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Derek J. Robinson, MD, MBA, FACEP, CHCQM

by Stephani Simmons

May 9, 2017

Vice President, Enterprise Quality and Accreditation,
Health Care Service Corporation 

Dr. Derek J. Robinson is Vice President – Enterprise Quality and Accreditation at Health Care Service Corporation (HCSC), the nation’s largest non-investor owned health insurer, serving more than 15 million members. HCSC operates Blue Cross Blue Shield plans in IL, TX, OK, NM, and MT.  Dr. Robinson, a practicing emergency medicine physician, is charged with leading the enterprise clinical quality improvement strategy, quality reporting and accreditation activities.

Nationally, Dr. Robinson is recognized for his commitment to improving the quality of health care for all Americans. Dr. Robinson was appointed to the Quality Rating System (QRS) Technical Expert Panel in 2016 to help the government shaped the future of the QRS.  Achieving value in health care remains an important national priority for all health care stakeholders.  In 2015, Dr. Robinson was appointed as a representative for HCSC on the America’s Health Insurance Plans (AHIP) Core Clinical Quality Measures Collaborative Workgroup steering committee. He also serves as a member of the National Quality Forum (NQF) Standing Committee on All-Cause Admissions and Readmissions.

Prior to HCSC, Dr. Robinson was the first physician member of the executive leadership team at the Illinois Hospital Association (IHA) where he served as Executive Director of the Institute for Innovations in Care and Quality.  Dr. Robinson is the former Chief Medical Officer for the Centers for Medicare and Medicaid Services (CMS), Chicago Regional Office.

Dr. Robinson is a diplomat of the American Board of Emergency Medicine, American Board of Quality Assurance and Utilization Review Physicians, and a Fellow of the American College of Emergency Physicians.  He holds a bachelor of science degree from Xavier University of Louisiana and a medical degree from Howard University College of Medicine.  He completed his residency training in emergency medicine at the University of Chicago where he also graduated from the Booth School of Business.  He is an Adjunct Assistant Professor of Emergency Medicine at the Feinberg School of Medicine – Northwestern University and Volunteer Clinical Assistant Professor of Emergency Medicine at the Indiana University School of Medicine – Northwest.  A Fellow of the Institute of Medicine of Chicago, Dr. Robinson is also a member of the Economic Club of Chicago and has been the recipient of numerous awards and recognitions.