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Cherye Morgan
Director Clinical Effectiveness, Healthcare
Navigant Consulting, Inc.
30 South Wacker
Chicago, IL 60606
Tel 312.583.5700
Fax 312.583.5701
cherye.morgan@navigantconsulting.com
Professional History
 Director, Top Tier Consulting
 Principal, Cherye Morgan LLC
 Senior Manager, Accenture Consulting
 Senior Manager, Capgemini Ernst&
Young
 Senior Manager, Ernst& Young
 Vice President, Quality and Clinical
Resource Management, Jewish Hospital
Cincinnati
Education
 B.S., Medical Technology, Eastern
Kentucky University.
 Masters, Health Administration, Xavier
University
Professional Associations
 Fellow, American College of Healthcare
Executives (FACHE)
Thought Leadership
 Improvement Advisor, Institute for
Healthcare Improvement
Cherye Morgan, MHA, FACHE
As a Director, Cherye Morgan plays an integral role in advising
healthcare clients on performance improvement and clinical
effectiveness. Mrs. Morgan has more than 25 years of executive level
experience in provider and payer operations and management
consulting allowing her to expertly bridge the worlds of strategy,
business/clinical operations and information technology. She has
recently taken a leadership role in developing the capabilities for
Accountable Care Organization (ACO) and Clinical Integration
Network strategy through implementation for our clients.
Areas of Expertise
Mrs. Morgan has advised healthcare clients in business and clinical
operations, Medicare and Medicaid compliance, NCQA compliance,
medical management, medical records, patient throughput, patient
safety and wellness and consumer driven healthcare. She is adept at
operationalizing strategic priorities through breakthrough
improvement methodologies, maximizing the strengths of the team,
generating significant cost savings and promoting innovative
solutions within complex environments. Additionally, she has led
system selection processes for hospital organizations and managed
large business and information technology design, build and
implementation projects for hospital systems and payers.
Recent Representative Experience
Healthcare Provider Experience
Mrs. Morgan has worked with multiple clinical teams to build
clinical processes that manage the clinical care of the patient across
the healthcarecontinuum includinginpatient,outpatient,behavioral health,and long term care including
home health and hospice care.
She has worked with physicians and their clinical teams to identify high volume and high cost DRG’s to
focus improvement efforts on reducing Length of Stay (LOS) and inappropriate clinical resource use.
Worked with these clinical teams to facilitate and support the implementation of these guidelines across
clinical service divisions and multiple hospital sites. This work often uncovers the need to redesign Care
Management and operational processes in the clinical departments of Surgery,Radiology and Laboratory
to support improving efficiencies in surgical scheduling, patient throughput and clinical testing
turnaround times. She has worked with multiple teams to integrate evidence based management leading
practices within the Care Management delivery processes.
As a Vice President of Quality and as an Improvement Advisor for the Institute of Healthcare
Improvement, Mrs. Morgan has led and instructed organizations in Continual Quality
Improvement/Performance improvement methodologies including root cause analysis to identify and
improve business and clinical operations for large, complex health systems, and managed care
organizations. She has written courses and taught internal consultants of these organizations how to
apply and leverage these skills to achieve breakthrough improvements for over 24 years.
Designed and implemented a patient-centered care program in collaboration with physician and health
plan partners to support the reduction of hospital readmissions and adverse drug events.
Mrs. Morgan led the assessment, design, and implementation of multiple business and clinical
performance improvement projects to support hospitals and health systems as part of the business and
information technology transformation efforts. Developed and implemented multiple change
management strategies and models to support executive leadership vision and goals.
Mrs. Morgan led the optimization of capacity and patient throughput for major teachinghospital through
improvements in the utilization of inpatient bed capacity, reduction in capacity constraints , improved
productivity in the Emergency Department (ED); reduction in clinical denials and success in creating
“flex” bed capacity. Cost Savings of $4.4M associated with ED diversions were realized. ED length of
stay was reduced from 5.5 hours to 3.5 hours.
Mrs. Morgan led development and execution of strategies for business change management to align
leadership support of change. Developed and executed change-specific communication strategies and
implementations as a result of performance improvement initiatives.
Mrs. Morgan led the development of the business requirements definition and Request for Proposal
Process (RFP) in support of a system selection process for a core clinical and financial information system
as part of the office of the CIO and opening of a new hospital. As part of this process, she prepared and
educated the organization in meaningful use requirements and positioned the project to realize
reimbursement for implementation efforts.
Mrs. Morgan designed and implemented organizational structures aligned with clients’ vision and
strategy, both at the executive and middle management levels to improve decision making, operating
efficiency, communications and responsiveness for both payer and provider organizations.
As the interim VP of Quality and Medical Staff relations, Mrs. Morgan developed new processes and
procedures to support performance improvement efforts and JCAHO accreditation compliance for
national patient safety goals, health information management, and medical staff credentialing processes
across a multi-hospital health system.
Mrs. Morgan worked with hospital system leadership to design an effective strategy and process for
hospital based physician contractingin support of framework design of Accountable Care Organizations.
Mrs. Morgan worked with hospital clinicians to conduct an improvement effort for a pre-operative
patient assessment which supported the reduction of mortality rates, improved patient satisfaction, and
surgical key quality measures.
Mrs. Morgan developed a portfolio of strategic opportunities for a large integrated health system that
included plans for the enhancement of quality and outcome reporting; acceleration of technology
implementations; evolution towards electronic medical records (EMRs); leverage of the web to empower
consumers; management of capacity and patient flow; consolidation of back office functions to reduce
overhead; and the assessment of new markets for market penetration strategies.
Mrs. Morgan designed employment models for physician/hospital relationships, worked with client to
identify and resolve physician employment challenges, facilitated the draft of contract language for
physician employment arrangements, and developed gain sharing models for improving physician
performance.
As program director and subject matter specialist,led physicians and clinical teams in the areas of clinical
resource management, care and medical management, improved clinical documentation, and patient
safety improvements for multiple clients.
Reduced length of stay overall by 2.6 days and achieve $17 million cost reduction through clinical process
redesign, consolidation, and medical management improvements for a 700 bed urban teaching
institution.
Mrs. Morgan facilitated the evaluation of physician led disease management practices from a loosely
managed to a well-managed organization with respect to utilization practices that were effective in the
prediction and management of medical cost risk.
Led the development of an integrated care management model for a University Medical Center
improving clinical resource utilization enabling responsiveness to the needs presented by the system’s
growing financial constraints imposed by third party payers.
Designed and standardized systems to support the medical staff governance credentialing, continuing
medical education, and the integration of quality/peer review functions.
Health Plan Experience
As the interim VP of Quality and Medical Management of a start-up Medicaid Health Plan, Cherye
developed the program requirements for design and implementation of Quality and Medical
Management processes to meet the needs of the ABD and CHIP populations for the state of Ohio.
Designed models to support the care continuum that include the Triple Aim, Care Coordination and
Chronic Care Models from the Institute of Healthcare Improvement that included all provider and
community agencies along with physician networks, ancillary organizations, and clinics. Prepared
documents to support the Ohio Request for Application for a three year fully capitated contract and
documents to support response to a Request for Information for the dual eligible population.
Mrs. Morgan provided guidance to health plan leadership for demonstrating compliance with Medicare
Advantage and Medicare Prescription Drug Plan regulations with regard to Centers for Medicare and
Medicaid Services (CMS) requirements. She supported executive planning and communication, program
management and coordination related to scheduled onsite CMS audits. Led aggressive efforts to build
new capabilities required for CMS compliance remediation efforts due to past audit findings.
As a program director for multiple national and regional health insurers’ senior business, provided
leadership and subject matter knowledge to compliance and operations staff. Mrs. Morgan designed an
integrated compliance structure within senior business that remediated fragmented and non-
standardized business processes;developed operational metrics,controls and quality measures; provided
compliance training; and communication between departments. As a result, audit requirements were
achieved and credibility with CMS was improved.
As program director for a large national payer, led multiple teams to support a medical management
assessment,and developed future statevisions to meet the needs of client customers and critical outcome
measures. Defined how these capabilities integrated with other areas to deliver value.
As program director for multiple large national and regional payers, prepared internal team for NCQA
accreditation processes and led executives responsible in the development of an internal compliance
department for future audits.
Additional Responsibilities
Cherye supports the Institute for Healthcare Improvement as an Improvement Advisor where she
provides mentorship to health plans, hospital and physician providers and CMS in the area of continual
performance improvement across business and clinical operations specifically by achieving the "Triple
Aim" for population health improvement.

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Cherye Morgan_Navigant Resume

  • 1. Cherye Morgan Director Clinical Effectiveness, Healthcare Navigant Consulting, Inc. 30 South Wacker Chicago, IL 60606 Tel 312.583.5700 Fax 312.583.5701 cherye.morgan@navigantconsulting.com Professional History  Director, Top Tier Consulting  Principal, Cherye Morgan LLC  Senior Manager, Accenture Consulting  Senior Manager, Capgemini Ernst& Young  Senior Manager, Ernst& Young  Vice President, Quality and Clinical Resource Management, Jewish Hospital Cincinnati Education  B.S., Medical Technology, Eastern Kentucky University.  Masters, Health Administration, Xavier University Professional Associations  Fellow, American College of Healthcare Executives (FACHE) Thought Leadership  Improvement Advisor, Institute for Healthcare Improvement Cherye Morgan, MHA, FACHE As a Director, Cherye Morgan plays an integral role in advising healthcare clients on performance improvement and clinical effectiveness. Mrs. Morgan has more than 25 years of executive level experience in provider and payer operations and management consulting allowing her to expertly bridge the worlds of strategy, business/clinical operations and information technology. She has recently taken a leadership role in developing the capabilities for Accountable Care Organization (ACO) and Clinical Integration Network strategy through implementation for our clients. Areas of Expertise Mrs. Morgan has advised healthcare clients in business and clinical operations, Medicare and Medicaid compliance, NCQA compliance, medical management, medical records, patient throughput, patient safety and wellness and consumer driven healthcare. She is adept at operationalizing strategic priorities through breakthrough improvement methodologies, maximizing the strengths of the team, generating significant cost savings and promoting innovative solutions within complex environments. Additionally, she has led system selection processes for hospital organizations and managed large business and information technology design, build and implementation projects for hospital systems and payers. Recent Representative Experience Healthcare Provider Experience Mrs. Morgan has worked with multiple clinical teams to build clinical processes that manage the clinical care of the patient across the healthcarecontinuum includinginpatient,outpatient,behavioral health,and long term care including home health and hospice care. She has worked with physicians and their clinical teams to identify high volume and high cost DRG’s to focus improvement efforts on reducing Length of Stay (LOS) and inappropriate clinical resource use. Worked with these clinical teams to facilitate and support the implementation of these guidelines across clinical service divisions and multiple hospital sites. This work often uncovers the need to redesign Care Management and operational processes in the clinical departments of Surgery,Radiology and Laboratory to support improving efficiencies in surgical scheduling, patient throughput and clinical testing turnaround times. She has worked with multiple teams to integrate evidence based management leading practices within the Care Management delivery processes. As a Vice President of Quality and as an Improvement Advisor for the Institute of Healthcare Improvement, Mrs. Morgan has led and instructed organizations in Continual Quality
  • 2. Improvement/Performance improvement methodologies including root cause analysis to identify and improve business and clinical operations for large, complex health systems, and managed care organizations. She has written courses and taught internal consultants of these organizations how to apply and leverage these skills to achieve breakthrough improvements for over 24 years. Designed and implemented a patient-centered care program in collaboration with physician and health plan partners to support the reduction of hospital readmissions and adverse drug events. Mrs. Morgan led the assessment, design, and implementation of multiple business and clinical performance improvement projects to support hospitals and health systems as part of the business and information technology transformation efforts. Developed and implemented multiple change management strategies and models to support executive leadership vision and goals. Mrs. Morgan led the optimization of capacity and patient throughput for major teachinghospital through improvements in the utilization of inpatient bed capacity, reduction in capacity constraints , improved productivity in the Emergency Department (ED); reduction in clinical denials and success in creating “flex” bed capacity. Cost Savings of $4.4M associated with ED diversions were realized. ED length of stay was reduced from 5.5 hours to 3.5 hours. Mrs. Morgan led development and execution of strategies for business change management to align leadership support of change. Developed and executed change-specific communication strategies and implementations as a result of performance improvement initiatives. Mrs. Morgan led the development of the business requirements definition and Request for Proposal Process (RFP) in support of a system selection process for a core clinical and financial information system as part of the office of the CIO and opening of a new hospital. As part of this process, she prepared and educated the organization in meaningful use requirements and positioned the project to realize reimbursement for implementation efforts. Mrs. Morgan designed and implemented organizational structures aligned with clients’ vision and strategy, both at the executive and middle management levels to improve decision making, operating efficiency, communications and responsiveness for both payer and provider organizations. As the interim VP of Quality and Medical Staff relations, Mrs. Morgan developed new processes and procedures to support performance improvement efforts and JCAHO accreditation compliance for national patient safety goals, health information management, and medical staff credentialing processes across a multi-hospital health system. Mrs. Morgan worked with hospital system leadership to design an effective strategy and process for hospital based physician contractingin support of framework design of Accountable Care Organizations. Mrs. Morgan worked with hospital clinicians to conduct an improvement effort for a pre-operative patient assessment which supported the reduction of mortality rates, improved patient satisfaction, and surgical key quality measures.
  • 3. Mrs. Morgan developed a portfolio of strategic opportunities for a large integrated health system that included plans for the enhancement of quality and outcome reporting; acceleration of technology implementations; evolution towards electronic medical records (EMRs); leverage of the web to empower consumers; management of capacity and patient flow; consolidation of back office functions to reduce overhead; and the assessment of new markets for market penetration strategies. Mrs. Morgan designed employment models for physician/hospital relationships, worked with client to identify and resolve physician employment challenges, facilitated the draft of contract language for physician employment arrangements, and developed gain sharing models for improving physician performance. As program director and subject matter specialist,led physicians and clinical teams in the areas of clinical resource management, care and medical management, improved clinical documentation, and patient safety improvements for multiple clients. Reduced length of stay overall by 2.6 days and achieve $17 million cost reduction through clinical process redesign, consolidation, and medical management improvements for a 700 bed urban teaching institution. Mrs. Morgan facilitated the evaluation of physician led disease management practices from a loosely managed to a well-managed organization with respect to utilization practices that were effective in the prediction and management of medical cost risk. Led the development of an integrated care management model for a University Medical Center improving clinical resource utilization enabling responsiveness to the needs presented by the system’s growing financial constraints imposed by third party payers. Designed and standardized systems to support the medical staff governance credentialing, continuing medical education, and the integration of quality/peer review functions. Health Plan Experience As the interim VP of Quality and Medical Management of a start-up Medicaid Health Plan, Cherye developed the program requirements for design and implementation of Quality and Medical Management processes to meet the needs of the ABD and CHIP populations for the state of Ohio. Designed models to support the care continuum that include the Triple Aim, Care Coordination and Chronic Care Models from the Institute of Healthcare Improvement that included all provider and community agencies along with physician networks, ancillary organizations, and clinics. Prepared documents to support the Ohio Request for Application for a three year fully capitated contract and documents to support response to a Request for Information for the dual eligible population. Mrs. Morgan provided guidance to health plan leadership for demonstrating compliance with Medicare Advantage and Medicare Prescription Drug Plan regulations with regard to Centers for Medicare and Medicaid Services (CMS) requirements. She supported executive planning and communication, program management and coordination related to scheduled onsite CMS audits. Led aggressive efforts to build new capabilities required for CMS compliance remediation efforts due to past audit findings.
  • 4. As a program director for multiple national and regional health insurers’ senior business, provided leadership and subject matter knowledge to compliance and operations staff. Mrs. Morgan designed an integrated compliance structure within senior business that remediated fragmented and non- standardized business processes;developed operational metrics,controls and quality measures; provided compliance training; and communication between departments. As a result, audit requirements were achieved and credibility with CMS was improved. As program director for a large national payer, led multiple teams to support a medical management assessment,and developed future statevisions to meet the needs of client customers and critical outcome measures. Defined how these capabilities integrated with other areas to deliver value. As program director for multiple large national and regional payers, prepared internal team for NCQA accreditation processes and led executives responsible in the development of an internal compliance department for future audits. Additional Responsibilities Cherye supports the Institute for Healthcare Improvement as an Improvement Advisor where she provides mentorship to health plans, hospital and physician providers and CMS in the area of continual performance improvement across business and clinical operations specifically by achieving the "Triple Aim" for population health improvement.