FUSE Health Strategies LLC
President & Co-Founder, 2013 - present
FUSE is a healthcare consulting group with expertise in health services, policy, regulation, and information technologies that focus on behavioral health, particularly with the integration of mental health and addiction services within primary care through new models of care, including Patient Centered Medical Homes, Accountable Care Organizations, and Collaborative Care. I am available for consulting opportunities through FUSE.
M3 Information LLC
Chief Medical Information Officer, 2012 - present
M3 Information developed WhatsMyM3, a free private website and app (iTunes & GooglePlay) allowing individuals to determine their mental health score and track progress over time. For primary care practices, we also developed M3Clinician, an evidence-based, NCQA-approved care management tool, based on the validated and peer-reviewed M3 Checklist, that provides clinical decision support to help ACOs, PCMHs, FQHCs, and other primary care groups to quickly and accurately screen all adult patients for risk of depression, bipolar, anxiety, PTSD, and substance use disorders at the point of care. M3Clinician helps find unidentified cases, avoid mistreatment, and allows for monitoring of patients’ progress over time using a secure patient registry.
American Psychiatric Association
Chair, Committee on Mental Health IT, 2011 - present
Formerly the Committee on Electronic Health Records, the committee's charter expanded in 2013 to cover a range of health information technologies as it impacts our profession, including electronic health records, personal health records, health information exchange, mobile health technologies, psychiatric informatics, secure messaging for communicating health information, and addressing of relevant health care policies, including state and federal regulations and statutes, on issues relating to mental health information technology, such as privacy, security, patient access, granular consent, data segmentation, usability, clinical decision support, meaningful use, and functionality.
Maryland Health Care Commission
HIE Policy Board Member, 2011 - present
Responsibilities of the Board include development and recommendation of policies for privacy and security of protected information exchanged through an HIE operating in Maryland, which are then used by the MHCC as a basis for regulations for HIEs to implement. In particular, the Policy Board establishes policies regarding consumer authorization and consent, user authentication, role-based authorization, security requirements, and audit trail requirements. The Policy Board will develop policies that ensure a high level of privacy and security protections for HIEs in Maryland. Current list of policies at http://1.usa.gov/18dWZn9.
URAC Health Standards Committee
Committee Member, 2004 - present
URAC is a quality standards development organization that accredits health insurance plans, care management organizations, ACOs, and other health care accreditation products. The HSC is a multidisciplinary group that establishes the standards, rigorously vets them via public commenting, and maintains them. URAC was the first quality organization that adopted standards around the demonstration of mental health parity for health plans.
University Of Maryland's Baltimore Washington Medical Center
Chair, Dept of Psychiatry, 2004 - 2013
Recruited in 2004 to build consultation services and improve service quality and consistency. During my tenure, we went from a division under the Department of Medicine to a full Department, with participation on the Medical Executive Committee and other levels of integration within hospital administration, and I oversaw three successful Joint Commission reviews. We renovated the inpatient unit to include state-of-the-art safety features and expanded its capacity by adding “expansion beds” to better meet the needs of the community. We nearly doubled the volume of mental health patients see in the ED. We transitioned from a department managed by Sheppard Pratt to being managed by BWMC-employed clinicians, resulting in improvements to physician retention and improving our positive contribution margin to the hospital. We improved consult turnaround time and overall efficiency. PHP and IOP continue to be successful outpatient programs with excellent staff managing challenging patients. Added an outpatient “Bridge Clinic” to temporarily treat outpatients as they transition to outpatient community providers, resulting in reductions in length of stay and cutting 30-day readmission rates in half for referred patients. BWMC remains the only provider of inpatient psychiatric services for Anne Arundel County, serving more than a half million residents, as well as those coming from Baltimore City and surrounding counties.
CCHIT Behavioral Health Work Group
Co-Chair, 2008 - 2010
Oversaw an excellent multidisciplinary development team that established, vetted, and finalized certification standards for behavioral health electronic health records (stand-alone and add-on).