Founder & Chief Strategy Officer
Cardinal Point Healthcare Solutions
Pasadena, CA 91104
Cardinal Point Healthcare Solutions
Pasadena, CA 91104
Founder & Chief Strategy Officer, Cardinal Point Healthcare Solutions (2017 - Present)
The Cardinal Point team includes health policy experts, system engineers, leadership coaches, workflow & process improvement specialists, and data analysts. Our consulting firm helps patients, providers, leaders, and health systems navigate a changing landscape.
Co-Founder, Connected Healthcare Solutions (2016-Present)
CHS builds applications that help measure what matters to patients and to connect patients, families, and healthcare providers.
Navigating to Value in Healthcare (2017)
Leaders need new types of information, knowledge, and skills in order to adapt in an ever-changing environment. Navigating to Value helps frame that discussion and offers real-world solutions providers and organizations.
Visiting Associate Professor, Oxley College of Health Sciences at the University of Tulsa (2017 – Present)
Design and develop a degree program combining the topics of healthcare delivery and the community integration of health enhancing services; design and deliver online courses on healthcare delivery, including topics of variation, ethics, leadership, value based care, patient reported outcomes, process improvement, cost allocation, & patient-provider communication; mentor students throughout their learning experience and capstone projects.
Adjunct Faculty at The Dartmouth Institute for Health Policy and Clinical Practice (2012 – Present)
Design, develop, and deliver a yearly online course covering healthcare delivery, topics in variation research, ethics, leadership, value based care, patient reported outcomes, process improvement, cost allocation, & patient-provider communication.
Current Projects & Partners
Value Based Care in Navy Medicine (2016-Present)
Designing, developing, and delivering educational curriculum and content on value based care to senior leaders, physicians, and staff at Navy Medical Centers across the U.S.A. Additional audience members have included the Johns Hopkins Applied Physics Lab and Navy Medicine’s Bureau of Medicine & Surgery.
Option Grid Editor (2013-Present)
Editor of hip & knee osteoarthritis, disc herniation, and spinal stenosis grids. Option Grids (http://optiongrid.org/) are brief easy-to-read tools made to help patients and providers compare alternative treatment options and find answers to the questions patients frequently ask.
Team Rubicon (2017-Present)
Team Rubicon unites the skills and experiences of military veterans with first responders to rapidly deploy emergency response teams.
Altadena Mountain Rescue Trainee (2016-17).
AMR is one of eight elite volunteer Search and Rescue units serving Los Angeles County under the leadership of the LA County Sheriff’s Department. AMR team members undergo training in advanced mountain rescue techniques, human tracking, and emergency medicine.
Past Projects & Partners
Advising the CEO and executive leaders on health policy, patient-reported outcomes, process improvement, and data analytics. Comprendo creates apps that personalize patient experiences with an educational, engaging journey to change behaviors, improve adherence and attain better health outcomes.
All American Leadership (2015 – 2016)
Data strategy, analysis, and display for AAL, a leadership consulting firm committed to using data to accelerate change and create a learning culture.
GCorp Health Solutions (2015 – 2016)
Advising the CEO and COO on health policy, process improvement, and data analytics.
OneHealth Nebraska (2015-2016)
Develop, design, and deliver educational content for 70-clinic/650-member organization of independent physicians building a clinically integrated network.
COAMI Steering Committee, Shared Decision Making Lead (2015-2016)
The Chronic Osteoarthritis Management Initiative (COAMI) was convened by the U.S. Bone and Joint Initiative and seeks to change the paradigm of care for patients with OA.
Health Delivery Science, LLC (2014 – 2015)
Strategic advisor helping develop a new healthcare delivery science degree program for Tulsa University.
The Dartmouth Center for Healthcare Delivery Science & The Macy Foundation (2014 – 2015)
Co-author of a grant funded by the Macy Foundation to develop an innovative method combining online asynchronous content and experiential learning to teach patient-provider communication skills.
The Connecticut Institute for Primary Care Innovation (2014)
Advised the SVP/Chief Academic Officer and contribute to design & implementation of his research agenda.
The Dartmouth Center for Healthcare Delivery Science (2012-2014)
As a post doctoral fellow, wrote grant proposals to government and philanthropic organizations, designed and conducted research projects to further the fields of patient reported outcome measures and patient engagement.
Curriculum Specialist (2010-2012)
Worked collaboratively with 16 professors and two instructional designers to develop, design and deliver content for an 18-month, residential and online education program for C-suite executives in healthcare organizations across the globe
Co-Course Director (2011 – 2013)
Worked with Jack Wennberg to develop, design, and deliver content in the Masters in Public Health program at the Dartmouth Institute for Health Policy and Clinical Practice.
Doctoral Student and Candidate (2007-2012)
My dissertation focused on understanding variation in hospital costs and length of stay using multi-level statistical models. I also served as a teaching assistant more than half a dozen courses and as the elected student representative to Dartmouth College graduate programs.
Board Certified Orthopedic Physical Therapist and Diplomat in Mechanical Diagnosis and Treatment of Spinal Disorders (1992 – 2007)
My 15-year clinical career included:
- Innovative research with the Junior US Olympic biathletes
- American Physical Therapy Association board certification as an orthopedic clinical specialist
- Completion of a post graduate residency program in Wellington, New Zealand leading to diplomat degree
- Developing four private practice physical therapy clinics from a single small practice through the use of innovative treatment protocols and patient reported outcomes in Northern New York State
- Assisting with the design and development of The Spine Center at Dartmouth Hitchcock Medical Center, an innovative multidisciplinary care unit using patient reported outcomes and shared medical decision making to care for patients with complex pain problems and for clinical research
- Participation in multicenter research trials and clinical research
- Service as lead author on five publications on the innovative use of patient reported outcome measures to guide clinical decision making at the point of service
Post-Doctoral Fellow, the Dartmouth Center for Healthcare Delivery Science (2012-2014)
PhD Health Policy, the Dartmouth Institute for Health Policy and Clinical Practice (2007-2012)
MS Evaluative Sciences, Evaluative Clinical Sciences at Dartmouth College (1999-2002)
Diplomat, the McKenzie Institute International, Wellington, NZL (1995)
Board Certified Orthopedic Clinical Specialist, the American Physical Therapy Assoc. (1995)
MS Physical Therapy, D’Youville College (1990-1992)
BS Physical Therapy, D’Youville College (1987 – 1990)
- Westling C, Walsh T, Nelson WA. Perceived ethics conflicts in Pioneer Accountable Care Organizations. Journal of Healthcare Management. Vol 62, Number 1. January/February, 2017
- Harrison WN, Dick JF, Walsh T. Patient preferences and end-of-life care: A teachable moment. JAMA Intern Med. April 27, 2015. doi: 1001/jamainternmed.2015.1283
- Thompson R, Walsh T, and Elwyn G. “We Need to Talk: Decision Aids Are Helpful, but Not Sufficient for Facilitating Shared Decision Making.” Forthcoming
- Hoffman AS, Walsh T, Sepucha K, Kearing S, Hawke AJ, Collins Vidal D. Measuring shared decision making in practice: Priorities from the 2012 Dartmouth Summer Institute for Informed Patient Choice. Open Conf Proceed J 2014, 5 (In press)
- Elwyn G, Lloyd A, May C, van der Weijden T, Stiggelbout A, Edwards A, Frosch DL, Rapley T, Barr PJ, Walsh T, Grande SW, Montori V, Epstein R. Collaborative deliberation: A model for patient care. Patient Education and Counseling. 2014;Nov 97(2):158-164.
- Durand MA, Barr PJ, Walsh T, Elwyn G. Incentiving shared decision making in the USA – Where are we now?” Healthcare 2014. Available online November 21, 2014. doi:10.1016/j.hjdsi.2014.10.008
- Nelson WA & Walsh T. Ensuring patient-centered care. The Healthcare Executive 29; 4: July/August 2014.
- Nelson WA, Taylor E, Walsh T. Leadership and transition: Building an ethical organizational culture. The Health Care Manager. 33:3; April – June 2014.
- Walsh T, Onega T, Mackenzie T. Variation in length of stay within and between hospitals. The Journal of Hospital Administration 2014. Vol3; No4: DOI: 10.5430/jha.v3n4p53 (Published 3 March 2014)
- Walsh T, Barr PJ, Thompson R, O’Neill C, Ozanne E, Elwyn G. Undetermined impact of patient decision support interventions on health care costs and savings. BMJ 2014; 348 doi: http://dx.doi.org/10.1136/bmj.g188 (Published 23 January 2014)
- Barr PJ, Thompson R, Walsh T, Grande SW, Ozanne E, Elwyn G. The psychometric properties of CollaboRATE. A fast and frugal patient reported measure of shared decision-making process. J Med Internet Res 2014; 16(1): e2 doi:10.2196/jmir.3085 (Published 14 November 2013)
- Elwyn G, Barr PJ, Grande SW, Walsh T, Thompson R, Ozanne E. Developing CollaboRATE. A fast and frugal measure of shared decision making in clinical encounters. Patient Educ Couns 2013 Oct; 93(1): 102-7.
- Walsh T, Dropkin B, Lewis M, Collins A, Fichman B, Elwyn G. Spinal Stenosis- An Option Grid. http://www.optiongrid.org/resiourse/stenosis_evidence.pdf. March 2013.
- Walsh T, Dropkin B, Lewis M, Collins A, Fichman B, Elwyn G. Sciatica from a slipped disc- An Option Grid. http://www.optiongrid.org/resiourse/sciatica_evidence.pdf. March 2013.
- Walsh T, Dropkin B, Lewis M, Koenig K, Tomek I, Elwyn G. Osteoarthritis of the hip- An Option Grid. http://www.optiongrid.org/resiourse/osteoarthritisHip_evidence.pdf. January 2013.
- Olson P, Lurie J, Fymoyer J, Walsh T, Morgan, T, Zhao W, Abdu W, Weinstein J. Lumbar disk herniation in the Spine Patient Outcomes Research Trial (SPORT): Does educational attainment impact outcome? Spine 2011.36; 26:2324-32
- Walsh T, Homa K, Hanscom B, Lurie J, Abdu W. Detecting depression in patients with chronic spinal pain using the SF-36. The Spine Journal. 6; 316-320: 2006
- Walsh T, Hanscom B, Lurie J, Abdu, W, Weinstein J. Prevalence of low Mental Component Summary Scores and variation in the rate of referral to behavioral medicine services in the National Spine Network. Spine March 15, 2005.
- Walsh T, Hanscom B, Lurie J, Weinstein J. The responsiveness of the SF-36 and ODI: is a condition-specific survey necessary for patients with low back pain problems? Spine. March 15, 2003.
- Walsh T, Seymour R, Blankenberg C, Pickens A, Rush H. Reliability of detecting a relevant lateral shift in patients with lumbar derangement: a pilot study. The Journal of Manual and Manipulative Therapy. 10; 3: 2002.
- Walsh T. Spine Point of View: Centralization as a predictor of chronic pain. Spine. April 1, 2001.
- Walsh T. Spine Point of View: The Oswestry Disability Index. Spine. November 15, 2000.
- Weinstein J, Brown P, Hanscom B, Walsh T, Nelson E. Designing an ambulatory clinical practice for outcomes improvement: from vision to reality. Quality Management in Health Care. 8; 2: Winter 2000.
- The bare truth about hospitals and why it is time for a revolution. Forbes Online
- Undetermined impact of patient decision support interventions on health care costs and savings; a video abstract - The British Medical Journal
- Productivity and the health care workforce with Shannon Brownlee & Joe Colucci in The New America Foundation online magazine - The New America Foundation
- What ‘health care costs’ really means, with Shannon Brownlee & Joe Colucci in The Atlantic online magazine - The Atlantic
- The Josiah Macy Jr. Foundation (2014). Integrating shared decision-making and interprofessional education. Co-Investigator of a $450,000 grant to test the feasibility of an innovative method for teaching and assessing communication skills among health care providers. Elwyn G, Walsh T, Mulley A. et.al
- ClozeX Medical LLC. (2005): Co-investigator of a $40,800, 12-month randomized clinical trial to compare the scar quality, patient comfort, and costs of standard surgical sutures for linear incision versus a new adhesive device. Walsh T, & Kerrigan C
- Quality Research Grant Program at DHMC (2002): Senior Investigator of a $10,000, 18-month clinical investigation: Improving access to multidisciplinary services at The Spine Center. Homa K, Lurie J, Walsh T
- Quality Research Grant Program at DHMC (2001): Principal Investigator of a $10,000, 18 month clinical investigation: Improving the Utilization of Effective Care for Common Co-Morbidities at the Spine Center: The SF-36 MCS as a Screening Tool for Behavioral Medicine Interventions. Walsh T, Homa K, Weinstein JN, et al.
- Value Based Care in Navy Medicine (2016) - Washington, D.C., Laurel, Maryland, & Jacksonville, Florida
- Emerging Payment Models and Independent Physicians: MACRA/MIPS (2016)- OneHealth Nebraska, Lincoln, NE
- Better Value Better Business (2015) - OneHealth Nebraska, Lincoln, NE
- Developing sustainable models of health care delivery: a global challenge – The Dartmouth Community Medical School (March & November 2013)
- Healthcare at Border – El Paso, TX (Nov 2012) – Invited to speak about healthcare delivery science at the Paul L Foster School of Medicine at Texas Tech University Health Sciences Center
- Invited Facilitator of Panel Discussion (2011) – The Underserved and Their Efforts to Access Quality Healthcare. Part Four of Dartmouth Medical School’s Annual Celebration of Martin Luther King Jr.
- The future of clinical research (2010 & 2011) - Presented to Dartmouth-Hitchcock Medical Center’s residents participating in The Leadership Preventive Medicine Residency program
- A brief history of variation in health care (2009) - Presented to The Maine Medical Center’s Board of Overseers, Administration, Financial, and Clinical Leadership, and Clinical staff (via grand rounds). Five presentations total. Maine Medical Center, Portland, ME
- Depression screening in spine patients using the SF-36 health survey (2003) – The North American Spine Society. San Diego, CA
- The Spine Center as a Practical Model for Integrated Medicine and Research. Presented to The National Clinical Improvement Network- The Spine Center as a Practical Model for Integrated Medicine and Research (2003). Presented to The National Clinical Improvement Network, DHMC, Lebanon, NH
- Invited speaker at The McKenzie Institute USA Annual Meeting, Cleveland, OH (2002). Variation in healthcare delivery: what it means to physical therapists.
- The Clinical Use of Research Data (2000) – The Swedish Rheumatology Society, DHMC, Lebanon, NH
- The clinical use of data (1999) - The North American Spine Society. Seattle, WA
- The clinical and aggregate use of data. The Spine Center and SPORT Trial at DHMC (1999) - The Great Lakes Regional Hospital Pain Management Program. The Dartmouth Institute, Lebanon, NH
- Research Design: An Overview (1999) - The Orthopedic Basic Science Series. The Department of Orthopedic Surgery at DHMC, Lebanon, NH
- The McKenzie Method (1998) – The New York State Physical Therapy Association Annual Meeting. Rochester, NY
- Walsh T & Wood J. Getting big results from big data. Accepted to March 2015 conference hosted by the International Council on Systems Engineering (INCOSE). Los Angeles, CA
- Walsh T & Wood J. Responsible engineering in healthcare. November 1, 2014 conference hosted by INCOSE. San Diego, CA
- Barr PJ. Thompson R, Walsh T, Ozanne E, Grande SW, & Elwyn G. (2013, September). Assessing the psychometric properties of CollaboRATE: a three-item patient-reported measure of shared decision-making process. Paper presented at the International Conference on Communication in Healthcare. Montréal, Quebec
- Elwyn G, Barr PJ, Grande SW, Thompson R, Walsh T, & Ozanne E. (2013, September). Developing CollaboRATE: a fast and frugal patient-reported measure of the shared decision making process in the clinical encounter. Paper presented at the International Conference on Communication in Healthcare. Montréal, Quebec
- Elwyn G, Barr PJ, Thompson R, Grande SW, Walsh T, & Ozanne E. (2013, June). A fast and frugal patient reported measure of the shared decision making process: A protocol for assessing the psychometric properties of CollaboRATE. Poster presented at the 7th International Shared Decision-Making Conference. Lima, Peru
- Elwyn G, Barr PJ, Grande SW, Thompson R, Walsh T, & Ozanne E. (2013, June). Developing CollaboRATE: A fast and frugal patient-reported measure of the shared decision making process in the clinical encounter. Poster presented at the seventh International Shared Decision-Making Conference. Lima, Peru
- Walsh T, Barr PJ, Thompson R, O’Neill C, Ozanne E, Elwyn G. Do patient decision support interventions lead to cost savings? A systematic review. Prospero Review Registration # CRD42012003421. Presented at the seventh International Shared Decision Making conference in Lima, Peru. June 2013
- Kerrigan CL & Walsh T. A Randomized Clinical Trial Comparing a New Co-aptive Film Device versus Sub-cuticular Closure of Linear Incisions. Presented at The Canadian Society of Plastic Surgery. Calgary, Alberta. June 2007
- Walsh T, Homa K, Lurie J, Hanscom B, Abdu W. Depression Screening in Spine Patients Using the SF-36 Health Survey. Presented at The International Society for the Study of the Lumbar Spine Annual Meeting. Porto, Portugal. June 2004
- Walsh T, Hanscom B, Lurie J, Weinstein JN. Responsiveness of the SF36 and Oswestry in Lumbar Spine Patients; Do We Need a Disease-Specific Instrument? The International Society for the Study of the Lumbar Spine, Edinburgh, Scotland. 2001
- Lurie J, Hanscom B, Walsh T, Weinstein J. The Minimal Clinically Important Change Score for the SF-36 and ODI. Accepted to ISSLS, Edinburgh, Scotland. 2001
Teaching and Mentoring
Understanding the implications of variation - TDI 101 (2012 – Present)
As the course director developed and delivered the content for the fully online course, 6-weeks duration
Current state of practice variation - TDI 144 (2012 & 2013)
As the co-course director with Jack Wennberg, developed and delivered a 9-week required course for 70 students
The art and craft of discussion leadership (2011)
Participant in 2-day seminar at the Harvard Business School on participant-centered learning
Management of healthcare organizations (2011)
Served as an invited teaching assistant, Tuck Business School’s course on health services management, strategy, finance, and operations
Teacher training workshop at the Dartmouth Center for the Advancement of Learning (2011)
Participant in a six week program for graduate students at Dartmouth College
The Harvard case-teaching method (2010)
Participant in an 8-week program
Advanced methods in health services research (2009)
Served as a teaching assistant
Advanced methods in biostatistics and epidemiology (2008)
Served as a teaching assistant
Critical issues in health and healthcare (2006-2008)
Serving as a teaching assistant, I helped to design this entirely new course. I was specifically responsible for developing and delivering all content on the relationship between individual and aggregate level socio-economic status and health
Microsystems and quality improvement in healthcare (2007)
Served as a teaching assistant
Invited Lecture at the Dartmouth Institute for Health Policy and Clinical Practice (2006 – 2013)
Individual and aggregate level socio-economic status and health. This lecture led my invitation to assist with the development of the Critical Issues course noted above
The McKenzie Institute International (1996 – 1998)
Co-taught 13 four-day continuing education courses as an invited participant in the Institute’s faculty development program