Member of the Board

Dr. Smits was Deputy Administrator and Chief Medical Officer of The Health Care Financing Administration (HCFA, now CMS) during President Clinton’s first term. She is a former member of the Board of Regents of the American College of Physicians and the Board of Commissioners of the Joint Commission on Accreditation of Healthcare Organizations, serving as its first women chair in 1991-1993. She has been a member of the faculties of the Yale School of Public Health, and the School of Medicine at the University of Connecticut and a Visiting Professor at the Wagner School in New York. She was the Director of the John Dempsey Hospital at the University of Connecticut for seven years. She is the author of a number of publications with particular emphasis on the policy issues associated with the quality of health care.


Working with the Institute for Healthcare Improvement, Dr. Smits recently served as a member of the “Quality Track” of the Joint Learning Network, a Rockefeller funded project aimed at supporting low and middle income countries that wish to scale up coverage through national health insurance. In 2010, she served as senior consultant to the Formative Evaluation of Quality of Care Initiatives for the Government of Uganda which was conducted by The Mitchell Group. In 2008 and 2009 she worked as a senior consultant to the Doris Duke Charitable Foundation’s Africa Initiative which is aimed at health systems strengthening in select African countries.


She served as Vice Chair of the Institute of Medicine’s evaluation of the implementation phase of PEPFAR which was released in March of 2007.


She was a lecturer in the Faculty of Medicine at Eduardo Mondlane University in Maputo, Mozambique, from 2002-2004. She taught the organization and financing of the Mozambican health system as well as management. She served as a volunteer for The Clinton Foundation HIV/AIDS initiative (CHAI) in Mozambique, working as a member of the Ministry of Health task force charged with writing the first AIDS treatment plan for the country. Following adoption of the plan in 2003 she served as the first Clinton Foundation representative to the local SWAP.


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