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Health Information Management Expert Witness

Provides Opinion & Testimony In:

Health Information Management, Healthcare, Health Records, Health Audits, Workers Compensation Managed Care Program, Health Care Practitioner, Patient Accounts, Public Health, Diagnostic Centers, Treatment Centers, Diagnostic Clinics, Treatment Clinics, Health Information Services, Managed Care Programs, Social Work Planning, Discharge Planning, Primary Care Clinics, Patient Relations, Medicaid Managed Care,

Expert No. 84

Connecticut

Education

Master of Science, Healthcare Administration, Kennedy-Western University, Thousand Oaks, CA; 2000
Thesis:  Healthcare Data: The Key to Measuring Provider Performance in a Workers’ Compensation
Managed Care Program
Bachelor of Science in Health Information Management, Colorado Women’s College (Denver University),
Denver, CO.
Bachelor of Music, Chicago Musical College of Roosevelt University, Chicago, IL

Credentials

Registered Health Information Administrator (RHIA), October 1981, American Health Information Management Association.

Strengths

Health Information Management (HIM)-credentialed professional; Strong commitment to the non-profit healthcare and education sectors;
Advocate for teaching and practicing population-focused healthcare, primarily benefitting the underserved population;
Skilled in the use and analysis of health care-related information for optimizing reimbursement, achieving compliance, adhering to regulatory and accreditation standards, and improving operational and clinical performance;
Knowledgeable about national and local information technology initiatives in the drive toward an electronic health record;
Extensive experience in patient flow redesign in various healthcare settings; Systems approach to managing change at all levels of an organization; Ability to facilitate, influence and support all users of health information .

Awards

Available upon request.

Professional Activities

Available upon request.

Professional Employment

Manager, Health Information Management, A Company; May 2006 – Present.
Key responsibilities:
Serve as the go to HIM resource for the facility team;
Key member of the Revenue Cycle team, working with Patient Accounts and Compliance on chart to charge audits, coding accuracy and medical record documentation reviews.
Manage all HIM-related processes to satisfy all customer needs;
Oversee the HIM transition from a primarily paper-based medical record to an EHR; member of the visionary taskforce which defined Cancer Center needs for selection and implementation of the NYU system-wide EHR.

Adjunct Assistant Professor of Public and Health Administration, A University School of Public Health; 2000 – present.  
Course: Continuous Quality Improvement, where students think creatively about what it means for a healthcare organization to make quality the highest priority, considering current forces driving the push toward quality outcomes and accountability, including raising awareness of patient safety and compliance initiatives.  Students use health information and statistical process control tools for analysis, decision making and performance measurement to improve work processes.

Program Director, Primary Care Development Corporation, New York, NY; September 2002 to May 2006.
PCDC is a non-profit organization created to improve access to primary care to the underserved population in New York City and beyond.  Key responsibilities:
Coach to multi-disciplinary outpatient teams in voluntary and public hospital clinics, community health centers, Diagnostic &Treatment Centers and extension clinics, enabling them to completely redesign the scheduling and flow of patients through their primary and specialty care clinics.  A key component of any successful redesign effort is health information that is readily available, with accurate and complete documentation, allowing it to serve as the primary communication tool among the patient care team members and as a source of measurement and accountability.
Data collection, reporting and analysis of all PCDC programs, leading to the development of an organization-wide outcome evaluation model for performance improvement.

Mid-Atlantic Region Manager, QuadraMed Corporation; 2001-2002.
Coordinated the coding, compliance and educational activities within the Health Information Services (HIS) Division of QuadraMed, a nationwide company offering information technology and consulting services in the healthcare information field.

Director, Workers’  Comp/ No-Fault Programs, MagnaCare, Garden City, NY; 1997 to 2001.
Developed and implemented newly legislated Workers’ Compensation and No-Fault Managed Care Programs for MagnaCare, a large PPO in New York and New Jersey and HMO in New York, including the development of a QI plan, indicators for reporting and meeting state regulations by creating a relational database for state reporting.

ICD-9-CM/DRG Coding Instructor, Molloy College, Rockville Center, NY and VNA of Long Island; 1996 to1998.

Associate Executive Director, Professional Services Division, Jacobi Hospital, Bronx, NY, a 776 bed teaching facility affiliated with the Albert Einstein College of Medicine; 1987 to 1996.
Administratively responsible for the departments of Health Information Management, Quality/Risk/Safety Management, Infection Control, Social Work/Discharge Planning, Medical Staff Affairs, Patient Relations, Emergency Services and the Primary Care Clinics.

Major accomplishments

Coordinated the hospital’s successful regulatory (NYSDOH, CMS) and accreditation (JCAHO) activities. Created the QI/RM Task Force, a weekly forum for reviewing risk issues within the context of quality improvement.
Chaired the Bell Committee which developed the plan to implement the 405 regulations around limitation of resident hours.
Member of the steering committee responsible for the implementation of the HDS EHR at Jacobi, the pilot site for the Corporation.
Chaired the Medicaid Managed Care committee which oversaw the development and implementation of the state-mandated Medicaid Managed Care program.
Chaired the Clinical Protocol Research Review Committee.

Coding Consultant, New York Professional Standards Review Council, Inc., New York, NY; 1986 – 1990.

Senior Consultant, Utilization Information Services (UIS) Division of the Healthcare Association of New York State, Albany, NY; 1986 – 1987.

Director, Medical Record Technology Program, Arapahoe Community College, Littleton, CO; 1984 – 1985.
 
Chief Data Coordinator in Colorado for Rand Corporation/UCLA Health Services Utilization Study on the efficacy of high cost, high utilization procedures, including carotid endarterectomy and upper GI series.  1984 -1985.  Responsible for data gathering and reporting from six analysts throughout the state.

Director, Medical Record Department, Valley View Hospital (Humana, Inc.), Thornton, CO; 1981 – 1983.

Affiliations

Member, American Health Information Management Association (AHIMA) Member, New York Health Information Management Association (NYHIMA)
Member, Health Information Management Association of New York City (HIMANYC)

Publications

Available upon request.

 

Groups