Marian Ryan

Marian Ryan Email and Phone Number

Translational Research & Program Evaluation to Impact Healthcare System Transformation & Health Equity @ Institute for Healthcare Advancement
united states
Marian Ryan's Location
Orange County, California, United States, United States
Marian Ryan's Contact Details

Marian Ryan personal email

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Marian Ryan phone numbers

About Marian Ryan

Dr. Ryan is a highly knowledgeable and skilled healthcare leader with demonstrated results in health system transformation and the passionate pursuit of clinical excellence and patient-centered care. Over three decades of experience in multiple health care settings and roles she has developed a broad and deep capacity to fill many of the critical needs of health care organizations: establish and lead collaborative, cross-functional internal and external teams; create innovative predictive risk methodology and establish a population health foundation; design and complete clinical program effectiveness evaluations; establish compliant Medicare/Medicaid programs, monitoring and remediation processes; build new innovative clinical programs; and lend expertise to the development of quality analytics. Exhibiting effective leadership through the highest levels of integrity, critical-thinking, positive coaching, and appropriate resource allocations has resulted in superior outcomes. A mid-career opportunity to earn her PhD at Brandeis (Heller School and Schneider Institutes of Health Policy) under a fully-paid AHRQ pre-doctoral fellowship served to fuel an even deeper drive to be an effective change agent ensuring quality health care services for everyone in need.

Marian Ryan's Current Company Details
Institute for Healthcare Advancement

Institute For Healthcare Advancement

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Translational Research & Program Evaluation to Impact Healthcare System Transformation & Health Equity
united states
Website:
iha4health.org
Employees:
18
Marian Ryan Work Experience Details
  • Institute For Healthcare Advancement
    Chief Policy And Research Officer
    Institute For Healthcare Advancement Mar 2020 - Present
    Dr. Marian Ryan joined the Institute for Healthcare Advancement (IHA) as Chief Policy and Research Officer in March 2020, following thirty-year healthcare and public health career that included direct clinical care, staff training, patient education, health literacy, health program development, and evaluation, performance improvement, and independent health services research. She has held clinical and administrative positions with both payer and provider sectors charged with providing health care for populations challenged by social, economic, and environmental life circumstances. Mid-career, she resigned from her leadership position to earn her PhD in Social Policy (with a concentration in health policy and health services research) at Brandeis University as an AHRQ pre-doctoral fellow. In her position with IHA Dr. Ryan is working to bridge research, policy, and practice with the goals of improving the accessibility and effectiveness of healthcare services and reducing health disparities. She promotes embedding health literacy practices as a pathway to achieving health equity by making health information accessible to and actionable by all. Dr. Ryan launched and oversees IHA’s research program.
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  • Prospect Medical Systems
    Sr. Director, Clinical Outcomes And Effectiveness Research
    Prospect Medical Systems Jan 2019 - Feb 2020
    Orange County, California Area
  • Prospect Medical Systems
    Director, Clinical Outcomes And Effectiveness Research
    Prospect Medical Systems Jul 2017 - Dec 2019
    Orange County, California Area
    Establish and chair a population health cross-functional work group to build a healthcare analytics framework for the organization and prioritize wrap-around services and effectiveness studies for medical management. Develop and validate clinical outcome measures. Standardize claims-based data specifications for member data collection and reporting. Collaborate with Case Management (CM) leadership to facilitate the appropriate allocation of resources and the implementation of evidence-based best practice CM strategies. Provide guidance to medical management on CMS and State regulations and National Committee for Quality Assurance (NCQA) requirements; participate on an internal audit team. Created, tested, validated and distributed monthly chronic condition reports generating chronic condition indicators, utilization, incurred costs, and proprietary risk scores for all markets, products (ACO, Medicare Advantage (MA) and Medicaid cohorts), and membership; and completed effectiveness evaluations for Disease Management Programs, Transition in Care Program, and Case Management services. Identify high risk and at-risk members and beneficiaries.
  • Prospect Medical Systems
    Director, Clinical Program Development
    Prospect Medical Systems Jun 2016 - Jul 2017
    Orange County, California Area
    Completed a comprehensive assessment of the organization’s infrastructure to support optimal chronic illness care and developed NCQA-compliant disease management and clinical programs (Heart Failure, COPD, slowing kidney disease, and Transitions in Care); integrated program components with existing case management program to minimize duplication and improve collaborative, member-centric, team-based care; created practitioner, case manager/educator, member tools and resources to ensure consistency of educational messages; and developed and implemented all staff training programs. Developed the analytics and work flow processes to identify and stratify potential persons for disease management program cohorts. The new Heart Failure Program reduced re-admissions for heart failure by 50% and increased Nurse Practitioner “treat in place” by 100% preventing avoidable ED visits and hospitalizations; the TOC program reduced readmissions of high risk patients by 56%. Provided support to the entire medical management team related to Medicare and Medi-Cal regulatory compliance requirements.
  • Concertohealth
    Director, Market Development And Research
    Concertohealth Jan 2015 - Feb 2016
    Irvine, Ca
    Collaborated with medical leadership in the development of an integrated, innovative Care Management (CM) model; conducted an assessment and identified gaps in our CM Program in meeting CMS MA Special Needs Plan (SNP) Model of Care (MOC) requirements; conducted CM audits for compliance with CMS SNP requirements; performed statistical analyses on CM Program variances across and within market service areas; produced all CMS and State-specific external reports on MOC and ODAG performance measurements; independently authored three Model of Care submissions for CMS Medicare Advantage-Special Needs Plan products−all earning 100% scores; developed member assessments and survey tools for risk assessment and evaluation of the CM Program. Directed clinic efficiency and effectiveness initiatives to improve our primary care center infrastructure, established primary care support services infrastructure for all new primary care clinics in Detroit and ensured compliance with NCQA requirements for Patient-Centered Medical Home recognition.
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  • Self-Employed
    Independent Consultant; Ryan Health Programs And Health Systems Consulting
    Self-Employed Aug 2012 - Feb 2015
    Multiple Clients: Caloptima, Coalition Of Community Clinics
    CalOptima, Orange, CA10/13-1/15 Executive Consultant to the Chief Medical OfficerLed the medical management team in the revision of the model of care for the OneCare dual-eligible MA-SNP plan; revised the health risk assessment (HRA), developed auto-generated patient care plans with potential care goals, developed risk stratification algorithms based upon claims history, and worked with medical officer to establish care ratios and financially-based reporting metrics for the contracted provider networks. Created a new position, the personal care coordinator (PCC) assigned to every enrollee as the point of contact; developed the PCC training program, implemented all initial training sessions and established ongoing professional development. CMS cited the PCC position and many of the new processes as best practices during the successful audit of CalOptima’s OneCare program January 2015.Orange County Coalition of Community Health Clinics, Irvine, CA8/12-1/15 Health Programs and Research ConsultantProject manager and analyst for a grant-funded County collaborative to develop, implement and evaluate a patient-centered medical home model for the safety-net providers; directed pilot project to design and implement a county-wide quality indicator dashboard; verified meaningful use quality measurement reporting.
  • Institute For Healthcare Advancement
    Executive Director, Research And Development
    Institute For Healthcare Advancement May 2010 - Jul 2012
    Directed and implemented health center research projects; conducted a study that analyzed the biometric profiles and trajectories of overweight and obese pediatric patients in collaboration with the UCI Center for Translational Research Community Engagement Unit and served as site coordinator to pilot-test the patient satisfaction survey developed for the Patient-Centered Medical Home NCQA recognition program (AHRQ and Harvard). Analyzed electronic health record data output and developed reports on QI measures, and provider efficiency and productivity. Directed health center quality improvement initiatives and produced quality indicator and provider feedback reports. Led and principle author of a HRSA New Access Point grant application successfully earning the health center’s initial two-year, 1.8 million dollar Federally Qualified Health Center grant.
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  • Schneider Institutes For Health Policy, The Heller School, Brandeis University
    Senior Research Associate Ii
    Schneider Institutes For Health Policy, The Heller School, Brandeis University Jan 2009 - Apr 2010
    Worked with principal investigators on the CMS funded grant to develop and evaluate performance measures under the proposed Value-Based Purchasing (VBP) program. Focus of work is how to measure care coordination and impact of VBP on vulnerable populations. Managed a GSK-funded research project on the cost of pneumonia and Chronic Obstructive Airway Disease among Medicare Fee-For-Service beneficiaries. Lead author for published manuscript.
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  • Molina Healthcare
    Corporate Director, Disease Management And Health Education
    Molina Healthcare Oct 2003 - Aug 2005
    Developed standardized DM protocols - call center, patient and primary care physician - for asthma, diabetes, cardiovascular disease and COPD. Directed the establishment of data algorithms for the identification and stratification of identified managed care members into respective programs and the development of quality improvement measurements. Identified the need and participated in the subsequent development of complex case management for members with multimorbidity and/or six or more prescription medications. Directed the development of standardized communications across all states, including the design and evaluation of health promotion newsletters, and disease-specific newsletters. Wrote the initial protocols for the Medication Management Therapy program for the MA-SNP product.
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  • Molina Healthcare
    Ca Director Of Health Education And Cultural Linguistic Services
    Molina Healthcare Jul 1999 - Sep 2003
    Re-established a health education department to meet state requirements for government programs. Recruited experienced, professional staff, revised position titles and accountabilities, and revised department policies and procedures. Developed and executed a comprehensive work plan that resulted in innovative population-based interventions, the educational component for an asthma health management system, and the provision of individual medical nutrition therapy to high-risk members. Directed the development and execution of comprehensive cultural/linguistic initiatives for the company. Completed three, comprehensive, needs-assessment reports for State submission. Actively participated on the Quality Improvement Committee and led several internal QI studies. Directed a team of 12 professionals, developed and managed over a million-dollar budget annually, and participated on State-delegated task forces for Medi-Cal Managed Care in CA.
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  • Orange County Health Care Agency
    Program Supervisor
    Orange County Health Care Agency 1992 - 1995
    Directed the health education activities of the Child Health and Disability Prevention Program, Comprehensive Perinatal Services Program and other health care agency initiatives.

Marian Ryan Skills

Public Health Healthcare Program Evaluation Managed Care Research Data Analysis Qualitative Research Quality Improvement Clinical Research Policy Hospitals Policy Analysis Project Management Statistics Strategic Planning Quantitative Research Teaching Staff Development Survey Development And Testing Cultural Competency Training Health Literacy Sas Programming Hlm Software Pharmacy Claims Analysis Cultural Competency Medicare And Medicaid Programs Regulatory Compliance Auditing Healthcare Management Health Policy Leadership Medicaid Medicare Healthcare Information Technology Program Development

Marian Ryan Education Details

Frequently Asked Questions about Marian Ryan

What company does Marian Ryan work for?

Marian Ryan works for Institute For Healthcare Advancement

What is Marian Ryan's role at the current company?

Marian Ryan's current role is Translational Research & Program Evaluation to Impact Healthcare System Transformation & Health Equity.

What is Marian Ryan's email address?

Marian Ryan's email address is ma****@****cal.com

What is Marian Ryan's direct phone number?

Marian Ryan's direct phone number is +156269*****

What schools did Marian Ryan attend?

Marian Ryan attended Brandeis University, Heller - The Heller School For Social Policy And Management, California State University, Long Beach.

What skills is Marian Ryan known for?

Marian Ryan has skills like Public Health, Healthcare, Program Evaluation, Managed Care, Research, Data Analysis, Qualitative Research, Quality Improvement, Clinical Research, Policy, Hospitals, Policy Analysis.

Who are Marian Ryan's colleagues?

Marian Ryan's colleagues are Jann Keenan, Ed.s., Julia Wittner, Rachel Roberts, Mph, Mches®, Janet Ohene-Frempong, Ms, Yoli Herrera, Rose Rachal, Diana Peña Gonzalez, Mph, Mches.

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