EW #363 has over 25 years experience as Adult Nurse Practitioner in private practice and HMO setting; Expertise in Urgent Care and Telephone Triage/Telenursing; Published "Nurse Telephone Guidelines for Harvard Pilgrim Health Care" 1997; Lectured nationally on the topic of telephone triage and protocol development; Experience providing expert nursing witness, medical case reviews , summaries, depositions; Experience overseeing all operations of 24 hour Clinical Call Center for Harvard Pilgrim Health Care; Published in nursing and medical journals on the topic of telephone triage and risk management. Currently responsible for managing Harvard Pilgrim HealthCare's web based, interactive "Ask A Specialist" service; Q&A between patients and clinicians, online.

PROFESSIONAL EXPERIENCE:
MANAGED CARE, Boston, MA 2000 - 2004, Program Administrator, eHealth Web Development Team
Participate as a clinician member of the eHealth Web Development Team, designing the overall strategy for Pilgrim's internet, intranet, and Business to Business sites.

Responsible for design, functionality, clinical content, and management of Ask an Expert, an interactive website for members/specialists on Harvard Pilgrim's home page; Created and published an on-line WebLibrary, containing over 1500 health related websites, as a reference tool for HPHC members; Serve as WebLibrarian for members with special interests needing research assistance;
Assume major responsibility for assessment, selection, and development of partnerships / affiliations, with web-based interactive health content providers, including Provider contracting and designing functionality for HPHC End Users.
Responsible for working with HPHC's Disease Management Program Administrators, to identify and develop web-based interactive options for providers and patients to help manage and monitor chronic diseases.

Chief of Nursing 1988 - 1999, Program Administrator, Clinical Telecommunications/Emergency Services
Manage HPHC's 24 hour Call Center, which includes a 12 hour daytime health information line and a 12 hour nighttime emergency telephone triage service for the Health Center Division, providing care to a population of 350,000 members. Recruit, train, and supervise a clinical staff of nurses, physician assistants and physicians. Participated in design, selection, and implementation of interactive healthcare software for use by clinical staff. Developed telephonic inbound and outbound component of Disease Management Programs, including Congestive Heart Failure and Diabetes.

In collaboration with nurse and physician colleagues, established written telephone triage guidelines; Served as Clinical Editor for HPHCs recently published Nurse Telephone Triage Guidelines, .1997
Developed departmental quality assurance program;
Established telephone triage tape library for use in staff training, QA, and risk management;
Served as User Sponsor for development of MIS software; participated in designing the prototype and functional specs;
Provide ongoing consultation and training to colleagues in the area of telephone triage; present lectures at national conferences; provide consultation to private practices regarding management of telephone demand, and clinical decision making support tools;
Recipient of HPHCs Diamond Award for outstanding achievement, 1994
Designed and launched a new service to members, Ask Cybernurse, offering interactive health information to Harvard Pilgrims members posting electronic inquiries.

Assistant Director - HPHC Emergency Services at Brigham & Women's Hospital 1986 - 1988
Served on the planning and implementation team for HPHCs 24 hour/day Emergency Service , located at
Brigham & Women's Hospital . Later, assumed Assistant Director position, and responsibility for day to day operations, all non-physician personnel, and fiscal management.

Recipient of HPHCs Diamond Award for management of the staff through
transition, 1988

Clinical Manager 1980 - 1986, Urgent Care, HPHCs Cambridge Center
Provided direct care to members, and served as clinical manager for the Cambridge Center's Urgent
Care Department. Responsible for all aspects of the day to day operation, personnel, and budget for the department, which provided urgent care to members 7 days/week.

Established a Skills Building Workshop Series, which trained clinicians on various aspects of urgent care: suturing, casting, radiology interpretation, etc. Developed a CEU approved course, which ran throughout the academic year.

MICHAEL REES MEDICAL ASSOCIATES , Brookline, MA 1979 - 1980
Nurse Practitioner
Provided direct patient care within an internal medicine private practice . Responsibilities included office based practice, home visits, and collaboration with community health agencies.

BETH ISRAEL HOSPITAL , Boston, MA 1976 - 1981
Senior Research Nurse, Clinical Research Center
Nurse Practitioner, Walk-In Clinic
Provided direct care for patients participating in clinical research protocols. Worked with principal investigators in the design and implementation of clinical research protocols. Primary specialty areas: endocrine and oncology.

UNIVERSITY OF MINNESOTA HOSPITALS , Minneapolis, MN 1975
Staff Nurse, Diagnostic Care Unit
Provided direct care for patients undergoing medical and surgical diagnostic studies. Included pre and postoperative teaching and clinical monitoring of patients. Diagnostic studies included bone marrow aspirations, angiograms, kidney transplant donor evaluations, oncology staging and treatment , allergy testing.

EDUCATION:
Simmons College, Graduate Program in Primary Care, Boston, MA 1978
Master of Science in Nursing
Certification as Adult Nurse Practitioner
University of Minnesota, School of Nursing, Minneapolis, MN 1975
Bachelor of Science in Nursing with distinction

1. 1) Medical/Legal : Case evaluations, including review of current literature, medical records, depositions, interrogatories, policy and procedure manuals, relevant Nurse Practice Acts, etc. Typically includes verbal or written case summary and rendering an expert opinion regarding standards of nursing care and/or deviations as related to Nurse Practice Acts and/or regional or local customary practices.


2) Healthcare Consulting: May include the following areas of expertise:




Nursing Administration;




Nursing Education;




Managed Care, Telephone Triage, Risk Management - overview for healthcare providers and allied health staff;




Clinical Guideline Development;




Information Technology: assessment of online health programs (e.g. disease management), consumer health resources, and clinical tools to assist healthcare providers in working effectively and efficiently through the use of technology (e.g. electronic medical records, custom software applications).