Physician Executive with demonstrated leadership, management, and relationship building skills in primary care, hospital system and insurance engagements
Demonstrated leadership in Clinical integration, IT clinical advisory role and clinical process improvement, care management and transitional care improvement including post acute care strategies to reduce readmission and improve delivery of home care services
Demonstrated leadership in developing primary care reorganization and development of a top of license care delivery model
MD with board certification in Internal Medicine and sub specialty certification in Critical Care.
Experienced with case management process and Interqual and Milliman Guidelines.
Experienced with PEER review process and leading from the front.
Experienced with Palliative Care principles and program development
Creative solution creator with ability to drive revenue growth, market share and coordinate appropriate/cost effective resource utilization among diverse health care teams.
• Clinical Care- Demonstrated excellence in clinical skills for direct patient care in both the Critical Care/Hospitalist Inpatient population
• Management- Demonstrated background in project management, planning, developing and executing integrated delivery processes. Highly developed negotiating skills and experience motivating strategic business partnerships.
• Team Building- Decisive team leader with extensive experience in motivating, developing talent, and retaining personnel.
• Responsibility for Case Management Support and development of opportunities for LOS Reduction and Improved Documentation as well as compliance with InterQual, Hedis, and TEIC Guidelines
• Communication- Persuasive communicator with well developed listening, presentation and negotiation skills.
Senior Medical Director- Accountable Care Solutions @ Senior Medical Director Aetna/ActiveHealth/Accountable Care Solutions with primary responsibility to ProHealth Medical Group in Hartford Ct- a premier state wide primary care medical group
Responsible for effectively applying the Aetna Efficiency and Quality Model to drive provider performance
Development of reporting tools and provider communication tools for HDMS DART (Active Health- Data Analytic Reporting Tool) for provider use
Applying Quality Measures and Benchmarks to advance the health of the population and individuals within the population
Designing clinical collaboration programs to drive quality outcomes and obtain full value form the ACO collaboration
Development and Deployment of a Practice Embedded Care Management model
Development and Deployment of a Telephonic based Care Management model
Development and Deployment of a Hospital and SNF based Care Management and Utilization Model
Development and Deployment of narrow network products in SNF, Home Care, Cardiology, GI, Pulmonary, and Palliative Care
Development and Deployment of “Provider- Specialists Compacts” to enhance collaborative care and align expectations
Development and Deployment of Efficient Site of Service Reports for Ambulatory Services, Radiology Services, Medication Infusion Services
Development and Deployment of tools for reduction of “Avoidable” ED Services and for Reduction in Readmissions
Development and Deployment of a Post-Acute Care Strategy for the ProHealth ACO with appropriate utilization of SNF and Home Care Services using Milliman Criteria, and deployment of an Advanced Practitioner Practice network of care for Home Based care
Deployment of “QURE” (an Aetna associated tool) to assess and reduce variation in care for Diabetes and CHF
Development and Deployment of Guidelines of Care for these 2 diseases
Development of curriculum and deployment of a Leadership training program for young leaders in the ProHealth organization From August 2013 to Present (2 years 5 months) Medical Director Population Health Medicine @ Responsible for effectively applying the Aetna Efficiency and Quality Model to drive provider performance
Development of reporting tools and provider communication tools for HDMS DART (Active Health- Data Analytic Reporting Tool) for provider use
Applying Quality Measures and Benchmarks to advance the health of the population and individuals within the population
Designing clinical collaboration programs to drive quality outcomes and obtain full value form the ACO collaboration
Development and Deployment of a Practice Embedded Care Management model
Development and Deployment of a Telephonic based Care Management model
Development and Deployment of a Hospital and SNF based Care Management and Utilization Model
Development and Deployment of narrow network products in SNF, Home Care, Cardiology, GI, Pulmonary, and Palliative Care
Development and Deployment of “Provider- Specialists Compacts” to enhance collaborative care and align expectations
Development and Deployment of Efficient Site of Service Reports for Ambulatory Services, Radiology Services, Medication Infusion Services
Development and Deployment of tools for reduction of “Avoidable” ED Services and for Reduction in Readmissions
Development and Deployment of a Post-Acute Care Strategy for the ProHealth ACO with appropriate utilization of SNF and Home Care Services using Milliman Criteria, and deployment of an Advanced Practitioner Practice network of care for Home Based care
Deployment of “QURE” (an Aetna associated tool) to assess and reduce variation in care for Diabetes and CHF
Development and Deployment of Guidelines of Care for these 2 diseases
Development of curriculum and deployment of a Leadership training program for young leaders in the ProHealth organization
Facilitate transition from didactic to action-oriented processes From August 2013 to Present (2 years 5 months) Director Hospitalist Medicine Service, CMIO MidState Medical Center @ Medical Director of Hospitalist Services - MidState Medical Center- a partner of Hartford HealthCare (HHC)
Responsibility for the development and performance of a Hospitalist Service
Responsible for Management of > 95% of all patients admitted to MidState Medical Center
Outcome studies for LOS, Mortality, and Readmission at least in top quartile of performance for New England Programs
Experience wit hDelta Trident, Premier, Solucient, Quantros, Eclipsys and AllScripts Implementation and Databases
CMIO (Chief Medical Information Officer) MidState Medical Center
Medical Director Clinical Documentation Program MidState Medical Center (JATA)
Hartford HealthCare Hospitalist Coalition Project- Chair
Hartford HealthCare Electronic Charge Capture Revision Project
Hartford HealthCare Meaningful Use Project-
Hartford HealthCare Electronic Chart Documentation Project
Hartford HealthCare Physician Leadership Project- Chosen as 1 of 4 MidState Representatives
Co-Chair Length of Stay/Patient Throughput Task Force
Medical Director DRG Assurance Program
Physician Advisor for MidState Medical Center Utilization Management Program
Co- Leader Development of ICU Task Force
Member Incident Management Team -Command Position- Medical Technical Specialist
Director of Medical Management Program
Director of Care Management
Medical Chair CHF Community Collaboration Program
Member of Development of Palliative Care Program
Member AllScripts Case Management Implementation Team
Member of Revenue Enhancement Project
Member Incident Management Team -Command Position- Medical Technical Specialist
Physician Advisor Qualidigm Organization -QIO State of Connecticut
Member Qualidigm-Connecticut Hospital Association Readmission Redesign Project
Chair of Information Transfer Subcommittee
Ct Chapter of the Society of Hospital Medicine- President Elect
Faculty for Quinnipiac Physician Assistant Training program
Assistant Professor at Netter School of Medicine From 2007 to August 2013 (6 years)
University of Pittsburgh School of Medicine From 1983 to 1984 Brown University School of Medicine From 1980 to 1983 MD @ University of Massachusetts Medical School From 1976 to 1980 AB Magna Cum Laude @ Brandeis University From 1972 to 1976 Howard SFHM is skilled in: Healthcare, Hospitals, Inpatient, EHR, Internal Medicine, Critical Care, Quality Improvement, Leadership, Physicians, Medicine, Utilization Management, Healthcare Management, ICU, EMR, Healthcare Information Technology