A healthcare transformation subject matter expert with demonstrated thought leadership and practical implementation experience
A healthcare transformation subject matter expert with demonstrated thought leadership and practical implementation experience
Areas of Expertise
Strategic Planning - Leadership/Mentoring - Innovation and Change Management - Public Speaking - Writing - Translating Complex Topics - Project Management - Qualitative/Quantitative Research - Cultivating Collaboration
Cardinal Point Healthcare Solutions 2017-Present
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-Present
Healthcare Consultant, Navy Bureau of Medicine and Surgery
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 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
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
Health Delivery Science, LLC 2014-2016
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
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
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
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
Visiting Associate Professor of Community Medicine, the University of Tulsa 2017-Present
- Responsible for overseeing all course content and delivery by five professors
- Teach 1-2 courses per year
- Teach 1-3 courses per year
- Mentor two to six students per year through their capstone projects
Finding what matters most to patients, to be published by Taylor & Francis 2018
Navigating to value in healthcare, published by The Medical Group Management Association 2017
Numerous publications appearing in journals and magazines including: the BMJ, JAMA, Spine, The Journal of Healthcare Management, Forbes Online, The New America Foundation, The Atlantic.
The Spine Center, Dartmouth-Hitchcock Medical Center 1998-2007
Direct patient care in a Spine Center with a staff of 26 physicians, 4 nurses, 3 additional therapists, and 2 behavioral therapists. 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
Direct patient care in private practice. Led efforts to begin 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+.
Post-Doctoral Fellow, The Dartmouth Center for Healthcare Delivery Science 2014
PhD, The Dartmouth Institute for Health Policy and Clinical Practice 2012
MS, The Dartmouth Institute for Health Policy and Clinical Practice 2002
Diplomat, The McKenzie Institute International 1995
Board Certified Orthopedic Clinical Specialist, American Physical Therapy Association 1995
MSPT, D’Youville College 1992
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 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.
- 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.” Patient Educ Couns 2014 Apr; 97(4): 68-77.
- 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
- 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