DOCSLIB.ORG

Q&A with Chief Clinical Officer, Health Plans and Policy Dr. Patrick James

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Q&A with Chief Clinical Officer, Health Plans and Policy Dr. Patrick James Q&A with Chief Clinical Officer, Health Plans and Policy Dr. Patrick James Q: What is the makeup of the clinical team at Quest Diagnostics? We’re a team of more than 700 MDs and PhDs at Quest. Our specialties span clinical, anatomic and genomic pathology. The entire team is focused on bringing innovative diagnostic solutions to our customers that improve health, facilitate quality outcomes, and help our customers excel. Q: How has the clinical team partnered with health plans? We’re pleased to work closely with health plans, in particular partnering with health plan medical teams on clinical laboratory policy development and review, as well as assisting with responses to claims denials. When we work with a health plan, we increasingly draw on our health economics and outcomes research to provide evidence-based consultation. Our focus is on advising on the right test, for the right member, at the right time. This is how we can help improve early detection and management, reduce long- term costs and help improve outcomes. Q: What have been key factors in successful partnerships with health plans? Open dialogue with the medical directors at health plans lays the right foundation. This allows Quest to bring the right information and clinical team members to the table to support health plans in the development of clinical policies that promote health and quality outcomes for members. With this communications loop, we can make sure we sync our resources and evidence-based input with established clinical laboratory policy review calendars. We’ve been able to showcase our Quest facilities during tours with medical directors. It’s fantastic to give others a firsthand look at our labs. Q: What is the best way for health plans to connect with the Quest clinical team? The Quest Health Plan Directors and Account Executives coordinate our work with health plans. They’re able to bring together all of Quest’s resources, including the clinical team, to support our health plan customers. Q: What are aspects of et hQuest clinical t eam that others may not be aware of? Many people may not know that we collaborate with academic institutions and other leaders in healthcare on exciting research. We’re working with the CDC, Brigham and Women’s Hospital, and UCSF, to name a few. Also, I think that our scientific breakthroughs are not common knowledge. From our human genome sequencing work that helps personalize disease management to being the first commercial lab in the U.S. with an H1N1 test, we’re on the cutting edge with science. When we bring our scientific thought leaders to meet with medical leaders from health plans, the response has been uniformly complimentary. With these innovations, we’re helping the health care industry identify risk earlier, reduce long-term costs and improve member outcomes. Patrick James, MD is Chief Clinical Officer, Health Plans and Policy, at Quest Diagnostics. Dr. James earned his medical degree with honors from St. Louis University. He completed his internship and residency training in anatomic and clinical pathology with board certification at the National Naval Medical Center and post-graduate training in cytopathology with board certification at Johns Hopkins Hospital. Dr. James has served in leadership positions at Quest Diagnostics and other leading healthcare organizations, as well as the U.S. Navy. .
Load more

Recommended publications
  • Frequently Asked Questions – Physician Point of Care Tool
    Frequently Asked Questions – Physician Point of Care Tool What is a physician point of care tool? Physician point of care tools are evidence-based electronic clinical resources that assist with care decisions, research, Graduate Medical Education (GME) and continuing medical education (CME). These tools also provide quick references, supplemented by a research platform with a database of core resources such as full text electronic monographs, journals and articles. The most popular benefits of these tools are pharmaceutical information and calculations, evidentiary summaries, and CME credits. Ascension previously had two tools in place: DynaMed and Up to Date. Who made the decision to pursue this initiative to move to one national physician point of care tool for Ascension? This initiative was led by senior leadership within Clinical & Network Services (CNS) including Richard Fogel, MD, Senior Vice President and Chief Clinical Officer, CNS; Baligh Yehia, MD, MPP, FACP, Chief Medical Officer, CNS; and Michelle Heavens, Vice President, Operations, CNS, with input from a decision team which included Chief Clinical Officers, Designated Institutional Officers, Ascension Medical Group (AMG) dyad leadership and library services. This tool is managed by library services, which transitioned to CNS in November 2019. The decision team developed key requirements for the tool, gained trial access to both tools, attended live demonstrations, reviewed pricing and coverage terms, and evaluated both vendors. Why is Ascension reducing the number of available tools? Operations and services for library services, which currently manages physician point of care tools, have been optimized and aligned across the System. This includes existing knowledge resources managed by library services such as physician point of care tools.
    [Show full text]
  • The Clinical Education Partnership Initiative
    Monroe-Wise et al. BMC Medical Education (2014) 14:1043 DOI 10.1186/s12909-014-0246-5 RESEARCH ARTICLE Open Access The Clinical Education Partnership Initiative: an innovative approach to global health education Aliza Monroe-Wise1,2*, Minnie Kibore2, James Kiarie2,3,4, Ruth Nduati3,5, Joseph Mburu6, Frederick Thurston Drake7, William Bremner1, King Holmes2 and Carey Farquhar1,2,3 Abstract Background: Despite evidence that international clinical electives can be educationally and professionally beneficial to both visiting and in-country trainees, these opportunities remain challenging for American residents to participate in abroad. Additionally, even when logistically possible, they are often poorly structured. The Universities of Washington (UW) and Nairobi (UoN) have enjoyed a long-standing research collaboration, which recently expanded into the UoN Medical Education Partnership Initiative (MEPI). Based on MEPI in Kenya, the Clinical Education Partnership Initiative (CEPI) is a new educational exchange program between UoN and UW. CEPI allows UW residents to partnerwithKenyantraineesinclinicalcareandteachingactivities at Naivasha District Hospital (NDH), one of UoN’s MEPI training sites in Kenya. Methods: UW and UoN faculty collaborated to create a curriculum and structure for the program. A Chief Resident from the UW Department of Medicine coordinated the program at NDH. From August 2012 through April 2014, 32 UW participants from 5 medical specialties spent between 4 and 12 weeks working in NDH. In addition to clinical duties, all took part in formal and informal educational activities. Before and after their rotations, UW residents completed surveys evaluating clinical competencies and cross-cultural educational and research skills. Kenyan trainees also completed surveys after working with UW residents for three months.
    [Show full text]
  • Advertisement for the Position of Clinical Officer
    ADVERTISEMENT FOR THE POSITION OF CLINICAL OFFICER (FOUR No.) TO BE DEPLOYED IN THE POINTS OF ENTRY FOR THE KENYA COVID-19 HEALTH EMERGENCY RESPONSE PROJECT - SELECTION AND EMPLOYMENT OF INDIVIDUAL CONSULTANTS Background The Kenya COVID-19 Health Emergency Response project is the Phase 1 of the Multi-Phase Programmatic Approach for Strategic Preparedness and Response Program funded by the World Bank which aims to prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness. The proposed project aims to assist Kenya in its efforts to prevent, detect and respond to the threat posed by COVID- 19 and strengthen national systems for public health preparedness. Overview The Government is implementing a Presidential directive that, since 16th May 2020, all drivers of cargo vehicles shall be subjected to mandatory COVID-19 disease testing and will only be granted entry into the territory of the Republic of Kenya if they test negative1. There is also a directive of mass testing of frontline workers at the points of entry. To effectively implement this there is need to increase personnel capacity for Clinical Officers, Nursing Officers and Public Health Officers (PHOs) in selected POES and inland surveillance sites along the major transport corridors in Kenya and in Counties at the borders. To operationalize these mentioned areas, four (4) Clinical Officers, fifteen (15) Public Health Officers and Six (6) Nursing Officers will be contracted for in these areas. This will form part of the strategic preparedness and response which is aimed at prevention, detection and response to the threat posed by COVID-19 and consequently strengthening national systems for public health preparedness.
    [Show full text]
  • Healthcare Information Systems Management—Testing And
    Healthcare Information Systems Management—Testing and Evaluation Session LT4, March 5, 2018 Gregory L Alexander PhD, RN, FAAN, Professor, University of Missouri, Sinclair School of Nursing Sue Shumate BS, RN, Health Information Coordinator, University of Missouri/Primaris 1 Conflict of Interest Gregory L Alexander Phd, RN, FAAN Sue Shumate BS, RN Contracted Research: Center for Medicare and Medicaid Services, Innovations Center Missouri Quality Initiative for Nursing Homes, Grant # 2 Agenda • MOQI Model • Systems Analysis Process • Developing Use Cases to Guide Implementation • Iterative Pilot Testing of Technology with Partners • Policy and Standards • Expected Benefits 3 Learning Objectives • Define key differences between LTPAC and traditional healthcare provider organizations in the testing and evaluation of IT systems • Summarize at least one insight an LTPAC provider gained from using analytics to guide their system testing and evaluation effort • Identify CAHIMS testing and evaluation competencies LTPAC provider organizations should most closely watch 4 Please use blank slide if more space is required for charts, graphs, etc. To remove background graphics, right click on selected slide, choose “Format Background” and check “Hide background graphics”. Remember to delete this slide, if not needed. MOQI Primary Project Goals • Reduce avoidable hospitalizations via four aspects of APRN Care Coordination 1. Condition management 2. Early illness detection 3. INTERACT 4. End-of-life/Advanced care planning • AND integrate health information
    [Show full text]
  • Clinical Officers Conference 24 September 2019
    24-26 September 2019 Kenyatta International Convention Centre, Nairobi, Kenya In partnership with: Clinical Officers Conference 24 September 2019 CPD accredited The clinical officer plays a vital role in the healthcare industry in Theme Kenya, as appointed officers who are qualified and licensed to Universal health coverage from word to action: The clinical practice medicine. With the development of universal healthcare officer’s role in its implementation coverage in Kenya; everyone in the industry plays an important role in the implementation. Conference chair Eric Ondieki, National Secretary, Kenya Clinical Officers Association Organized by the Kenya Clinical Officer’s Association, this conference will take an in-depth look into how clinical officers will Key topics assist in this venture, as well as look at some of the pressing topics • Critical care that CO face in their every day practice. • Diagnostic tools in infectious diseases: management and prognosis • Universal health coverage: development of regulations 3 easy ways to register mediceastafrica.com/register [email protected] +254 20 7640755 Agenda Tuesday, 24 September 2019 10:20 Opening remarks Eric Ondieki, Secretary General, Kenya Clinical Officers Association, Nairobi, Kenya 10:30 Welcome Address 11:00 Investment opportunities for clinical officers Dr Fredrick Mak’Otieno, Research Director, Nyanza Reproductive Health Society, Kisumu, Kenya 11:30 The role of clinical officers in UHC Dr Joseph Kweri, Lecturer, Jomo Kenyatta University, Juja, Kenya 12:00 Professional indemnity
    [Show full text]
  • March 12, 2018 Dr. Andrew Gettinger Chief Clinical Officer Office of The
    March 12, 2018 Dr. Andrew Gettinger Chief Clinical Officer Office of the National Coordinator for Health Information Technology 330 C Street, SW Room 7042A Washington, DC 20416 Dr. Kate Goodrich Chief Medical Officer Center for Clinical Standards and Quality Centers for Medicare and Medicaid Services 7500 Security Boulevard Baltimore, MD 21244-1850 Dear Drs. Gettinger and Goodrich: Thank you for the opportunity to provide feedback on reducing documentation burden for clinicians. We appreciate ONC and CMS’s efforts on this important topic. As you know, the American Health Information Management Association (AHIMA) is the national non-profit association of health information management (HIM) professionals. Serving 52 affiliated component state associations including the District of Columbia and Puerto Rico, AHIMA represents over 103,000 health information management professionals dedicated to effective health information management, information governance, and applied informatics. AHIMA’s credentialed and certified HIM members can be found in more than 40 different employer settings in 120 different job functions—consistently ensuring that health information is accurate, timely, complete, and available to patients and providers. AHIMA provides leadership through education and workforce development, as well as thought leadership in continuing HIM research and applied management for health information analytics. AHIMA supports the intent of Section 4001(a) of the 21st Century Cures Act to reduce “regulatory or administrative burdens (such as documentation requirements) relating to the use of electronic health records.”1 We are committed to assisting ONC and CMS in reducing regulatory and/or administrative burdens that hamper the ability of clinicians to provide quality care to their patients while ensuring that health information contained in the electronic health record (EHR) is confidential, complete, accurate, reliable, timely and useful.
    [Show full text]
  • Care (Or Healthcare) Is the Diagnosis, Treatment, and Prevention Of
    care (or healthcare) is the diagnosis, treatment, and prevention of nurse (such as in the United Kingdom), a clinical officer (such as in disease, illness, injury, and other physical and mental impairments in parts of Africa), or an Ayurvedic or other traditional medicine humans. Health care is delivered by practitioners in medicine, professional (such as in parts of Asia). Depending on the nature of chiropractic, dentistry, nursing, pharmacy, allied health, and other the health condition, patients may then be referred for secondary or care providers. It refers to the work done in providing primary care, tertiary care. secondary care and tertiary care, as well as in public health. Primary care involves the widest scope of health care, including all ages of patients, patients of all socioeconomic and geographic Access to health care varies across countries, groups and individuals, origins, patients seeking to maintain optimal health, and patients largely influenced by social and economic conditions as well as the with all manner of acute and chronic physical, mental and social health policies in place. Countries and jurisdictions have different health issues, including multiple chronic diseases. Consequently, a policies and plans in relation to the personal and population-based primary care practitioner must possess a wide breadth of knowledge health care goals within their societies. Health care systems are in many areas. Continuity is a key characteristic of primary care, as organizations established to meet the health needs of target patients usually prefer to consult the same practitioner for routine populations. Their exact configuration varies from country to check-ups and preventive care, health education, and every time country.
    [Show full text]
  • Solomon David Chomba Working As a Mental
    Two for One: The Tandem PA Comparable in Malawi Author Profile: Solomon David Chomba Working as a Mental Health & Psychiatrist Clinical Officer, Solomon David Chomba BSc, leads the mid- level practitioners in Malawi by sitting as the co-founding president of the Physician Assistants Union of Malawi, the umbrella body for Clinical Associates (CA), Clinical Officers (CO), Medical Assistants (MA) and Dental Therapists (DT) alike. General Information: Malawi has multiple levels of mid-level medically trained clinicians. In 1890 the medical assistant position was created, Because of the physician shortage, the Clinical Officer (CO) profession was established in 1979 as a short-term measure. The CO proved to be so critical in health systems which made the Ministry of Health (MoH) to continue developing the CO profession. The MoH recognized that this well-trained cadre worked well in compliment with the MA and became the backbone of health care in Malawi. While there are two terms for the profession, Clinical Associate (CA) is the formal title given to mid-level providers within the country. Entry Criteria: The entry certificate is a Malawi School Certificate of Education which is a highest secondary education certificate. This applies to Medical Assistant and Generic Clinical officer. There are no pre-requisite degrees required for entry into a CO, MA, or BSc program. However, an MA can upgrade to a diploma using their Clinical Medicine Certificate and completing a two-year bridging program. If specialties like orthopedics, ophthalmology, or anesthesia are desired, the conversion program is 18 months. Written and oral entrance exams are required for entry into every program.
    [Show full text]
  • PERSPECTIVE Improving Access to Hearing Care Services and Professionals in Africa Through Task Sharing: the Malawian Experience Wakisa Mulwafu1, Johannes J
    Open Access PERSPECTIVE Improving access to hearing care services and professionals in Africa through task sharing: The Malawian experience Wakisa Mulwafu1, Johannes J. Fagan2 1. Department of Surgery, College of Medicine, Blantyre, Malawi 2. Division of Otolaryngology, University of Cape Town, Cape Town, South Africa Correspondence: Prof. Johannes J. Fagan ([email protected]) © 2019 W. Mulwafu & Johannes J. Fagan. This open access article is licensed under a Creative Commons Attribution 4.0 International License (http://creativecommons.org/ East Cent Afr J Surg. 2019 Apr;24(1):78–81 licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. https://dx.doi.org/10.4314/ecajs.v24i2.1 Abstract A task sharing model to improve access to audiology and ENT services is presented that has been successfully introduced in Mala- wi to overcome the shortage of specialist care. The Malawian experience also clearly demonstrates that with appropriate training, endoscopic myringoplasty can be successfully performed by mid-level health workers. Based on the Malawian experience, we recommend that developing countries with skills shortages should embrace task sharing with mid-level health workers assuming roles traditionally reserved for medical doctors, audiologists and otolaryngologists, including endoscopic myringoplasties, to im- prove access to hearing care services. Keywords: audiology, otorhinolaryngology, ENT, hearing loss, conductive hearing loss, myringoplasty, task sharing, community health workers, mobile health units, Malawi Introduction mously to increased pressure on the health delivery system.
    [Show full text]
  • Bridging the Human Resource Gap in Surgical and Anesthesia Care in Low
    Ashengo et al. Human Resources for Health (2017) 15:77 DOI 10.1186/s12960-017-0248-6 REVIEW Open Access Bridging the human resource gap in surgical and anesthesia care in low- resource countries: a review of the task sharing literature Tigistu Ashengo1,2,3, Alena Skeels1*, Elizabeth J. H. Hurwitz1, Eric Thuo2 and Harshad Sanghvi1 Abstract: Task sharing, the involvement of non-specialists (non-physician clinicians or non-specialist physicians) in performing tasks originally reserved for surgeons and anesthesiologists, can be a potent strategy in bridging the vast human resource gap in surgery and anesthesia and bringing needed surgical care to the district level especially in low-resource countries. Although a common practice, the idea of assigning advanced tasks to less-specialized workers remains a subject of controversy. In order to optimize its benefits, it is helpful to understand the current task sharing landscape, its challenges, and its promise. We performed a literature review of PubMed, EMBASE, and gray literature sources for articles published between January 1, 1996, and August 1, 2016, written in English, with a focus on task sharing in surgery or anesthesia in low- resource countries. Gray literature sources are defined as articles produced outside of a peer-reviewed journal. We sought data on the nature and forms of task sharing (non-specialist cadres involved, surgical/anesthesia procedures shared, approaches to training and supervision, and regulatory and other efforts to create a supportive environment), impact of task sharing on delivery of surgical services (effect on access, acceptability, cost, safety, and quality), and challenges to successful implementation.
    [Show full text]
  • Brown & Toland Physicians Welcomes K. Warren Volker, MD, Phd, As
    Brown & Toland Physicians Welcomes K. Warren Volker, MD, PhD, as Chief Medical Officer Oakland, Calif. [Feb. 23, 2021] – Brown & Toland Physicians announced today the selection of K. Warren Volker, MD, PhD, as chief medical officer. Volker will lead the clinical and quality operations and initiatives throughout the organization and partner with physicians across the network to provide the support necessary to improve care, access, coordination, and value to Brown & Toland’s more than 355,000 members and 2,700 physicians. Volker will be reporting directly to chief executive officer Kelly Robison. “Warren’s clinical vision and proven leadership, together with his history of innovation and entrepreneurship, will further strengthen our mission to deliver value to our members and physicians,” said Robison. “His extensive background in health plan modeling, population health and risk-based managed care will serve us well in this pivotal stage of the company’s growth.” A researcher, educator, surgeon and innovator, Volker is an internationally recognized pioneer in robotic and minimally invasive surgery and a leader in women’s health. He joins Brown & Toland from Intermountain Healthcare, a Nevada multispecialty medical group where he was chief clinical officer. Previously, he founded and served as chief executive officer of WellHealth Quality Care, among the largest multispecialty medical groups in Southern Nevada with more than 100 providers and an accountable care IPA network representing nearly 4,000 physicians. Throughout the last two decades, he has launched and led several companies spanning, and intersecting, the health care, technology and insurance fields. A member of the American Association of Gynecological Laparoscopists, Society for Laparoscopic Surgeons and American Medical Association, Volker is board certified by the American College of Obstetrics and Gynecology, where his focus is on minimally invasive and robotic (MIGS) gynecology/ pelvic reconstruction surgery.
    [Show full text]
  • Chief Clinical Officer
    JOB POSTING Chief Clinical Officer Position Summary: The Chief Clinical Officer provides oversight and leadership to an experienced staff of Nurse Clinical Directors, the Director of Population Health and the Director of Pharmacy. Responsible for providing clinical leadership, fostering superior quality patient care, standardizing clinical protocols, developing clinical strategic goals and program expansion and contributing to the recruitment and retention of clinical staff. Promotes inter-departmental collaboration working closely with the health center’s Chief Medical Officer and Chief Dental Officer using a balanced and collaborative approach across all health center services. Partners with Tandem Health’s affiliates to ensure continuity of care and serves as a visible leader in the community advocating for decreasing health disparities and improving population health. Duties and Responsibilities: Operations: • Oversees the development, implementation, and monitoring of clinical standards for all clinical support employees, beginning within the hiring process and continuing through their entire employment to ensure clinical competency. • Oversees clinical projects and ensures that Nurse Directors and Managers have the needed resources to meet project goals. • Identifies, facilitates, implements, and performs on-going evaluation of new programs and service lines. • In collaboration with others in leadership, develops operational plans for clinical support areas; communicates and continuously evaluates plans. • Ensures appropriate clinical education is available within Tandem Health to support the development and continued competencies of clinical employees. • Develops, plans and implements policies, procedures and protocols to support clinical and other patient care services. • Conducts annual review and revision of Healthcare and Pharmacy Policies and Procedure manuals. • Develops and supports internal controls to ensure that policies and operating procedures are followed, necessary controls are effective and efficient.
    [Show full text]