SUMMARY:

Demonstrated track record of success in delivering healthcare solutions across a wide - array of the healthcare community, including functional area’s such as: Leadership, healthcare business processes, relationship management, health information technology and exchange, and clinical experience in primary care, intensive care, urgent care, laboratory, and extended care.

AREAS OF EXPERTISE:

Building Physician Alliances

Clinical and Business Integration

Financial Review and Analysis

Instituting Cost Reduction Techniques

Grant & Proposal Writing

Forming & Leveraging Strategic Alliances

Ensuring Federal & State Regulatory Compliance

Ability to Grasp, Implement & Utilize New Technologies including EHRs, registries, and Patient Portals

Managing all Phases of a Project Lifecycle

Driving Quality Management Initiatives

Analyzes Healthcare Industry Trends

Continuous Learner

Formal Presentation Skills

PROFESSIONAL EXPERIENCE:

Confidential, Cincinnati, Ohio

Director of Clinical and Business Innovations and Practice Consulting

Responsibilities:

• Responsibility for managing 4 contract partners, and 10 sub-contractors across a 67-county, 3-state geographic region, consisting of 1,862 physicians that signed up for electronic medical records and quality management support services for Meaningful Use attestation, funded through a $10.3 million grant from the Health and Human Services Office of the National Coordinator.
• Led the 67-county Confidential for state-wide REC collaboration to attain a 4th national ranking for the State of Ohio Medicare/Medicaid registration, physician, provider, and critical access hospital Meaningful Use incentive payments. Managed team-facilitated direct assistance and quality improvement to Confidential providers, securing $8.2 million of grant funding for the Confidential, in addition to core funding.
• Guided the Confidential to achieve 100% of Confidential ’s original goal to bring 812 physicians and providers to Meaningful Use of their EHRs to the Cincinnati’s region of physician and provider community to drive healthcare quality improvements through EHR implementation and Meaningful Use quality initiatives. Subsequently, realized a total of $36 million to more than 1,300 providers and 3 Critical Access Hospitals in the Confidential 11-county region, and a total of $53 million to the overall 67-county region of 1,862 providers and 13 Critical Access Hospitals.
• Provided REC coordination with the Confidential project, the Comprehensive Primary Care initiative, and EHR alignment with metrics of MU, PCMH, PQRS, and ACO quality initiatives.
• Initiated a practice outreach project with barrier removal and risk mitigation for federally qualified health clinics with EHR Go-Live to MU attestation so project could proceed to Meaningful Use within 4 months (including 90-day reporting period), for 6 Confidential entities with more than 20 practice sites and 80 providers.

Confidential, Hillsboro, Ohio

Practice Manager

Responsibilities:

• Led early Allscripts EHR implementation, then successfully spearheaded organizational change that achieved the following four outcomes compared to practice cohort average: 1) Emergency room visits per 1,000 at 50%; 2) Hospital readmission rate of 47%, 3) Potentially avoidable complications at 69%; and 4) Diabetes goal attainment of 125%.
• Provided practice leadership in the Robert Wood Johnson Foundation Aligning Forces for Quality Patient Confidential 16 practice cohort for the highest recognition of level 3 by accomplishing the following 3 items: 1) Early EHR adoption 2001; 2) Increased measurable quality improvements in practice; 3) Practice redesign that reduced emergency room rates by 50%, decreased hospital readmission rates by 53% and increased diabetes quality outcomes by 25% compared to practice cohort average.
• Achieved highest level of recognition for Robert Wood Johnson Foundation Patient Confidential for the Health Collaborative regional PCMH cohort.
• This included a registry data extraction project with Confidential .
• Accomplished the following 8 items in the diabetic population of focus: 1) 81% control in blood pressure less than 130/80; 2) 99% with foot exam; 3) 89% with kidney disease screening; 4) 81% with LDL less than 100; 5) 81% with dilated eye exam; 6) 97% on aspirin or other anti-platelet; 7) 80% on a statin; and 8) 45% with HgA1C less than 7.0.
• Managed daily operations, contracting and credentialing, in addition to finance, compliance, clinical operations and informatics requirements. Drove under-resourced primary care practice to positive cash flow at 95% Confidential revenue, and a 4:1 ROI from EHR implementation. Successful practice sale to local hospital with three month consulting role.
• Analysis and development of a software/service project for use in Value Based Purchasing and new payment requirements to improve clinical outcomes and reduce costs of healthcare in primary care settings.
• New venture opportunity identification, assessment, and analysis with evaluation of opportunities and challenges.
• Strategic management of innovation to improve company performance, process of change, and framework for determining benefit, process, value, and economic creation and delivery.
• Lean Startup business development, data analysis, value proposition, customer segments, distribution channels, resource requirements, partner analysis, customer interviewing, market fit evaluation, product specifications, MVP development.
• Innovative tools for creative problem solving, communication, and team skills, internal and external presentations.
• Cost, revenue, budget, profit and loss analysis, and business impact, legal and business issue evaluation.
• Creative design, prototyping, and testing for design and new product development.
• Market development and commercialization for identification of market opportunities and customer preferences.
• Financial management and new venture financing, financial barriers mitigation, and venture capital funding.
• Corporate technology entrepreneurship and fundamentals of technology startup ventures for venture management.

Confidential

Subject Matter Expert

Responsibilities:

• Completed staffing, budget, resource allocation, and project documentation requirements for the Confidential REC.
• Formal presentation skills for various local, regional, and national Confidential meetings.
• Connecting external and internal innovative ideas for end-to-end project planning, prioritization, communication, and risk mitigation for effective project completion within required financial and internal compliance and review processes.
• Completed proposal for one year grant extension award from Office of National Coordinator Regional Extension Center.
• Wrote the primary care business plan including pricing model, for Patient Confidential, and Meaningful Use.
• Participated in the writing of Confidential ’s Quality Improvement Organization multi-state proposal for Medicare’s 15th Statement of Work including working with five internal teams. Wrote employee descriptions, financial and staffing plan, and data analysis for Medicare beneficiaries by county, HPSAs, PSAs, county populations, and physician details.
• Sales contracts and management for EHR implementations, and Meaningful Use for area hospital systems, and providers.
• Confidential lead for Confidential State of Ohio Meaningful Use Acceleration Plan with coordination with Ohio’s other RECs, Confidential and other stakeholders to place Ohio fourth in the nation for financial and provider enrollment milestones.
• HIE projects including 1) Continuity of Care Document (CCD) EHR data extraction project from NextGen EHR for registry consumption, 2) Hospital syndromic surveillance Stage 1 MU requirement for public health reporting, 3) HL7 diabetic retinopathy data extraction project, and 4) Patient Encounter Database project for Emergency Room Alert data.
• Status reporting with detailed time management, priority setting, and effective communication across departments.
• Participation in HIE and HIT project meetings, project management team meetings, project and work prioritization meetings, weekly capacity and portfolio meetings and interface meetings to develop understanding of technical roles and responsibilities of the IT team including business analysts, project management, interface analysts, and sales.
• Experience with MS Project, Visio, Salesforce, SharePoint; EHRs: Allscripts, NextGen, Epic, Wellcentive, and others. Completed and passed Project Management Professional class, NCQA PCMH training, and Yellow Belt Six Sigma.