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TODD N. FLETCHER

New Orleans, LA 70125 fastappraisal@cox.net (504) 329-4343

HEALTHCARE EXECUTIVE

HEALTHCARE QUALITY OPERATIONS

CERTIFIED PROFESSIONAL IN PATIENT SAFETY (CPPS) SYSTEMS MANAGEMENT BUDGET MANAGEMENT PERFORMANCE IMPROVEMENTOPERATIONS MANAGEMENT

Experienced, accomplished Healthcare Leader with 25+ years of proven success in operations management, patient throughput, budget management and improvement, total quality management and healthcare information systems. Developed higher productivity systems management strategies through the Science of Improvement (SOI) and continuous improvement methodologies. Expert in business case development, HARM reduction and operational alignment efficiencies. Targeted and initiated multiple financial and operational improvements with over $5 million hard-dollar savings.

Operations Strategy Regulatory Compliance HCAHPSHIPAA Data Management Meaningful Use Application Development Operational/Technology Alignment & ImprovementHuman Factors OR and Materials Management Systems Risk Management Client Relations Statistical Process Improvement Staff MentorshipPatient ExperienceHealth Systems Engineer

PROFESSIONAL EXPERIENCE

RGP HEALTHCARE, San Francisco, CA

A global services consulting firm in finance, accounting, human capital, information management, internal audit,

legal, supply chain and healthcare.

2012- present

DIRECTOR PRODUCT MANAGEMENT

Key architect and development strategist for fully integrated risk management software applications including incident management, patient relations management, peer review, corrective action planning with root cause analysis, claims management, audit and assessments. Creative director for user experience design, prototype development and application development. Key thought leader for future quality improvement initiatives and consulting with client requests for product development and enhancements.

ACS HEALTHCARE SOLUTIONS, Dearborn, MI

Global technology services company offering IS payers and provide services to the healthcare sector including

application delivery and process outsourcing. Annual revenues of $6.52B and 74,000 employees worldwide.

2009- 2012

DIRECTOR PRODUCT MANAGEMENT

Key architect and development strategist for JRepository accreditation tool for continuous Joint Commission compliance; responses to survey findings, performance improvement design and coordination of data collection strategies, survey readiness. Key internal educator for Agency for Research & Quality (ARHQ) , Incident management, Meaningful Use, ICD-10, ARRA (American Recovery and Reinvestment Act) HiTech (Health Information Technology for Economic and Clinical Health Act), ACS Consultants. Design of AHRQ compliant event reporting application, development of tracer methodology for ensuring accurate reporting with an interactive charting tool.

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TODD N. FLETCHER fastappraisal@cox.net

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TOURO INFIRMARY, New Orleans, LA

Founded in 1852, Touro Infimary is New Orleans’ only community based, not for profit, faith-based hospital.

1994-2009

PERFORMANCE IMPROVEMENT INTERNAL CONSULTANT

Strategic responsibility for accreditation and quality improvement initiatives including NPSG (National

Patient Safety Goals) and 100K Lives Campaign.

Board and Hospital Quality Council. Developed key performance indicators and automated graphical

dashboard presentation for COO and all hospital departments. Program management for deployment of Clarity incident management, Joint Commission Readiness and J-Repository systems.

Chairperson of Quality Committee for the Governing

DIRECTOR CLINICAL RESOURCE MANAGEMENT (CRM)

Operational responsibility for Case Management, Social Services, Accreditation and Medical Staff Committees. Reduced length of stay, denied and avoidable days by creating an appeal program recovering $219K first year. Alignment of medical staff performance improvement and peer review structures. Development standardized graphical reporting system for medical staff committees. Developed 12- step Revenue cycle model to automate cost benefit analysis for purchase vs. development initiatives. Developed analysis and recommendation for transfer DRG analysis to maximize reimbursement.

DIRECTOR PERIOPERATIVE SERVICES/ICU

Operational responsibility for $7.5 Million budget and $35 Million patient charges. Program management for installation of perioperative system including materials and inventory management. Reduced inventory by $250K, automated inventory management. Developed service lines for Orthopedics and EENT (Eye, Ear, Nose & Throat). Design of day surgery suite OR and Pre-operative evaluation center

UCSD MEDICAL CENTER, San Diego, CA

University of California San Diego is one of the world’s leading public research universities. UCSD Health System is the region’s only academic health system.

1989-1994

BUSINESS ADMINISTRATOR PERIOPERATIVE SERVICES

Operational management of 3 surgical facilities, 12 cost centers and 5 area managers. Reduction of budget by $4.5 Million through development of cost competitive savings strategy. Alignment of product line charges to match managed care reimbursement. Simplified budgeting process and created reserve fund for major capital purchases.

SENIOR MANAGEMENT ENGINEER

Developed entire staffing model for newly constructed 173 bed hospital. Developed UCSD Pervasive TQM (Total Quality Management) Program. Trained, coached, provided oversight and developed TQM teams. Developed fixed and variable staffing models for accounting system. Developed a decision support system and selection methodology for organization wide, multi-site Patient Care Information System.

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TODD N. FLETCHER fastappraisal@cox.net

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GEORGETOWN UNIVERSITY HOSPITAL, Washington, D.C.

Founded in 1898 MedStar Georgetown University Hospital is one of the national capital area’s oldest academic teaching hospitals and is affiliated with Georgetown University School of Medicine.

1986-1989

MANAGEMENT ENGINEER

1986-1989

Developed operational improvements utilizing engineering analytics resulting in improved productivity, increased charge capture for surgical services and development of labor standards for perioperative accounting systems.

EDUCATION AFFILIATIONS PROFICIENCIES

Master’s Degree in Health Systems Engineering, University of Wisconsin, Madison, WI Bachelor of Science Degree in Industrial Engineering, University of Wisconsin, Madison, WI German Language Proficiency, Friedrich Wilhelm University, Bonn Germany Internship, A. Sutter AG, Muenchwilen, Switzerland Association for Healthcare Accreditation Professionals National Association of Healthcare Quality Health Information and Management System Society Institute for Industrial Engineers Healthcare Financial Management Association Alpha Pi Mu (IE Honor Society) CPHQ Certified Professional in Healthcare Quality - former NAHQ National Association of Healthcare Quality - former Recipient 1990 & 1991 Administrative and Professional Staff Development Award

Presentations:

National Association of Orthopedic Nurses 19 th Annual Congress Cost Efficiency in Total Joint Replacement

New Orleans, LA

OR Management Workshop Effective Use of Operating Room Systems

San Diego, CA

Case Conference University Campus Finance Departments TQM Programs

San Francisco, CA

Health Information and Management Systems Society (HIMSS) An Experience with a Decision Tool for RFP Evaluation

New Orleans, LA

Institute for Industrial Engineers Quest for Quality & Productivity in Health Care Let Data Be Your Guide

Chicago, IL

Institute for Industrial Engineers Annual Conference An Experience with a Decision Tool for RFP Evaluation

San Francisco, CA

LIN, LUTTON & FLETCHER TEAM CONSULTANTS

1990-1991

TQM and Team Dynamics Consultants Educated staff and teams on Total Quality Management utilizing the PDSA (Plan, Do, Study, Act) model.