2018 Annual Conference Plenary Speakers

Registration Info


Nick Macchione, MPH

Agency Director, Health and Human Services Agency, County of San Diego, California

With over 30 years of experience in the delivery, management and public policy of health and human services, Nick Macchione serves as San Diego County’s Director of the Health and Human Services Agency. Throughout his entire public service career, Mr. Macchione has served as a community strategist, convener, and leader of large scale population­based improvements. Most notably, during the past nearly 9 years in his role as Agency Director, he has helped develop, implement and grow a bold and ambitious county­wide “social movement” known as Live Well San Diego. This groundbreaking data­driven strategy is a high level, collective impact for population health and social well­being improvement. Live Well San Diego is being implemented countywide with over 290 public­private partnerships representing over 2.2 million residents across all industry sectors. As a result of this community transformation, his Agency and community partners have earned numerous accolades for their innovative, cost effective solutions in improving the health, safety and well­being for San Diegans. In addition, Mr. Macchione has received numerous leadership awards and honors. Most recently, he was named by Governing Magazine as a national Public Official of the Year for his career accomplishments in developing innovative health, housing and human services.

In this presentation, Mr. Macchione will tell the story of how the County of San Diego and hundreds of community partners are working together to create a future where all San Diegans are building better health, living safely and thriving. In the eighth year of Live Well San Diego, a systems wide approach to community health, Mr. Macchione will address how an integrative housing, health and human services agency is leveraging the strengths of traditional and non-traditional partners. He will share experiences of bringing together elected officials, health professionals, and community partners through collective efforts to address complex issues with long-term solutions. Mr. Macchione will describe how generative health promotion and disease prevention efforts are helping San Diego residents to Live Well!

Mr. Machionne's presentation will be on Tuesday, October 16th, during breakfast. 

Donald Warne, MD, MPH (Oglala Lakota)

Director, INMED, Associate Dean, Diversity, Equity and Inclusion, School of Medicine and Health Sciences, University of North Dakota

Dr. Donald Warne is the Associate Dean of Diversity, Equity and Inclusion as well as the Indians Into Medicine (INMED) Program Director, and Professor of Family and Community Medicine at the School of Medicine and Health Sciences at the University of North Dakota. He also serves as the Senior Policy Advisor to the Great Plains Tribal Chairmen’s Health Board. Dr. Warne is a member of the Oglala Lakota tribe from Pine Ridge, SD and comes from a long line of traditional healers and medicine men.
He received his MD from Stanford University School of Medicine and his MPH from Harvard School of Public Health. His work experience includes: several years as a primary care physician with the Gila River Health Care Corporation in Arizona; Staff Clinician with the National Institutes of Health; Indian Legal Program Faculty with the Sandra Day O’Connor College of Law at Arizona State University; Health Policy Research Director for Inter Tribal Council of Arizona; Executive Director of the Great Plains Tribal Chairmen’s Health Board; and Chair of the Department of Public Health at North Dakota State University.

In his presentation, Dr. Warne will discuss how Historical Trauma and Adverse Childhood Experiences (ACEs) are correlated with poor health outcomes. From a public health perspective, primary prevention of ACEs and mitigation of intergenerational trauma has the potential to reduce disparities in behavioral health, chronic disease, and risk factors. American Indian (AI) populations have endured significant trauma and marginalization that has a long-term impact on health status. Dr. Warne will describe the health impact of unresolved trauma and we will examine the history linking discrimination toward the AI population to health inequity. Many of these concepts have implications for public health approaches to other marginalized populations in the U.S. 

Dr. Warne's presentation will be on Tuesday, October 16th, during lunch. 

Patricia (Patsy) Stinchfield, MS, RN, CPNP

Senior Director, Infection Prevention and Control, The Children's Immunization Project and Skin Integrity Program, Nurse Practitioner, Infectious Disease/Immunology, Children's Hospitals and Clinics of Minnesota

Patricia (Patsy) Stinchfield is a practicing Infectious Disease and Immunology Nurse Practitioner with over 30 years of experience in children’s hospitals. Ms. Stinchfield is a widely recognized infectious diseases expert, having presented extensively at national and local meetings on the prevention of the spread of diseases through vaccination and infection prevention interventions. In 2004, Patsy was named the first Nurse voting member in the United States to the CDC’s Advisory Committee on Immunization Practices where she continues to serve as a liaison member representing NAPNAP, the national association of Pediatric Nurse Practitioners. Ms. Stinchfield is the recipient of several awards, including the CDC’s Immunization Champion Award for Minnesota in 2014, the Pediatric Nurse Practitioner of the Year Distinguished Fellow Award from the National Association of Pediatric Nurse Practitioners in 2012, the Best Practices Award for Childhood Immunization from the Children’s Defense Fund, Minnesota Pediatric Nurse Practitioner of the Year in 1993 for significant contributions in promoting the health of children and families in the region and Key Contributor and Professional Staff Quality Award from Children’s Minnesota for her immunization work. She has authored peer-reviewed articles on immunization and infectious disease, done numerous television, radio and print interviews including NBC Nightly news, CBS Morning, the BBC and a live Q and A on CSPAN and NPR.

Ms. Stinchfield obtained her undergraduate degree with honors from Minnesota State University and earned her Master of Science degree in nursing at the University of Utah. She is a certified pediatric nurse practitioner and is licensed by the Minnesota Board of Nursing and has her board certification in infection control and epidemiology. She is most proud of her greatest accomplishment: being the Mother of her two fully immunized adult daughters (who thought it was cool their Mom was quoted on John Oliver’s HBO show!).

In her presentation, Ms. Stinchfield will review the public health response required in a measles emergency and the complexities involved when those impacted are relative newcomers to community. Lessons learned will be shared from the Minnesota Measles 1990 outbreak that impacted the Hmong community and the 2017 Measles outbreak that struck Somali pre-school children. The collaboration, communication, education, trust and friendships that brought unique cultures together to stop a highly contagious disease will be discussed.

Ms. Stinchfield's presentation will be on Wednesday, October 17th, during breakfast. 

Patricia Butterfield, PhD, RN, FAAN

Professor and Associate Dean for Research, Elson S. Floyd College of Medicine, Washington State University

Dr. Butterfield is a Professor and Associate Dean of Research at the Elson S. Floyd College of Medicine at Washington State University. Dr. Butterfield’s experience includes: 1) 5 years at the Oregon Institute of Occupational Health Sciences, 2) 8 years as WSU’s system-wide Dean of Nursing, and 3) serving as the Director of the Occupational and Environmental Health Nursing Program at the University of Washington. Dr. Butterfield served on EPA’s Federal Advisory Committee for Children’s Environmental Health and as the Senator Norman A. Patterson Visiting Professor at the Centre for Agricultural Medicine at the University of Saskatchewan. She is a Fellow in the American Academy of Nursing and an alumnus of the Robert Wood Johnson Executive Nurse Fellows Program. She has published in Neurology, Advances in Nursing Science, and the American Journal of Industrial Medicine and her research has been covered by CNN and USA Today. Dr. Butterfield is the author of “Thinking Upstream,” and related publications addressing the economic, ideologic, and environmental antecedents of public health.  

Occupational and environmental health issues are often about health equity. Both workplace and community settings have changed remarkably over the past 20 years; it does not take a lot of tea leaves to see that things are harder rather than easier for many families. The concentration of wealth has amplified disparity-related issues addressing housing, workplace safety, workforce development, and mental health; federal rollbacks addressing worker and environmental protections pose additional challenges to those committed to minimizing health disparities. In her presentation, Dr. Butterfield will address conceptually-based strategies for planning and implementing initiatives aimed at reducing health disparities in workplaces and communities.  

Dr. Butterfield's presentation will be on Wednesday, October 17th, during lunch.