Profile

• Accomplished healthcare executive with a robust 35-year track record in clinical and management roles, emphasizing expertise in dialysis development, operational management, adherence to regulatory and compliance standards.
• Guides hospital clients through intricate renal partnerships, including agreements for medical directors, management services, acute care, renal equipment purchases, and hospital services. 
• Extensive experience managing multi-site adult and pediatric outpatient dialysis care facilities, inpatient hospital dialysis programs, and post-acute healthcare facilities.     
• Subject matter expertise in dialysis operational management and regulations, clinical and financial continuous improvement, and healthcare management consulting.
• Recognized for cost containment, increase in staff productivity, profitability, revenue growth, and provide leadership to new leaders.

EXPERTISE:

Clinical Quality and Safety Expertise

·      Setup and review quality assessment and performance improvement (QAPI) program.

·      Development of algorithms and tools for quality improvement and performance in dialysis centers (QAPI), ensuring the delivery of high-quality care.

·      Clinical quality dashboard.

·      Infection prevention and control audits.

·      Clinical practice and quality audits.

·      Leadership training for medical directors and clinical nurse managers on conducting effective QAPI meetings to ensure continuous improvement.

·      Care Coordination and transitions.

Business, Fiscal and Administrative Expertise

·      Dialysis operations management, and leadership team training including dialysis specific educational resources.

·      Training sessions for medical directors, nurse leaders, and administrators on dialysis regulations to enhance their leadership skills in the field.

·      Implementation of strategies to contain dialysis costs, increase productivity, profitability, and revenue growth.

·      Outsourcing dialysis services; Insourcing dialysis services back to the hospital and health systems.

·      Create a dialysis specific financial dashboard.

·      Proactively reduce operational expenses.

·      Proactively manage total facility expenses to budget.

·      Proactively manage facility personnel expenses and supervision of personnel to maintain productivity and quality of patient care.

·      Proactively manage dialysis medical supply and medical equipment agreements

·      Confidential evaluation and comparison of responses from different dialysis providers regarding their services for inpatients.

·      Provision of confidential recommendations for fee structures for various services, including hemodialysis (HD), peritoneal dialysis (PD), slow low-efficiency dialysis (SLED), continuous renal replacement therapy (CRRT). Hemoperfusion, Apheresis, Aquapheresis, Photopheresis, etc.

·      Review of staffing plans, particularly during staffing challenges, to optimize the utilization of registered nurses (RNs) and patient care technicians (PCTs).

Regulatory, Accreditation, Governance, and Compliance Expertise

·      Collaboration with expert consultants for updated regulations, laws and state and federal requirements.

·      Governing Body Requirement:

·      Assisting with the certification and licensure of new dialysis outpatient programs.

·      Assist organizations to regain compliance as quickly as possible if Medicare has issued a Condition-Level or an Immediate Jeopardy for your dialysis services

·      Proactive Survey Preparation (Dialysis specific accreditation and regulatory readiness):

·      Provide organizations with a range of checklists and audit tools to help prepare organizations for dialysis and renal related regulatory and accreditation surveys and sustain continued compliance with all applicable requirements.

Staffing Optimization, Patient Scheduling, and Predictive Analytics

·      Assist with workforce optimization to improve staffing:

·      Assist with coordination of nurse staffing resources and float pools based on budget, patient acuity, and other standards.

·      Analyze and predict patient discharge barriers for inpatient dialysis programs.

·      Streamline dialysis facility operations resulting in operational excellence.

·      Hardwire operational protocols.

Outpatient, Inpatient, LTC, SNF, and Pediatric Dialysis Facility Design Expertise     

·      Inpatient unit and outpatient facilities.

·      Expertise and proficiency in initiating and overseeing dialysis services in various settings, ensuring the successful implementation of the project:

·      Creating a comprehensive business plan that is specifically tailored to adult and pediatric patients.

·      Conducting a financial feasibility analysis based on the desired scope of dialysis services and the current dialysis patient population.

·      Providing recommendations based on market conditions and financial goals.

·      Assisting with site selection

·      Assisting with the interview, hiring, training, and mentoring of the staff and management team.

·      Preparing facility for regulatory and accreditation surveys

Technical Expertise

·      Perform regulatory and accreditation technical Audit/ Assessment. The focus is in identifying procedures that can cause "Triggers" during an unannounced Medicare, Joint Commission, DNV, and ACHC survey.

·      Review technical logs and records.

·      Review technical policy and procedure manuals for accuracy and completeness.

·      Validation of Dialysis Biomed personnel competency and review of personnel files.

·      Skills Testing and Competency of dialysis biomedical/technical manager.

·      Review of facility workflow (in comparison to industry best practices) in general.

·      Physical Plant Tour/Audit to include water rooms for compliance with standards

·      In-service staff on water treatment system.

·      Water systems for inpatient dialysis unit.

·      Selection of Appropriate Equipment: dialysis, apheresis, photopheresis, aquapheresis, and CRRT.

Policy, Procedures, Guidelines and Standard Operating Procedures

·      Review and craft effective policy, procedures, and guidelines for outpatient and inpatient hemodialysis (HD) and peritoneal dialysis (PD) programs, focusing on clinical, technical, financial, and compliance aspects

·      Assists the leadership team in implementation of the policies and procedures

Short Term/Interim Leadership Positions

·      Provide interim leadership coverage as required.

·      Screening and Interviewing candidates with dialysis and/or management expertise.

https://4mhealthcare.com/our-services/