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[Arthur S. Shorr & Associates - Health Care Consulting - Hospital Expert Witness]

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Company Capabilities Overview

 

Health Care Consulting Practice

Hospital Expert Witness Practice

  • Medical Practice Management
  • Hospitals, Nursing Homes, Assisted Living,
  • Operational Assessments
  • Home Health Care, Psychiatric Units
  • Physician/Hospital Collaboration
  • Administrative Community Standards
  • Medical Staff  Development
  • Staff Training and Competence
  • Appraisals of Medical Practices & IPAs
  • Policies and Procedures
  • Medical Practice Acquisitions & Sales
  • Environment of Care, Patient Safety
  • Delivery System Development
  • Patient Rights, Informed Consent
  • Medical Group Formation & Consolidation
  • Elder Abuse; Patient Neglect
  • HIPAA Compliance Planning & Audits
  • Medical Staff Bylaws
  • Risk Prevention Analysis
  • Wrongful Termination
  • Strategic Planning
  • Physician Credentialing & Privileges
  • Governing Board Retreats
  • Governance, Regulatory Compliance, JCAHO

 

Company Profile

Founded in 1983, Arthur S. Shorr & Associates, Inc. is a management consulting firm specializing in providing professional business and strategic planning services to Hospitals, Medical Groups, Physicians, and Healthcare Organizations.

The founder and President of the firm, Arthur S. Shorr, is a Veteran of 30 years experience in the health care field, serving in senior executive positions for leading university affiliated teaching medical centers in Southern California, Wisconsin, and Michigan.

The consulting group’s Associates are experienced senior professionals in healthcare administration, accounting, computer systems, practice management, and finance to support specific client projects.

The emphasis at Arthur S. Shorr & Associates, Inc. is on creative decision making that reflects sound, implementable recommendations that result in positive bottom-line financial results for clients; namely, maximum profitability in a rapidly changing health care marketplace.

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Hospital Consulting Services

Principals and Associates at Arthur S. Shorr & Associates, Inc. are former senior hospital executives and former senior medical group administrators. We possess the insight and firsthand experience in Hospital/Physician economic relations, while appreciating the complexity of the goals and objectives of both parties.

We are Economic Advocates for Private Practitioners.

Successful Physicians and Hospitals are natural partners who must share the same economic agenda. Economic viability of hospitals and their associated physicians depends upon the establishment of mutually accepted objectives, while recognizing the sensitive burdens of the failed relationships and suspicions of the past.

Our background and experience enables us to serve as independent third party facilitators, educators, and consensus builders who can establish the level of trust that is essential in order for hospitals and physicians to collaborate successfully within the context of today’s economic environment.

Hospital Operational Consulting

Successfully completed hospital-sponsored projects include:

  • Board of Trustees Strategic Planning Retreats
  • Medical Staff Strategic Planning Retreats
  • Delivery System Development & Expansion
  • Medical Staff Perception Surveys & Focus Groups
  • Economic Grand Rounds/Medical Staff Education Seminars
  • MSO Development & Implementation
  • PHO Development & Implementation
  • IPA Appraisal & Acquisition
  • Catchment Area Demographic Analysis
  • Medical Staff Demographic Need Analysis
  • Contract Negotiation & Representation
  • Medical Practice Appraisal & Acquisition
  • Medical Practice Mergers & Group Formation
  • Business Plans/Feasibility Studies
  • Medical Practice Operational Assessments
Medical Practice Operational Assessments are used to:
  • Reduce Operating Overhead
  • Identify areas of potential Cost Savings and Profits
  • Pinpoint strengths and weaknesses of the practice
  • Set and maximize staff productivity
  • Streamline the organization to achieve optimal decision making and profitability
  • Prepare the practice for the impact of capitation contracts

Strategic Business Development

To maximize success, physicians must offer Managed Care companies appropriate inducements. Usually, providers with the largest Provider Footprint succeed in contracting opportunities. This allows for the orderly replacement of patients who have left the practice, and expansion of the practice in order to maintain and enhance profitability. We assist physicians evaluate:

  • Consolidation with other practices
  • Acquisition of other practices
  • Expansion to additional practice sites
  • IPA formation
  • Strategies that enhance economic success

Medical Practice Appraisals

Our Practice Appraisal and Valuations define and justify economic value. This is an essential element in any successful transaction in which a professional practice changes ownership. Appraisals are also used as the basis for buy-in of new associates, buy-out of retiring partners, the merger or consolidation of two or more practices, the charitable donation of a practice, or the division of community property.

Our method includes a site visit to the practice, interview with the physician-owner and other key personnel, and review of the practice’s financial, operating, and demographic data.

This information is analyzed within the context of the local medical community, and is synthesized to create a document that describes the practice and its value. IRS-approved methods are used, with all conclusions documented by definitive supporting data. The Appraisal assures all parties of an objective basis on which to begin their negotiations.

Medical Practice Merger Acquistions & Sales

Arthur S. Shorr & Associates, Inc. has successfully consulted to both Buyers and Sellers in the complex tasks of buying, selling, or consolidating medical practices. Starting with a comprehensive Operational Assessment/Practice Appraisal, a detailed analysis of the practice is developed that is suitable for bank financing, probate, partnership valuation, merger, or sale. Market value is determined by analyzing potential growth, changes in reimbursement regulations, and understanding the dynamic impact of managed care and prospective reimbursement.

Our services include:

  • Discovery and identification of practices available for sale
  • Discovery and identification of potential buyers
  • Medical practice valuation and appraisal
  • Negotiation of price, terms and conditions
  • Practice transition and Succession Planning

Medicare Compliance Planning & Audits

The Health Insurance Portability Act of 1996 provides funding for Medicare’s fiscal intermediaries to carry out increased audits of physicians’ Part B billings.  The Compliance Program for Individual and Small Group Physician Practices, developed by the Office of the Inspector General (OIG) requires that physicians:

  • Designate a Medicare Compliance Officer
  • Develop a Compliance Policy & Procedure Manual
  • Implement a Compliance Plan
  • Provide Documentation to Support Billing Submitted to Medicare
  • Provide Education & Training to Employees about Compliance Requirements
  • Use Audits to Monitor Compliance

Working with our experienced nursing associates, we provide complete Compliance Planning services, including chart documentation and billing review, ongoing audits, staff training, and development of policies, procedures, and a Compliance Plan structured to meet the OIG requirements.

Expert Witness Services

Types of Cases

  • Hospitals, Nursing Homes, Assisted Living
  • Home Health Care, Psychiatric Units
  • Administrative Community Standards
  • Policies and Procedures
  • Staff Training & Competence
  • Environment of Care
  • Medical Staff Bylaws
  • Physician Credentialing & Privileges
  • Wrongful Termination
  • Sexual Assault
  • Abuse & Neglect
  • Patient Safety
  • Governance, Regulatory Compliance, JCAHO
  • Negligent Hiring & Supervision
  • Patient Rights, Informed Consent
  • Plaintiff/Defense
 

Testifying Experts

Arthur S. Shorr, MBA, FACHE

Arthur Shorr is Board Certified in Health Care Administration, and a Fellow of the American College of Healthcare Executives.  He has been a Health Care Professional for more than 30 years, having held senior executive positions in University-affiliated, community-based, tertiary care teaching hospitals.  He served as Chief Operating Officer and Senior Vice President for Administration of Cedars-Sinai Medical Center in Los Angeles; Administrator and Chief Operating Officer of The Mount Sinai Medical Center in Milwaukee; and Assistant Hospital Director of Hutzel Hospital: The Detroit Medical Center in Detroit.

 Since 1983 he has been President of Arthur S. Shorr & Associates, Inc., Consultants to Healthcare Providers, which provides consulting services to hospitals and physicians.

 Mr. Shorr is courtroom-qualified and is experienced in pre-trial strategic case planning and preparation of declarations and affidavits, deposition, and trial testimony.

 He is the author of numerous articles and a frequent lecturer on contemporary issues in Health Care.  He is an Associate Clinical Professor at the University of Southern California, School of Policy, Planning & Development, Graduate Program in Health Administration; and Visiting Professor and Guest Lecturer at The George Washington University School of Public Health & Health Services.   Click here for Arthur Shorr CV

 Bonnie Siler, RN, MA, LNC

Bonnie Siler is an accomplished Nurse Executive with experience in administration, clinical care, quality assurance, utilization management, and program development.  She was Chief Operating Officer and Chief Nursing Officer at Mission Community Hospital in Panorama City, CA; Director of Case Management at Marion General Hospital in Marion, OH; and Director of Patient Care Services in Fostoria Ohio.  She is a Certified Nursing Administrator, Certified Professional in Healthcare Quality, and Certified Legal Nurse Consultant.  Click here for Bonnie Siler CV

 Daniel Herlinger, MBA, FACHE

Dan Herlinger is an experienced acute care hospital and healthcare systems executive.  He was President and CEO of Catholic Healthcare West Central Coast Region; President and CEO of Mercy Healthcare in Ventura, CA; and President and CEO of St. John’s Regional Medical Center in Oxnard, CA.  Mr. Herlinger is Board Certified in Healthcare Administration, and a Fellow of the American College of Healthcare Executives. Click here for Daniel Herlinger CV

 Paul Boyar, MBA, FACHA

Mr. Boyar is an expert in Long Term Care Administration.  He is a licensed and currently employed as a nursing home administrator.  He is experienced in the administration of long term care facilities, including skilled, intermediate, assisted living, independent living, and psychiatric.  Mr. Boyar is Board Certified, and a Fellow of the American College of Health Care Administrators.  Click here for Paul Boyar CV

 Norman Andrews, RN, MBA, FACHE

Mr. Andrews is a Hospital CEO, medical group administrator, and a Registered Nurse.  He has been President of Clovis Community Hospital in Fresno, CA; Administrator of Priority Health Services in Fresno, CA; CEO of Oak Valley Hospital District in Stockton, CA; and Senior Vice President for Operations at Antelope Valley Healthcare District in Lancaster, CA.   He is a Fellow of the American College of Healthcare Executives, and Board Certified in Healthcare Administration.  Click here for Norman Andrews CV

 Gerald Sweet, Ph.D.

Dr. Sweet is a clinical and forensic psychologist.  He has been Chief Psychologist in a General Hospital Psychiatric Unit and Consulting Psychologist to a General Hospital Emergency Room.  He is experienced in both clinical and administrative standards of care for psychiatric facilities. Click here for Gerald Sweet CV.

Susan Odegaard Turner, R.N., Ph.D.

Dr. Turner is an Assistant Clinical Professor of Nursing, and has extensive clinical experience as Director of Emergency Room and Intensive Care Unit.  Her areas of testimony are in both clinical and administrative standards of care.  Click here for Susan Odegaard Turner CV.

Deborah Roberts, RN, MS

Ms. Roberts is an expert in Home Health Care and Hospice Care.  She has been a surveyor for the JCAHO; President and CEO of the Livingston Memorial Visiting Nurse Association in Ventura, CA; and General Manager of Option Care, a home infusion company, in Thousand Oaks, CA.  Click here for Deborah Roberts CV.

David A. Sack, M.D.

Dr. Sack is an expert in Clinical Pharmacology. He is the National Director of Clinical Research for Comprehensive Neuro Science, Inc. His expertise is in the community standards that apply to medication use in psychiatric units. Click here for David Sack CV.

CURRICULUM VITAE

 

ARTHUR S. SHORR, FACHE

 

 

PROFESSIONAL EXPERIENCE:

 

Arthur S. Shorr & Associates, Inc., Consultants to Health Care Providers Los Angeles July 1983 - Present

President

 

Founded in 1983, Arthur S. Shorr & Associates, Inc. is a management consulting firm specializing in providing Strategic Planning, Operational Consulting and Business Practice services to Health Care Providers, including but not limited to: Hospitals, Medical Groups and Physicians. These services include:

 

· Strategic Planning · JCAHO Regulatory Compliance Review

· Board and Medical Staff Retreats · Risk Prevention Analysis

· Strategic Medical Staff Business Development · Practice Acquisition and Sales

· Managed Care Organizational Strategies · Medical Staff Economic Grand Rounds

· Physician/Hospital Relationships · Interim Practice Management

· Medicare Compliance Planning & Audits · Operational Consulting

 

 

Cedars-Sinai Medical Center Los Angeles May 1980 - January 1984

Chief Operating Officer, Senior Vice President for Administration

 

Cedars-Sinai Medical Center is the largest acute care voluntary hospital west of the Mississippi. As Chief Operating Officer of this major teaching Medical Center, was responsible for all operating activities on the Medical Center Campus, including 5500 employees and an operating budget in excess of 300 million dollars; appointed as a voting member of the Board of Trustees.

 

 

Mount Sinai Medical Center Milwaukee, Wisconsin, May 1976 - April 1980

Administrator & Chief Operating Officer

 

Mount Sinai Medical Center is a 450 bed community based, major teaching affiliate of the University of Wisconsin Medical School, Madison, and the Medical College of Wisconsin, Milwaukee, Wisconsin.

 

As Administrator and Chief Operating Officer was responsible for all day to day operational activities of the Medical Center was responsible for an employee complement in excess of 1600, and an operating budget in excess of 90 million dollars. From June 1, 1976 to February 1, 1977, served as Interim President and Chief Executive Officer while this position was vacant.

 

 

Hutzel Hospital, The Detroit Medical Center Detroit, Michigan February 1969 – April 1976

Assistant Director of Patient Services 1973 - 1976

· Professional Services

· Nursing Services

Assistant Director 1970 - 1973

Administrative Resident 1969 - 1970

 

EDUCATION:

 

M.B.A.: Health Care Administration, The George Washington University, Washington, D.C., 1970

 

Administrative Residency: Hutzel Hospital, Detroit, Michigan, 1969-1970

 

Bachelor of Science: Brooklyn College-City University, State of New York, 1967 - Major: Accounting, Economics

 

ACADEMIC APPOINTMENTS:

 

University of Southern California: School of Policy, Planning and Development; Graduate Program in

Health Care Administration: Associate Clinical Professor: 1995 - present

Adjunct Faculty: 1984 - 1994

Residency Advisory Committee: 1981 – present

Preceptor, Mentor: 1983-Present

 

The George Washington University: School of Public Health & Health Services

Visiting Guest Lecturer: 1992 –present

Executive in Residence: October 2004

 

University of Wisconsin: Adjunct Faculty: Program in Health Care Administration, 1977-1980

 

University of Southern California: Clinical Instructor: School of Pharmacy, Programs in Health Care, 1980-84

 

UCLA: Lecturer: Graduate School of Business, Medical Marketing Association, March, 1984

 

Wayne State University: Instructor: College of Lifelong Learning, 1973-1976

 

 

APPOINTMENTS AND AFFILIATIONS:

 

American College of Healthcare Executives:

Student Associate 1968 - 1970

Member 1970 - 1973

Diplomate 1973 - 2000

Fellow 2000 – present

Public Policy Committee 1999 – 2002

Regents Advisory Committee 1994 – present

 

Medical Practice Compliance Alert: Editorial Advisory Board 2001 – present

Healthcare CFO Report: Editorial Advisory Board 1999 – present

Healthcare Computing & Telecommunications: Consulting Editor 1982 – 1984

Computers in Health Care: Executive Advisory Board 1982 - 1985

American College of Medical Quality:

Member, Advisory Panel, National Ethics Committee 1997-2002

The George Washington University:

Distinguished Alumni of the Year Award 2004

Conejo Valley Critical Access Hospital Planning Taskforce:

Co-chairman 2004 - present

 

TRUSTEESHIPS:

· Cedars-Sinai Medical Center, Los Angeles, California. May 1980 - December 1983

· Charter Community Hospital, Hawaiian Gardens, California. Member 1984-1985

· Imagination Workshop, Westwood, California 1985-1988

· Jewish Homes For The Aging of Greater Los Angeles 1985-1990

PUBLICATIONS:

 

In the Defense of Hospitals: Taking the High Road. Trustee: The American Hospital Association April 2002

 

Billing Fraud-and-Abuse: Assessing Your Practice Risks. The SCPIE Companies, Medigram 2002

 

Billing Fraud-and-Abuse Compliance Audit: Key Risk Areas. The SCPIE Companies, Medigram 2001

 

Billing Fraud-and-Abuse Compliance Audit: Is Your Practice Ready? The SCPIE Companies, Medigram 2001

 

Has Nursing Lost Its Professional Focus? Nursing Administration Quarterly, Fall 2000

 

The Doctor’s Practice Management Doctor, M.D. News, June 1997

 

The Solo Practitioner: Dying Species or a New Breed? Welcome to Health Care 1997, M.D. News, March 1997

 

Appraising Medical Practices, Physician Recruiter, September 1995

 

The Solo Practitioner: Dying Species or New Breed?, Medical Staff News Cedars-Sinai Medical Center, Spring 1992

 

Restructuring Your Practice to Meet the Challenges of the '90s, Progress Notes, College Hospital Costa Mesa, May 1991

 

Mergers and Acquisitions: Why Some Work When Others Fail, Health Care Strategic Management, November 1988

 

Industrial Medicine Clinics: Making the Right Acquisition Decision, Health Care Strategic Management, Vol. 6, No. 10, October 1988

 

The Long-Term Benefits of Helping Physician Groups with Strategic Planning, Health Care Strategic Management, Vol. 6, No. 8, August 1988

 

Part III: The Physician/Hospital Joint Venture: Developing a Win/Win Strategy for Success - Structuring and Negotiating the Deal, Health Care Strategic Management, Vol. 5, No. 8, August 1987

 

Acquiring Medical Practices: Protecting The Physician's Interest, LACMA Physician, Vol. 117, No. 10, June 1, 1987

 

Part II: The Physician/Hospital Joint Venture: Developing a Win/Win Strategy for Success - Joint Venture Strategies and Considerations, Health Care Strategic Management, Vol. 5, No. 5, May 1987

 

Personal Interview, Computers in Health Care, 1982

 

Practice Acquisition: To Buy or Not to Buy, Healthcare Forum Journal, Vol. 30, No. 5, September/October 1987

 

Part I: The Physician/Hospital Joint Venture: Developing a Win/Win Strategy for Success - The First Step: Developing the Environment, Health Care Strategic Management, Vol. 5, No. 2, February 1987

 

Attracting MDs Through Sponsored Management Services, Newsbrief, Southern California Chapter Healthcare Financial Management Association, October/November 1986

 

Employee Accountability: Are You Getting What You Paid For?, Computers in Health Care, February 1983

 

Beginning a Materials Management Program, Hospital Purchasing Management, February 1981

 

How To Prepare For Prospective Reimbursement: Development of a Comprehensive Management Information

System for Personnel Utilization, Budget and Control, Hospital Topics, Vol.53, No. 2, March/April 1973

 

How to Take a Hospital to the Cleaners, Hospitals, J.A.H.A., Vol. 45, August 16, 1971

PRESENTATIONS:

 

Understanding Institutional Negligence: Hospitals and HMOs

Medical Skills Trial College, Phoenix 2/05

 

Tracking Accountability Up & Down the Corporate Tree

National College of Advocacy, Montreal 10/04

 

Role of the CEO in the Management Accountability Process: A View From the Courtroom

Health Care Executives of Southern California, Los Angeles 7/04

 

Governance & Hospital Liability

Los Angeles Chapter, American Association of Legal Nurse Consultants, Pasadena 6/04

 

Private Practice of Medicine, 2004: The Transition From Academic Medicine

Cedars-Sinai Medical Center, Medical Staff & House Staff Alumni Association, Los Angeles 5/04

 

Corporate Strategic Planning Retreat

Aspen Education Group, LaJolla, CA 1/04

 

Maximizing the Value of Private Practice

Fall Symposium: Infectious Disease Association of California, Los Angeles 10/03

 

Issues & Dynamics Impacting the Private Practice of Medicine

Cedars-Sinai Medical Center, Medical Staff & House Staff Alumni Association, Los Angeles 5/03

 

Institutional Negligence: Hospitals and HMOs

Medical Skills Trial College, Tampa 1/03

 

Credentialing and Granting Hospital Practice Privileges: The Duties and Responsibilities of the Hospital.

National College of Advocacy, Las Vegas 10/02.

 

EMTALA Update

American Association of Legal Nurse Consultants. Indianapolis 4/02.

 

Elements of Accountability: Evaluating the Hospital’s Role in Birth Trauma Litigation

ATLA Birth Trauma Litigation Group, 2/2002

 

Hospital Liability in Medical Malpractice Cases: Administrative Negligence with Medical Consequences

National College of Advocacy, 10/2001

 

The Unlimited Future of Healthcare in the 21st Century, From a Healthcare Administrator’s View

Keynote Address: Alpha Epsilon Delta, University of Southern California, Los Angeles 2/01.

 

Contemporary Issues in Hospital Medical Staff Credentialing & Privilege Granting

National College of Advocacy, Rohnert Park 10/00

 

Hospital Governance & Liability: Understanding Liability Pathways

Illinois Trial Lawyers Association, 9/2000

 

Hospital Governance & Liability: Understanding Liability Pathways

San Francisco Trial Lawyers Association, 8/2000

 

Strategic Planning

American Medical Group Association, Boston 10/99

 

 

Practice Management Options and Opportunities for Effective Cost Management and Customer Satisfaction

Saint Barnabas Institute for Physician Leadership, New Jersey 5/99

 

Utilization Management: A Historical Context From the Physicians Perspective

George Washington University School of Public Health, Washington D. C. 10/98

Contemporary Issues in Hospital Liability

Technical Advisory Service for Attorneys, Blue Bell, PA 10/98

 

Contemporary Issues in Managed Care - The Impact Upon the Practitioner in the United States

Hebrew University/George Washington University - Joint Program in Public Health, Israel 5/98

 

Governance and Hospital Liability: Understanding Liability Pathways

American Association of Legal Nurse Consultants, Dallas 4/98

 

Key Developments in Healthcare Delivery in USA

Australian General Practice Panel, Canberra, Australia 3/98

 

Surviving, Thriving, or ?? Under Managed Care: You Have A Choice

George Washington University School of Public Health, Washington, D. C. 10/97

 

Understanding the Role of the Hospital Administrator & Board of Directors in Maintaining Community Standards

Technical Advisory Service for Attorneys, Blue Bell, PA 2/97

 

Patient Management Implications of Managed Care

Annual Meeting of the Medical Staff, Monterey Park Hospital, 12/96

 

The Strategic Role of Hospitals and Physicians in Creating Successful Integrated Delivery Systems

Visiting Professor, Managed Care Colloquium, George Washington University Graduate School of Public Administration, Washington, D.C. 10/96

 

Implications of Managed Care/Capitation on Physician Practice

Medical Group Management Association, Las Vegas, NV 9/96

 

The Potential to Create Regional Branded Delivery Systems: Challenges to the Investor-Owned Hospital

Annual Corporate Regional Strategic Planning Retreat for CEO’s and Key Administrative Staff, ORNDA Hospital Corporation, 8/96

 

Theories of Liability Against a Hospital in an Orthopedic Implant Case

Association of Trial Lawyers of America, 7/96

 

Preparing for Success: The Role of the Community Hospital

Board of Trustees Annual Strategic Planning Retreat, Panorama Community Hospital, 5/96

 

Overcoming Practice Merger Hurdles to Ensure Success and the Bottom Line

The American College of Medical Staff Development, 4/96

 

How to Merge or Acquire Practices Without Losing Your Shirt

The American College of Medical Staff Development, 4/96

 

Working With Physicians: Building Relationships and Alliances

Visiting Professor, George Washington University Graduate School of Public Administration 11/95

 

Key Economic and Organizational Elements Necessary in Developing Successful Integrated Delivery Systems

American Academy of Medical Administrators 11/95

 

Understanding the Psychology, Needs and Wants of Physicians in the >90s and Beyond

American Association of Health Care Consultants 10/95

 

Reducing Costs, Right-Sizing and Reorganizing to Improve Market Value

The Alliance for Healthcare Strategy and Marketing 10/95

 

The Legal and Working Relationships Between Board, Physician and Hospital

American Association of Legal Nurse Consultants 9/95

 

Thriving Under Managed Care

The National Association of Physician Recruitment and Retention, Seventh National Symposium 9/95

 

Overhead Expense Reduction Through Right-Sizing and Reorganization

National Institute of Physician Recruitment & Retention, Practice Management for Non-Clinical Administrators 7/95

 

The Economics of Private Practice in an Integrated Delivery System

Parkview Health Systems MSO 7/95

 

The Economics of Private Practice in an Integrated Delivery System

Parkview Health Systems PHO 6/95

 

Thriving Under Managed Care: Keys to Developing A Progressive Integrated Delivery System

The National Institute of Physician Recruitment & Retention, The 6th National Symposium 5/95

 

Medical Practice Consolidation for Specialists

Hoag Memorial Hospital 12/94

 

The Private Practice of Medicine - the Evolution of Medical Care Organizations in the 90's

California Society of CPA's 10/93

 

Physician - Hospital Relationships: Raising the Unpopular Questions

Healthcare Executives of Northern California 7/93

 

Positioning Your Practice for Maximum Value in the 90's

Hoag Memorial Hospital 3/93

 

Why Physicians and Groups Seek Affiliation "Mergers"

Main Line Health System of Pennsylvania 11/92

 

Succession Planning for Medical Practices

California Society of CPA's 10/92

 

Strategic Medical Staff Business Development: Census and Revenue Enhancement Strategies for the 90's

The Physician Relations Group 10/92

 

Valuing and Buying a Practice: Opportunities for Growth and Integration

Osteopathic Physicians and Surgeons of California 9/92

 

Medical Economics in the 90's: Is the Solo Practitioner Going to Exist?

Granada Hills Community Hospital 6/92

 

How to Increase the Value of Your Practice

United Western Medical Centers 5/91

 

Specialty Service Marketing

The National Association of Private Psychiatric Hospitals 4/87

 

You and Your Medical Staff: Allies or Adversaries?

Southern California Healthcare Marketing Association 3/87

 

The Evolution of The Acute Care Hospital Sector through the Next Decade

American Hospital Supply Corp. Hospital Applied Research Division 11/83

Rev. 1/05

Curriculum Vitae

 

BONNIE J. SILER, R.N., M.A

Certified Legal Nurse Consultant

 

SUMMARY

 

Accomplished Nurse Executive with broad knowledge and experience in administrative, clinical, quality, utilization and program development.  Exceptional interpersonal and communication skills.  Strong JCAHO, Title 22 and other regulatory knowledge.

 

PROFESSIONAL EXPERIENCE

 

Arthur S. Shorr & Associates, Inc                 Los Angeles, CA               2003 – present

Consultant

Healthcare management consulting services to hospitals, physicians, and attorneys

 

St. John’s Regional Medical Center             Oxnard, CA                            2003

Shift Administrator    

Responsible for the administrative functions of the facility in the absence of the administrator and department managers.  Adjust staffing, manage bed control, handle patient/family concerns, and help staff problem-solve.

 

Case Manager

Coordinate a continuum of care for patients from pre-admission through post-discharge.  Ensure that patients meet medical necessity and acuity of illness for the acute care    services rendered and have a safe, appropriate discharge plan.  

 

Mission Community Hospital                      Panorama City, CA                1998 – 2002

Chief Operating Officer, Chief Nursing Officer               2000 – 2002

Second-in-command, reporting directly to the chief executive officer.  Responsible for managing day-to-day operations, including Nursing Units, Emergency Services, Surgical Services and Ancillary Patient Care Departments, for a 150-bed, acute care, two-campus hospital.  Responsible for approximately 650 employees.

 

 Director of Patient Care Services                              1998 – 2000

 Responsible for all Nursing and Ancillary Patient Care areas.


Marion General Hospital                                  Marion, Ohio                                                1989 – 1998

Director of Case Management and Medical Information                  1991 – 1998

Responsible for Case Management, Performance Improvement (QA), Utilization  Review, Risk Management and Medical Records in a 210-bed acute care hospital.

 

Administrative Director of Patient Care                                    1989 – 1991

Responsible for various centralized nursing functions, which included staffing and scheduling, shift supervisors, float pools, Quality Assurance co-ordination, computer and information liaison, and Chair of Nursing Standards and Policy and Procedures Committee. Line responsibilities for Infection Control, Home Health Care, Hospice, Alzheimer’s Project, Adult Day Care, Senior’s Program, Cardiovascular Services, Respiratory Therapy, Social Services and the Chaplain Program.

 

Fostoria City Hospital                                  Fostoria, Ohio                                    1985 - 1989

Director of Patient Care Services

Responsible for all Nursing Units, Emergency Services, Surgical Services and Ancillary Patient Care Departments for a rural, 90-bed acute care hospital.

 

Bryan Community Hospital                                  Bryan, Ohio                                        1977 - 1984

Unit Supervisor, Staff Development Nurse, House Supervisor,

Med/Surg, ICCU and ER Staff Nurse

 

Schoolcraft Memorial Hospital                      Manistique, Michigan                    1976 - 1977

House Supervisor, ER Staff Nurse

 

Parkview Memorial Hospital                      Fort Wayne, Indiana                                    1972 - 1976

ICCU and ER Staff Nurse 

 

 

NURSING EDUCATION

·  M.A., Nursing Administration, with Honors - Ball State University, Muncie, Indiana              1983

·  B.S.N., with Highest Honors – Purdue University, Lafayette, Indiana                                     1978   

·  Diploma in Nursing – W.A. Foote Memorial Hospital, School of Nursing, Michigan               1971

 

CERTIFICATIONS

· Certified Nursing Administrator                                                                                        1986

· Certified Professional in Healthcare Quality                                                             1992

· Certified Legal Nurse Consultant                                                                                            2003

 


PROFESSIONAL AFFILIATIONS

· American Association of Legal Nurse Consultants                                              2003-present

· American Association of Legal Nurse Consultants, LA Chapter                                 2003-present

· American Council of Nursing Leadership                                                                      1998-present

· American Council of Nursing Leadership, LA Council                                                    1998-present

            Board Member                                                                                                  2000 – 2002

· Hospital Council of Southern California, Behavioral Health Advisory Board     2001 – 2002

· Los Angeles County Nursing Resource Advisory Board                                          1999 – 2001

· Ohio Hospital Association Quality Improvement/Regulatory Advisory Committee 1993 – 1998

· Ohio Health Care Board for Utilization Management                                            1995 – 1998

· Altrusa, Marion Ohio                                                                                            1990 – 1998

· American Cancer Society  - Bryan, Ohio                                                                  

            Board Member                                                                                                   1979 - 1984

President                                                                                                             1982 - 1984

                                           CURRICULUM VITAE

 

                                               NANCY DANIELS

                                                    PRINCIPAL

 

 

PROFESSIONAL EXPERIENCE:

 

Arthur S. Shorr & Associates, Inc., Consultants to Healthcare Providers            Los Angeles, CA 1994-Present

Senior Consultant - Principal

Practice management team leader. 

 

 

The TJX Companies, Inc.                                                                                                  Framingham, MA 1992-1993

Director of Managed Care

Responsible for developing and implementing national managed care strategy for self-insured plan covering 40,000 lives.  Purchased health care services by direct contracts with HMOs, PPOs, hospitals, and managed care organizations.

 

 

Kaiser Foundation Health Plan                                                                                        Windsor, CT  1990-1992

Health Center Administrator

Chief operating responsibility for health center, providing primary and specialty care.  Responsible for development and implementation of policies and procedures, supervision of staff, and financial stability.

 

 

Framingham Union Hospital                                                                                             Framingham, MA 1980-1990

Director, Professional & Administrative Services                               1985-1990

Chief operating responsibility for medical staff services, risk management, quality assurance, and ancillary clinical departments, including laboratory, radiology, respiratory therapy, physical/occupational/ speech therapy, and social service.

Assistant to the Chief Operating Officer                                 1983-1984

Project responsibility for risk management and medical staff services.

Administrator, Department of Psychiatry                                1980-1983

 

 

Veterans Administration Medical Center                                                                      Boston, MA 1973-1980

Grants Administrator, Department of Medicine

 

 

Beth Israel Hospital                                                                                                            Boston, MA 1969-1973

Grants Administrator

 

 

Three Rivers Nursing Home                                                                                            Cincinnati, OH 1968-1969

Administrator

 

 

Atlantic International Corporation                                                                                  Cincinnati, OH 1964-1968

Administrator

 

 

Hamilton County Welfare Department                                                                           Cincinnati, OH 1962-1964

Social Worker

 

 

 

PRESENTATIONS:

 

Massachusetts Bar Association, Health Law Section.  Health Insurance Benefit Plans and Cost Containment Initiatives:  Employer Perspective.  May 5, 1993.

 

Retail Benefits Group, Summer Conference.  Healthcare Reform:  Impact on Retailers.  June 1993.

 

Business Group on Health (Washington, Massachusetts, New Hampshire).  Designing and Negotiating Health Benefits to Meet the Needs of Employers and Employees.  March 1994.

 

 

EDUCATION:

 

M.B.A.: Health Care Administration, Framingham State College, Framingham, MA  1984

 

B.A.: Social Work, University of Cincinnati  1962

 

 

PROFESSIONAL AFFILIATIONS:

 

Diplomate, American College of Health Care Executives

Healthcare Financial Management Association (1988-1990)

Health Care Management Association (1988-1991)

New England Employee Benefits Council (1992-1994)

Massachusetts Business Group on Health (1992-1994)

Massachusetts Healthcare Purchaser Group (1991-1994)

 

 

CURRICULUM VITAE

 

NORMAN J. ANDREWS, R.N., CHE.

                                                                                       

 

 

PROFESSIONAL EXPERIENCE  - ADMINISTRATIVE

 

Antelope Valley Healthcare District, Lancaster, CA, April 2003 - Present

Director Women’s Services

Responsible for day-to-day management of Women’s Health Services, including OB, post partum and perinatology.

 

Arthur S. Shorr and Associates, Inc., Woodland Hills, CA, Sept. 2002 - Present

Senior Consultant

Health care management consulting services to hospitals, physicians and attorneys.

 

Antelope Valley Healthcare District, Lancaster, CA, May 1999 – Sept. 2002

Senior Vice President Operations

380-bed full service regional hospital with 1900 employees.  Responsible for $180,000,000 annual operating budget

 

St. Joseph’s Regional Health System, Stockton, CA (CHW), Feb. 1998 – May 1999

Chief Executive Officer Oak Valley Hospital District

Oak Valley IPA

148-bed facility, including two rural health clinics, imaging center and outpatient rehab facility, ambulance services covering 145 square miles of Stanislaus County.

 

Econo Health Group, Fresno, CA, June 1997 – Feb. 1998

President and CEO

IPA/Consulting start-up venture

 

Priority Health Services, Fresno, CA, Nov 1994 – June 1997

Administrator

Responsible for day-to-day management of two group sites covering 25,000 capitated lives and 70,000 PPO and EPO lives.   Received a three-year accreditation from The Medical Quality Commission.        

 

Community Health Systems of Central California, Fresno, CA, March 1984 – Oct. 1994

President –Clovis Community Hospital

180-beds, two sites, $50,000,000 annual budget. Over 300 employees. Fully integrated delivery system. Corporate service line responsibility for rehab, senior services, sub acute services and behavioral health services. Managed the design, building and opening of a new 120-bed acute health complex.   Converted the old hospital into a 56-bed sub acute and chemical dependency facility.

 

Antelope Valley Hospital Medical Center, Lancaster, CA, Jan. 1980 – March 1984

Assistant Administrator

184-bed regional medical and trauma center. $90,000,000 annual budget. 1,200 employees. Developed and implemented a neonatal intensive care unit, including recruitment of the neonatologist. 

 


Cedars-Sinai Medical Center, Los Angeles, CA, Sept. 1976 – Jan. 1980

Assistant Administrator

1100-bed regional medical center and trauma center.

Operational responsibility for 15 clinical and support departments; implemented a 35-bed inpatient rehab unit and recruitment of the physiatrist; implemented an ambulatory surgical service.

 

 

PROFESSIONAL EXPERIENCE – CLINICAL

 

Antelope Valley Healthcare District, Lancaster, CA, April 2003 - Present

Director Women’s Services

Responsible for day-to-day management of Women’s Health Services, including OB, post partum and perinatology.

 

Bakersfield Memorial Hospital, Bakersfield, CA, Aug. 2002 - Present

Medical Surgical Nurse

 

St. Joseph’s Regional Health System, Stockton, CA (CHW), Feb. 1998 – May 1999

Chief Nursing Executive  Oak Valley Hospital District

 

Valley Medical Center, Fresno, CA, June 1985 – June 1990

Nursing Supervisor

(One weekend per month, US Army Reserve)

 

LA County/USC Medical