Principal and CEO at SPS and Associates (2004-01 – Present)
Strategic consulting and executive services to healthcare organizations.
- Executive management compliance coaching resulting in redesigning assessment and documentation for national Medicare Advantage contractors
- Business development consultation to east coast revenue cycle firm including proposal development, presentations, compliance consultation, and redesign of business templates
- Subcontractor to the Lane Group, LLC as Interim COO/CNO in 200-bed hospital in Georgia
- Interim EVP/COO for three hospital system in Chicago, Illinois
- Interim Sr. VP/COO/CNO and project principal for four hundred bed hospital system in Montgomery, Alabama (3 engagements)
- Principal consultant for nursing and patient service product/labor management redesign for two hospital system in Florida
- Subcontractor to FTI/Cambio for productivity analysis, cost containment, and redesign at large health care system in Washington, D.C. area. Designed template for physician extender productivity analysis resulting in improved performance and cost control
- Business development, infrastructure, and care management/disease management consultation to start-up software company in the southeast
- Assessment of case management systems and infrastructure supporting pay-for-performance, ICD-10 conversion, and compliance sensitive documentation
- JCAH, DOH and Magnate readiness preparations
- Clinical software implementation support, management coaching/development, customer service improvement project for NYU HJD
- Physician executive coaching specific to contract negotiations and delineation of clinical performance parameters
- Subcontractor to Reimbursement Review Associates, Inc. for project planning, CDI and ICD10 implementation, and physician compliance/regulatory education
Principal at Health Management Associates, LLC (2014-01 – 2020-12)
Consultant and executive coach to safety net hospitals, health systems, payers, and community agencies.
Executive Coach and Faculty at UCDCI/RRA, Inc. (2012-01 – 2014-12)
Faculty and consultant to for-profit school providing executive and team coaching plus direct training and development for ICD-10 and CDI including all aspects of clinical management, change strategies, coding in ICD-10 and CDI program development and training for all levels of providers.
Principal & Executive Vice President at Managed Transitions LLC (2005-01 – 2011-12)
Healthcare consulting and interim executive leadership.
- Consultations included strategic planning, executive team coaching, and regulatory response/planning for an evolving health system in North Carolina. CEO was contracted through an academic medical center. Strategic plan focused on reorganization and education of board for new system, physician practice development and alignment, improving efficiency and effectiveness (quality) of clinical programs and management development
- Interim EVP/COO for 3-hospital system in one of Chicago's culturally diverse and economically challenged communities with a 75% Medicaid payer base. Assumed and restructured the President's role to enable greater focus on operations and a more efficient management structure. Reversed Medicare/Medicaid citations restoring funding to programs at risk; initiated cost savings actions plans that resulted in 2.5 million in saving with 5 months; implemented executive team assessment and evaluation; instituted executive development plans; integrated management team for 3 hospitals into one; successfully responded to collective bargaining attempt, and restructured quality/performance improvement program
- As Interim COO/CNO in 200-bed community teaching hospital restructured executive and management teams and regained market share specific to cardiovascular, orthopedic, and general surgery programs. Worked with Board to re-establish hospital brands in a highly competitive environment. In collaboration with physician's restructure care and clinical resource management and performance improvement programs
Nurse Administrator, Per Diem at NYU HJD (2010-01 – 2014-12)
Provided administrative and clinical oversight for weekends and shifts.
- Select management projects including oversight and coaching of nurse management transition with focus on safety and performance improvement
Corporate Vice President Office of Clinical Resources at Saint Vincent's Catholic Medical Centers of New York / Sisters of Charity
Senior member of team responsible for ensuring effective transition during full equity merger of healthcare entities including 8 acute care hospitals, 1 behavior health hospital, 2 nursing home, 1 hospice, 2 community visiting nurse services, 1 rehabilitation center, over 10 ambulatory care centers, and over 100 part-time clinics for people with chronic disorders. Directed clinical resource management and associated regulatory affairs for the system. Coordinated physician integration and implementation of clinical growth and cost reduction initiatives.
- Re-designed off-site ambulatory care center operations that resulted in regulatory compliance including strategic closure of twenty-eight sites and restructuring of services resulting in increased volume and revenue
- Redesigned and implemented ambulatory hematology/oncology program changes which resulted in improved service quality, revenue cycle management, and regulatory compliance. Fiscal impact exceeded $1 million in the first year and then replicated at three additional sites
- Redesigned and implemented care management infrastructure and contracting methodology for capitated/risk contract with annual revenue of $64 million. Reduced negative margin/operating loss from $5 million annually to a profit margin of 10% within 2 years
- Led acquisition and implementation of business/clinical decision support tools including cost accounting, market share analysis, clinical data analysis, and business plan development. Achieved goal of new infrastructure that enhanced collaborative decision-making with clinical and operations leadership and improved clinical and fiscal management
