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Work Background
MCG HealthChief Medical Officer
Dec. 2024Delray Beach, Florida, United States
Self-employedPhysician Executive
Mar. 2024 - Dec. 2024United States
MicrosoftChief Medical Officer/Nuance Healthcare
Apr. 2013 - Mar. 2024Burlington, Massachusetts, United StatesNuance is an international corporation that is known for voice-to-text applications (Dragon) -Physician Consultant for hospitals and health systems in the implementation and ongoing education for physicians and other providers for the Nuance compliant clinical documentation improvement program. -Supervise all Nuance physician CDI consultants. -Advise Nuance Healthcare leadership in strategic planning and development as it relates to physician, hospital, health system, and payer-related opportunities, along with strategic acquisitions and partnerships. -Directly involved in the development of the clinical algorithms that guide the clinical intelligence engine that allows clinical documentation improvement.
Borgess HealthChief Medical Officer
Mar. 2011 - Apr. 2013Kalamazoo, MichiganAs a member of Ascension Health, Borgess Health includes more than 130 sites of care in 15 southern Michigan cities, as well as 5 owned or affiliated hospitals, a nursing home, ambulatory care facilities, home health care, physician practices, managed care services, a cancer center and an air ambulance service. -Served as Chief Executive over Borgess Medical Group Practices with 220 providers.
Implemented comprehensive Clinical Documentation Program with JA Thomas which led to an improvement in severity adjusted Mortality by 25% and an increase in revenue through improved coding annualized at $9M and an improvement of 9% in MS DRG Relative Weight of Reviewed cases. -Led the Safety and High-Reliability implementation across the system through personally training 3,900 employees and physicians and ongoing improvement efforts leading to a 60% reduction in serious safety events. -Executive sponsor for Electronic Medical Record Development and Implementation in both the inpatient and ambulatory setting.
GuthrieChief Medical Officer
Jan. 2008 - Mar. 2011Sayre, PennsylvaniaGuthrie is a 3-hospital system in Northeastern PA that is fully integrated under Guthrie Health with the
Guthrie Clinic, the second oldest group practice in the United States. Multi-year Thompson Top 100 Hospital Award and New Everest Award Winner for 2 consecutive years. -Developed overall clinical performance dashboards for each of the hospitals that for the first time utilized severity adjusted clinical performance information for Boards, Administration, and Physicians. -Implemented the “Journey to Zero” quality and patient safety initiative: -Reduced hospital-acquired infections by 60%. -Achieved a 50% reduction in the “HARM” score which is a composite of 12 Patient Safety Indicators from the Agency for Healthcare Research and Quality (AHRQ) in 2010. -Improved throughput efficiency by working with nursing and physician teams. Improved the time of DC order till the patient leaves the room in less than 90 minutes from 28% of the time to 58% of the time, creating over 18 hours per day in bed turnaround. Improved time of admission order in the ED to the patient in room in less than 90 minutes from 25% to over 55% of the time. -Spearheaded the opening of a consistently staffed ED Fast-Track and Fast admission unit. -Implemented the National Emergency Department Overcrowding Scoring System (NEDOCS) along with staged local and system responses to specific scoring levels. -Re-aligned clinical oversight committees including the advancement of a patient safety committee and the development of a Board Quality and Safety Committee to provide better clinical oversight and accountability in the organization.
Wellmont Health SystemChief Medical Officer
Mar. 2006 - Jan. 2008Kingsport, TennesseeWellmont is a 4-hospital system in Northeastern Tennessee and Southwestern Virginia. Holston Valley is a 520-bed teaching hospital, a tertiary regional referral center, a Level-1 Trauma Center, and the largest of the 4 hospitals. -Spearheaded operations which included a 78,000 visit ED which maintained 85-90% success for all patients being seen in 40 minutes or less and with less than 5% of patients going to the waiting room. -Led Performance Improvement, Risk Management, Care Management, Service Line Medical Directors, and Medical Staff. -Senior executive management of Nursing and patient care services with interim Chief Nursing Officer as a direct report.
BayhealthChief Medical Officer
Sep. 2002 - Mar. 2006Dover, DelawareBayhealth is a 400-bed regional hospital system comprised of 2 Community and 1 Psychiatric Hospitals, including a newly developed Cardiovascular Surgery Program. -Reengineered Utilization Review program that decreased commercial denials from 2.5% to under 1.0%
while converting to a comprehensive case management program. -Spearheaded the implementation of a rapid admission unit which reduced Emergency Department AM
Bed holds by approximately 75%. -Led the vendor selection committee for our first Electronic Medical Record system to be implemented
organization-wide. -Established a Compliant Documentation Management Program with JA Thomas and Associates in
February of 2005 that met and exceeded all ROI expectations. Estimated revenue enhancement of $1.2Mfor FY06. -Crafted a Proforma that led to the development of an Inpatient Total Joint Center at the Milford Campus, which projected an additional contribution margin of $876K in year 2.
University at BuffaloCurriculum Coordinator and Faculty
Sep. 1997 - Sep. 2002Olean, New York
Olean General HospitalVice President of Medical Affairs
Sep. 1997 - Sep. 2002Olean, New York
Seneca Nation Health DeptChief Medical Officer
Mar. 1995 - Sep. 1997Salamanca, New York
Olean Medical Group LLPFamily Physician
Mar. 1994 - Sep. 1995Olean, New York
United States Air ForceFamily Physician and Captain
Feb. 1992 - Mar. 1994Little Rock, Arkansas
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