Dan Westphal Email & Phone Number

Louisville, Kentucky, Us

Provide strategic direction and oversight of Medicare Advantage care members reviewing cases for medical necessity and appropriateness. Conduct front-end reviews, peer-to-peer discussions, provider disputes, retro reviews, SNF reviews, LTACH reviews, IRF reviews, outpatient and inpatient authorizations, waivers, and out-of-network determinations. ✓ Participated in Case Concordance meetings as a pulmonary disease expert and presented on COPD, pneumonia and COVID-19. ✓ Selected for Physician Leadership Development Program (PLDP).✓ Part of the team serving as a physician expert with Humana on the Kindred Home Health initiative to identify gaps in care for those with congestive heart failure and chronic renal failure. ✓ Selected to be a member of the Cost Allocation Committee. ✓ Participate in weekly Regional Medical Director meetings.

Fort Lauderdale, Florida, Us

Graduate Educator for Physician Assistant Program

Fort Lauderdale, Us

Directed the graduate medical education (GME) program at Broward Health Medical Center including oversight of 8 medical residency training programs and 146 residents in training. ✓ Placed program director, internal medicine, and transitional year programs. ✓ Secured funding from Broward Health Foundation for an orthopedics orthoscopy simulation lab.✓ Actively participated in the accreditation preparation and site visits for the orthopedics residency program and the internal medicine program by accreditation council for graduate medical education (ACGME) in transition from AOA.✓ Led ICU teaching rounds weekly with PGY-1 and senior internal medicine medical residents.✓ Collaborated with Mount Sinai Medical Center and Cleveland Clinic Florida to allow general surgery residents to participate in the Level I Trauma program at BGMC and multiple rotations for plastic surgery residents respectively.

Fort Lauderdale, Us

Interim VP of Broward Health Physician Group (02/17-09/17)Key member of the senior leadership team accountable for providing physician leadership to further ensure the delivery of quality medical care to Broward Health patients in 30 medical facilities with 9000 staff. Acted as a key liaison between the hospital’s administration and medical staff, working with clinical departments to develop and implement improvements. Cost centers included research, quality, credentials and qualifications, administrative support, and continuing medical education. Responsible for overall medical quality management including patient safety, patient satisfaction, medical care efficiency, and medical staff performance. Key Accomplishments and Achievements▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬✓ Established RMOs (CMOs) in all four hospital facilities.✓ Changed credentialing from regional to corporate establishing a Credentials and Qualifications Department (CQD) to standardize and make the credentialing process more efficient and effective.✓ Changed the credentialing reporting process from the CEOs to the Director of the CQD.✓ Established policies and procedures for the CQD including data sharing, pre-application process, and attribution (most important). Created a separate fee schedule for application processing both pre-application and application separate from the medical staff membership and re-credentialing fees.✓ Engaged the Greeley Company to assess and assist Broward Health to become National Committee for Quality Assurance (NCQA) certified and also a credentials verification organization (CVO). This allowed our new providers more timely credentialing through our multiple managed care plans.✓ Transitioned from a paper-based inefficient, untimely ongoing professional practice evaluation (OPPE) process being performed differently at each hospital to an electronic-based standardized, timely, and smooth process recognized to be “Best Practice”.* continued below *

Fort Lauderdale, Us

* continued from above *✓ Developed a system-wide new online physician orientation process mandatory for each provider new to Broward Health.✓ Created an electronic process to remind and document physician compliance with our yearly influenza vaccination initiative. The goal for 2017-2018 for vaccination among physicians is set at 90%.✓ Reviewed and ensured all applications re-credentialing for new physicians, as well as allied health were reviewed thoroughly before being presented to the Board to ensure that providers were being processed correctly and timely.✓ Core privileging/core credentialing was a major focus. Approved initially by all 4 Medical Executive Committees and at the Board of Commissioners meeting in November 2017 with 51 specialty core privilege forms for 51 medical specialties being approved.✓ Developed a Central Formulary Committee to serve in an evaluation and advisory capacity to Broward Health specific to the selection of pharmaceuticals to be used throughout the system. This included receiving evidence-based clinical data and recommend agents to be included on the formulary with or without restrictions based upon clinical data or excluded from the formulary. Monitored and evaluated the use of non-formulary and high cost medications to determine the need for formulary review or education.✓ Past Chairman of the American Board of Medical Quality (ABMQ) and current Co-Chair functioning with our partners, SEHA in Abu Dhabi. Also on the Board of the American College of Medical Quality (ACMQ) and Chairman of the Scientific Subcommittee. Our committee is responsible for the theme and speakers for our 2019 national meeting in Washington, D.C.✓ As Interim VP of Broward Health Physician Services, major changes included reorganization and reporting structure of BHPG along with recruitment of physicians whose specialties aligned with Broward Health product lines and major competitive services.

Hollywood, Florida, Us

Hired to implement state of the art healthcare initiatives that meet the demands of the population and align physician staff to the quality of healthcare. Additionally selected to oversee medical staff officers, risk management, and peer review.Key Accomplishments and Achievements▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬✓ Developed an online, New Physician Orientation presentation for all hospitals in the Memorial Healthcare System that is mandatory for all new physicians coming on staff. No system-wide new physician orientation program in place previously.✓ Instrumental in developing a best practice pre-operative anesthesia assessment to be built into EPIC to identify patients with potential obstructive sleep apnea (these patients are at high risk for postoperative complications if not carefully monitored).✓ Served on the South Broward Community Coalition and implemented four Transition of Care Initiatives including Nursing Communication, Physician Communication, Medication Reconciliation, and Palliative Care. Led the Physician Communication Initiative.✓ Collaborated with executive team and physicians in the ICD10 integration.✓ Decreased undictated OP reports and achieved the lowest delinquent medical chart % from 50% to 7%.✓ Identified 4000-5000 unsigned verbal medical orders. Implemented a system to adhere to immediate attention, thereby decreasing unsigned orders to less than 50.✓ Developed and launched a dedicated 24/7 Physician Hot Line for physicians only to address problems, issues, and suggestions.✓ Appointed Associate Clinical Professor at the Charles E. Schmidt School of Medicine in Boca Raton.✓ Elected Secretary-Treasurer for the American Board of Medical Quality.

Recruited to provide strong directional leadership and cultural stability, involved in all initiatives and concerns for patient safety, quality, service, cost/growth, development, and patient service, especially those relating to physician issues. Reported directly to the CEO. Served as a liaison and resource to management on matters pertaining to medical staff activities. Key Accomplishments and Achievements▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬✓ One of Top 22 Tenet Hospitals with Lowest Excess Days. ✓ Received 5-Star Rating for Inpatient and Outpatient Medical Record Coding. ✓ Reduced Observation Hours from 403 to 256 days from previous year by developing and completing an action plan with Case Management Director to change staffing patterns.✓ Achieved 95% or greater placement of patients with a government payer and placed in the correct InterQual category and level of care at the time of admission or corrected within 24 hours of admission. ✓ Reduced Medicare Length of Stay (LOS) to 5.8 days versus budgeted 6.36 and overall LOS to 4.73 days versus budgeted 4.95.Service▬▬▬▬✓ Developed New Physician/Allied Health Orientation with consistent 'Excellent' Ratings by attendees >98%.✓ Increased Physician Satisfaction Scores from 80% to 86% over the past three years despite a complicated hospital merger of two medical staffs with different geographic area and demographic.✓ Created Physician Newsletter: "Progress Notes"✓ Developed and implemented a CME Program.✓ Enhanced physician communication through the creation of a Physician Hot Line.✓ Implemented Multidisciplinary Rounds in the ICU/Nursing Units Monday through Friday with inclusion of palliative care. This led to increased communication between staff members with identification of case management, placement/disposition, social, pharmacy, dietary, physical therapy, wound care and end-of-life issues and ultimately improved patient care and decreased length of stay (LOS) and level of care (LOC). * continued below *

* continued from above *Cost and Growth▬▬▬▬▬▬▬▬✓ Project Manager for Three Phase Medicare Performance Initiative (MPI) Project. ☛Phase 1 and 2: 100% of cost savings were identified by June 30, 2011 deadline. Achieved identified goals financially by December 31, 2011. ☛Phase 3: Goal achieved >100% of identified savings. Initiation of concurrent coding initially targeting MPI DRGs to expand to all DRGs where there were opportunities found more accurately documented patient's conditions with services being provided. ✓ Physician Lead for McKinsey MPI Pilot Initiative for Inpatient Throughput Team (FMC was one of two Tenet hospitals selected company-wide to participate in pilot due to previous success with the MPI Project). ✓ Reduced costs for blood/blood product wastage from $15,000/month to $300 or less through process improvement and physician education.✓ Increased Employee Retention to over 90% of departments reporting to CMO.Development/Leadership▬▬▬▬▬▬▬▬▬▬▬▬✓ Oversight of Clinical Research at Florida Medical Center (clinical research was contracted to Sunrise Medical Research, Inc.).✓ Hospital Research Lead for WIRB.✓ Co-Chair UM Committee.✓ Chaired the Development of Anemia Clinic for patients requiring elective surgery; i.e., cardiovascular and orthopedic surgery.✓ Initiated the creation of an Ethics Committee where none had been in place since 2003.✓ Created Pain Management Committee to address concerns major patient safety issues related to unmonitored patients on medical-surgical unit identified through multidisciplinary rounding. ✓ Collaborated with Catholic Health Services on CMS transition of care pilot to address readmissions.✓ CI Hospital Sponsor and Physician Champion for Project Impact and implementation of CPOE in conjunction with Cerner.✓ Physician Advisory Committee for Tenet Corporate-wide CPOE Initiative.

Boca Raton Community Hospital 2003 - 2008 Chief Medical Officer (2007-2008)Medical Director, Clinical Effectiveness (2004-2007)Physician Advisor for Case Management (2003-2004)North Broward Medical Center 2001 - 2003 Chief Medical OfficerNorth Broward Hospital District2001Physician AdvisorApplied Medical Solutions1999 - 2000 Chief Medical OfficerHIP Health Plan of Florida 1998 - 1999 Pulmonary Medical ConsultantPulmonary Network INC. 1993 - 1999 PresidentNORTH BROWARD MEDICAL CENTER1992 - 1998 Medical Director Sleep Disorders Center (1992-1998)Medical Director Pulmonary Department (1977-1998)Pulmonary, Critical Care/Sleep Disorders 1977-1998Private Practice US Ireland Army Hospital1973 - 1975Chief of Emergency Room Services

🎓 Medical Doctor (M.D.)

🎓 Master Of Business Administration (M.B.A.), Health Services Administration

🎓 Bachelor Of Arts (B.A.)

Clinical & Research Fellow Pulmonary Unit

Medical Resident

Medical Internship