Physician leader in development of cardio-mems implantation and outpatient follow-up monitoring program for prevention of heart failure admission in conjunction with our current outpatient monitoring programSole implanting physician and program DirectorGained consensus among the Cardiology group to achieve participation for patient referralEstablished protocols and procedures for referral and outpatient monitoring post implantLead ongoing review of data & setting metrics and quality measures to achieve outcomesResults: 60% readmission reduction for this patient populationOur mission is to improve our patient's quality of life and decrease their mortality and morbidity as well as decrease avoidable readmissions and the overall utilization of healthcare services.

Physician clinical leadership to develop a program which applies AHA/ACC guideline best practices to prevent heart failure readmission along the inpatient- outpatient continuum. Initial trial cohort had 100% reductions in re-admission. Broader implementation reduced re-admission by 60%. Program is designed to be modifiable and scalable for other chronic disease states: pneumonia, COPD, MI, post-surgical/orthopedics care.Developed LVAD inpatient and outpatient support programs/protocols to facilitate expansion of the Cardiac Rehab program to include LVAD patient population. Collaborated with Cardiac Nursing Director to provide a community wide educational forum, bringing together County Fire District, County EMS personnel area LVAD Coordinators to provide training and education for all hospital staff.Provide ongoing clinical quality leadership and oversight to the organization's department staff and patient population.

o Chief of Staff, Marshall Medical Center 2021-present o Emergency Medicine Committee 2009-present o Surgical Committee 2009-present o Ambulatory/Outpatient Care Committee 2009-present o Medical Executive committee 2009-present o Chair of Ambulatory/Outpatient care committee 2014-2018 o Developed LVAD inpatient and outpatient support programs/protocols for Marshall Medical Center o Development team for telemedicine capabilities to provide and receive specialist care to underserved areas in Northern California through Marshall Medical Center o Discharge planning team developing methods to reduce re-admissions for heart failure patients o Physician leader in development of cardio-oncology protocols in conjunction with Oncology o Physician leader in development of cardio-mems implantation and follow-up for prevention of heart failure admission in conjunction with our current outpatient monitoring program o Collaborated with cardiac services director, cardiology partners and hospitalists to develop and implement an appropriate use (AUC) driven echo quality program to reduce inappropriate ordered inpatient echocardiograms. Eliminated inappropriate echocardiograms. Provided higher quality diagnostic imaging. Increased revenue by an estimated $500,000 annually in reduced labor costs, overhead and direct DRG costs. o Physician clinical leadership to develop a program which applies AHA/ACC guideline best practices to prevent heart failure readmission along the inpatient- outpatient continuum. Initial trial cohort had 100% reductions in re-admission. Broader implementation reduced re-admission by 60%. Program is designed to be modifiable and scalable for other chronic disease states: pneumonia, COPD, MI, post-surgical/orthopedics care.

Internal Medicine/Hospitalist Attending for the Finger Lakes Health with admitting privileges at Geneva General Hospital (Geneva, NY) and Soldiers and Sailors Hospital (Penn Yan, NY).