Kristin Hagen, CMSS, CPHIMS
ACMSS, Executive Director
Clinical Informatics/Wellness
Physician Relation/Advocacy

hagan-headshotKristin Hagen is uniquely qualified as a specialist in clinical informatics, and health and wellness, and has been involved in both regional and national efforts as a technical expert to define, develop, and advocate for electronic health record specifications. As executive director of ACMSS, she is committed to helping create a patient-safe, patient-centric healthcare system nationwide. Throughout her career she has been an advocate, and innovator, for transforming our nation’s healthcare system from one that is volume-based and focused on disease to a value-based system that focuses on prevention, wellness, and precision medicine.Kristin provides a wide range of perspectives on health information technology, including those of a national healthcare advocate, a hands-on care provider, and clinical informatics professional. She has gained deep knowledge of evolving patient/client models of the U.S. healthcare system. Her work with ACMSS includes improving curricula, and credentialing and certification standards, enabling CMS Compliant Physician/Certified Medical Scribe Specialists (CMSS) Teams.

At ACMSS Kristin oversees meaningful use of health information technology throughout the healthcare system.  She also advocates nationally for a smooth transition to the Medicare Access and CHIP Reauthorization Act (MACRA) and its Merit-based Incentive Payment System (MIPS) and Alternative Payment Methods (APMs) for eligible clinicians, enabling deep innovation and transformative preventive care for all.

Kristin has volunteered her time and expertise with Washington-Idaho’s Regional Extension Center (WIREC/Qualis Health), Idaho Health Data Exchange (IHDE), the Association for Healthcare Documentation Integrity (AHDI), and the Certification Commission for Health Information Technology (CCHIT), and advocacy and innovation utilization through CMS.

Kristin’s clinical and informatics background started with her certification as an Emergency Medical Technician in 1994.  She has served in a wide range of health information technology leadership positions, including serving as CEO of a high-technology clinical documentation service company and developing health information technology curricula and standards. In 2005, Kristin founded A Line Above, LLC, an industry-oriented technology company focused on streamlining health information processes through customized workflow solutions. In 2010, Kristin sold the company to American Healthcare Documentation Professionals Group and became AHDPG’s Director of Curriculum Development, in which she led and built the nation’s first online medical scribe training program through medical scribe academia with Rochester General in New York.

Kristin is a member of the Commission on Accreditation of Allied Health Education Programs (CAAHEP/ Medical Scribe Specialist Education Review Board. She has been active in curriculum development for medical scribe specialists and in expanding the scope of their credential to improve the value of Certified Medical Scribe Specialists across healthcare physician organizations.

Her patient perspective with our former and evolving healthcare systems comes from suffering debilitating injuries at age 19 and enduring multiple surgeries as a result of an “original” high-powered first-generation airbag accident (1994), and then again a few years later from an accident involving a redesigned second-generation airbag. She lived with the immediate effects of significant injury for nearly two decades before proposed changes to our healthcare system, and her own efforts, opened and paved the way for her to get well. It took more than 19 years of her own research and then several years of ongoing work with her healthcare physician to create a wellness plan to bring her back to full recovery using Integrative Medicine/Preventive Medicine as a client of the healthcare system (2014-2016).  As in systems design, her entire frame had to be rebuilt utilizing precision medicine. She is currently writing a book based on her experiences to help others work with their physicians to develop customized and individualized wellness plans, working across healthcare to improve care for all – wellness, disease reversal, and preventive integrative medicine.

Kristin is an original artist and brings high caliber, high-quality systems design around challenging and complex US Healthcare needs, enabling innovative, flexible problem-resolution approaches in all she does.  In 2008, Kristin earned her Certified Professional credentials in  Electronic Health Records (CPEHR), Health Information Technology (CPHIT), and Health Information Exchange (CPHIE). She graduated Summa Cum Laude from Kaplan University in Health Information Technology (2011) and is a member of the Golden Key International Honour Society.  Kristin is a Graduate Practical Nurse (Carrington College, 2012), and served as the Nightingale pinning ceremonial speaker.  Today, Kristin is credentialed as a Certified Medical Scribe Specialist (CMSS), in addition to Certified Professional of Health Information Management Systems (CPHIMS), assisting our nation’s physicians in meeting their goals, building a patient-centric healthcare system together.  In the early years, as physicians assisted Kristin, she would learn to serve with servant-heart leadership, innovating around the nation’s needs, for the people.

Through ACMSS, Kristin helps meaningful utilization of clinical documentation through innovative and secure systems design to create sustainable wellness and outcomes across America, for its people.  Kristin is available for customized consulting and motivational speaking engagements.

Jessica Rye, MHA
ACMSS, Board Chair
National Scribe Specialist Corporation

Jessica RyeJessica Rye is the Vice President of Operations for ProScribe, LLC.  She joined the ProScribe team over two years ago as the Director of Account Management. Prior to joining ProScribe, Jessica worked in hospital administration focusing on operational enhancement, project management, quality improvement and service excellence.Jessica holds a Master of Science in Health Care Administration from Trinity University and a Bachelor of Biomedical Science from Texas A&M University- Corpus Christi.

Jessica has been a member of the American College of Healthcare Executives (ACHE) since 2008. She has served in previous leadership positions for the ACHE South Texas Chapter Board of Directors, and is currently in her second term as the Director of Communications and committee chair.

Tushar Kapoor, MD, FACEP, FAAEM
ACMSS, Treasurer
MACRA: CMS Preventive Medicine: Urgent Care

Tushar Kapoor, MD Dr. Kapoor of Long Island, NY is a board-certified Emergency Medicine physician. He is one of the founders of CityMD and currently Executive Vice President for Medical Staff Development. Prior to starting CityMD, he was the Associate Medical Director of the Emergency Department at Nassau University Medical Center in Long Island, NY.Dr. Kapoor completed his residency in Emergency Medicine from Long Island Jewish Medical Center, NY with distinctions of Chief Resident, and awards in research and teaching and obtained his medical degree from Downstate Medical School, NY receiving commendation in research. Dr. Kapoor completed his undergraduate degree from an accelerated medical program in NYC at Sophie Davis School of Biomedical Education.

As EVP of medical staff development at CityMD, Dr. Kapoor enjoys seeing patients, and has helped develop the training and quality assurance/improvement projects for company medical scribes, medical assistants and X-ray techs. He continues working on key projects involving the growth and development of scribes in his company.

Jane Shuman, COT, COE, OCS, CMSS
ACMSS, Secretary
MACRA: CMS Disease Reversal: Ophthalmology

Jane Shuman Jane T. Shuman, COT, COE, OCS, CMSS,  President and Founder of Eyetechs, Inc., is a nationally recognized authority on clinical flow, scheduling and technician education. She worked in a high volume ophthalmology practice for over fifteen years and founded Eyetechs Inc. in 1999.During her work as an Ophthalmic Technician and Clinical Manager, Jane has seen firsthand the many important issues confronting today’s busy ophthalmology practices. Based on her past experiences, she has learned how the proper schedule and competent technicians positively impact patient flow by decreasing wait times and increasing volume and practice revenue.

Jane has taught countless seminars on the integral aspects of today’s busy ophthalmic practice, including the annual conferences of both the American Academy of Ophthalmology and the American Society of Ophthalmic Administrators. Jane is the current Director of the Nursing and Allied Health Program of the Royal Hawaiian Eye Meeting and was recently named Co-Editor in Chief of Ophthalmic Professional.

Previously, she served as the Director of the Massachusetts Society of Eye Physicians and Surgeons Ophthalmic Technician Training Program, helping to earn the 2002 and 2008 AAO State Affairs Star Award for Programs for Ophthalmic Administrators and Technicians. She was also a Member-at-Large on the Board of Directors of the American Society of Ophthalmic Administrators.

Jennifer Larsen
ACMSS, Board Member
National Scribe Specialists Corporation

Jennifer LarsonJennifer Larsen is the Executive Vice-President of Senior at ScribeAmerica. Mrs. Larsen provides organizational oversight throughout the company and specializes in implementing new processes designed to maintain ScribeAmerica’s cutting-edge position in the industry. Mrs. Larsen joined ScribeAmerica during its infancy as one of its earliest employees, and became a member of the Executive Management Team in 2009. She was selected as the Executive Vice-President of Senior Management in 2013 and continues to serve in this role refining ScribeAmerica’s management-development initiatives and quality assurance programs.Mrs. Larsen takes pride in designing and honing operations that ensure reproducible high-quality scribe training and support. She enjoys analyzing techniques that create successful scribes on an individual level, then adapting those principles to fit a national scale. She has personally trained thousands of scribes both in the classroom and clinical setting, and continues to elevate Scribe America’s organizational programs for producing consistent scribe excellence on a national scale.

Mrs. Larsen received her Bachelor of Science in Biological Sciences from the University of California at Irvine on a full athletic scholarship. While obtaining her degree, she competed in tennis for both the University of Wyoming and the University of California at Irvine Division-I tennis programs. Although her family resides in sunny Sacramento, California, Mrs. Larsen joined her husband for adventure in the Northwest and now lives happily near Portland, Oregon.



Gary Ruelas, DO, PhD
ACMSS, Board Affiliate
Integrative Medicine: Complete Wellness
IMI_staff_dr_gary_ruelasDr. Ruelas holds doctoral degrees in medicine and psychology. He practices medicine by gathering and analyzing patient data differently from other physician’s moving, away from a disease model to a holistic functional model in preventive wellness. He looks at the molecular, genomic, psychosocial, cultural, behavioral and even spiritual path of each of his patients.

Troy Hagen, EMT-P
Mobile Integrative Healthcare
National Advocate

Troy HagenTroy Hagen is the CEO of Care Ambulance Service in Orange County, CA. Care Ambulance provides services in Orange, LA, and Riverside Counties. Care Ambulance provides both 911 and non-emergency transfers with more than 235,000 calls for service annually.

Troy was previously the Director of Ada County Paramedics ( in Boise, Idaho. Troy has been involved in Emergency Medical Services since 1989. During his tenure with Ada County, he has held many positions from Field Paramedic through Supervisory roles and into his current administrative position. He also has a background as a volunteer fire fighter, flight medic, reserve deputy sheriff, tactical medic, and technical rescue team commander.

Troy holds a Bachelor of Science Degree in Biology and a Master’s in Business Administration. He is a frequent lecturer on EMS leadership and management topics, finance, emergency preparedness, and special events planning. As adjunct faculty for Idaho State University, Troy teaches EMS Administration courses for the bachelor’s program and emergency preparedness and ICS throughout Idaho to emergency responders from all disciplines. Troy represents EMS as a Commissioner on Idaho’s Emergency Communication Commission. He also served as Medical Commissioner and Incident Commander for the 2009 Special Olympic World Winter Games.

Troy is currently serving on the Board of Directors for the National EMS Management Association (NEMSMA) and the Finance Committee Chair for the National EMS Advisory Council.

“Revolutionizing Clinical Care one Certified Scribe at a Time!”
Together Writing His-Stories to Wellness for Our Nation and People


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