Strategic leader with **+ years of clinical, financial, and strategic sourcing experience, utilizing evidenced based knowledge to support best practice for decision-making processes, stakeholder engagement resources, value analysis and implementation of opportunities to optimize cost savings and improve patient quality outcomes while considering people, process, and product.
ACCOMPLISHMENTS
Developed and Implemented Presentation Practice Opportunities for both Leadership and Team Members to elevate communication skills for, As Is State, Desired Opportunities and Future State End relative to Value Analysis Committee members work processes and targeted outcomes. Direction of People, Processes and Product/Technology forms the formal perspective of processing requests of opportunity.
Implemented direction of outcomes utilizing strategic, evidence-based information to support review of opportunities and desired decision-making outcomes.
Multiple Service Lines creation with anticipated financial limits for technology/ product impacts based upon current successful procedures and services provision and reimbursement, and therefore contribution to margin and methodology of escalation to necessary Affinity Groups and leadership inclusion for this as well as High Dollar Projects and Processes.
Strategy and Leadership for Process Conversion focus with Multiple Facility IDN Locations and direction of service inclusions. Compliance established, directly related to implementation of practice, product and technology and ongoing audits relative to practice status and patient outcomes.
High level presentations created and communication delivered to staff, physicians and C-Suite relative to outcomes and ongoing management to determine the success of the practice.
Identified and Implemented Team Directives to support $10,000,000 Strategic Savings Initiative both GPO and Non-GPO.
Ongoing Analysis and Established Changes implemented within Value Analysis Committee Charters, Membership, Physician driven Evidenced Based Leadership and Staff participation with Scope and Goals for each Service Line Practice.
Regulatory indices inclusive of FDA, Maude Events, Recalls, product and technology impacts with current product/technology availability. Credentialing and Compliance highly included within decision-making processes.
Ensure that decision-making goals evolve improved patient, staff and physician outcomes and satisfaction.
CORE COMPETENCIES
Financial and Clinical Management Evidenced Based Analytics Lean Sigma Healthcare Data Management and Analytics Regulatory Requirements Policy and Procedure Management Outcome Management Strategic Planning and Sourcing Process Improvement Collaboration High Emotional Intelligence Corporate Compliance C-Suite Communication Skills and Presentations GPO Participation
LEADERSHIP PRINCIPLES
Organizational Change Establish Process and Procedures Innovate & Simplify Outcome Management Continuous Learning Empathy Building Relationships Commitment to Leadership and Quality & Safety Credentialing to support effective Quality Standards of Care and application.
RECOMMENDATIONS
“One of the best leaders I have ever had.”
Gina Lane Reimbursement Manager Fresenius Medical Services Direct Report
“One of the strongest and knowledgeable leaders I have worked with.”
Steve Bowman AVP, Procure to Pay WVU Hospitals Direct Manager
PROFESSIONAL WORK EXPERIENCE
Director, Value Analysis McLeod Health Florence, SC October 2022 - Current
Clinical & Financial -50% Collaboration-25% Implementation-25%
Clinical and Financial – Leading People, Process and Product Review, Analytics, P&L Assessment Approval/Denial and Proforma outcome for marketing strategy for new service opportunities.
Collaboration within multiple hospitals of the IDN and multi-disciplinary teams.
Educate and support all value analysis team member participants with implementation of Clinical and Product Conversions/Operational Efficiency.
GPO, contract sourcing and negotiate contracts for non-GPO product lines. Supported RFP’s with identifying current utilization, goals and outcomes with equipment and product and worked with the ongoing physician staff to draw on physician driven VA Service Line Meetings and clear financial and utilization impacts to meet strategic goals and quality patient outcomes. Utilized A3 Problem Solving tool management when issues arose post product/equipment decision making. Also used Rubric Evaluation Tool to determine outcomes for learning and decision making with important criteria.
Instrumental in developing moving SharePoint Apps, to migrate into Oracle Dashboards to consolidate access and cross reference to reduce work time within apps for Value Analysis/Strategic Sourcing and other physician and staff utilization.
Strategic transition of new product/technology to establish multidisciplinary implementation and fully functionable delivery.
Regional Director VCU Health System Richmond, VA July 2019 – Oct 2022
Strategic Leadership-35% Communication-25% Collaboration-40%
Strategic leadership providing direction for IDN expectations and goals under Group Purchasing Organization and participation to meet corporate expectations, reduce expense and strategic outcomes.
Guiding and communicating with physicians, corporate leadership, and multi-disciplinary teams with corporate compliance, FDA regulatory input and outcomes
Lead physician collaboration opportunities for product improvement, trials, and conversions to improve patient outcomes, reduce cost, streamline standardization, oversee supply disruption replacement actions, and process management for healthcare products and equipment impacts.
Clinical Resource Director Sunrise Regional Medical System Las Vegas, NV June 2017 – June 2019
Leadership-40% Purchase Management-40% ROI Reviews-20%
Collaborative leadership strategizing with all healthcare service providers within the health system IDN inclusive of the physician offices and freestanding Emergency Rooms and Urgent Care facilities. This involves mapping standardization and identifying individualization of specialty.
Multidisciplinary purchase management for product, capital equipment and commodities to follow utilization and plan of service lines within the facilities of the IDN. Includes regulatory requirements for CON’s and for regulatory compliance for training and physician utilization.
ROI reviews to determine P&L’s, Proforma’s and what quantifies for growth inclusive of positive or negative revenue impact and margin contribution impacts.
GPO collaboration and contracting.
Director, Value Analysis WVU Health System Morgantown, WV October 2010 - June 2017
Program Management- 40% Medical Teaching Institution -25% Cardiac Services- 35%
Developed and implemented first Value Analysis Program at this34-hospital health system IDN. Created SharePoint communication capability to share knowledge of work and reduce duplication as well as to identify within the mission of each IDN facility, opportunity to share vetting and input with all facility physicians, allow all members to incorporate input and vetting of all discussions regarding commodity and capital equipment with shared directives from parent facility.
Medical Teaching Institution and Level 3 – 40 OR Bay Trauma Center, new 10 story Cardiac Tower and New Cancer Center- explored new medical opportunities and weigh options to pursue availability of medical care and patient support such as electronic mobile alerts with skin and flap failures avoiding loss of complete revisions.
High level cardiac services. Input into directives, development, and implementation of ten story cardiac tower to include ECMO availability and transplant.
Strategic transition of new product/technology to establish multidisciplinary implementation and fully functionable delivery.
Executive Director, Reimbursement Fresenius Medical Care, West Coast Business Division
Mesa, Arizona May 2006 – October 2010
Strategically directed reimbursement, billing, coding and electronic processing for $5 Billion in West Coast Business Division of Renal Services.
Implemented electronic billing for third party payors, Medicare and Medicaid.
Organized reimbursement, claims management and validation of clinical provision and coding actions.
Organized 116 employees and processes to ensure timely correct claim submissions, tracking of denials and corrected submissions.
Managed 58 dialysis clinics on the West Coast from California to Alaska and states into Louisiana.
Manager, Business Home Services Frederick Memorial Hospital, Inc. Frederick, Maryland 25101 June 1991 – May 2006
Business Manager for all home-based services, Home Health – RN, PT, OT, ST and SW, Home Infusion, Home Durable Medical Equipment, Home Hospice.
Migrated home services Medicare billing and reimbursement from IPS to PPS claims and service billing management.
Integrated Home Health electronic documentation into the program. Patient Care Technologies, PTCT, to include HIPPS and HRRG coding for all home services provided and all new processes from fee for service to roll up management.
Multidisciplinary team management to support patient outcomes, ensure clinical documentation supported action plans and financial reimbursement was inclusive to cover any needs of medical product needs as well.
Managed team reviews and substantiated the appropriate visit schedules, physician input and orders to drive towards a discharge plan efficiently and ensure the highest quality of care and patient and physician satisfaction.
Additional job experience available upon request.
EDUCATION AND PROFESSIONAL DEVELOPMENT
PhD Healthcare Administration NCU, San Diego, CA (Ex.) May 2022 – Dec 2024
MBA MSU, Beckley, WV. Mar 2004 – Mar 2006
BS Business Shepherd University, Shepherdstown, WV Aug 2001 – Dec 2003
BS Nursing Shepherd University, Shepherdstown, WV Aug 1977 – May 1979
BS Nursing West Virginia University, Morgantown, WV Aug 1976 – May 1977
AFFILIATIONS
AHVAP ANA Healthcare Executives Hospital Administration Healthcare Executives Peace Freewill Baptist AORN
Awards
Patient Satisfaction Award – Frederick Memorial Hospital
IT Data Application Managing Supply Chain Product Disruption - McLeod Regional Health System – HealthTrust GPO
Systems
SharePoint, Microsoft – PowerPoint, Excel, One Note, Oracle, Symplr, Power BI, Epic, Access, Lean Healthcare, Publisher, Microsoft Project, GHX (Lumere)