Experience

Murrumbidgee Local Health District (MLHD)

• Australia
• Hospitals and Health Care
• 500 - 600 Employee

• Executive Director of Medial Services

  • Mar 2015 - Present



International Health & Medical Services (IHMS)

• Director of Public & Primary Health

  • Feb 2012 - Present



Imfosys Pty Ltd

• Managing Director

  • 2001 - Present

  Converted AMSI Prenatal Risk-Management system (as used by COPIC, Colorado) for Australasian market. This is a 600-page resource linked to patient information sheets and a maternity patient-management chart.Feasibility Study: Conversion of Imfosys into Electronic Clinical Decision Support System (“CDSS”) integrated into EMR.

• Consultant to the Healthcare Industry on Risk-Management and Clinical-Governance

  • Aug 2009 - Mar 2011

  I developed portfolio of Human Factors and Teamwork Training courses for the Healthcare Industry. This included development of modular course(s) for telephone counsellors. Modules included: Counselling for Aboriginal and Torres Strait Islander (ATSI); Culturally and Linguistically Diverse (CALD); Domestic Violence; Generic Pregnancy advice; Paediatric advice; Complaints Management; and Mandatory Reporting.I worked as a Consultant on Clinical Governance and Clinical Risk Management Framework development and as a Lecturer for University of NSW Centre for Health Innovation: Clinical Governance & Risk Management course (for UNSW degree: Master of Public Health)



Postgraduate program

• Graduated from Masters Student (Public Health & Healthcare Management)

  • Jan 2014 - Feb 2015



International Health and Medical Services (IHMS)

• Australia
• Hospitals and Health Care
• 100 - 200 Employee

• Director of Primary & Public Health, International Health & Medical Services

  • Jul 2012 - Feb 2014

  As Director of Primary & Public Health, I am responsible for the coordination of all clinical-governance activities and health policies for the IHMS network in Australia, Papua New Guinea, and Nauru. A large part of my brief is the ongoing management of Public-Health issues and policies for the health assessments and healthcare management being undertaken for the unauthorised maritime arrivals in these Detention Centres. During my tenure there has been the re-opening of the offshore immigration/refugee processing centres at Manus Island, Papua New Guinea, and Nauru. Each of these has resulted in its own specific challenges and complexities to be resolved. I have been the senior medical lead providing input for the specification, development, and implementation of a ‘bespoke’ electronic medical record (“EMR”) for the onshore and offshore IHMS network. This complex process involves an in-depth understanding of all the clinical processes and reporting procedures locally; requirements at IHMS’ Sydney head office; and for DIBP and the Australian government in Canberra.I have developed, written, and implemented policies, work processes, and operating procedures for significant diseases, including Tuberculosis, HIV Malaria, as well as strategies for communicable disease in a diverse and often remote health network.



IHMS

• Area Medical Director Northern region

  • Feb 2012 - Jun 2012

  Responsible for the oversight of Clinical Governance and medical care provided in the Northern region of Australia -- Northern Territory (primarily Darwin) and far-north Queensland. This role involves the medical oversight and managing Clinical Governance of five (Detention Facilities with over 2,400 detainees.The role involved ensuring that all IHMS treatment regimens; emergency evacuation; and other procedures were documented and observed. Liaison with professional bodies and registration boards was done, as appropriate, to ensure good relationships and efficient medical-registration procedures. This busy position required 100% adherence to contract medical-staffing commitments: control and direct recruitment; registration; and roster management of permanent and locum doctors.



SmartClinics

• Australia
• Medical Practices
• 1 - 100 Employee

• Chief Medical Officer

  • Mar 2011 - Dec 2011

  This start-up company pioneered a model of primary healthcare with Nurse Practitioners as the initial clinician screener, able to deal with an extensive range of problems that did not require referral to a medical practitioner. As Chief Medical Officer, I was solely responsible for the development of the integrated service ‘Model of Care’ which was presented to the Federal Shadow Minister of Health. I prepared the ‘Scope of Practice’ documentation for submission to Queensland Health Department. I developed a clinical governance framework (internal systems; standards; and procedures) and Risk-Management Toolkit which included an Incident Management System, Complaints Management Processes and Risk Register. I developed (in conjunction with the Chief Nurse) a range of internal clinical policies and reporting toolkit for performance trackingMy responsibilities were varied and included hiring of clinical personnel; development of core competency requirements; competency assessment processes; training (up-skilling) processes for Nurse Practitioners; and ensuring ongoing continuous education support. This involved Regular liaison with internal departments, such as marketing and operations, and monthly management reports (to Board). I was responsible for strategic stakeholder-management liaison with such diverse organisation as: Australian Medical Association (“AMA”), Nursing Unions, Medicare Locals, Royal Colleges (RACGP & RANZCOG), Australian College of Midwives, Local GPs & Allied Health providers, Queensland Health Department, Federal Health Department (including Shadow Minister for Health)



NSW Health

• Hospitals and Health Care
• 700 & Above Employee

• Director of Clinical Governance, (“DCG”) South-Eastern Sydney & Illawarra Area Health Service

  • Feb 2008 - Jul 2009

  Senior Executive position within SESIAHS, reporting directly to the Chief Executive (“CE”). The DCG is responsible for a wide range of programs aimed at delivering the safety and quality program from NSW Health under the Clinical Services Plan for the Area. The DCG provides leadership (I chaired six (6) committees, and was an active member of twenty (20) committees) in the development of complex planning across the Area Health Service (“AHS”). This involves significant management of the tensions between overall policy and individual service priorities within the complexities and budget limitations of the NSW Healthcare System. The DCG must understand the barriers and processes required to enable diverse groups to form constructive teams; taking the principles behind Change-Management Initiatives including Planning, Stakeholder engagement, Internal and external consultation; to Final executive approval.My Key achievements in this role included development of first Clinical-Governance framework for SESIAHS; the Clinical Governance Unit (“CGU”) Work Plan and reporting toolkit. Policy & Process changes including Antibiotic Stewardship workshop (forum) and policy and clinical guidelines. Development of Policies and processes to ensure all deaths are screened. Development of new modified Root-Cause Analysis (“RCA”) processes as part of the investigation of adverse events. Improved communication & engagement from the CGU via a bi-monthly e-newsletter (Concepts to Competencies), and Piloting Executive Walkarounds. I piloted consumer representation on many strategic area committees and was the Founding Chair of Clinical Ethics Committee.



CMPA

• Physician Risk Advisor

  • May 2005 - Apr 2007

  CMPA is a mutual organisation representing 59,000 physicians. I was invited to develop a comprehensive program for management of High-Severity cases (compromised baby cases). There was a major emphasis on increasing information flow from CMPA to the legal teams and development of a company-wide learning and knowledge-management system. This position reported directly to the Senior Executive. As a senior member of the Risk-Management Department, I attended all the Claims Committee meetings which had a full breadth of cases for discussion. The High-Severity high-costs program -- called CASCADE (Comprehensive Approach to Severe Cases; All Dimensions to be Explored) which I personally developed and implemented -- had four (4) major components: 1. Clinical Risk Management: using CMPA in-house data (the OASIS database), I developed education programs including electronic-learning education (on-line) modules. Specific topics included: Shoulder Dystocia; Kernicterus; and Placental Pathology.2. Management of Adverse Events: I developed in-house training for CMPA Medical Officers to aid member-physicians who telephone to report after an adverse medical event. This included clinical information such as obtaining cord gases, placental pathology, as well as appropriate documentation and Disclosure to patients and their families.3. Management of Claims: High-Severity claims are identified early, and assessed early by in-house experts -- I selected the panel members -- comprising Obstetricians in current clinical practice. In this manner some claims will be settled earlier. In-depth review of the case including review of expert testimony, as well as medical literature for enhanced case management. Information and knowledge-sharing mechanisms were developed.4. Other options: This included enhancing current Canadian legal tort-reform initiatives for such issues as structures and subrogation; as well as Apology legislation.



COPIC Companies

• United States
• Insurance
• 1 - 100 Employee

• Physician Risk Manager

  • Jan 2004 - Feb 2005

  Colorado and Nebraska, USA, and had over 200 employees• Developed complete modular course for doctors - Crew Resource Management/Team Training (“CRM” - adapted from aviation model); sole responsibility• Recognize, Respond, Resolve(“3Rs”)o Successful Early Intervention/Resolution Program• Voluntary Resolution Program (“VRP”) new-program developmento Extension of 3Rs• Malpractice Claims-Committee Reviewso day-long meetings: over 15 covering the full breadth of clinical and legal issues• Specialty-specific projects:o Electronic Fetal Heart Rate Monitoring Terminologyo Rare Problems List in Obstetricso Clinical Drills & Simulations • Doctor/Residents’ Induction Program• Aviation and Human-Factors in Error Systems and Management• Shoulder Dystocia – Copiscope article + presentations• COPIC’s Oasis Database use for Risk Management and Claims Assessment• Practice Quality (Practice Office: Site Assessments)• Specialty-Specific Seminars & Risk-Management Tools• Insurance Rate-Making at COPIC – budget /insurance pricing meeting: planning and rate-setting• Instructor Certification – Disclosing Adverse Outcomes (Bayer Communication)



Wendy L. COX Pty Ltd

• High Risk Obstetric (Private) Practice

  • 1990 - 2003

  Principal Medical Practitioner– High-Risk Obstetric Practice• Perinatal Genetic/Ultrasound combined service• First Ultrasound Practice in Australia to be completely digital• Developed over 100 Patient-Information Sheets for each clinical/obstetric scenario; posted these to self-developed website• Royal Australian & New Zealand College of Obstetricians & Gynaecologists (“RANZCOG”); - Chair NSW State Committee o Member of RANZCOG ‘National Council’; o Training Program Director for NSW; 110 traineeso Developed Ethical Code of Conduct• Undertook full review of Royal Hospital for Women (“RHW”) policies for Ultrasound Soft Signs: Aneuploidy• Wrote RHW departmental protocols and patient-information sheets for each obstetric abnormality



NSW Health

• Hospitals and Health Care
• 700 & Above Employee

• Medical Imaging Fellow, RHW

  • 1989 - Dec 1989

  Performed the first Fetal Blood Sampling/Cordocentesis (“PUBS”) in AustraliaCommenced the clinical service of PUBS and in-utero blood transfusions

• Senior Registrar, RHW

  • Jan 1988 - Dec 1988

  Coordinated in-house Residents’ Training ProgramRostering responsibility for 15 junior (Obstetrics & Gynaecology) registrars and diploma (residents) trainees



L'Hopital Notre Dame de Bons Secours

• Research Fellow Centre Prenatal et de Foetologie

  • May 1986 - Dec 1987

  15 months in research position learning innovative technique of Fetal Blood Sampling (Cordocentesis/ PUBs). 15 months in research position learning innovative technique of Fetal Blood Sampling (Cordocentesis/ PUBs).