Areas of Expertise Healthcare Systems & Policy, Health System Reliability & Performance Evaluation, High Reliability Healthcare Organizations, Public Health, Population Health, Health Policy, Healthcare Delivery Science, Communicating Complex Topics Across Disciplines, Assessing Value in Healthcare, High-Reliability Organizations in Healthcare, Healthcare Leadership and Change Management, Executive Coaching, Quality Improvement, Online and Hybrid Education Programs
Non-Clinical Professional Experience The Green Mountain Care Board (2022- Present) Board Member Appointed by Governor Phil Scott GMCB is an independent five-member Board whose members are appointed by the Governor for six-year terms. The Board’s purpose is:
improving the health of the population;
reducing the per-capita rate of growth in expenditures for health services while ensuring access to care and quality of care are not compromised;
enhancing the patient and health care professional experience of care;
recruiting and retaining high-quality health care professionals; and
achieving administrative simplification in health care financing and delivery.
The Joint Commission Center for Transforming Healthcare (2021-Present) Senior Expert on Health System Transformation The Center produces and delivers products, programs, assessment tools, and consulting services that help healthcare organizations improve the health and well-being of the people they serve and employ.
Lead the update and refinement of assessment tools with associated products and programs
Safe & Reliable Healthcare (2020-2021) High Reliability Organization Expert S&R helps organizations improve their safety, reliability, and outcomes to increase their clinical, operational, and financial value.
Co-Lead designing the evaluation of the Veterans’ Healthcare Administration’s program to improve the reliability and safety of care
Development of the policies, analytic plans, standard operating procedures, and templates for assessing an organization
Teaching principles and practices of high reliability organizations
Cardinal Point Healthcare Solutions(2014-2019) Founder and Chief Strategy Officer Cardinal Point used principles and practices of high reliability organizations to support healthcare systems, providers, and leaders. Selected Client List US Navy Medicine Navy Medicine provides care for 500,000+ sailors, marines, and their dependents
Coaching/mentoring leadership team
Created and delivered Value Based Care curriculum for the Bureau of Medicine and Surgery, The Johns Hopkins Lab, and senior military leaders
Comprendo Comprendo develops healthcare apps focused on personalized patient experiences, changing behaviors, improving treatment adherence, and improving health outcomes
Advised and mentored Dean Hovey, Founder & CEO of Comprendo
One Health Nebraska One Health Nebraska is a 700-member independent physician organization facing integration threats due to consolidation between hospitals across the state
Advised and mentored Geoff McCullen MD, founder, and CEO of OneHealth Nebraska
Health Delivery Science, LLC Health Delivery Science was a consulting company advising healthcare systems, providers, and educators on organizational strategy and operations
Advised Jeffrey Alderman MD, CEO of HDS and Gerald Clancy MD, President of the University of Tulsa, on the structure of blended (residential and online) education
Connecticut Institute for Primary Care Innovation CIPCI is a statewide primary care learning collaborative
Advised Greg Makoul PhD, founder and CEO of CIPCI and SVP of St. Francis Hospital and Medical Center, on emerging trends in reimbursement models, outcome measurement, cost allocation methods, and principles of high-reliability organizations
The Dartmouth Center for Healthcare Delivery Science(2010-2014) Curriculum Specialist The Dartmouth Center was created by then Dartmouth President Jim Kim PhD MD to provide thought leadership and executive education for high reliability organizations and global leaders of healthcare delivery systems
Participated in the development of the nation’s first blended education program in healthcare delivery science
Developed course content, co-wrote cases on hospital integration, spine care, and joint replacement services
Clinical Work Experience Areas of Expertise
Physical Therapist, Orthopedic Clinical Specialist, care of patients with spine pain
Summit Physical Therapy - Syracuse, NY
F-Squared Physical Therapy - Manhattan, NYC
Silver Lake Spine & Sports - Los Angeles, CA
The River Valley Club - Lebanon, NH
The Spine Center, Dartmouth-Hitchcock Medical Center - Lebanon, NH
Spine & Sport Physical Therapy - Watertown, NY
Academic Appointments Current The College of Health Sciences, Boise State University, Lead Faculty, Value-Based Care & High Reliability Organizations Adjunct The Dartmouth Institute for Health Policy and Clinical Practice, Adjunct Faculty, hybrid masters in public health & masters in healthcare delivery science Prior The University of Tulsa, Visiting Associate Professor of Community Medicine Education Post-Doctoral Fellowin Healthcare Delivery Sciences, The Dartmouth Center for Healthcare Delivery Sciences PhD, Health Policy, The Dartmouth Institute for Health Policy and Clinical Practice Performance Enhancement Specialist, The National Academy of Sports Medicine MS, The Dartmouth Institute for Health Policy and Clinical Practice Diplomat, The McKenzie Institute International, Wellington, New Zealand Board Certified Orthopedic Clinical Specialist, American Physical Therapy Association MSPT, D’Youville College
Board Membership Director The McKenzie Institute USA (2019) The mechanical diagnosis and treatment of spinal problems, first developed by Robin McKenzie in New Zealand, is internationally recognized as the most researched and leading form of non-surgical care for patients with back and neck pain.
Selected Publications Books
Finding What Matters Most to Patients (2019), published by the Taylor & Francis Group
Navigating to Value in Healthcare (2017), published by The Medical Group Management Association
Selected Peer-Reviewed Articles
Harris M, Walsh T. The Effect of a More Strict 2014 DEA Schedule Designation for Hydrocodone Products on Opioid Prescription Rates in the United States. Clinical Toxicology, 2019. DOI: 10.1080/15563650.2019.1574976
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
Durand MA, Barr PJ, Walsh T, Elwyn G. Incentivizing 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, 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)
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, 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, 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.
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
Prior Research Funding
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 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.
Reports from the Field: Transforming healthcare delivery beyond the ivory tower. (2019) – Grand Rounds presentation at Dartmouth-Hitchcock Medical Center, Lebanon, NH.
Navigating to Value in Healthcare (2018) – Navy Medical Center San Diego, Bay State Medical Center, and the University of Colorado at Denver
Value Based Care in Navy Medicine (2016) - Washington, D.C., Laurel, MD, & Jacksonville, FL
Emerging Payment Models and Independent Physicians: MACRA/MIPS (2016)- San Jose Spine & Sports, San Jose, CA.
Better Value is 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)
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 in 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 clinical use of data (1999) - The North American Spine Society. Seattle, WA