Daniel Joseph David, M.D.

Medical Director, Health Alliance PHO

**** * ******* ****** – Suite 300 •Johnson City, TN 37604 • 423-***-**** • Fax: 423-***-****

Professor, Department of Family Medicine (Retired)

James H. Quillen College of Medicine at East Tennessee State University

917 W. Walnut Street • Johnson City, TN 37604 • 423-***-**** • Fax: 423-***-****

SUMMARY: Medical Director of a PHO and of a managed care provider network with 14 years

experience in network development and management, credentialing,

medical/utilization management, managed care contracting, disease management and

quality/performance improvement with the following highlights:

Co-led with the CEO, the expansion of the PHO from one hospital and ~350

physicians to six hospitals and 650 physicians and of its profitability after

five years of operation.

Implemented a “Physician Advisory Board” and coordinated credentialing,

medical management services and supported network development for the

22 hospital, 1200 physician managed care network encompassing Northeast

Tennessee, Southwest Virginia and Western North Carolina

Developed a CVO (credentialing verification organization) to support

facility’s credentialing verification processes and facilitate physicians’

response to payer credentialing requirements

Implemented of a ‘physician advisor’ program to serve as a liaison between

health system case managers & social workers, attending physicians,

patients and payers with a positive impact on length of stays & payment

denials

Implemented a severity/risk-adjusted profiling program to provide

physicians with comparative peer data on their clinical practice performance

as a tool to identify potential areas for quality and efficiency improvements

Implemented and direct an outpatient CHF (congestive heart failure) disease

management program which has reduced CHF admissions by 50%

Leading the development and implementation of a clinical integration model

College of Medicine faculty with 26 years experience in teaching & clinical activity,

and 14 years experience as a Director of residency training with progressive

organizational management and leadership experience and success:

Expanded the residency from twelve to eighteen residents

Expanded faculty from three to five

Revised recruiting to consistently fill available positions with US graduates

Increased financial stability of the program through growth in clinical and

grant revenue

Initiated evidence-based medicine component of curriculum

CURRICULUM VITAE

EDUCATION: CME Clinical & Management Focus

Post Graduate Roanoke Memorial Hospital

Training: Family Practice Residency Program

Roanoke, VA

July 1978 – June 1981

Medical School: University of Virginia School of Medicine

Charlottesville, VA

Degree: M.D.

August 1974 – May 1978

Undergraduate Washington and Lee University

Education: Lexington, VA

Degree: B.S. cum laude (Biology)

August 1970 – May 1974

EXPERIENCE: Faculty, Johnson City Family Practice Residency Program

Department of Family Medicine

James H. Quillen College of Medicine

East Tennessee State University

June 1985 – August 2008

Director, Johnson City Family Practice Residency Program, February 1986 – June 1999

Medical Director, Mountain States Health Alliance:

Physician-Hospital Organization, 1994 – 2009

Mountain States Managed Care, Inc., 1997 – 2004

Medical Director, Clinical Performance Improvement,

Johnson City Medical Center July 2006 – June 2008

Medical Director, PHP Cariten Insurance Company, Tri-Cities Division, 2007 - 2008

Medical Director,

Four Oaks Healthcare and Rehab, Jonesboro, TN, March 2002- Present

Anderson Healthcare Inc., Gray, TN, 1993 – March 2002

USAF Regional Hospital, Carswell AFB, TX

Assistant Director Family Practice Residency, July 1981 – July 1985

Deputy Director of Medical Education, ACLS Instructor,

Academic Clinical Instructor

ACADEMIC

APPOINTMENTS: Professor Emeritus, Department of Family Medicine, 2008

Professor, Department of Family Medicine, 1996 - 2008

Associate Professor, Department of Family Medicine, 1990 - 1996

Assistant Professor, Department of Family Medicine, 1985 -1990

James H. Quillen College of Medicine,

East Tennessee State University

Adjunct Faculty – Departments of Psychiatry, Obstetrics and Gynecology and

East Tennessee State University School of Nursing

Introduction to Clinical Medicine, IV, Instructor

James H. Quillen College of Medicine

1986 - 1992

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Daniel J. David

Human Sexuality - Small Group Leader

James H. Quillen College of Medicine

1986 - 1988

ICM - III, Physical Diagnosis - Instructor

James H. Quillen College of Medicine

1986 - 1988

Preceptor, American Academy of Family Physicians

Flexible Sigmoidoscopy Preceptorial Training Program

1987

LICENSURE: Tennessee, MD 016413, 1985 - Current

Virginia, 010*-******, 1979 - Current

SPECIALTY

BOARD

CERTIFICATION: Diplomate, American Board of Family Practice - 1981

Recertified, American Board of Family Practice - 1987, 1993, 1999, 2006

MEDICAL BOARD

CERTIFICATION: National Board of Medical Examiners, 1979

Certified Medical Director, American Medical Directors’ Association

PROFESSIONAL

ORGANIZATIONS: American Academy of Family Physicians

Tennessee Academy of Family Physicians

Society of Teachers of Family Medicine

Tennessee Medical Association 1985-2005

Washington-Unicoi-Johnson County Medical Association 1985- 2005

Southern Medical Association

National Committee for the Prevention of Elder Abuse

American College of Physician Executives

American Medical Directors Association

HONORS AND “Health Care Hero” – “Cup of Kindness Innovation Award” for Congestive Heart Failure

AWARDS: Outpatient Management Program; Tri-Cities Business Journal, King Pharmaceuticals and

Monarch Pharmaceuticals 2005

“Performance Improvement Champion,” Mountain States Health Alliance, February 2005.

“Best Collaboration in Disease Management,” National Award from the Disease Management

Association of America, October 2004.

Dean's Excellence in Teaching Award, 1992 – 1999

Family Medicine Teacher of the Year,

Johnson City Family Practice Residency Program

1987, 1991, 1995

USAF Commendation Medal - 1985

Family Practice Teacher of the Year, USAF Regional

Hospital, Carswell AFB, TX – 1982, 1984

Fellowship status, American Academy of Family Physicians - 1982

Chief Resident, Roanoke Memorial Hospital - 1980 - 1981

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Daniel J. David

ADMINISTRATIVE

EXPERIENCE: Department of Family Medicine East TN State University:

Promotion & Tenure Committee 2004

Executive Committee, 1986 - 1999

Program Directors' Committee, 1986 - 1999

Practice Plan Committee 1986, 1999

Practice Operations Committee, 1992 – 1999

Health Information Systems Committee, 1985 - 1988

Research Committee, 1985 - 1988

Faculty Development Committee, 1985-1988

James H. Quillen College of Medicine:

Managed Care Steering Committee, Chair, 1996

MEAC Task Force for Physician Compensation, 1993 - 1994

Admissions Committee, 1993-1995

Pre-Med Med Admissions Committee, 1993 – Present

Chairman, Search Committee for Chairperson for the

Department of Psychiatry, 1989 - 1990

Financial Aid/Scholarship Committee, 1988-1992

Consultant to Center for Geriatrics and Gerontology, 1986- Present

Johnson City Medical Center:

Physician Hospital Organization Board of Directors, 1996-present

Mountain States Managed Care, Inc. Board of Directors, 1997-2004

Cariten-PHP Board of Directors, 1997-2008

Credentials Committee, 2003 – 2005, 2008-

Performance Improvement / Risk Management Committee, 1998-Present

Medical Staff Quality Improvement Committee – 1999 - Present

Clinical Pathways Steering Committee, 1993-94

Staff Development Committee, 1990-96

Pharmacy and Therapeutics Committee, Chairman, 1995 -96

Hospital - College of Medicine Liaison Committee, 1996-99

Utilization Review Committee, 1991-present

Bylaws Committee, Vice-Chairman, 1995-96

Chairman, Department of Family Practice, 1987-89

Executive Committee of the Medical Staff, 1987-89

Joint Advisory Committee to Board of Directors, 1987-90, 1993-1998

Diagnostic and Therapeutics Committee, 1987-88

Medical Advisor to Nursing Services, 1987-88

Education Committee, 1985-88

Professional Organizations:

Board of Directors, Tennessee Medical Foundation, 2007 - Present

Physicians Health Program Committee, Tennessee Medical Foundation,

1990-present

President, Washington-Unicoi-Johnson County Medical Association, 1989

Delegate, Tennessee Medical Association, 1989

Alternate Delegate, Tennessee Medical Association, 1993-98

Liaison Committee to Medical Schools, Tennessee Academy of Family

Physicians, 1986-89

Delegate, Tennessee Academy of Family Physicians, 1995-97

Physician Representative, Adult Protective Services Review Team

Department of Human Services First Regional Tennessee,

Department Public Health, 1986-88

USAF Regional Hospital, Carswell AFB, TX

Pharmacy and Therapeutics, Quality Assurance and

Medical Records Committees, 1981-85

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Daniel J. David

PUBLICATIONS:

“Atrial Fibrillation” Chapter in Essentials of Family Practice, Robert Rakel, 1998.

Bayard, M, Holt J, David D. “An Interactive Approach to Teaching Practice Management to

Family Practice Residents.” Family Medicine, Oct 2003

David, DJ. Earl, DT. "Snuff as a Respiratory Drive Stimulant, A Case Study",

American Family Physician, 50 (1): 50; July 1994

David, DJ. "An Open-ended Vasectomy", JABFP 8 (1); Jan-Feb 1995: 77.

David, DJ. "Multicenter, Double-Blind Randomized Trial Comparing Fosinopril

to Enalapril in Patients with Previous Angiotensin Converting Enzyme

Inhibitor Cough", Journal of Hypertension, 1994; 12 (Suppl 3): 592.

Earl DT, David DJ. "Depo-Provera: An Injectable Contraceptive". American

Family Physician, 1994; 49(4): 891-4.

David DJ. Firmness, Concern Recommended for Impaired Physician - Management

Grand Rounds, Physician Executive, Vol 19 (3): 29-31, May - June, 1993.

David DJ, Freeman A, Harrington TM. Buspirone for anxious women in a primary

care environment - a multi-center open evaluation. Advances in Therapy 1987; 4:

251-264.

Gutierrez-Nunez AI, Stevens MB, David DJ. Fever Without a Focus. American

Family Physician 1985; 32: 138-144.

David DJ. The New Family Physician - Adapt and Survive. Modern Medicine 1984;

52: 31-32.

David DJ, Brownlee HJ, Steele JI, et al. The Stress of Transition From Residency

Training to Clinical Practice in the Military Setting. J Family Practice 1984; 19:

558-559.

David DJ. Christmas and Depression. J Family Practice 1983; 17: 1083-1086.

David DJ, Spyker DA. The Acute Toxicity of Alcohol: Dosage and Kinetics

Monogram. Vet and Hum Tox 1979; 21: 272-276.

Golden GT, David DJ, Smith TE, et al. Fractures of the Phalanges and

Metacarpals: An Analysis of 555 Fractures. JACEP 1977; 6: 79-84.

RESEARCH: “Organized Program to Initiate Life-Saving Treatment in Hospitalized Patients with

Heart Failure” (“OPTIMIZE-HF”), Principal Investigator, GlaxoSmithKline, 2003.

“Clinical Guidelines”, Chapter in Textbook of Family Practice, Robert Rakel, 2001.

“Atrial Fibrillation” Chapter in Essentials of Family Practice, Robert Rakel, 1998.

"A 6-Week, Double-Blind, Double-Dummy, Parallel Placebo-Controlled, Multicenter

Comparison of SK&F 108566 and Enalapril on Cough in Patients with

Angiotensin-Converting Enzyme Inhibitor (ACE-I - Induced Cough and Essential

Hypertension (DBP >95 and <115mmHG)", SmithKline Beecham, 1995

"An Open Label, Safety Trial of the Tetravalent Rhesus Rotavirus Vaccine (RRV-TV)

in Healthy Infants"; co-investigator, Wyeth-Ayerst, 1994.

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Daniel J. David

"A multicenter, double-blind, placebo-controlled, parallel group comparison of the

safety and efficacy of oral twice daily administration of SB205312 with inhaled

beclomethasone in patients with mild to moderate asthma"; principle investigator,

Smith Kline Beecham, 1994.

"Population Pharmacokinetics of Sparfloxacin", Rhone-Poulenc Rorer, 1993 - 1994

"A Multicenter, Three-Arm Comparative Study of Cefprozil (250mg BID or 500mg

BID) Versus Amoxicillin/Clavulanate Potassium (500mg TID) In The Treatment of

Acute and Uncomplicated Maxillary Sinusitis," Bristol-Myers Squibb, 1993 - 1994.

"Double-Blind, Randomized, Trial Comparing Fosenopril versus Enalapril in Mild to

Moderate Essential Hypertensive Patients with a History of ACE Inhibitor

Associated Cough"; principal investigator; sponsor, Bristol Myers Squibb,

1992 - 1993.

"A Randomized Clinical Trial Comparing Monopril Versus Procardia XL in Older,

Overweight Mildly Hypertensive Patients"; principal investigator; sponsor, Bristol

Myers Squibb, 1992 - 1993.

"Double-Blind, Randomized, Comparative Multi Center Study of (RP 64206)

Sparfloxacin Versus Cefaclor in Treatment of Community Acquired Pneumonia";

Principal investigator; sponsor, Rhone-Poulenc Rorer Research; April, 1992

"Consultation practices of Family Practitioner's in a hospital setting", 1988

"An open-label study of Voltaren treatment in patients with osteoarthritis using the

arthritis impact measurement scales", principal investigator, 1988

"Elderabuse, risk factors in an ambulatory patient population", principal investigator,

1987

An unblinded study examining the use of buspirone in anxious patients, principal

investigator; sponsor, Bristol-Myers, 1987.

"Placebo-controlled Trial of Fosenopril for the Treatment of Mild to Moderate

Essential Hypertension"; co-investigator; sponsor, E.R. Squibb and Sons; 1986.

"A Double-blind Placebo-controlled Study of Etofenamate Gel in the Treatment of

Soft Tissue Trauma Associated with Sports Injuries"; principal investigator; sponsor,

William H. Rorer, Inc.; 1985

"Suprofen in Musculoskeletal Pain"; co-investigator; sponsor, McNeil

Pharmaceuticals; 1985

PRESENTATIONS: “Quality Improvement in Healthcare”, workshop for second-year residents in the

Department of Family Medicine, ETSU, July 3, 2008.

“Documentation & Coding for Physicians”, Norton Community Hospital Internal

Medicine Residency, June 2008

“Documentation & Coding for Physicians” – Multiple Presentations at Community

Hospitals, 2007

“Engaging Physicians” Disease Management Leadership Forum, December 2006

“Managed Care and Quality Improvement”, September 2006

“Disease Management for CHF”, March 2006

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Daniel J. David

“Outpatient CHF Management” (Poster), Institute for Healthcare Improvement

Annual Forum, December 2004.

“Innovative Practice Management Training”, STFM Annual Meeting, 2004

“An Interactive Approach to Teaching Practice Management to FP Residents,”

STFM Southeast Regional Meeting in October 2002

“Dementia Update,” Third International Medical Update,

ETSU/JHQCOM, August 2, 2001

“Health Care Odyssey – Managed Care Overview,” Department Family Medicine,

July 2001

“Introduction to Evidence-based Medicine,” Johnson City FP Residency,

September 2001

"Elderabuse", 96th Annual Convention Tennessee

Osteopathic Association, Chattanooga, TN, May 5, 1994

` "Multicenter, Double-Blind Randomized Trial Comparing

Fosinopril to Enalapril in Patients with Previous Angiotensin Converting

Enzyme Inhibitor Cough", Poster presentation, International Society of

Hypertension Meeting, Melbourne, Australia, March, 1994.

"Hypertensive Emergencies", Department of Psychiatry,

James H. Quillen College of Medicine, April, 1994

"Elder Abuse and Neglect" Southwest Virginia Training

Consortium, Eleventh Annual Seminar on Older Persons,

Virginia Highlands Community College, Abingdon, VA

May 19, 1993

"Vasectomy Workshop", Department of Family Medicine

CME Program, May 26, 1993

"Chemical Dependence - Barriers to Recognition,"

Department of Family Medicine CME Program;

Bristol Regional Medical Center, March 29, 1993

"Hypertensive Emergencies", Tennessee Primary Care

Association, Johnson City. 1988

"Anxiety," Medical Staff Grand Rounds, Sycamore Shoals

Hospital, Elizabethton, TN. 1988

"Hypertensive Emergencies" - Acute Care Problems in

Primary Care, Garden Plaza Hotel, Johnson City, TN, 1987

"Adolescence", presented bimonthly to third year clerks on Family

Practice, 1987-92

"Clinical Laboratory Skills", presented bimonthly to third year clerks on

Family Practice, 1987-92

"Elderabuse: Multi Disciplinary Approach", Summer Geriatric Institute,

University of Kentucky, 1987

"Acute Toxicity of Ethanol", Department of Biochemistry, James H. Quillen

College of Medicine, 1987-90

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Daniel J. David

"Estrogen Replacement Therapy", Department of Pharmacology, James

H. Quillen College of Medicine, 1987-90

"Short Arm Cast Application", presented quarterly to third year clerks on

Family Practice, 1986-88

"Elderabuse", Family Practice Grand Rounds, Bristol Memorial Hospital,

Bristol, TN, 1986

"Elderabuse - Multi Disciplinary Approach", Southern Gerontological

Society, 1986

"Elderabuse - Multi Disciplinary Approach", Summer Geriatric Institute,

University of Kentucky, Lexington, KY, 1986

"Elderabuse", Tennessee Academy of Family Practice, Gatlinburg, TN

1986

"Fever Without a Focus", Family Practice Grand Rounds Holston Valley

Hospital, Kingsport, TN, 1986

"Elderabuse", Public Television Production, 1986

Videotape: "Elderabuse - The Office Visit", Center for Geriatrics and

Gerontology, East Tennessee State University, 1986

"Family Physician Role in Obstetrical Care", Tri-Cities CBC affiliate

station for local broadcast, 1986

Presentations for Residency Noon Conferences, variety of clinical,

behavioral and practice management topics, 1985 - Present

"The Stress of Transition from Residency Training to Clinical Practice in

the Military Setting." Uniformed Services Academy of Family Practice

Annual Meeting, Washington, D.C., 1983 and at the 16th Annual Society

of Teachers of Family Medicine Conference, Boston, MA.

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Daniel J. David

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