Jim Graham recently retired from Johns Hopkins Bayview Medical Center. Since the late 1980s he has served the addiction treatment field in many capacities. He provided HIV risk-reduction services to opioid dependent individuals before finding a niche as an information technology expert, enabling an OTP to better manage program data. Taking those skills to a municipality as the Director of Information Systems for the Baltimore Substance Abuse System, Jim helped develop DrugStat. This city-wide performance measurement system facilitated the Baltimore Mayor’s initiative that expanded OTP access, and coordinated multi-institutional research efforts. As the Administrative Director for Johns Hopkins Bayview’s Addiction Treatment Services, Jim developed a computerized system to track patients moving between different levels of care, and an incentive system to reduce staff turnover in the OTP. From 2008-2012, Jim served as the President of the Maryland Association for the Treatment of Opioid Dependence and as Maryland’s representative to the AATOD Board of Directors.