Call Center Chief Operating

Mical DeBrow PhD RN

Houston, Texas ***** Phone: 504-***-****

E-mail: *******@***.***

LinkedIn: https://www.linkedin.com/in/MicalDeBrowPhDRN

SUMMARY

Consultant on healthcare operations (hospital, home care and retail), and healthcare technology. Board of Directors of home healthcare holding company. Board of advisors, nurse/healthcare technology company. Graduate student preceptor. Value- and outcomes-based care. Healthcare cybersecurity HIPAA and HiTrust. Consultant in provider, payer and regulatory space.

Health Economics and Outcomes Research. Value Evidence and Outcomes Liaison. Real-world evidence. Value-based care and contracting. National speaker on population health management. Value proposition research for both payers and providers.

Healthcare analytics and business intelligence services, and analytics as a service (AaaS).

Managing director of healthcare business intelligence services. Managed international team of 60.

Managing director of clinical services, clinical and business intelligence, healthcare reform services.

Directed, managed and conducted clinical research at 15 health systems, with generation of $75 Million in annual revenues and average net revenue recognition to clients of $8 Million. Research included value proposition for providers.

Principal in clinical operations, performance management, outcomes and metrics, and clinical workflow and redesign.

Managed care organization for medical management, disease management, care management, quality management and pharmacy management services. Pharmacy and device management services included value proposition research.

Saved $6 Million in annual cost by designing and implementing aggressive disease management and outcomes programs in a managed care organization.

Managed medical expense budget of $300 Million and operating budget of $35 Million.

Managed 300 professional and support staff. Increased net revenues of $1 Million annually by designing and implementing patient assessment and disease management program for federal prospective payment system.

EMPLOYMENT HISTORY

Independent Consultant, Houston TX. October 2022 to present.

Consultant on healthcare operations (hospital, home care and retail), and healthcare technology. Board of Directors of home healthcare holding company. Board of advisors, nurse/healthcare technology company. Graduate student preceptor. Value- and outcomes-based care. Healthcare cybersecurity HIPAA and HiTrust. Consultant in provider, payer and regulatory space.

Coalfire, Inc. Westminster, CO.

Senior Consultant for healthcare cybersecurity for healthcare organizations and business associates. November 2021 to October 2022.

Independent Consultant. Nurse technology company. Board of Directors, Healthcare Holding Company. Graduate student preceptor, University of New Mexico College of Nursing. Available for consulting on healthcare operations and value-based care and contracting. February 2020 to November 2021.

Boehringer Ingelheim Pharmaceuticals, Ridgefield, CT

Senior Associate Director, Health Economics and Outcomes Research and Value Evidence and Outcomes Liaison, October 2015 to February 2020.

Responsible for communication of actionable, evidence-based clinical, economic and humanistic value propositions, quality of care information, and population management programs. Value- and Outcomes-based care and contracting.

G2 Works, Panama City, FL

Director, Health Analytics and BI, October 2014 to September 2015.

Director of health analytics and business intelligence services responsible for operational, clinical and financial analytics, business intelligence modeling and road mapping, data governance, implementation support for analytics, transformation and optimization of analytics usage, provider performance, ACO and Population Health Metrics, Health information exchanges, readmission reduction and population health matrixed approach for clinically-focused areas of consulting of major consulting firm; driver of Analytics as a Service (AaaS).

Accord Health, Inc., Clearwater, FL

Director, Health Analytics and BI, December 2013 to October 2014.

Director of health analytics and business intelligence services, including operational, clinical, and financial analytics as well as analytics and business intelligence modeling and roadmapping, data governance, implementation support for analytics, transformation and optimization of analytics usage, provider performance, ACO metrics, health information exchanges, value-based purchasing, readmission reduction, and population health matrix approaches for a clinician-focused consulting firm.

Siemens Healthcare USA, Malvern, PA.

Managing Director, Healthcare Intelligence Services, October 2002 to December 2013.

Direct report to the Senior Vice President, Customer Solutions Group.

Managing director of healthcare intelligence services, including clinical, business and operational intelligence, data maturity modeling and mapping, strategic data management and governance, ACO and healthcare reform services and enterprise data warehousing for international healthcare information technology company.

Gulf South Health Plans/General Health System, Baton Rouge, LA

Vice President, Healthcare Services, March 1999 to October 2002.

Vice President for healthcare services of a managed care organization, for medical and disease management, quality, process, and outcomes management, provider network and contracting, care management, pharmacy benefit services, benefit/claims services, call center management for 250,000 members (Medicare Choice later, Medicare Advantage with Quality Measures) governmental affairs and compliance, quality management (including HEDIS and NCQA accreditation), and behavioral health managed care services

United Home Health Care, Inc., Baton Rouge, LA

Chief Operating Officer and Director of Clinical Services, August 1997 to March 1999. Chief operating officer and director of clinical services for a regional healthcare network providing home health care, ambulatory infusion centers, rural health clinics, healthcare management and consulting.

YGB Consulting, Inc., New Orleans, LA.

President and Owner, September 1995 to August 1997.

President and owner of a regional healthcare management and consulting firm.

HealthSphere of Louisiana, Inc., New Orleans, LA.

Vice President, Professional Services, July 1993 to September 1995.

Primary leadership for consulting services, including reengineering and benchmarking, risk management, and continuing education. Chief operating officer of a regional home care agency, administrator/director of nursing of new start-up high-tech home care agency, and director of nursing of a large home care agency.

University of St. Francis, Joliet, IL.

Associate Professor May 1995 to January 1999.

Visiting Associate professor of healthcare economics and finance in graduate program.

Louisiana State Nurses Association, New Orleans, LA.

Executive Director/CEO, March 1989 to July 1993.

CEO of a 2000-member statewide professional association of registered nurses; including management of all operations, programs, and activities of the association, including government relations.

Other Relevant Experience: Assistant Critical Care Director and Critical Care Clinical Nurse Specialist. Critical Care Director. Pharmacology Instructor. Staff Nurse /Charge RN. Acting Deputy Coroner.

EDUCATION

PhD, Management of Health Care Services, Wilmington National University.

MSN, Trauma and Critical Care of the Adult, University of Alabama at Birmingham.

BSN, Nursing, Northwestern State University.

BS, Pharmacy, Northeast Louisiana University

Computer proficiency in clinical and business intelligence systems, electronic health/medical records, clinical and health care information systems, clinical and clinical support applications, physician/medical dashboards and profiling, benefit management systems (claims), pharmacy benefit management systems, biostatistics, office programs, presentations, and web-based skills. Microsoft Office suite.

RECENT PRESENTATIONS AND PUBLICATIONS

Keynote speaker, “Population Health Management: What It Is and What It is Not,” Analytics in Health Care Symposium, Chicago, IL. 2018.

DeBrow, M. Impacting Reimbursement using Clinical Data. Healthcare Financial Management Association Spring Conference, Honolulu, HI, 2016.

DeBrow, M. ACO Analytics: The Good, The Bad and The Ugly. West Virginia HIMSS Annual Retreat, Roanoke, WV, 2015.

DeBrow, M. The Two Midnight Rule: Understanding the Impact and Changes Ahead. Northern California, Healthcare Financial Management Association, 2015.

Mascara, CM and DeBrow, M. Identifying and Selecting an Information System Solution. Chapter in Nelson, R and Staggers, N (editors.). Informatics: An Interprofessional Approach for Healthcare Practitioners. Elsevier Health Press, Maryland Heights, MO, 1st edition, 2013. 2nd edition, in print.

Veltri, G and DeBrow, M. Extracting Value from Health Care Big Data Using Predictive Analytics. Health Information Management Systems Society Annual Conference, March 2013, New Orleans, LA.

DeBrow, M. Using Technology to Support Clinical Workflow. Siemens West Coast Soarian Users Group Meeting, Denver, CO, 2012.

Alexander, GL, Clancy, T, DeBrow, M and Kennedy, R. “Human Factors, Modeling, and Workflow: Methods for Implementing Health Information Technology. American Medical Informatics Association Annual Symposium, Washington, DC, 2011.

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