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As the Chief Innovation Officer at Western Healthcare Alliance (WHA), I leverage my 22+ years of experience in healthcare IT, operations, and strategy to create and implement value-based care models, telehealth solutions, scale risk-based contracts for independent hospitals/providers via a full authority Clinically Integrated Network (CIN), drive down drug costs via a private Pharmacy Benefits Manager company and perform the strategic oversight of the analytics infrastructure for determining the total cost of care. I hold an Masters of Science in Management demonstrating my knowledge and skills in new business model/GTM strategies, health informatics, management, and leadership.My mission is to disrupt the status quo and empower rural and disadvantaged communities to evolve and thrive in a rapidly changing environment. I collaborate with stakeholders (including multiple Boards) across the community ecosystem to align technology innovations with strategic initiatives and user needs. I have successfully scaled enterprise telehealth support operations, deployed analytics platforms for accountable care organizations, pioneered shared IT services programs, and developed new business models and revenue streams. I am passionate about finding new ways to navigate adversity and solve challenges, while delivering high-quality and cost-effective care to patients.
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Vice PresidentTelenephMontrose, Co, Us -
Chief Innovation OfficerWestern Healthcare Alliance Oct 2021 - PresentGrand Junction, Colorado, UsResponsible for creating VBC (MSSP, ACO REACH, Commercial-Self Insured), Private PBM/PBA Drug company (2023 go-live, YTD results as of 8/2023 Q1&Q2: exceeded projected rebate savings by 24-49%!), Medicare Advantage, Self Funded employer models (since 2019) and Direct Contracting business models to generate leverage for independent hospitals. Oversees analytics infrastructure to generate the data required to assess total cost of care/pmpm/pmpy. Direct responsibility for legal process related to Clinically Integrated Network, participant agreements and fee structures for scaling the network. Responsible for bringing the right technology innovations to support the ecosystem. -
Telemedicine Systems AnalystThe Queen'S Medical Center Apr 2021 - Sep 2021Honolulu, Hi, UsOperational Assessment, Process Improvement, Metrics Dashboard, Governance, Sustainable Funding, Optimizing Tele-stroke and Video Visit integration into Epic for the Hawaiian Islands and American Samoa -
Director, Telehealth Solution Consulting And SupportKaiser Permanente Jan 2017 - Jan 2021Oakland, California, UsKey Accountabilities:● Responsible for providing leadership to 7 direct reports and up to 60 total personnel while managing provider and member Enterprise Support Operations for all Telehealth Solutions● Relied upon to manage the deployment and scale of various Telehealth tools to acquire new members, perpetuate key contracts and improve access; includes creating digital front door, strategic roadmaps, detailed business cases and change managementKey Accomplishments:● Led the national 2019 deployment of a new Telehealth platform Pexip (replaced Vidyo)● Managed the deployment of RPM (glucometers and BP cuffs) for 7 out of KP’s 8 regions; successfully deployed Online Physical Therapy to 6 of KP’s 8 regions, as well as clinical libraries to 7 of KP’s 8 regions● Integrated video visits platform into the GetWell platform at San Diego Med Center● Led enterprise-wide infrastructure response to COVID-19 and enabled outcomes such as: rapidly grew and trained member WFH call center agents from 14 to 50+ within 60 days; transitioned Tier 1 and Tier 2 level support to national help desk within 2 weeks; increased 1st contact resolution rate from 35% to 84.9%; reduced open ticket backlog by 76% in less than 30 days -
Adjunct FacultyRegis University Jan 2008 - Mar 2018Denver, Co, UsAdjunct Faculty-Regis University, Graduate Healthcare Marketing (H605) -
Vp Information Strategy, Western Healthcare AllianceWestern Healthcare Alliance Sep 2015 - Dec 2016Grand Junction, Colorado, UsKey Accountabilities:● Responsible for providing leadership to 5 direct reports and 68 total personnel while managing a $14M budget, as well as member marketing, care coordination, chronic care interventions, population health and KPI reporting● Relied upon to create and implement an IT Shared Services (reoccurring revenue model) program across a hospital network of 22 rural hospitals in Western CO and 35 Critical Access Hospitals in CA● Meticulously determined data standards and the most efficient, cost-effective transfer of that data to support ACO’s care coordination, quality reporting, population health management and payer value-based contracting● Contributed insightful executive presentations and strategic discussions to/with C-Suite and Board leadershipKey Accomplishments:● Successfully created strategic interoperability and analytics roadmap, as well as IT infrastructure Selection Committee(s) for 35+ Critical Access Hospitals in CA, 22 in CO and 6 in WA to prepare these hospitals for AIM ACO (Medicare) model participation to be able to ultimately create regional Medicare cost containment management● Led Data Analytics and Clinical Informatics Committees for 2 MSSP/AIM funded ACOs in CO and WA
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Director Of It CollaborationWestern Healthcare Alliance Nov 2012 - Aug 2015Grand Junction, Colorado, UsPromoted to VP Information Strategy September 2015. Key Accountabilities:● Responsible for providing leadership to 4 direct reports while creating IT shared services/reoccurring revenue models for hospital networks and guiding/preparing them for population health participation● Relied upon to collaborate with 63 hospital CIOs, CFOs and CEOs on rural hospital sustainability strategiesKey Accomplishments:● Co-wrote and awarded HRSA Network Development Grant for Western Healthcare Alliance which served as the seed funding for the Community Care Alliance, 2 MSSP AIM funded ACOs● Successfully collaborated with 4 hospitals in CO to determine a shared, Rehab Therapy operating system
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Executive Director, California Rural Ehealth Information NetworkCalifornia Rural Ehealth Information Network Sep 2013 - Aug 2015Key Accountabilities:● Responsible for providing leadership to 2 direct reports and collaborating with C-Suites of 18 CA rural hospitals● Relied upon to diligently manage the HRSA grant to successful completion; Included government reporting, tracking of MU Stage 1 & 2 certification, structured data exchange and final grant closeout reportKey Accomplishments:● Successfully guided 8 CAReHIN’s Critical Access Hospitals (CAH) through a Meaningful Use (MU) Audit● Led 12 of 18 members purchase/implementation of CEHRT EMR in-patient systems; 10/12 received MU funds
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Outreach & DevelopmentCorhio Oct 2010 - Nov 2012Denver, Co, UsKey Accountabilities:● Responsible for coordinating Care/Transitions of Care/Hospital Re-admissions clinical workflow and data analysis● Relied upon to proficiently secure primary & specialty care and hospital participant agreementsKey Accomplishments:● Successfully closed the most Participant Agreements in the entire company -
Coo, PartnerBridgeline Associates, Inc. Jan 2009 - Jan 2011Career Agent for Healthcare Professionals.
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PresidentAci Network Nov 2003 - May 2008Hearing Health Benefits IPA NetworkResponsible for the business development, strategic planning and implementation of ACI Network’s Hearing Benefit Plan (an Audiology IPA/narrow network designed to provide hearing benefits to Medicare and PPO recipients). Created the company: notion/idea to successful creation to implementation to successful sale.
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Dir. MarketingNaci, Inc. Mar 1998 - Feb 2008Strategic Planning, Branding/Messaging, BModels/Go-to-Market approaches, dashboards-metrics, industry trends, sales forecasting, P&L, payroll, personnel development. Market campaigns, community hearing efficacy programs.
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AssociateHmrx, Inc. 2005 - 2008Primary Care physician consulting, Clinic Operations and Top-Line Revenue growth strategies, Marketing Strategy-consulting.
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Regional ManagerCentura Health 1995 - 1998Managed 60+ physician relationships, physician and PA/NP compensation plans, support staff, contract negotiation, reimbursement analysis, regulatory compliance, Y2K preparation and contingency plans, EPIC/EMR implementation, and monthly-quarterly-yearly financial reporting including clinic advertising, community relations/sponsorships in multiple primary care clinics.
Tom Northey Skills
Tom Northey Education Details
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Regis UniversityManagement -
Metropolitan State University Of DenverSpeech Communications
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Evergreen High School
Frequently Asked Questions about Tom Northey
What company does Tom Northey work for?
Tom Northey works for Teleneph
What is Tom Northey's role at the current company?
Tom Northey's current role is Vice President.
What is Tom Northey's email address?
Tom Northey's email address is to****@****aol.com
What is Tom Northey's direct phone number?
Tom Northey's direct phone number is +197024*****
What schools did Tom Northey attend?
Tom Northey attended Regis University, Metropolitan State University Of Denver, Evergreen High School.
What skills is Tom Northey known for?
Tom Northey has skills like Healthcare, Ehr, Health Information Exchange, Healthcare Information Technology, Medicare, Project Management, Public Speaking, Healthcare Management, Strategic Partnerships, Hospitals, Healthcare Information Technology, Leadership.
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