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Title Vice President Internal Medicine
Target Location US-PA-Gettysburg
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Candidate's Name , DO, FACOIStreet Address  EMAIL AVAILABLECell-PHONE NUMBER AVAILABLEEMPLOYMENT HISTORY:July 31, 2023  present, WellSpan Medical Group  V Twin Internal MedicineJanuary 23, 2023  July 30, 2023 - sabbaticalNovember 2016  January 23, 2023Vice President, UPMC Central Region/Hospital Svs. (7 hospitals, 15 nursing homes & 6 clinics)Position management includes:Hospitalist program (8 medical directors and > 200 FTEs) > 700 encounters dailyIntensivist program (120 beds, 6 medical directors and 50 FTEs)Pulmonary & Thoracic surgery practice (7 medical directors & > 70 FTEs)Sleep Medicine & Respiratory Therapist (3 directors and > 140 FTEs)Senior Care Services (15 nursing homes, 7 medical directors, > 45 FTEs and 4,500 lives managed)The UPMC Regional Vice President is responsible for staffing, operational and financial performance, quality metrics, strategic vision/development and patient experience of his/her programs. Direct oversight of all budgets/contracts/recruitment/terming and staff development including co-chair of the Value Implementation Team. Responsibilities include: seven hospitals, 8 - ICUs, nine CCRC/SNF/rehabs, six clinics and > 30 medical directors with 500 + FTEs.Achievements:Development of an employed Pulmonary/Critical Care program from 2019  2020, recruiting over 25 physicians and 20 APPs in 14 months - just prior to COVID 19 pandemic - while moving on our previous private pulmonary and critical care group (one of our biggest team achievements)Personally worked in our ICUs and nursing homes 2020 - 21 (during pandemic surges)Development of three additional Pulmonary practices 2019  2021Development of Sleep Medicine services as an independent entity 2020 -2021Reduced locum utilization at Legacy hospitals in 2015 to zero over two years with a savings annualized at 6 million dollars.Expansion of ICU APP program across the system, 20 FTEs, with zero locums, savings of 1.8 million dollars and eventual build of a system employed Pulmonary Critical Care ProgramEPIC Hospitalist and ICU support of successful go-live in five new hospitals, 2017 - 2019Development of a Hospitalist Heart Failure service line  2017-present, success with readmission rates of 3-5 %, LOS reduced X 1 day CPC reduced X 1200 dollars, Truven mortality 1%, received the HAP 2019 Excellent Care Award for large healthcare systems and AHA conference presentationBrokered extraction of 20 Hospitalist providers in Lancaster region, savings of 2 million dollars/yearReal readmission reduction as noted in PHC4: COPD readmission rate reduction from 13 % to 3.6% to 2.8 % over three years. Sepsis to sepsis readmission rate at 15.6 compared to state average of 18%. CHF team readmission reduction from 16 to 5 % over 22 months and increased palliative care from 20% to 90%, SNF sepsis readmission rate down from 19% to 14% 2016-2018Regional and State sepsis consultant/educator 2016  2020, Hospital Association of PA (HAP)First nationally, to develop a shared savings agreement with Continual Care Retirement Communities (CCRC) setting a new standard for SNF/rehab care and reimbursementMedical Legal Counsel for UPMC Pinnacle  risk managementInternal Medicine Teaching Service Attending at UPMC PinnacleJune 2015-2016 Medical Director Pinnacle Health Systems at Community General Osteopathic Hospital (CGOH) 177 bed hospital) and Site Director of Hospitalist Program at CGOH, Harrisburg, PaAs System Sepsis Chair, reduced severe sepsis mortality over 12 months by 40 % consistently through establishment of a 25 member Sepsis CET ranking PHS in the top 10 % in the nation for sepsis care as ranked by CMS, also increased three hour sepsis bundle compliance from < 50 % to > 85% for that same time period through collaboration, standardization with ER/Hospitalist and Nursing. Reduced sepsis LOS by 0.6 days saving approximately 3 million dollarsAs System CMI champion, saw a system CMI bump from 1.41 to 1.57 and CGOH up from 1.44 to 1.62EPIC super-user and provider trainer -- 2016, although not my strengthHAP (Hospital Association of Pennsylvanias) Sepsis Physician Champion/Director and QI consultant  2016 - presentDeveloped and directed an In Patient Liaison Team with our Director of PACN, mentoring APCs through a population health model and on call for sepsis reducing readmissions from 33% to 12 % through real time collaboration2012-2015 Position: WellSpan Health, Associate Medical Director - Hospitalist Program & Chair Dep. of Medicine, Gettysburg, PaAs Associate Medical Director and Chair of Department of Medicine, was directly responsible for: Onboarding employed Hospitalist and thereby completely reducing Locums use to zero within one year, savings realized 1.5 million. Worked closely with non-employed per diem staff to achieve this objective through comp plan retooling, APCs and friendshipsAs Chair of System Pneumonia CET (over a 5 year period) Achieved 95% + metrics with antibiotic timing, vaccination and blood cultures. During that same tenure saved the system > 500 K per year in collaboration with ID and Pharmacy to facilitate automated antibiotic substitution and promote stewardship. Reduced C. diff infection rates X 35 % through quinolone reduction and hygiene campaigns for all - ongoingEstablished Primary Stroke Center as Gettysburg Stroke DirectorResponsibilities: Infection Control Chair ICU DirectorStroke Director Diabetes CET member Mentor all new hire Physicians and APCsLiaison to VPMA, DON and President of Gettysburg Hospital2003-2012 Position: Attending Physician and Site DirectorAt WellSpan Medical Group, Adams County Internal Medicine, (ACIM), operated one of the highest rated IM practices (top 5%) and boasted one of the most financially efficient practices peaking at 1,100 endoscopies per yearResponsibilities: Site Director of ACIM Over-sight all staff and physiciansPractice Involved: internal medicine, emergency medicine, Hospitalist medicine, GI and musculoskeletal medicine2000-2003 Position: Attending physician at Gettysburg Internal Medicine, a private practice firm of seven physicians2000-2005 Position: Major, USAF Medical Corps, Willow Grove, Philadelphia, PA(Active Reserve). One week end per month and two weeks per year. Activated for Operation Iraqi FreedomAs Major in the USAF in 2001, was primary coordinator and contact for restart Smallpox vaccination in the Northeast, post 911 Oversight for 5,000 troops in preparation for Operation Iraqi FreedomPractice involved: Anthrax and Smallpox vaccine consultant andliaison to Base Commander, medical clearance for active duty troops and internal medicine consultant1998-2000 Position: Captain, USAF Medical Corps, Hill Air Force Base Layton, Utah(Active Duty) reduced outsourcing saving base > 500KPractice Involved: Chief of Internal Medicine and Coumadin Clinic, Utah State Advisory Board Member - Hepatitis-C, ACLS Instructor, Gulf War Syndrome Consultant, Director of Emergency Tech School1995-1997 Captain, USAF Medical Corps, Harrisburg, PA(Inactive Reserve)1995-1998 PinnacleHealth Systems, Harrisburg, PAPGY -1- Internal Medicine ResidentPGY -2- Internal Medicine Resident and Chief ResidentPGY -3- Internal Medicine Resident and Chief Resident1991-1993 ATSU/- Kirksville College of Osteopathic MedicineKirksville, MOLab assistant during medical school1990-1991 Neiderers Floor Covering, Hanover, PA Supervisor and mechanic1998-1990 Bayard Sales Corp, Harrisburg, PASalesperson1978-1990 Stoner Ceramic Tile, Flooring and Remodeling, Gettysburg, PAMechanic and supervisorHOBBIES/FAMILY:Special time with my wife, four children and five grandchildren American Civil WarEDUCATION:1998-2005 United States Air Force, Officers Training School (OTS), multiple advanced degrees including: Bio Warfare, Incident Command & Combat Casualty Care, Military Management1991-1995 Doctorate of Osteopathy, ATSU/Kirksville College of Osteopathic Medicine, Kirksville, MO 1984-1988 B.S. Biology, York College, York, PaPOSTDOCTORAL EDUCTION:1995-1998 Resident, Department of Internal MedicineUPMC/PinnacleHealth Systems, Harrisburg, PA 171092011- Present Fellow American College of Osteopathic InternistsMEDICAL LICENSURE: Pennsylvania State: PA 0S009226-L (Active)DEA: PA (Active)OFFICES HELD:2015-present PinnacleHealth Sepsis Chair/Champion 2014-2015 Chair Department of Medicine, Gettysburg Hospital and MEC2010-2014 Chair Pneumonia Clinical Effective Team  System WellSpan2013-2015 Director Stroke Team, Gettysburg Hospital2008-2014 Vice-Chair Department of Medicine, Gettysburg Hospital2005-2008 Chair of Department of Medicine, Gettysburg Hospital2004-2012 Site Director, ACIM (Adams County Internal Medicine)1998-2000 Chief of Internal Medicine, Hill AFB, Layton, UT 1998-2000 Director-Emergency Medical Technician School, Layton, UT1996-1998 Chief Medical Resident, PinnacleHealth, Harrisburg, PA1997-1998 Acting Chair of Intern-Resident Recruitment Committee,PinnacleHealth, Harrisburg, PA1995-1996 Pennsylvania Osteopathic Medical Association Representative1992-1993 Vice-President - Student Government, Medical School1987-1988 President - American Institute of Biologic SciencesCERTIFICATIONS andSPECIAL TRAINING:Board certified, Internal medicine - Hospitalist Medicine, August 2016  July 2026 via AOBIMWellSpan Physician Leadership Institute, 2010-2013FACOI - 2011Board certified, Internal Medicine, 1998-2008 and recertified - 2010-2020, lapse from 2008-2010 due to divorce, via AOBIMUSAF-Combat Casualty Care Course, Houston Texas, 1999  intensive NBC trainingUSAF-Military Management, Hill, AFB, Utah, 1999Nuclear, Biologic and Chemical Warfare Training, Fort Dietrich, Frederick, MD, USAF1999-2005Anthrax and Smallpox Vaccine Course, Atlanta, GA and Fort Dietrich, Frederick, MDUSAF 1999-2005Allergy Extender Course-Travis AFB, CA, 1999 - 2000Basic Life Support-CurrentAdvanced Life Support-CurrentMEMBER:Medical Staff  UPMC/PinnacleHealth Systems and Select (long term acute care rehab hospitals) 2015 to present and in good standingMember ACHE  2018, pursuing FACHEMedical Staff  WellSpan, Gettysburg Hospital, 2000 to 2015Diplomat American Board of Osteopathic Medical ExaminersFellow of the American College of Osteopathic Internists, awarded 2011American Osteopathic AssociationPOMAVOLUNTEER:Boy Scout Lectures on the Battle of Gettysburg, 1863 and period artifactsProvide educational resources to PinnacleHealth nurses, residents and staff through lectures and general support, 2015  presentInternal Medicine and Family Practice teaching Faculty, 2015 - presentProvided educational resources for WellSpan  Gettysburg and York Hospital staffWork with less fortunate youth through medical mentoring, 2000- presentVolunteer through faith based organizations with those in needMentor 4-6 medical students and/or APCs annually, 1998-presentACLS (Advanced Cardiac Life Support Instructor) 1995-2005ATS Lecturer, 1998-2000Flood relief, Hannibal, MO 1992North East Missouri State Health Clinic, 1991-1993Med School Teaching Assistant, Physician Exam Skills, 1993AWARDS, SCHOLARSHIPS AND RECOGNITIONS:HAP 2019 Award for Excellence and Optimal Operations in a large Healthcare System for Interdisciplinary Excellence in Heart Failure CareSepsis Champion UPMC/PinnacleHealth, National recognition for Mortality Reduction, 2015  presentMedical Director WellSpan Hospital Leadership Recognition Award 2015WellSpan Nutrition Support 2014 Physician of the Year Award, 2004, 2006 and 2013Military Medal of Achievement, saved the Federal Government $500,000.00Teaching Recognition Award, 1995-1998 PinnacleHealth SystemsInternal Medicine Award for Excellence, 1995-1998Physician of the Year Award, 2004, 2006 and 2013 WellSpan - Gettysburg HospitalBOOKS, LECTURES, PAPERS and PRESENTATIONS:Heart Failure Hospitalist Can Reduce Length of Stay, Can Reduce Length of Admission and Can Reduce Cost Presentation at the 23rd Annual Scientific Presentation, Heart Failure Society of America, 2019. Authors: Jesus Vargas, MD, Ankit Goel, MD, Candidate's Name , DO, FACOI, Kim Fowler, BSNDischarge Throughput, Reducing Readmissions, 2019  co-author, submitted for publicationSepsis Grand Rounds UPMC/PinnacleHealth Nursing staff and residents - 2015- presentATSU conference Sepsis lecturer, 2017 - presentHAP state sepsis conference in Harrisburg September, 2017 - 2019Sepsis speaker at Pennsylvania State Capitol with survivors and State Legislature - 2016CMI education PinnacleHealth CDI staff, residents, providers, coding specialist teams  2017OPERATION SURVIVAL - 2015, a 200 page practical guide to medical preparednessNumerous lectures for nursing and physicians at WellSpan Health, including: CHF,DVT/PE, Pneumonia, Shock, DM/DKA/HNK, Vitamin D Deficiency, Stroke, MI-AcuteCoronary Syndrome and many more, 2000 to 2015CME lecturer, Vitamin D Deficiency, Adams, York County and WellSpan Health- Medical Group, 2011Expert witness, traumatic fibromyalgia, USAF, 1999-2001Expert witness addiction impact on small communities, 2006-2007Expert witness, trauma related death, 2009Cardiac Arrest, MVP  presentation, 2009Bristol-Myers Squibb, AstraZeneca, Pfizer and Schering pharmaceutical companies education lectures 1996-2005Chronic Active Viral Hepatitis, case and review of the literature, 1999-2005, USAFPulmonary Artery Catheter Grand Rounds, Hershey Medical Center, Hershey, PA-1998Purulent Pericarditis Senior Paper, case and review of the literature, PinnacleHealth-1998

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