Management Medical

Maxine C. Brown

*** ** ******* ***** ****.

Laurelton, New York 11413

Tel: 718-***-**** cell 718-***-**** home

***********@*****.***

PROFESSIONAL SUMMARY: Healthcare professional with 28 years of experience in the

management and administration of hospital based and free standing ambulatory care services in

one of the largest public hospital systems in the country, the New York City Health and Hospitals

Corporation (HHC). Experienced in multi site management, service delivery to multi cultural

population, emergency department administration, patient access/Call center, “Lean” principles;

management of grant funded programs, school based health services, managed care operations,

specialty outpatient services: HIV, Dialysis, Sickle Cell; management of adjunct health services:

Women, Infant and Children (WIC) and Food and Nutrition (FAN) programs, Diabetes Resource

and Wellness Centers. Overall supervisory responsibility for over 700 culturally diverse staff of

varying titles. Direct supervision of 12 administrative and clinical directors and managers.

PROFESSIONAL EXPERIENCE:

Deputy Executive Director

Network Ambulatory Care Services August 1999 to September 2010

Kings County Hospital Center

Brooklyn, NY 11203

Administered and managed the daily operations of the Kings County Hospital Center (KCHC) on

campus general and specialty ambulatory care services, off site primary care clinics and adjunct

services, Emergency department (until April 2009), Dialysis and Sickle Cell units, community

outreach programs, and managed care operations. Coordinated all medical and dental outpatient

services to support the professional and ancillary staff in attaining organizational goals. Ensured

regulatory compliance and efficient patient flow with emphasis on customer service. Position

reported to the Senior Vice President/Executive Director of Kings County Hospital Center.

Operations Emergency Services:

• Managed the delivery of approximately 140,000 adult and pediatric visits annually, in

conjunction with the clinical leadership, utilizing a product line management model, where

the entire operations and clinic leadership have reporting relationships to the ED

administrator.

• Developed policies and procedures, in conjunction with clinical directors, that were

consistent with the hospital’s goals.

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Developed, in conjunction with the clinical staff and registrars, a patient flow/triage system

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in the Emergency Department which reduced patient entry to triage time by 70%.

Reduced total cycle time/patient through put by 50% for “treat and release” (non urgent)

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patients, and by 35% for urgent patients.

Implemented use of Nurse Practitioners in the ED, to increase staffing in a cost effective

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manner. Project began with one NP and was expanded to six NPs.

Reduced EMS turn around time by 20%, by collaborating with EMS leadership and ED

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staff, and by streamlining the ambulance triage process.

Spearheaded on going survey readiness programs to ensure compliance with New York

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State and City Health Departments, The Joint Commission, IPRO, EMTALA regulations,

and HHC and KCHC policies and procedures. The ED received excellent scores on

surveys.

Worked with IT Department to develop ED computerized medical record and CPOE

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(computerized physician order entry) systems to streamline patient flow and facilitate

communication with other hospital services. Improved patient care with use of the

electronic record.

Reduced the frequency of ED Diversions by establishing “trigger” points within the ED,

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and developed a system of alerts to bed tracking, admissions office and inpatient services.

Implemented HIV Rapid Testing in the ED.

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Developed Sexual Assault Response Team (SART) in the ED, in conjunction with clinical

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staff and social work departments. Gained SART provider certification from New York

State Department of Health (NYSDOH).

Gained Stroke Designation from NYSDOH and CETCAN (Comprehensive Evaluation and

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Treatment of Child Abuse and Neglect) designation from New York City Department of

Health (NYCDOH)).

Instituted an education program for all clinical staff, in conjunction with the Network’s

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Division of Training and Development.

Supervised various levels of staff; direct reports were one (1) Senior Associate Director,

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four Assistant Directors of Nursing; dotted line responsibility for ED medical director and

clinical supervisors, all tours.

Operations Clinic and Ancillary Services:

• Provided executive leadership for the on campus clinics which provided over 300,000

visits annually.

• Planned and coordinated the daily activities and operations of a Diagnostic & Treatment

(ENYDTC), with approximately 95,000 visits per year, and the satellite clinics which

provide 20,000 visits annually.

• Integrated ten former NYS Department of Health Child Health Clinics into the KCHC

Network; opened new clinics; closed non performing clinics.

• Expanded patient access by increasing the number of community providers enrolled in the

managed care plans; credentialed these providers within the network.

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Maintained or exceeded enrollment in the Women, Infants and Children (WIC) programs.

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Exceeded enrollment in the Food and Nutrition (FAN) program, the largest such program

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in New York State; received excellent survey results.

Fiscal:

• Managed several cost centers within the network, for the KCHC clinics, the ENYDTC, the

satellite clinics and the adjunct programs such as FAN, WIC, Diabetes Resource and

Wellness Centers.

• Developed procedures to monitor the closing of visits (over 80% of visits were closed

within 48 hours of service), cost reduction strategies and increase visits and revenue.

• Managed numerous NYS and NYC grant funded programs, totaling several million dollars.

Larger grants included Prenatal Care and Assistance Program (PCAP), HIV, COBRA,

WIC, FAN, and Family Planning.

• Managed the budgets for several initiatives: Cancer, Asthma, Reach out and Read,

Smoking Cessation, NYS Breast Health Program.

• Managed the NYS Community Health Care Conversion Demonstration Project

(CHCCDP), which provided funding to KCHC of $11 $16 million dollars each year for

six years.

Capital Programs:

• Led the ambulatory care team on construction projects; worked on the design and

construction committees of the new Kings County Hospital, focusing on the Emergency

Department and Ambulatory Care Pavilion, the new Sickle Cell Day Hospital and Clinic

and the Dialysis Unit in conjunction with by Facilities Management.

• Worked with Facilities Management to renovate the ENYDTC, to build an Asthma Center

at ENYDTC, to upgrade the satellite clinics.

• Led the team on the acquisition, purchase and development of three additional sites for the

FAN and WIC programs. New FAN site became operational this summer; WIC sites will

be operational later.

Committee Assignments:

Medical Board, Infection Control, Patient and Executive Safety, Emergency Department and

Ambulatory Care Clinical Councils, Patient Flow, Executive Quality of Care Review, Medical

Records, Strategic Planning, Managed Care, Community Advisory Boards, Executive

Management, Regulatory, HIV Care Network, Revenue Management, Disaster Planning and

Compliance.

Senior Associate Executive Director

Network Ambulatory Care Services October 1997 1999

Kings County Hospital Center, 451 Clarkson Avenue, Brooklyn, New York 11203

Administered and managed the daily operations of the Network Primary Care clinics: the

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East New York Diagnostic & Treatment Center (ENYDTC) and ten primary care (Family

Health Services [FHS]) clinics located in Staten Island and Brooklyn, New York. The

responsibilities of this position are similar to those outlined below for the ENYDTC.

Integrated the newly acquired FHS ambulatory care sites into the Network, oversaw the clinic

activities to ensure compliance with relevant regulatory requirements. Supervised all levels of

staff from medical, nursing and clerical disciplines. Managed facility budgets; supervised

performance improvement programs; prepared facilities for the implementation of NYS

mandatory Medicaid managed care .

Deputy Executive Director December 1992 October 1997

East New York Diagnostic & Treatment Center, 2094 Pitkin Avenue, Brooklyn, NY 11207

Administered and managed the daily operations of the clinical departments, ancillary and

support services, and facilities management. Worked with senior staff, department heads and

managers to identify, analyze, develop and recommend policies, systems, programs, and

operational standards to assure efficient delivery of quality health care services. Supervised

managerial, professional, non professional and support staff of 200+ persons who delivered care to

over 22,000 individual clients, producing 95,000+ visits annually.

Prepared and monitored department budgets totaling $16 million. Developed and maintained

institutional policies and procedures for the support of patient care; monitored departmental

quality management programs; supervised the facility's Medicaid Managed Care program;

ensured departments' compliance with various accrediting and regulatory bodies.

Senior leader for facility's capital and construction management programs in conjunction

with Kings County Hospital Center's Facilities Management Staff. Served on several

committees of the Medical Board; Chairperson for the Ambulatory Care Committee; served as

Administrator on Duty; represented the Executive Director, as necessary.

Administrative Director, Emergency Services August 1990 November 1992

University Medical Center, Jacksonville, Florida 32207

Administered and managed the Emergency Department and Walk in Clinic with combined

annual visits of 85,000. Direct line responsibility for the 24 hour operation of the

Emergency Department; supervised nursing and clerical staff of 104 FTEs. Prepared and

managed departmental budgets. Developed and maintained policies and procedures; evaluated and

maintained quality management and staff education activities. Led the ED to a very successful

Joint Commission repeat survey. Participated in hospital and medical board sub committees.

Represented the hospital on the County wide Emergency Preparedness Committee.

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RPICC Program Director June 1989 to August 1990

Children's Medical Services

University Medical Center, 655 W. Eighth Street, Jacksonville, FL 32209

Managed the daily operations of the Hospital's Regional Perinatal Intensive Care Program, a State

of Florida Health Initiative to improve outcomes for newborns. Supervised a staff of eight neonatal

and obstetrical case workers; liaised with other RPICC institutions, state and local government

agencies. Prepared and managed departmental budgets.

Associate Director November 1983 to August 1988

Maternal and Child Health, Ambulatory Care Services

Kings County Hospital Center, 451 Clarkson Avenue, Brooklyn, New York 11203

Administratively responsible for the overall planning, management and operation of the Pediatric

Emergency Services and Clinics, and outpatient Women's Health Services. Direct line

responsibility for the 24 hour operation of the Pediatric Emergency Department, and daily

operation of the pediatric and OB/Gyn clinics, with approximately 180,000 visits annually.

Supervised sixty managerial and clinic support personnel. Managed operating budgets and grants

in excess of $4.5 million. Individually responsible for complete survey readiness; assured

compliance with applicable NYC/NYSDOH regulations and Joint Commission Standards. Served

on various Hospital Committees; served as Administrator on Duty/on Call.

EDUCATION:

New York University, New York

Masters in Public Administration; concentration in Health Policy, Planning and Administration.

Fordham University, New York

Bachelor of Arts in Natural Science

PROFESSIONAL RECOGNITION and AWARDS:

National Public Health & Hospital Institute 1999 Fellow, Washington, DC

Aesclepius Medical Society, Inc., Brooklyn, New York

US House of Representatives Congressional Record 106th Congress

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