Dr. Billi serves as Professor in Internal Medicine and Learning Health Sciences (Medical School), Health Management and Policy (Public Health), Integrated Systems and Designs (Engineering), and Associate Vice President for Medical Affairs at the University of Michigan. Dr. Billi's management and research interests are in health services delivery, especially the use of lean thinking to improve quality and efficiency, the creation and use of evidence-based guidelines, population health, clinical practice transformation tied to value-based reimbursement, and conflict of interest management.
Dr. Billi leads the Michigan Quality System (MQS), the University of Michigan Health System’s (UMHS) business strategy to transform clinical and administrative operations through development and deployment of scientific problem solving at all levels. MQS builds on classic continuous quality improvement, incorporating holistic principles of lean thinking such as a daily management system, value stream management, and strategy alignment (Hoshin planning). The goal of MQS is to improve safety, quality, timeliness, financial stewardship and people engagement (SQTFP) in healthcare delivery through daily problem solving by workers (including physicians and nurses), managers, and leaders throughout UMHS. UMHS also spreads this improvement philosophy among regional physician groups and hospitals through a Blue Cross Blue Shield of Michigan-funded Collaborative Quality Initiative. Dr Billi leads workshops on lean thinking in healthcare delivery, including a joint program with the UM College of Engineering with a nationwide draw.
Dr. Billi is active in statewide and regional initiatives to improve quality and efficiency of care, especially the use of community collaboration to support coordinated quality improvement. He chairs the Michigan State Medical Society's (MSMS) Committee on Health Care Quality, Efficiency and Economics. He serves as Secretary on the MSMS Board of Directors and chaired the Board’s Health Care Delivery Committee from 2009 to 2012. He co-chairs the Michigan Quality Improvement Consortium (MQIC) Medical Director’s committee, a statewide group that consolidates evidence-based practice guidelines and coordinates implementation across 13 commercial and Medicaid healthplans representing over six million members in Michigan. Dr. Billi serves on the Greater Detroit Area Health Council (GDAHC) Board of Directors, and previously served in a leadership role in GDAHC’s Cost Quality Initiative, a regional consortium of employers, insurers, hospitals and physician organizations that coordinates community-wide public reporting and cooperative quality improvement programs across all stakeholders in Southeast Michigan. He serves on the Steering Committee for the Washtenaw Health Initiative, which coordinates safety net services and ACA enrollment for the local county. He also serves on the AMA’s Professional Satisfaction Practice Sustainability Task Force. In 2006 he received the Symond R. Gottlieb Award from GDAHC for longstanding collaboration and service to the health council and the Southeast Michigan community. In 2007 he received the Presidential Citation from the Michigan State Medical Society in recognition of distinguished service. He also received the MQIC Distinguished Service Award.
UMHS serves as the coordinating centers 20 statewide Collaborative Quality Initiatives funded by Blue Cross Blue Shield of Michigan (BCBSM); Dr. Billi serves as UMHS Executive Sponsor for these collaboratives. He also is Executive Sponsor for the Michigan Data Collaborative, a multi-payer claims data repository and analytic function operated by UM serving statewide population health programs, including the Michigan Primary Care Transformation (MiPCT – the Michigan version of the CMMI-funded Multipayer Advanced Primary Care Program), and the Physician Group Incentive Program (PGIP – the BCBSM-funded population health program). Dr. Billi Co-chairs the Board of the Center for Healthcare Research and Transformation (CHRT), a joint venture between UMHS and BCBSM. CHRT’s goals are to improve the quality and cost of healthcare delivery in Michigan through policy analysis and education.
From 1997 to 2005, Dr. Billi led the UMHS development and implementation of innovative health programs with high intensity medical and disease management. First used in pilot insurance products with Ford and General Motors (Partnership Health and ActiveCare), current UMHS initiatives using these programs include the Medicare Accountable Care Organization (built on the successful Physician Group Practice Medicare Demonstration Project), the BCBSM Physician Group Incentive Program, the management of UMHS Medicaid populations, the integrated pharmacy management programs, and the UMHS development of the Patient Centered Medical Home and other population management initiatives. He led the Greater Washtenaw Area Care Partners, an Organized System of Care for BCBSM, taking responsibility for the triple aim for the County’s Population across three Physician Organizations and the hospital systems in the county.
In the mid 2000s Dr. Billi helped develop and build consensus around the Ideal Patient Care Experience, the UMHS vision of patient care consistent with the IOM report, Crossing the Quality Chasm. He was founding chair of the UMHS Ambulatory Formulary Committee, coordinating the health system’s approach to pharmacy issues, and founding chair of the University’s Pharmacy Benefit Oversight Committee, which helped guide the University of Michigan’s successful pharmacy carve-out. He led the effort at UMHS to revamp vendor policies which eliminated drug samples in UMHS sites, eliminated gifts of any kind, eliminated provision of food or beverages, limited vendor visits to scheduled appointments, and mandated badging, with strict enforcement.
For over 30 years, Dr. Billi has contributed to American Heart Association (AHA) emergency cardiac care committees and the International Liaison Committee on Resuscitation (ILCOR). These organizations develop guidelines and educational programs for cardiac resuscitation. Dr. Billi co-leads conflict of interest management activities for ILCOR’s consensus on science process.Dr. Billi received his M.D. degree from the State University of New York, Buffalo in 1977. He completed residency training in Internal Medicine at the University of Michigan Medical Center in 1981. Dr. Billi practices as a general internist in a primary care clinic at the University of Michigan.