Summary
Overview
Work History
Education
Skills
Affiliations
Timeline
Generic

Karl P. Kamyk

Wilbraham,MA

Summary

Forward-thinking executive professional with over 20 years of managerial experience. Collaborates with cross-functional teams to achieve goals and deliver optimal results. Adept at evaluating complex issues, identifying solutions, and implementing innovative practices. Proven track record of driving organizational growth and profitability.

Overview

13
13
years of professional experience

Work History

Director Performance

Commonwealth Care Alliance
01.2021 - Current
  • Management & Improvement
  • Direct Reports: 3
  • Commonwealth Care Alliance is focused on sustainable evidence-based healthcare that fills important gaps in care to improve health and well-being of people with significant needs
  • Commonwealth Care Alliance has a unique model of “uncommon care” and has achieved quality outcomes and lower cost
  • Collaborates with the CCA leadership team to ensure comprehensive attainment of CCA program goals
  • Collaborates with the leadership teams and staff across products and markets to develop strategies and processes to support achievement of publicly reported outcome metrics
  • Directs and oversees the on-going development and operations of CCA’s quality improvement committee
  • Maintains National Committee for Quality Assurance (NCQA/HEDIS) requirements and other regulatory State and contractual requirements
  • Is an integral member of the technical assistance meetings with MassHealth
  • Developed a quality measure framework within clinical operations by communicating a compelling vision and strategy, creating energy and optimism for future success, while building partnerships with peers, leaders, and teams
  • Led and owned an organizational performance improvement project (PIP) with MassHealth which focused on connecting with unengaged and unreachable members
  • The PIP successfully scored 98%
  • Developed a carefully planned care plan documentation compliance tracker by stimulating a free flow of information and communication, up, down, and across the organization while encouraging expression of opinions and ideas
  • This work and tracker resulted in a >than 500% increase in care plan compliance/completion
  • Instrumental leader to initiate, develop and execute the clinical leadership dashboard (scorecards) resulting in the ability of leadership visualizing outcomes measures and key performance indicators with the benefit of this key information available in one place
  • Implemented quarterly purposeful rounding with care team staff within the clinical teams, analyzed feedback, and collaborated with stakeholders for improvements
  • Led and owned the development of a members falls program to reduce emergency department visits and inpatient admissions and the costs of care associated with member falls.

Director Quality and Risk

Fairlawn Rehabilitation Hospital
01.2020 - 01.2021
  • Management
  • Direct Reports: 4
  • At Fairlawn Rehabilitation Hospital, an affiliate of Encompass Health, we are committed to helping patients regain independence after a life-changing illness or injury
  • Serving Massachusetts and the greater Boston area, we are a leading provider of rehabilitation after stroke, Parkinson’s, brain injury and other complex neurological and orthopedic conditions
  • Engages staff to create an environment and culture that enables the facility to fulfill its mission
  • Facilitating staff accountability for their performance, and motivating staff to improve their performance
  • Manages, directs, and plans all aspects of Quality and Risk Management
  • Responsible for a hospital -wide quality management program and works with hospital administration, departments, and the medical staff to monitor and evaluate the quality of delivery of patient care services within the hospital
  • Ensures proper compliance with regulatory agencies, accrediting bodies, corporate and hospital policies, and procedures and works to develop, implement, and maintain quality assessment and improvement programs within the facility
  • Successfully created quarterly, semi-annual, and annual reports to the Board of Registration in Medicine (BORiM)
  • Effectively facilitated performance improvement (PDCA) activities for patient care metric improvement
  • Successfully worked with multidisciplinary teams to decrease fall and wound rates at or below the regional and national benchmarks
  • Provides hospital education to new and existing staff
  • Promotes and maintains an inclusive work environment and culture that is respectful and accepting of diversity
  • Created process for contract evaluation from a quality metric perspective.

Consultant

Connecticut Hospital Association
01.2018 - 01.2021
  • Radiation Dose Management CollaborativeParticipating Hospitals to Date
  • Founded in 1919, the Connecticut Hospital Association (CHA) represents hospitals and health-related organizations
  • With more than 140 members, CHA is one of the most respected hospital associations in the nation
  • CHA and its members established the first statewide data repository in the United States, leveraging radiation dose measurement and analysis software
  • This data repository provides member hospitals with the ability to support dose compliance, safety and hospital quality initiatives
  • Assists with desired outcomes for Radiation Dose Management reduction solutions
  • Works with membership to identify and prioritize areas of greatest variation and development of best practices
  • Validate and verify equipment lists and naming conventions
  • Works with member hospitals and data teams for expectations of reporting mechanisms and analytics
  • Works with hospitals to validate results, process improvement and develop frameworks for root cause analysis for dose levels exceeding established dose reference levels.

Operations Director

Day Kimball Healthcare, Invasive Cardiology
01.2019 - 01.2020
  • Direct Reports: 50+ (COVID Furlough)
  • Day Kimball Healthcare is the premier provider of integrated healthcare services in Northeast Connecticut and nearby Massachusetts and Rhode Island
  • We provide high quality, compassionate care close to home through Day Kimball Hospital, Day Kimball Medical Group and Day Kimball Healthcare at Home (which includes HomeCare, HomeMakers and Hospice & Palliative Care) as well as healthcare centers in Danielson, Dayville, Plainfield and Putnam
  • Worked in partnership with legal counsel to submit a comprehensive application of certificate of need (CON) for a SPECT CT scanner
  • Successful 2019 DPH /DEEP re-licensure survey for reporting areas – zero findings / deficiencies
  • Responsible for and provides oversight for departmental quality initiatives and reporting to the Board Quality Committee
  • Successful implementation of programs which offer lung cancer screening and mammography screening for those who are under or uninsured in partnership with oncology
  • Successfully mentors’ supervisors by cultivating their gifts for the purpose of the positive exchange of ideas, information and opinions in support of our mission and sense of community for those we serve in the community
  • Successfully writes business letters and reports using subscribed formats.

01.2016 - 01.2018
  • Direct Reports: 4 FTEs
  • Indirect Reports: 4 FTEs
  • Trinity Health Of New England is currently composed of Saint Francis Hospital Medical Center, Mount Sanai Rehabilitation Hospital, Mercy Hospital (Springfield, ), Saint Mary’s Hospital and Johnson Memorial Hospital
  • Our primary focus was maintaining an effective Integrity and compliance program in all operations and professional business conduct
  • Responsible for Trinity Health of New England’s Audit and Monitoring program for all ministries and affiliates
  • Drafted annual Audit and Monitoring work plan for Trinity Health of New England
  • Conducted reviews, assessments and audits on identified potential risk areas by reviewing practice, current controls, medical record documentation and billing
  • Drafted audit findings report and provide recommendations for management corrective action
  • Maintains knowledge of industry and healthcare trends with regulatory agencies
  • Developed and regionalized Integrity & Compliance standard operating procedures specific to audits and monitoring
  • Regionalized ‘Hot Line’ system that provides employees and others the opportunity to report issues and concerns, including potential violations of laws and regulations
  • Monitored changes in laws and regulations, investigated and responded to identified compliance issues.

Regional Director

Trinity Health of New England
01.2012 - 01.2018

Assistant Vice President

Johnson Memorial Hospital
01.2014 - 01.2016
  • Gross Revenue: $69,578,000
  • Operating Budget: $12,817,805
  • Direct Reports: 9 FTEs
  • Indirect Reports: 88 FTEs
  • Johnson Memorial Hospital is part of the Trinity Health Of New England Hartford market and is licensed for 92 beds
  • Rolled out high reliability patient safety initiative to all colleagues at JMH
  • Developed a multi-disciplinary work plan using Press Ganey research and best practice for the purpose of engaging colleagues to achieve the goal of moving from the Medicare star rating of 3 to 4 stars
  • Responsible for budgets and oversight of the Pharmacy, Laboratory, Radiology & Imaging, Compliance, Patient Experience, Risk Management and Quality
  • Reviewed financial statements and data to improve operational efficiency
  • Recommended effective strategies for the financial well-being of Johnson Memorial Hospital
  • Improved processes and policies in support of organizational goals
  • Monitored adherence to rules, regulations and procedures
  • Assisted in recruitment and placement of required staff; establishment of organizational structure; delegation of tasks and accountabilities
  • Established work schedules
  • Supervised staff
  • Monitored and evaluated direct report performance and productivity
  • Monitored, managed and improved the efficiency of support services
  • Facilitated coordination and communication between support functions
  • Liaison with the President and Governing Body
  • Assisted in the development of strategic plans for operational activity
  • Implemented and managed operational plans
  • Developed comprehensive patient experience work plan with the purpose of improving the overall patient experience
  • Managed system complaint and grievance process leveraging the MIDAS application system
  • Developed and maintained internal patient experience and Quality Assurance / Performance Improvement (QA/PI) dashboards
  • Facilitated and managed all regulatory surveys to include the Joint Commission and DPH survey accreditation and licensure.

Director

Johnson Memorial Hospital
01.2012 - 01.2014
  • Identified process improvement opportunities through analysis of comparative and internal data collection
  • Assigned preordination and follow through on those activities, including identification of outcome measurements for QA/PI, which contributed to the achievement of fiscal and quality goals
  • Coordinated data collection, report preparation, and correspondence pertaining to the QA/PI program with payers, collaborating agencies and regulatory bodies
  • Coached and championed the organizations quality agenda
  • Worked with line managers and medical leaders to build a continuous quality improvement program and was responsible for all quality assurance efforts within the health system
  • Worked closely with medical staff leadership integrating quality data into physician performance improvement activities
  • Under the direction of the Chief Medical Officer, facilitated the physician peer review program and coordinated credentialing information
  • Reviewed and revised hospital-wide QA/PI plan and developed annual quality improvement measures and goals in collaboration with senior leadership.

Education

High School Diploma -

Agawam High School
Agawam, MA

Associate - science

Holyoke Community College
Holyoke, MA

Bachelors - science, Liberal Studies

Assumption College
Worcester, MA

Masters in business administration - Entrepreneurial Thinking and Innovative Practices

Bay Path University
Longmeadow, MA

Skills

  • Areas of expertise include:
  • Process Optimization Project Management
  • Team Motivation Engagement and Management Metrics
  • Manages all regulatory site visits: Mitigating Survey Deficiencies
  • (DPH, CMS, JC, FDA, and others) Cost Reduction
  • Operational and Strategic Planning Customer / Patient Relations
  • Quality and Performance Improvement

Affiliations

CPHQ – Certified Professional Healthcare Quality ARRT – American Registry of Radiologic Technologists; Radiography and Computed Tomography Licensed in Massachusetts Page 1 of 4

Timeline

Director Performance

Commonwealth Care Alliance
01.2021 - Current

Director Quality and Risk

Fairlawn Rehabilitation Hospital
01.2020 - 01.2021

Operations Director

Day Kimball Healthcare, Invasive Cardiology
01.2019 - 01.2020

Consultant

Connecticut Hospital Association
01.2018 - 01.2021

01.2016 - 01.2018

Assistant Vice President

Johnson Memorial Hospital
01.2014 - 01.2016

Regional Director

Trinity Health of New England
01.2012 - 01.2018

Director

Johnson Memorial Hospital
01.2012 - 01.2014

High School Diploma -

Agawam High School

Associate - science

Holyoke Community College

Bachelors - science, Liberal Studies

Assumption College

Masters in business administration - Entrepreneurial Thinking and Innovative Practices

Bay Path University
Karl P. Kamyk