Objective

• Leadership position where as a physician - informaticist and executive, with over twenty 20 years of experience in all health care settings, transforms the capture, processing, analysis, integration and delivery of clinical data, for improved care and support evidence-based services at the point-of-care POC, health oversight and quality, public health reporting and cost-containment.
• Policymaker for a health care organization that benefits from combined expertise in general information technology IT, data communications, health informatics and management, striking balances between technical, fiscal and health care realities.
• Administrative role mediating between IT ex. CIO, IT personnel,, clinicians ex. physicians, nurses, ancillaries, and management, bridging priorities, knowledge and communication-gaps between these factions.
• Upper management role with multidisciplinary group s as consensus-builder, motivator, leader and subject matter expert SME for adoption of health information technology HIT and information exchange HIE in the evolution to future of health care.

Professional Experience s

Confidential

CMIO-at-Large / Chief EHR, HIT and HIE Consultant

• Clinical-, Technology-, Operations- and Administrative- Support, Mediation and Arbitration
• Train Clinical- and IT-workforce representatives on HIPAA- and MU-compliance and P Ps
• Achieve management and workforce buy-in and support for Governance, Change Management, and HIT/EHR-adoption.
• Originate Governance initiatives and processes for ongoing regulatory and certification compliance.
• Architect and implement Continuous Quality Improvement CQI with PRQS and Hospital IQR.
• Guide EHR/CPOE and Clinical Decision Support CDS implementation and Change Management
• Realize HIE though State-designated Organizations i.e. Health Information Organizations, or HIOs using NHIN Direct FHA/NHIN CONNECT projects standards.
• Identify, Write and Implement missing IT, Operations and Administration Policies and Procedures P P .
• Perform Gap-analysis with As-Is To-Be HIT-adoption with Budgets and Cost-benefit Analyses.
• Perform HIPAA / MU Risk Analysis and implement findings mitigation and compliance.
• Surmount CMS HIT and Quality initiatives i.e. ePrescribing, PQRS, Hospitals IQR/OQR, with different EHR vendors.
• Achieve MU-compliance - Stage 2 with different EHR vendor solutions.
• Lead, guide and attain Meaningful Use MU of Certified EHR with different EHR vendor solutions, in record time, and get incentives payments
• Confidential

CMIO, CIO and State HIT Coordinator

• Lead implementation and adoption of EHR and unified CPOE in over 28 Points-of-Care i.e. Hospitals, Clinics, etc. belonging to, and operated by, the PR State DoH.
• Train and supervise all personnel working on implementation of State's HIE State Designated Entity a.k.a. HIO, defined in approved Strategic and Operational Plans between State and ONC, with regards to all aspects of medical/clinical informatics concerning them according with their delegated work and personal and/or combined responsibilities.
• Architect of all HIT/HIE on State's HIT-related projects.
• State-resource to coordinate State's and ONC's approved Strategic and Operational plans and Private HIT/HIE projects.
• Develop, lead and supervise all ARRA/HITECH- and PPACA-sponsored projects and grants including the incentives payments program through Medicaid for providers demonstrating Meaningful Use of Certified EHRs.
• Establish Federal Health Architecture FHA and National Healthcare Information Network NHIN HIT and HIE compliance guidelines for all Public and Private health stakeholders and HIT/HIE projects
• Write, review, amend and get approval of the Strategic and Operational Plans agreed by the PR Steering Committee for HIE, ONC and the State-government.
• Lead multi-stakeholder Steering Committee named by the State-government to determine State's HIE Strategic and Operational Plans through Cooperative Agreement Grant between Office of the National Coordinator ONC and the State.

Confidential

Associate Research Professor / HIT/HIE Subject-Matter-Expert

• Write Request for Information RFI and Request for Proposal RFP for Arizona's Health Care Cost Containment System AHCCCS, Arizona's State Medicaid Program Purchasing and Assistance Collaborative for EHRs PACeHR initiative.
• Write Arizona's Statewide HIE Self-sustainability Business Plan.
• Lead ASU Biomedical Informatics Department Outpatient CPOE O/R Project.
• Architect of the system to identify candidate-patients for clinical trials in real time, from HIE data-flows.
• Clinical Informatics Professor for UA School of Medicine Medical Students, Attending to Emergency- and Family-Medicine Residents at their respective programs locations in Phoenix and Tucson.

Confidential

Partner, Medical Informatics R D Director

• Direct medical informatics research and development R D for First Point clients.
• Develop interfaces HL7 and proprietary for client organizations and EHR components, development and deployment.
• Improve Outpatient CPOE . See Page PAGEREF RMI h, under REF RMI h PAGEREF RMI h 3
• Research, lecture and publish about Object-Oriented Databases OODB advantages over Relational Database Management Systems RDBMS for HIT.
• Lecture and write on advantages of OODB with OO programming to address navigational traversal interfaces and impedance mismatch i.e. object-relational-mapping, workstation cache synchronization, schema evolution i.e. attribute-volatility, .
• Establish R D agreements with organizations in medical informatics R D, such as:
• Advisor to InterAmerican University of Puerto Rico San Juan / Metro Campus and University of Puerto Rico Mayaguez Campus computer-science post-graduate i.e. Masters and Doctoral candidates on health care informatics projects for their graduate-theses.
• UPR-SoM Dermatology Ophthalmology Departments/Residencies use of digital medical-image capture, storage, analysis and processing to follow-up treatment progress.
• UPR-SoM Pathology Radiology Departments/Residencies - use of controlled medical terminologies and code-sets to test medical-concept-encoding in computer-based records.
• San Juan Veterans Administration Hospital VA Caribbean Healthcare System to test HL7 Java-component for systems interfaces.
• San Juan HIV Institute - Test MLMs protocols. Measure nursing paper-records vs. nursing-data-acquisition with tablet-computers.

Confidential

Founder and President

• Architect and develop first U.S. Outpatient CPOE with Master Person Index MPI and Health-data Source Index i.e. Record Locator Service.
• Handles extended-naming practices and conventions like double last-names, maiden names by married individuals, etc.
• Available as Free Open Source Software FOSS through SourceForge.net as HIP Outpatient CPOE 1 .
• Based upon HL7 Orders and Results O/R Reference Information Model RIM, thus, handles any electronic O/R message including e-prescribing, e-clinical labs, e-referrals, etc.
• Patent on the concept of electronic submission of ambulatory health care orders without having to define order-recipient 2 protecting and complying with patient's consent and Freedom-of-Choice basic rights 3, 4 in health care,
• Continuously up-to-date and available as FOSS through SourceForge.net as Medical Receivables 5
• HL7 interoperability since 1998 - connects to any HL7-capable HIT / EHR system.
• Published first versions in 1985 for Mac OS, 1993 for MS-Windows, and 2001 for Linux/Unix.
• Architect and develop first Graphical User Interface GUI, cross-platform, concurrent multi-platform, multi-user, multi-site, multi-specialty Practice Management System PMS

Confidential

Generalist / PCP, On-Call, House-staff, and Emergency Services Physician

• Primary care, diagnosis, stabilization and urgent/trauma-care, since second year of residency on spare/part time, throughout health care entities in Puerto Rico.
• Treat patient health complaints, consult and refer patients to suitable services.
• No adverse-events or litigations to date.