This document provides biographical and professional information about Dr. Marie F. Hatam. It includes her education, licensure, experience as a medical director and physician in various specialties including orthopedics and occupational medicine, computer skills and certifications. Her experience spans over 30 years in clinical practice, medical management, and utilization review. She has held leadership roles at several large insurance companies and currently works as a Senior Medical Director at Aetna.
Roy R. Champion Jr. is a registered nurse with over 25 years of experience in both military and civilian healthcare. He has extensive experience in primary care clinics, emergency rooms, operating rooms, and home health. His resume provides details on his education and certifications, employment history with various healthcare organizations, military experience as a medic, and qualifications.
Hospital administration role in quality patient careShaharul Sohan
Hospital administration ensures that hospitals run efficiently and provide quality patient care. Key responsibilities of hospital administrators include overseeing departments, recruiting and managing staff, ensuring compliance with policies and regulations, and coordinating efforts to achieve common goals like quality care. Effective hospital administration requires planning, organizing, staffing, directing, coordinating, reporting, budgeting, supervising, and evaluating all hospital activities and processes. The role of the administrator is crucial to the success of the hospital organization and the care provided to patients.
Nursing roles include providing direct patient care, education, research, and administration. Nurses can specialize in certain medical areas and work in various healthcare settings. Becoming a nurse requires formal education, passing a licensing exam, and meeting state requirements. Nurses pursue continuing education and advanced degrees to expand their skills and advance their careers.
This document discusses hospitals as systems. It begins by classifying hospitals according to directory, ownership, bed size, nature, and medical system. It then describes the different types of hospitals according to these classifications. The document outlines the key functions and departments of hospitals, including outpatient, inpatient, intensive care, emergency, day care, and operating theaters. It discusses the organizational structure and process flows within hospitals to deliver clinical services and achieve their overall objectives of providing healthcare.
The document discusses key concepts in developing a Management Information System (MIS) for a hospital. It outlines the components and modules of an MIS, including collecting data on patient registration, admissions/discharges, operating theaters, laboratories, and finances. The summary describes how an MIS helps monitor performance indicators like mortality/morbidity rates, bed occupancy rates, infection rates, and average length of stay to analyze the efficiency and quality of health services. Developing relevant indices and comparing them to norms allows hospitals to identify issues and make improvements.
Gerald H. Priceman is a senior executive physician with over 40 years of experience in clinical medicine, medical management, and healthcare administration. He has served in numerous leadership roles including medical director, CEO, and consultant. His experience spans multiple specialties and practice settings including private practice, hospitals, medical groups, and managed care organizations.
Charlene Chadwick has over 35 years of nursing experience, including extensive experience as a nurse manager and oncology nurse. She received her MSN in Nursing Administration in 2016 and BS in Nursing in 2006 from Saint Joseph's College of Maine. Currently she works per diem as an oncology nurse at Beth Israel Deaconess Hospital Plymouth and Cape Cod Health Care. Previously she was the Nurse Manager at Nantucket Cottage Hospital for over 10 years, managing departments including dialysis, infusion services, and infection control. She has numerous accomplishments in oncology program development, emergency preparedness, and quality improvement.
If you’ve ever spent time in a hospital — either as a patient, staff member, or visitor — then you know that institutional health care is extremely complicated by nature.
Roy R. Champion Jr. is a registered nurse with over 25 years of experience in both military and civilian healthcare. He has extensive experience in primary care clinics, emergency rooms, operating rooms, and home health. His resume provides details on his education and certifications, employment history with various healthcare organizations, military experience as a medic, and qualifications.
Hospital administration role in quality patient careShaharul Sohan
Hospital administration ensures that hospitals run efficiently and provide quality patient care. Key responsibilities of hospital administrators include overseeing departments, recruiting and managing staff, ensuring compliance with policies and regulations, and coordinating efforts to achieve common goals like quality care. Effective hospital administration requires planning, organizing, staffing, directing, coordinating, reporting, budgeting, supervising, and evaluating all hospital activities and processes. The role of the administrator is crucial to the success of the hospital organization and the care provided to patients.
Nursing roles include providing direct patient care, education, research, and administration. Nurses can specialize in certain medical areas and work in various healthcare settings. Becoming a nurse requires formal education, passing a licensing exam, and meeting state requirements. Nurses pursue continuing education and advanced degrees to expand their skills and advance their careers.
This document discusses hospitals as systems. It begins by classifying hospitals according to directory, ownership, bed size, nature, and medical system. It then describes the different types of hospitals according to these classifications. The document outlines the key functions and departments of hospitals, including outpatient, inpatient, intensive care, emergency, day care, and operating theaters. It discusses the organizational structure and process flows within hospitals to deliver clinical services and achieve their overall objectives of providing healthcare.
The document discusses key concepts in developing a Management Information System (MIS) for a hospital. It outlines the components and modules of an MIS, including collecting data on patient registration, admissions/discharges, operating theaters, laboratories, and finances. The summary describes how an MIS helps monitor performance indicators like mortality/morbidity rates, bed occupancy rates, infection rates, and average length of stay to analyze the efficiency and quality of health services. Developing relevant indices and comparing them to norms allows hospitals to identify issues and make improvements.
Gerald H. Priceman is a senior executive physician with over 40 years of experience in clinical medicine, medical management, and healthcare administration. He has served in numerous leadership roles including medical director, CEO, and consultant. His experience spans multiple specialties and practice settings including private practice, hospitals, medical groups, and managed care organizations.
Charlene Chadwick has over 35 years of nursing experience, including extensive experience as a nurse manager and oncology nurse. She received her MSN in Nursing Administration in 2016 and BS in Nursing in 2006 from Saint Joseph's College of Maine. Currently she works per diem as an oncology nurse at Beth Israel Deaconess Hospital Plymouth and Cape Cod Health Care. Previously she was the Nurse Manager at Nantucket Cottage Hospital for over 10 years, managing departments including dialysis, infusion services, and infection control. She has numerous accomplishments in oncology program development, emergency preparedness, and quality improvement.
If you’ve ever spent time in a hospital — either as a patient, staff member, or visitor — then you know that institutional health care is extremely complicated by nature.
The document discusses patient care and monitoring systems. It provides details on the HELP system at LDS Hospital, which was one of the first and most successful clinical information systems. The HELP system evolved from initially providing decision support during care to also supporting nursing care decisions and aggregating data for research. It has been in continuous operation since 1967 and integrated into multiple hospitals. Evaluations found that the HELP system was widely accepted, demonstrated the feasibility of computerized clinical decision support, and provided improvements in patient care and more cost-effective care.
The document discusses the history and use of patient registries, including definitions, types of registries like product, health services, and disease registries, and provides an overview of Northwestern Medical Faculty Foundation's experience implementing Epic and building disease registries to translate quality measures into their electronic health record system. It also reviews NMFF's implementation of Epic over time and in different specialties across their large academic medical group.
The document discusses the nursing process and its components. The nursing process is a systematic approach used by nurses to identify client needs and plan care. It involves assessment, planning, implementation, and evaluation. Assessment involves collecting both subjective and objective data from various sources to understand a client's health status. This data is then validated, organized, interpreted, and documented. The overall goal of the nursing process is to provide individualized, holistic care to clients.
Farideh Moharer Arianpour has over 30 years of experience in healthcare, including physical therapy, public health, and healthcare administration. She holds an MBA from Texas Women's University and bachelor's degrees in public health from the University of Health in Iran and health management from the University of Phoenix. Currently, she works as a marketing agent for Texas health and accidental insurance and serves on the executive board of the Iranian Cultural Foundation, planning and managing large community events. Previously, she spent 15 years as a senior physical therapist assistant at Memorial Hermann Hospital in various clinical areas.
This document discusses building consensus for electronic health records (EHRs) in healthcare. It begins by outlining goals for improving healthcare quality put forth by the Institute of Medicine. It then discusses executive mandates for implementing EHRs and defines EHRs and how they differ from electronic medical records. Factors driving the need for EHRs are described. The stages of EHR implementation and meaningful use requirements are outlined. Attributes of EHRs that support continuity of care are listed. Considerations for EHR implementation including costs, downtime, caregiver assistance, and data integrity are also discussed.
Types of records and common record keeping forms & computerized documenta...Siva Nanda Reddy
Hospital records are broadly classified into four categories: patient clinical records, individual staff records, ward records, and administrative records. Common record forms include admission nursing history forms, flow sheets, graphic records, patient care summaries, standardized care plans, progress notes, and discharge summary forms. The most common documents in a patient's record are the admission sheet, physician's order sheet, nurse's admission assessment, graphic/flow sheets, medical history and examination, nurses' notes, medication records, progress notes, and diagnostic test results.
There are two main functions of veterinary medical records: 1) to support patient medical care by documenting diagnoses, procedures, treatments, and responses; and 2) for secondary purposes like evaluations, legal/research use, and assessing staffing/finances. Medical records must be complete and accurate to defend against malpractice suits and help determine insurance claims. The most widely used format is the problem-oriented veterinary medical record (POVMR), which commonly includes client information, history, exams, problem lists, notes, forms, and summaries.
The document outlines the organizational chart of the Department of Surgery. Richard Reznick is the Chair, with Bryce Taylor as Associate Chair and Robin Richards as Vice-Chair of Clinical. There are also Vice-Chairs of Education, Research, and various University Division Chairs and Surgeons-in-Chief. Program Directors are listed for different specialties within surgery. Fully affiliated hospitals are also included.
Mary J. Remley is an experienced nursing leader seeking a position where she can promote quality patient outcomes and evidence-based practices. She has over 30 years of experience in perioperative services management, most recently as the Perioperative Services Nurse Manager at UnityPoint Health - Meriter in Madison, WI where she oversees an operating budget of $16 million. Her expertise includes labor relations, staff engagement, lean principles, and patient safety. She holds a BSN, ADN, MHA, and is currently pursuing an MS in Nursing.
Medical staff management involves credentialing physicians, verifying their qualifications, coordinating hospital committees and meetings, and ensuring compliance. Credentialing physicians through primary source verification of their medical training and licensure helps prevent impaired or fraudulent doctors from harming patients. Effective medical staff management demonstrates through meeting minutes and documentation that hospitals are focused on patient safety, quality of care, and continuing education.
Frederick Blanche has over 20 years of experience in healthcare, including as a registered nurse and in medical records management and health information management. He has a variety of clinical and administrative experience, including in case management, medical records, quality reporting, data analysis, and staff supervision. He is seeking an opportunity to utilize his skills and experience in healthcare equipment, systems, and quality improvement.
Hospital management and service improvement presentation - low and middle inc...Dr Edward Fitzgerald
Hospital management and service improvement presentation - low and middle income countries:
Discuss the basic principles of health system and hospital management.
Describe how management quality is measured and linked to system performance and outcome.
Outline specific aspects of hospital management relevant to LMIC health systems and hospitals.
What is a patient registry?
In it’s simplest form, a registry is a list of all patients in a physician’s practice who share some characteristic, such as gender, age group, or disease state. By tracking like characteristics, physicians can better organize patient’s care.
Medical audit is a systematic evaluation of medical care to improve patient outcomes. It involves reviewing medical records against criteria to identify areas for improvement. The key aspects that can be audited include structure, processes, and outcomes of care. Medical audit aims to ensure best possible care, evidence-based practice, and implementation of initiatives. It benefits patients through reduced suffering and ensures safety. Hospitals should establish medical audit committees and collect data to facilitate the audit process. Audits help practitioners identify weaknesses and make corrections to enhance quality of care.
Medical Record Audit in Clinical Nursing Units in Tertiary Hospitaliosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
This document provides information on various pharmacy records and reports that must be maintained, including controlled substance inventory, medication orders, manufacturing records, purchase records, and workload records. It discusses the importance of accurate prescription filing records for both legal and patient care purposes. An example drug profile on Duloxetine is presented, outlining its description, indications, contraindications, warnings, dosage, and adverse effects. The document also discusses patient medication profiles and examples of drug interaction related to absorption, distribution, metabolism, and excretion.
Improving Timeliness and Quality: Discharge Summaries Dictated by Internal Me...emallin
The document discusses improving the timeliness and quality of discharge summaries dictated by internal medicine residents. It describes challenges with current discharge summaries and studies showing delays in availability and poor quality can contribute to adverse events. An educational intervention was instituted along with a same-day discharge process, which improved the timeliness of discharge summaries without compromising quality. Preliminary results also showed the educational intervention improved completeness scores of discharge summaries, though not statistically significantly, and did not affect readability.
Zainab Al Abadelah is a Palestinian female nurse, married, and currently residing in Ajman, UAE. She has over 6 years of experience working as a registered nurse at Shaikh Khalifah General Hospital in Ajman. She holds a Master's degree in Public Health from Hamdan Bin Mohammed Smart University in Dubai and a Bachelor's degree in Nursing from Sharjah University. Her objective is to obtain a position where she can utilize her clinical skills, nursing knowledge, and professional experience to contribute positively to an organization and further her own professional development.
Bobbie Kithcart has over 30 years of experience in clinical nursing, health administration, and pharmaceutical consulting. She currently works as a Clinical Science Consultant for Boehringer-Ingelheim Pharmaceuticals, where she has led several initiatives to reduce readmission rates, improve medication adherence, and increase the use of new oral anti-coagulants. Previously, she has held leadership roles developing medical management programs, directing evidence-based asthma education, and obtaining multiple grants to study and prevent chronic diseases. Kithcart also has extensive experience cultivating partnerships across academia, healthcare organizations, and government to implement successful public health programs.
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
The document discusses patient care and monitoring systems. It provides details on the HELP system at LDS Hospital, which was one of the first and most successful clinical information systems. The HELP system evolved from initially providing decision support during care to also supporting nursing care decisions and aggregating data for research. It has been in continuous operation since 1967 and integrated into multiple hospitals. Evaluations found that the HELP system was widely accepted, demonstrated the feasibility of computerized clinical decision support, and provided improvements in patient care and more cost-effective care.
The document discusses the history and use of patient registries, including definitions, types of registries like product, health services, and disease registries, and provides an overview of Northwestern Medical Faculty Foundation's experience implementing Epic and building disease registries to translate quality measures into their electronic health record system. It also reviews NMFF's implementation of Epic over time and in different specialties across their large academic medical group.
The document discusses the nursing process and its components. The nursing process is a systematic approach used by nurses to identify client needs and plan care. It involves assessment, planning, implementation, and evaluation. Assessment involves collecting both subjective and objective data from various sources to understand a client's health status. This data is then validated, organized, interpreted, and documented. The overall goal of the nursing process is to provide individualized, holistic care to clients.
Farideh Moharer Arianpour has over 30 years of experience in healthcare, including physical therapy, public health, and healthcare administration. She holds an MBA from Texas Women's University and bachelor's degrees in public health from the University of Health in Iran and health management from the University of Phoenix. Currently, she works as a marketing agent for Texas health and accidental insurance and serves on the executive board of the Iranian Cultural Foundation, planning and managing large community events. Previously, she spent 15 years as a senior physical therapist assistant at Memorial Hermann Hospital in various clinical areas.
This document discusses building consensus for electronic health records (EHRs) in healthcare. It begins by outlining goals for improving healthcare quality put forth by the Institute of Medicine. It then discusses executive mandates for implementing EHRs and defines EHRs and how they differ from electronic medical records. Factors driving the need for EHRs are described. The stages of EHR implementation and meaningful use requirements are outlined. Attributes of EHRs that support continuity of care are listed. Considerations for EHR implementation including costs, downtime, caregiver assistance, and data integrity are also discussed.
Types of records and common record keeping forms & computerized documenta...Siva Nanda Reddy
Hospital records are broadly classified into four categories: patient clinical records, individual staff records, ward records, and administrative records. Common record forms include admission nursing history forms, flow sheets, graphic records, patient care summaries, standardized care plans, progress notes, and discharge summary forms. The most common documents in a patient's record are the admission sheet, physician's order sheet, nurse's admission assessment, graphic/flow sheets, medical history and examination, nurses' notes, medication records, progress notes, and diagnostic test results.
There are two main functions of veterinary medical records: 1) to support patient medical care by documenting diagnoses, procedures, treatments, and responses; and 2) for secondary purposes like evaluations, legal/research use, and assessing staffing/finances. Medical records must be complete and accurate to defend against malpractice suits and help determine insurance claims. The most widely used format is the problem-oriented veterinary medical record (POVMR), which commonly includes client information, history, exams, problem lists, notes, forms, and summaries.
The document outlines the organizational chart of the Department of Surgery. Richard Reznick is the Chair, with Bryce Taylor as Associate Chair and Robin Richards as Vice-Chair of Clinical. There are also Vice-Chairs of Education, Research, and various University Division Chairs and Surgeons-in-Chief. Program Directors are listed for different specialties within surgery. Fully affiliated hospitals are also included.
Mary J. Remley is an experienced nursing leader seeking a position where she can promote quality patient outcomes and evidence-based practices. She has over 30 years of experience in perioperative services management, most recently as the Perioperative Services Nurse Manager at UnityPoint Health - Meriter in Madison, WI where she oversees an operating budget of $16 million. Her expertise includes labor relations, staff engagement, lean principles, and patient safety. She holds a BSN, ADN, MHA, and is currently pursuing an MS in Nursing.
Medical staff management involves credentialing physicians, verifying their qualifications, coordinating hospital committees and meetings, and ensuring compliance. Credentialing physicians through primary source verification of their medical training and licensure helps prevent impaired or fraudulent doctors from harming patients. Effective medical staff management demonstrates through meeting minutes and documentation that hospitals are focused on patient safety, quality of care, and continuing education.
Frederick Blanche has over 20 years of experience in healthcare, including as a registered nurse and in medical records management and health information management. He has a variety of clinical and administrative experience, including in case management, medical records, quality reporting, data analysis, and staff supervision. He is seeking an opportunity to utilize his skills and experience in healthcare equipment, systems, and quality improvement.
Hospital management and service improvement presentation - low and middle inc...Dr Edward Fitzgerald
Hospital management and service improvement presentation - low and middle income countries:
Discuss the basic principles of health system and hospital management.
Describe how management quality is measured and linked to system performance and outcome.
Outline specific aspects of hospital management relevant to LMIC health systems and hospitals.
What is a patient registry?
In it’s simplest form, a registry is a list of all patients in a physician’s practice who share some characteristic, such as gender, age group, or disease state. By tracking like characteristics, physicians can better organize patient’s care.
Medical audit is a systematic evaluation of medical care to improve patient outcomes. It involves reviewing medical records against criteria to identify areas for improvement. The key aspects that can be audited include structure, processes, and outcomes of care. Medical audit aims to ensure best possible care, evidence-based practice, and implementation of initiatives. It benefits patients through reduced suffering and ensures safety. Hospitals should establish medical audit committees and collect data to facilitate the audit process. Audits help practitioners identify weaknesses and make corrections to enhance quality of care.
Medical Record Audit in Clinical Nursing Units in Tertiary Hospitaliosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
This document provides information on various pharmacy records and reports that must be maintained, including controlled substance inventory, medication orders, manufacturing records, purchase records, and workload records. It discusses the importance of accurate prescription filing records for both legal and patient care purposes. An example drug profile on Duloxetine is presented, outlining its description, indications, contraindications, warnings, dosage, and adverse effects. The document also discusses patient medication profiles and examples of drug interaction related to absorption, distribution, metabolism, and excretion.
Improving Timeliness and Quality: Discharge Summaries Dictated by Internal Me...emallin
The document discusses improving the timeliness and quality of discharge summaries dictated by internal medicine residents. It describes challenges with current discharge summaries and studies showing delays in availability and poor quality can contribute to adverse events. An educational intervention was instituted along with a same-day discharge process, which improved the timeliness of discharge summaries without compromising quality. Preliminary results also showed the educational intervention improved completeness scores of discharge summaries, though not statistically significantly, and did not affect readability.
Zainab Al Abadelah is a Palestinian female nurse, married, and currently residing in Ajman, UAE. She has over 6 years of experience working as a registered nurse at Shaikh Khalifah General Hospital in Ajman. She holds a Master's degree in Public Health from Hamdan Bin Mohammed Smart University in Dubai and a Bachelor's degree in Nursing from Sharjah University. Her objective is to obtain a position where she can utilize her clinical skills, nursing knowledge, and professional experience to contribute positively to an organization and further her own professional development.
Bobbie Kithcart has over 30 years of experience in clinical nursing, health administration, and pharmaceutical consulting. She currently works as a Clinical Science Consultant for Boehringer-Ingelheim Pharmaceuticals, where she has led several initiatives to reduce readmission rates, improve medication adherence, and increase the use of new oral anti-coagulants. Previously, she has held leadership roles developing medical management programs, directing evidence-based asthma education, and obtaining multiple grants to study and prevent chronic diseases. Kithcart also has extensive experience cultivating partnerships across academia, healthcare organizations, and government to implement successful public health programs.
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
Caryn Liebowitz is a registered nurse seeking a nursing leadership position. She has over 20 years of experience in oncology and emergency nursing. Her most recent role was as Clinical Nurse Manager of an oncology unit where she oversaw 54 staff and ensured safe, quality patient care. She is skilled in areas such as quality improvement, staff development, and strategic planning.
Alison Hurst has over 30 years of experience in healthcare including nursing, case management, emergency services, and leadership roles. She holds a Bachelor's in Nursing and multiple certifications. Her objective is to obtain a challenging position that allows her to utilize her clinical expertise, leadership, and collaborative skills. She has a history of successfully managing teams, implementing improvements, and reducing costs.
Michele L. Stephens is a highly experienced nurse practitioner with over 32 years of nursing experience, including 22 years as a board-certified family nurse practitioner. She has extensive experience in emergency care, critical care, psychiatry, pain management, and oncology. She is board certified in multiple specialties and maintains affiliations with several professional organizations. She has worked in both inpatient and outpatient settings, providing care across the lifespan from pediatrics to geriatrics.
This document is a resume for Marsha Magazzu, an RN seeking a nursing position. She has over 10 years of experience in nursing, administration, and healthcare including positions at Fellowship Senior Living, Matheny Medical and Education Hospital, and working as an independent contractor assessing patients. She has a strong educational background including an Associate's degree in Nursing, pursuing a BSN, and maintaining a high GPA. She also has various skills, certifications, and professional affiliations relevant to nursing and healthcare administration.
Melanie N. Gander is a nurse leader with over 15 years of experience in healthcare leadership roles. She currently serves as the System Director of Nursing Operations for Memorial Hermann Healthcare System, where she collaborates with other leaders to ensure nursing is involved in decision making. Previously, she held roles such as Director of Critical Care Services and Director of Emergency Services at Memorial Hermann The Woodlands hospital. She has a proven track record of improving patient satisfaction scores, quality metrics, and operational excellence. Gander received her BSN from University of Texas Health Science Center in Houston and her MHA from University of St. Francis. She maintains several nursing certifications and has received recognition as one of Texas's 20 outstanding nurses.
This document is a resume for Ellen Torre, an RN with over 30 years of experience in various nursing roles such as clinical reviewer, orthopedic/neurological nurse, research medical analyst, and more. She is seeking a clinical review or pharmacy account manager role where she can apply her diverse background. She has extensive knowledge of medical issues, treatments, policies and quality assurance. Her resume outlines her areas of strength such as clinical review, medical terminology, and relationship management as well as her professional experience in roles like clinical reviewer and quality review nurse.
Joan B. Thompson is a registered nurse seeking a position in occupational health or oncology nursing. She has over 30 years of experience in various nursing roles including occupational health, oncology, school nursing, and case management. Her experience includes administering chemotherapy, managing health services, developing policies and procedures, and providing education and training. She has a BSN degree and several certifications including COHN-S and CCDS.
Competition or Collaboration - 2015 Policy Prescriptions® SymposiumCedric Dark
The symposium is designed for clinicians – physicians, nurses, nurse practitioners, physician assistants, and students – and healthcare executives interested in expanding their scope of knowledge about currently popular health policy topics.
Helen Lee Syn is seeking a Director or Manager position in quality improvement, patient safety, risk management, data, research, health management or health informatics in Southern California. She has over 15 years of experience in these fields, including managing clinical audit and best practices projects at large New York hospitals. Her experience includes data analysis, report generation, training staff, and presenting findings to stakeholders. She is proficient in EMR systems and data analysis software.
William Wooden is an experienced healthcare leader with a background in hospital administration, academic medicine, and group practice management. He currently serves as the Director of Perioperative System Collaborative at IU Health, where he has led quality improvement initiatives that reduced surgical site infections and length of hospital stays. Previously, he was the Vice Chairman of Clinical Affairs at Indiana University School of Medicine, overseeing operations across multiple hospitals. He has a strong track record of physician engagement, cost savings, and clinical program development.
The document provides a summary of qualifications and experience for Michelle Christensen, a registered nurse with over 30 years of experience in various nursing roles. She has extensive leadership experience developing curriculum and managing nursing programs as lead faculty. Her background includes management, quality improvement, and clinical experience in settings such as hospitals, home care/hospice, and medical supply companies.
Michael Pittman is a senior healthcare leader with experience in hospital administration, operations management, business development, marketing, human resources, and team development. He has over 15 years of experience leading clinical operations and quality improvement initiatives across multiple healthcare organizations. Currently, he serves as the Hospital Administrator and Chief Operations Officer at Baylor Scott & White Healthcare in Brenham, Texas, where he has achieved numerous quality awards and financial turnarounds.
This document is a resume for Matthew B. Stern that summarizes his professional experience in sales management, account management, and reimbursement management roles in the pharmaceutical industry. Over 20 years of experience leading sales teams, developing sales strategies, negotiating contracts, managing regional budgets, and motivating representatives. Held several corporate account manager and regional account manager roles at companies such as Dendreon Corp., Spectrum Pharmaceuticals, and Abraxis BioScience. Holds an MBA and certification in healthcare finance. Focused on oncology, urology, and specialty pharmaceutical products.
Matthew Stern has over 20 years of experience in sales management, account management, and reimbursement roles in the pharmaceutical industry. He has a proven track record of leading high-performing sales teams, developing new business, negotiating large contracts, and resolving reimbursement issues. Currently, he holds certifications in healthcare finance and revenue cycle management and is pursuing a PhD in business administration.
This document provides a summary of the professional experience and qualifications of Dr. Jack E. Garon. It outlines his extensive leadership experience in healthcare systems, including roles as Chief Medical Officer and Chairman of Pathology. It also details his accomplishments improving quality, patient safety, physician alignment and clinical integration.
Matthew Stern has over 20 years of experience in sales management and account management in the healthcare industry. He has a proven track record of leading high-performing sales teams and developing strategies to increase revenue and market share. His core competencies include business development, sales management, reimbursement strategies, managed care relationships, and new product launches. Currently he is pursuing a PhD in business administration while maintaining an active professional network in the healthcare field.
Matthew Stern has over 20 years of experience in sales management and account management in the healthcare industry. He has a proven track record of leading high-performing sales teams and developing strategies to increase revenue and market share. His core competencies include relationship building, reimbursement management, new product launches, and data analysis. Currently, he is pursuing a PhD in business administration while teaching as an adjunct professor.
Jose Borges is a registered nurse with over 30 years of experience in healthcare. He currently serves as the Director of Care Delivery and Clinical Support Services at Humana Inc., overseeing 160 staff members. Previously, he held vice president and senior manager roles with responsibility for utilization management, case management, and medical analysis. Borges received his BSN from Florida International University and MD from the University of Havana, and has extensive experience in intensive care services, case management, and utilization review.
1. Marie F. Hatam, MD, MBA
3120 West Carefree Highway
Suite 1-700
Phoenix, Arizona 85086
Cell 602-618-7420
mhatam@hotmail.com
EDUCATION: Masters of Business Administration, 1999
Drexel University
Philadelphia, Pennsylvania
Doctor of Medicine, 1979
Cornell University Medical College
New York, New York
Bachelor of Arts, 1973
Vassar College
Poughkeepsie, New York
LICENSURE: Active: Arizona, Pennsylvania,
Expired Maryland, Delaware, New Jersey, Oklahoma, New Mexico
New York (inactive)
EXPERIENCE: Senior Medical Director 7/31/2015 to Present
Aetna- Federal Employee Health Benefit Plan (Fee for Service), Scottsdale, AZ
• Supervise 6 Medical Directors dedicated to the Fee for Service FEHB Plans
o Oversight of medical director activity for Prior Authorization, Concurrent
Review, Behavioral Health, Quality Committee, and Case Management.
o Medical Director Liaison to the Three FEHB Plans
o Participate in Aetna Musculoskeletal Cost Containment Committee
o Participate in Aetna P4P and Bundled Payment Committees
o Participate in Aetna National Precert List Committee
o Pharmacy Benefit Program Liaison for all Three FEHB Plans
Medical Director 7/15/2013 to 7/31/2015
Aetna- Federal Employee Health Benefit Plan (Fee for Service), Scottsdale, AZ
Medical Management Services.
• Medical Director for utilization management, Subject Matter Expert for spinal review
program, musculoskeletal fraud and abuse
• Member of Aetna Musculoskeletal Cost Containment Committee
• Member of Aetna Orthopaedic P4P program development Committee
CCR Medical Director (Virtual) 1/8/2013- 7/5/2013
United Health Care, Phoenix, AZ
• Medical Director for Pre-service reviews for Individual and Employer Accounts
Medical Director 9/2012-12/2012
Arizona Priority Care Plus, Phoenix, AZ
• Medical management for Managed Medicare population including UM, SNF program,
support provider contracting, and provider support for patient care facilities.
1
2. • Clinical practice – part time for AZPCP outpatient clinic until 6/13.
CCR Medical Director (Virtual) 3/2012 to 8/2012
United Health Care, Phoenix, AZ
• Medical Director for Pre-service reviews for Individual and Employer Accounts
Orthopaedic and Occupational Medicine Physician (Clinical) 8/1/2011-2/21/2012
US Health Works, Phoenix, AZ
• Orthopaedic consultant and occupational physician for for 4 occupational medicine
clinics in Phoenix and Tucson, AZ
Orthopaedic Consultant
ARGO Group 11/1/2010-01/2013
• Orthopaedic consultant for a National Workers' Compensation Insurance Company
Center Medical Director (Administrative and Clinical)
Concentra Medical Center, Las Cruces, NM 7/2010 to 7/2011
• General Occupational Medicine Clinic and Urgent Care practice with emphasis on
musculoskeletal disorders. Providing medical leadership to the clinicians, and ancillary
medical staff. Support for marketing and client relations.
Clinical Practice as Office Only Orthopaedic Surgeon (Clinical)3/2009 to 7/2010
Foothills Medical Center
Rehabilitation & Occupational Medicine, Las Cruces, NM
• Outpatient general practice with emphasis on non-operative musculoskeletal care and
occupational medicine, pain management
General Outpatient practice and Medical Director for (Clinical)10/2008 to 2/ 2009
Community Healthcare of Douglas clinic, Douglas, AZ
• Practicing general outpatient medical care and responsible for the clinic medical providers.
Medical Review Officer for the Pentagon Force Protection Agency (PFPA) and Medical
Officer in the Di Lorenzo Occupational Health Clinic, Pentagon, Washington, DC 1/2008 to
9/2008. (Administrative and Clinical)
Columbia Arora Joint Venture Group: independent consultant assigned to the Pentagon
• Directly responsible for the Pentagon Police Officers fitness for duty, work injury
evaluation and treatment and medical program oversight, including review of other
occupational health physicians’ work for PFPA program.
• Provide occupational health evaluation and treatment for the Pentagon Civilian and
Contractor employees.
• Credentialed by Walter Reed Army Medical Center as an Occupational Health Provider
Associate Chief Medical Officer 9/07-11/07
Aetna/Schaller Anderson-Mercy Care Plan, Phoenix, AZ
• Directly responsible for Utilization Management Program
• Supervised six Medical Directors
• Medical director oversight of the ALTCS population
Senior. Medical Director, 3/2007-8/2007
2
3. Schaller Anderson-Mercy Care Plan
Phoenix, Arizona
• Utilization management for managed Medicaid and Medicare plan
• Vendor management and contracting support for O&P and DME-Medical Director
• support for UM/QM and Pharmacy Committees,
• Medical lead for Schaller Anderson/Mercy Care Arizona Long Term Care (ALTCS)
program and Transplant Team.
• Interfaced with behavioral health department
• Attended AHCCCS Medical Directors’ meetings
• Supported the QM department programs
Medical Director, January 2007
United Health Care-APIPA- Tucson, Arizona
• Utilization management for managed Medicaid Plan
Lead Medical Director, March2006 to December 2006
Cigna Group Insurance, Disability
Dallas, Texas
Lead Medical Director for Dallas and Glendale Offices
• Medical management of disability claims
• Review of medical information for disability claims
• Conduct multidisciplinary team reviews
• Provide medical support for appeals process
• Manage medical directors in Dallas, TX. and Glendale, Ca.
Vice President and Medical Director, 2003-2006
The PMA Insurance Group
(workers’ compensation and disability insurance company)
Blue Bell, Pennsylvania
Direct responsibility within Managed Care Department:
• Direct oversight for Case Management Quality Management Programs, including
the activities of the Manager and Medical Nurse Specialists
• Physical Therapy Cost Containment Project manager
• Medical Utilization Management and Reporting
• New State Expansion Medical Management Program Development and Regulatory
Compliance
• Medical Director support for Medical Bill Review:
Multi-State medical director support for Workers’ Compensation and Disability lines
of business, including:
• Medical cost containment initiatives
o Pharmacy utilization
o Pain management
o Physical Therapy
• Medical Education
o Developed medical education programs for nurses and adjusters
o Delivered multi-state educational presentations
• Catastrophic medical case management
• Company expansion initiatives
3
4. o Developed utilization review process
o Formed physician advisory panel
o Developed Quality oversight of physician advisers
• Vendor management
• Medical director support for claims case management and disability cases
VP of Medical Affairs & Medical Director, 2001-2003
Medical Director 2000-2001
Coventry Health Care of Delaware, Inc.
Wilmington, Delaware
Direct responsibility for HMO and State Managed Medicaid & Medicare:
• Quality Management Department, Quality Improvement Committee, & Plan
preparation for URAC Accreditation (received full URAC Accreditation);
• Medical Directors & Medical Project Manager;
• Physician Profiling (INGENIX and homegrown)
• Disease Management Programs
• Utilization Management / Quality Management Committee (Committee Chair)
• Provider Credentialing & Ancillary Credentialing Committees
• Quality of Care process & profiling
• Peer Review process & profiling
• Medical Director support for appeals and reimbursement disputes, including:
o Review physician, hospital and ancillary provider bills against system
coding edits
o Provide medical documentation for coding reimbursement decisions and
dispute/appeals resolution
Other responsibilities:
• Conduct Utilization management process using InterQual criteria & Case
Management for Commercial & Managed Care Government programs, including
Medicaid & Medicare;
• Developed cost containment initiatives for complex case management;
• Developed wrap around model for SNF & Acute Hospital “hospitalist” program;
• Supported committees, including Delegation & Vendor Oversight, Compliance,
Government Programs, HIPAA
• Participated on Medical Expense & Trend Analysis/Reporting Committee,
Information Systems, & Claims Quality Review.
Regional Network Medical Director, 9/1999-9/2000
Horizon Blue Cross Blue Shield of New Jersey
Marlton, New Jersey
• Developed & managed physician group risk network for Southern New Jersey
region;
• Analyzed provider utilization data & educated providers on improving their
efficiencies;
• Performed utilization management using Milliman & Robertson Guidelines
• Provided Medical support for prior-authorization & case management
• Participated on Medical Policy Committee.
• Provided Medical Director support for appeals and reimbursement disputes,
including:
o Reviewed physician, hospital and ancillary provider bills against system
coding edits
o Provided medical documentation for coding reimbursement decisions
Medical Director for Managed Care Services, 1/1999-9/1999
Frankford Hospital Health System
Philadelphia, PA
4
5. • Managed provider risk network;
• Developed disease management programs;
• Analyzed provider utilization data & educated providers on improving their
efficiencies;
• Developed & managed data management, statistical analysis & reporting for
hospital & physician network.
Medical Director (part time while completing MBA), 1998
HIP, NY, NY
• Utilization management reviewer
Medical Director, 1998
Trigon BCBS / HealthKeepers
Richmond Virginia
• Medical Director for HMO Central; reviewed & created medical policy;
• Provided Medical Oversight of GMIS integration with Claims System
• Medical Director support for appeals and reimbursement disputes, including:
o Review physician, hospital and ancillary provider bills against system
coding edits
o Provide medical documentation for coding reimbursement decisions and
dispute/appeals resolution
• Participated on Pharmacy Committee (P&T) & Medical Policy Committee
• Performed utilization management using Milliman & Robertson Guidelines
• Provided Medical support for prior-authorization & case management
• Member of Medical Policy Committee for developing medical policies to support
Utilization Review process and claims adjudication
• Panel Member, Medical Policy Panel for National Accounts, National Blue Cross &
Blue Shield Association
• Chair, Credentialing Committee
Medical Director and Senior Medical Director
Independence Blue Cross, 1993-1998
Philadelphia, Pennsylvania
Senior Medical Director for Medical Policy, 1996 – 1998
(Independence Blue Cross Blue Shield)
• Developed Medical Policy & Technology Assessment Department for Utilization
Review process and claims adjudication
• Provided oversight & managed policy development for HMO, Indemnity,
Government Programs Managed Medicaid and Medicare & PPO products;
(policies included appropriate treatment, procedures, new technologies & durable
medical equipment (DME)
• Managed & directed Sr. Policy Manager, Policy Coordinators, & Policy Assistants
• Managed & directed four full-time and six consulting Medical Directors for
Utilization Review & Medical Policy
• Managed Provider Appeals Department, including medical appeals and claims
adjudication appeals based on system edits (GMIS)
• Medical Director support for appeals and reimbursement disputes, including:
o Review physician, hospital and ancillary provider bills against system
coding edits
o Provide medical documentation for coding reimbursement decisions and
dispute/appeals resolution
• Panel Member, Medical Policy Panel for National Accounts, National Blue Cross
Blue Shield Association
5
6. Medical Director, 1995 - 1996
CompServices, Inc. (an Independence Blue Cross company)
• Medical Director for third party administrator (TPA) for managed worker’s compensation;
• Provided oversight for utilization review & case management
Medical Director, 1993 – 1996
(Independence Blue Cross Blue Shield)
• Provide oversight & utilization management using Milliman & Robertson Guidelines &
OptiMed criteria for managed care products, including Indemnity, PPO & HMO
• Medical Director support for appeals and reimbursement disputes, including:
o Review physician, hospital and ancillary provider bills against system coding edits
o Provide medical documentation for coding reimbursement decisions and
dispute/appeals resolution
• Designed & implemented managed care & case management systems including:
o Total Joint Replacement Management Program
o Restorative Care Utilization Review Program
• Medical Advisor to Human Resources Department on disability, Family Medical Leave Act
(FMLA), & Workers’ Compensation
Orthopaedic & Occupational Medicine Practices, 1990 - 1994
Diagnostic Orthopedic Services (1992-94)- own practice in New Jersey and Pennsylvania
• Provided non-operative orthopaedic treatment & consultation, both pre- & post-
operatively.
• Provided case management of musculo-skeletal injuries.
• Presented educational seminars on musculo-skeletal topics (e.g., carpal tunnel
syndrome, low back disorders, etc.).
• Performed occupational medicine evaluations.
• Performed prospective & retrospective medical reviews of medical records.
• Performed prospective ergonomic site surveys & designed intervention programs
for industry.
Riverfront Medical Services (1990-91) in New York
Non-operative orthopedic office only; IME’s; work related injuries; case management
Ergonomic work site evaluations
Orthopaedic Surgeon, 1984 - 1989
Olean Medical Group, Olean, New York (1984-1987),
Southern Plains Medical Group, Chickasha, Oklahoma and Northwest Oklahoma Specialty Group,
Woodward, Oklahoma (1987-1989)
• General orthopaedic surgery practice; included
o Trauma,
o Joint replacement,
o Sports Medicine,
o Pediatric
o Hand Surgery.
o Workers’ Compensation
Practice included frequent presentations to community & civic groups on orthopaedic topics, such as
arthritis & carpal tunnel.
6
7. COMPUTER
SYSTEMS
Optimed, InterQual, MeDecision, AMISYS, GMIS Code Review, MCG Guidelines, MiniTab
Statistical Software, Microsoft Office Suite (Word, Microsoft Excel, Power Point); Project
Management courses 2000, 2007.
CERTIFICATION Recertified until 12/31/2020
Board Certified, 1989
American Board of Orthopaedic Surgery
Chicago, Illinois
Board Certified, 1991
American Board of Quality Assurance & Utilization Review
Tampa, Florida
Diplomate, 1981
National Board of Medical Examiners
Philadelphia, Pennsylvania
POST-GRADUATE
TRAINING:
International Spine Intervention Society course in
Spine Anatomy and Imaging November 2010, San Francisco, CA.
International Spine Intervention Society course in Cervical Spine intervention pain
management techniques October 2010, Chicago, IL
International Spine Intervention Society course in Lumbar Spine intervention pain
management techniques January 2010, Phoenix, AZ
Basic Curriculum in Occupational Medicine Segments 1, 2 & 3 (Completed Certificate 2009)
ACOEM
New York, NY and Chicago, Ill
ACOEM-AMA Impairment Guides 6th Edition Course and Commercial Drivers
License Course,
7/2009.Chicago, Ill
Occupational Medicine Mini-Residency, 1991
University of Medicine & Dentistry of New Jersey
Piscataway, New Jersey
Chief Resident, Orthopaedic Surgery, 1983 - 1984
University of Medicine & Dentistry of New Jersey
Newark, New Jersey
Orthopaedic Surgery Residency, 1980 - 1983
University of Medicine & Dentistry of New Jersey
Newark, New Jersey
Surgical Internship, 1979 - 1980
University of Medicine & Dentistry of New Jersey
Newark, New Jersey
PROFESSIONAL
MEMBERSHIPS
American College of Occupational and Environmental Medicine
Advisor for Health Care Board of Bryan University, Phoenix, AZ
7
8. PUBLICATIONS
AND
PRESENTATIONS
Musculoskeletal Overview & Quality Metrics in Managing and Evaluating Healthcare Intervention
Programs, 2nd edition 2014
Poster Session, The Role of Healthcare Informatics Simulation in Medical Education, Harvard
Medical School Medical Education Day, 10/2013
8