SNFist program services
"Their clinicians provide regularly scheduled coverage at facilities with on-site hours, comprehensive assessments, daily intervention, oversight and follow-up through a multidisciplinary team of physicians and nurse practitioners."
Curt Kretzinger, BSN, MSA, FACHE
Chief Operating Officer
Home // About // Leadership Team

Leadership Team

General Medicine’s leadership team members have more than 30 years of experience in post-hospitalist medical care. Many are former administrators, DONs and owner-operators of post-acute and nursing care facilities. They understand the skillful balancing act that’s required to provide outstanding patient care while operating a successful business.


Thomas Prose and His Key Team Members


Dr Thomas M Prose

Thomas M. Prose, MD, MPH, MBA

Thomas Prose, MD, MPH, MBA founded General Medicine in 1983. He has more than 30 years of experience in internal medicine, geriatrics and health care administration.

Prior to developing General Medicine was medical director of Cigna Insurance Company. He also served as a medical consultant and member of the board of directors to a number of organizations, federal and state agencies, insurance carriers and health care systems.

He has authored numerous health care articles and has presented before the United States Senate, HCFA, CMS, the National Cancer Institute and the Association of Community Cancer Centers. He is a featured speaker of the National Geriatric Society and several other national, state and local health  care societies and organizations. His topics include managed care, sub-acute medicine, joint commission accreditation, medical staff credentialing and organization, and the prospective payment system.

Dr. Prose earned his doctorate in medicine, master’s in public health and master’s in business administration from the University of Michigan.


General Medicine Director of New Business Development Thomas R. Hoetger
Thomas R. Hoetger

Tom is our director of new business development.

Tom has been with General Medicine since 2003.  His primary responsibilities are to identify and develop new markets, create affiliations and key relationships with facilities, providers and agencies within those markets, and to create business opportunities for our practice.

After earning his degree at Hillsdale College, he practiced public accounting with Ernst & Ernst, one of the original “Big Eight” CPA firms.  His specialization was in audit and consulting services for health care clients. He then served in various health care organizations as a controller, CFO, director of reimbursement, regional operations manager, vice president of operations, president and CEO, board member, and owner.  Said organizations include nursing home chains, institutional pharmacies, home infusion therapy, DME and home health companies, outpatient rehabilitation agencies, health care venture partnerships and health care consulting companies.

In the early to mid-1990s, Tom helped develop a new delivery method in health care called “home infusion therapies.”  Under his leadership as the vice president of operations and later as division president, this entity grew through mergers, acquisitions and IPOs to become Coram Healthcare.

In 1996, he and several physician partners developed one of the largest multi-specialty physician group practices in Indiana.  They also became the largest provider of ancillary services to nursing homes in the Midwest.  In early 2000, HCR ManorCare acquired the practice, and Tom joined the senior management team to lead the company’s physician practice management group.  He served as the president and CEO until 2003.

Throughout his career, Tom has been identified as one of the country’s leading authorities on compliance and reimbursement issues for post-acute and long-term care. He continues to serve on several national and state committees and has been a frequent speaker at various national, state and local conferences.


General Medicine Director of Marketing and Recruiting Scott Sansovich
Scott Sansovich

His primary responsibilities are coordinating our national recruitment efforts for professional staff members and negotiating their employment agreements. He also identifies and negotiates physician practice acquisitions, develops new client relations and develops our marketing program.

Scott has more than 20 years of experience working with physicians, hospitals and insurance carriers. Since graduating from Southeastern Louisiana University he has served as project manager, marketing representative and marketing manager as well owned his own company in the service industry.

Prior to joining General Medicine, Scott represented a national surgical instrument company where he demonstrated the techniques for using specific instruments in the hospital room setting.

He also co-authored a very successful how-to manual on creating and operating a service business.

Scott continues to participate in various national, state and local health care conferences.


Sandra Wrona-Setser

Sandy is our chief administrative and compliance officer.

Her primary responsibilities are the overall administrative and financial management of our practice which includes many consolidated business units. The departments are comprised of accounting, billing, communications, credentialing, human resources, information technology, operational standards, policies and procedures, records retention, regulatory compliance, sales support and staff training.

She also maintains our corporate compliance program and our CQI/TQM process for improving policies, systems and processes.

Sandy has more than 20 years of experience working with physicians, hospitals, insurance companies, ACOs, MCOs and state managed health plans since earning her BBA in accounting from Eastern Michigan University.

Prior to joining General Medicine, Sandy served as an administrative assistant and financial manager on the board of education for a large public schools district.

Sandy continues to participate in various national, state and local health care conferences.

Our Clinical Coordinators

Clinical coordinator is a key leadership position we created within our practice. They serve as liaisons to our client facilities within a geographic region and are responsible for training, supervision and oversight of our post-hospitalists. Additionally, they provide consultation and coordination of services for our clients and affiliates.

Each of our clinical coordinators are board certified advanced nurse practitioners who have many years of experience caring for patients in post-acute and long-term care facilities.


Rebecca Coccia
Rebecca J. Coccia, MS, APRN, BC

Rebecca is our clinical coordinator for northern Illinois, Michigan and Ohio.

Rebecca has been with General Medicine since 1993.  Her primary responsibility is serving as a clinical coordinator and as a nurse practitioner. She has more than 20 years of extensive experience in geriatrics as a clinician and an educator.  She has practiced in various settings including outpatient, acute, sub-acute and long-term care.  She has served as a preceptor for students of several universities, authored numerous practice-related articles and has been a lecturer for several advanced practice nurse conferences. In addition, she has been an expert witness for the State of Michigan Board of Commerce and is an active member in various professional organizations including the Michigan League of Nursing, the National Conference of Gerontological Nurse Practitioners and the American Medical Directors Association.

Rebecca earned her bachelor’s degree in science from the University of Detroit Mercy and a master of science in gerontological nursing from the University of Michigan. She also received a graduate certificate in nursing education, and she is board certified as a gerontological nurse practitioner from the American Nurses Credentialing Center.


General Medicine Clinical Coordinator for Kansas and Missouri Carol Dickerson, MSN, APRN, BC
Carol Dickerson, MSN, APRN, BC

Carol is our clinical coordinator for Kansas and Missouri.

Carol has been with General Medicine since 2007.  Her primary responsibility is serving as a clinical coordinator and a nurse practitioner.  She has more than 20 years of experience in geriatric, emergency, internal and family practice medicine.  She served as a clinician in various settings including outpatient, acute, sub- acute and long-term care. In addition, she has been a lecturer for several state and local nursing and health care conferences.

Carol received her Bachelor of Science degree from Marymount College and a master of science in family nursing from Wichita State University.  She is board certified as a family nurse practitioner from the American Nurses Credentialing Center, and she also has held certifications in ACLS, TNCC and emergency nursing.

Kelly Drudi, MSN, APRN 

Kelly Drudi General Medicine Clinical Coordinator

Kelly is our clinical coordinator for the southern region of metropolitan Chicago.

Kelly has been with General Medicine since 2012. Her primary responsibility is serving as a clinical coordinator and nurse practitioner. She has more than 12 years of experience in geriatrics, cardiology, telemetry, neurology, med-surgical, hospice and internal medicine. She served as a clinician in various settings including outpatient, acute, sub-acute, long-term care and home health care. In addition, she also has been a provider of wound care services, IV infusion therapy and ACLS in emergency situations.

Kelly earned her Bachelor of Science degree in nursing at St. Francis Medical School College of Nursing in Peoria, Illinois in 1999. She earned her advanced nurse practitioner degree from Northern Illinois University in 2011.

Additionally, she is board certified as an advanced practice nurse from the American Nurses Credentialing Center and she is a member of Sigma Theta Tau honor society of nursing.


Cynthia Kieu, MSN, APRN Cynthia-Kieu-MSN-APRN

Cynthia is our clinical coordinator for Louisiana.

Cynthia has been with General Medicine since 2009. Her primary responsibility is serving as a clinical coordinator and nurse practitioner. She has more than 15 years of experience in geriatrics, ER medicine, med-surgical, hospice and internal medicine. She served as a clinician in various settings including outpatient, acute, sub-acute, long-term care and home health care. In addition, she has been a provider of wound care services and IV infusion therapy.

Cynthia received a minor in biology from the University of Louisiana in 1995; a bachelor of science- nursing from William Carey College, New Orleans in 1998, and then she received her Master of Science Nursing from Loyola University, New Orleans in 2009. She is board certified as a family nurse practitioner from the American Academy of Nurse Practitioners, and she also has held certifications in ACLS, BCLS, Oasis, PICC Line and emergency nursing.


Kathy Stieb

Katherine Stieb, MSN, APRN, BC

Kathy is our clinical coordinator for southern Illinois and eastern Missouri.

Kathy has been with General Medicine since 2004.  Her primary responsibility is serving as a clinical coordinator and a nurse practitioner.  She has more than 30 years of experience in nursing with the majority of her career in geriatrics and long-term care.  She served 14 years as the director of nursing services at Madison County Nursing Home in Edwardsville, Illinois and also served as a clinician in various settings including outpatient, acute, sub-acute and long-term care.  In addition, she has authored numerous health care articles and has been a lecturer for several state and local nursing and health care conferences.

Kathy received both her bachelor of science and a master of nursing at Southern Illinois University.  She is board certified as an advanced practice nurse from the American Nurses Credentialing Center.  She is a member of the American Diabetes Association, as well as Sigma Theta Tau.