Work experience
Chief Health Information Officer, UnitedHealthcare Clinical Services, UnitedHealth Care (August 2018-present)
Provide physician input into payment innovations to address population health and value-based care
- Developing a scalable model to monitor patients and deliver care virtually in the ambulatory, inpatient and post-acute arenas
- Crafting provider facing decision-support using patient-reported outcomes and claims histories from similar patients as possible inputs
Vice President, Clinical Information (Inpatient Chief Medical Information Officer), Advocate Health Care, Downers Grove, Illinois (March 2013-August 2018)
Optimize the clinical information systems supporting the inpatient independent ordering provider community including chart review, order entry, documentation, decision support and transitions of care for 5000 owned and affiliated providers across eight hospitals (academic and community-based).
- Reduced transcription costs by 50% (~$4 million) in 2015 by
- Obtaining senior leadership support to drive physician behavior toward voice-to-text technologies including desktop speech recognition and Cerner’s mobile app use
- Influencing site clinical informatics teams and hospital physician leadership councils to encourage providers to use voice-to-text and other technologies
- Developed site-specific performance scorecards with physician-level detail to identify candidates who might benefit from using voice-to-text technologies
- Developed decision support to help physicians and nurses meet publicly-reported metrics for sepsis detection and early treatment that
- Allowed role-specific alerts to tailor diagnostic and treatment recommendations based on clinical consensus and each user’s scope of practice
- Included a lactate reflex order to support tracking blood level changes over time without any keystrokes from an end-user
- Targeted computerized physician order entry (CPOE) improvement tactics based on
- Creating actionable reports at the physician level using R to process over a million orders a month
- Engaging hospital leadership to drive improvements in hospitalist CPOE rates
- Developing workflows for nurses to update orders without generating new phone or verbal orders for physicians to co-sign
- Developing protocols and order sets to manage common clinical conditions
Associate Medical Director, University of California, San Diego Medical Center (December 2007-March 2013)
San Diego Beacon Collaborative (Co-Principal Investigator)
$15.3 million collaborative agreement from the Office of the National Coordinator of Health Information Technology to test approaches to improve health care across a metropolitan area using health information technology
- Translated the clinical community’s expectations into a series of customized applications:
- Gathered stakeholder information,
- Helped draft request for proposals,
- Negotiated the contracts with the vendor and the University of California, San Diego’s legal team including defining specific acceptance criteria for payment
- Worked with project programmers and technology vendors to develop working prototypes, and
- Validated the application with prospective end-users
- Major contributor to helping select health information exchange vendor to interface with electronic medical records across the San Diego metropolitan area including federal health systems, private integrated delivery systems and stand-alone electronic medical record systems
- Lead contact for establishing DIRECT (secure email) accounts to share patient health information with providers and health plans when a patient has registered to be seen in an emergency room, admitted to an inpatient facility or discharged from an inpatient facility
- Developed the Collaborative’s privacy and security practices through deliberations with local site privacy officers with a vision that a patient’s demographic information would be the only data shared among competitors within the metropolitan area, but clinicians could query sites for patient-specific data on-demand
- Drafted the project’s business plan to move the project from a federally funded project to an independent entity supported by multiple medical centers, health care providers and payors
- Directed the activities of two project managers and two programmers to accommodate the project’s evolution
Ambulatory Electronic Medical Record (Epic) optimization
Led initiatives for the outpatient provider communities working with programmers, database analysts, medical center leadership and providers to achieve quality goals and safety initiatives using the electronic medical record
- Physician lead for hospital and 222 providers to qualify for Stage 1 Meaningful Use in 2011 (approximately $10 million)
- Leveraged the electronic medical record’s decision support technology to improve the medical group’s pay-for-performance quality scores to achieve statewide recognition for excellent performance each year for the past three years
- Helped analytics team refine feedback reports to providers including metrics for ordered tests, resulted tests and tests within control
- Developed nurse and provider task reminders within the context of an office visit for appropriate test ordering resulting in a 20% increase in appropriate test ordering for diabetes monitoring, breast cancer screening and immunizations
- Formulated a strategy to have nurses reach out to patients between office visits for appropriate testing using the electronic medical record
- Physician lead for patient portal cited by patients as one of the primary reasons they continue to receive care at the University of California San Diego Health System
Professional Activities
- DirectTrust.org Board Member (2018-present), Board Chair (2020-present)
- American College of Physicians Journal Club, Associate Editor (2014-2019)
- National Baldrige Performance Excellence Program Examiner (2014-2016)
Education and Training
- Masters of Business Administration, San Diego State University
- Internal Medicine Primary Care Residency, Barnes-Jewish Hospital, Washington University. American Board of Internal Medicine certification
- Doctor of Medicine, Emory University
Presentations
- November 2019 (Wearable Tech + Digital Health + Neurotech Boston) – Health IT and behavioral interventions
- November 2019 (EBSCO) – Evidence-based medicine and shared decision-making
- October 2019 (Telehealth Secrets [Newark, CA]) – Bending the healthcare cost curve (slide deck, video)
- October 2019 (Club Industry Show [Chicago, IL]) – Extending fitness clubs into virtual healthcare to prevent and manage chronic diseases
2020 posts
- November 4 – Using DALYs to Investigate Innovations in Care Delivery
- October 27 – Rethinking Physician Visit Workflows With the AMA’s New Documentation Requirements Starting January 1, 2021
- October 20 – Tailoring Telemedicine So Patients, Clinicians and Payers Seek to Broaden Its Adoption
- October 14 – Using Health IT to Support the Surgeon General’s Call to Action to Control Hypertension
- October 6 – Where Might Health Information Technology Best Reduce Healthcare Waste
- September 30 – Scaling Up Provider-Payer Workflows
- September 22 – Are Value Based Models Delivering More Value?
- September 15 – Patient-centric Value Transparency
- September 8 – Can Customer Relationship Management Help Us Increase Patient Engagement In Healthcare?
- September 1 – How Might We Structure Primary Care to Offer More Value to Patients?
- August 25 – What do Clinicians and Patients Want From Healthcare Interoperability?
- August 18 – Weight Loss as a Model for Long-Term Behavior Change with Technology
- August 11 – Livongo, Teledoc and More
- August 4 – Simplifying Quality Measurement to Help Patients Select Payers and Providers
- July 28 – Where Shared Decision-Making and Payer Return-on-Investment Calculations Align
- July 21 – Altering Co-Payments and Prior Authorization to Encourage Member Reporting
- July 14 – How Much Healthcare Data Do We Really Need to Monitor Chronic Disease
- July 8 – Could insurance companies and smaller providers work together for higher-quality care?
- June 21 – Decentralized identity in healthcare
- January 10 – Making virtual primary care viable
- December 22 – Costs and benefits of diagnostic uncertainty
- December 16 – Extending Self-Service to Chronic Disease Management
- December 8 – Redirecting Healthcare Spending to Address Avoidable Disability-Adjusted Life Years
- December 1 – Tracking Health Dimensions to Estimate One’s Aging Trajectory
- November 24 – Bundled Payments and Reference Pricing
- November 17 – Evidence Around Price Transparency
- November 10 – Updating Existing Healthcare Systems to Maximize Patient Privacy
- October 28 – Promoting Behaviors with Long Payoff Periods (Happy Halloween)
- October 20 – Empowering Individuals with Tools to Prevent and Manage Addiction
- October 13 – Placing the CMS Stars Rating System for Medicare Advantage Plans into a Consumer-Friendly Context
- October 6 – Anticipating Movements from Well-Funded Disruptors in Healthcare
- September 29 – Aligning different healthcare data inputs into a common data model
- September 22 – Using health information technology to change how someone defines themself
- September 15 – Helping healthcare payers justify their existence
- September 8 – Using technology to help individuals develop intrinsic motivation to change behavior
- September 1 – Why don’t more people use medical tourism?
- August 25 – How patients and providers might exchange information in encounters that maximize patient privacy
- August 18 – Applying the freemium model to patient-facing health information technology
- August 11 – Accounting for Changing Patient Preferences
- August 4 – Adding incremental value beyond sharing claims
- July 28 – What might you want in a complete longitudinal medical record?
- July 21 – Could social media encourage higher-value health outcomes?
- July 14 – Supporting individuals who want more control over their healthcare data
- July 7 – Linking electronic medical record decision support to prior authorization
- June 30 – Addressing food challenges to improve health
- June 25 – How can health information technology initiate and sustain behavior change more effectively?
- June 15 – Helping patients choose a healthcare provider
- June 9 – Enabling more self-service in healthcare
- April 22 – Using health information technology to enable mass-customization in healthcare
- March 31 – Considering platform characteristics to help payers demonstrate value
- March 17 – Virtual care’s niche within the current American healthcare ecosystem
- March 10 – Can remote patient monitoring and telemedicine transform ambulatory care delivery?
- February 24 – How might payers add value beyond providing health insurance
- February 10 – Tracking patient-relevant outcomes for hip and knee replacements
- February 4 – Challenges scaling health delivery models using remote patient monitoring and telemedicine
- January 6 – Addressing trust to help providers and patients adopt new behaviors
- December 18 – Chronic comorbid conditions and disease management
- October 21 – Using blockchain with existing (or emerging) technologies/standards to advance healthcare data sharing
- October 14 – Evidence-based medicine and prior authorization
- September 30 – Using new approaches and technology to reduce waste in acute and chronic care
- February 11 – Being mindful about interrupting clinicians within an electronic medical record
- February 4 – Can sharing provider documents increase value in health care?
- December 28 – Optimizing electronic medical record decision support
- December 17 – Health informatics opportunities to bend the health care cost curve
- September 10 – Updating patient-related communication practices in healthcare to minimize interruption while maximizing responsiveness
- May 26 – Using health information technology to support behavior change