Oversight of value-based programs (both primary care and specialty-based) for 2000+ provider faculty practice organization and 400+ provider Independent Physician AssociationLeading team of 7 direct reports, includes RN Care Coordinators, Project Manager, Data Manager, QI Specialists, Program Coordinators Establishing a system across the organization to improve population health for commercial and managed Medicare patients- Hiring and mentoring new team members- Leading data analytics team- Collaboration and integration of care management activities between Medicare ACO and Faculty Practice Organization- Initiating population health–oriented processes with CAP-IPA (Columbia Affiliated Physicians Independent Physicians Association)- Visiting/engaging practices to align physicians with organization goals- Participating in continuous EHR Optimization

-Achieved 100% compliance with internal referral agreement (care compact) requirement for specialist quality program (worth $2M in bonus payment)- Increased Hierarchical Condition Coding compliance rate by 7%- Increased Medicare Advantage Annual Wellness Visit rate by 5%- Increased Medicare Advantage Broad Visit rate by 15%- Building and training a population health team and network (both inside and outside of the organization)- Developed a multi-pronged approach for proactively optimizing patient well-being via: care coordination, timely preventive services, impacting unnecessary poly-pharmacy and ER utilization, provider and patient education- Led CAP-IPA quality team [while full-time manager on leave]: onboarded new staff, built new processes for care coordination and provider notification of patient admissions and ER usage, and effectively engaged providers to join organization-based quality programs

- Led multiple commercial quality programs; facilitated activities to promote quality and curb unnecessary utilization to optimize health across ColumbiaDoctors patient population while maximizing revenue- Collaborated across the organization to help build a care management structure to work in tandem with the organization’s population health goals- Engaged department leaders and providers to build alignment on population health and quality performance principles- Built and maintained partnerships with leaders from multiple commercial payers- Maintained access to multiple data portals for the population health team and stakeholders across the organization- Facilitated internal referral relationships between primary care providers and specialists to enhance provider communication, decrease “leakage” of customer base, and improve patient experience of care while optimizing patient health outcomes

- Co-led primary care- based value-based programs- Attended and facilitated regular quality and cost performance meetings with major payers- Responsible for managing deliverables required for value-based program contracts

- Provided high quality evidence-based nursing care for patients with acute neuro-trauma and peri-operative neurosurgical patients- Co-chaired critical care practice council; Used the evidence-base to maintain best practices in neuroscience critical care nursing; Affected unit policy change to include “clustering of care” to decrease stimulation of coma patients- Mentored new hires, nursing students, and military trainees on best practices in neuroscience critical care- Supervised nursing assistant staff; Assisted in developing policy re: appropriate scope of practice for nursing assistant staff

- Assisted in organizing and implementing a seasonal flu vaccine campaign across the community’s vulnerable populations- Supervised nursing staff at vaccine administration sites in the community- Liaised with local media (television and print media) for updates on H1N1 influenza and the community