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Project Manager Health

Location:
Elk Grove, CA, 95758
Posted:
April 22, 2010

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Resume:

GREGORY C. EWING

**** ******* *****, *** *****, CA 95758

916-***-**** (home) ( *******@****.***

EXPERIENCES

Employment Experiences

AMERICAN RIVER STRATEGIC ADVISORS, LLC, Elk Grove, CA

Director (February 2009 to present)

. Selected Clients:

o Wal-Mart Stores, Inc.

o TriCare Management Activity

o URAC

o Tara Cares, LLC

. Activities:

o Co-direct HIPAA Privacy, Security and HITECH assessment,

remediation and compliance efforts.

o Participate in the review, analysis and development of HIPAA and

HITECH Privacy crosswalk and gap analysis.

o Serve as HIPAA Security subject matter expert; provided legal

advice regarding strategic choices for developing information

systems processes and policies and procedures that are compliant

with the HIPAA Security Rule and best practices.

o Review, analyze and revise training materials on the Privacy Act

of 1974 and the eGovernment Act of 2002.

o Review, revise and draft client HIPAA policies and procedures.

o Develop HIPAA and HITECH training tools.

o Conduct site visits for HIPAA assessments, remediation and

training.

o Provide legal advice and guidance on organization's policy and

procedure and training tools development and roll-out.

o Develop data breach management plan and policy.

o Drafted Red Flags Rule guidance memorandum.

SUTTER HEALTH, Sacramento, CA

Affiliate Support Counsel (March 2006 to February 2009)

. Reviewed, revised and drafted system-wide HIPAA Security policies and

procedures.

. Provided legal advice on various privacy issues and regulations,

including HIPAA Privacy Rule, Information Privacy Act )(IPA),

Confidential Medical Information Act (CMIA), Patient Access to Health

Records Act (PAHRA), and Lanterman, Petris, and Short Act (LPS),

. Provided legal services to health care providers which included

hospitals, medical foundations, and other health care provider groups,

along with various joint ventures generating $12 billion in revenue.

. Ensured Stark, Anti-Kickback and tax exempt status compliance for all

physician recruitment arrangements for the six hospitals located in

Sutter Health's Sacramento-Sierra region.

o Advised hospital directors of physician recruitment on various

physician recruitment arrangements and options.

o Reviewed and analyzed all physician recruitment funding requests.

o Reviewed and revised all physician recruitment board of trustees'

materials.

o Assisted in the development of system-wide physician recruitment

policy and procedures, templates and training materials.

o Negotiated and drafted all physician recruitment agreements,

promissory notes and security agreements, amendments.

o Negotiated and drafted all physician recruitment default

settlements and agreements.

. Negotiated and drafted call coverage agreements, medical director

agreements, multi-year professional services agreements, general

surgery, psychiatrist, and general internist hospitalist agreements,

asset purchase agreements, and quality incentive plan agreements.

. Provided training on Stark compliant behavior for incidental benefits

and non-monetary compensation.

. Developed company vendor policy.

. Participated in electronic health record development efforts.

. Analyzed, advised, negotiated and drafted documents for business

transactions.

. Advised internal clients regarding operational legal issues, including

Stark, Anti-Kickback Statute, anti-trust, governance, EMTALA, HIPAA

Privacy, advertising, marketing and local zoning regulations.

. Drafted/reviewed/edited various Sutter sponsored publications for

legal/policy impact.

THOMPSON COBB BAZILIO & ASSOCIATES, P.C., Washington, DC

Senior Manager (August 2003 to March 2006)

. Project Manager - Led HIPAA Privacy compliance, implementation and

maintenance efforts

o Managed the privacy office for the District of Columbia's $1.2

billion Medicaid program through vendor contract.

o Developed agency HIPAA Privacy policies and procedures.

o Assisted in development of compliance training materials.

o Served as Subject Matter Expert and interim Privacy Officer.

o Developed HIPAA Privacy Rule Compliance Assessment Tool.

. Served as Subject Matter Expert/Policy Analyst for District of

Columbia's HIPAA Security Rule Compliance program.

o Assisted in the development of assessment documents to determine

compliance with regulatory requirements and best practices for

information security and the provision of related services for

nine District of Columbia agencies.

o Assisted in the development of readiness assessment, business

impact analysis, risk analysis, security compliance checklist

reports; made recommendations to ensure compliance.

o Reviewed, revised and drafted District-wide Security policies

and procedures.

. Served as subject matter expert/senior policy analyst on fiscal

intermediary and carrier compliance assessment.

o Drafted compliance and risk assessment tools; lead gap analysis

and evaluation; directed recommendations development.

DASHIELL & ASSOCIATES, P.C., Boston, MA

Of Counsel (November 2001 to August 2003)

. Provided corporate, business, health law and litigation services to

national and international for-profit and not-for-profit

organizations.

. Participated in residential and commercial real estate transactions

and community development projects.

BROWN RUDNICK FREED & GESMER, Boston, MA

Associate, Corporate Department, Health Care Practice Group, Senior Care

Group, (1998 to 2000)

. Participated in federal criminal and civil defense of national health

care provider involving Medicare/Medicaid fraud and abuse, Stark,

illegal kickback, and false claims.

. Reviewed, analyzed, and drafted physician, HMO, IPA, PHO, hospital and

health provider contracts and agreements.

. Researched and drafted memoranda on legal topics including, but not

limited to, antitrust, intermediate sanctions, credentialing, risk

contracting, regulatory compliance, Medicare/Medicaid reimbursement

issues and HIPAA analysis.

OTHER

CENTER FOR COMMUNITY HEALTH EDUCATION, RESEARCH AND SERVICE, Boston, MA

Project Manager (November 2000 to August 2003)

. Managed fifteen member team to implement a Health Resources & Services

Administration funded program designed to promote greater prescription

drug adherence, reduced pharmaceutical expense through the use of

disease state and case management provide by a team of clinical

pharmacists, and increased utilization of 340B Drug Pricing Program.

. Developed IRB and patient consent processes.

. Researched and analyzed Medicare/Medicaid reimbursement issues as well

as HIPAA and other federal and state statutes and regulations.

. Drafted letters of understanding, contracts and memoranda; attended

and presented at various conferences.

. Assisted in developing policy recommendations for Massachusetts League

of Community Health Center pharmacy task force.

. Assisted in strategic planning and policy development for

Massachusetts Department of Medical Assistance and Massachusetts

Division of Health Care Policy and Financing.

. Wrote proposals in response to RFPs.

EDUCATION

BRANDEIS UNIVERSITY, HELLER SCHOOL, Waltham, MA

Ph.D. Candidate, Health Policy (September 1996 to 2003)

HARVARD SCHOOL OF PUBLIC HEALTH, Boston, MA

Master in Public Health, Law and Public Health Concentration (June 1996)

BOSTON UNIVERSITY SCHOOL OF LAW, Boston, MA

Juris Doctor (May 1995)

OBERLIN COLLEGE, Oberlin, OH

Bachelor of Arts, Music

ASSOCIATIONS

. President-elect, Past-Vice President, Board of Directors, Pharmacy

Foundation of California (2008 to present)

. Member, Board of Directors, Target Excellence (2006 to present)

. Member, Board of Trustees, George Washington University Hospital,

Washington, DC (2005 to 2006)

. Past - Co-Chair, Board of Trustees, Dimock Community Health Center;

also member - Strategic Planning Committee, and member - Mental Health

Human Rights Committee (1998 to 2003)

. Preparing for Certified Information Systems Security Professional

(CISSP) examination

PROFESSIONAL MEMBERSHIPS:

. Member, American Health Lawyers Association:

o Past Vice-Chair, Strategic Activities, Healthcare Liability and

Litigation Practice Group;

o Past Co-Leader, Privacy and Security Compliance and Enforcement

Affinity Group, Health Information Technology Practice Group

. Member, California Society of Healthcare Attorneys

. Member, Massachusetts Bar Association

SELECTED PUBLICATIONS AND PRESENTATIONS

. "Court Awards $400,000 to Patient for Physician's Refusal to Provide Sign

Language Interpreter," Healthcare Liability & Litigation Newsletter,

American Health Lawyers Association, May 2009

. "Wireless Communication and Remote Access: Developing protections for

Today's Security Threats," Health Information Technology News, American

Health Lawyers Association, May 2007

. Columnist, Healthcare Review (monthly column entitled "Health Law") 1999-

2000

. Selected Presentations:

o "PHI/EPHI HITECH Act Breach Notification and Protecting EPHI on

Mobile Computing Devices," Buffalo, NY, September 19, 2009

o "Stark Phase III, Incidental Benefits and Non-Monetary

Compensation," August 2008, Sutter Health, Davis, CA

o "Technology and Data Collection in Community-Based Research,"

Harvard School of Public Health, April 2002, Boston, MA



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