Independent healthcare information technology and informatics consultant, offering over 30 years in healthcare operations and healthcare information technology and informatics, healthcare technology organizational development and management consulting, interim CIO role

Provide executive consulting services in health informatics and health information technology for Lexmark in the health and healthcare industry global market. Lexmark Health provides advanced solutions in Healthcare Content Management to include managing unstructured information and replacing traditional PACS with an agile combination of Enterprise Content Management, Vendor Neutral Archive, enterprise viewing, search, sharing, output and connectivity tools to allow the provider to meet the… Show more Provide executive consulting services in health informatics and health information technology for Lexmark in the health and healthcare industry global market. Lexmark Health provides advanced solutions in Healthcare Content Management to include managing unstructured information and replacing traditional PACS with an agile combination of Enterprise Content Management, Vendor Neutral Archive, enterprise viewing, search, sharing, output and connectivity tools to allow the provider to meet the definition of The Learning Healthcare organization as defined by ONC Show less

• Cofounded and helped build a consolidation and realignment of IT resources within Vanguard Health Systems, to establish a single national service delivery center encompassing service desk, IT engineering in compute, storage, network, voice infrastructure, and security operations, engineering workforce of 158 personnel• Initiated planning for commercialization of same services to small and midsize health care delivery organizations in a subsidiary company under Vanguard Health Systems

• Took on the CIO role in a large multi-hospital system of 4500 employees, over 2000 affiliated physicians, 5 hospitals, nursing and allied health school and rehabilitative medicine that was under a turnaround executive team and in preacquisition negotiations• Transformed a IT infrastructure and department that was under-resourced, suffering from poor leadership and the resulting poor morale and realigned it from its traditional siloed organization structure into an agile model and focused… Show more • Took on the CIO role in a large multi-hospital system of 4500 employees, over 2000 affiliated physicians, 5 hospitals, nursing and allied health school and rehabilitative medicine that was under a turnaround executive team and in preacquisition negotiations• Transformed a IT infrastructure and department that was under-resourced, suffering from poor leadership and the resulting poor morale and realigned it from its traditional siloed organization structure into an agile model and focused approach with a true vision that valued the customer, and support in the value chains in revenue cycle, clinical experience, growth and quality initiatives • As a result, the January 2003 acquisition by Vanguard Health Systems found an information services team that allowed them to quickly implement the operational leadership and business transformation initiatives that resulted in the company running in the black on a monthly basis within 3 months of acquisition and then a double digit revenue growth and assumption of market leadership within the first three years. That growth and the on-time and on-target focus in information technology and informatics continues to support the over 6,300 employees, 130 employed physicians and 2500 affiliated physicians today.• All was achieved while having the lowest operating cost of any IT&S department in the company, meeting the high and complex demands of growth initiatives and strategic projects that resulted in BHS doubling in size, capability and revenue over 8 years with the major expansion of two hospitals, establishment of a new hospital, addition of new business lines in 7 radiology imaging centers, oncology breast center, 26 primary care and specialty clinics, a clinical integration program, home health and ACO initiatives and 5 free standing emergency hospitals• Chaired South Texas regional health information exchange, Health Access San Antonio (HASA), health exchange for San Antonio and 17 surrounding counties Show less

Led a team from OAO corporation that managed the biometric tools and databases used in daily feeds of ambulatory and inpatient clinical data from military medical facilities worldwide, developed and provided analytical tools around metadata on the quality of this data, and constructed and supported resulting reports, views and research extracts for a team of environmental health, mental health and epidemiologists for population health/disease management support of the Air Force employed… Show more Led a team from OAO corporation that managed the biometric tools and databases used in daily feeds of ambulatory and inpatient clinical data from military medical facilities worldwide, developed and provided analytical tools around metadata on the quality of this data, and constructed and supported resulting reports, views and research extracts for a team of environmental health, mental health and epidemiologists for population health/disease management support of the Air Force employed workforce, their dependents, retired members and dependents-a population of over 1.4M Show less

• Directed information technology operations and planning in a large tertiary care medical center, research center, teaching hospital, Level 1 trauma center and integrated delivery system with over 700 beds and 3,500 personnel, applications encompassed both inpatient, ambulatory, preventive health, field medicine, medical research and bioenvironmental functions.• Managed a complete upgrade of a campus network, a $3.5 million dollar project with over 10,000 nodes that was completed on time… Show more • Directed information technology operations and planning in a large tertiary care medical center, research center, teaching hospital, Level 1 trauma center and integrated delivery system with over 700 beds and 3,500 personnel, applications encompassed both inpatient, ambulatory, preventive health, field medicine, medical research and bioenvironmental functions.• Managed a complete upgrade of a campus network, a $3.5 million dollar project with over 10,000 nodes that was completed on time and on budget within a year. • Led the successful Y2K analysis and remediation project, especially challenging in the research environment using information technology that was unique and had to be remediated without disturbing the integrity of the multi-year experiments• Unique technologies implemented and supported included an internally authored integrated clinical database (ICDB) using Oracle to capture and fully integrate clinical data from diverse front end application systems, self developed Level 1 trauma center electronic medical record system using the ICDB repository with Powerbuilder and C# developed front end user interface, customized HL-7 interface engine, a cardiology and radiology telemedicine network that supported other military treatment facilities in Texas and Oklahoma as well as teleradiology reads for the federal INS for immigration chest studies, beta tests and ultimately full deployment for one of the earliest Radiology PACs systems and customized applications in ophthalmology EMR and critical care• Managed a $25m operating budget with average capital budget managed annually of $4m Show less

• Competitively selected for program among USAF Medical Service Corps officers, completed Master’s degree in Health Informatics while serving a CIO residency at the UAB Medical Center to include the support of the Medical School, Kirklin Clinic and Civitan International Center• Completed projects while CIO resident at UAB Medical Center to include designing first Intranet to include display of studies and schedules from new Gamma Knife, established Project Management Office and reporting… Show more • Competitively selected for program among USAF Medical Service Corps officers, completed Master’s degree in Health Informatics while serving a CIO residency at the UAB Medical Center to include the support of the Medical School, Kirklin Clinic and Civitan International Center• Completed projects while CIO resident at UAB Medical Center to include designing first Intranet to include display of studies and schedules from new Gamma Knife, established Project Management Office and reporting procedures, project management for a successful replacement of their cost accounting system, developed a methodology for grading out IT investments and helped develop the strategic 3 year IT plan and budget• Research assistant and coauthor of article in Journal of Health Information Management on then emerging Internet technology and use of modified PERL language for data and web site presentation• Phi Kappa Phi honor society Show less

• Specially selected to manage the regional hospital IT operations to include a beta program for the Composite Health Care System, an overall $1.5b Department of Defense (DoD) project to establish an overall application that services the integrated delivery system and population health delivery model used in DoD. Led combined government and vendor team through rigid and iterative testing of the product that helped in the go forward decision to deploy worldwide on schedule.• Established and… Show more • Specially selected to manage the regional hospital IT operations to include a beta program for the Composite Health Care System, an overall $1.5b Department of Defense (DoD) project to establish an overall application that services the integrated delivery system and population health delivery model used in DoD. Led combined government and vendor team through rigid and iterative testing of the product that helped in the go forward decision to deploy worldwide on schedule.• Established and led the clinical informatics team in establishing procedures, downtime methods, and special reporting and interfaces to support the health and critical military aspects of the system• Implemented a successful Unix based office automation system for over 500 users, providing all capabilities needed at least capital and operating cost versus independent personal workstations• Led an initiative to improve speed, clinical accuracy and capture data electronically in using the early Kurzweil voice recognition systems in medical transcription in Radiology, Pathology and Emergency department. Radiology and Pathology initiatives were successful due to limited universe of terminology; ED was not due to its wide scope of terminology, mobile workflows and the rudimentary state of voice recognition technology at the time. Results reported at DoD level to further research in this area.• Served as Commander of the medical enlisted force, providing leadership and workforce oversight to over 500 personnel. Show less

• As CIO, in addition to the IT operations, managed the administrative operations in patient aeromedical evacuation movement as well has health information for a supported population of over 4,000 personnel and their family members. • As readiness officer for 12th Air Force, developed planning for disaster contingency and wartime planning that covered Spain, most of Southern Europe and Africa, reengineered plans and medical wartime projects that had failed two previous readiness… Show more • As CIO, in addition to the IT operations, managed the administrative operations in patient aeromedical evacuation movement as well has health information for a supported population of over 4,000 personnel and their family members. • As readiness officer for 12th Air Force, developed planning for disaster contingency and wartime planning that covered Spain, most of Southern Europe and Africa, reengineered plans and medical wartime projects that had failed two previous readiness inspections.• Managed real disaster deployments and humanitarian medical missions into Africa, to include the medical response to a mass evacuation of Americans from Nigeria during a contingency• During Operations Desert Shield and Storm, oversaw the full deployment of wartime medical missions on very short notice and achieved all objectives in the forward deployment of a full air transportable hospital, two aerospace medicine clinics, a flying ambulance surgical trauma team and in country deployment of 250 bed aeromedical staging facility for casualty transfer, aeromedical evacuation control center coordinating patient flights from forward war zone into Europe, the major blood transshipment center for all blood supplies flowing into the war zone, and a fast standup of supporting medical forces into contingency bases in southern Spain, Qatar and southern Turkey. Since the conflict did not fit existing war plans, rapidly adapted to planning and executing on the fly.• Led rapid deployment in less than 48 hours of patient tracking software specially developed for the unique and unplanned contingency of standing up civilian hospital beds in readiness status across Europe• Helped negotiate casualty treatment points across Spain with military and civilian government authorities, planned and staged the first combined civilian and military casualty movement exercise using transfer routes in and around Madrid Spain to Spanish civilian and military treatment facilities. Show less

• Directed a team which developed, programmed, tested, supported and applied computer courseware used in teaching and training in allied health courses across the clinical spectrum, a Defense Advanced Research Project Agency project with the University of Illinois and Control Data Corporation• Worked with teams of educational scientists, psychologists and cognitive experts in storyboarding courseware, programming the courses in special languages Tutor and Tencore, and doing observation and… Show more • Directed a team which developed, programmed, tested, supported and applied computer courseware used in teaching and training in allied health courses across the clinical spectrum, a Defense Advanced Research Project Agency project with the University of Illinois and Control Data Corporation• Worked with teams of educational scientists, psychologists and cognitive experts in storyboarding courseware, programming the courses in special languages Tutor and Tencore, and doing observation and testing of the results. The results were compared in efficacy to traditional classroom teaching methods. Developed over 80 hours of online courseware over the assignment• Delivered multiple presentations on the science of computer based instruction at national and international meetings to widespread audiences to include representatives from governments in Australia, Mexico, Turkey, and South Africa, national educational associations, military and healthcare education.• Resulting courseware was published and used in actual training for over 3,000 students each year in nursing and allied health technical fields. It was shared on a research network that included international universities, government sites, and national universities and helped deliver didactic training on anatomy and physiology, pharmacokinetics, medical readiness, medical terminology, nursing skills, optometry technical skills that used gaming theory and class competition for a more effective and efficient delivery of these topics.• Member of team that developed and deployed first automated quality of care reporting system to over 100 medical treatment facilities worldwide• As certified instructor, developed and taught courses on the use of medical information technology in laboratory, pharmacies, clinical care quality, cost accounting, dental operations and supply chain management. Did on-site implementation of systems at multiple locations in the U.S. and Europe Show less

- Managed business office for financial and managerial accounting, labor productivity, and operations reporting for a 50 bed community hospital and clinic operation- Implemented one of the first computer rooms and automated quality operations and cost accounting systems in the USAF Medical Service- Developed COBOL scripts for better automated management of systems, and improved reliability of automated processes- Earned promotion five years ahead of peer group average with same… Show more - Managed business office for financial and managerial accounting, labor productivity, and operations reporting for a 50 bed community hospital and clinic operation- Implemented one of the first computer rooms and automated quality operations and cost accounting systems in the USAF Medical Service- Developed COBOL scripts for better automated management of systems, and improved reliability of automated processes- Earned promotion five years ahead of peer group average with same speciality and time in service Show less

- Managed health information department and aeromedical evacuation for 40 bed inpatient hospital and clinic operation servicing over 6000 patient population- Developed and delivered health benefits advisor program and first public presentations to implement new military CHAMPUS health insurance program- Project manager for conversion from ICD8 disease coding classification to ICD9 - Developed operating procedures for 35 bed mobile hospital and clinic administration as key member of… Show more - Managed health information department and aeromedical evacuation for 40 bed inpatient hospital and clinic operation servicing over 6000 patient population- Developed and delivered health benefits advisor program and first public presentations to implement new military CHAMPUS health insurance program- Project manager for conversion from ICD8 disease coding classification to ICD9 - Developed operating procedures for 35 bed mobile hospital and clinic administration as key member of force which deployed first wartime medical readiness capability post Vietnam war.- Selected for early promotion 1 year ahead of peers Show less