Executive Leadership

Care Alliance Executive Team at our 2013 Annual Meeting

Francis Afram-Gyening, FACHE
Chief Executive Officer

Francis Afram-Gyening, FACHE has extensive background in healthcare management and a proven track record in serving the health care needs of the medically underserved communities and vulnerable populations. Prior to assuming his current role at Care Alliance, he was the Operations Director for Memorial Primary Care Services in Florida. He also served as the President of South Florida Healthcare Executive Forum; Chief Compliance Officer and Vice President of Corporate Affairs for Economic Opportunity Family Health Center, a large federally qualified health center in Florida; and as the Board Chair of Camillus Health Concern.

Mr. Afram-Gyening received his master’s of public health (MPH) degree from Columbia University and master’s of business administration (MBA) degree from Cleveland State University. He has a bachelor’s of science (BS) degree in accounting, magna cum laude, from York College. He is board certified in healthcare management and a Fellow of the American College of Healthcare Executives (FACHE).  In 2004, he received the ACHE Early Career Regent’s Award. He is a licensed health care risk manager by Florida Agency for Health Care Administration (AHCA) and holds the coveted Certified Public Procurement Officer (CPPO) credentials by the Universal Public Procurement Certification Council. Mr. Afram-Gyening serves on several boards and he is an adjunct faculty at Case Western Reserve University School of Public Health.  Send Francis an e-mail.

Bruce Noll
Chief Financial Officer

Bruce Noll served as a member of Care Alliance’s Board of Directors for seven years before coming on board as the organization’s Chief Financial Officer in 2011.  His career in financial stewardship spans 32 years.  He has had a significant scope of strategic financial leadership experience at the most senior level for a nation non-profit, national consultant, large system non-profit provider, regional for profit provider, and as an entrepreneur.

Bruce has served as the point person for five enterprise-wide patient information system implementations, including an electronic medical record implementation.  Send Bruce an e-mail

Kate Fox Nagel, MPH
Chief Administrative Officer

Kate Fox Nagel joined Care Alliance as the Chief Administrative Officer in March 2012 after serving as a member of Care Alliance’s Board of Trustees for four years. She is responsible for guiding strategic initiatives and external affairs.

Previously Ms. Nagel was the Senior Director of Public Health and Research at the Cleveland Clinic, responsible for setting the public health agenda for the Cleveland Clinic and directing its Department of Public Health and Research (PHR). Prior to creating PHR in 2009, Ms. Nagel was Director of Federal Affairs, advocating for Cleveland Clinic’s federal policy priorities, both legislative and regulatory. She also spent nearly three years in the Public and Media Relations Department where she was responsible for developing, managing and delivering all press outreach for a variety of departments, including Cleveland Clinic’s top-rated Heart Center and government and community relations programs. Ms. Nagel joined the Clinic in March 2004.

Ms. Nagel moved to Cleveland in 2003 from Washington DC, where she developed and implemented health education and communication programs on a variety of health issues including HIV/AIDS, childhood lead poisoning, tobacco, obesity and arthritis.

Ms. Nagel graduated with honors from Miami University with a bachelor of arts in psychology. She has a master’s degree in public health from Johns Hopkins Bloomberg School of Public Health and is currently working towards her DrPH at the University of North Carolina at Chapel Hill Gillings School of Global Public Health. She represented the Cleveland Clinic as the founding Chair of the Cuyahoga Health Access Partnership, in a leadership role on the Ohio Business Roundtable’s Childhood Obesity Initiative and as an Advisory Board member of the Partnership to Fight Chronic Disease. Ms. Nagel is a Robert Wood Johnson Foundation Ladder to Leadership Fellow, a member of the American Public Health Association, and an adjunct faculty member of the Master of Public Health Program at the Case Western Reserve University School of Medicine.

Ms. Nagel lives in Cleveland Heights with her husband, Sean J. Nagel, a staff physician at the MetroHealth System, and their two children, James Bennett and Emerson Louise. Send Kate an email.

Benjamin Yeboah, MSN
Chief Clinical Officer

Mr. Yeboah joined Care Alliance in September 2012 from Select Medical Corporation where he was the Director of Quality Management and Interim Chief Nursing Officer. At Care Alliance, he is responsible for day to day management of the Care Alliance clinics, Quality Improvement initiatives, and clinical performance measures.

Mr. Yeboah graduated from the College of Mount St. Joseph. He is also a member of Sigma Theta Tau, the International Honor Society of Nursing. Previously, Mr. Yeboah worked in various capacities with The University Hospital in Cincinnati and Hondros College of Nursing in West Chester, Ohio, where he was a lead nursing instructor for two years in medical and surgical nursing. Mr. Yeboah’s specialties include performance improvement, ensuring survey readiness, employee in-service education and training, risk management, clinical organization and administration.

Mr. Yeboah relocated to Cleveland after living in Cincinnati for ten years. Originally from Ghana, West Africa, Mr. Yeboah founded and directed the Life Center of Ghana, where he provided counseling services on family planning and reproductive health, supportive services for low-income mothers and children, and HIV/AIDS awareness, through a contract with the Ghanaian government sponsored by USAID.   Send Ben an e-mail.

Daniel Meges, MD
Medical Director

Dr. Meges joined Care Alliance in January 2009 as a physician and became the acting Medical Director in August, 2010. Beginning November 1, 2010, Dr. Meges accepted the charge of continuing into the role of Medical Director. Dr. Meges has been dedicated to the practice of internal medicine in Cleveland for more than 30 years, spending the majority of his time (17 years) at Parma Hospital. His interests span the medical field and are highlighted by his work lecturing and teaching in hospitals. Dr. Meges is one of the founding members of INNOVA, an organization of medical professionals dedicated to the provision of affordable, comprehensive medical care to Cleveland residents.

His dedication to the provision of health care for the homeless and indigent populations led Dr. Meges to assume the position of Medical Director at the St. Malachi Center since 1992. At that point in his career he also began to serve patients of Care Alliance at the St. Malachi Center. We are grateful to have Dr. Meges on board at Care Alliance! Send Dr. Meges an e-mail.

Nicole Harris, DDS, MPH
Dental Director

Dr. Harris is a general dentist who has been practicing with Care Alliance since the organization launched its dental program in 2002. She is a graduate of the Case Western Reserve University School of Dental Medicine.

Prior to working with Care Alliance, she completed a one year Advanced Education in General Dentistry Residency Program with Case Western Reserve University School of Dental Medicine and University Hospitals of Cleveland. Dr. Harris is committed to providing patients with access to much needed dental care. Send Dr. Harris an e-mail.