Avalere Health
An Inovalon Company

Quality & Performance Measurement

Master Quality Measurement

As the healthcare paradigm continues to shift toward a value-based system, payers and providers face increasing pressure to deliver high-quality care at lower costs. For manufacturers, quality measures drive decision-making across the care continuum from coverage to utilization and patient outcomes. Ultimately, whether the focus is access or payment, quality and performance measures should be a critical part of any business strategy. Avalere helps clients from across the healthcare spectrum develop and implement an action plan to deliver on quality and performance measures. Our comprehensive approach offers the technical, clinical, and commercially driven solutions companies need to establish a sound business strategy from planning to execution.

What's Your Challenge?

  • ​Registry Design, Implementation, Evaluation
  • ​Quality Measure and Clinical Guideline Development, Appropriate Use Criteria
  • ​Stakeholder Assessment, Coalition Building
  • ​Provider and Patient Engagement Tools

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Meet a few of our experts ready to partner with you.

All Staff

Kristi Mitchell

Senior Vice President


Kristi Mitchell, Senior Vice President, leads client engagements involving the use of clinical data for strategic decision-making across multiple industries, including life sciences, health plans, and professional societies. In this capacity, she provides strategic guidance for innovative collection and utilization of data, as well as, oversees the diffusion of best practice in quality measurement development, implementation, and evaluation across multiples industries.

Prior to joining Avalere, Kristi worked at the American College of Cardiology (ACC), leading the development of the National Cardiovascular Data Registry, most recently as the Chief Science Officer. Prior to the ACC, she assessed the impact of public health policies, programs, and practices on health outcomes at Battelle Centers for Public Health Policy and Evaluation and at the Institute for Health Policy Studies at the University of California, San Francisco.

Kristi has an AB in Human Biology and Public Policy from Brown University and a MPH in Public Health Policy Administration and Epidemiology from University of Michigan. She sits on the FDA MDEpiNet Interim Advisory Committee and the Pew Trust Future of Medical Device Registry Stakeholder Group.

Michelle Bruno



Michelle Bruno, Director, advises clients on developments and trends in evidence-based medicine, healthcare quality improvement, and performance measurement related to different therapeutic areas and clinical practices.  Michelle has expertise in qualitative research design and tool development for quality improvement implementation.

Prior to Avalere, Michelle was a Senior Health Care Quality Analyst at the American College of Cardiology and a Senior Program Associate at The National Academies, Institute of Medicine.

Michelle has an MPP with concentrations in Health Policy and Public and Non-Profit Management from Georgetown University and a BA in Government and French from the University of Notre Dame.

Caryn Just



Caryn Just, Manager, provides strategic advisory services around healthcare quality, health information technology, clinical data registries, and applications of real world data. She has special expertise in development and management of registries, especially for medical specialty societies, the use of real-world data to support organizational quality goals and improve population management, and health reform as it relates to quality and value. 

Prior to joining Avalere, Caryn served as an analyst with Accenture at both the Office of the National Coordinator for Health IT and at Steward Health System. At the Johns Hopkins Hospital, she focused on oncology research. At the University of Virginia, she worked on the development of orthopedic implants with novel biomaterials. She has a background in the creation and modification of healthcare interoperability standards and development of the associated implementation guidance for a variety of care settings. Caryn has special expertise in working with Standards Development Organizations and Federal Advisory Committees, particularly Health Level 7, through which she obtained her CDA certification. 

Caryn has a BS in Biomedical Engineering from the University of Virginia.

Casie Yan



Casie Yan, Director, advises clients in the optimal use of Avalere’s suite of Business Intelligence (BI) tools, specifically the Vantage Care Positioning System. Casie works with healthcare providers to expand their perspective into market trends, patient pathways, and provider performance. Her area of expertise is working with hospitals, hospital systems, providers and senior executives across the healthcare continuum to design, implement and evaluate healthcare performance improvement.

Prior to joining Avalere, Casie served as a Senior Consultant for Navigant Consulting when she advised clients in the areas of hospital operations, workforce efficiency, supply chain management and revenue cycle operations. In her earlier positions with the Advisory Board Company, she worked on a range of issues around hospital and system process improvement.

Casie has a BA in both Economics and International Studies - Global Economics Trade & Development with a Minor in Asian Studies from the University of North Carolina at Chapel Hill.

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