Human Centered Design (HCD) Infectious Disease Mobile Clinic (Sub-Contractor - CDC & NACHC)

Worked with the National Association of Community Health Centers (NACHC) and Federally Qualified Health Centers (FQHCs) leading the application of HCD to design solutions that address issues experienced by those with Infectious Diseases, such as HIV/AIDS, using telehealth in rural and other underserved communities, collaborating with community-based organizations (CBO’s), and the county public health department, to build reusable infrastructure that integrates telehealth in mobile clinics, supporting health equity and reduction of total cost of care.

Using Lean methods partnered with Health IT vendors and community partners to enable secure transfer of Protected Health Information (PHI) between hospitals, nursing homes, public health, and clinics to coordinate care to reduce total cost of care and unnecessary re-admissions.  Deployed and integrated an ADT alert in rural MN county serving 35,000 covered lives. 

Conducted 100+ multi-stakeholder Lean event and facilitated post-event implementation to redesign guideline development and implementation to include downstream perspectives (e.g., informatics, implementation, evaluation) in the creation of evidence to address the evidence-to-practice time lag. Implementation included the development of a new international health IT standard for computable guidelines, a new integrated process for co-developing narrative and computable guidelines, and a new evaluation framework as well as further adapting the Kaizen (Lean) method for large, multi-organizational, complex processes.

Annually develop, design, and facilitate a Lean Learning Collaborative. Provide training and coaching to approximately 75-100 Health Center participants, focused on patient outreach and enrollment services.  Example project outcomes - Health Center revenue increased $360k annually, 29% decreased in enrollment denials, increased employee satisfaction, reduced workload on front-line staff, met patients' needs knowing services would be covered, spread learnings to 5 other health center focus areas and other network partners.

Using a mix of improvement methods successfully implemented solutions in FQHC's around the following:

Medicaid ACO - Pre-visit planinng Medical and Behavioral Health -Resulting in total cost of care reduction, improved hand-off's, increased care coordination.

Ryan White Case Management Referral Process - Increased revenue, closed referrals, and staff satisfaction.

Guidelines International North America - Clinical Practice Guideline Human Centered Design Event

Quality Payment Program Merit-based Incentive Payment System (QPP MIPS) Qualified Registry and QCDR - Product Development for QPP MIPS Reporting Interface

Data Registry - Clinical Quality Measure and Value-Based Care Education and Advisement

Specialty Association for Community Health Centers - Data governance, Lean training and SOP creation

Statewide Interoperability maturity assessment of multiple care settings