Executive Leadership

  • Leadership

    The Baylor Scott & White Quality Alliance is overseen by a Board of Managers that is comprised of physicians on the Baylor medical staff who represent many specialties, as well as members of the Baylor Health Care System administrative team and a member of the community.

    BSWQA Board of Managers

    BSWQA Executive Leadership

    BSWQA Medical Directors

  • fullertonClifford T. Fullerton, MD, MSc

    Cliff Fullerton, MD, MSc, serves as  President Baylor Scott & White Quality Alliance.  Dr. Fullerton is a practicing board certified family physician and past President of Family Medical Center at Garland/North Garland located in Garland, TX.

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    Dr. Fullerton is a top performer in HealthTexas Provider Network (HTPN) nationally recognized primary care quality measures and is dedicated to the families he serves considering it a sacred trust and honor. His commitment to improving the healthcare of patients extends beyond his practice. As Vice President for Chronic Disease at Baylor Health Care System (BHCS), Chief Quality Officer for HTPN and Chief Medical Officer for Baylor Quality Alliance (BSWQA), he has effectively guided the implementation of many quality improvement initiatives, specifically in the areas of preventive services, care transitions, asthma and diabetes management demonstrating proven results of positively impacting the care delivered to the patients and communities throughout the Dallas/Fort Worth area.

    Dr. Fullerton’s natural ability to work alongside his colleagues along with his ability to positively influence physicians prompted his recruitment to serve in many leadership roles throughout his career that expands across the highly integrated health system comprised of BHCS, HTPN and the BQA. Some of these key positions include: Chairman of the HTPN Disease Management and Electronic Health Record Clinical Content Committee, BHCS Lead Champion for Ambulatory Care, member and Chairman of the HTPN Best Care Committee, Chairman of the BHCS Chronic Disease Governance Council, and member of the Board of Directors, and Executive Committee of HTPN. In addition, he has served on the Executive Committee, Quality Improvement Committee, and Patient Care Monitoring Committee at Baylor Regional Medical Center at Garland. He served as a Board Member of the Texas Academy of Family Physicians Foundation, a Member of the Dallas Ft. Worth Business Group on Health Diabetes Committee, a Clinical Advocate with the Texas Medical Foundation and a Physician Champion for Texas DOQ-IT. He is a current member of the Texas Medical Association Quality Council and MSO Task Force.

    An enthusiastic advocate of quality and best care delivery, Dr. Fullerton has been an active leader in the development and implementation of many prominent quality initiatives that include Adult Preventative Health Services, Chronic Disease Management, Transitional Care, and Care Coordination all of which facilitate successful population health management and care coordination in the post-reform era. His visionary approach to program development has been fundamental in identifying processes, developing tools and implementing strategies (flow sheets, diabetes database, physician dashboard, data transparency, pay-4-performance, patient-centered medical home) proven to improve care at both the individual and population patient level. Included among his achievements in the area of disease management is the double-digit improvement in diabetes outcomes metrics and the recognition of 180 HTPN physicians by Bridges to Excellence (BTE) in diabetes care. Other substantial accomplishments include establishing a reputable care coordination infrastructure in support of HTPN’s participation in value-based contracts and management of high-risk patients, developing the nation’s second largest network of NCQA recognized Patient-Centered Medical Homes (60 HTPN clinics, 250 physicians), developing a transitional care model resulting in decreasing heart failure readmission rates from 23% to 11%, and the founding of the Institute of Chronic Disease and Care Redesign for BHCS with the aim of coordinating and redesigning care for patients with chronic disease across the care continuum. Dr. Fullerton’s accumulated experience in the area of quality improvement is valued by industry leaders who often seek his consultation regarding patient centered medical home, readmission prevention and care coordination alignment strategies involving hospitals and post-acute care settings.

    Dr. Fullerton received his medical degree from the University of Texas Southwestern Medical School, Dallas, TX. He completed his internship in General Surgery at the University of Texas Health Science Center, Dallas, TX, his family practice residency at University of Oklahoma Health Science Center, Oklahoma City, OK and a Masters of Science in Health Care Management at the University of Texas at Dallas.


    Sarah Gahm, MHA
    SVP/President of Administration

    Sarah Gahm is the President of Administration of Baylor Quality Alliance.  In her capacity as President, Sarah oversees the vast operational functions that are instrumental in building the infrastructure necessary to support BQA’s established network of over 2,000 primary and specialty care physicians practicing throughout the Dallas/Fort Worth area.

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    With 25 years of healthcare experience, Ms. Gahm is considered a pioneer of physician integration and group practice development. She works alongside the BSWQA physician-led board of directors in managing budgets, reviewing administrative policy, analyzing industry trends, as well as guiding the development and implementation of strategic plans and executing tactics that cultivate the growth of BSWQA’s network of independent physicians, hospitals, post-acute care providers and other members of the care continuum willing to assume joint responsibility for patient access and care delivery. As a lead negotiator in the acquisition of many prominent primary and specialty care practices, Sarah engages in the efficient integration of new practices and physicians into the group culture that serves to increase BSWQA’s presence in the market and accommodate growing patient populations.  Sarah’s leadership skills continue to facilitate BSWQA’S evolvement into a clinically integrated health care system.

    Ms. Gahm received her BS in Biology from Baylor University in Waco, TX.  She went onto earn a Masters in Health Care Administration from Trinity University in San Antonio, TX.  Prior to joining Baylor Health Care System in 1989, she completed an administrative fellowship at Baptist Medical Center in Birmingham, AL.


    Michael Massey, MD
    Chief Medical Officer North Texas

    Dr. Michael Massey currently serves as Vice President for Clinical Integration and Chairman of the Best Care Committees Primary Care Subcommittee.  Dr. Massey is a board certified internal medicine physician practicing at Internal Medicine Associates at Southwest Fort Worth in Fort Worth, TX.  In addition to meeting the healthcare needs of his patients.

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    Dr. Massey plays an integral role in BSWQA’s quality journey as the principal leader for initiatives such as Patient Centered Medical Home recognition and Generic Prescribing.  Dr. Massey is also highly involved in developing the Care Coordination program for BQA as well developing quality metrics and protocols to improve patient care.

    Dr. Massey received his medical degree from Oregon Health Sciences University, a world-class teaching hospital and research center.  Pursuant to receiving his medical degree, he completed a residency at Legacy Healthcare System in Portland, OR.  To further hone his leadership skills, Dr. Massey completed the SMU Cox School of Business Advanced Leadership for Physician Development Program in 2009.

    Tiffany Berry, MD
    Chief Medical Officer Central Texas

    Tiffany Berry, MD serves as BSWQA’s Chief Medical Officer for the Central Texas (CTX) division.   In her role, Dr. Berry partners with the leaders from the Baylor Scott & White Health Quality Alliance and those in CTX to optimize the work of BSWQA within the CTX footprint.

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    Prior to her current roles, Dr. Berry served the legacy Scott & White Healthcare system as the System Medical Director of Quality and then the Chief Quality Officer.

    trent-hadleyTrent Hadley
    Vice President and Chief Financial Officer

    Trent Hadley, CPA began his career as a consultant in the Public Accounting industry working in advisory services, primarily with healthcare clients. Mr. Hadley transitioned to Baylor Scott & White with their accounting department and soon transitioned into a financial role.

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    In 2013, Mr. Hadley moved to the Baylor Scott & White Quality Alliance (BSWQA) to help build the financial model and focus on the performance of value-based contracts. Mr. Hadley managed the finance team for the BSWQA, focusing on value-based contracting and population health performance.

    With a finance and accounting background, Mr. Hadley understands the complexities of the rapidly changing healthcare environment and effectively collaborates with the internal and external stakeholders (i.e. operations team/ system leadership/ brokers/ payers/ physicians) to achieve the Triple Aim. He helps lead the managed care team to execute these strategies with our partners, physicians, and system providers as well as help manage organizational finances and evaluate value-based contracting. Mr. Hadley has also focused his time on some business development activities, working with local employers, national payors, and employee benefits consultants on how the BSWQA can impact their stakeholders in the population health space. Mr. Hadley recently transitioned into the CFO role for the BSWQA, focusing on the organization’s financial performance and value-based contracting as well as the development of risk-based models to ensure the BSWQA’s continued success.

    Mr. Hadley is a Texas native who earned his Bachelors of Business Administration from Samford University in Birmingham, Alabama and holds a Master in Accounting from the “real UT”, University of Tampa.

    jreedJennifer Reed
    Vice President of Comprehensive Care Management

    Jennifer (Jenny) Reed is the Vice President of Comprehensive Care Management for Baylor Scott and White Health, the largest non-profit health system in Texas.  Ms. Reed oversees care management departments in hospitals throughout the System as well as Baylor Scott & White Quality Alliance, an accountable care network affiliate.

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    Jenny’s team is made up of experienced RN Care Managers, Health Coordinators, Licensed Master’s Social Workers, Community Health Workers and Coders.  Together, they are responsible for managing the care of patient populations including complex disease management, gaps in care services, psychosocially complex case management and facilitating patient continuity of care before, during and after hospitalization.

    As the head of Comprehensive Care Management across the System, Ms. Reed leads a vital element of population health.  She sets the strategy for outreaching the 43,000+ high and rising risk patients in the Quality Alliance Network and building other initiatives like HealthAccess navigation services and Clinical Documentation Improvement.

    In addition to her care management responsibilities, Jenny directs funding projects focusing on healthcare strategic improvement for Baylor Scott & White Health and Post-Acute Care strategy for Baylor Scott & White Quality Alliance.

    Ms. Reed is a Louisiana native who earned her Bachelors of Science degree from the University of Louisiana at Lafayette and holds a Masters of Social Work from Louisiana State University.