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Medical Management

Location:
Allentown, PA
Posted:
May 23, 2014

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Resume:

JAMES H. BRADEN, MBA, RHIA

Hyde Park, New York **538

acd9ov@r.postjobfree.com 619-***-****

SUMMARY of QUALIFICATIONS

Extensive background in developing and implementing information management strategies within large

medical centers and integrated delivery networks. A proven change agent with a primary focus of

improving the quality/safety of health care while maximizing benefit realization and clinical/business

process transformation through the design/adoption of Hospital Informatics.

• Planning: Ability to define the mission driven vision and strategy of migrating from current to

future state; a combination of Hospital and Regional Health Information Organization (RHIO)

Informatics strategic planning experiences at a state and national level.

• Financial Planning: The leadership required to secure financial and organizational support and

sponsorship across the key clinical/business stakeholders coupled with administering budgets

supporting efficient and cost effective use of resources.

• Staff Management: The leadership and tenacity to execute/implement the strategy in partnership

and close collaboration with clinical/business management teams across the organization in a fashion,

which solves problems, improves departmental performance as well as maximizing adoption and

benefit realization.

• Performance Improvement: Experienced facilitator and team leader with advanced knowledge of

Continuous Quality Improvement

BUSINESS EXPERIENCE

H.I.M. ON CALL, Inc. - Allentown, PA,

Vice President and General Manager of International Operations, and Corporate Compliance

Officer, 09/2013 – Current

• Reporting to the Chairman and Chief Executive Officer, responsible for planning, leading directing

and controlling its’ subsidiary Pena4 Tech Solutions Pvt Ltd. with a Leadership Team and combined

staff of @ 300 FTE providing ICD-9 and ICD-10 coding services. In preparation for the implementation

of ICD-10, provide overall strategic planning and executive leadership across Pena4 Tech Solutions of

India Pvt Ltd located in Visakhapatum, India and Hyderabad, India. H.I.M. ON CALL, Inc. and its’

subsidiary Pena4 provide data-rich technology tools and services to make better ICD-9 and ICD-10

coding decisions, bolster revenue and prepare US Healthcare Systems for change. The company

provides high quality coding, audit and documentation support services for a myriad of health care

system clients’ in the US.

• Independent Consultant, – H.I.M. ON CALL, Inc. - 06/2013 – 09/2013

Interim HIM Director at SUNY Downstate Medical Center – (LICH) Long Island College Hospital in

Brooklyn, NY. Provided HIM leadership throughout the transitioning from a 500+ bed academic

teaching hospital to a facility with under 59 beds and primary care clinics

• Independent Consultant, (Self Employed – 1099) 09/2011 – 5/2013

National healthcare consultant to hospitals and health systems providing a range of consultative services

spanning from HIM Operational Assessments; EMR/LHR and document imaging operational readiness

assessments; HIPAA Privacy and Security Assessment and post live HIM issue mitigation support.

JAMES H. BRADEN Page 2

HEALTH QUEST HEALTH SYSTEM, Poughkeepsie, NY

Non-profit 3-hospital system with a myriad of entities in the Hudson Valley region of NY

Corporate Director HQ HIM, 01/2009 – 09/2011

Reporting to the AVP Financial Planning and Revenue Cycle, responsible for system wide strategic

direction, transformation and leadership of health information management across the HQ enterprise.

• Following a comprehensive assessment of HIM across HQ, developed an HQ HIM Transformation

Strategic Plan encompassing transitioning the HIM organization to a corporate structure; the

optimization and standardization of HIM business processes and systems in alignment with the

$60M HQ “Monarch” Transformation project focused on transforming clinical/business processes

and systems to an electronic medical record.

• Led the HQ HIM Team in achieving and sustaining critical HIM operational outcomes which met

and exceeded standards as evidenced by our published HIM Dashboards

• Led the system wide design, build and implementation of HIM 3M record management and coding

applications coupled with collaborating on the design/implementation of Cerner clinical and

McKesson (Horizon and Series) financial applications across the clinical enterprise.

• Led the HIM preparation for and currently in the early stages of implementing McKesson HPF

(Horizon Patient Folder) across the clinical enterprise inclusive of form format standardization and

bar-coding/indexing.

• Led the development, definition and implementation of the Legal Health Record infrastructure

across the HQ Health System in partnership with key HQ Senior Clinical and Business Executives

which has been designed to mitigate risks and accelerate adoption of the emerging Electronic

Medical Record while leveraging demonstration of meaningful use requirements.

• In collaboration with Corporate Legal Counsel and Corporate Compliance, led the implementation

and HQ leadership education focused on Record Management with focus on proper Record

Retention and Destruction throughout the life cycle of documents.

• Developed and led a team of seasoned HIM Directors across the HQ Hospitals in the transformation

of organization, systems and revenue cycle processes coupled with improving/optimizing HQ

revenue cycle outcomes while laying the foundation for transitioning to ICD – 10 implementation.

PARKLAND HEALTH AND HOSPITAL SYSTEM, Dallas TX

968-bed system with Level I Trauma Center and a myriad of hospital and primary care clinics

Director HIM Record Management, 2007 – 2009

• Led a transformation of the HIM Record Management organization, with 40 FTEs, encompassing a

file conversion to a new 47,000 square foot active record center (300,000 medical records), and build

out of a 49,000 square foot archive record center (3M+ medical records), hospital – on site based

record management operations in HIM supporting over 3000 record requests per day as well as

across the HIM operations over the 11 primary care clinics (COPC’s) across the Dallas region.

• Implemented the suite of Epic EMR modules including the successful 2008 implementation of Epic

Chart Tracking, Chart Deficiency and ROI applications.

MERIDIAN HEALTH SYSTEM, Red Bank, NJ

Non-profit 1300-bed system with 3 hospitals and 72 entities on the Jersey Shore region

Executive/Corporate Director HIM, 2003 – 2006

• Built and led a seasoned HIM Management Team to deliver a wide array of superior HIM services

which exceeded expectations across the Meridian Health System

JAMES H. BRADEN Page 3

Led the reorganization and reengineering of the HIM operation across the 3-hospital health system

resulting in a dramatic turnaround of strategic performance outcomes in areas such as Revenue

Cycle and Accounts Receivable transformation focused on IP and OP DNFB. These efforts

supported reducing average AR to less than 40 days as well as Coding accuracy of 99%.

Additionally, reengineered Transcription TAT, Physician and chart completion, which exceeded

customer expectations.

As a member of the Executive IT Steering Committee, participated in setting strategic direction

regarding EMR vision and implementation

Led the strategic vision, and implementation of a system wide Record Management Program and

Meridian Record Center designed to insure regulatory compliance coupled with the infrastructure

supporting transformation from hybrid records/film to Electronic/Image based Health Records.

Represented the Meridian Health System in a number of regional and national EMR strategic

planning forums such as NJHA EHR Task Force, Siemens National HIM Advisory Committee, and

AHIMA Legal EHR Work Group. The result of these efforts was participating in setting policy,

direction and/or the creation of national (AHIMA) Practice Briefs focused on Electronic Health

Records – Health Information Exchange and the formation of Regional Health Information

Organizations.

SHARP HEALTHCARE, San Diego, CA

Non-profit 1,800-bed system with seven hospitals throughout San Diego, California

Vice President, EMR Clinical Process Design, 2001 - 2002

• Led the clinical process design and initial phases of implementing a $40M Electronic Medical

Record (IDX and Cerner EMR) system across Sharp HealthCare.

• Defined and implemented key performance strategies around best practices to achieve projected ROI

while keeping the project on time and on budget.

• Developed web based and functionally aligned EMR training modalities for physicians, pharmacists,

nurses, and all other clients destined to use the EMR

• Administered the redesign/reengineering of operational workflows through cross discipline/system

critical design teams.

• Established the communication channels supporting the strategic, tactical and operational

dimensions of the project. Timely communications with clinical and business leadership to

efficiently deploy the EMR and achieve maximum benefit realization.

THE DETROIT MEDICAL CENTER, Detroit, MI

1900 bed academic health system with seven hospitals and over 100 clinics, throughout eastern

Michigan with 280 FTEs in HIM

Executive Director, Health Information Management, 1998 – 2001

• In collaboration with Patient Finance led a Revenue Cycle management program, which reduced

Accounts Receivables HIM cycle time 87% to 2 days ADR, a national best practice/benchmark.

• The DMC operational compliance objectives were not being achieved. Following 8 months of

intervention, these objectives were exceeded by over 25%.

• Achieved a validated outcome of coding/documentation optimization exceeding 98%.

• Led the reorganization and achieved a dramatic reduction in Transcription TAT across the DMC

Hospitals and Clinics

• Represented HIM on the IT Steering Committee in support of implementing Cerner Electronic

Health Record Solutions across the DMC

THE UNIVERSITY OF TEXAS MEDICAL BRANCH, Galveston, TX

904 bed academic medical center with 144 clinics, throughout Southeast Texas

JAMES H. BRADEN Page 4

Director, Health Information Management, 1992 - 1998

• Provided overall direction and management for all HIM operations while reorganizing the

department into a streamlined and self empowered team based organization (149 FTE).

• Developed and led a Clinical Documentation Management Program initiative, which improved the

specificity of documentation and supported revenue, cycle services.

• Implemented re-engineered processes improving record availability from 75% to 99.9%, a national

benchmark.

• As Co-Chair of the Health Information Committee and member of HIS Steering Committee,

facilitated physician consensus in the vision of the computerized medical record.

• Responsible for $5.7 Million operating budget and $1.7 Million Capital budget.

• Chairman of Clinical Enterprise Policy & Procedures Committee developed and implemented the

strategy of web-based policies/procedures across UTMB.

UNITED HEALTH SERVICES HOSPITALS, Binghamton, NY

A two-hospital system with six clinic centers and several subsidiaries

Manager, Department of Medical Record Services, 1986 - 1992

• Provided the planning, and direction of all Medical Record services at both hospitals.

• Accomplishments included a reduction in the amount of accounts receivable by $4 million and the

reduction in the turnaround of medical record transcription from an average of 10 days to an average

of 24 hours.

• Actively participated on the project management team that evaluated, identified, selected and

implemented the SMS hospital information system.

MASSACHUSETTS GENERAL HOSPITAL, Boston, MA

Large academic medical center with an extensive clinic facility and research center. 1975 - 1986

Associate Director Department Of Medical Records, 1985 – 1986

Assistant Director Department Of Medical Records, 1984 – 1985

Patient System Analyst, O.R. Administration, 1982 – 1984

Systems Analyst And Manager Of Bone Bank, 1978-1982

Clinical Unit Secretary, Clinical Administration, 1975 – 1978

EDUCATION

RHIA Credential, 2014, Alabama State University

MBA, 1984, Suffolk University, Boston, MA

BBA, Concentration in Health Care Administration, 1978, University of Massachusetts at Boston

PROFESSIONAL AFFILIATIONS

Member of American Medical Informatics Association

Member of American Health Information Management Association

Editorial Board, Clinical Data Management, Aspen Publications

Editorial Board, Medical Record Briefing, Opus Communications

Editorial Board, Hospital Payment and Information Management

Editorial Board, Medical Records: Forms, Checklists and Guidelines manual, Aspen Publications

Chairman, HIM Academic Program Advisory Board, UTMB, Galveston, Texas, 1994-1998

Advisory Board, Broome Community College, Binghamton, New York 1987

Assistant Professor/Clinical Instructor, University of Mississippi HIM Program, 1999 – 2007

AHIMA Legal EHR Work Group – Best Practice Briefings 2006 - 2007

JAMES H. BRADEN Page 5

Siemens National HIM Advisory Council 2005 - 2006

PUBLISHED WORK

Presented lecture at National AHIMA Conference Philadelphia Pa., 1995.

Presented HIM Reengineering lecture at Southwest Texas State University, San Marcos TX. 1996

Published 2 chapters on Re-engineering HIM - Topics in Health Information Management, February,

1996

Numerous articles published in national journals/newsletters 1993-2006

Presented lecture at National HIMSS Conference Atlanta GA, 1996

Selected as 1997 HIM Director of the Year at National Chart Tech Conference, June 1997

Published paper on The Future of HIM – AHIMA Journal, February 1998

Presented lecture at National AHIMA Conference, New Orleans, La 1998

Presented lecture at IDX National User Group Meeting – Boston 2001

Presented paper at AMIA Annual Conference – Washington, DC 2001

Presented lecture at Annual CHIMA meeting – Palm Springs, CA 2002

Contributing Author AHIMA Practice Briefs - Legal EHR and HIE/RHIO 2006/2007

Contributing Author – The Legal Health Record: Regulations, Policies, and Guidance – AHIMA Press

2010



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