s financial and investment activities, including budgeting, financial planning and analysis, compliance, grants, contracts, and accounting. She also oversees Rippel’s human resources function as well as its information technology and facilities operations.
Career: Recently at Rippel, Audrey created a simple framework for budget proposals and monitoring project costs, which upgraded their consistency and completeness and allowed project staff to maintain a hands-on understanding of—and accountability for—project spending. Before joining Rippel, Audrey was CFO at Cornerstone Family Programs, a New Jersey-based nonprofit, where she played a significant role in the acquisition of another agency, procurement of grants and new contracts, and procedure streamlining. Audrey’s 30 years of experience also includes positions in accounting, finance, and audit with Customized Distribution Services, Lever Brothers Company, and Ernst & Young.
More about Audrey: In her spare time, Audrey is a dedicated singer. She has performed for 15 years in a mixed a cappella quartet, singing everything from barbershop, to doo-wop, to modern popular music. She’s also in a local community chorus (and serves as its treasurer).
Education: Binghamton University (BS)


Edward W. Ahart


Elliott S. Fisher


Michael W. Harris


Laura Landy


James R. Sonneborn


David S. Surrenda
Edward W. Ahart
“I am the latest in a long line of attorneys from our firm to be involved in The Rippel Foundation. We have been privileged to honor the legacy and wishes of our founder Julius E. Rippel, and in doing so, to help to improve life in the United States by assisting others to have better health, better care, and lower costs.”—Edward W. Ahart, JD (Chair)
Mr. Ahart was elected to The Rippel Foundation Board of Trustees in 2010. He currently serves as chair of corporate and nonprofit practice groups in the law firm of Schenk, Price, Smith & King LLP in Florham Park, New Jersey, previously having served as the firm’s chairman, and as its managing partner and chair of its Management Committee for nearly twenty years.
Mr. Ahart has extensive experience in business counseling, having represented a wide range of corporate and nonprofit entities, and is a frequent speaker on corporate governance, transactional, and financing matters. He has had numerous community leadership positions including as chair of the Lafayette College Board of Trustees, chair of the Board of the Morris County Chamber of Commerce, and as a member of the Mayo Performing Arts Center in Morristown, New Jersey. After graduating with honors from Lafayette College in 1969, Mr. Ahart attended the Cornell Law School—receiving his law degree in 1972—and served as law secretary to the Honorable Joseph Halpern, Superior Court of New Jersey, Appellate Division.
Elliott S. Fisher
“There is tremendous room for improvement in health care and broader health and well-being. I love Rippel because we have both an amazing team and the freedom to focus on high-leverage initiatives through which we can shape the field.” —Elliott S. Fisher, MD, MPH
Dr. Fisher was elected to The Rippel Foundation Board of Trustees in 2011. He is director of The Dartmouth Institute for Health Policy and Clinical Practice and the John E. Wennberg Distinguished Professor at the Geisel School of Medicine at Dartmouth. Dr. Fisher’s groundbreaking research focuses on advancing the understanding of the causes of the dramatic differences in spending and quality observed across US regions and health care systems, and identifying opportunities to improve health system performance. He has long been active in national health care reform initiatives and was one of the originators of the now widely implemented policy approach to doing so—accountable care organizations.
Dr. Fisher has served on major national committees and is a member of the National Academy of Medicine. He received his undergraduate and medical degrees from Harvard University and completed his residency in internal medicine at the University of Washington, where he also was a Robert Wood Johnson Clinical Scholar and received his Master’s in Public Health. He has published over 200 peer-reviewed articles and editorials.
Michael W. Harris
“I was attracted to The Rippel Foundation’s unique combination of the aspirational—transforming health and well-being to offer more equitable opportunities—with the pragmatic—figuring out how to pay for it.” —Michael W. Harris
Mr. Harris was elected to The Rippel Foundation Board of Trustees in 2017. He is a managing Director and chief marketing officer of PFM Asset Management, where he oversees the firm’s strategic market development efforts and serves as a member of PFM’s Board of Directors. Mr. Harris is a nationally recognized expert in the structuring and procurement of financial products and has advised a number of governmental and not-for-profit entities on the development of investment management strategies for grant funds, tax-exempt bond proceeds, and other operational and reserve funds.
Mr. Harris has served as a career coach for the National Urban Fellows Leadership Conference and has guest lectured at events for Baruch College of the City University of New York and Spelman College. Mr. Harris has served in leadership positions on community and industry boards and interest groups working on educational and career opportunities for underprivileged students and access to healthcare for underserved populations. Mr. Harris is a graduate of the University of Pennsylvania with a dual degree in Economics and Political Science.
Laura Landy
“Many of us at Rippel have always sensed there must be a better way. Together, we can find that way, and overcome the barriers to actually reach a healthier future for all.”—Laura Landy, President and CEO; Trustee
Joined Rippel: 2007
Current Roles: As Rippel’s president and CEO, Laura steers the organization’s vision and strategic direction. She gathers the right people and leads them in creating and guiding groundbreaking initiatives like ReThink Health and FORESIGHT. Laura has continually expanded Rippel’s vision in pursuit of its mission step-by-step, inspired by its first president, Julius A. Rippel’s own writings from over 60 years ago. With her leadership, the foundation has shifted from being a small grantmaker bringing about micro-level impacts to pioneering the transformation of health and well-being across the nation.
Career: A Rippel board trustee since 1998, Laura began her career as a grantmaker for federal poverty and unemployment funds, and subsequently worked with the Ford Foundation, Pfizer, Bell Labs, and New Jersey’s public health system—notably designing an integrated medical system for the city of Newark. She also built strategic plans for organizations like Adelphi University and the 92nd Street Y as president of her own consulting firm, Applied Concepts. She created the Institute for Nonprofit Entrepreneurship at NYU’s Stern School of Business (the only such program at any business school), where she also taught and served as associate director of the Center for Entrepreneurial Studies. She has also been a member of the adjunct faculty of Columbia University, the New School, and Fairleigh Dickinson. Laura serves as a trustee of the Dartmouth-Hitchcock Health System, a fellow of the New York Academy of Medicine, and a board member of Grantmakers in Health.
More About Laura: Laura is passionate about the impact of trends on work and life; she’s perpetually curious about how the world is changing, and how we can prepare for it.
Education: New York University (MBA), Washington University in St. Louis (BA), University of California Berkeley (Certificate in Urban Education)
James R. Sonneborn
“Being a part of The Rippel Foundation is a highlight of my day! The cutting edge thinking that the group does to solve our nation’s health system woes is amazing. I always come away from our Board meetings believing that if anyone can achieve this goal, it’s the team at Rippel and the organizations they partner with.”—James R. Sonneborn, CFP®, CFA, CDFA, MBA
Mr. Sonneborn was elected to The Rippel Foundation Board of Trustees in 2017. He is a partner and wealth advisor at RegentAtlantic, a financial and wealth management company, where he specializes in providing financial advice to nonprofits. He has previously held financial management positions with the US Trust Company of New York (Florham Park), Wachovia Bank, Chase Manhattan, SLH Asset Management, and Mellon Bank.
Mr. Sonneborn is currently on the Investment Committee of Jersey Battered Women’s Service, and the Finance Committee for Preschool Advantage; he was previously a member of the boards of both organizations, and chaired those respective committees as a board member. He was also previously a board member and president for the Estate Planning Council of Northern New Jersey. Deeply committed to his community, Sonneborn has been on the boards of a number of organizations in northern New Jersey and provided pro bono financial counseling at area women’s agencies. Mr. Sonneborn holds a BA in Business from Western State College of Colorado and an MBA in Finance from Drexel University.
David S. Surrenda
“There is an urgent need for the transformation of our health system. Rippel has had a long-term commitment to exploring the frontiers of health system innovation, testing those innovations in practical health settings, and sharing them as broadly as possible.”—David S. Surrenda
Dr. Surrenda was elected to The Rippel Foundation Board of Trustees in 2007. He is director of The Leadership Edge, a consulting firm that works creatively with leaders to generate sustainable solutions to complex organizational challenges. As a licensed psychologist, he has been engaged in executive-level, organizational consultation and coaching with health systems, business, government, and education for 30 years. He also recently served as the CEO of the Kripalu Center.
Dr. Surrenda is the founder of the Graduate School of Holistic Studies at John F. Kennedy University, where he developed the first accredited graduate program in holistic health education. He served as the co-CEO of a training and research corporation, developing innovations in conflict resolution and crisis intervention. He also served as the executive director of The Natural Step, an environmental organization that provides consultation to major industries about the efficient utilization of natural resources as part of a strategy for business development. He is the co-author of three books.


Ella D. Auchincloss


Laura Landy


Bobby Milstein


Audrey Wells
Ella D. Auchincloss
“At Rippel, we pursue an inspiring, yet daunting transformative agenda for equitable health and well-being; it’s about a lot more than health care. We’re willing to strategically tackle the big issues, but with a sober sense of what is doable.”—Ella D. Auchincloss, Director of Enterprise Innovation
Joined Rippel: 2011
Current Roles: Ella serves as Rippel’s Director of Enterprise Innovation as well as a key contributor to the ReThink Health initiative’s Hospital Systems in Transition and Portfolio Design for Healthier Regions projects.
Career: Ella has spearheaded many resident engagement efforts for Rippel’s ReThink Health initiative, coaching a wide variety of partner organizations and teams in change leadership, and developing Community Activation for System Stewardship, in which she and her team advised the Center for Medicare and Medicaid’s Quality Improvement Organization Leadership, Organizing in Action program. She also directed a research project exploring tax credits’ potential as a source of sustainable financing for population health. Before joining Rippel, she founded The Leadership Development Initiative, a faith-based teaching and coaching program for resident outreach. She is also a fellow of the Leading Change Network at Harvard University’s Kennedy School of Government. Prior to her work in resident engagement, Ella worked in the financial services sector.
More about Ella: In 2015, Ella was awarded the Barbara C. Harris Award for Social Justice by the Episcopal City Mission in Boston, Massachusetts for her founding of The Leadership Development Initiative. Ella is a recovering Wall Street professional, and is most at home in drafty church basements and other community settings, leading story slams and singing freedom songs. She is at her best when she is near the ocean in the company of her beloved dog.
Education: Harvard Divinity School (MTS), Babson College (BS)
Laura Landy
“Many of us at Rippel have always sensed there must be a better way. Together, we can find that way, and overcome the barriers to actually reach a healthier future for all.”—Laura Landy, President and CEO; Trustee
Joined Rippel: 2007
Current Roles: As Rippel’s president and CEO, Laura steers the organization’s vision and strategic direction. She gathers the right people and leads them in creating and guiding groundbreaking initiatives like ReThink Health and FORESIGHT. Laura has continually expanded Rippel’s vision in pursuit of its mission step-by-step, inspired by its first president, Julius A. Rippel’s own writings from over 60 years ago. With her leadership, the foundation has shifted from being a small grantmaker bringing about micro-level impacts to pioneering the transformation of health and well-being across the nation.
Career: A Rippel board trustee since 1998, Laura began her career as a grantmaker for federal poverty and unemployment funds, and subsequently worked with the Ford Foundation, Pfizer, Bell Labs, and New Jersey’s public health system—notably designing an integrated medical system for the city of Newark. She also built strategic plans for organizations like Adelphi University and the 92nd Street Y as president of her own consulting firm, Applied Concepts. She created the Institute for Nonprofit Entrepreneurship at NYU’s Stern School of Business (the only such program at any business school), where she also taught and served as associate director of the Center for Entrepreneurial Studies. She has also been a member of the adjunct faculty of Columbia University, the New School, and Fairleigh Dickinson. Laura serves as a trustee of the Dartmouth-Hitchcock Health System, a fellow of the New York Academy of Medicine, and a board member of Grantmakers in Health.
More About Laura: Laura is passionate about the impact of trends on work and life; she’s perpetually curious about how the world is changing, and how we can prepare for it.
Education: New York University (MBA), Washington University in St. Louis (BA), University of California Berkeley (Certificate in Urban Education)
Bobby Milstein
“ReThinking is the most practical thing any of us can do to change the future. It helps us see where we fit in a common system and shifts our own roles as change agents within a dynamic and democratic world.”—Bobby Milstein, Director of System Strategy
Joined Rippel: 2011
Current Roles: Bobby directs Rippel’s work on System Strategy, is a member of Rippel’s Strategy and Management Team, and is a Visiting Scientist at the MIT Sloan School of Management. Bobby is a principal contributor to the ReThink Health initiative’s projects Portfolio Design for Healthier Regions and Amplifying Stewardship Together. He also leads a suite of nationwide influence activities and coordinates ongoing development of the ReThink Health Dynamics Model, the Well-Being Portfolio Design Calculator , and other simulation tools that let leaders play out the consequences of their scenarios for change. In 2018, Bobby and four co-authors wrote the official brief that defines “health and well-being” as the central focus for the Healthy People 2030 Framework for the United States.
Career: Before joining Rippel, Bobby spent 20 years planning and evaluating system-oriented initiatives at the Centers for Disease Control and Prevention (CDC), where he was the principal architect of CDC’s framework for program evaluation. He received CDC’s Honor Award for Excellence in Innovation, the Applications Award from the System Dynamics Society, and Article of the Year awards for papers published in Health Affairs and Health Promotion Practice.
More about Bobby: Bobby once was a documentary filmmaker whose work was used by PBS to spotlight challenges of racism on college campuses. He also contributed storylines for The West Wing on how to get beyond zero-sum thinking when setting health priorities.
Education: Union Institute and University (PhD), Emory University (MPH), University of Michigan (BA)
Audrey Wells
“I’m proud to support the entire Rippel team and its projects by making budgeting and other administrative processes smooth, freeing everyone up to focus on making an impact on health and well-being.”—Audrey Wells, Director of Finance and Administration
Joined Rippel: 2015
Current Roles: Audrey leads Rippel’s financial and investment activities, including budgeting, financial planning and analysis, compliance, grants, contracts, and accounting. She also oversees Rippel’s human resources function as well as its information technology and facilities operations.
Career: Recently at Rippel, Audrey created a simple framework for budget proposals and monitoring project costs, which upgraded their consistency and completeness and allowed project staff to maintain a hands-on understanding of—and accountability for—project spending. Before joining Rippel, Audrey was CFO at Cornerstone Family Programs, a New Jersey-based nonprofit, where she played a significant role in the acquisition of another agency, procurement of grants and new contracts, and procedure streamlining. Audrey’s 30 years of experience also includes positions in accounting, finance, and audit with Customized Distribution Services, Lever Brothers Company, and Ernst & Young.
More about Audrey: In her spare time, Audrey is a dedicated singer. She has performed for 15 years in a mixed a cappella quartet, singing everything from barbershop, to doo-wop, to modern popular music. She’s also in a local community chorus (and serves as its treasurer).
Education: Binghamton University (BS)


Bradley Girard


Amanda McIntosh


Krishna Patel
Bradley Girard
“The good work Rippel does to improve health and well-being drives me to make our messages visually effective and cohesive so everyone can easily absorb them.”—Bradley Girard, Communications Director (Interim)
Joined Rippel: 2017
Current Roles: Bradley directs the Comms Team, leading our strategy, messaging, branding, and promotion. He makes complex concepts easier for all to understand and unifies messaging around Rippel’s shared vision and its initiatives. He designs visuals to make ideas more straightforward for all to understand.
Career: Brad has provided Rippel with branding and visual design support for years as principal of his own award-winning boutique agency. In his 28 years as a professional designer, photographer, and marketer, Brad has worked with a variety of large brands—including Kaiser Permanente, Toshiba, Verio Healthcare, and the San Francisco 49ers—and received multiple international awards for design, print, and marketing.
More about Brad: Brad serves on portfolio review boards for AIGA, Cal State Fullerton, and Chapman University, mentoring students as they ready themselves for professional careers. Most weekends, Brad can be found cheering on his daughter’s club court and beach volleyball teams. On his off-time, he and his family love to relax on the Hawaiian island of Kauai.
Amanda McIntosh
“Rippel is solutions-oriented; for instance, instead of lamenting the lack of funds and resources for health and well-being, we find streams that already exist and just need to be unlocked, redirected, and approached creatively—and then we spread the word about them.”—Amanda McIntosh, Senior Communications Associate
Joined Rippel: 2015
Current Roles: Amanda manages Rippel’s editorial and visual production as well as its social media efforts. She also leads Rippel’s work to measure its outreach effectiveness and serves as a member of FORESIGHT‘s Implementation Team.
Career: Amanda has provided critical research, design, and project management support to national-level Rippel projects, including the Convening of Catalysts leadership group that brings together health system transformation trailblazers. As part of a ReThink Health initiative project exploring tax credits’ potential as a source of sustainable financing for population health, she co-authored a paper for the National Academy of Medicine (2018) and contributed greatly to advancing high-level conversation and interest in the topic via various platforms and mediums. Amanda formerly worked to support nationwide programs and outreach campaigns for consumer health advocacy organizations, serving as program associate to Community Catalyst’s Roadmaps to Health project and as statewide coordinator at Health Care For All.
More about Amanda: Amanda grew up on the island of Martha’s Vineyard, not as a summer resident, but as a third-generation “year-rounder.” She had some of the same teachers that had taught her father when he went through the island’s school system, decades before. On a recent visit, she found a rare fossilized Megalodon tooth.
Education: Drexel University (MPH), College of Charleston (BA)
Krishna Patel
“What’s most invigorating about Rippel is the passion and energy that everyone brings to the work, every day. It means we can do anything we set our minds to.”—Krishna Patel, Senior Program Associate
Joined Rippel: 2016
Current Roles: Krishna provides critical support to Rippel’s FORESIGHT initiative and the ReThink Health initiative’s Portfolio Design for Healthier Regions project. She assists the FORESIGHT Advisory Committee and leads the process to choose and implement tools to support regional engagement. For the Portfolio Design for Healthier Regions team, she is a jane-of-all-trades, with contributions ranging from logistical support to project design and management. Living the philosophy of servant leadership, Krishna’s earnest, helpful approach has resulted in growth, positive responses, and better collaboration and outcomes for Rippel’s internal teams and external partners.
Career: Krishna previously supported Rippel’s ReThink Health Ventures project, and worked closely with its coaching staff to coordinate three of the participating sites (Central Oregon; Sonoma, CA; and Bernalillo County, NM). During her time at Northeastern University, she held several professional positions in its library system.
More about Krishna: Krishna found her studies in public health to be an intersection of her interest in science and her passion for social justice and service. She continues to foster that passion by volunteering at a local shelter that serves homeless and low-income women.
Education: Northeastern University (MPH, BS)
ReThink Health’s History
ReThink Health is the brainchild of a group of visionary leaders from multiple sectors. It’s grounded in the earliest thinking of The Rippel Foundation’s first President, Julius A. Rippel, who as far back as 1959 raised concerns about our unsustainable health care system and the need for new ways of thinking and acting to keep people healthy and health care affordable. After decades of grantmaking, it became apparent in 2007 that to achieve Rippel’s mission, a tectonic structural shift to the system that produces health and well-being would be necessary.

To figure out how to spark that change, Rippel convened a group of extraordinary leaders—those who would become ReThink Health’s pioneering founders. The group included some of the nation’s most respected health care leaders, as well as a diverse group of experts and change agents from economics, politics, business, community organizing, and energy. Putting their heads together between 2008 and 2010, they realized everyone would need to rethink their approach to improving health and well-being—and an entirely new kind initiative would be needed to help leaders across regions and sectors to see a new way forward. That initiative is ReThink Health. They based the initiative on the guiding principles that, to make lasting change to the health ecosystem, efforts must be:
- Systemic Approach challenges from a system level and design a new system that fosters health and well-being.
- Transformative Incremental change is not enough. Business-as-usual is not working, so we must upend the status quo and transform the system, all the way down to how people think about health and well-being.
- Stewarded Leaders must be stewards—they must take responsibility for forming working relationships with others to transform health and well-being across their region.
- Multisector Stewards must form relationships across sectors. Every part of a regional system contributes to health and well-being, so they must all be at the table, whether they are health care providers or payers, or they are focused on education, business, justice, and so on.
- Regional Health and well-being are largely local, so system-wide national impact will build from local action. There is no one-size-fits-all solution.
- Equitable The transformed system that produces health and well-being must be equitably designed and address systemic inequities in the current system, as those inequities are a major barrier to health and well-being for all.
Based on these pillars, the pioneers founded ReThink Health with the goal of gaining greater understanding of these ideas and spreading what is being learned about what it will take to transform the system that produces health and well-being. Some of ReThink Health’s most exciting discoveries since its founding include:
This “health system in a computer” is an interactive tool that allows stewards to explore how various strategies might impact their region’s health and well-being. Thousands of people and organizations have used the model to test different combinations of investments and interventions, informing their real-life strategies.
This Pathway is ReThink Health’s best hypothesis of what it takes to become stewards and transform together.
The Ventures project explored what could accelerate the progress of ambitious multisector partnerships working to transform health in their regions, and what often stands in the way of that progress. We worked with multisector partnerships in six regions across the country as they built practices that are essential for transforming a regional health ecosystem.
ReThink Health worked with multisector partnerships in Minnesota and Michigan to create maps of their regions’ health ecosystems, as part of their collaborative exploration of effective ways to intervene.
This workbook, divided into easy-to-digest modules, uses colorful examples, engaging exercises, and plain, everyday language to help stewards do what it takes to expand their financing horizons beyond the grant to more sustainable options.
Community Activation for Health System Transformation was a 5-year project focused on developing a set of skills stewards can use to train themselves and others to build coalitions, distribute stewardship mindsets across those coalitions, and build stewardship capacities among themselves and others. We forged and tested a curriculum for teaching these skills that had a major impact on a national workforce in the health care sector.
We developed a toolkit with exercises, meeting guides, videos, and more to help stewards plan resident engagement efforts. Among other things, the toolkit can help stewards accurately assess their resident engagement efforts, get on the same page about their goals, and figure out how to close the gap between the two. As part of this, we laid out a typology of the three outcomes (resident awareness and participation, feedback and input from residents, and active resident leadership) that stewards engaging in regional resident engagement practices seek to pursue, and the common practices they use to achieve those outcomes. Transforming a region’s system for health requires a balance between practices across all three outcomes.
With the National Academy of Medicine, we published a widely-read paper and designed a national meeting exploring how stewards might use tax credits as a means to fund population health efforts. The paper includes two detailed prototypes we developed to show how such a tax credit could work.
Our national survey, conducted in 2014 and 2016, sheds light on how stewards approach the work of transforming health and well-being in their regions, including how they advance and finance their efforts.



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Donald BerwickHealth care quality improvementFormer head of the Centers for Medicare & Medicaid Services and the Institute for Healthcare Improvement. One of the country’s foremost advocates for advancing quality improvement and value-driven health care.
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Elliott FisherHealth policy and researchAt the time, was director of The Dartmouth Institute for Health Policy & Clinical Practice. His research has shown how variations in health care spending have little to do with health status or price or outcomes, but rather on greater use of services.
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Marshall GanzCommunity organizingHarvard professor and community organizing luminary. Helped organize the United Farm Workers and supported development of President Obama’s winning campaign strategy.
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Laura LandyPhilanthropy and entrepreneurshipRippel president and CEO. An entrepreneur and foundation leader whose work has focused on bridging sound market and business practices with social goals to create sustainable solutions to our nation’s most challenging problems.
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Amory LovinsEnergy researchA renowned scientist and founder of the Rocky Mountain Institute, whose critical thinking about alternative approaches to energy policy has driven world leaders and the public to think differently about climate change and sustainable energy.
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James (Jay) OgilvyBusiness (strategic planning)A cofounder of Global Business Network, who helped pioneer scenario planning, which has become an integral part of strategic thinking in business and government and has revolutionized both public and private planning.
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Elinor OstromEconomicsA Nobel Laureate in Economic Sciences, whose research has been at the forefront of promoting policies for fostering democratic governance and sustainable stewardship of common resources shared among populations. Elinor passed away in 2012.
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Peter SengeOrganizational design and systems thinkingA pioneer and influential leader in economic and organizational design, systems thinking, and leadership development, who founded the Society for Organizational Learning. His book The Fifth Discipline has been hailed as one of the most important management books ever by publications like Harvard Business Review and Financial Times.
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John StermanEnvironment and system dynamicsAn MIT professor and a leader in system dynamics, who has focused on addressing climate change and helping corporations see opportunities and consequences of their investments.
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David SurrendaOrganizational psychologyA psychologist and founder of the Graduate School of Holistic Studies at John F. Kennedy University. David developed The Leadership Edge which helps leaders advance creative-change strategies and sustainable solutions for their organizations.
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