Dr. Daniel Berman has extensive experience in healthcare administration, nursing, and education. He currently serves as Chief Innovation Officer at the Center for Health Practitioner Innovations in Florida. He has held leadership roles such as director of nursing and case management. Berman has taught at several universities and developed healthcare administration courses. He maintains professional licenses and memberships in numerous healthcare-related organizations.
CLINICAL GOVERNANCE SYSTEMS - AS A TOOL FOR IMPROVING PATIENT SAFETY Ruby Med Plus
This essay explores how Clinical governance as a process is interpreted,
understood and practiced for improving the quality of patient care and Patient
safety.
Specific Objectives-
1. To give an overview of corporate governance and Clinical governance and
to focus on Definition, principles, need, components, key features and
benefits of Clinical governance.
2. To Understand the principles and Pre-requisites of Governance and
clinical governance.
3. To comprehend Power Culture, Quality Assurance, Clinical Audit, and
Clinical Governance.
4. To analyse decision making, safety culture, Integrated pathways,
informed consent, right clinical information, Acrediation and Clinical
Governance.
CLINICAL GOVERNANCE SYSTEMS - AS A TOOL FOR IMPROVING PATIENT SAFETY Ruby Med Plus
This essay explores how Clinical governance as a process is interpreted,
understood and practiced for improving the quality of patient care and Patient
safety.
Specific Objectives-
1. To give an overview of corporate governance and Clinical governance and
to focus on Definition, principles, need, components, key features and
benefits of Clinical governance.
2. To Understand the principles and Pre-requisites of Governance and
clinical governance.
3. To comprehend Power Culture, Quality Assurance, Clinical Audit, and
Clinical Governance.
4. To analyse decision making, safety culture, Integrated pathways,
informed consent, right clinical information, Acrediation and Clinical
Governance.
The Ohio State University State of the Medical Center presentation: Improving People’s Lives through Personalized Health Care as presented by on Jan. 26, 4 p.m. in 160 Meiling Hall.
Hear directly from Steven G. Gabbe, MD, CEO, OSU Medical Center, about our accomplishments and new opportunities to enhance our growth and improve our performance.
Introduction
The big business of health care is growing in a massive rate more now than ever according to The Center for Health Workforce Studies a non-profit organization located in Rensselaer, New York the organization report that, “While total U.S. employment dropped by over 2% between 2000 and 2010, health care employment grew by more than 25% during the same period. More than 13% of the U.S. labor force worked in the health sector or in a health occupation (19 million jobs out of 143 million jobs in U.S. labor force). The health care sector is projected to add over 4.2 million jobs between 2010 and 2020, with 63% of those in ambulatory settings (offices of health practitioners, home health, and other non-institutional settings” (2012, CHWS). Health care is booming in all areas of study and research from Holistic to Western Medicine which include purchasing and supply. Unfortunately this is based off the demand for more Physicians that are not available where there is a need. The health care industry believe it or not includes the food industry and health and fitness as well.
The matter of ethics within the health care industry always needs to be address along with the quality of care for patients. Within this working essay paper I will discuss the matter of; Care & Service Provider, Ethics (codes and values), Mal-Distribution Physician Labor Forces. Even though the health care industry is growing the mal-distribution of health care is still evident in some rural areas. This factor of not having proper care delivered to impoverish neighborhoods and communities is another issue that still plagues the United States. David Cutler the online journal reporter for PBS News Hour stated, “About 10, 15 percent. Just to give you one example, Duke University Hospital has 900 hospital beds and 1,300 billing clerks. The typical Canadian hospital has a handful of billing clerks. Single-payer systems have fewer administrative needs. That’s not to say they’re better, but that’s just on one dimension that they clearly cost less. What a lot of those people are doing in America is they are figuring out how to bill different insurers for different systems, figuring out how to collect money from people, all of that sort of stuff” (2013). The need for health care workers is great, but the balance is off regarding where the needs are not being meet.
CLINICAL GOVERNANCE: AS DRIVE FOR PATIENT SAFETY.Ruby Med Plus
The focus on patient safety is an international phenomenon. Patient safety is an integral component of the quality of care. The governance of patient safety‘encompasses panoply of regulatory processes that directly or indirectly intend to manage, prevent or limit iatrogenic events in oral health care services. The Influence of Health Inquiries on Clinical Governance Systems in a case Study of the Douglas Inquiry focus on patient safety within the health industry, which has led to the extensive adoption of the term clinical governance. This term is used to describe the systems and processes that a healthcare organization has in place that add to the maintenance of patient safety, accountability and responsibility for patient safety. The introduction of clinical governance is therefore aimed at improving the quality of clinical care at all levels of an organization by consolidating, codifying, and standardizing organizational policies and approaches, particularly clinical and corporate accountability. (Scally, 1998). Clinical governance demands a major shift in the values, culture and leadership, to place greater focus on the quality of clinical care and to make it easier to bring about improvement and change in clinical practice. Clinical governance helps in examining and measuring patient outcomes to ensure optimum quality of care (Balding, 2005).
The Changing Healthcare Workforce - Healthcare Issue Briefings from Modern He...Modern Healthcare
The healthcare workforce is expected to undergo seismic changes in the coming years, driven by changes in the healthcare reform law, the increasing focus on team-based care and accountability, the push to expand the role of nurse practitioners and other allied health professionals, and the growing emphasis on providing care in ambulatory settings. We’ll hear from a panel of experts who will describe how those trends are affecting the healthcare market in Dallas and other regions, and how they predict hospitals and health systems will adapt their staffing, hiring and training practices.
The panelists:
Joel Allison, CEO, Baylor Scott & White Health
Dr. Nancy Dickey, Professor, Texas A&M University; President Emeritus,Texas A&M Health Science Center
Edward Salsberg, Professor, George Washington University School of Public Health and Health Services
The moderator:
Maureen McKinney, Editorial Programs Manager, Modern Healthcare
This event took place on May 6, 2014 from 7:30-9:30 a.m. in the Pegasus Ballroom of The Magnolia Hotel Dallas, 1401 Commerce St., Dallas, TX 75202
White Paper AGA: An Episode-of-Care Framework for the Management of ObesityMay Forsyth
White Paper AGA: An Episode-of-Care Framework for the
Management of Obesity—Moving Toward High Value, High
Quality Care: A Report From the American Gastroenterological
Association Institute Obesity Episode of Care and Bundle
Initiative Work Group
The Ohio State University State of the Medical Center presentation: Improving People’s Lives through Personalized Health Care as presented by on Jan. 26, 4 p.m. in 160 Meiling Hall.
Hear directly from Steven G. Gabbe, MD, CEO, OSU Medical Center, about our accomplishments and new opportunities to enhance our growth and improve our performance.
Introduction
The big business of health care is growing in a massive rate more now than ever according to The Center for Health Workforce Studies a non-profit organization located in Rensselaer, New York the organization report that, “While total U.S. employment dropped by over 2% between 2000 and 2010, health care employment grew by more than 25% during the same period. More than 13% of the U.S. labor force worked in the health sector or in a health occupation (19 million jobs out of 143 million jobs in U.S. labor force). The health care sector is projected to add over 4.2 million jobs between 2010 and 2020, with 63% of those in ambulatory settings (offices of health practitioners, home health, and other non-institutional settings” (2012, CHWS). Health care is booming in all areas of study and research from Holistic to Western Medicine which include purchasing and supply. Unfortunately this is based off the demand for more Physicians that are not available where there is a need. The health care industry believe it or not includes the food industry and health and fitness as well.
The matter of ethics within the health care industry always needs to be address along with the quality of care for patients. Within this working essay paper I will discuss the matter of; Care & Service Provider, Ethics (codes and values), Mal-Distribution Physician Labor Forces. Even though the health care industry is growing the mal-distribution of health care is still evident in some rural areas. This factor of not having proper care delivered to impoverish neighborhoods and communities is another issue that still plagues the United States. David Cutler the online journal reporter for PBS News Hour stated, “About 10, 15 percent. Just to give you one example, Duke University Hospital has 900 hospital beds and 1,300 billing clerks. The typical Canadian hospital has a handful of billing clerks. Single-payer systems have fewer administrative needs. That’s not to say they’re better, but that’s just on one dimension that they clearly cost less. What a lot of those people are doing in America is they are figuring out how to bill different insurers for different systems, figuring out how to collect money from people, all of that sort of stuff” (2013). The need for health care workers is great, but the balance is off regarding where the needs are not being meet.
CLINICAL GOVERNANCE: AS DRIVE FOR PATIENT SAFETY.Ruby Med Plus
The focus on patient safety is an international phenomenon. Patient safety is an integral component of the quality of care. The governance of patient safety‘encompasses panoply of regulatory processes that directly or indirectly intend to manage, prevent or limit iatrogenic events in oral health care services. The Influence of Health Inquiries on Clinical Governance Systems in a case Study of the Douglas Inquiry focus on patient safety within the health industry, which has led to the extensive adoption of the term clinical governance. This term is used to describe the systems and processes that a healthcare organization has in place that add to the maintenance of patient safety, accountability and responsibility for patient safety. The introduction of clinical governance is therefore aimed at improving the quality of clinical care at all levels of an organization by consolidating, codifying, and standardizing organizational policies and approaches, particularly clinical and corporate accountability. (Scally, 1998). Clinical governance demands a major shift in the values, culture and leadership, to place greater focus on the quality of clinical care and to make it easier to bring about improvement and change in clinical practice. Clinical governance helps in examining and measuring patient outcomes to ensure optimum quality of care (Balding, 2005).
The Changing Healthcare Workforce - Healthcare Issue Briefings from Modern He...Modern Healthcare
The healthcare workforce is expected to undergo seismic changes in the coming years, driven by changes in the healthcare reform law, the increasing focus on team-based care and accountability, the push to expand the role of nurse practitioners and other allied health professionals, and the growing emphasis on providing care in ambulatory settings. We’ll hear from a panel of experts who will describe how those trends are affecting the healthcare market in Dallas and other regions, and how they predict hospitals and health systems will adapt their staffing, hiring and training practices.
The panelists:
Joel Allison, CEO, Baylor Scott & White Health
Dr. Nancy Dickey, Professor, Texas A&M University; President Emeritus,Texas A&M Health Science Center
Edward Salsberg, Professor, George Washington University School of Public Health and Health Services
The moderator:
Maureen McKinney, Editorial Programs Manager, Modern Healthcare
This event took place on May 6, 2014 from 7:30-9:30 a.m. in the Pegasus Ballroom of The Magnolia Hotel Dallas, 1401 Commerce St., Dallas, TX 75202
White Paper AGA: An Episode-of-Care Framework for the Management of ObesityMay Forsyth
White Paper AGA: An Episode-of-Care Framework for the
Management of Obesity—Moving Toward High Value, High
Quality Care: A Report From the American Gastroenterological
Association Institute Obesity Episode of Care and Bundle
Initiative Work Group
If you work in the healthcare field, this session is for you. The Trends Identification Report, written by the American Association of Medical Society Executives, will be shared and discussed. The report is written by experienced medical society executives who share their ideas on the future of health care in the US. Trends include electronic medical records and health information technology, access to health care, public health infrastructure, patient safety, quality of care, and the changing healthcare workforce.
John Jordan, CAE, executive VP & CEO, Pennsylvania Academy of Family Physicians & Foundation
Jon H. Sutton, MBA, manager, state affairs, division of advocacy & health policy, American College of Surgeons
Peers Response to --- How do you see current trends and changes in.docxkarlhennesey
Peers Response to --- How do you see current trends and changes in healthcare models impacting the delivery of healthcare? Consider the impact of these trends on your own practice setting. Also consider how these trends and changes have impacted your own leadership style or your supervisor’s leadership style.
Taimi Dudley posted Subscribe
My name is Taimi (pronounced ty-mee). I have worked as a registered nurse with an associate of science degree for over 24 years. Across these years, I have practiced nursing in the states of New Jersey, Pennsylvania, and my home state of Massachusetts, to which I returned two years ago. When I graduated from a hospital-based nursing program, I took a job as a Post-Acute/Rehab Care staff nurse. After two years as a staff nurse, I was promoted to a clinical management position in a Post-Acute Care (PAC) facility. Since then, I have worked in a variety of milieus, including both free-standing and hospital-based facilities and served as a corporate nurse, a traveling nurse, and a private consultant. My nursing specialty has grown exponentially over the years. My role now encompasses reporting to many governmental agencies, on both a state and federal level, and most recently, I am involved in mandated Quarterly Reporting Program (SNF QRP). I am currently working as a Regional Clinical Reimbursement Specialist for a major Post-Acute Care Company.
I have been in the healthcare field since I was a junior in high school, working as a candy striper, certified nursing assistant, and home health aide before becoming an RN. So, I have been both exposed to and used critical thinking for a lot of years. Nevertheless, I am excited to broaden my understanding, experience, and critical thinking skills with new and fresh information on the best practices approach of nurse leaders in today's healthcare environment.
How do you see current trends and changes in healthcare models impacting the delivery of healthcare? In the recent past, the fee for service healthcare trend generated money through the volume of patients or census levels and viewed the patient as a source of revenue. Whereas, the new trend of value-based healthcare has changed healthcare, particularly in my industry of post-acute care. Our patients have now become an expense versus a source of revenue. This change has made it necessary for different types of healthcare providers to stop working in silos and instead communicate and collaborate with care providers across the continuum. Each provider will need to leverage each other’s strengths to provide the best possible outcomes for the patient. Also, with this new value-based payment model system, providers, and doctor’s need to begin to see cradle to grave care within a fixed premium payment.
What is the impact of these trends on your own practice? These emerging trends are having an impact on my industry by implementing electronic medical records (EMR), nurses now char ...
Peers Response to --- How do you see current trends and changes in.docx
DanBermanCV81415
1. Dr. Daniel Berman DBA/HCA, MSN, RN, FACATA, FACHE,,FHPNAP : 95522 Sonoma Drive Fernandina
Beach, Florida 32034/Landline: 904-261-2258/Cell: 772-285-6488
Dberman012952@gmail.com
dberman@drdanhealthcarestrategist.com
www.drdanhealthcarestrategist.com
Affiliations:
Fellow of the American College of Healthcare Executives
Member of the Professional Healthcare Advisory Board for the Wall Street Journal
Member of the Intelligence Council for Healthcare Leaders Publications.
Professional healthcare Related Fellowships
Fellow of the American College of Healthcare Executives ( 2010-Present)
Fellow of the American College of Addiction Treatment Administrators (2005-Present)
Fellow for Health Policy National Academy of Practice(2015- )
Coordinator of case study, Addiction Treatment Administrators Maintaining Quality Standards for
Patients and Directional Shift towards Behavioral Health Therapy in a Managed Care Capacity,
during which research was an action based study with qualitative data collected through a survey
based approach.
Executive Healthcare Nursing Coach and honored as an Affiliate of the Institute of Health
Executive Coaching/Harvard Medical School. (2014-present)
Professional Licenses
Active Professional Registered Nurse in FL., NC., MN, and IA.
Healthcare Risk Manager in FL.
Education
Healthcare Administration, E.D. Northcentral University/Phoenix, AZ/ Attended 2007-2011,
conferral date (May of 2011). Dissertation: Exploration of Attitudes of Hospital Executives towards
fiscal and quality care concerns, when providing services to consumers in a natural disaster.
Nursing, M.S. /St. Joseph's College of Maine/Standish, ME/ Attended (2003-2005), conferral
year-(2005) Emphasis: Healthcare Administration. Dissertation: Cost Effectiveness of Substance
Abuse Treatment for the Impaired Nurse.
Therapeutic Recreation/University of Massachusetts/Amherst, MA (1974) Focus: Urban Studies
Certification Program in Nursing Consulting/Vickie Milazzo Institute of the National Alliance of
Certified Legal Nursing Consultants (2007)
Certification in Healthcare Risk Management/University of Florida (2012)
2. Present Position:
Chief Innovation Officer(2015-Present)
Center for Health Practitioner Innovations
Fernandina Beach, Florida
904-21-2258
Academic Teaching and Research Experience(2004-Present)
Primary Academic Affiliations
Rosalind Franklin School of Health Sciences and Medicine (Masters in Population Health
Management)
Lake Erie College of Medicine (Masters Program in Healthcare Administration)
St. Joseph’s University (Master’s Program in Healthcare Administration)
Walden University (Doctor of Business Administration Program)
Walden University (Masters in Nursing Leadership and Management)
Primary Teaching and Expert Course Development
Healthcare Strategic Planning
Healthcare Economics
Healthcare Policy and Legislation
Population Health Management, Planning, and Evaluation
Managed Care Planning and Evaluation
Healthcare Innovation and Change
Present Research Interest Areas
DisasterPreparationin Healthcare
HealthPolicy
Healthcare andPopulationHealthprogramsforIndigentPopulations
3. Healthcare InnovationandChange
Healthcare QualityandQualityImprovement
The use of Evidence Basedleadership
Executive CoachinginHealthcare
Cost Effectiveness of Healthcare Program
Hospital MarketResearch
PopulationHealthManagement
Managed Care
Behavioral HealthManagement
Healthcare Reform andEconomicImplications
Past Teaching Experience
2015 Adjunct Faculty Jacksonville University College of Health School of Nursing in Nursing
Leadership
2013- Nova Southeastern University School of Nursing in Research and Health Policy
2015- Wilkes University Department of Nursing
2015-St. Francis University Master of Science Program in Health Sciences
2015- University of Findlay Master of Science Program in Healthcare Administration
2015- Wilkes University Master of Science in Nursing Program
2015 Simmons College
2015 George Washington University
Past Course Development Experience
2008 AT Still University Public Health Research
2013 Benedictine University Healthcare and Nursing Finance
2013 EDMC Health Policy
2013 Western Governors University
2013 Nova Southeastern University Occupational Therapy Department
2014 Brookline College School of Nursing
2014-2015 Walden University Healthcare Administration Program
2015 to Present St. Francis Health Science Program
2015 to Present Cengage Learning Corporation
Healthcare Economics
Population Health Management
Epidemiology
Management Epidemiology
Present Areas of Research Interests
4. Disaster Planning
Access to Care
Cost of Care
Financing Healthcare
Impact of the Affordable Care Act on Vulnerable Populations
Payment for Chronic Care Models
Mental Healthcare Funding
Managed Care Models
Theoretical Frameworks that Frame Research Inquiry
The Dynamic Balance, a management decision making theory (See Publications List, D. Berman)
Evidence Based Leadership
Social Epidemiology
Managerial Epidemiology
Roy’s Theory of Individual and Organizational Theory
Innovation Theory
Healthcare Six Sigma
Qualitative and Action Related Research
Social Justice
Major Working Projects 2014-2015
Author of published article about national discussion on healthcare and how we must put pressure on
healthcare leaders to change their focal point from outcome focused to patient centered, an article about
nursing leaders on the operational utilization of DNP vs. PhD in Nursing for improvement in cost
effectiveness, and a recent journal article discussing the importance of helping consumers to understand
the importance of awareness of the changing healthcare landscape and how their role plays in the
providing of these important services to consumers and healthcare constituents.
Worked with University of South Dakota to devise quality metric and analytics courses of their medical
school programs.
Development of a national model on the subject of dynamic balance, which has become an accepted and
dedicated model for the improvement of delivery of healthcare through systems change agents working
within a delicate balance of cost effectiveness and quality of care.
Collection of qualitative data of the benefit of these educational models for improvement of professional
development of nursing students and related healthcare providers and interpretation of this data for the
benefit of improvement of management of healthcare providers.
Professional Associations
5. AmericanCollegeof Healthcare Executives
AmericanCollegeof AddictionTreatmentAdministrators
National Associationsof Healthcare Quality
AmericanAssociationof Healthcare Case Management
National Rural HealthAssociation
AmericanAssociationof Healthcare Journalists
Institute forHealthcare Coachingof HarvardMedical School
FloridaNursesAssociation
AmericanAssociationof ManagedCare Nurses
National Rural HealthAssociation
National Associationof Healthcare Quality
National Commissionon CorrectionalHealthcare
AmericanCollegeof Healthcare Executives
AmericanCollegeof AddictionTreatmentAdministrators
Professional Mentoring:
Dr. Daniel Berman volunteers his time to mentor professional in a formal mentoring program for the:
American Academy of Managed Care Nurses
Florida Nurses Association
National Healthcare Human Resources Association
American Academy of Addiction Treatment Administrators
American College of Healthcare Executives
Service on Healthcare Organization Board of Directors
Healthcare Leaders Media Healthcare Leaders Intelligence Council (4/2015-Present)
Council Advisory Board
Florida Nurses Association (9/2013-4/2015)
Organization Board of Directors
Visionary Healthcare Institute and Foundation (9/1992-2/2000)
President of the Board of Directors
6. Recovery with Dignity (1990-9/2001)
President of the Board of Directors
Projects Consulted on that Won National Awards
Be-Merge A National Mode for the Integration of Behavioral Health and Physical Health honored
by National Mental Health Association
Hillsborough County Health Plan an Indigent Health Plan honored by Robert Wood Johnson
Foundation
Recovery with Dignity Healthcare Group Practice Consumer Advisory Panel honored by
Behavioral Health Tomorrow
Working Models of Management Created and Authored by Dr. Dan Berman
“ The Dynamic Balance” A Management Model for Healthcare Using the Forces” This model
provides guidance for leaders and management to guide there organization to an environment of
Equilibrium. Copyrighted Jan 1995.
“ The IDEA Principles of Innovation for Nursing and Healthcare” A Model of Innovation for
Healthcare and Nursing Adapted from the Innovation Model by Boyton” This model allows
Healthcare Managers to develop an approach of innovation and the questioning of why
healthcare managers need to question the conventional wisdom. Copyrighted May 2013
Professional Speaking Engagements
National Head Start Association
American Managed Care Nurses Association
National Managed Care Association
Integrated Healthcare Delivery Association
National Nurses in Business
National Commission on Correctional Health
7. Florida Nurses Association
Florida Organization of Occupational Therapists
National Association of Primary Investigators
Shasta Medical Center
Professional Board Experience
Head Start Association
Maryland State Legislators Association
Florida Nurses Association
Active Professional Licenses
Licensure as a Registered Nurse in Florida, Iowa, CT, MN
Certified as National Quality Healthcare Professional (National Healthcare Quality Certification
Board)
Theoretical Frameworks that frame Professional Approach
The Dynamic Balance, a management decision making theory (See Publications List, D. Berman)
Evidence Based Leadership
Social Epidemiology
Managerial Epidemiology
Roy’s Theory of Individual and Organizational Theory
Innovation Theory
Healthcare Six Sigma
Qualitative and Action Related Research
Social Justice
8. Specific Populations that have extensive professional and mentoring experience with
Prison Inmates
Chronic Mentally Ill
Diabetics
Substance Abusers
Homeless
HIV
COPD/Asthma
Diabetics
Injured Workers
Highlighted Professional Experience
Founder and Chief Executive Healthcare Thinker, Center for Healthcare Thinking and
Innovation 2010-Present
Pathways to Excellence Surveyor for the American Nurses Credentialing Center 2008-
Serve as a surveyor for the Pathways to Excellence Program a division of the Hospital Magnet
Program.
Project Consultant Mental Health Association of Palm Beach County 2009-
Served as the primary researcher and program consultant for a grant that is developing a model
to integrate primary medical care and behavioral healthcare in Palm Beach County Florida
Consultant Surveyor ANCC Pathways to Excellence Program 2009-
Served as a surveyor for hospital applying the ANCC Pathways to Excellence Certification
Program.
Consultant Surveyor for American Correctional Association 2006-2009
Served as a surveyor for Jails and Prisons that were becoming accredited and was responsible
for certifying their healthcare delivery systems.
QUALITY IMPROVEMENT DIRECTOR, AIDS Healthcare Foundation. (2005 – 2006) (Full Time)
Serve asa Quality ImprovementDirectorfora staff modelmanaged careorganization. QIdirection is
provided forstaffsmodeloutpatientclinicsand a managed caredivision with Medicaid and Medicare
Special NeedsContracts.
Immediately upon assuming newposition restructured Quality Improvementeffortsto expand program
fromonedepartmentwith7 indicatorsto seven departmentswith 35 indicators. Also expanded
programto include thedevelopmentof benchmarking projectswith themedicaland nursing staff.
Incorporated Lean Sigma principlesinto quality improvementprogram.Also wasableto incorporate
Nationalstandardson variousdiseasestatesand regulatory/compliancerequirementsinto program.
Innovated theuseof RootCauseAnalysisand FEMA structures.Served aslegislative and regulatory
complianceadvisor.Served asperformanceimprovementexpertto Chief of Medicineon changing and
improving providerbehaviorand thedevelopmentof clinician/providerreportcards.Involved in
evaluating Aids/HIV Training forGlobalPrograms
9. Major areas of PrimaryResponsibility,asClinical Quality Expert
Serve asthe Clinical QualityExpert,DevelopQualityProjects,carryoutappliedqualityresearch,create
and analyze datasearches,andinfluence change recommendationsfor:
Medical Staff Quality
ProviderPeerReview
Clinical Nursing
Administrative Efficiency
Pharmacyand Therapeutics
Managed Care Division
State and National Accreditation
Adherence ProtocolsforChronicDisease States
ResearchCommittee
Coordinationof BenchmarkingStudy
RiskManagement
Medical Records
NursingEducation
Home HealthQualityImprovement
Specific Contributions:
Maintainedforthe entire durationof myrole,as Quality Clinical Expert,a 100% participationin
Systemwide qualityimprovementprogram
ReducedPhysicianNon-Compliance withtreatmentregimens by50%,within thisspecific
program
DIRECTOR OF NURSING,INPATIENTCARE/DIRECTOR OF INPATIENT SERVICES, MHMRA OF Harris
County – Houston,Texas(2001 – 2005) (Substance Abuse andMental Health)
Publicly funded 176-bed inpatient acute care freestanding mental hospital within Harris County’s Correctional Facility.
Oversawall nursing(licensedandnon-licensed)andindirectlysupervised110,includingnursing
licensedpersonnel,nurse’saides,social workers,nurse dischargeplanners,caseworkeraides,
and counselors. Chairednursingleadershipteammeetingeverytwoweekstoensure staff
followednursingpolicies;rewroteandintroducedpoliciestoensure compliance withTexas’
Nurse Practice Act; monitoredmedicationerrorsandqualityof nurses’notes;assure proper
utilizationof FTEs;andassignedandmonitoredovertime.
AccompaniedMedical Directortomorningcase managementmeetingstoverifyaccuracyof
day’sinformationbeforetransmissionandmade roundstwice daily. Managedcontractswith
labs,offsite pharmacyservices,andnursing/staffingagencies;andoversaw budgets,FTEs,
overtime andoutside tempagencies.
Preparedhospital clinicallyforaccreditationvisitsandforinvestigationsbyState agenciesand
maintainedentire responsibilityformanagement andimplementationof riskmanagement
programs. Memberof PatientSafetyCommittee,SeniorManagementCommittee,andJCAHO
Task Force and chairedQualityImprovementCommittee,andPatientCare Committee.
10. SpecificContributions:
Reducedoutside nursing agencyuse 25% and decreasedinternal staff overtime 25%
(overthree years).
Correctedlongstandingproblemregarding physicians’complaintsof inaccurate
informationtransmission(resultingincase managersbeingunreadyfordischarge)by
changingprocessof updatingdocumentation. Medical Directorreportedgreaterand
more accurate informationflow andgreaterease fordischarge.
Promotedfrom Director ofNursing to Director of InpatientCare afteronlysix months
inrecognitionof outstandingservice above andbeyondexpectations.
Empoweredmanagers to take responsibilityforcorrecting potential safetyissues by
creatingincidentreportingsystem.
Plummetedmedicationerrorsfrom 75% to 25% by spearheadingandinitiating
innovationperformance improvementproject
Improvedproductivity, efficiency,andperformance byspearheadingimplementation
of case managementandelectronicmedical recordsoftware.
DIRECTOR OF CASE MANAGEMENT,SOCIAL SERVICES, DISCHARGE PLANNING AND CRISIS
INTERVENTION Brazosport Memorial Hospital - Lake Jackson,Texas (2000-2001)
156 bed general medical surgical hospitals in suburbs of Houston, Texas, serving 6,500 patients annually
Supervised12discharge planningnurses,social workers,utilizationreviewnurses,andcrisis
interventioncase managers. Monitoredmonthlybudgetresults(reductioninlengthsof stay,
unnecessaryadmissions,delayeddischarges)andparticipatedinbudgetpreparationandJCAHO
inspections. ServedonPharmacyandTherapeutics,Nursing,PatientSafety,JointCommission
Preparation,andDepartmentHeadscommitteesandchairedDischarge PlanningandResource
Managementteam.
Workedon Hospital Legal TeamdefendingMalpractice andviolationof Federal EMTALA Laws
SpecificContributions:
Major Reorganizationof Discharge Planning,UR and Outcomes ManagementFunction.
Specificmedical systemwassufferinggreatfinancial losses,their3rd
fiscal quarterdue to a lack
of central leadershipinlimitingDRG(DiagnosticRelatedGroups) stays,unnecessaryadmissions,
and notmaximizingthird-partreimbursements.
Afterassuringall personneljobswere secure,examinedrole overlapandleadteamthatdefined
roles: discharge planningnurseshandledmedicallycomplexpatientsandtookcalls for
EmergencyDepartment;discharge planningsocial workersmanagedsociallycomplex casesand
tookcallsfor EmergencyDepartment;URnursesexclusivelyworkedwiththird-partypayersto
maximize reimbursements.
Reducedemergencyadmissions35%,lengths of stay25%, and increasedthird-party
reimbursements50%.
11. INDEPENDENT LEGAL NURSE CONSULTANT (1999-present) (Full Time andPartTime)
Provided assistanceand experttestimony forattorneysin:
Malpractice Defense
Managed Care Litigation
Workers’ Compensation
Criminal Defense
ImpairedHealthcare Professionals
CHIEF EXECUTIVE OFFICER/ SENIOR CONSULTANTVisionaryHealthcare Consultants –JensenBeach
Florida(1992-2000) provided healthcare management consultation to acute care & rehabilitation hospitals, provider
networks, indigent health plans, home health, managed care, third-party payers, and healthcare attorneys.
Foundedfirmassole proprietorshipandbroughtintwopartnersshortlythereafter. Successfully
grewcompanyto $ 1+ millionrevenues withinthree years. Teamedwithhealthcare attorney
and psychologistwithMPHtolaunchcompanyfrom groundzero. As CEO,developedand
marketedtwoproducts: Workers’Compensation/DisabilityMedical Case Managementand
PhysicianGroupPractices.
Setdirection,recruitedstaff,developed/nurturedclientbase,andservedasprojectmanageron
complex initiatives. Areasof consultationincludedrevenue enhancement,providernetworks,
nursingcare systems,managedcare contracting,businessplanning,healthcare litigation,case
management,JACHOandstate licensure,andstartupventures.
Providedindividual case analysisandmedical case managementtohelpinsurance companies
and defense attorneysdetermine whethertocontestor settle insurance cases. Carriersworked
for includedMarylandState AccidentFound,Aetna,PennNational,Unum, andTravelers.
12. SpecificContributionsrelatedtoposition, ChiefExecutive Office/SeniorConsultantof Visionary
Healthcare Consultants
Authoredchapter on Healthcare financing inbookdealingwithdemise of solo
practitionerand co-authoredmanual for physiciansstartinggrouppractices.
Empoweredsmall,not-for-profitagenciesto compete withmore management
sophisticatedagencies bydevelopingandteachingstatewidemanagementtraining
program
Helpedseveral mental healthclinical providersform and market group practices to
facilitate competingforandsecuringlarge managedcare contracts
Developedandimplementedcomprehensive riskand qualityprograms forFranklin
Memorial Hospital thatincludedinfectioncontrol surveillanceandprevention,
performance improvementplan,incidentreporttrackingandprevention,andnational
patientsafetygoalssyllabus.
Servedas startup CEO for national drugcompany’sEAPprogramfor interstate truck
drivers.
Set up Statewide HealthAgency cultural diversityprogram
Wrote and ImplementedaSAMHSA Grant
Providedexperttestimonyin front of MD, PA, and DE legislatures concerningmanaged
behavioral healthcare.
Servedas a panel expertat National Conference onmanagedbehavioral healthcare
Deputy Director Tri County County Health Action –Served as the deputy director for a set of
urban and rural health clinic and head start program in the Tri County Area of Harrisburg, Pa
(1986-1992)
Special Accomplishments:
Develop advocacy program for indigent care parents to voice concerns to heath administrators
Development of special teen prevention program for pregnant mothers
Development of Health and Special Needs Monitoring Program for Head Start
Development of Residential Program for Chronically Alcoholic Men
Development of Storefront Alcohol and Detoxification Program
Development of Drop in RecreationalProgram for the Chronically Mentally Ill
Administration of Migrant Farm workers Health Program
13. Experience as Peer Reviewer and Editorial Advisor for:
Journal of Healthcare Quality
Journal of Correctional Healthcare
Journal of Healthcare Management
Health Administration Press and Publishing Company
Publication List, Dr. Daniel Berman
SELECTED PUBLICATIONS inPeer ReviewedJournal and other Publications
1. Berman,Daniel,A Discussion of theCostBenefit Analysisof HealthcareFacilities Rehabilitating
Chemically DependentNurses, UnpublishedScholarlyPapercompletedasarequirementforthe Masters
inNursingAdministration,St.Joseph’sCollege of Maine,Standish,Maine,2005.
2. Berman,Daniel, TheAdaptation of Changein Clinical and ManagementPracticesin the Addiction
TreatmentCenter Dueto the Evolution of Managed Care,AmericanCollegeof AddictionTreatment
Providers,2001
4. Berman,Daniel,TheDevelopmentof a Training Manualthattransitionsclinicians to managersand
leaders.Completed asa requirementfora Mastersin Healthcare Administration Columbia Pacific
University1996. PublishedbyColumbiaPacificPress.
5 Berman,Daniel,The DynamicBalance-A CostandQualityModel of Care,chapterinCummings,N.(Ed),
The Demise of the Solo Practitionerand the Adventof PractitionerGroup Practicesin theera of Managed
Care Madison,Connecticut:MadisonPress,1997
6. Berman,Daniel, Using theQualityImprovementProcessto improvethedelivery of CaseManagement
services witha Managed CareEnvironment, PublishedinPeerReviewed:NursingNotesAmerican
Associationof ManagedCare Nurses:July2006
14. PublicationList, Continued,Dr. Daniel Berman
7. Berman,Daniel, TheImpactof the Impaired Professionalon HealthcareQuality and PatientSafety
Publishedasa ContinuingEducationArticleinPeeredReview CaliforniaHealthcare QualityJournalJuly
2006.
8. Berman,Daniel, TheOrganization of a Quality ImprovementProgramwithin a CorrectionalSetting
using the Electronic Medical Record Publishedin CorrectCare Summer2006.
9. Berman, Daniel,the Impactof theImpaired Nurseon Managed Care
Publishedasa ContinuingEducationArticleManagedCare NewsSpring2006
10. Berman,Daniel theManagementof theHIV Patientin a Managed CareEnvironment
Published inPeerReview:NursingNotes
AmericanAssociationof ManagedCare NursesFeb2007.
11Berman, Daniel Position Paper:Advantagesof Handing OutCondomsin a CorrectionalSetting Journal
of Correctional Healthcare Summer2007
11. Berman,Daniel,Evidenced Based ManagementLeadership forNurseExecutivesin a Managed Care
EnvironmentPublishedinPeerReviewed:NursingNotes
AmericanAssociationof ManagedCare NursesSeptember2007
12. Berman,Daniel Research in Managed Care NursingNotesAmericanAssociationof ManagedCare
NursesJan2008
13. Berman,Daniel Editor in Chief of the White PaperEntitled: Mitigating the EconomicAspectsof
Disaster Healthcare:A financially viable modelof Healthcare Disaster preparednessMay 2009
15. Technical Reports
1. Berman, D.B., Randers,S.B.and Mariano,W.E. How To FormYour OwnBehavioral HealthIntegrated
DeliverySystem: A Guide forEmerging ProviderAlliances,Danbury,CT: VisionaryHealthcare
ManagementConsultants,LLC,1996.
2. Berman,D.B., Randers,S.B.andMariano, W.E. 1996 Managed Care ReadinessSurveyforGroups,
NetworksandFacilities,Danbury,CT: VisionaryHealthcare ManagementConsultants,LLC,1996.
3. Berman,D.B., Randers,S.B.andMariano, W.E., White Paperonthe Future of Behavioral Healthinthe
UnitedStates: The Resultsof the FirstYear's Attemptto ReachIndustryConsensus. Visionary
Healthcare ManagementConsultants,LLC,Danbury,Connecticut,1997
4. Berman,D.B., Randers,S.B.andMariano, W.E., A Model of an IntegratedBehavioralHealthDelivery
System,Danbury,CT: VisionaryHealthcare ManagementConsultants,LLC,1997.
5. Berman,D.B. and Randers,S.B.,A Model for IntegratedProviderNetworks,Behavioral Health
Management,Cleveland,Ohio,1996; and OpenMinds,Gettysburg,Pennsylvania,1996
6. Berman,D.B., andRanders,S.B,Employee Assistance Networks,Behavioral HealthManagement,
Cleveland,Ohio,1995
7. Mariano, W.E., Randers,S.B.,andBerman,D.B.,Disease ManagementinWorkersCompensationand
DisabilityInsurancePrograms,VisionaryHealthcare ManagementConsultants,LLC,Danbury,
Connecticut,1997
8. Randers,S.Band Berman,D. B.; RevolutionversusEvolution: A Guide forProviders,OpenMinds,
Gettysburg,Pennsylvania,1996
16. FellowshipProject
Berman,D.B. The DynamicBalance:A CaseStudy of a Modelin Action to EffectChange PeerReviewed
ApprovedforSubmissionforAdvancementto FellowshipStatusAmerican College ofAddiction
Treatment Administrators:April 2000.
Professional Presentations
Teaching Healthcare Administration using Modelsof SystemRedesign posterpresented atthe
Association of UniversityProgramsin Healthcare Administration June 2015
StrategicDirections in theDevelopmentof Healthcare Networks presentedtoNational Associationof
IntegratedDeliverySystemsandthe AmericanAssociationof ManagedCare NursesNov12 2013
EconomicBenefits forProviding MentalHealth Treatmentto Incarcerated Prisonsin USCorrectional
Systemas presentedtoNational CommissiononCorrectionalCare Oct13, 2013 Nashville,TN
Practice and Policy Advocacy Opportunities aspresentedtoFloridaAssociationof Occupational
TherapistsOct2013 Fort Lauderdale, FL
EntrepreneurialOpportunitiesin Healthcare and Nursing asa resultof the AffordableHealthcareas
presentedtothe National NursesinBusinessAnnual Conference Oct 13 Orlando,Florida
The AffordableCareActand NurseSmall BusinessOpportunities presentedasawebinartoFlorida
NursesAssociationin5/13/
The AffordableCareActand howto incorporatethatinto teaching of Nursing and Healthcare
Administration toWaldenUniversityFacultyin5/13
The DynamicBalance A model forEmergency Health Planning tobe presentedatthe HHS Integrated
Medical,PublicHealthPreparedness TrainingSummit.Dallas,TexasApril 2009
The DynamicBalance:A Model forClinical Decision Making tobe presentedatscientificSymposiumat
WaldenUniversityWinterFacultyandStudentMeetingandCommencementJan2009
Develop and Measure a QI Indicator in a systematic fashion using scientific principles of data analysis to
be presented at the Annual National Healthcare Quality Association September 12, 2007 9:30-10:45 am
(Boston, Ma)
17. Presentation at National Health Disparities Conference National Hispanic Nurse Conference Boston,
2008
Specific Outcomes of Presentation at National Health Disparities Conference: An aggressive Approach
to Registered Nurse Case Management within a Managed Care Environment presented at Managed
Care Conference Sponsored by American Association of Managed Care Nurses, Executive, and
Physicians. November 9th, 2008
The Use of Evidence based Medicine and Clinical Standards in the practices of Legal Nurse Consultants
presented at the American Association of Legal Nurse Consultants March 3rd, 2008.
Implementation of a Performance Improvement Program within a Correctional Health System,
Commission on Correctional Healthcare National Conference, Austin, Texas 2001
The Dynamic Balance: A Model for Balancing Cost and Quality, Keynote Speaker for a Quality
Behavioral Health Conference Sponsored by Visionary Healthcare Consultants, Danbury, CT, 1997
Testimony: On Managed care issues in front of Maryland State Legislatures, 1996 and 1997
The Quality and Cost Effectiveness of Inpatient versus Outpatient in a Managed Behavioral Healthcare
Environment, National Association of Alcohol and Drug Programs Conference, Washington, D.C., 1989
Parent Involvement in Advocacy for Preschool Children in Health and Human Service Systems, Region III
Head Start Conference Philadelphia, PA, 1984
Dissertation and Thesis Involvement Walden University
Dissertation Member (in progress) Education Department Content Expert on Why AND return to School
for BSN.
Thesis Chair Sexual Abuse and ADHD
Thesis Chair Exercise and Depression
Thesis Chair Bi-polar Children and Adolescents and the Issue of Misdiagnosis
Thesis Chair Using a Relationship to the Lord as an indicator or adolescent behavior shifts
Dissertation Chair Health Perceptions among Puerto Rican Living in Central Florida and Type II
Diabetes
Thesis Chair Utilization of Exercise and the Treatment of Depression
Chair the Affordable Care Act and Nurse Practitioners
Chair the AONE nurse manager’s training program and cultural issues
18. Local Community Service Work, in Amelia Island, Florida
Serve on the Legislative Committee for the American Association ofManaged care Nurses
Serve on St. Lucie Florida Medical Reserve Corps
Serve on the Research Committee for the Florida Organization of Nurse Executives
Mentor of the month Jan 2008 American Organization of Managed Care Nurses
Serve as Member and Principal Investigator IRB Walden University
Serve on the Board of Directors Treasure CoastChapter American College ofHealthcare Executives
Serve on the Health Policy Institute Committee Florida Nurses Association
Serves as Technical Consultantto National Healthcare for the Homeless
Serves as the NortheastFlorida Representative to the Board of Directors Florida Nurses Association
Serves on Steering Committee for Rotary Amelia Island
Served as Guest Speaker on Healthcare Issues for Amelia Island Chamber ofCommerce
Served as Guest Speaker on Historyof Healthcare Reform for Amelia Island Historical Society
Served as Guest Speaker on Innovation and Creativity in Business to Optimists Club Amelia Island,Fl.
Research funded projects where I served as principal investigator
FUNDED PROJECTS
Palm Health Foundation/Mental HealthAssociationof Palm Beach County- Area wide study
examiningthe needforPrimaryCare andBehavioral HealthIntegration.(2010-2011)
Aids Healthcare Foundation- National BenchmarkingStudyforAmbulatory Care of the Aids/HIV
patient(Present) (FoundationFunded) (2003-4)
NewYork Office of Mental Retardation and Developmental Disabilities-(2000-2001)
Developed,producedandpresentedManagementCurriculumforfundedagenciesserving
diversitypopulations
CommissionersofHillsboroughCounty(Tampa, Florida) on theirIndigentHealth Plan (1997-
1998) as part of a consultingteampreparedafive yearstrategicplanwithrecommendationsfor
expandedservices
WesternConnecticutAlcohol and Drug Association,Westport,CT (1997) developed astrategic
planfor Deliveryof Services
Maryland Associationof Psychosocial Programs- (Training FundedProgram for Maryland
Department of Mental Health) (1997) - ManagementTrainingProgramforFundedAgencies
CMG Health Baltimore,Maryland (1989) Criteriaforstandard of care for Outpatient/Inpatient
Managed Drug andAlcohol Services
Health and Human ServicesHeadStart Region III (1984) Developmentof Paperand
ImplementationStrategyforthe Educationandtrainingof HeadStart ParentswithHealthand
Special Needstounderstandandadvocate fortheirHeadStartChildrenintheirlocal healthand
humanservice delivery