Ruth Zimmerman, Rn, Msn Email & Phone Number

Philadelphia, Pennsylvania, Us

Philadelphia, Pennsylvania, Us

Philadelphia, Pennsylvania, Us

Toronto, Ontario, Ca

● Partner with internal and external product and data science innovators to develop solutions to cross-continuum care collaboration for vulnerable senior and safety net populations. Passionate about finding scalable solutions to identify and address the needs of patients who have a complex constellation of medical and behavioral health concerns, as well as health-related social needs. ● Lead strategic initiatives to integrate disparate data sources, such as continuity of care documents (CCD), medical and pharmacy claims, electronic medical record (EMR), and biometric data exchanged via FHIR APIs as the clinical informatics and content subject matter expert and industry advisor for population health. Provide real-time, actionable insights to care managers, nursing staff, providers, and clinical and operational leaders across the payer, health system, hospital, value-based care organization, ambulatory, and post-acute market segments (skilled nursing, senior living, and home and community-based services). Key Contributions: ▪ Served as informatics, clinical data standards, and interoperability SME for the successful implementation of the data connection platform to support Cures Act regulatory compliance and ONC Certification.

Chicago, Illinois, Us

● Partner with Upfront product development team and clinicians at health system clients to develop scalable clinical pathways for population health that can be embedded into existing clinical workflow. ● Recommend strategies and tactics to enhance existing products and services and differentiate the Upfront platform in a crowded healthcare market with evolving care delivery models and enabling technology. ● Define metrics for clinical pathways that span both strategic and operational measurement to achieve health system clients’ goals. ● Create an implementation and service plan framework to support client success and future pathway expansion.

● Provide subject matter expertise to healthcare organizations who wish to drive consensus on a shared vision, culture, and operating model to aid in business, clinical, and digital transformation initiatives; facilitate the translation of objectives and priorities across business leaders and functional teams who do not speak a common language.● Partner with healthcare organizations to design and operationalize products and services to offer a superior experience for consumers (members and patients) and clinicians.● Lead the development of strategies and tactics aimed at enhance existing products and services to differentiate in a crowded healthcare market with evolving care delivery models and enabling technology.

Pittsburgh, Pennsylvania, Us

● Led the design, development, and implementation of a population health stratification and segmentation framework, now being used to translate members’ healthcare needs (physical and behavioral health, social determinants) into actionable insights for healthcare teams at the point of care. ● Designed and developed a person-centered clinical strategy and operational model for population health and associated technology product for more than 1000 clinical and non-clinical staff, serving over 4 million members. ● Determined the content strategy to integrate digital technology assets and associated data across the integrated delivery and finance system (IDFS), including health system, health plan, community organizations, and network providers; enabled the integration of clinical and claims data across the organization for a single source of truth. ● Achieved standardization and dynamic workflow integration through development of care delivery and population health content across the continuum, improving both consumer and user experience.

Denver, Co, Us

● Led technology transformation of commercial integrated care analytics for payer/provider partnership joint venture. Defined strategy and implementation plan for clinical, operational, and actuarial analytics platform development. ● Consulted on design and development of predictive models and care delivery pathways and workflow to improve clinical programs in the home, clinics, hospital, nursing facilities, and community; this resulted in decreased admissions (40%), ED visits (15%), total cost of care (20%), SNF length of stay (46%), and SNF readmissions (64%). ● Led a team of analysts and data scientists to adopt best practice SDLC processes (Agile) to improve end-user needs identification, backlog prioritization, product roadmap development, and interpretation/visualization of findings. ● Consulted on prospective population panel selection for clinical and financial ROI, value-based care model, business development (sales and partnership), provider network engagement, and clinical staffing needs for new markets. ● Evaluated multiple vendors in the selection, oversight, and execution of RFI processes, e.g. mobile ambulatory EHR, data management platform, remote monitoring and patient engagement solutions.

Arlington, Va, Us

● Held four positions throughout tenure at Evolent Health (formerly Valence Health) including two promotions:• Executive Director, Enterprise Clinical Informatics • Executive Director, Clinical Operations • Manager, Clinical Quality Research & Innovation • Principal Clinical & Quality Scientist ● Leveraged clinical expertise and leadership vision to create cross-functional teams across the organization, including product, engineering, analytics, client management, and business development to design innovative population health management software solutions; direct accountability for clinical content and quality improvement teams. ● Designed and delivered 500+ clinical quality performance measures, 200+ care gap rules (including HEDIS certification), and 5 provider attribution models with 100+ custom attribution rules. ● Planned and executed migration of Legacy Evolent’s clinical rules (over 1600) onto Legacy Valence’s business rules engine for risk stratification, quality measures, predictive models, and care gaps. ● Represented Evolent Health in NCQA HEDIS Digital Measure Advisory Group to identify future development and product enhancements, such as EMR/clinical data integration and physician engagement solutions.

Irving, Texas, Us

● Developed and delivered performance improvement program offerings across a spectrum of clinical topics of interest to healthcare executives for over 200 academic medical centers, systems, and affiliated provider networks. ● Planned and executed over 50 web conferences and best practice spotlights annually. Presented evidence-based clinical content to audiences of up to 1,500 members. ● Facilitated clinical improvement collaboratives for more than 75 hospitals on topics related to reduction and prevention of patient harm (e.g. healthcare-associated infections, adverse drug events, and surgical complications). ● Utilized a variety of data (e.g. claims, clinical, surveillance), benchmarking tools, and risk adjustment methodology to coach members in performance improvement, data analysis, and evidence-based practice guidelines. ● Spearheaded and facilitated provider-led steering committees and consensus projects with national SMEs (e.g. reducing variation in orthopedic and cardiac surgical care, Ebola outbreak disaster preparedness and response).

Oakland, California, Us

● Designed and operationalized a novel nursing education program between 14 hospitals and 11 academic institutions, collaborating with university deans, hospital administrators, professors, senior clinicians, and students to integrate strategies for quality improvement and patient safety into nursing curriculum and interdisciplinary team training. ● Managed cross-functional, rotating team of up to seven staff over a three-year, $1.5 million grant-funded project. ● Designed and implemented IRB-approved program evaluation and research study for 400 participants over four years; invited to present findings at 15 academic conferences, two websites, and in one peer-reviewed journal.

Oakland, California, Us

● Served as “Hospital Champion” through system-wide implementations of new clinical technology, such as Epic “Health Connect” inpatient and ambulatory EMR, Computerized Physician Order Entry (CPOE), and Bar Code Medication Administration (BCMA). ● Assumed leadership and accountability as charge nurse, patient safety committee member, preceptor, and mentor.

Doctor Of Philosophy (Phd), Nursing

Master Of Science, Nursing Administration

Bachelor Of Science (Bs), Nursing