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Medical Director Resume Example

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MEDICAL DIRECTOR
Executive Profile

High-performing physician executive with demonstrated excellence in change management, organizational transformation, clinical quality improvement, clinical informatics, establishment of culture of patient safety, physician peer review implementation, utilization review and utilization management, patient case management, patient experience improvement, and achieving the highest value for patients and payers. Achieves optimal outcomes through process improvement, program coordination, and cultivation of strong relationships across multiple disciplines. Has established track record of creating and implementing programs and long-term strategies for improving quality, safety, and reducing costs. This physician leader creates strategic alliances with physicians and organization leaders to effectively align with and support key initiatives.

Skill Highlights
  • Strong leadership skills in multiple settings across multi-site organization
  • Team building across multiple sites
  • Strong Communication skills
  • Strong skills in clinical informatics
  • Experience in EHR and CPOE implementation
  • Utilization management expertise
  • Strong knowledge of patient case management
  • Experience in clinical investigations
  • Performance Improvement using evidence-based tools
  • Knowledgeable about CMS COP
  • Care redesign
  • Evidence based care and order set creation
  • Safety culture implementation and training
  • Wide-ranging medical career with clinical experience in various inpatient and outpatient settings
Core Accomplishments

Advancing the Quality Agenda

  • Established culture of high performance and attention to quality metrics
  • Mercy Campus has received payback from CMS since inception of Value Based Purchasing.  
  • Mercy Campus currently achieving cost-of-care at 87% of Medicare.
  • Developed culture of patient care excellence with Mercy site ED achieving best quality scores in system and region
  • Pioneered use of Evidence Based Orders Sets on campus; helped establish order sets for the system for most common DRG's and championed their use
  • Lead campus multidisciplinary team to reduce cost and waste in Pneumonia DRG's which decreased costs by $6000 per case and reduced LOS from 5.25 to 3.82 days in DRG 194. When implemented system-wide saved system more than $1million annually  

Promoting Culture of Patient Safety

  • Established Culture of Patient Safety and Just Culture
  • Instructor in TeamSTEPPS, AHRQ communication initiative for improving communication and improving patient safety
  • Trained hospital staff in SafetyFirst initiatives from HPI (Healthcare Performance Improvement)
  • Collaborate with Infection Prevention Specialist and surgeons to reduce SSIs and key player in development of SSI Prevention Bundle.
  • Physician Champion for Surgery Safety Initiative from AHRQ and Johns Hopkins Armstrong Institute
  • Pioneered use of Evidence Based Orders Sets

Advancing Value

  • Championed acquisition and implementation of CRIMSON initiative at system level to review physician utilization and quality data
  • Member of Clinical Redesign group to reduce $5 million in costs in system by eliminating waste and unnecessary work across common inpatient DRGs
  • Chaired campus Clinical Redesign team to improve cost and LOS for pneumonia DRGs, resulting in annual $1 million savings system wide in first year
  • Key player in strategies for reducing readmissions across system and at campus level.
  • Strong supporter of LEAN initiatives to reduce waste and unnecessary redundancy in patient care and operations.

Utilization Management and Care Management Expertise

  • Pioneered role of Medical Director of Clinical Effectiveness across healthcare system
  • Spearheaded centralized remote UM/UR for entire system at one location with greater than $1 million savings per year
  • Medical Director and Physician Adviser to Utilization Management/Utilization Review Department
  • Key participant in Care Management Redesign at campus and across system 
  • Championed adoption of Milliman Care Guidelines (MCG) for UM and for Care Management staff

Clinical Innovation

  • Member System Care Redesign Leadership Team
  • Lead campus multidisciplinary "Care Redesign" team to reduce cost and waste in Pneumonia DRG's
  • Participated in creating transformational change of hospital and system from hospital-focused/illness based to community-focused/wellness based
  • Championed TeleStroke program 
  • Championed antibiotic stewardship and de-escalation protocol
  • Participant in "Hospital of the Future" and "Healthcare 2020" forums
  • Established first Chest Pain Center in western Iowa
  • Participated as lead clinical investigator at Mercy Campus in Genetech original studies in TPA use in acute myocardial infarction
  • Established Clinical Decision and Treatment Unit (ED OBS) in ED
  • Developing additional CDTU protocols for other diagnoses for observation in ED to reduce readmissions
  • Established new Occupational Health Clinic with zero budget and zero additional FTEs
  • Established first Hospitalist Program in the Council Bluffs-Omaha metro area

Clinical Informatics

  • IT superuser status
  • Member of EHR team which determined that system would move to new EHR platform (EPIC) from previous platform (SORIAN)
  • Assisted implementation of new EHR and CPOE
  • Member of Business Intelligence Steering Committee
  • Member of Physician Informatics Committee
  • Member of HIMSS

Professional Experience
Medical Director, 08/2019 to CurrentIowa Veterans Home － Marshalltown, IA
  • Oversight of all medical care to 500 residents at facility
  • Serve as resource to medical and nursing staff
  • Lead quality and safety initiatives
  • Promote TEAMSTEPPS training and serve as faculty 
  • Lead organization to become high reliability healthcare organization
  • Promote leadership training at facility
​
Chief Medical Officer/VP of Medical Operations, 08/2005 to 02/2020CHI Health Mercy Hospital － Council Bluffs, Iowa
  • Responsible for clinical quality and patient safety over continuum
  • Promote Culture of Patient Safety
  • Champion quality and safety initiatives
  • Integral member of care management redesign team for system
  • Oversight of nurse care management staff
  • Collaborate with and mentor elected Medical Staff officers and Medical Executive Committee regarding clinical quality, patient safety, value creation, and regulatory issues
  • Collaborate with CNO and other disciplines regarding clinical quality, patient safety, and other initiatives
  • Provide education to Medical Staff regarding Value Based Purchasing, value creation initiatives, clinical quality and patient safety metrics
  • Consultant and mentor to Peer Review Committee
  • Promote and champion patient experience initiatives (Studer)
  • Collaborate with pluralistic medical staff (employed physicians and independent physicians) to develop alignment and clinical integration
  • Assist IT with physician implementation of EMR, CPOE, and other IT initiatives
  • Collaborate across the system on quality, safety, and value initiatives
  • Work to bring about organizational transformation.
  • At system level successfully advocated for CRIMSON tool for physician utilization trends and opportunities for cost reduction.
  • In January 2015 through June 2016, was given CMO responsibility for CHI Health Immanuel Hospital in Omaha, in addition to CMO duties at Mercy Hospital in Council Bluffs to oversee and promote quality and safety initiatives at additional facility.  
​​
System Director of Clinical Effectiveness, 12/2011 to 06/2015Alegent Creighton Health System － Omaha, Nebraska
  • Medical Director of Utilization Management Department for 5 metro Omaha hospitals (approx 1200 beds)
  • Established remote Utilization Management Department to maximize resources and allow hospital/site Nurse Care Managers to focus on patient care coordination rather than UM/UR activities.
  • Remote UM Project also moved from out-sourced physician review service to internal review, saving system more the $1 million per year
  • Championed adoption of Milliman Care Guidelines (MCG) for UR and for Care Management across the system.
  • Collaborated with Finance and Revenue Cycle staff with RAC audits.
  • Collaboration with Coding Documentation Improvement (CDI) staff to insure correct coding and documentation for all patients
  • Oversaw the assurance of clinical data integrity, (data collection, definitions, accuracy, and reproducibility) and clinical data analysis for tracking, trending, decision support and planning.

Hospitalist Program Medical Director, 09/2005 to 05/2011Alegent Health Mercy Hospital － Council Bluffs, Iowa
  • Responsible for oversight of Hospitalist program and providers
  • Insured alignment with quality, patient safety, and strategic initiatives
  • Created clinical documentation tools for providers
  • Outreach to physicians, clinics, and rural hospitals
  • Developed report card for Hospitalist providers
  • Successfully integrated Nurse Practitioners into Hospitalist team.

Assistant Professor of Medicine and Deputy Director HIV Clinic, 03/2002 to 10/2005University of Nebraska Medical Center － Omaha, NE
  • Academic appointment as full-time Assistant Professor of Medicine and as faculty member
  • Teaching responsibilities for medical students, residents, and allied health professionals
  • Oversight of clinical care of outpatients at main campus clinic
  • Responsible for outreach to rural clinics
  • Established CA Program for RWCA program
  • Physician Liaison with local Community Advisory Board
  • Medical Director of Nebraska AIDS Education and Training Center
  • Educational strategies for largely rural state
  • Collaborated with other members of the MidPlains AIDS Education and Training Regional Network and with national thought leaders in HIV education and prevention.

Emergency Department Medical Director, 09/1976 to 03/2002Alegent Health Mercy Hospital － Council Bluffs, Iowa
  • Responsible for clinical care in Emergency Department
  • Created culture of excellence in clinical care, quality outcomes, and patient experience
  • Established advanced EMS system across Southwest Iowa
  • Developed strong relationships with EMS providers across region
  • Developed first Chest Pain Center in SW Iowa collaborating with cardiology and ICU
  • Developed and implemented EBM protocols in ED Code
  • Blue Improvement Team to standardize equipment, improve Code Blue responses, and established evaluation tools (now used across system)
  • Served on campus Medical Executive Committee.
  • Participated in creation and implementation of statewide Iowa Trauma Program; responsible for successful certification of Mercy Hospital as Level III Trauma Center
  • Medical Director of Iowa Western Community College, Council Bluffs, Pre-Hospital Training Program
  • Served as Medical Director of more than 12 advanced and basic rural rescue squads
Education
M.D.:Medicine,1975The University of Michigan Medical School － Ann Arbor, Michigan

______________________________________________________________

Bachelor of Science:Zoology,1971University of Michigan － Ann Arbor, NE
  • Degree awarded With Distinction

______________________________________________________________

High School Diploma:1967Ypsilanti High School － Ypsilanti, Michigan
  • Valedictorian
  • President of Student Council
  • Member of National Honor Society

______________________________________________________________

Family Practice ProgramUniversity of Nebraska Medical Center － Omaha, NE

_______________________________________________________________

AWARDS AND RECOGNITION

March 2017 - Council Bluffs Iowa Community Heritage Award Winner for Health and Human services. 

August 2015 - Iowa Hospital Association - Hospital Hero Award 

May 2015 - Invited speaker at MCG (Milliman Care Guidelines) National Users Conference

March 2014 - Invited speaker at National Association of Physician Advisors Annual Summit

June 2012 - Invited speaker at The Advisory Board CRIMSON National Conference

June 2012 - The Advisory Board CRIMSON Physician Partnership Award

April 2009 - Spirit of Mission Award (awarded by Alegent Health System to individuals displaying behaviors consistent with the Mission)

June 2008 - Nurse Practitioner Advocate of the Year Award (American Association of Nurse Practitioners - Iowa Chapter)

March 2005 - Invited faculty HRSA HIV/AIDS Bureau, Rockville, Maryland

August 2004 - Faculty at Ryan White Care Act All Titles Conference, Washington, DC

Professional Appointments
  • Physician Lead, Iowa Healthcare Collaborative, Partnership for Patients, Healthcare Engagement Network, March 2012 to present
  • Chair, Alegent Health System Clinical Informatics Committee, 2010 to 2013
  • Chair, Alegent Health System IT Steering Committee, 2010 to 2013
  • Member, Iowa Healthcare Collaborative board, 2008
  • Assistant Professor of Medicine, University of Nebraska Medical Center, 2002 to 2005
  • Member, Iowa Trauma System Advisory Committee ,1999-2001
  • President of Medical Staff, Mercy Hospital, Council Bluffs, 1995, 1996
  • President and Medical Director, Midlands EMS Council, 1983 to 1986
  • Board Member, Midlands EMS Council, 1980 to 1986
  • Medical Director, Iowa Western Community College, Pre-Hospital (EMS and Paramedic) Training Programs, 1976 to 2002
  • President, American College of Emergency Physicians, Iowa Chapter, 1978
Professional Memberships
  • American Association for Physician Leadership (formerly National Association of Physician Executives), 2005 to present
  • HIMSS (Healthcare Information and Management Systems Society), 2005 to present
  • Telligen (formerly Iowa Foundation for Medical Care), 2010 to present
  • National Association of Physician Advisors, 2012 to present
  • Society of Hospital Medicine, (2002 to 2012)
  • American College of Emergency Physicians, (1976 to 2002)
Community Service
  • Council Bluffs Community Alliance, member
  • SNAP! Productions, Omaha (Community Theater), volunteer, Board member, development director
  • Nebraska AIDS Project, volunteer and former Board member
  • First Unitarian Church of Omaha, former Treasurer and Board member
SKLL
Revised March 2020
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Resume Overview

Companies Worked For:

  • Iowa Veterans Home
  • CHI Health Mercy Hospital
  • Alegent Creighton Health System
  • Alegent Health Mercy Hospital
  • University of Nebraska Medical Center

School Attended

  • The University of Michigan Medical School
  • University of Michigan
  • Ypsilanti High School
  • University of Nebraska Medical Center

Job Titles Held:

  • Medical Director
  • Chief Medical Officer/VP of Medical Operations
  • System Director of Clinical Effectiveness
  • Hospitalist Program Medical Director
  • Assistant Professor of Medicine and Deputy Director HIV Clinic
  • Emergency Department Medical Director

Degrees

  • M.D. : Medicine , 1975
    Bachelor of Science : Zoology , 1971
    High School Diploma : 1967
    Family Practice Program

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