Giovanna Giuliani, MBA, MPH 
Executive Director

Giovanna Giuliani joined the California Health Care Safety Net Institute (SNI) as Executive Director in May of 2016. Giovanna brings a wealth of experience on a wide range of issues most pertinent to California’s public health care systems. Prior to joining SNI, her most recent role as Associate Director, Improving Access at the California Health Care Foundation (CHCF) had been to help develop a new strategy to improve access to coverage and care for low-income Californians. She also has expertise in quality and performance improvement, including developing and overseeing grant programs to support public health care systems’ efforts to implement Lean management, improve safety net data analytics capacity in community health centers, and advance the development of complex care management programs in California.

Prior to her work at CHCF, Giovanna served at the Pacific Business Group on Health as Director of the California Quality Collaborative, where she developed and executed a wide range of statewide programs to improve patient experience, clinical quality and efficiency among California’s delegated physician groups. She has also held quality improvement roles at Kaiser Permanente in Northern California and Brigham and Women’s Hospital in Boston, in addition to having worked in health plan product development at Blue Shield of California.

Giovanna received both an MBA and an MPH from the University of California at Berkeley and a BA in Biology from Swarthmore College.

David Lown, MD
Chief Medical Officer

David Lown joined the California Health Care Safety Net (SNI) in November of 2013. His work focuses on performance measurement, quality/equity improvement, and clinical transformation for California’s Public Health Care Systems (PHS). This includes playing a leading role in CAPH/SNI’s support of DHCS’ development and implementation of, and technical assistance for, the former Public Hospital Redesign & Incentives (PRIME) pay-for-performance California’s 1115 Medicaid Waiver, the current Medi-Cal Managed Care Directed P4P Payment Program the Quality Incentive Pool Program for PHS and District and Municipal Public Hospitals, as well as the Waiver’s Global Payment Program for the Remaining Uninsured. Dr. Lown provides clinical and data analytic leadership to his organization and through their programs that support member PHS to increase their capacity for overall system transformation and quality/equity improvement, as PHS strive to become high performing, equitable, and patient centered integrated delivery systems.

Prior to CAPH/SNI, Dr. Lown was the CMO at the San Francisco Community Clinic Consortium, oversaw its QI Program and mobile homeless clinic, and served as the clinical liaison to San Francisco’s public health department, health care delivery system, and local Medi-Cal health plan. For 15 years, he was as a PCP at one of the county’s public health clinics and at the St Anthony Free Clinic. Through this time, he engaged in various chronic disease management initiatives, primary/specialty care collaboratives, and various local and statewide QI, HIT and HIE initiatives.

He is a graduate of Brandeis University (BA, Biology), Columbia University (MA, Applied Physiology) and Tufts University (MD). He completed a Family Practice residency at UC Davis, a BioMedical and Health Informatics certificate from OHSU, and is an alumnus of CHCF’s Health Care Leadership Program. He and his artist wife of 23 years are empty nesters (2 college kids) living in Marin.

Amanda Clarke, MPH
Director of Programs

Amanda Clarke is the Director of Programs for the California Health Care Safety Net Institute (SNI), where she develops programs, policies, and leadership trainings that promote integration across care delivery systems and strengthen the safety net. Prior to joining SNI, Amanda worked for the Robert Wood Johnson Foundation on a national program to incorporate equity into quality improvement and reduce racial health disparities. Previously, she managed integrated health care and economic development initiatives in Ghana and Ecuador.

Amanda holds a Master of Public Health from the University of California, Berkeley and a B.A. from George Washington University. She lives in Oakland with her family and takes every opportunity to hike up a mountain or sit on a beach.

Erica Fornshell
Senior Director of Operations

Erica joined CAPH/SNI in 2011 and is responsible for the operational effectiveness of the organization by collaborating with senior management to develop and achieve long-term strategic aims as well as the operating budget.  Erica manages the operations staff responsible for administrative support, human resources, facilities, information technology and other operational functions. She also leads the management of grants, financial services trainings, the annual conference, and external operational partnerships, vendors and consultants.

Abby Gonzalez
Project & Events Manager

Abby Gonzalez joined SNI in March 2015 as the Operations Specialist. She is now the Project & Events Manager and supports the SNI team with meetings/training webinars, and project management.  She is the assistant to the Executive Director and the Chief Medical Officer.  She handles all logistics of the CAPH/SNI Annual conference.  Prior to joining SNI, she was the Special Project Manager for the California Association of Cable & Telecommunications Association for over 28 years.

Leossie Hernandez
Accounting Manager

Leossie Hernandez joined CAPH/SNI in May 2019 as the Accounting Manager. In this role, she provides accounting services to CAPH/SNI that include accounts receivable, accounts payable, financial reporting, and other accounting related-functions. Ms. Hernandez brings over 15 years of experience serving as an accounting manager  in non-profit community health services.

Thuy-Ann Le
Associate Director of Programs

Thuy-Ann Le joined the California Health Care Safety Net Institute (SNI) as the Associate Director of Programs in 2021. In her role at SNI, Ms. Le oversees programs, trainings and shapes policy efforts to support California’s public health care systems in telehealth, ambulatory care redesign, COVID-19 recovery, and racial equity initiatives.

Prior to her position at CAPH/SNI, Ms. Le was the Director of Safety Net Access at the New York City Department of Health and Mental Hygiene, where she led policy, research, and program strategies working with public hospital systems and community health centers to improve health care access, coverage, and utilization of primary care to advance health equity for low-income and immigrant communities. She also managed cross-agency collaboration between health care delivery systems and population health to minimize health disparities and promote equity throughout the COVID-19 emergency response. Ms. Le has experience in public and non-profit management specializing in policy analysis, health systems strengthening and reform; strategic operations in health care delivery; community-based interventions; and advancing global health leadership through racial justice and social change initiatives. Her experience spans from working at a Federally Qualified Health Center in Santa Clara County to global health in the United Kingdom, Brazil, Vietnam, Ghana, and South Africa. Ms. Le received a dual Master of Public Health and a Master of Public Policy and Administration from New York University; and a Bachelor of Arts in Ethnic Studies from the University of California, San Diego.

Gina Lenhart
Office Manager

Gina Lenhart joined CAPH and SNI in May 2014 as the Office Manager. Gina oversees the general office operations and reception, and provides administrative support to both the CAPH and SNI organizations.

Arlene Marmolejo
Data Analyst

Arlene Marmolejo joined SNI in March 2022 as a Data Analyst, where she provides high level support on a variety of organizational analytics and key SNI projects and initiatives.  Prior to her position at SNI, she was the Program and Quality Assurance Analyst at California State Department of Social Services, where she led the complex quality assurance monitoring activities at county social services office for the In-Home Support Services program to ensure that federal and state statutory and regulatory requirements are being met.

Ms. Marmolejo received a Master of Economics from California State University, Sacramento, and a double Bachelor of Arts in Economics and Political Science.  She currently lives in Marin County and enjoys exploring hiking trails and going to the beach.

Megan Renfrew, MA
Director of Communications

Megan Renfrew is the Director of Communications for CAPH/SNI. In this role, she oversees internal and external communications, including publications and policy briefs, press statements, social media, e-newsletters and website management. Prior to joining CAPH/SNI in 2018, Megan worked for 10 years in the Partners HealthCare system in Boston, including six years at Massachusetts General Hospital (MGH). Most recently, she served as the Director of Communications in Population Health at Partners HealthCare. Megan has a Master’s Degrees in Gender and Cultural Studies from Simmons College and a Master’s Degree in Sociology from Brandeis University.


Zoe So
Program Coordinator

Zoe So joined SNI in August 2019 as a Program Coordinator, where she supports SNI’s planning and implementation initiatives to advance learning across public health care systems. Zoe graduated from UC Berkeley with a major in Public Health and minor Public Policy. Her previous experiences include researching healthcare markets for the School of Public Health and interning for the American Heart Association, Community Health Partnership, and more.  She currently lives in San Francisco and enjoys exploring the city on her bike.