Juhan Paiste, Md, Mba, Fasa, Cpe Email and Phone Number

Manage anesthesia and perioperative services operations for the tertiary care academic medical center in multiple facilities. Led improvement initiatives, guiding the strategy and organizational and cultural changes to move from volume to value-based health care by optimizing quality, safety, and efficiency while driving down costs and continuing to achieve goals for excellence in clinical care, research, and education. Representative Achievements:* Collaborated with UAB Health System leadership in conducting comprehensive assessment; initiated optimization to appropriately align perioperative services structural components with efficient workflow processes. * Improved patient satisfaction, outcomes, efficiency, and resource utilization through care standardization and process optimization working in close collaboration with surgeons, nursing staff, and administrative staff. * Served as executive sponsor of multiple multidisciplinary process improvement projects that decreased readmissions, length of stay (LOS), and morbidity and mortality rates while concurrently increasing patient satisfaction. * Leveraged deep familiarity with Joint Commission (JC) standards as Chair of the Moderate Sedation Committee for the UAB Health System.

The CPE designation indicates that a physician has achieved superior level of professional excellence and management education, while also demonstrating effective knowledge and leadership skills. The Certifying Commission in Medical Management currently lists under 1,500 CPEs nationally.As the national certifying body for physcians specializing in medical management, the Certifying Commission in Medical Management is a not-for-profit corporation chartered by the American College of Physician Executives (ACPE) to establish and maintain the high standards required for physician executive certification. The ACPE is the nation's largest organization of physicians in health care leadership.

Joined the corporation as a cardiac anesthesiologist in 2003, then immediately upon eligibility elected by shareholders to Board of Directors then again to serve as Secretary/Treasurer/CFO of the corporation. During a period of change and growth elected in 2009 as President then re-elected in 2011 for a 2nd term. Played major leadership role in building and managing a cohesive, well-functioning practice with outstanding market credibility. Developed a well-defined customer base, organizational priorities and governance structures, and a strong culture that embraces challenges, adapts flexibly to changes, and actively seeks to provide integrated, patient-centered care through a system that optimizes quality and costs. Grew revenues 5+% annually while maintaining/decreasing expenses.Representative Achievements:* Boosted quality of patient care, strengthened relationships with surgeons, and improved feedback from all stakeholders through increased physicians' participation in leadership roles throughout the corporation, the department, the health network, and at state and national levels. * Facilitated changes and initiatives that built a strong foundation for continued success into the future through establishment of a clearly defined mission, priorities, and corporate strategy that created stronger governance and reporting structures while promoting accountability.

Since 2005, appointed to a series of high-profile leadership roles, governing the provision of surgical services (Anesthesiology, Surgery and Perioperative Services) through interdepartmental teamwork and collaboration.Made major contributions in developing the OR Governing Board charter as a proactive, multidisciplinary response to anticipated national changes in health care. Provide strong interdisciplinary leadership in aligning interests and priorities of all stakeholders and medical service providers, creating a functional and efficient system that provides fiscally responsible, high-quality care with excellent outcomes. Representative Achievements:* OR Governing Board: Improved operating room (OR) utilization and delivered major successes through increased process consistency and clearly defined "patient centered care" priorities as results of leadership on a multidisciplinary committee that established a network-wide surgical case triage policy.

Recruited internally to provide leadership for 27 MDs and 100 CRNAs conducting 40,000 anesthetic cases annually in 48 operating rooms and 12 outside anesthesia locations. Subspecialty anesthesia services include cardiac, pediatric, obstetrics, and acute and chronic pain management.Instrumental in developing and managing a highly functioning department known for delivering high quality of care with an efficient delivery model. Created an organizational culture based on respect and teamwork. Instituted dashboarded quality metrics that help to drive continuous process improvements and operational efficiency increases.Representative Achievements:* Cultivated and fostered a patient-centered collegial team approach that created new bridges of communication and cooperation between physicians and allied health professionals. Established forums for open discussion of issues and built a respectful work environment based on trust and common purpose.