Medical Quality Assurance
Resume:
** Traditional CV/Resume **CURRICULUM VITAMedical AnthropologyMedical Geography and Disease SurveillanceWest Nile SurveillanceEnvironmental Health GISSpatial Analysis of ExposureNatural SciencesHistory of MedicineHistorical Buildings and SitesThen and NowGENEALOGY-BIOGRAPHY The Research of American DoctorsMedical Surnames Index
Public Health, Medicine and History
** Traditional CV/Resume **
BRIAN L. ALTONEN, MS MPH
Beacon NY 12508
********@*****.***
http://www.researchgate.net/profile/Brian_Altonen/
http://brianaltonenmph.com
BUSINESS/POPULATION HEALTH ANALYST
June 2009 November 2012. Business Analyst, Express Scripts, Inc., formerly Medco, Inc. POPULATION STATISTICIAN/DATA MINER & ANALYST
–Responsible for analyzing and reporting on 90+ million people with electronic records, for $10B/yr industry.
–Designed standardized SAS, SQL, and other macro queries for standard consumer behavior metrics.
–Invented new population statistical modeling techniques for populations of n>1M+ people, at 1 yr age-gender level.
–Performed federal, regional and gatekeeper required review of census records, income, SIC and local history.
–Performed client-driven adhoc queries in SQL and SAS on Terabyte stored data.
June 2007 May 2009. Postgraduate Institute for Medicine, Jobson, Inc. Denver CO.
STATISTICIAN, Education Outcomes Manager
–Invented grounded theory text analysis technique and semi-automated tool quantifying survey generated open end text responses.
–Responsible for analyzing and reporting on teacher and student performance for continuing education programs.
–Analyzed satisfaction surveys for more than 250 programs, with 60 end-of-year summary surveys, 80,000 students/contacts per year, 3500 end-of-year participants with a 2-3% response rate.
–Developed, implemented and maintained automated/semi-automated reporting tools for all standard queries and reports.
July 2004 to May 2007 Denver Health Managed Care Denver CO
MEDICARE/MEDICAID PROGRAM ANALYST/COMPLIANCE SPECIALIST
–Biostatistician responsible for analyzing and reporting on the performance of approximately 60,000 members, and 400+ care givers for four Medicaid and Medicare health plan programs.
–Regularly reviewed more than 25 standard health measures, performed 7 special studies and 3 service industry studies per year, producing related databases and reports.
–Created a variety of statistical tools and SQLs used to calculate and graph descriptive data, and evaluate statistical significance in a timely fashion.
–Periodically produced summaries and reports for internal departments and committees, periodic reports for state and regional offices, and focus study reports targeting special interests in order to meet outside agency needs.
–Responsible for storage, upkeep and maintenance of databases and datasets developed for unique member/demographic studies.
EDUCATION
–MPH, School of Community Health, 2003. Portland State University, Portland, OR
–MS, Geography Department, 2000. Portland State University, Portland, OR
–Post-Baccalaureate, Chemistry (12 years).
–MD, D/R (3 years), SUNY at Stony Brook, Stony Brook, NY
–BS, Biology, 1982. SUNY at Stony Brook, Stony Brook, NY
–BS, Earth and Space Sciences, SUNY at Stony Brook, Stony Brook, NY
RESEARCH/WRITING SKILLS
–Medical Geographer, Spatial Analyst and Population Specialist.
–IT-data quality analyst; SQL, SAS, Terabyte writer; Medicaid, Medicare, Institutional QAs for NCQA and HEDIS
–Quantitative Researcher: advanced skills in Excel, Access, SPSS, S-Plus, Stat-Plus, VB, SAS, vector and raster GIS.
–Qualitative Researcher: completed 15 month training program offered by School of Education, Portland State University
–Survey Analyst and tool developer; SurveyMonkey, SurveyWriter.
–Community/Focus Group leadership experience.
–Grantwriter (local agency letters, federal/national agency submissions)
–Institutional Review Board/Human Subjects Review compliance.
TECHNICAL SKILLS
– Big Data demographics analyst, with expertise in Teradata, Perot Systems, Caremark, National and Census datasets.
–SAS, SPSS v9, StatPlus, VB, Visio, SATSCAN, ClusterSeer
–Quattro Pro, Paradox, dBase 5-7. Oracle 7-8; Teradata certified.
–ATLAS/TI, NUDIST, ETHNOGRAPH
–ArcGIS, IDRISI. MapInfo, EpiMap. ESRI Avenue extension writer; MrSID, GeoTIFF, dlgv32, MultiSpecW32, ERDAS, GeoMedia, MapInfo.
–Crystal Reports, Adobe Illustrator, Photoshop, Acrobat Writer, Corel Draw
–Dreamweaver, Frontpage Web Design
–Publisher, Power Point, Access, Excel, Word, Office; WordPerfect
–Trained in TierMed.com; ManagedCare.com; Perot Systems
.
ADJUNCT PROFESSORSHIPS/INSTRUCTORSHIPS
–2005 2006 Arapahoe Community College Denver, CO. Introductory, Intermediate GIS.
–1988 2003 Chemistry Department, PSU Portland, OR. OTC/Nutritional Supplements analysis; Pre-Med, Pre-Allied Health, Pre-Pharm student advisor/mentor. Handicapped Student Services mentor/tutor; ADA Rights and epilepsy.
–1997 2001 Geography Department, PSU Portland, OR. Population health monitoring, disease ecology, epidemiologic surveillance, remote sensing, spatial analysis.
–1982 1985 SUNY at Stony Brook Stony Brook, NY.
CORPORATE PROJECTS
Managed Care. Developed and analyzed population datasets; regularly produced in-depth reports (var. 50-300 pp each) for:
–State-required Performance Improvement Projects (PIPs) (3)
–National Committee for Quality Assurance (NCQA)-required Quality Improvement Activity (QIA) reports (4-6)
–Annual Reports on Quality Assurance for Medicaid, Medicare and Employee health programs reviewed by administrative teams (2-3)
–Annual Review of the Denver Health Managed Care Program for approval by internal administrative committees, annual corporate report, and public presentations (2-3)
–Annual Health Care Access/Availability Reports for the three programs –Monthly-Quarterly utilization statistics for all services and members
–Quarterly Demographic Reviews, with 1- and 5-year population pyramids and graphs depicting populations served
Regularly produce numerous databases and reports for:
–Customer satisfaction and complaints lines
–Monitoring population office activities and products utilization for various State and Regional offices.
–Performing ad hoc Focus Studies on special needs populations for Medicaid and Medicare programs
–Evaluating successes, benchmarks and statewide goals pertaining to special medical community projects.
–Monitoring and evaluating Management team customer/member contact and follow-up activities
–Regularly reported to national npos regarding program successes and goals.
STATISTICAL ACCOMPLISHMENTS
National Population Grid Map.
The next generation of consumer reporting.
Invented methodology for evaluating any and all population-based metrics in the U.S., using a grid map with variable cell size and area. Developed a 3D algorithm for mapping results on the US, with the continent portrayed at various angles and/or as a rotating image; applied to more than 1000 metric-specific studies. Processing speed is fast due to use of non-GIS software for map production, producing up to 30,000 maps per day, merged to form 50-100 videos per day. Applicable to all metrics pulled from a standard hierarchical database system, including median income data, age-gender-ethnicity, log-cost analyses, standard family income-product purchasing power relationships, prediction modeling, as well as the generation of standard sums, averages and frequency analyses, compliance/non-compliance metrics, and individual/group activities scoring.
Hexagonal Grid Analysis. Invented and published unique ArcInfo/ArcView/ArcGIS algorithms and SQLs used to produce hexagonal grid overlays for maps. These are applied to standard high level GIS methods for implementing new areal and temporal population health analytic programs.
Population Pyramid Comparison Algorithm. Invented formulas for incremental 1-year age-gender testing technique for comparing two populations with possible statistically significant differences at the 1-year age level using a new algorithm.
SPECIAL STUDIES
Smoking behavior and QUITLINE use. Reviewed Denver Health Managed Care Medicaid and Employee 2001 to 2004 QUITLINE activities.
OIHM. Studied an adult summer camp generating $3.5M annually from 22,000 participants; interviews, surveys, analysis of demographics, income ranges, profits per program in relation to course type and lecturer; interviewed local community. Summer 2001. (INTERNSHIP. 140 pages, 7 chapters).
Diagnosis, Treatment, and Prevention of Prostate Cancer. A Combined Short-term Watchful Waiting Program, and Long Term Nutrition Based Prevention Program. [MPH FINAL PROJECT]
Pregnancy Counseling and Testing activities by the Student Population. Six-year summary of monthly and quarterly utilization reports for counseling center and clinics, SUNY Stony Brook, EROS group.
PRESENTATIONS
Are Older People (>65) using herbal supplements at High Risk for Complications? Consumer marketplace survey and analysis of National OTC Nutritional Stores and Chains. OASIS, Portland, OR, 2001.
Use of GIS in Predicting West Nile Disease Patterns. Study of High. Middle and Low-income community Settings with likelihood for disease penetration. Presented at Colorado State University, School of Bioagricultural Sciences, Fort Collins, CO. April 27, 2004.
Asiatic Cholera and Dysentery along the Oregon Trail. 2000. [MS THESIS]. The geography of diarrhea, dysentery and cholera, 1849-1856, from Platte River, Nebraska to the Columbia River. An historical epidemiology study.
Defining Exposure Risk in the State of Oregon. Developed innovative algorithm and program used to produce grid maps depicting high risk areas for chemical exposure, based on income, census and case data, with contour maps produced depicting exposure risk in relation to median income status, ethnicity, age and gender at the block and block group level.
West Nile Host-Vector Ecology, Dutchess County, NY. Use of demographic and field data in relation to aerial photography, kernel density mapping, and modified grid and cluster techniques for identifying and predicting risk areas. October 2006 ESRI Health GIS Conference GIS Solutions Today for a Healthier Tomorrow, Denver, CO.
AWARDS & ACCOMPLISHMENTS
First individual to ever obtained a perfect score for my federal report required for a required QA program.
Received communications award for 2000-2003/4 GIS work at 2006 ESRI Healthy GIS Conference.
http://brianaltonemph.com, approximately 1000pp receiving more than 6000 hits/3000 individuals per month, mostly by students and Medical GIS professionals.
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About the Site:Public Health, Medicine and HistoryLinksA Regional Review of Population Health – NEW! - THE PACIFIC NORTHWEST NEW!Most Popular 1 – Hexagonal GridsMost Popular 5 The Coldens' Flora No restrictions, but please citePages** Traditional CV/Resume **CURRICULUM VITA
Employment Status and HistoryInstitutional ResearchVolunteer ActivitiesWest Nile Ecology (Poster Session at 2006 ESRI Healthy GIS Conference, Denver, Co.)Grid Economics & DemographicsSurveillance Applications for a Digital Video-producing 3D-Mapping ToolIntellectual Property Rights (IPR) StatementGIS IN THE WORKPLACE – A SURVEYRisk Management & SurveillanceQuality Assurance
Population Health and Disease Monitoring: the Elephant of Public Health
The Elephant and the flow of informationPart 1 Measuring People and HealthPart 2 A Study of Asthma Risk and Preventive CarePart 3 Defining and Representing Research PopulationsPart 4 Making the Best Use of your Data SourcesPart 5 HEDIS MeasuresPart 6 Non-HEDIS MeasuresPart 7 HEDIS EvaluationsPart 8 PIPs and QIAsPart 9 Traditional Baseline MeasuresPart 10 New Baseline MeasuresPart 11 Balancing your Evaluations with HP 2010 and other tools used to define New IndicatorsPart 12 – Examples of ApplicationsPart 13 Developing the Final ReportObtaining The Perfect Score on your QIA or PIP ReportGrounded Theory
Combined Qualitative-Quantitative Research Methods
Older Population Health: Evaluating “Required” versus “Luxury” Out-of-Pocket OTC ExpensesExamples of Applications – Herbal Medicine Use and ToxicityPredictive Modeling Applications for Small ProgramsSAS, SPSS, Stata, S+, etc.Statistical Innovations
Medical Anthropology
Culturally-bound Syndromes, Part IIHudson Valley Plant Heritage
Hudson Valley Folklore, Medicine and Plants
A Cure for the Dropsys, John Lawson, ca. 1820-5Erasmus and the Spider StoryMedicine (Prayer) Stick
A Medicine or Prayer Stick, Part 2A Medicine or Prayer Stick, Part 3A Comparable Prayer StickEastman’s Letter – Sacajawea’s Grave
Charles Eastman (Ohiyesa) – A Brief BiographyA Munsee-Mohecan Sacred Site in Hudson Valley, New YorkThe Rights of the ShamanMedical Geography and Disease Surveillance
Applying New Methods with GIS
Sequent Occupancy – its history and utilizationSpace-Time Behaviors in Medical Geography – some basic concepts from the historical mapsSpace-Time Behavior in Contemporary Disease Patterns and ModelsThe Small Pox Issue – its history through articles and mapsHistorical Disease Maps
Valentine Seaman, 1797 (1804) – the Black Plague or Yellow Fever of New York CityFriedrich Schnurrer’s ‘Charte Uber die geographische Ausbreitung der Krankheiten’ (1827)Scouttetten and the Cholera Diffusion Process in Eastern Europe and Russia, 1831Heinrich Berghaus’s ‘Planiglob . . . der vornehmsten Krankheiten’ (1848)John Lea and the Geology of Cholera (1851)Adolph Muhry’s Global Disease Map (1856)Daniel Drake – Principal Diseases of the Interior Valley,1844 (1850, 15 maps)Alexander Keith Johnston – “Health & Disease” in North AmericaWilliam Aitken’s Realms of Men – Hygiology and Disease (1872)Charles Denison – Phthisis, Climate and Mountain Air (1868)Charles Denison – Rocky Mountain Health Resorts (1877, 1881)Four Prussian Diseases (ca. 1880)Central Mexico Disease Geography (ca. 1880)Bowditch’s Consumption Maps (1862)Dr. Robert C. Hamill of Chicago – the Geography of Epidemics in Illinois (1867)Enteric Fever Epidemics in 1873John C. Peters and the Asiatic Cholera
A History of Disease Geography, Theory, and Maps1875 – John C. Peters’ Disease Maps1873 – A. B. Judson and the Mississippi Valley1885 – Alfred E. Stille, M.D. – Cholera, Vibrio, and Quarantine1856 – 1873, Some of the Earliest Timed Series Maps1960 – Pyle’s Disease Diffusion and Migration Patterns
Other Notes – Jaques Mays, Russian geographyPyle’s Maps – More NotesAlfred Haviland – 1875 (2ed. 1893) – Cancer in Great BritainRobert William Felkin – 1889 – Tropical DiseasesYellow Fever
1763 – the “Extraordinary Disease” at Martha’s Vineyard and Nantucket1798 (1799) – Charles Caldwell’s Theory1799 – Benjamin Rush’s Theory1799 – Samuel Anderson and the Mystery of Yellow Fever in Cura oa and On Board1806 – The Next War – Yellow Fever in Upstate New York and Matthew BrownThe Yellow Fever Years – 1792 to 1800Asiatic CholeraZoonosis and Russian Medical Geography
1797 – Animal Ecology & Livestock Disease1843 – 1892, the Contagious Lung Plague of Cattle1851 – 1917, Cattle Drives and Texas FeverIntro-Animate Pathology – Animalcules, Linnaeus, and Erasmus Darwinism – 1830Russian Medical Geography – Research Notes, References, etc.Historical Medical Geography
1720 – J.C. Homann – Medicinae Cum Geosophia Nexu, or The Medical-Geography Connection1786 – Benjamin Rush – An early rendering of Sequent Occupancy1799 – James Tilton – Military Medicine and his Observations on Yellow Fever1799 – Samuel Mitchell – An Outline on Medical Geography1802 – Dr. Caldwell versus Dr. Barton – Soil and Goitre1802 – Dr. Caldwell’s Oration on Endemic Disease Patterns1806 – Medical Naturalist Jean Baptiste Leblond (1747-1815), Climate Zones, and Yellow Fever1807 – Medical Topography of Ohio, by Gideon Forsyth, Wheeling1808 – May’s Lick, Kentucky – Daniel Drake1809 – Marietta, Ohio – Statistical Epidemiology1814 – The Latitude of Pestilence1821 – Hennen’s Medical Topography1832 – Henry Marshall’s Disease Geography article1832 – Lewis Beck’s Report on Cholera in Canada and New York – an early example of hierarchical diffusion modeling and interpretation1852 – William Farr’s Elevation and Cholera paper1856 – Alexander Keith Johnston’s May 5th Presentation to the Epidemiological Society of London1878 – James Little – On the Geographic Distribution of Zymosis and DiseaseHistorical Medical Geography Publication Statistics, c1600-1915More Historical Disease Maps
1865-1875 Cancer and its Geographic Causes1866 – Samuel Haughton – Cholera in Ireland (Article)1872 – William Aitken (book)1884 – W. J. Simpson (article)1886 – John S. Billings (article)1889 – Robert William Felkin – “On the Geographical Distribution of some Tropical Diseases”1889 – Rudolph Matas – Dengue (Chapter from Book)1901-1902 – Brockhaus’ Infektionskrankheiten Im Deutschen ReicheMore Historical Disease Philosophy
Zymotic Disease (Readings)
Puerperal FeverScarlet FeverAlfred Hudson – On Liability to DiseaseThomas Grimshaw – On Zymotic and Preventible Diseases (in Ireland)Lawson’s Law of PandemicsMore Medical Geography Summary Articles, ca. 1850 – 1950sPopulation Health Profiles
Part I – A New MethodPart II – Examples of ApplicationsPart III – Environmental Health and Marketplace ApplicationsPart IV – Population Health Applications
Introduction: Why use this Methodology?Population Age GroupingsThe “Golden Rule” for Planning Population Health-related Intervention ProgramsEvaluations based only on Prevalence – Stages in LifeCumulative Temporal PatternsICDs related to Newborns and Young ChildrenMid- to Late Childhood ICDsTeenage to Young Adulthood ICDsAdulthood ICDs
Unequal Age Distributions, between GendersGender Distributions – Female
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