Uniquely positioned as a medical professional and an IT and software development veteran, my interests lie in leveraging EHR technology to help physicians to improve the quality of care that they provide. Specialty interests include Pediatrics, preventive care in the primary care setting, and population management using evidence-based guidelines to improve patient outcomes.
Specialties: Medical Informatics, Product Management, Information Design, Pediatrics (Board certified 1994-2001)
As Clinical Architect I work closely with client clinicians, the User Experience team, and Technical Architects to develop the next generation systems that will provide Clinical Decision Support and documentation tools to clinicians to support delivery of optimal, quality-focused, evidence-based care. These tools are the building blocks, coupled with improved analytics, that will allow providers and provider organizations to realize their potential in implementing various value-based care initiatives (PCMH, ACO).
As Clinical Architect and lead clinician for the Allscripts Enterprise EHR, I worked closely with our physician users to improve product usability and clinical workflow. This included:
Established and lead the Enterprise Product Advisory Board, a group of physician users who
provide ongoing feedback on product strategy and design.
Applied my clinical training and experience to provide guidance to Business Analysts,
Developers and QA staff in ongoing design and development of the software.
Worked with functional and human factors architects on new features to ensure optimal clinical
and user experience.
Interpreted Meaningful Use regulations as part of ARRA/HITECH in order to provide guidance to
teams that need to understand how data are created in clinical applications for product
certification, documentation, and reporting
Acted as primary contact for Patient Safety concerns
As Director of Product Management, I provided clinical input to the design and enhancement of for TouchWorks v11 EHR's Decision Support, Health Maintenance Plan, and Clinical Workflow capabilities. I was an active participant and presenter in the "Voice of the Client" program which included Physician Advisory Board meetings focused on helping to design new features using input from a variety of medical specialties, as well as conference calls with Physicians users of TouchWorks to solicit feedback on new feature requirements and design proposals.
Manager of the Canopy ASP Operations team and outsourced hosting vendor (Mentora). With these teams, coordinated a successful migration of Oracle from Windows to Linux in order to support our growing client base. This position represents two changes from the previous position: the purchase of A4 by Allscripts, and the recent (1/2/2008) acquistion of ECIN (www.extendedcare.com) to form the Hospital Solutions Group encompassing both Canopy and ECIN. Continued as QM specifications expert until September 2007.
Canopy Systems was purchased by A4 Health Systems. My duties as VP of Technology and Operations for Canopy were only initially changed by location (move from Chapel Hill to Cary) and an improvement in purchasing power (A4 had partnerships with Dell and Oracle). We experienced fairly explosive growth and expansion in data center operations as the client base increased, nearly doubling in all tiers (web, database, storage). When presented with an opportunity to leverage my clinical background, I took on an additional role as Quality Management specifications expert. In this role, I worked with clients and external vendors to implement CMS/JCAHO quarterly changes to Core Measure data to support Canopy's QM module.
I led search to identify a HIPAA-friendly hosting vendor to house the Canopy application (Intel Online Services). Hired and managed the Operations staff to support growth in client base. Provided coordination and oversight of Canopy DBA and Development staff with Intel DBA support to complete successful SQL Server to Oracle migration. Successfully proposed to executive management and led the search for and purchase of a managed storage system (EMC Clariion), which paid for itself in reduction of hosting fees within a year and positioned Canopy to handle growth.
Designed and developed web-based and hosted Case Management software for AccessCare (www.ncaccesscare.org). At that time they were a state-wide network of Pediatric practices attempting to manage their Medicaid population under the Access II pilot program. An Asthma disease management module was added in the second year. This program saved the state approximately $1.7M in its first two years and was transitioned to another vendor as Future Healthcare began work on Canopy.