225 S. Bluff Street
PO Box HH
Winnebago, NE 68071
A Division of Winnebago Comprehensive Healthcare System
Dr. Sirio completed his undergraduate and medical school training at Columbia University and Rutgers Medical School and completed postgraduate medical training at the Milton S. Hershey Medical Center Pennsylvania State University, the National Institutes of Health and George Washington University.
As Chief Medical Officer, Dr. Sirio provides clinical oversight and direction to all aspects of the provision of medical care within the hospital. This includes direct supervision to the Medical Staff (Outpatient, Inpatient and Emergency Department), Podiatry, Physical Therapy, Pharmacy, Medical Laboratory, Radiology and Dietary Departments.
Dr. Sirio co-founded the Pittsburgh Regional Healthcare Initiative, a nationally recognized collaboration that improved care throughout the region for which he was the recipient of several large grants from the Agency for Healthcare Research and Quality to create meaningful improvement in the care of patients. In addition, he worked with the National Quality Forum (NQF), the National Institute of Medicine and the U.S. Pharmacopoeia, among others, to improve patient care quality and safety.
Dr. Sirio spent 17 years at UPMC in Pittsburgh, where he rose to full professor. From there he became chief operating and clinical officer, and senior associate dean for clinical affairs at the University of Toledo (UT), where his innovative approaches to health systems improvements earned them numerous awards for excellence. Prior to these roles he was UT Vice President for Medical Affairs/Chief Medical Officer and Chief Medical Information Officer.
Dr. Sirio served on the AMA Council on Medical Education, chairing the Initiative to Transform Medical Education where he led efforts to fundamentally transform the way doctors are educated and maintain their certification. Additionally, served on the Liaison Committee on Medical Education, where he was a compelling voice for new standards related to building greater diversity in medicine, and to understanding the impact of the learning environments of medical students. As an AMA Trustees he served on the executive, finance, membership and business strategies committees. He recently completed service as board member of TJC (Joint Commission) where he oversaw significant transformations in the governance and operations of the organization.
Joseph Pluth received his Bachelors in Science in Nursing,and Bachelors in Business Administration from Midland University in 2014. After graduating with honors, Mr. Pluth went on to work at Nebraska Medicine with a specialty in Neuroscience, Pain Resource, Diabetes, and training in Wound and Ostomy. Simultaneously, he held positions on the Nursing and Ancillary Advisory Team and the Pain Management Committee. Mr. Pluth obtained his Masters of Science in Nursing Leadership and Masters in Business Administration from Nebraska Wesleyan University in 2018.
As Director of Nursing, Mr. Pluth plans and coordinates nursing services for the hospital, manages all nursing staff and nurse supervisors, and ensures the provision of quality care.
Previously, Mr. Pluth worked for Fremont Health during their transition into the Nebraska Methodist Hospital System.
Ms. Smith received a bachelor’s degree in Business Administration with an emphasis in Human Resource Management from Wayne State College in Nebraska and a juris doctorate degree from the University of Iowa.
As Chief Executive Officer of the Winnebago Comprehensive Healthcare System (WCHS), Ms. Smith is responsible for the overall operation and administration of WCHS and its subdivisions. Prior to assuming this role, Ms. Smith served as a member of the Tribe’s Self-governance Steering Committee, which was created to carry out planning and implementation activities necessary for the Tribe to assume management of the former Winnebago IHS hospital under the P.L. 93-938 Indian Self-determination and Education Assistance Act.
Ms. Smith is also a partner with Big Fire Law & Policy Group, LLP, a law firm dedicated to the representation of American Indian tribes and organizations throughout the United States. She previously served as general legal counsel for the Winnebago Tribe for 14 years and has represented Tribes and tribal organizations in a broad range of governance, administrative, legislative, business, financing and employment matters. Ms. Smith currently serves on the Board of Directors for the Ho-Chunk Community Development Corporation.
Ms. Smith is an enrolled member of the Winnebago Tribe of Nebraska.
Mr. Schanzenbach holds a Master’s degree in Kinesiology from the University of South Dakota in Vermillion, South Dakota.
As Clinical Services Administrator for the Winnebago Comprehensive Healthcare System, Mr. Schanzenbach helps provide oversight to the Medical Staff and other hospital operations. Primary areas of involvement include hospital analytics, informatics, medical software and tech integration, budgeting, and policies.
Mr. Schanzenbach is a member of the Executive Team of the Winnebago Comprehensive Healthcare System. In that role, his responsibilities include strategic planning, analytics, and other management discussions.
Previously, Mr. Schanzenbach served as the Director of the Diabetes Program for the Winnebago Tribe of Nebraska’s Health Department.
Francine L. Parmenter received her Bachelor of Science in Business Administration from Oglala Lakota College, Kyle, South Dakota. She has received additional training in Risk Management, Quality Assessment and Internal Auditing.
As Quality Management Director, Ms. Parmenter is responsible for ensuring establishment, operation and maintenance of a comprehensive quality assessment and performance improvement program for the Twelve Clans Unity Hospital. She is directly responsible for ongoing accreditation compliance with all quality measures required by CMS regulations involving Medicare and Medicaid certification. She provides leadership, personnel management, regulatory and quality compliance and direction to maximize patient safety and quality care throughout the organization. As a member of the Executive Team, Ms. Parmenter is involved in strategic planning, budgeting, policy development and management discussions for the Winnebago Comprehensive Healthcare System in addition to her duties as Quality Management Director.
Previously, Ms. Parmenter held a variety of roles in Quality Assessment and Organizational Performance with Indian Health Services affiliated hospitals in the Great Plains.
Ms. Parmenter is an enrolled member of the Oglala Sioux Tribe.
Ms. Frenchman holds a Bachelor of Science in Elementary Education from Morningside College in Sioux City, Iowa and a Masters in Education from Briar Cliff University in Sioux City, Iowa.
As Chief Administrative Officer for the Winnebago Comprehensive Healthcare System, Ms. Frenchman works with other members of the Executive Team to manage and direct the administrative functions of the health care system. She is responsible for collaboration with the Chief Executive Officer and the Public Health Director for strategic development on a short and long-term operational plan for the Winnebago Public Health Department and Twelve Clans Unity Hospital. She is also responsible to work with management on organizational structure, management methods and procedures and overall budgeting.
Previously, Ms. Frenchman was the Chief Executive Officer for the Winnebago Tribe of Nebraska; the Chief Administrative Officer for Ho-Chunk, Inc., the Winnebago Tribe’s economic development corporation; and was associated with Little Priest Tribal College in a variety of roles including interim President.
Ms. Frenchman is an enrolled member of the Winnebago Tribe of Nebraska.
Mona Zuffante holds a Bachelor of Science in Environmental Studies from Northland College, Ashland, Wisconsin and a Master’s in Public Health from Concordia University, Seward, Nebraska.
As Public Health Administrator for the Winnebago Comprehensive Healthcare System, Ms. Zuffante’s primary role is management and strategic planning for the Winnebago Public Health Department. She is responsible for budgeting, oversight of grant writing, Federal contract administration, coordination of health services delivery and personnel management. Additionally, Ms. Zuffante is part of the executive team of the Winnebago Comprehensive Healthcare System which includes strategic planning and coordination with other members of the executive team to ensure the organization is meeting its short and long-term goals.
Previously, Ms. Zuffante was the Environmental Health Specialist for the Winnebago Tribe Environmental Health Program in Winnebago and a Water Technician for the Winnebago Tribe Water Resources Program. She has been a practicing EMT for the Winnebago Community for over 17 years.
Ms. Zuffante is an enrolled member of the Seneca-Cayuga Tribe of Oklahoma.
Ms. Gamble received a Bachelor of Science in Nursing from the University of Nebraska Medical Center, Lincoln, Nebraska and a Health Administration Certificate from Bryan LGH School of Health Sciences, Lincoln, Nebraska.
As Chief Operating Officer for Twelve Clans Unity Hospital, Ms. Gamble is responsible for day-to-day management of hospital operations. She is responsible for a hospital-wide system of internal review and quality improvements program. She is also involved in assuring compliance with the hospital’s CMS certification process. Ms. Gamble has oversight on administrative, professional and technical staff at the Hospital. Ms. Gamble is a member of the Executive Team of the Winnebago Comprehensive Healthcare System. In that role, her responsibilities include strategic planning, quality improvements and other management discussions with the Executive Team and Chief Executive Officer.
Previously, Ms. Gamble served as Director of the Oakland, Nebraska Mercy Hospital which included a dual role as Chief Executive Officer and Director of Nursing. She was Director of Quality and Care Management at Faith Regional Health Services in Norfolk, Nebraska and Vice President of Patient Care Services at Providence Medical Center in Wayne, Nebraska.
Ms. Friloux received a Bachelor of Science with a double major in Accounting and Business Administration from Morningside College, Sioux City, Iowa; and a Master’s in Business Administration from Upper Iowa University, Fayette, Iowa.
As Controller for the Winnebago Comprehensive Healthcare System, Ms. Friloux oversees the financial operations of both the Winnebago Public Health Department and the Twelve Clans Unity Hospital. She is responsible for development and management of all organization budgets, business office functions including billing, collections and patient benefit coordination. She provides the Executive Team, Board of Directors and Winnebago Tribal Council with regular reports on financial status and transactions for the organization.
Previously, Ms. Friloux held a variety of professional accounting and financial positions including Grants Accountant for the State of Louisiana, Deputy Director, Finance for the City of New Orleans and finance responsibilities with other Louisiana municipalities, as well as financial audit experience with companies in the Midwest.