Michael Everett Email & Phone Number

San Antonio, Texas Area

Review data related to NCQA’s HEDIS data set. Run reports to evaluate overall status of agency. Make recommendations for areas of improvement. Conduct weekly video telecoms with state level program managers to keep them up to date on United Healthcare initiatives and work closely with them to determine goals and objectives. Review records and case files to ensure proper coding and ensure all potential hits are received.I served as lead subject matter expert for thirteen Head Quarters level, Tri-Service working groups, responsible for development of enterprise wide performance improvement measures and tool kits. Compliance Action Groups (CAGs) developing standardized in-patient clinical records for all of DOD, incorporating measures to ensure compliance with The Joint Commission ORYX measures as well as the presidents’ Partnership for Patients initiative. Program Manager for Performance Improvement, providing oversight, training coordination and leadership for all aspects of performance improvement (Lean Six Sigma) including but not limited to Infection Control and Prevention, Utilization Management, Work Flow, Risk Management internal and external Peer Review processes. Facilitated Root Cause Analysis on discrepant areas; conducted Failure Mode Effects Analysis as preventive measures low performing areas/processes. Primarily responsible for accreditation program, as well as management and oversight of the self-inspection program.Served as lead the Air Force team responsible for transitioning from an individual self-inspection and Health Services Inspection system to an enterprise wide integrated Unit Effectiveness process which incorporates the self-inspection process into the overall inspection and compliance system.Key member of the Executive Leadership Team. Primarily responsible for the coordination and development of strategic goals and key measures for the organization.

Air Force Medical Operations Agency

Bachelor Of Science, Healthcare Administration

Graduate Work, Environmental Management/Environmental Law

Activities and Societies: Environmental Management and Environmental Law