Michael P. LaRosa
Chicago, IL ****6
*.******@***.***
SUMMARY:
Demonstrated ability to work with project stakeholders at all levels of the organization
Experienced in detailed workflow analysis
Highly experienced in all facets of application build
Responsible for the implementation of workflow engine rules and rules-based order transmittal at Children’s Memorial Hospital, Stanford Hospitals and Clinics as well as Loyola Medicine
Developed specialized data collection instruments for deployment via MyLoyola (MyChart)
Over 25 years of healthcare IT experience with 20 years specifically related to Epic Systems applications
Clinical application experience in Epic Ambulatory, ASAP, Beacon and Anesthesia
Authored or co-authored multiple papers on EMR implementation subjects
Co-author of winning 1998 Davies Award submission for EMR implementation
Over 15 years of direct patient care experience as a mid-level health provider
Research Coordinator for VA Cooperative Study #141: Comparative Efficacy of Vascular Graft Materials in Arterial Revascularization
Project Manager for Outcomes Research initiative conducted at over eight hundred hospitals nationwide
Most recently responsible for the implementation of the Epic Anesthesia module at multiple sites across the Loyola Health System
CERTIFICATIONS:
Epic Anesthesia (NVT 2017)
Epic Ambulatory (NVT 2017)
Epic Beacon (NVT 2017)
CLINICAL INFORMATION TECHNOLOGY EXPERIENCE:
Consultant, Lurie Children’s Hospital, Chicago, IL, August 2016 to July 2017
Epic Ambulatory Optimization:
Data analyses by clinical division to identify prescribing and documentation practices by the respective divisions
Assisted in the development of division playbooks detailing current ordering and documentation practices with recommendations for ordering and documentation optimization
Configured and implemented ambulatory patient event tracking
Configured and implemented quick communication options
Configured and implemented security templates and subtemplates for clinical users (physicians, mid-level providers, residents/fellows, medical students, RNs and CNA/Mas)
Cardiac-Neurodevelopmental Clinic Build:
SmartForm development to support screening instruments
SmartForm development to support intake form data entry
SmartList and SmartText development to support multidisciplinary team documentation
Development of consolidated multidisciplinary team letter
User security modifications to support new workflow
Consultant, Loyola University Health System, Maywood, IL, October 2011 –June 2016
Epic Anesthesia Implementation:
Design and workflow documentation related to Anesthesia Project
Build of anesthesia module-specific tools such as events, macros, reminders, SmartBlocks, and rules
Configuration of middle-ware client to capture anesthesia data points from a variety of anesthesia carts
Coordination with external vendor for the addition of mounting hardware to anesthesia carts
Cabling of anesthesia carts to middle-ware client
Build of device tables and workstation records
Rule development for the capture of charges at the point of anesthesia block administration
Report generation for anesthesia billers and administrators
Reporting workbench templates designed and added to anesthesia provider dashboards to report on blocks placed, open anesthesia records and anesthesia records deficient in one of more required elements
Batch job creation for automatic posting of charges for out of operating room time-based charges
Linkage to OB module for integration of prenatal and labor and delivery data
Ongoing project management activities related to design sessions with content experts, go-live planning and implementation
Implementation of GE MUSE to Epic Cardiographics Interface:
Worked with GE to review specifications to support data transfer from GE MUSE
Modified GE and Bridges profile specifications
Tested data transfer and performed troubleshooting of message errors
Worked with Loyola Cardiographics staff to document workflow related to order processing, registration and arriving of patients for scheduled Cardiographics Center appointments
Set up EKG carts for Wi-Fi connectivity to allow for downloading of EKG orders to cart and transmission of completed EKGs to MUSE
Build of new procedure records to support revised ordering process.
Modified order transmittal rules to support use of interface in processing Cardiographics orders
Developed orderable-performable-chargeable records to facilitate professional and technical charging
Implementation of Pyramis to Epic Cardiographics Interface:
Worked with Cardiac Science representative to review specifications to support data transfer from Pyramis EKG Management System
Modified Pyramis and Bridges profile specifications
Tested data transfer and performed troubleshooting of message errors
Worked with Gottlieb Memorial Hospital Cardiographics staff to document workflow related to order processing, registration and arriving of patients for scheduled Cardiographics Center appointments
Build of new procedure records to support revised ordering process.
Modified order transmittal rules to support use of interface in processing Cardiographics orders
Epic Ambulatory/Beacon support and optimization:
Development of data collection/reporting solutions for pediatric immunology providers which included custom SmartForms for vial mixing and immunotherapy documentation
Revision of health maintenance topics and plans for immunizations
Optimization of prenatal tools and conversion of Epic OB sections
Build of custom Smartforms for community access project
Worked with organization on Epic 2012 to 2015 upgrade
Designed and implemented dashboards for Cancer Center providers to perform on demand queries of patients on active protocols, break-out of protocols by diagnoses and patients with supportive plans
Consultant, University of Minnesota Physicians, Minneapolis, MN, May 2011 – October 2011
Assisted team with the analysis, build and support of multiple UMP clinic implementations:
Detailed review of current/future state workflows
Performed system build-related tasks to customize EpicCare to meet the needs of Cardiology site
Built, tested and deployed SmartTools to facilitate the order entry and documentation processes
Provided command center support for practices during go-live
Consultant, Loyola University Health System, Maywood, IL, January 2011 – May 2011
Responsible for the analysis, build and completion of special projects to include:
Meaningful Use set-up and testing for eligible providers
SmartForm development for UroGyn specific research tracking
Implementation of new prenatal tracking tools
Set-up and implementation of Epic Research functionality
Automated communication to external referring providers
Reporting workbench templates built for Cancer Center clinics to report on treatment efficacy
Revisions to Advanced Beneficiary Notice (ABN) form
Collaboration with hospital billing to revise supporting ABN triggers
Consultant, Stanford Hospitals and Clinics, Palo Alto, CA, July 2010- January 2011
Team Lead for Anticoagulation and Plastic Surgery Ambulatory Implementations
Documented current and future state workflow
Performed system build-related tasks to conform to design session decisions
Built and tested security profiles, classes and user roles
Worked with other IT professionals to assess hardware resources and validate operability
Maintained build tracking databases
Provided go-live related support activities
Coordinated change control process for build components
Implemented work flow engine rules
Designed new security policy checks to support confidential department implementations
Consultant, New York University – Langone Medical Center, New York, NY, February 2010- July 2010
Application Analyst for the Urology Practice Epic Hyperspace implementation
Documented current and future state workflow analyses
Performed system build-related tasks to conform to design session decisions
Built and tested security profiles, classes and user roles
Worked with other IT professionals to assess hardware resources and validate operability
Provided go-live related support activities
Participated in change control process for build components
Implemented work flow engine rules
Built Urology-specific Hyperspace documentation tools
Consultant, Stanford Hospitals and Clinics, Palo Alto, CA, November 2009- August 2010
Application Analyst for Charge Capture Redesign Process
Documented current and future state workflow analyses
Performed analysis of Epic charge capture functionality for Inpatient Rounding and Emergency Department visits
Created charge router rules, macros and work queues
Performed testing and participated in change control activities related to proposed changes
Revisions to Advanced Beneficiary Notice (ABN) form and supporting rules
Consultant, Stanford Hospitals and Clinics, Palo Alto, CA, January 2009-October 2009
Senior Application Builder for ambulatory implementations across Stanford Clinics.
Supervised a team of five application builders
Documented current and future state workflow analyses
Performed system build-related tasks to conform to design session decisions
Built and tested security profiles, classes and user roles
Worked with other IT professionals to assess hardware resources and validate operability
Maintained build tracking databases
Provided go-live related support activities
Coordinated change control process for build components
Implemented work flow engine rules
Designed custom SmartForms
Designed new security policy checks to support confidential department implementations
Consultant, Mount Sinai Hospital, New York City, NY, December 2007- November 2008
Team Lead for the implementation of Epic Hyperspace across the medical specialty practices.
Supervised a team of five application analysts
Documented current and future state workflow analyses
Performed system build-related tasks to conform to design session decisions
Built and test security profiles, classes and user roles
Worked with other IT professionals to assess hardware resources
Coordinated integrated testing activities
Coordinated go-live related activities
Coordinated and provide go-live support
Participated in the build and implementation of Beacon within hematology/oncology clinics
Consultant, Children’s Memorial Hospital, Chicago, IL, January 2007 to November 2007
Provided content expertise and ongoing end-user/team support of Epic Hyperspace in diverse Ambulatory environments.
Performed system build-related tasks to customize EpicCare to meet the needs of specific sites
Built and tested security profiles, classes and user roles
Worked with other IT professionals to deploy and test additional hardware and software resources
Implemented rules-based order transmittal and provide ongoing support of order transmittal-related
Built, tested and deployed SmartSets to facilitate documentation activities
Produced ad hoc reports from Chronicles to assist team members with implementation activities as well as meeting specific administrative requests
Provided ongoing support to Ambulatory Build and Support teams in the form of Chronicles administrative tasks and troubleshooting complex issues
Led transition and implementation from table to rules-based order transmittal
Consultant, Loyola University Health System, Maywood, IL, March 2004 – January 2007
Provided content expertise and performed system build to support the implementation of Epic Hyperspace in the Ambulatory and Emergency Department environments of a large academic medical center.
Detailed mapping of current/future state workflows
Facilitated reengineering efforts to assist sites in meeting future state objectives
Performed system build-related tasks to customize EpicCare to meet the needs of specific sites
Built and tested security profiles and classes
Worked with other IT professionals to deploy and test additional hardware and software resources
Built, tested and deployed customized SmartForms to facilitate data entry tasks
Built, tested and deployed SmartSets to facilitate the order entry process
Produced ad hoc reports from Chronicles to assist team members with implementation activities as well as meeting specific research-related requests
Provided on-site support for practices during go-live and post implementation periods
Provided ongoing support to Ambulatory Build and Support teams in the form of Chronicles administrative tasks and troubleshooting complex issues
Provided support during EpicCare version upgrades in the form of reviewing release notes and testing anticipated impact to current state functionality
Implementation of Epic OB tools for prenatal care including the creation of Prenatal episode of care
Participated in the build and implementation of Beacon for the Cardinal Bernadin Cancer Center at Loyola with tasks including the creation of security classes, user roles, navigator development and custom workflows to accommodate patients with return appointments for erythropoietin/darbepoeitin injections.
Independent Contractor, Associates in Internal Medicine, Chicago, IL, October 1999 – October 2005
Responsible for the design, installation and maintenance of a local area network with VPN remote access capabilities.
Hardware review, purchase, configuration and deployment of Dell PowerEdge Server with MS Windows 2000 Server OS
Routine system maintenance
VPN set-up
Network infrastructure maintenance
Workstation configuration and maintenance
Printer set-up and maintenance
Terminal Services set-up and maintenance
Application installation and configuration
Clinical Consultant – Independent Contractor, Northwestern Medical Faculty Foundation, Chicago, IL, December 1999 – October 2003
Provided content expertise in EpicCare implementation to a diverse multi-specialty faculty practice.
Conducted clinical information needs assessments through a multi-method approach
Detailed mapping of current/future state workflows
Facilitated reengineering efforts to assist sites in meeting future state objectives
Performed system build-related tasks to customize EpicCare to meet the needs of specific sites
Built and tested security profiles and classes
Assessed computer hardware and software needs and produced a gap analysis to serve as a template for acquiring additional resources
Worked with other IT professionals to deploy and test additional hardware and software resources
Built, tested and deployed customized SmartForms to facilitate data entry tasks
Built, tested and deployed SmartSets to facilitate the order entry process
Produced ad hoc reports from Chronicles to assist teams members with implementation activities as well as meeting specific research-related requests
Set up, tested and deployed EpicWeb
Set up, tested and deployed imbedded Identity to handle and resolve duplicate accounts created from interfaces
Monitored and resolved errors related to inbound interface messages through Bridges
Developed a methodology to refresh training environment
Set up and tested Clarity reporting using MS SQL 2000, PERL and Seagate
Resolved errors related to daily Clarity incremental extracts
Coordinated end-user training sessions
Conducted end-user training sessions
Provided on-site support for practices during go-live and post implementation periods
Provided ongoing support to EMR Team in the form of Chronicles administrative tasks and troubleshooting complex issues
Provided support during EpicCare version upgrades in the form of reviewing release notes and testing anticipated impact to current state functionality
Independent Contractor, Northwestern University, Chicago, IL, October 1999 – March 2000
Designed and coded a data entry platform for use in a CDC-funded infectious disease program to monitor antimicrobial resistance.
Database design using MS SQL Server 7.0
Coding of modules using Visual Basic 6.0
Report design
Testing, implementation and support
Director, Strategic Performance Improvement, Northwestern HealthCare Network, Chicago, IL, January 1999 – September 1999
Coordinated the clinical performance improvement efforts of the eight-member hospitals of the network.
Conducted on-site evaluations at the member hospitals
Performed data collection, maintenance and analyses activities
Authored monthly performance improvement newsletter
Centralized common performance improvement activities to realize benefits of reduced costs and FTE expenditures
Clinical Consultant, Northwestern Memorial Hospital, Chicago, IL, September 1994 –December 1998
Developed a methodology to assess the clinical information needs of providers in diverse ambulatory care settings. Implemented EpicCare Ambulatory into a General Internal Medicine and Cardiology practice.
Developed a multi-method evaluation strategy for assessing clinical information needs
Developed metrics to assess the impact of solutions introduced into the ambulatory environments
Data collection and analyses
Assisted in EMR vendor selection process and developed evaluation tool to assess vendor products
Detailed mapping of current/future state workflows
Facilitated reengineering efforts to assist sites in meeting future state objectives
Performed system build-related tasks to customize EpicCare to meet the needs of specific sites
Built and tested security profiles and classes
Coordinated end-user training sessions
Conducted end-user training sessions
Provided on-site support for practices during go-live and post implementation periods
Provided ongoing support to EMR Team in the form of Chronicles administrative tasks and troubleshooting complex issues
Provided support during EpicCare version upgrades in the form of reviewing release notes and testing anticipated impact to current state functionality
Project Manager, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, December 1990 – August 1994
Managed a six-person team charged with the development and testing of clinical performance indicators by volunteer hospitals nationwide. Clinical performance measures were built for a variety of clinical areas including trauma, oncology, cardiovascular, perinatal, medication use and infection control. Working with external panels of experts, measures of clinical import and value were identified for testing.
Organized the work of external expert panels
Facilitated expert panel meetings
Provided regular feedback to expert panel members as to development and testing status issues
Authored and maintained project plans to support team activities
Assisted in the design and testing of data collection software to support clinical indicator testing efforts
Coordinated end-user training of representatives from volunteer hospitals involved in indicator testing activities
Assisted in the analyses and report generation of indicator testing activities
Authored performance reviews of team members
RELEVANT CLINICAL EXPERIENCE:
Physician Assistant, Michael Reese Health Plan - Department of Urgent Care, September 1987- November 1990
Physician Assistant, VA West Side Medical Center - Division of Vascular Surgery, February 1982- August 1987
Physician Assistant, University of Illinois Medical Center - Division of Nephrology, January 1980-February 1982
Physician Assistant, University of Chicago Hospitals – Department of Emergency Medicine, March 1976-December 1980
EDUCATION:
Northwestern University Evanston, IL
Master of Science, Anthropology 1994
University of Chicago Chicago, IL
Bachelor of Science, Biology 1980
Bachelor of Arts, Anthropology 1980