Envision Health Technology Advisors is a healthcare IT consulting company specializing in digital transformation. Utilizing over 20 years of experience in IT and healthcare executive leadership, we combine business insights with technology innovation to fuel growth and position organizations to succeed in a digital economy.

At T2 Tech Group, I’m responsible for delivering IT strategy, oversight and architecture direction to our valued clients. As a partner, I provide technical leadership to our team of consultants and experts here at T2 Tech Group and spearhead solutions for customers. My team and the fellow managing partners’ IT experience will provide value-driven management advisory services for our clients to overcome their most critical IT challenges and allow them to do things more effectively.

Hired to develop an IT strategy that supports the goals of stabilizing the technology platform and growing existing service lines while simultaneously developing new telemedicine products and service lines. Selected Accomplishments and Results:• Created a clinical services platform that leveraged visual queues, a flexible rules engine, and a notification platform to digitally drive clinical care across remote geographies with consistent protocols to produce safe, quality outcomes• Defined a business data model for best clinical care, highest profitability, and flexibility for additional services• Moved out of traditional data centers to a hybrid cloud model in less than 12 months• Built a team of developers and clinicians to dig into the toughest problems that needed to be addressed through technology• Developed a vision, architecture, and platform to handle the problem of patient handoff regardless of geographic distances• Implemented agile development practices with monthly releases to rapidly addresses changes in a dynamic, responsive manner• Uncovered manual business, collaboratively redesigned them for digital workflows, and built the applications to support those thereby reducing wasted effort and increasing transparency• Built a international network of 7 clinical operations centers linked to each other through clinical workflow and collaboration (video) applications that drive patient care regardless of location or time of day• Successfully redesigned telemedicine technology solutions that were cumbersome and antiquated to support more scale and less meantime between failure• Moved a clinical platform that doesn’t support high-availability to a new data center without patient impact (no downtime)

Promoted to accelerate the Information Technology organization’s ability to deliver on the institution’s strategy and to keep pace with healthcare reform. In 2014, CHLA first appeared on Hospitals and Health Networks “Most Wired” list. Provided leadership to a $72MM, 220-person organization. Selected Accomplishments and Results:• Implemented a $28.5MM Ambulatory EHR implementation utilizing Cerner Millennium encompassing 41 subspecialties in dozens of clinics in Los Angeles county• Provided leadership to establish Meaningful Use dashboards, track compliance with Meaningful Use criteria, planning and initiation of activities for Stage 2 compliance• Created IT strategies to enable new research capabilities in Personalized Medicine, Imaging Research, and Developmental neuroscience• Launched a collaborative initiative among hospitals in Los Angeles County to establish a private HIE (Health Information Exchange) to improve the care of pediatric patients across the county. • Built the hospital’s first mobile physician portal utilizing HIPAA compliant, cloud technologies• Delivered multiple systems required to improve Access and Service, developed and implemented International and Regional Telemedicine systems, implemented mobile technologies and applications to improve clinician workflow and engage community-based pediatricians in the care of common patients• Executive member of a collaborative to successfully renew the USC CTSA by creating technology, data sharing, and patient consent strategies that enable population health research amongst USC faculty in unique and innovative ways in Los Angeles County• Improved IT cost structure by 7% in first fiscal year through vendor management and improved project performance• Improved future cost structure by renegotiating key contracts saving over $18MM• Finished in the top quartile of Press Ganey’s employee satisfaction scores across all children’s hospitals.

Promoted to develop a technology strategy that would facilitate the improvement of clinical outcomes in the inpatient setting, build a suitable infrastructure for increasing research capabilities, and improve collaboration capabilities for physicians, clinicians, researchers, scientists, academics, and administrators.Selected Accomplishments and Results• Developed the technology strategy and provided executive oversight of all Technology and Biomedical Engineering projects required to open a new, state-of-the-art, 317-bed, 480,000 square foot inpatient facility including: • Managed a $26MM portfolio of IT projects over a 24 month implementation • Oversight of the expansion of existing Cerner Inpatient Clinical Information Systems and implementation of new solutions to further integrate disparate health data into a converged record: Cerner Millenium, iBus, mPages, Infection Control, Philips Monitoring, Philips Xcelera Cardiology, Fuji Synapse, and CareFusion Pyxis• Expansion of Patient Financial Systems and Materials Management systems• Implementation of redundant data centers with redundant networks, load balanced applications and private cloud based services supporting a highly mobile, clinical workforce covering more than 1.2 million square feet• Implementation of a Unified Communications system and developed mobile applications for iPad and iPhone to enable improved access to clinical data and real time collaboration among caregivers• High-definition Telemedicine systems for secure, broadcasting of surgical procedures and international consults• Led a two year IT Modernization project which included the design and implementation of redundant virtualization farms of 200+ virtual servers and 1,000 VDI sessions; 750TB SAN expansion, upgrade of 11,000 campus network ports, and a converged wireless and cellular service covering 1.2 million square feet of clinical floor space

Recruited by the CIO to lead the insourcing and implementation of a hospital-based Infrastructure Services department. Managed $12MM+ in capital and operating budgets annually. Successfully returned $5.6MM (OPEX) annually, by completing the insourcing project on time, on budget, and with no scope changes.Selected Accomplishments and Results• Insourced all Infrastructure operations including data center operations of 200 servers and mainframe, 10,000 network ports, 11 PBX systems serving 7,000 voice ports and two call centers on the campus and remote facilities, 5,500 system users, and 4,000 network devices – saved $5.6MM in ongoing operating costs• Directed the installation of core systems supporting an insourced I.S. Infrastructure group and a Remotely Hosted Administrative, Financial, HR, and Clinical Information Systems• Organized and led an effort to identify and resolve: o Technology performance issues impacting delivery of careo Operational gaps in technology best practices across the enterpriseo Security policy weaknesses, which could lead to HIPAA violations or undermine compliance with regulatory bodies and laws.• Saved $800K+ on first year’s operating costs by renegotiating key infrastructure contracts and optimizing operations• Implemented the ITIL framework for service delivery: established KPIs that assisted in service level management, satisfaction, and individual performance. Developed and instituted additional operational processes for service management, namely: service level management, root cause analysis, escalation and service restoration, change management, and daily service reviews resulting in a dramatic improvement in system uptime and stability.

Recruited to oversee all aspects – technological, financial, and personnel – of I.T. Service Delivery for the Saint Joseph’s Health System. The Health System consisted of 13 hospitals and dozens of ambulatory clinics across California and Texas. Responsible for supporting 3 regional data centers all connected via multiple and varied network topologies, 2,000 administrative and clinical systems, 35,000 system and email users, 55,000 active network hosts, 4 million square feet of wireless coverage, 42,000 voice ports. 2 call centers and 16 PBX systems spanning the enterprise.Selected Accomplishments and Results• Responsible for Service Delivery across 13 hospitals plus dozens of ambulatory clinics in California and Texas utilizing a shared services and offshore model to augment onsite personnel. Established a dedicated physicians call center handling 6,000+ calls per month.• Increased project related revenue by $1.2MM while holding $8MM operating budget on target• Oversight of three campus wired and wireless network upgrades• Managed an organization of 125 people

Recruited by the CEO in anticipation of aggressive acquisition growth and IPO. Responsible for defining the architecture to support M&A activity, compliance with HIPAA, SOX, and other government regulations, and establishing processes that would increase system automation. Managed an IT organization that supported a multi-site network with 3 PBX systems, 500 system users, and 5 call centers. Responsible for overall management of IT outsourcing performance of Brotman Medical Center – a 420-bed hospital. Direct report to President, CEO.Selected Accomplishments and Results• Led the I.T. integration efforts to complete five strategic mergers in twenty months – including the divestiture of a Los Angeles, CA based Tenet hospital, which led to a 50% increase in company revenues • Part of an executive team that evaluated, negotiated, and approved of the 5 year, $18MM outsourcing agreement of Brotman Medical Center Information Technology services• Reduced Claims errors, improved revenues from Pay for Performance programs, and improved reimbursement through implementation of Business Intelligence tools, resulting in a 1.3% increase in yearly top line revenues • Eliminated paper processing of claims, eligibility requests, and physician referral requests through the complete automation of systems utilizing EDI processes and secure partner exchanges• Directed the implementation of physician portals for online processing of medical claims and eligibility by 1000+ contracted physicians decreasing the revenue realization cycle and improving operating expenses related to a reduction in staff required to receive and process claims and eligibility• Improved uptime to 99.99% on critical applications (e.g. IDX Managed Care Application, MAS200, FRx, and MS Exchange) by upgrading legacy networks and systems, establishing a change control management board, implementation of application and network performance measurement systems

Recruited as a change agent to develop, execute and continuously communicate worldwide security strategy and vision for over 20,000 systems, networks and data assets spanning 80 sites in 37 countries. Direct report to VP, IT Operations. Managed 7 direct reports, 2 managed service providers and $4MM in annual and capital budgets; dotted line responsibility for 4 regional managers.Selected Accomplishments & Results:• Slashed security related losses to less than $25K annually from $6MM per year. • Successful in arresting 27 individuals and extradition of 3 others engaged in criminal electronic activities against corporation. • Primary architect of global security infrastructure at 41 Internet locations • Primary security architect for all new enterprise applications and their associated SQL or Oracle databases.• Built an enterprise security organization from ground up including:-- Design of security training curriculum for IT personnel worldwide. -- Development of application and database security standards.-- Implemented a series of sophisticated metrics and measurement tools for measuring success.

Recruited to architect and build a secure, high performance network supporting the e-commerce and corporate data centers; reported directly to CTO. Provided leadership and technical direction to 5 direct reports and managed day-to-day IT security, network engineering, telecom, PC / LAN support, and 24x7 operations groups as well as $2MM annual and capital budgets.