Clinical support for population health management transformation within accountable care organizations and clinically integrated networks through:
- Defining care teams and using customized workflows and tools for seamless collaboration and patient centered support
- Physician engagement
- Implementation of Chronic care management, transitions of care and advanced care planning
- Data analytics and reporting
Creation of an evidenced-based MSSP initiative for advanced care planning for a Physician-led mid Atlantic Accountable Care Organization. Included physician and staff training curriculum
Patient engagement workshops in numerous civic and healthcare organizations including the Gates Foundation, National Organization of Black Law Enforcement Executives, TownHall Seattle, Howard University and Johns Hopkins University.
Clinical leadership and decision-support for a home-based senior-care company
Clinical project management services for a telehealth enabled diabetes care coordination project for patients in underserved sections of the city
Design of physician online media-rich education tools for continuing medical education
Design and project management of an online telehealth diabetes disease management program to improve patient self management.
Clinical consulting in the capacity-building for HIV services in underserved areas of Washington DC.
SELECTED PUBLICATIONS AND PRESENTATIONS
Congressional Black Caucus Legislative TownHall – Representative Elijah Cummings – “Health Disparities and the Social Determinants of Health” Sept 2015
“The Health Care Consumer and Cancer Care” – Johns Hopkins Center to Reduce Cancer Disparities June 2015
“Be Health Empowered” - Seattle Town Hall, Seattle WA April 2014
“The New Healthcare Consumer” - The Gates Foundation, Seattle WA April 2014
“The Patient Centered Medical Home” - National Medical Association, July, 2013
“Accountable Care: Improving Population Health & Measuring Outcomes” - National Medical Association, July, 2012
Palackdharry C, Evans D, McDonough R, Clarke M et al, Cross J, Klein I, Reisman L. (2012) Payer coverage for patients enrolled onto clinical trials: Making the process easy and transparent for everyone. J Oncol Pract 8(suppl):41s–46s.