Areas of Expertise
Variation and Value Healthcare Delivery, Population Health, Healthcare Communications, Quality Improvement, Patient-Reported Outcomes, Shared Decision Making, Motivational Interviewing, Public Speaking, Writing, Translating Complex Topics, Project Management, Change Leadership, Qualitative & Quantitative Research, Cultivating Collaboration
 
Academic Appointments
Adjunct Faculty, The Dartmouth Institute for Health Policy and Clinical Practice (2012-Present)
  • Teach Variation in Healthcare and its Implications, Communications in Health and Healthcare
  • Mentor two to six students per year through their capstone projects
  • Patient Centered Outcomes Research Institute (PCORI) reviewer 2012-2014

Visiting Associate Professor of Community Medicine, the University of Tulsa (2017-Present)
  • Responsible for overseeing all course content and delivery by five professors
  • Teach Introduction to Healthcare Delivery Science, Population Health, and mentor capstone projects

Authorship
Finding What Matters Most to Patients (2019)    
Navigating to value in healthcare (2017)
Numerous publications appearing in peer-reviewed journals and magazines including:  the BMJ, JAMA, Spine, The Journal of Healthcare Management, Forbes Online, The New America Foundation, The Atlantic.

Professional Experience
Cardinal Point Healthcare Solutions (2015-2019) 
Founder and Chief Strategy Officer
Cardinal Point is a veteran-owned healthcare consulting firm providing data-driven support to health-care systems, providers, and leaders as they navigate the transformation from volume-based care to value-based care
  • Thought leader and primary point of contact for healthcare executives
  • Oversee creation of all educational content and analytic work
 
US Navy Medicine (2016-2018)
Healthcare Consultant with Cardinal Point
Navy Medicine provides care for 500,000+ sailors, marines, and their dependents. In 2016, Navy Surgeon General Vice Adm. Forrest Faison, sought to bring value-based care principles to U.S. medical treatment facilities    
  • Advise Surgeon General regarding pilot-site testing for initial implementation and use of a learning collaborative model for dissemination
  • Create and deliver Value Based Care curriculum for the Bureau of Medicine and Surgery, The Johns Hopkins lab and senior military leaders at Navy Medical Centers in Jacksonville, FL and San Diego, CA
  • Work collaboratively with 8 systems engineers from Johns Hopkins healthcare consulting lab to design and implement clinical transformations in care of patients with diabetes, spine pain, hip & knee osteoarthritis, maternity care, and women’s health issues
 
Comprendo (2016-2017)
Healthcare Consultant with Cardinal Point
Comprendo is a healthcare app development organization helping to create personalized patient experiences, change behaviors, improve treatment adherence, and attain better health outcomes
  • Advised Dean Hovey, inventor of the Apple mouse and Founder & CEO of Comprendo, on app support for the use of outcome measures, shared decision making, and motivational interviewing
  • Provided background information on trends in U.S. Health Policy
 
One Health Nebraska (2015-2017)
Healthcare Consultant with Cardinal Point
One Health Nebraska is a 700-member independent physician organization facing integration threats due to consolidation between hospitals across the state
  • Advised Geoff McCullen MD, founder and CEO, on various models of integration and created and delivered educational content describing the risks and benefits of integration models
  • Served as subject matter expert on MACRA/MIPS and value-based payment initiatives
 
Health Delivery Science, LLC (2014-2016)                                                                                                                                                         
Independent Healthcare Consultant
Health Delivery Science is a consulting company advising healthcare systems, providers, and educators on organizational strategy and structure along with healthcare delivery operations and processes
  • 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
  • Conducted nationwide review of hospital administration and healthcare delivery curricula as background for the launch of University of Tulsa’s new healthcare delivery science program
  • Wrote the curriculum for the healthcare delivery programs
 
Connecticut Institute for Primary Care Innovation (2014-2015)
Independent Healthcare Consultant
CIPCI is a statewide primary care learning collaborative influencing how care is delivered at over two-dozen clinics encompassing 1.9 million patient visits
  • 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, and cost allocation methods
  • Conducted review of time-driven activity-based cost allocation methodology and authored white-paper on TDABC for senior leadership
 
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 global leaders of healthcare delivery systems
  • Participated in development of 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
 
Maine Medical Center (2008)
Healthcare Consultant with the Office of Professional Education & Outreach at Dartmouth College
MMC is Maine’s largest hospital and has repeatedly been a pioneer site for innovative payment models
  • Advised Doug Salvador MD MPH and created educational content for senior leaders on the use of variation analysis in outcomes and utilization patterns to drive quality improvement efforts
  • Led variation analysis for spine pain and joint reconstruction departments affecting over 40% of ambulatory care visits leading to an improved surgical “capture” rate and decreased average length of stay from 2.2 to 1.4 days

Clinical Experience
The Spine Center, Dartmouth-Hitchcock Medical Center (1998-2007)
  • Developed model for first interdisciplinary ambulatory care center at DHMC
  • Launched first in the nation center for shared decision making
  • Led quality improvement and clinical research projects
 
Spine & Sport Physical Therapy, Private Practice (1992-1998)
  • Began routine use of patient-reported outcome measures
  • Analyzed data on patient volume, referral source, payment source, and outcome measures
  • Developed & executed business development strategy based on outcome measures leading to growth from 1 practice site to 4 with an average of 100 patient visits/day to 500+
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Education
​Post-Doctoral Fellow in Healthcare Delivery Sciences, The Dartmouth Center for Healthcare Delivery Sciences (2014)
PhD, Health Policy, The Dartmouth Institute for Health Policy and Clinical Practice (2012)
Performance Enhancement Specialist, The National Academy of Sports Medicine (2008)
MS,Evaluative Clinical Sciences, The Dartmouth Institute for Health Policy and Clinical Practice (2002)
Diplomat, Mechanical Diagnosis and Treatment, The McKenzie Institute International, Wellington, NZL (1995)
Board Certified Orthopedic Clinical Specialist, American Physical Therapy Association (1995)
MS, Physical Therapy, D’Youville College (1992)