About Us

President, Chair, & CEO
General & Transplant Surgery

Whitney Limm, MD is the President of the QCIPN and the Chief Physician Executive of The Queen’s Health System. Dr. Limm has been in practice as a general and transplant surgeon since 1991. He is a graduate of Stanford University and David Geffen School of Medicine at UCLA.

Chief Administrative Officer, Interim

Tamara Pappas is also the Director of Ambulatory Services Planning and leads the Queen’s Advanced Quality Training Program (AQTP) course. She previously served as Director of the Center for Outcomes Research & Evaluation (CORE). Prior to Queen’s, she worked at Hawaii Pacific Health as Director of Quality Operations. Pappas earned a Bachelor of Arts degree in Sociology from the University of Hawaii at Manoa and an MBA from Loma Linda University in California. She is an ASQ Certified Six Sigma Black Belt.

Treasurer
QHS Corporate Controller

Clinton Yee is Treasurer of the QCIPN, and is Corporate Controller of the Queen’s Health Systems (QHS). Prior to joining QHS, Mr. Yee was the controller at Straub Clinic & Hospital/Hawai’i Pacific Health. Prior to Hawai’i Pacific Health, Mr. Yee started his career at KPMG LLP auditing primarily in the health care, electric utility and construction industries. Mr. Yee has Bachelor of Accounting and Master of Accounting degrees from the University of Hawai’i at Manoa and is a Certified Public Accountant.


About QCIPN

The Queen’s Clinically Integrated Physician Network (QCIPN) was formed in 2014 from the collaboration between The Queen’s Health Systems, community physicians, and Physician Organizations based on the need for improved health for the state. While Hawai’i is proud to be one of the healthiest states in the country, there is still a strong need for improved health and patient engagement to keep our communities healthy and address critical care needs for those with acute and chronic health issues. In addition, the cost of care for our citizens has risen to a level that has become unsustainable. All of these factors were considered as we formed our Network and established a business relationship with the largest commercial insurer in our market to address these issues and develop innovative solutions to the problem.

 

Today we are proud to represent over 800 providers on five islands, working together to make Hawai’i a healthier, more productive state.

 

The QCIPN has formed teams of engaged providers and health care professionals to collaborate with patients, hospitals, and insurers to develop and implement clinical best practices targeted at areas of disease that represent the greatest opportunity for improvement. QCIPN will work to improve physician practice patterns through:

  • Medical care information and support
  • Education and training
  • Technology and practice operational solutions
  • Process and performance-based financial incentives

There is much to be accomplished to improve the health of our state. Our vision is to work collaboratively as clinicians with our community to provide the best and most efficient health care available, and to actively engage our patients in their care.

QCIPN VISION

The Queen’s Clinically Integrated Physician Network (QCIPN) will provide innovative, leading edge care systems to our state and attract and retain Hawaii’s best clinicians to deliver care to our patients and the people of Hawai’i. QCIPN will work to lead the state in managing and improving population health for our community, by delivering high quality and efficient systems of care that enhance and increase the overall patient experience and engagement in their care.


MISSION

To transform the healthcare experience for patients and providers of Hawaii through collaboration and innovation


VALUE PROPOSITION

    Patients
    • Coordinated access to innovative care and advanced treatments.
    • Coordinated navigation across primary, specialty, and acute care sites.
    Clinicians
    • Experience a collegial and collaborative community of clinicians.
    • Design innovative, accountable care systems for superior outcomes.
    Payors
    • Partner with Hawaii’s excellent physicians and hospitals to improve care outcomes.
    • Improve population health for Native Hawaiians and all state residents.

Board of Directors

Chair & Chief Medical Officer, Interim
General & Transplant Surgery

Whitney Limm, MD is the President of the QCIPN and the Chief Physician Executive of The Queen’s Health System. Dr. Limm has been in practice as a general and transplant surgeon since 1991. He is a graduate of Stanford University and David Geffen School of Medicine at UCLA.

Vice-Chair
General Internal Medicine

Dr. Morton received his MD from the University of Hawaii John A. Burns School of Medicine in 1984 and completed a residency in Internal Medicine at the University of Hawaii Integrated Medical Residency in 1987. Dr. Morton is a general internist in private practice since 1987.

At Large
Gastroenterology

Dr. James Grobe, FACG, is a private practice Gastroenterologist at QMC Punchbowl. He received his medical degree from the University of Arizona, did a residency at the University of Hawaii Integrated Medical Residency Program, and earned his fellowship in Gastroenterology, also at UA. Dr. Grobe is currently Queen’s Medical Director of Endoscopy and was previously QMC’s Chief of Staff and immediate past Governor of American College of Gastroenterology.

At Large
Maternal-Fetal Medicine & Medical Genetics

Dr. Greigh Hirata is President of the HIPA (Hawaii Independent Physicians Association). He received his medical degree from the University of Southern California and trained in OB/GYN at Cedars-Sinai Medical Center, Maternal Fetal Medicine at LAC/USC Medical Center, and Medical Genetics at Cedars-Sinai Medical Center. Dr. Hirata is boarded in OB/GYN, Maternal Fetal Medicine and Medical Genetics. He is the Medical Director of the Fetal Diagnostic Institute of the Pacific on Oahu and conducts outreach clinics on Maui, Hawaii Island, and Kauai.

Emeritus
Internal Medicine

Dr. John Houk, FACP, is an emeritus member of the QCIPN Board of Directors and currently a primary care physician practicing internal medicine in Queen’s POB2. In 2012, the Hawaii Medical Association named Dr. Houk “Physician of the Year.” He is known for being a long-time champion of the “Patient-Centered Medical Home” (PCMH). Showing his sense of humor, Dr. Houk adds: “I once was a big shot, but now working on my golf game.”

At Large
Internal Medicine

Dr. Nikki Inamine is a graduate of the University of Hawaii John A. Burns School of Medicine. She completed a residency in Internal Medicine at Scripps Mercy Hospital in San Diego, CA. Dr. Inamine has been a general internist in private practice since 2011.

At Large
Internal Medicine

Dr. Aurora Mariani was born in Manila and earned her medical degree there at The University of the East. She completed her residency at the University of Hawaii John A. Burns School of Medicine. She has maintained an Internal Medicine practice in Leeward Oahu since 1982. Her office has been located at the Queens West POB since 2004. Dr. Mariani is also a retired Lieutenant Colonel in the Air Force Reserve.

At Large
Obstetrics & Gynecology

Robb Ohtani is a graduate of Occidental college, Washington University School of Medicine, and Ohio State University obstetrics and gynecology residency program. Dr. Ohtani has been in private practice since 1987.

At Large
Internal Medicine & Pediatrics

Dr. Nadine Tenn Salle serves QMC’s Chief Pediatrics and is in private practice at Medicine Pediatrics Associates. She practiced as an electrical engineer, obtained her medical degree from USC School of Medicine, and completed residency at the UH Internal Medicine–Pediatrics Residency program. She also worked as a hospitalist and a forensic physician for Hawaii Sex Abuse Treatment Center before opening her private practice in 2003. She is the immediate past president of the Hawaii Independent Physician Association. She served as an executive member of Governor Abercrombie’s Healthcare Transformation Committee and is a member of Hawaii Healthcare Workforce Initiative.

At Large
Family Medicine

Dr. Marie Yamamotoya is a board-certified family physician. She earned her bachelors’ degree and attended medical school at the University of Washington. She completed her residency at UC Davis Family Medicine before doing her academic fellowship there. Dr. Yamamotoya is currently the Medical Director at the Queen’s Health Care Centers and is helping to advance collaborative care models throughout the QHS system.

Leadership

President & CEO
General & Transplant Surgery

Whitney Limm, MD is the President of the QCIPN and the Chief Physician Executive of The Queen’s Health System. Dr. Limm has been in practice as a general and transplant surgeon since 1991. He is a graduate of Stanford University and David Geffen School of Medicine at UCLA.

Chief Administrative Officer, Interim

Tamara Pappas is also the Director of Ambulatory Services Planning and leads the Queen’s Advanced Quality Training Program (AQTP) course. She previously served as Director of the Center for Outcomes Research & Evaluation (CORE). Prior to Queen’s, she worked at Hawaii Pacific Health as Director of Quality Operations. Pappas earned a Bachelor of Arts degree in Sociology from the University of Hawaii at Manoa and an MBA from Loma Linda University in California. She is an ASQ Certified Six Sigma Black Belt.

Practice Transformation & Quality Improvement Manager

Ashley Graham is the Manager of Practice Transformation and Quality Improvement for QCIPN. She received her bachelor’s degree from the University of Colorado at Boulder. She also managed several Nephrology practices in Colorado. Graham is certified in practice transformation and strategic grant writing and is a Lean Six Sigma Black Belt.

Physician Communication & Education Manager

Lara Yamada Hazenfield is the QCIPN Physician Communication & Education Manager. Yamada spent over 20 years working as an anchor and news reporter in cities across the country. She left the news business in 2016 to work as the Executive Director for the Hawaii Arthritis Foundation and with independent media and public relations companies. In 2018, she earned her master’s degree in Business & Healthcare Management from the University of Hawaii.


About Akoakoa PO (Physician Organization)

Akoakoa (ă-kŏ'-ă-kŏ'-ă), v.
To assemble, as people for business; to collect, and all gather together.

In 2017, the Queen’s Physician Organization expanded its membership to include community physicians and changed its name to Queen’s Akoakoa Physician Organization. Today, Akoakoa’s membership encompasses over 70 primary care physicians on three islands – Oahu, Hawaii and Molokai.

Queen’s Akoakoa PO is a physician led and professionally managed organization that focuses on providing its physician members with the infrastructure needed to be successful in today’s dynamic market.

Our Mission is to support Queen’s primary care providers (PCPs) and their patients.

Our Vision is to provide a vehicle for all primary care physicians in Hawaii to participate in an organization that is built by physicians for physicians and supported by the Queen’s Health System.

Board of Directors

President & Chair
General & Transplant Surgery

Whitney Limm, MD is the President of the QCIPN and the Chief Physician Executive of The Queen’s Health System. Dr. Limm has been in practice as a general and transplant surgeon since 1991. He is a graduate of Stanford University and David Geffen School of Medicine at UCLA.

Vice Chair
Internal Medicine

Arnold Seid, MD earned his master’s degree in chemical engineering from MIT and worked at Humble Oil (later Exxon). A thesis at Mass General Hospital on the particle-size distribution in aerosols shifted his focus toward medicine. He earned his doctorate at the University of Mississippi School of Medicine, then moved to Hawaii to complete an internship and residency at the University of Hawaii. Nearly 40 years as a primary care physician, he currently runs two clinics in Wahiawa and Ewa Beach.

Treasurer
General Internal Medicine

Dr. Ronald Morton received his MD from the University of Hawaii John A. Burns School of Medicine in 1984 and completed a residency in Internal Medicine at the University of Hawaii Integrated Medical Residency in 1987. Dr. Morton is a general internist in private practice since 1987.

Secretary
Akoakoa Administrator

Emily Burns is the Administrator for the Queen’s Akoakoa Physician Organization. She earned her Bachelor’s degree from the University of Michigan and her Master of Business Administration from the University of Pittsburgh. She previously worked in the commercial payer sector at HMSA and the self-insured market with Taft-Hartley Trust Funds in Hawaii before joining Queen’s in 2017.

At Large
Pediatrics

Dr. Brett Ferguson received his medical degree from Michigan State University and completed a residency in pediatrics at Children's Hospital of Michigan. He worked as a pediatric emergency physician in Ann Arbor, then as a general pediatrician in a rural community in Louisiana, before moving to Hawaii. Dr. Ferguson is the owner of Paniolo Pediatric and Family Medicine on the Big Island.

At Large
Internal Medicine

Dr. Janice Harada earned her master’s degree and completed residency at the John A. Burns School of Medicine in Hawaii. She worked in private practice as a primary care physician several years before joining the Central Medical Clinic in Honolulu in 2016. In her spare time, Harada loves spending time with her dog Tiffany, as well as knitting and other hobbies.

At Large
Family Medicine

Dr. David Arthurs is a Family Physician with 30 years of experience: He earned his medical degree from the University of Osteopathic Medicine Health Sciences in Des Moines, Iowa. Dr. Arthurs relocated to Hawaii in 2004 after 18 years practicing in Idaho. His practice has included all areas of medicine including hospital care, obstetrics, pediatrics, emergency medicine, long term and nursing facility care. In his free time, he enjoys spending time with his family, hunting, spear fishing, and church activities.

At Large
Internal Medicine

Dr. Stuart Nakamoto received his medical degree from JABSOM at the University of Hawaii and completed his internal medicine residency at UH Internal Medicine Residency Program. He is a primary care physician at Queen's Health Care Centers Hawaii Kai.

Leadership

Medical Director
General Internal Medicine

Dr. Ronald Morton received his MD from the University of Hawaii John A. Burns School of Medicine in 1984 and completed a residency in Internal Medicine at the University of Hawaii Integrated Medical Residency in 1987. Dr. Morton is a general internist in private practice since 1987.

Pediatric Program Director

Dr. Theresa Wee is a pediatric obesity health/wellness expert and currently the Director of Pediatrics for the Queens’ Akoakoa Physician Organization. She earned her master’s degree from the University of Hawaii, John Burns School of Medicine and completed her Pediatrics Residency and Ambulatory Fellowship at Columbus Children’s Hospital at Ohio State University. Dr. Wee enjoys being with her family, staying active, and volunteering for various charitable organizations, such as Walk with a Doc Oahu.

Administrator

Emily Burns is the Administrator for the Queen’s Akoakoa Physician Organization. She earned her Bachelor’s degree from the University of Michigan and her Master of Business Administration from the University of Pittsburgh. She previously worked in the commercial payer sector at HMSA and the self-insured market with Taft-Hartley Trust Funds in Hawaii before joining Queen’s in 2017.

Operations Manager

Valerie Sonoda is the Operations Manager Queen’s Akoakoa PO and is a member of the American Diabetes Association Hawaii Leadership Board. Prior to joining Akoakoa, Sonoda worked at HMSA for over 36 years in multiple leadership roles. She is also the past president of the Healthcare Financial Management Association of the Hawaii Chapter.


About Queen's MSSP ACO

What is an ACO?

Queen's MSSP ACO is a Medicare Accountable Care Organization. Accountable Care Organizations, or ACOs, are groups that include a broad range of health care providers… employed and community doctors, hospitals and skilled nursing facilities and more… who agree to work collaboratively to improve the quality of care for their patients, and the community.

About Queen's MSSP ACO

The following resolution describes the arrangements established and passed by the Queen's Medicare Shared Saving Program Accountable Care Organization (Queen's MSSP ACO) Board of Directors.

The original proclamation claiming the MSSP pre-participation waiver was enacted by the Board on July 19, 2017. It included information identifying the parties to the arrangement, the date of the arrangement, and the type of item, service, good, or facility provided under the arrangement. Under the pre-participation waiver that the Queen's MSSP ACO is using, all current QCIPN members are allowed to use services currently being developed for their Medicare fee-for-service patients.

The resolution linked here provides the updated version of that original proclamation.
Resolution of the Queen's MSSP ACO Board of Directors


For more information about the Queen's MSSP ACO, email This email address is being protected from spambots. You need JavaScript enabled to view it. or call (808) 691-7220. 

The Queen's MSSP ACO’s mission and vision are consistent with CMS’s intent for all MSSP ACOs. Our ACO agrees to be held accountable for the quality, cost, and experience of care of an assigned Medicare fee-for-service (FFS) beneficiary population.

The Shared Savings Program is an alternative payment model that:

  • Promotes accountability for a patient population.
  • Coordinates items and services for Medicare FFS beneficiaries.
  • Encourages investment in high quality and efficient services.

Provider Facing Description of ACO

CMS created MSSP ACOs as an alternative payment model (APM) under its Quality Payment Programs. APMs offer a payment approach that gives added incentive payments for providing high-quality, cost-efficient care.

MSSP ACOs are one type of APM and allows its members to collaborate and receive support services for their Medicare fee-for-service patients. Members are also held accountable for the quality, cost, and experience of care for the assigned population.

Any provider or practice participating in Medicare fee-for-service who is not in another MSSP and is interested in improving quality and coordination of care. In some cases, specialists can be in more than one MSSP.


For information on how to join the Queen's MSSP ACO, email This email address is being protected from spambots. You need JavaScript enabled to view it.  or call (808) 691-7220.


MSSP Declaration

The following resolution describes the arrangements established and passed by the Queen's Medicare Shared Saving Program Accountable Care Organization (Queen's MSSP ACO) Board of Directors.

The original proclamation claiming the MSSP pre-participation waiver was enacted by the Board on July 19, 2017. It included information identifying the parties to the arrangement, the date of the arrangement, and the type of item, service, good, or facility provided under the arrangement. Under the pre-participation waiver that the Queen's MSSP ACO is using, all current QCIPN members are allowed to use services currently being developed for their Medicare fee-for-service patients. The resolution linked here provides the updated version of that original proclamation.
Resolution of the Queen's MSSP ACO Board of Directors


Required Public Reporting Information

Public Disclosure Arrangements Protected Under the ACO Participation Waiver

The U.S. Department of Health and Human Services established waivers of certain federal fraud and abuse laws that may otherwise limit innovation by ACOs participation in the Medicare Shared Savings Program. Queen’s MSSP ACO, LLC (“Queen’s ACO”) participates in the Medicare Shared Saving Programs (“MSSP”) as an ACO and seeks waiver protection for the arrangements described below.

The Board of Managers of Queen’s ACO has formally authorized these arrangements and made a bona fide determination that these arrangements are reasonably related to the purposes of the Medicare Shared Savings Program.

Future arrangements, and updates or modifications to current arrangements, will be added to this list in accordance with CMS requirements.

For more information about the Queen's MSSP ACO, email This email address is being protected from spambots. You need JavaScript enabled to view it. or call (808) 691-7220. 


Queen's MSSP ACO Board Members

  • Whitney Limm, MD, Chair
  • Mich Riccioni, MS, Treasurer & Finance Committee Chair (non-voting)
  • Michael Nagoshi, MD, Quality Committee Chair
  • Staisha Dill, Secretary (non-voting)
  • Ronald Morton, MD
  • Blane Chong, MD
  • Aurora Mariani, MD
  • Glenn Rediger, MD
  • Trudi Saito, Medicare Member

Chief Medical Officer

  • Mike Nagoshi, MD

Executive Director/Administrator

  • Emily Burns, MBA

Affiliated Queen's Entities

The Queen's Medical Center – West O’ahu

Location: 91-2141 Fort Weaver Road, Ewa Beach, Hawaii 96706
Main Number: 808-691-3000


Molokai General Hospital

Location: 280 Home Olu Place, Kaunakakai, Hawaii 96748
Main Number: 808-553-5331


NHCH – North Hawaii Community Hospital

Location: 67-1125 Mamalahoa Highway, Kamuela, Hawaii 96743
Main Number: 808-885-4444


The Queen's Health Care Centers

Hawaii Kai
Hilo
Honolulu (Physician’s Office Building 1 (POB 1)
Honolulu (Physician’s Office Building 2 (POB 2)
Kapolei
Kauai
Kona

Board of Directors

Chair
General & Transplant Surgery

Whitney Limm, MD is the President of the QCIPN and the Chief Physician Executive of The Queen’s Health System. Dr. Limm has been in practice as a general and transplant surgeon since 1991. He is a graduate of Stanford University and David Geffen School of Medicine at UCLA.

Treasurer, Finance Committee Chair (non-voting)

Mich Riccioni is the Executive VP and Chief Financial Officer and Treasurer for The Queen’s Health Systems. With more than 30 years of experience in health care finance, he has facilitated and completed integrated strategic and financial plans. He oversaw the financial operations of five hospitals in the St. Joseph Health System in northern California and has an MS in health services administration from St. Mary’s College.

Quality Committee Chair
Internal Medicine

Dr. Mike Nagoshi graduated from the University of Hawaii John A. Burns School of Medicine and is Clinical Assistant Professor of Internal Medicine and Geriatrics. He is currently the Medical Director for the Kuakini Primary Care Clinic and the immediate past Chief of Staff at Kuakini Medical Center. He has been a board-certified general internist in private practice for 29 years.

Secretary (non-voting)

Staisha Dill is the Administrative Assistant to the CAO. She earned her Bachelors in Public Administration with a concentration in Healthcare from the University of Hawaii-West Oahu. Prior to Queen’s she worked for the Center for Autism and Related Disorders doing operations and business development in Portland, Oregon. She enjoys the great outdoors, traveling, and trying new foods!

At Large
General Internal Medicine

Dr. Ronald Morton received his MD from the University of Hawaii John A. Burns School of Medicine in 1984 and completed a residency in Internal Medicine at the University of Hawaii Integrated Medical Residency in 1987. Dr. Morton is a general internist in private practice since 1987.

At Large
Family & Sports Medicine

Dr. Blane Chong is a board member of MSMP Physician Collaborative. He received his medical degree from the University of Hawaii John A. Burns School of Medicine and completed a residency in Family Practice at the University of Nevada, Las Vegas, then a sports medicine fellowship at UC Davis. Dr. Chong is in private practice providing care in both family and sports medicine.

At Large
Internal Medicine & Pediatrics

Dr. Nadine Tenn Salle serves QMC’s Chief Pediatrics and is in private practice at Medicine Pediatrics Associates. She practiced as an electrical engineer, obtained her medical degree from USC School of Medicine, and completed residency at the UH Internal Medicine–Pediatrics Residency program. She also worked as a hospitalist and a forensic physician for Hawaii Sex Abuse Treatment Center before opening her private practice in 2003. She is the immediate past president of the Hawaii Independent Physician Association. She served as an executive member of Governor Abercrombie’s Healthcare Transformation Committee and is a member of Hawaii Healthcare Workforce Initiative.

At Large
Family Medicine

Dr. Aurora Mariani was born in Manila and earned her medical degree there at The University of the East. She completed her residency at the University of Hawaii John A. Burns School of Medicine. She has maintained an Internal Medicine practice in Leeward Oahu since 1982. Her office has been located at the Queens West POB since 2004. Dr. Mariani is also a retired Lieutenant Colonel in the Air Force Reserve.

At Large (Federally Qualified Health Center Representative)
Internal Medicine

Dr. Glenn Rediger graduated with top-honors from the Indiana University School of Medicine. He trained at the University of Hawaii Internal Medicine Residency Program, spent a year at Prince Leopold Institute of Tropical Medicine in Antwerp, Belgium, and completed a three-year medical mission in Zaire, Africa. Dr. Rediger has been practicing general internal medicine at Kalihi-Palama Community Health Center for more than 25 years and has been part of the JABSOM faculty for just as long.

Medicare Member

Leadership

Chief Medical Officer, Interim
Internal Medicine

Dr. Mike Nagoshi graduated from the University of Hawaii John A. Burns School of Medicine and is Clinical Assistant Professor of Internal Medicine and Geriatrics. He is currently the Medical Director for the Kuakini Primary Care Clinic and the immediate past Chief of Staff at Kuakini Medical Center. He has been a board-certified general internist in private practice for 29 years.

Executive Director

Emily Burns is the Executive Director of the Queen’s MSSP ACO as well as the Administrator for Queen’s Akoakoa Physician Organization. She earned her Bachelor’s degree from the University of Michigan and her Master of Business Administration from the University of Pittsburgh. She previously worked in the commercial payer sector at HMSA and the self-insured market with Taft-Hartley Trust Funds in Hawaii before joining Queen’s in 2017.

Chief Financial Officer

Mich Riccioni is the Executive VP and Chief Financial Officer and Treasurer for The Queen’s Health Systems. With more than 30 years of experience in health care finance, he has facilitated and completed integrated strategic and financial plans. He oversaw the financial operations of five hospitals in the St. Joseph Health System in northern California and has an MS in health services administration from St. Mary’s College.

Chief Quality Officer

Dr. Les Chun is currently the Vice President of Medical Staff Services and Chief Quality Officer for the Queen’s Medical Center. He earned a bachelor’s degree from Harvard University, a medical degree from UCLA David Geffen School of Medicine, and an MBA from UCLA’s Anderson School of Business. Dr. Chun previously worked as the Director of Health Care Quality for Partners Healthcare in New England, and here in Hawaii, as the Chief of Clinical & Medical Affairs for Maui Memorial Medical Center.