OLINTO ANDRADE DE LIMA, MD

**** ******** ***, ******* *****, FL 33073

954-***-****

aczfqy@r.postjobfree.com

PROFESSIONAL SUMMARY

Highly motivated physician with more than thirty years of experience in the healthcare industry. Proven successful achievements as Medical Director of Medical Alliances, Medical Liaison, Medical Marketing, Medical Education, Global Patient Services and Physician Relations. Improved the institution’s reputation abroad, increased the number of international patients for health, prevention, wellness, treatment of diseases. Facilitated international medical education opportunities for over fifteen thousand physicians annually. Most significantly, increased revenues, market share and improved profitability.

SKILLS

Alliances

Education

Outstanding Relationship-Building

Multilingual - English/Portuguese/Spanish

Global Business Development

Marketing

Strong Interpersonal Skills

Customer Relationship Mgmt.

Leadership

Process Improvement

Strategic Planning

Surveying

AREAS OF EXPERTISE

INTERNATIONAL MEDICAL CONSULTANT

Establishing Alliances with “Top Hospitals, Physicians” and Insurance Providers in Latin America.

Liaising between Int’l Hospitals and Healthcare Providers, facilitating their patient access to proper specialists for hospital-based care, ensuring that their medical needs are met.

Providing Medical Education opportunities, such as Medical Symposia, Observership for Physicians and Healthcare Professionals Programs, Preceptorship Program, Second Medical Opinion, Visiting Program, Teleconferences, Webinars Series in key specialties.

Advertising the institution’s medical services, innovations in medicine & surgery, latest medical technologies, centers of excellence, executive health assessments, second medical opinion among leading international hospitals and physicians.

Increasing the institution’s reputation abroad, where their client choose the institution for health, prevention, wellness, treatment of diseases and the destination of medical learning.

Facilitating the international patient’s access to medical services in South Florida, cater to their medical’s needs and requirements.

Recruiting specialists in emergency medicine, family medicine, internal medicine and Pediatrics to participate in Telemedicine Programs.

Providing Medical Claim Review & Auditing Services and Case Management Services to expatriates and travelers in Brazil.

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MEDICAL ALLIANCES & MEDICAL LIAISON

Established mutual and beneficial relationships with over 10,000 global leading physicians, serving as key contacts, facilitating their communication with the institution and clinical staff addressing their needs.

Established Alliances with “Top 50” hospitals and over 500 leading physicians and in Latin America & the Caribbean.

Established mutual and beneficial relationships with other 200 international hospitals.

Maintained open line of communication with these hospitals and physicians to achieve the highest standard of medical excellence, increase opportunities and move market share through enhanced referral network.

Created database for the monitoring, tracking and follow up over 3,000 referring physicians.

Follow up with the referrals to know their satisfaction with the hospital's level of recent medical care.

Proven trust with international and institutional clinical staff, identifying their needs and barriers of satisfaction.

Established strategic with leading Banks, Corporations, Embassies, Health Insurances and High Societies in order to increase their confidence when referring their patients for medical needs abroad.

Liaised between international physicians, hospitals, health insurance companies and clinical staff, facilitating their patient access to proper specialists for hospital-based care, ensuring that their medical’s need are met.

Supported the international patient growth by promptly and professionally serving the various international referral sources, such as: physicians, insurance companies and TPA’s (Third Part Administrators), Chambers of Commerce, Corporations, Embassies, In-Country Representatives and the International Patient Services Representatives

MEDICAL MARKETING

Worked with both Departments of Communications, Marketing, Faculty Practice and Physician Services, developing business plans for new initiatives, analyzing data regarding volume projections, demand analysis, revenue and resources.

Developed negotiating strategies, examining risks and potentials; estimating partners' needs and goals.

Advertised the institution’s medical services, innovations in medicine & surgery, latest medical technologies, centers of excellence, executive health assessments, second medical opinion and world-class healthcare, among leading international hospitals, physicians, insurance companies, medical societies, chambers of commerce, corporations, embassies and scientific and social magazines.

Developed the international physician speakers program to participate in medical & consumers meetings, symposia, and peer-to-peer educational plans.

Advised on medical and scientific marketing/product material in conjunction with product management and marketing.

Increased the institution’s reputation abroad, where discretionary client chooses the institution for health, prevention, wellness, and treatment of diseases and the destination of medical learning. Most importantly, increased revenue, market share and improved profitability.

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MEDICAL EDUCATION

Developed the Center for International Medical Education (CIME), at Cleveland Clinic, Florida. Granted eight educational opportunities for global physicians, residents, medical students, administrators and allied health professionals, such as: International Educational Symposia; International Medical & Consumers Meetings; International Medical Video-Conferences (Live Lectures & Live Surgeries, Telemedicine and Webinar Series; International Medical Visiting; International Observership for Physician and Allied Health Professionals; International Preceptorship for Executive Physicians and Webinar Series by Key Specialties.

Participated in 35 international medical and consumers meetings focused on key specialties, annually.

Worked in collaboration with the CME, organized 15 International Educational Symposia focused on key specialties. Invited more than 100 leading specialists to participate, as special guests.

Encouraged international physicians to access the Cleveland Clinic “Consult QD”, one of the top international learning sources in the US, facilitating their access to recorded Webinar Series, by specialties, and obtaining International Continuing Medical Education credits.

Facilitated International Medical Education opportunities for over 10,000 physicians and health caregivers, annually.

GLOBAL PATIENT SERVICES

Facilitated the global patient’s access to medical services in the US, cater to their medical’s needs and requirements.

Provided a seamless, compassionate, and exceptional patient experience, focused on achieving a superior patient satisfaction, in the following Services:

Before Patient’s Arrival:

. Complimentary medical referrals & concierge services

. Assigned GPS Coordinator

. Registration Process

. Scheduling of medical, clinical, diagnostic & Executive Health Assessment

. Medical itinerary

. Facilitate U.S. Visa

. Discounted rates: local hotel, transportation

. Second Medical Opinions

. Financial Counseling

. Insurance verification and authorizations

Upon Patient’s Arrival:

. Check-in at the GPS office and greeted by front desk coordinators

. Answering any questions, providing GPS Folder with enclosed:

. Copy of medical itinerary

. GPS brochure and amenities guide

. Patient Satisfaction Survey

. GPS Coordinator business card

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During Patient’s Visit:

. GPS office will be the point of contact for patients and their families for support and guidance

. Access to assigned Care Coordinator

. Concierge services

. Hospital admissions

. Liaison between physicians and clinical staff

. Cost of service estimates and payment collection for self-pay, co-pays, deductibles & non-covered services

. In-patient hospital visits

. Interpretive services

. Facilitate enrollment into electronic medical record & electronic billing system

After Patient’s Departure:

. Assistance on acquiring of copies of medical records, test results and films

. Access via electronic medical record & electronic billing system

. Scheduling of future follow-up appointments and answering any questions

. Support with account and billing inquiries

Increased the Cleveland Clinic’s International’s Patients from 4,000 to 5,600 (40%), positioning it among the “Top 5" International Patient Services in the US.

Increased the Baptist Health International’s Patients from 7,000 to 14,000 (200%), positioning it as the “Top 1” international patient services in the US.

Improved the international physician’s and patient’s satisfaction score from 70% to 98%.

CHIEF MEDICAL INFORMATION OFFICER

Worked collaboratively with Board Director, Corporate Information Technology Team and Clinical Staff to implement the first Electronic Health Record in South America, for Albert Einstein Hospital in Sao Paulo, Brazil, promoted safe, effective, efficient quality care and decision making among physician and health caregivers with the end goal of a comprehensive community based patient centric system.

Worked in collaboration with Board Directors and clinical staff, through daily operations, to implement and maintain compliances to the highest ethical and legal health information of Joint Commission International Accreditation (JCI) Standards, qualifying the Albert Einstein Hospital, as the first hospital to become accredited, outside of the USA, in the world.

Assigned Leaders, Auditors and Mentors in each medical department in order to maintain, train and optimize the health information.

Assured that all health information were accurate, complete and consistently available to authorized users in a timely and predictable manner.

Provided leadership, supervision, guidance and development for staff, articulated and demonstrated an expectation for continuous quality improvement, as well as continuously supported the company’s values and service standards.

Directed the effective use and implementation of IT, particularly as it applies to physicians, nurses, and other clinical staff.

Insured quality of care across multiple information systems.

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Trained physicians and other medical professionals in IT systems and applications, especially HER and Computerized Physician Order Entry (CPOE)

Analyzed medical data and conducted improvement initiatives.

Identified key performance indicators.

Developed and communicated the strategic vision, scope and mission of performance effectiveness.

Developed policies, procedures, and training of project management programs.

Performed duties of other health information as needed, to support the medical staff to be familiar with procedures and inpatient/observation throughout the ICD-10 coding.

Interacted constructively with Leadership Administrators, Inpatient Teams, Physician Leaders, Department Heads, Case Management and other health caregivers.

Participated in audits and investigated alleged misconduct and assessed risk areas.

Conducted final interview with the medical record auditors reviewing audit findings.

Conducted audits of policy and compliance to standards.

Directed the department that handle health training strategic projects, utilization and maintenance of the training domain, assisting with the full life cycle from design and testing the EHR and JCIA implementations.

Directed Supervision of staff and indirect supervision of other clinical informatics analysts.

Collaborated with Board Directors and Chief Medical Officer to develop physician training strategies.

Improved public trust as an organization that values quality and patient safety.

Involved patients and their families as partners in the care process;

Ensured safe and efficient work environment that contributes to staff satisfaction.

Established collaborative leadership that strives for excellence in quality and patient safety; and much more.

Developed, reviews and modified interactive physician e-learning modules and physician

documentations.

Supported education/training initiatives for all corporate information technology projects.

Participated in yearly project strategic planning (domains, staffing, resources, initiatives.

Assisted with decision making with executive leadership.

Developed standardized methodology for training needs assessment and project planning.

Assessed and implemented effective training methodologies for staff and physician.

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MEDICAL CLAIM REVIEW & AUDIT

Performed review of medical records and bills for National and International Insurance Companies for accuracy and necessity, identifying proper underpayments and over-payments, reviewing and certifying the medical necessity of prospective, concurrent, and retrospective units of inpatient and outpatient services provided.

Provided clinical expertise and judgment in the accurate review of medical records submitted in support claims identified as being at risk for improper payment review, summarized and provided reports on medical record determinations.

Demonstrated critical thinking, interpersonal oral and written communication skills to support review findings.

Ensured consistent application of the utilization review process for all functional components.

Reviewed the medical record and confirmed that they were reconciled to the patients’ medical needs, ensured that all services rendered were accurate.

Reviewed medications and supplies that physicians did not order or that the patient did not receive.

Reviewed charges for services that the patient refused.

Compared services and supplies utilized as well as physician’s procedures rendered, by matching the records against the itemized bill.

Reviewed room charges that were incorrectly calculated.

Reviewed the tests and services that had to be repeated.

Performed concurrent reviews and maintained knowledge of cases via record review in order to identify the patient, support the diagnosis, justify the treatment, document the course and result of treatment, and promote continued assistance among health care providers.

Evaluated potential problems with various treatments and drugs used in a case, to make the Judge aware of the ramifications of the alleged injury.

Documented and maintained audit records, logs, and wrote reports as needed.

PHYSICIAN SURVEYOR FOR JOINT COMMISSION INTERNATIONAL ACCREDITATION STANDARDS

Assigned as the first Institutional Physician Surveyor for Joint Commission International (JCI) Accreditation Standards for hospitals, for Albert Einstein Hospital, in Sao Paulo, Brazil, the first hospital to become accredited by JCI in the world, outside of the USA, in December 19th, 1999.

Worked in collaboration with all directors of medical departments, staff physicians, health caregivers and managers through daily operations, promoting commitment to the highest ethical and legal JCI Accreditation to improve the quality of documentation in patient’s charts.

Maintained compliance with the accreditation standards, such as: all health information must be legible, dated, professional identification, timed and signed; Do not use any abbreviations, acronyms or symbols that are on the "Do Not Use" list; Complete history and physical examinations within 24 hours of admission

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and prior to surgery; Telephone orders registered in the medical records within 24 hours; Update the patient condition just prior to anesthesia induction via the Day of Procedure Re-Assessment/Brief Op Note form; Brief operative and procedural notes.

Ensured that informed consents are complete and signed; Update progress notes daily.

Ensured there are no inconsistencies with allergy information between disciplines.

Reviewed pressing issues affecting patient safety making recommendations, such as: Medical Abbreviations Summit; Medication Reconciliation Summit; Wrong Side Surgery Summits.

Conducted internal mock surveys among all medical departments.

PROFESSIONAL EXPERIENCE

International Medical Solutions, LLC, Fort Lauderdale, 2016 – current

Director International Medical Education & Medical Liaison and Medical Marketing, Cleveland Clinic,

2011 - 2016

International Medical Education, Medical Liaison & Medical Marketing, Baptist Health International,

2001 - 2011

Medical Claim Review & Audit, National & International Insurance Companies 1990 - 2000

Chief Medical Information Officer, Albert Einstein Hospital, 1997 - 2001

Physician Surveyor for JCI Accreditation, Albert Einstein Hospital, 1997 - 2001

ACADEMIC CREDENTIALS

M.D., Federal University of Belem, Belem, PA

B.H. Administration, Southern Illinois University Carbondale, Chicago, Ill

B.S.N, Adventist University of Sao Paulo, Sao Paulo, SP

OTHER RELEVANT INFORMATION

Languages:

. English

. Spanish

. Portuguese (Native Language)

Membership:

. American Association for Physician Leadership

. American College of Healthcare Executives

. Association for Patient Experience

. The Society of Physician with Non-Clinical Careers

Volunteer Experience:

. Honorary Medical Attaché, Brazilian General Consulate of Miami

. Health Ministry, Brazilian Temple Seventh-Day Adventist Church

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