Office of Burden Reduction & Health Informatics

Dr. Mary G. Greene is the Director of the Office of Burden Reduction & Health Informatics. She is responsible for unifying CMS's efforts to reduce regulatory and administrative burden for beneficiaries and the medical community, enabling the health system to focus on providing higher quality care at lower cost and to foster innovation in health care delivery.  She oversees initiatives to modernize regulations, drive interoperability, and improve the adoption and enforcement of HIPAA Administrative Simplification national standards and operating rules, and engages external stakeholders through listening sessions and onsite observational visits.  

Previously, Dr. Greene served as senior advisor to the CMS Office of the Administrator leading and supporting CMS's burden reduction initiatives. Prior to that, Dr. Greene was the Director of the Governance Management Group in the CMS Center for Program Integrity (CPI), where she led CPI's vulnerability management, program risk assessment, regulation development, strategy development, and performance oversight functions. 

Before joining CMS, Dr. Greene led strategy and operational support projects to stand up new programs, improve operational efficiencies, build collaborations, and foster professional development. Dr. Greene, a pediatrician and Fellow of the American Academy of Pediatrics, completed her medical education at the Yale School of Medicine, clinical training at the Johns Hopkins Hospital, Masters in Public Health at the Yale School of Public Health, and Masters in Business Administration at Loyola College in Maryland.

Stella Mandl is serving as the Deputy Office Director for the Office of Burden Reduction & Health Informatics where she is on detail from Office of Health Policy in the Office of the Assistant Secretary for Planning and Evaluation (ASPE) where she serves as the Designated Federal Officer for Physician-Focused Payment Model Technical Advisory Committee (PTAC) and the PTAC Staff Director.

Stella Mandl is a certified public health nurse with over 35 years of combined social work, healthcare, nursing, policy, quality and leadership experience and has dedicated her professional career to improving of patient care quality, safety, and patient outcomes. Ms. Mandl joined ASPE to serve on the PTAC team as the Staff Director. She transitioned to ASPE from CMS where for the last 10 years she engaged as a technical lead and as a member of the leadership team in several statutorily required programs related to post-acute care quality measure and data reporting, including the Improving Post-Acute Care Medicare Transformation Act of 2014. While at CMS, Ms. Mandl served earlier on as a technical lead and then as the Director in the Division of Chronic and Post-Acute Care, located within the Quality Measurement & Value-Based Incentives Group of the Center for Clinical Standards and Quality. While at CMS, she provided leadership, strategic oversight and advisory support for the post-acute quality reporting programs, including Skilled Nursing Facilities (SNFs), Home Health Agencies, Long-Term Care Hospitals (LTCHs), Inpatient Rehabilitation Hospitals (IRFs), and Hospices. Ms. Mandl provided strategic support in guiding the efforts of the division in the standardization of CMS’s post-acute care assessment instrument data elements and in developing, implementing and publicizing quality measures aimed to achieve high quality care as well as guiding policy development and operational procedures that support the post-acute care programs and their oversight.

She has a Bachelor of Science in Nursing from San Francisco State University and a Bachelor of Science in Social Work from the State University of New York at Stony Brook. Ms. Mandl’s diverse healthcare background includes social work, and her nursing career was launched in the US Army Nurse Corps (CPT Mandl) which evolved to include specialty areas such as emergency care, general surgery, Phase I post-anesthesia care, medical-surgical, clinical research, psychiatric care services, and nursing leadership.

• Serves as CMS’ focal point and champion for burden reduction, national standards, and interoperability, and engages internal and external customers to inform solutions.
• Provides an accountable and sustainable network of resources and services to support efforts across the agency to reduce administrative burden for health care providers, clinicians, beneficiaries, health plans and clearing houses; advance interoperability across the health system; and improve customer experience.
• Convenes and manages executive-level Steering Committees to inform and prioritize burden reduction, national standards, and interoperability activities and initiatives and to foster collaboration and coordination across programs, including Medicare, Medicaid, CHIP, and Marketplace.
• Leads, coordinates, or supports cross-agency projects to eliminate overly burdensome and unnecessary regulations; simplify, clarify, or remove sub-regulatory guidance; and achieve greater efficiency in CMS operations that affect the day-to-day activities of health care providers, clinicians, beneficiaries, health plans, and clearing houses.
• Leads, coordinates, or supports cross-agency projects to advance the exchange of health information among health care providers, clinicians, beneficiaries, health plans, and clearing houses to achieve operational efficiencies and make data available to inform evidence-based decisions.
• Establishes recurrent and ongoing mechanisms to obtain customer insights and feedback, such as requests for information, listening sessions, onsite engagements, and social media analysis.
• Establishes a Human-Centered Design strategy for the agency’s burden reduction, national standards, and interoperability initiatives and provides resources and services to support implementation.
• Works collaboratively across CMS to increase the visibility of and engage external stakeholders in CMS’ burden reduction, national standards, and interoperability initiatives.
• Maintains a repository of burden reduction, national standards, and interoperability efforts and accomplishments across CMS.
• Uses qualitative and quantitative methods to assess impact on customer experience.
• Works to infuse a burden-reduction, interoperability, customer-focused mindset throughout CMS.