Adrienne Nickles, MPH
Co-Principal Investigator
Program Coordinator & Registry Manager
Phone: 517-335-9649
As the program coordinator and registry manager for Michigan's Ongoing Stroke Registry to Accelerate the Improvement of Care (MOSAIC), Nickles is responsible for surveillance and epidemiologic activities in support of MOSAIC. These include: ongoing and enhanced surveillance reporting; data submissions to the Centers for Disease Control and Prevention (CDC); continuing enrollment of hospitals and management of the hospital data collection system; ensuring the quality of data collected; developing emergency medical services (EMS)‐related data linkages and algorithms and data reporting; expanding on the use of Medicaid/Medicare claims to understand transitions of care; planning and providing staff support for the MOSAIC Steering Team; and analyzing the stroke systems of care‐related data systems and communication findings. In addition, she also works on the development of the integrated data system. Nickles is a member of the Michigan EMS Data Advisory Board and provides staff support to the registry consultant and the EMS clinical consultant. She has a master’s degree in epidemiology and has served as the epidemiologist for the Michigan Stroke Registry and Quality Improvement Program (MiSRQIP) and the MOSAIC program.

Krystal Quartermus, MS, RD
Co-Principal Investigator
Cardiovascular Health, Nutrition and Physical Activity Manager
Phone: 517-241-0947
Quartermus oversees the quality improvement (QI) component of the cooperative agreement and ensures that QI-related grant objectives are met. She is the manager of the Cardiovascular Health, Nutrition and Physical Activity Section in the MDHHS Division of Chronic Disease and Injury Control (DCDIC) and has worked with a number of federal grants, including the CDC 13051 and the 14222 cooperative agreements for integrated chronic disease work and the U.S. Department of Agriculture SNAP-Ed program.3

Beth Anderson, MPH
Chronic Disease Epidemiology Section Manager
Phone: 517-335-9785
Anderson provides oversight for data management projects and supervises the program coordinator and registry manager, the stroke data analyst, the evaluation consultant, and the EMS stroke quality improvement coordinator. She has more than a decade of experience in public health, including asthma, cardiovascular health, oral health, cancer genomics, and diabetes. In her position as manager of the Chronic Disease Epidemiology Section (CDES) in the MDHHS Lifecourse Epidemiology and Genomics Division (LEGD), she oversees epidemiologic work in chronic disease and genomics epidemiology. She supervises evaluation for the MDHHS Asthma Program and oversees epidemiologists working directly on surveillance components of the 18154 and 18175 CDC integrated chronic disease projects.

Justin Allen, BA, EMT-P
Emergency Medical Services (EMS) QI Coordinator
Phone: 517-373-7144
As EMS QI coordinator, Allen collaborates with medical control authorities (MCAs), EMS agencies, and hospitals to develop prehospital reports and identify areas for quality improvement. He also works closely with the MDHHS Division of EMS and Trauma on initiatives to improve the quality of stroke care.

Ghada Ibrahim, MS
Stroke Data Analyst
Phone: 517-335-8703
Ibrahim assists the program coordinator and registry manager with routine surveillance and linkage activities in support of MOSAIC activities, including: ongoing and enhanced surveillance reporting; routine management of the hospital data collection system; assisting in ensuring the quality of data collected; implementing developed EMS-related data algorithms and reporting; running regular reports for participating hospitals; and providing document management for data use agreements and IRB protocols. In addition, she also assists the evaluation consultant with survey implementation and routine reporting.

Quality Systems Improvement Specialist
Phone: 517-241-7191
As the quality systems improvement specialist, O'Brien is responsible for QI interventions to improve stroke care, including the use of performance-improvement indicators and evidence‐based clinical practice guidelines. She works closely with the EMS QI coordinator, provides staff support for the clinical consultant, conducts QI activities and site visits with each participating hospital, assists with the Transition of Care (TOC) project, including recruiting additional hospitals, plans agendas and staff for the Michigan Stroke Initiative, updates the SSOC report, and develops new QI and data abstraction training plans. In addition, she assists with grant reporting, participates in evaluation activities, provides QI training for stroke leaders, and coordinates stroke public awareness and risk reduction activities with the MDHHS Heart Disease and Stroke Prevention Unit.

Heart Disease & Stroke Prevention Unit Manager
Phone: NA
e-mail: NA
This position manages the Heart Disease and Stroke Prevention Unit within the Cardiovascular Health, Nutrition and Physical Activity Section in the MDHHS Division of Chronic Disease and Injury Control and also oversees the quality systems improvement specialist on the MOSAIC project and contributes to overall project decisions on the grant.

Asthma and Stroke Program Evaluator
Phone: NA
e-mail: NA
The evaluator works with staff, partners, and the CDC to develop and revise evaluation plans and ensure conduct of MOSAIC evaluation activities. This person also develops and implements evaluation instruments, such as stroke-related questions in the annual Michigan Behavioral Risk Factor Survey and periodic surveys of MOSAIC partners regarding their project policies and activities. In addition, this person works with evaluators of other CDC-funded Michigan grants in asthma, cancer, and the 13051 and 14222 CDC cooperative agreements. The evaluator serves as a member of the MOSAIC Steering Team.


1CDC DP13-1305 grant: State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity, and Associated Risk Factors, and to Promote School Health

2CDC DP14-1422 grant: State and Local Public Health Actions to Prevent Obesity, Diabetes, and Heart Disease and Stroke

3U.S. Department of Agriculture SNAP-Ed (Supplemental Nutrition Assistance Program Education) grant program

4CDC Program 1815: Improving the Health of Americans Through Prevention and Management of Diabetes, Heart Disease, and Stroke

5CDC Program 1817: Innovative State and Local Public Health Strategies to Prevent and Manage Diabetes, Heart Disease, and Stroke