Challenges • Changes in state leadership positions reduced the ability to implement some leadership aspects of the SIM. During this reporting period, there were significant changes in key leadership at the state level. Governor Terry Branstad resigned and was replaced by Lieutenant Governor Kim Reynolds. Charles Palmer retired as Director of the Iowa Department of Human Services (DHS) and Jerry Foxhoven became the new DHS Director. And Mikki Stier, the Iowa Medicaid Director, was promoted to Assistant DHS Director and a search began for a new Medicaid Director. The Award Year 3 Operational Plan for the Iowa SIM included plans to form a Healthcare Innovation and Visioning Roundtable to be headed by Director Palmer. Convening of the Healthcare Innovation and Visioning Roundtable was delayed due to these transitions in leadership. Return to TOC Appendices Appendix A. Stakeholder Engagement Progress SIM Innovation and Visioning Roundtable At the time this report was written, SIM Innovation and Visioning Roundtable had not been assembled due to the transition between Iowa Department of Human Services Directors. Former Director Chuck Palmer, who chaired the Roundtable, retired in June. Leadership of the SIM Innovation and Visioning Roundtable will be transferred to the current Director, Jerry Foxhoven. At the time this report was written, the state was seeking a federal facilitator to conduct the first Roundtable meeting.

is involved in the evaluation of state health policies and programs, with an emphasis on social determinants of health. Along with interests in health and education, Tessa has experience in organizational evaluation, child welfare advocacy, and juvenile justice reform. Tessa's plans for the future include completing a health policy research internship at Babes-Bolyai University in Cluj, Romania over the summer, and returning to the University of Iowa Public Policy Center as a full time employee.

Her research focuses broadly on social stratification and public policy. One line of her current research examines the racial, gender, and socioeconomic inequalities in school experiences, and the civic consequences of student experiences of school.

Challenges • Changes in state leadership positions reduced the ability to implement some leadership aspects of the SIM. During this reporting period, there were significant changes in key leadership at the state level. Governor Terry Branstad resigned and was replaced by Lieutenant Governor Kim Reynolds. Charles Palmer retired as Director of the Iowa Department of Human Services (DHS) and Jerry Foxhoven became the new DHS Director. And Mikki Stier, the Iowa Medicaid Director, was promoted to Assistant DHS Director and a search began for a new Medicaid Director. The Award Year 3 Operational Plan for the Iowa SIM included plans to form a Healthcare Innovation and Visioning Roundtable to be headed by Director Palmer. Convening of the Healthcare Innovation and Visioning Roundtable was delayed due to these transitions in leadership. Return to TOC Appendices Appendix A. Stakeholder Engagement Progress SIM Innovation and Visioning Roundtable At the time this report was written, SIM Innovation and Visioning Roundtable had not been assembled due to the transition between Iowa Department of Human Services Directors. Former Director Chuck Palmer, who chaired the Roundtable, retired in June. Leadership of the SIM Innovation and Visioning Roundtable will be transferred to the current Director, Jerry Foxhoven. At the time this report was written, the state was seeking a federal facilitator to conduct the first Roundtable meeting.

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