Improve Care Coordination | Decrease Readmissions | Improve Financial Wellbeing of Healthcare OrganizationsMarston Yoder Heathcare Consultants is the culmination of 40 years of combined Nursing and Medicine experience, specializing in the design and implementation of Heart Failure Programs.Our mission is to provide customized and integrated Process Development services to small and medium sized health care organizations who seek to improve the quality of patient care they deliver, identify and close care gaps, and reduce expenses associated with avoidable readmissions. Our unique approach focuses on improving and facilitating clinical communication, processes, and transitions between clinical providers and entities within healthcare to achieve quality and financial goals. The improved interdepartmental functions and elimination of care gaps associated with transitions between disparate healthcare entities results in improved outcomes for patients and organizations alike. Patients enjoy improved care coordination, report improved patient experience and most importantly, improved quality and effectiveness of the care they receive. Organizations enjoy improved financial wellbeing via reduction of non-reimbursed expenses associated with high readmission rates and the cost of readmission penalties, as well as improved quality outcomes via reduced mortality rates and reduced readmission rates.Our scalable and expandable solution may be applied to all the major diagnoses that currently result in billions of dollars spent in today's healthcare landscape.

o Chief of Staff, Marshall Medical Center 2021-presento Emergency Medicine Committee 2009-presento Surgical Committee 2009-presento Ambulatory/Outpatient Care Committee 2009-presento Medical Executive committee 2009-presento Chair of Ambulatory/Outpatient care committee 2014-2018o Developed LVAD inpatient and outpatient support programs/protocols for Marshall Medical Centero Development team for telemedicine capabilities to provide and receive specialist care to underserved areas in Northern California through Marshall Medical Centero Discharge planning team developing methods to reduce re-admissions for heart failure patientso Physician leader in development of cardio-oncology protocols in conjunction with Oncologyo Physician leader in development of cardio-mems implantation and follow-up for prevention of heart failure admission in conjunction with our current outpatient monitoring programo Collaborated with cardiac services director, cardiology partners and hospitalists to develop and implement an appropriate use (AUC) driven echo quality program to reduce inappropriate ordered inpatient echocardiograms. Eliminated inappropriate echocardiograms. Provided higher quality diagnostic imaging. Increased revenue by an estimated $500,000 annually in reduced labor costs, overhead and direct DRG costs.o Physician clinical leadership to develop a program which applies AHA/ACC guideline best practices to prevent heart failure readmission along the inpatient- outpatient continuum. Initial trial cohort had 100% reductions in re-admission. Broader implementation reduced re-admission by 60%. Program is designed to be modifiable and scalable for other chronic disease states: pneumonia, COPD, MI, post-surgical/orthopedics care.

Physician clinical leadership to develop a program which applies AHA/ACC guideline best practices to prevent heart failure readmission along the inpatient- outpatient continuum. Initial trial cohort had 100% reductions in re-admission. Broader implementation reduced re-admission by 60%. Program is designed to be modifiable and scalable for other chronic disease states: pneumonia, COPD, MI, post-surgical/orthopedics care.Developed LVAD inpatient and outpatient support programs/protocols to facilitate expansion of the Cardiac Rehab program to include LVAD patient population. Collaborated with Cardiac Nursing Director to provide a community wide educational forum, bringing together County Fire District, County EMS personnel area LVAD Coordinators to provide training and education for all hospital staff.Provide ongoing clinical quality leadership and oversight to the organization's department staff and patient population.

Physician leader in development of cardio-mems implantation and outpatient follow-up monitoring program for prevention of heart failure admission in conjunction with our current outpatient monitoring programSole implanting physician and program DirectorGained consensus among the Cardiology group to achieve participation for patient referralEstablished protocols and procedures for referral and outpatient monitoring post implantLead ongoing review of data & setting metrics and quality measures to achieve outcomesResults: 60% readmission reduction for this patient populationOur mission is to improve our patient's quality of life and decrease their mortality and morbidity as well as decrease avoidable readmissions and the overall utilization of healthcare services.

Chief of Staff 2021-2023Chief of Staff Elect 2019-2021Chief of the Ambulatory sub-committee 2014-2018

Our mission is to provide customized, integrated Process Development services that identify and address quality and care gaps within small to medium sized health care organizations.Our unique approach focuses on improving and facilitating clinical communication between patients and clinical providers within healthcare.The resulting improved interdepartmental functions and quality of care result in decreased readmission rates, mortality rates and overall cost of care for patients and organizations alike.Our scalable and expandable solution may be applied to all the major diagnoses that currently result in billions of dollars spent in today's healthcare landscape.

Provided medical expertise regarding primary prevention, utilized in development of wellness programs for Sonic Boom clients. Provided medical expertise in webinars on healthy living, healthy lifestyle, and health in the time of Covid.

Internal Medicine/Hospitalist Attending at Lakeside Memorial Hospital in Brockport, NY.

Internal Medicine/Hospitalist Attending for the Finger Lakes Health with admitting privileges at Geneva General Hospital (Geneva, NY) and Soldiers and Sailors Hospital (Penn Yan, NY).