Experience

MaineHealth Accountable Care Organization

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Sr. Director, Contract Operations

  • Jan 2011 - Present

   Designed and implemented effective operational infrastructure with health plan partners. Earned recognition by plans for increased responsiveness, attention to detail, high engagement in payer programs, and effective problem-solving. Earned the highest STARs improvement (United) above any other ACO in the Northeast; outperformed all other ACOs (Humana); 100% quality score (Cigna). Integrated payer operations team and care management team activities to improve gap closure and performance on value based contracts. Led MHACO’s system-wide stakeholder engagement initiative (the “Value Oversight Committee” and its sub-committees) since its inception. Redesigned the ACO care management program. Results: improved team and provider satisfaction, aligned clinical responsibilities with appropriate level of patient care, and leveraged analytics to guide patient identification.  Directed supplemental clinical data activities, ensuring performance results accurately reflect ACO true performance. Designed and implemented quality measurement and target setting activities for all MaineHealth value based contracts. Secured physician buy in and monitored performance. Actively participate in various boards and committees strategic planning and budget planning. Provided ongoing supervision, feedback, and evaluations for direct reports. Coached my leaders in hiring, orienting, supervising and evaluating staff. Achieved consistently high team engagement scores.

• Clinical Improvement Specialist/Manager/Director, Quality Programs

  • Aug 2005 - Jan 2011

   Led the ACO suite of improvement services supporting system-wide projects to design care that is integrated and value-based. Achieved primary care national, clinical recognitions (NCQA, BTE, PCMH). Led the adoption of the Clinical Improvement Registry and other technology advances. Consulted on the development of MaineHealth provider and patient educational materials. Crafted communication and dissemination plans for materials across diverse health system and collected feedback on ease of use to inform future materials. Supervised 10 team members. Established annual departmental goals & objectives; participated in annual strategic planning.  Advocated on behalf of provider members as a participant in the statewide Maine Health Management Coalition working to evaluate the quality of Maine primary care. Served as communication link to primary care offices.  Led administration, credentialing and provider relations functions.



MaineHealth

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Diabetes Nurse Specalist

  • Jan 2001 - Dec 2005

   Served as faculty providing instruction and guidance to primary care teams to improve clinical outcomes. Co-authored a variety of patient and family educational manuals and booklets.  RN Diabetes Nursing Manual  Telephonic Medicine Diabetes Educational Program  Served as faculty providing instruction and guidance to primary care teams to improve clinical outcomes. Co-authored a variety of patient and family educational manuals and booklets.  RN Diabetes Nursing Manual  Telephonic Medicine Diabetes Educational Program



Maine Center for Diabetes and Endocrinology

• Diabetes Nurse Educator

  • 1999 - 2005

   Coordinated the continuous glucose monitoring, ambulatory diabetes education & follow up, and safety programs. Developed policy and procedure manual.  Certified insulin pump educator  Coordinated the continuous glucose monitoring, ambulatory diabetes education & follow up, and safety programs. Developed policy and procedure manual.  Certified insulin pump educator



Portland Street Clinic

• Assistant Clinical Manager

  • 1996 - 1999

  Mercy Hospital and Portland Public Health program delivering healthcare to low income patients without health insurance.  Volunteer training, development, coordination, supervision and recognition  Management of Indigent Prescription Drug Program  Co-authored Annual Report; newsletter publication Mercy Hospital and Portland Public Health program delivering healthcare to low income patients without health insurance.  Volunteer training, development, coordination, supervision and recognition  Management of Indigent Prescription Drug Program  Co-authored Annual Report; newsletter publication



Maine Medical Center

• Cardiac Care

• RN

  • 1994 - 1996

  Provided care to patients with myocardial infarctions, dysrhythmias; catheter ablations; pacemakers & ICD implants; cardiac catheterizations; electrical-physiological studies, cardiac rehabilitation; & cardiac emergencies. Provided care to patients with myocardial infarctions, dysrhythmias; catheter ablations; pacemakers & ICD implants; cardiac catheterizations; electrical-physiological studies, cardiac rehabilitation; & cardiac emergencies.