Medical Management

ALEXANDER SCARLAT

M.D., B.Sc. Computer Sciences

484-***-**** (M) Tampa, FL *********@*****.***

LOOKING FOR A POSITION IN HEALTHCARE INFORMATION TECHNOLOGY

PROFILE

Physician board certified in anesthesiology with a degree in Computer Sciences and a strong background in clinical informatics. Healthcare Information Technology leader, multifaceted, pragmatic, driven executive with a proven track record of 20+ years in management, development and successful large- scale implementations of IT in clinical domains.

Skillful collaborator and an experienced liaison between the clinicians' community and the engineering departments – ensuring a smooth cultural change management and a streamlined transition from paper to IT. Expert in physicians' engagement and a passionate, knowledgeable integrator of IT in a healthcare environment - maximizing clinical benefits and financial return on investment.

Skilled in business analysis, requirements engineering, software systems design, coding, testing, configuration, implementation and maintenance of applications in clinical setups using GE/Centricity, Siemens/Soarian, Cerner and other EMR/EHR, eRx, CPOE, MAR software suites.

Creative, innovative strategic thinker with a reputation of on-time and on-budget management of complex healthcare information technology projects and cross-functional teams of clinicians and engineers in matrix governance relationships.

Alex Scarlat MD, B.Sc. Computer Sciences

EXPERIENCE

REED-ELSEVIER / GOLD STANDARD Tampa, Florida ● 2009 – 2010 Clinical decision support (CDS) applications and clinical pharmacology database vendor. Director of Integrated Products Management Led the organization efforts to consolidate several internal disparate systems and the development of a

new algorithm for a CDS product. • Draftedthe3yearsstrategicroadmapforAlchemy–anewapplicationssuiteintheCDSdomain.Together

with customers’ representatives and other stakeholders developed the tactical plan, business case and the

high level requirements for the new product. • Initiated and directed the integration of 3 editorial systems, while reducing the existing redundancy,

inconsistency and inefficient workflows. Synchronized the staging and production systems. • Identifiedtheclinicalconceptsandthediscretedataelementsnecessarytosupportsafeelectronic

prescription of medications. Designed an innovative algorithmic approach to eliminate the annoying alert fatigue inherent to currently existing systems. Prototyped idea for the mobile platform (iPhone / iPad).

MIAMI CHILDREN’S HOSPITAL Miami, Florida ● 2008 – 2009 A non-profit 300 beds hospital. Chief Medical Information Officer Executive management accountability for strategic planning and tactical execution of the clinical informatics activities of the hospital. Serve as the liaison between the clinicians and the IT dept. and responsible for the clinicians’ engagement. Lead multiple cross-functional teams of physicians, nurses, and other healthcare providers, administrators, analysts, software architects and engineers in the vendor selection process, evaluation of services, design, configuration and go-live planning activities related to IT clinical systems.

• Championed the development of the hospital’s clinical informatics 3 years’ strategic plan. • Chaired the Clinical Informatics Steering Group and lead the Physicians’ IT Advisory Board. Both teams have

helped identify and prioritize the IT related tactical activities of the organization, while achieving the

clinicians’ buy-in. • Facilitated the EMR vendor selection process using workflow scenarios and evaluation forms developed by the

clinicians. Simplified and reduced the number of existing redundant paper forms used in the admission, order, handoff and discharge processes while standardizing the related discrete data elements in preparation for the EMR implementation.

• Supported the interim CIO in the decision making process and drafting of the capital and operational IT budgets ($8M) related to the data-center, wireless network upgrade, security policy, disaster recovery plan and prioritization of the legacy IT projects.

• Identified and compared several solutions and submitted final project plan for a rapid implementation of a Clinical Data Repository to include lab results, medication lists and links to imaging and radiology reports.

• Lead the PACS / RIS upgrade project, installation of a new physicians’ portal and the lab specimens’ identification barcode system.

TRINITY HEALTH Novi, Michigan ● 2006 - 2008 A healthcare organization with 45 hospitals, 53,000 employees and $6.8 B revenues. Director of Clinical Informatics Served as the domain expert link between clinicians and IT personnel during multiple products life cycles and effectively influenced physicians and key leaders in the organization to ensure a successful cultural change management pre and post go-live activation. Actively participated in the physician advisory executive team, clinical leadership council, quality indicators and performance measures team, standards committee, supply chain management division and IT security group.

• Orchestrated the successful implementation of Cerner IT solutions for surgery, anesthesia, critical care, cardiology, and operating rooms management in 5 hospitals - enhancing patients and clinicians’ satisfaction as well as documentation quality, while achieving an average CPOE utilization of 85%.

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Alex Scarlat MD, B.Sc. Computer Sciences

• Championed an organizational agility record in the implementation of a new Peri-Operative / Anesthesia application in a complex of 12 operating rooms. Less than 4 months from users requirements’ eliciting meeting to the actual go-live and successful software implementation.

• Triggered and led the vendor selection, contract evaluation, design specs and successful implementation of Capsule – a biomedical device integration software in 3 hospitals - reducing to zero the time a clinician needs to spend documenting vital signs in the O.R., PACU, E.R. and ICU. Solution was adopted as a standard by the organization.

• Led the team chartered with the automation of the reporting process and the consolidation of the performance measurements, quality indicators and benchmarks required by CMS, JCAHO and other regulatory agencies into a single web-based data registry.

SIEMENS MEDICAL SOLUTIONS Malvern, Pennsylvania ● 2003 – 2006 A global medical engineering company with $13B sales and a $300M informatics R&D budget. Clinical Domain Systems Analyst Assigned as sole physician and clinical domain expert in a 120 R&D team, responsible for clinical requirements engineering, analysis, design, coding and testing of Siemens medical informatics products development.

• Championed and orchestrated the agile / lean engineering (collection, analysis, prioritization, design, coding and testing) of the clinical aspects for the operating rooms scheduling and management systems, anesthesia, cardiology and critical care.

• Participated and clinically led initiatives in the development of a workflow based IT solution for pharmacy management, computerized physician order entry (CPOE), EMR, transcription and medication administration & reconciliation software.

• Conceived and directed the technical design of an innovative user interface prototype for acute care, interactive flow sheet documentation with Siemens Corporate Research division Princeton, NJ (patent pending).

• Coordinated Siemens offshore teams from Bangalore (India) in the development of a report package for the statistical analysis of the clinical, financial and administrative aspects of operating rooms management.

SHEBA and TEL-AVIV MEDICAL CENTERS Israel ● 1990 – 2003 The largest medical centers in Israel. Senior Attending Anesthesiologist - Anesthesiology & I.C.U. department Manager of the Operating Rooms Anesthesia Information Management Systems Practiced anesthesia and critical care medicine in the busiest hospitals in Israel. Served as system administrator and on site manager responsible for a $1.1M project - Datex-Ohmeda – DEIO Anesthesia Information Management System (now GE/Centricity).

• Configured and maintained the anesthesia application and database for 25 operating rooms: on site configuration software, network installation and setup, testing and debugging, physicians training, cultural change management and auxiliary tools implementation. Developed a report package using SQL, later to be adopted as a template by the vendor.

• Achieved and maintained for 7 years a systems zero down time - including the year 2000 transition. • Experienced with statistical methods and with state of the art data mining and analysis tools (SPSS). Led the

consolidation process of two large databases - the anesthesiology and the hospital information systems into a data warehouse with the purpose of quantifying the incidence and significance of intra-operative events on patients’ outcomes.

CORTEX SYSTEMS Israel ● 1995 – 2003 Software development company with focus on clinical IT solutions. Founder and Senior Partner

• Pioneered electronic medical records technology in Israel. Developed and successfully deployed EMR and expert systems for the orthopedics, vascular, plastic, cardiac surgery and pediatric oncology domains. Captured 30% of the orthopedics EMR market in less than 2 years.

• Led the development effort and successful implementation in 5 hospitals of a web-based scheduling optimizer for the operating rooms.

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Alex Scarlat MD, B.Sc. Computer Sciences

• Developed a web based analysis tool for the screening of existing buildings for seismic forces as well as several financial / administrative IT solutions for real-estate and civil engineering domains.

CAREER NOTE: Prior experience includes Consultant to iMDsoft - a medical IT software company with footprint in the Japanese and European markets in the product development of an anesthesia information management system and a critical care IT solution (2000-2001) ● Major (reserve) Israeli Defense Forces Medical Corps (1985-1990).

EDUCATION

Doctor of Medicine (M.D.) 1985

Sackler School of Medicine Tel-Aviv University, Israel. Doctorate Thesis (presented to Ophthalmology Symposium Creteil, France): “Computer Assisted Diagnosis of Oculo-Auditory Syndromes”.

Board Certified in Anesthesia / Critical Care 1995

Thesis (presented to European Society of Anesthesiologists Barcelona, Spain): “HypnoLog – a computer assisted quality assurance for the operating rooms”. Certified Information Systems Analyst 2000 John Bryce Computer Sciences School, Israel. Thesis: “Web based scheduling optimization for the operating rooms”. B.Sc. Computer Sciences 2003

Pace University & Medgar Evers NY, USA (equivalent).

PATENTS Method and system for providing medical decision support A. Scarlat. Siemens Medical Solutions USPTO application 200********, EPO application 05756047.6-1225, International application: US2005/017707 Systems, user interfaces and methods for processing medical data J. Zaleski, A. Scarlat, D. Rucker. Siemens Medical Solutions International Application: US2006/027833 Unified visualization of intensive care patient data to support collaborative telemedicine workflows S. Xiping, A. Scarlat, A. Rudorfer, M. Esteves, G. Matos. Siemens Medical Solutions and Siemens Corporate Research.

TRAINING & DEVELOPMENT

Practical product management (Pragmatic Marketing) ● Certified ATLS Physician, Advanced Trauma and Life Support, American College of Surgeons ● Certified Information Technology Systems Analyst ● Certified Implementation Specialist of Anesthesia Information Management Systems, Datex-Ohmeda.

AFFILIATIONS & MEMBERSHIPS

Association of Medical Directors of Information Systems ● American Medical Informatics Association ● Institute of Electrical and Electronic Engineers ● Healthcare Information and Management Systems Society ● Israeli Medical Association & Israeli Society of Anesthesiologists ● Israeli Society of Systems Analysts ● Society of Engineering in Medicine and Biology

TOOLS

Cerner: PowerChart, PowerNotes2G, SurgiNet, INet, Anesthesia Module, FirstNet, Power Insight - Extended Data Warehouse ● Siemens / Draeger: Soarian, Invision. Chart-Assist, Infinity Explorer, Megacare ● Datex-Ohmeda (GE/Centricity): DEIO anesthesia information management system tools, Centricity (PeriOp) ● Sybase Adaptive Server ● Business Objects, Crystal Reports, Cognos tools ● QuickBase ● NetIT ● Caliber, Rose, Charm NT ● Microsoft: Office, Visio, Project, SharePoint, IIS, MS-SQL server 2005/2008, Visual InterDev, .Net, ASP, Visual Basic, VB Script ● XML ● Statistical Package for Social Sciences (SPSS) ● SNOMED, UMLS, CPT4, ICD9/10

List of publications and presentations as well as recommendation letters and references available upon request.

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