Catherine Fulton, BS, MS, CPHQ

Executive Director

Catherine joined VPQHC in January of 2012, bringing with her over 30 years of healthcare experience across a diverse array of settings, including academic medical regional trauma, community and psychiatric service hospitals, and a regional healthcare association. Prior to joining VPQHC, she worked at Westchester Medical Center, an academic medical center serving a seven-county area of the Hudson Valley Region, where she was the Midas Systems Manager, managing five quality databases. She received her undergraduate degree from Michigan State University and earned a Masters in Health Care Administration from The New School University in New York City. Originally from Monroe, New York, Catherine now resides in Randolph, Vermont.

Marianne Bottigleri

Director of Finance

Marianne is responsible for the financial operations of VPQHC. Joining the staff in February 2011, she brings with her more than 30 years of experience in financial management in the non profit sector. She led the financial and operational teams in health related and long term care facilities in New York and Texas and was interim chief financial officer for federally qualified health clinics in Florida and Washington, D.C. She is an experienced tax accountant and advisor to small businesses and has enjoyed leading the financial operations of highly entrepreneurial non profits in the Washington D.C. area. Marianne earned a Bachelors of Art in English Literature from Marist College and her accounting credential from the State University of New York at New Paltz.

Lee Bryan

Director of Operations

Lee has over 30 years of experience in quality management in healthcare, manufacturing and finance. A systems thinker, he has worked with hospitals throughout the US with GE Healthcare Performance Solutions, with PCP’s as a practice facilitator with the Blueprint for Health, and with over a hundred manufacturing companies with the Manufacturing Extension Partnership. His passion is designing and implementing the transformation pathways of organizations, building on his certification as a professional business advisor and experience with all current quality systems methodologies from value stream analysis to six sigma. In his role as Director of Operations at VPQHC, Lee is responsible for the Northern New England Practice Transformation Network in Vermont – a national CMS initiative to help practices prepare for the upcoming changes in payment formulae from CMS.

Bonnie L. Collins

Administrative/Program Assistant

Barbara J. Groff, AAS, BS, MBA, MT

Transformation COach

Barb works as a dynamic performance improvement consultant and leader by assisting in developing and measuring key performance indicators, identifying opportunities for improvement and creating project plans for prioritized performance improvement and transformation. Barb leads projects to design, develop, modify and implement processes to improve quality, safety, flow and value. She applies continuous improvement methodologies to lead six sigma, lean and Kanban techniques and teaches the client these quality improvement processes to drive and implement change management. Through system process methods, targeting data-driven problem solving skills she promotes deeper understanding of system failures and opportunities for improvement. With teaching change management concepts, coaching, facilitation and project management the resulting quality improvement is sustainable and impactful.

Barb has knowledge of regulatory standards as a certified internal auditor for ISO-9008 standards with successful client certifications in NCQA Medical Home recognition.

Barbara has experience working with major manufacturing corporations such as IBM, Intel Corp., KLA-Tencor Corp., Oracle Corp., private manufacturing companies, Healthcare Systems: Renown Health System, Kindred, UVM Medical Center, Quest Diagnostics and clinical provider settings.

Barb received her undergraduate degrees in chemistry and medical technology from Colby Sawyer College in New Hampshire, She earned her Master’s In Business Management concentration in Marketing from the University of Phoenix in Arizona.


Bill Marcinkowski

IS Manager

Bill has been providing support for VPQ infrastructure since 2001.  He is involved with everything technology related and several projects, including the Quality Report. Bill attended the University of New Hampshire where he received a Bachelor of Arts degree majoring in Communications.

Dail Riley

Business Office Manager

Dail is responsible for providing and assisting the Director of Finance with financial management, human resource management, and general operational support. She administers the personnel benefits and retirement pension plans in addition to overseeing the maintenance for the building and grounds. Dail previously worked at the Vermont Land Trust for thirteen years as their Membership Assistant and Database Manager, joining VPQHC in July 2001.

Susan Rivera, RN, CPHQ

Senior Program Manager

Susan joined VPQHC in April, 2014. She has over twenty years of experience providing direct patient care and nursing leadership in a variety of settings, including the Burn Intensive Care Unit, Outpatient Surgical Clinics and Emergency Department at a county hospital in Texas. Being at a teaching facility also designated as a Level 1 Trauma Center, Regional Burn Center and Primary Stroke Center allowed Susan to stay current with various evidence-based care models and ensure that the patients received the most up-to-date care available. Prior to joining VPQHC, Susan was the ED Director at a local Critical Access Hospital. Susan's experiences in nursing and nursing leadership in both larger and smaller hospitals allow her to understand the challenges faced and enable her to better support the initiatives within different facilities. Susan also worked for more than 10 years with several fire departments in a centralized Medical Control center providing medical direction to Paramedics in the field. Her interest in firefighting began there. Susan has been a volunteer firefighter since moving to Vermont with her family in 2011. In the winter, she also volunteers with a local ski patrol, and occasionally her teenage daughter will allow Susan to ski with her on a day off. Susan's son inherited the health care gene and is currently evaluating his college options for nursing or veterinary training. 

Bruce Saffran, BS, RN

Quality Improvement Facilitator

Bruce is responsible for assisting communities throughout Vermont in developing and testing Lead Care Coordinator protocols to improve patient care, as part of the Vermont Healthcare Innovation Project's Learning Collaborative.  He holds a Bachelor's degree in Biology from Cornell University and received his Nursing degree from Vermont Technical College.  He has more than eight years of experience in direct patient care and quality oversight.  Bruce is excited to be working at VPQHC to improve the organization and delivery of health care in Vermont.

Holly E. Poulin

Transformation Specialist

Holly earned both her Bachelor’s Degree in Business Management and her Master’s Degree in Mediation & Applied Conflict Studies from Champlain College. She also holds a Professional Certificate in Human Resources and Small Business & Entrepreneurial Studies from Champlain College. She is also a certified professional through the Society of Human Resource Management.

Holly has over 30 years of business experience across numerous industries including the service industry, childcare, manufacturing, immigration, construction, insurance, and the justice system. Her professional background is in business management; specifically customer service, marketing, human resources, and conflict.

Holly’s passion is people and how to make their work life better. She is empathetic to the struggle to lessen the distress of the clinical workload. Through her work at VPQHC she is able to use this passion to collaborate with practices toward actualizing an organized, standardized, and process balanced practice by utilizing group problem solving and the self-determination of the practice leaders.

Holly is responsible for guiding and supporting practice leaders through process change to create quality improvements that increase work capacity and a positive workplace culture. Change can feel conflictual and that’s where Holly’s skills come into play. She views conflict as opportunity as she knows the discomfort of conflict is actually awareness that something needs to be changed. As a system thinker she educates practices about the intricacies between the different processes within the practice and how they are balanced around patient flow.

Holly resides in Central Vermont where she enjoys her family and community. She has volunteered as a Guardian Ad Litem at the Washington County Family Court, as a teacher at the Central Vermont Adult Basic Ed, and as a member of the Waterbury Restorative Panel at the Montpelier Community Justice Center. She also works as a family mediator for the Vermont Superior Family Court.

Hillary Wolfley


Hillary Wolfley moved to Vermont from Montreal, Quebec in 2014 and joined VPQHC in early 2015. She received an Honors BA in International Development Studies and Political Science from McGill University and is completing her MSPH through the London School of Hygiene and Tropical Medicine. She has worked in a variety of cultural and linguistic settings in Canada, Costa Rica, France and the US and had her first introduction working in the healthcare world in 2000 when she was employed with the Milwaukee Area Health Education Center. In her role as the Health Data Analyst at VPQHC, she helps convert health data into meaningful information and supports VPQHC and its community partners to effectively understand and use data to improve the quality of healthcare for all Vermonters.