Brieanna Nation-Howard, DO, MPH, FAAHPM,HMDC
Argyle
Summary
Board Certified and Fellowship Trained Hospice & Palliative Care Medical Director with many years of leadership experience overseeing palliative care practices from ground up. Certified Hospice Medical Director with expertise in high-quality, compliant, and compassionate hospice care. Successful track record developing strong administrative and healthcare teams. Committed to clinical improvement and business growth. Known for fostering collaborative environments that promote collegiality, professional development, and continuous learning.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Medical Director (supervisory)
UpLift Medical Spa
01.2021 - Current
- Physician supervisor for a nurse practitioner-owned medical aesthetic spa.
- Delegation of prescriptive authority for an APRN to the Texas Medical Board.
- Complete the monthly chart review.
- Complete monthly nurse practitioner meetings, per state regulations.
- Supervise the nurse practitioner as directed by the Texas Medical Board regulations and rules.
- Available by telephone for urgent patient issues.
- Sign off on physician signature documents required in which the nurse practitioner is not authorized.
Medial Director
Three Oaks Hospice
Dallas
05.2020 - Current
- Provides palliative care to terminally ill patients, focusing on comfort and quality of life, working closely with an interdisciplinary hospice team to address medical, emotional, and spiritual needs, and ensuring compliance with regulations.
- Communicate effectively with patients, families, and other healthcare providers to ensure all needs are addressed, and expectations are managed.
- Maintain accurate and thorough patient records, documenting care provided, and patient progress.
- Ensure that the medical component of the hospice program adheres to ethical standards, regulations, and laws.
- Certify and recertify patients' eligibility for hospice care, ensuring they meet the criteria for terminal illness, and a life expectancy of six months or less.
- Specialize in pain and symptom management, using various techniques to alleviate discomfort and improve patient well-being.
- Help patients and families navigate the end-of-life process, providing emotional support, and guidance.
- Participate in quality improvement initiatives to ensure the hospice program provides the best possible care.
- Lead bimonthly, interdisciplinary hospice team meetings and collaborated with multi-disciplinary staff to improve overall patient care.
- Provided medical education programs for clinical staff.
- Maintained knowledge of industry developments through professional organizations.
- Created plans to achieve organizational goals, promote employee welfare, and deliver quality patient care.
- Reviewed patient records to assess the appropriateness of hospice care.
- Examined and interpreted test results to provide recommendations for care and treatment.
- Certification and completion of death certificates, per state regulation.
- Built strategic alliances with hospitals, primary care physicians, oncologists, cardiologists, and pharmacists, resulting in smoother transitioning of terminally ill patients into the hospice program.
Medical Director
Three Oaks Palliative Care
Dallas
05.2020 - Current
- Built a consultative model of a community palliative care program from startup.
- Quickly grew from one physician and one ARNP with 0 patients at start up, to over 300 active patients and multiple ARNPs by end of first year.
- For five years, have maintained an active census of over 400 community-based palliative care patients, with 7 full-time ARNPs throughout the state of Texas.
- Acting as the supervisory physician and direct clinical lead for seven ARNPs.
- Lead the interdisciplinary palliative care team meeting bimonthly.
- Monthly chart review of ARNPs, per state guidelines.
- Provide prescriptive authority for ARNPs.
- Replicated community-based palliative care program to start the Chicago branch of Three Oaks Palliative Care.
- Analyzed and evaluated monthly dashboards and performance metrics, and authored policies and procedures to maintain organizational quality benchmarks.
- Devised goals and objectives by leveraging core competencies in performance and palliative care knowledge.
- Collaborated with multidisciplinary team members to develop treatment plans for medically complex, seriously ill patients.
- Reviewed patient records to assess the appropriateness of palliative care, and the development of screening triggers.
- Maintained communication and transparency with governing boards, department heads and medical staff.
- Assessed patients' conditions, diagnoses, and treatments.
- Provided direct patient care for seriously ill palliative care patients, specializing in complex cancer pain management, goals of care conversations, and advance care planning.
- Monitored performance of health care providers against established standards.
- Ensured compliance with applicable laws, regulations, codes, rules, standards.
- Analyzed data related to patient outcomes and satisfaction levels.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Performed administrative duties, such as scheduling and payroll management.
- Recruited, hired and trained new medical and facility staff.
- Resolved disputes involving healthcare professionals.
- Explained policies, procedures and services to patients.
- Restructured program materials to define objectives and align with new core competency regulations.
- Identified opportunities for improving operational efficiency.
- Developed and actualized strategies to maintain highest standards of care.
- Oversaw day-to-day practice functions, patient care, medical and administrative staff and business activities.
- Assessed need for additional staff, equipment and services based on historical data and seasonal trends.
- Developed protocols and policies to ensure quality patient care.
- Examined and interpreted test results to provide recommendations for care and treatment.
- Participation in the accountable care organization, including monthly meetings with financial oversight of the program.
- Review of utilization management for medically complex patients, encouraging wise financial stewardship.
- Built strategic alliances with referral sources through nursing and case management, home health nursing, oncologists, cardiologists, primary care, and hospital systems, resulting in a more united team approach to patients' healthcare and recognition as a community leader for palliative care in the region.
- Directed, supervised and evaluated medical, clerical or maintenance personnel.
- Managed administrative functions like cost management, utilization reviews, quality assurance, and medical protocol development.
- Created ambitious annual goals, objectives and budgets and made recommendations to reduce costs.
- Created plans to achieve organizational goals, promote employee welfare, and deliver quality patient care.
- Drove business development and relationship building to achieve business goals.
- Facilitated communication between practitioners and administrators regarding changes in regulations or guidelines.
- Communicated with patients with compassion while keeping medical information private.
- Maintained awareness of government regulations, health insurance changes and financing options.
- Attended conferences and seminars to stay current on trends in the field.
Medical Director Supportive and Palliative Care
Baylor, Scott & White Medical Center Carrollton
Carrollton
09.2014 - 05.2020
- Provided direct patient care and consultation for the palliative care service at Baylor Scott & White- Carrollton Hospital as well as Heart Hospital, Baylor Denton.
- Specializing in symptom management, goals of care conversations, and advance care planning for complex, seriously ill patients.
- Provided direct patient care for terminally ill patients, and facilitated the transition into hospice service for end-of-life management.
- Provided physician oversight for palliative care, ARNP.
- Provided prescriptive authority for palliative care ARNPs.
- Developed palliative care screening triggers based on institutional goals.
- Interdisciplinary team member with a holistic approach to patient- and family-centered care.
- Developed, interpreted, and monitored quality metrics.
- Member of the medical ethics committee.
- Established solid relations with leadership and staff by attending board meetings and coordinating interdepartmental information exchanges.
- Maintained knowledge of industry developments through professional organizations.
- Identified opportunities for improving operational efficiency.
- Lead the monthly mortality and morbidity conference.
- Participated in hospital committees to improve service delivery.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Wrote policies and procedures to establish medical and administrative best practices.
- Directed, supervised and evaluated medical, clerical or maintenance personnel.
- Resolved disputes involving healthcare professionals.
- Reviewed patient records to assess the appropriateness of care.
- Attended conferences and seminars to stay current on trends in the field.
- Examined and interpreted test results to provide recommendations for care and treatment.
- Communicated with patients with compassion while keeping medical information private.
Associate Medical Director
Community Palliative Consultants
Jacksonville
08.2012 - 07.2014
- Provided direct patient care for complex, seriously, and terminally ill patients among three different hospital systems.
- Specializing in symptom management, complex cancer pain management, goals of care, and advance care planning.
- Communication of serious illness and poor prognosis, and end-of-life conversations with patients and families.
- Maintained good communication between referral sources, medical staff, case management, nursing, and governing boards.
- Communicated with patients with compassion while keeping medical information private.
- Delivered oral presentations for medical staff conferences.
- Collaborated with other physicians on medical cases and treatment plans.
- Provided guidance on complex cases involving multiple providers or departments within the organization.
- Introduced, oriented, and mentored resident physicians and nurse practitioners.
- Partnered with Blue Cross Blue Shield of Florida to develop and implement the first pilot program of a community-based palliative care consultation service.
Hospice and Palliative Medicine Fellowship
Mayo Clinic
Jacksonville
07.2011 - 08.2012
Family Medicine Residency
Mayo Clinic
Jacksonville
07.2008 - 06.2011
General Surgery Internship
UF/Shands Hospital
Jacksonville
07.2007 - 06.2008
- AOA-approved Osteopathic Internship.
Education
Doctorate Osteopathic Medicine -
Nova Southeastern University College of Osteopathic Medicine
Ft. Lauderdale, FL05.2007
Masters Public Health - Tropical and Infectious Disease
University of South Florida
Tampa, FL08.2003
B.A. - Natural and Interdisciplinary Sciences, Pre-medicine Concentration
University of South Florida
Tampa, FL05.2002
Emergency Medical Technician (EMT) -
Hillsborough Community College
Brandon, Fl08.1998
University of Florida - Food Science and Human Nutrition – Biology, Pre-medicine concentration
University of Florida
Gainesville, Fl12.1997
Skills
- Program leadership and administration
- Palliative care
- Hospice care
- Medical Ethics
- Regulatory compliance
- Patient assessment
- Team leadership
- Quality improvement
- Pain management for the terminally ill
- Chart review
- Patient communication
- Interdisciplinary collaboration
- Staff training
- Policy development
- Patient documentation
- Patient education
- Staff supervision
- Physician relations
- Organizational goal development
- Patient care
- Conflict resolution
- Direct patient care
- Resource allocation
- Problem-solving abilities
- Written communication
- Healthcare consulting
- Multitasking Abilities
- Stakeholder coordination
Certification
Professional Licensure/Certification (all current recertifications 2024)
Hospice Medical Director Certification October 2022
Hospice and Palliative Medicine Board Certification October 2023
Fellow of the American Academy of Hospice and Palliative Medicine March 2018
American Board of Family Medicine Certification June 2011
American Board of Family Medicine Recertification current
TX Licensure: Q0518
IL Licensure: 336.113960
FL Licensure: OS 10849 (Inactive status)
NPI: 1508067190
DEA: FN1965055
Professional Memberships Positions
- Physician Member, Three Oaks Hospice Quality and Compliance Committee, 2020 - current
- Physician Member, Baylor, Scott & White Post Acute Care Quality Subcommittee, 2019 - 2020
- Co-Chair, Ethics Committee Baylor Medical Center Carrollton, 2019 - 2020
- Member, Ethics Committee Baylor Medical Center Carrollton, 2016 - 2020
- Member, Mortality Review Committee Baylor Medical Center Carrollton, 2014 - 2016
- Member, Ethics Committee St Vincent’s Southside, 2013 - 2014
- Member, Mayo Clinic Jacksonville Humanities in Medicine Subcommittee, 2011 - 2012
- Member, Mayo Clinic Jacksonville Mortality Review Committee, 2011 - 2012
- Member, Mayo Clinic Jacksonville Ethics Committee, 2011 - 2012
- Chief Resident, Family Medicine Residency Mayo Clinic Jacksonville, FL, 2010 - 2011
- State Officer Resident Secretary, Florida Association of Family Practitioners (FAFP), 2010 - 2011
Professional Honors
- Community Healthcare Hero Award, Jacksonville Business Journal, 11/01/13
- Mayo Clinic Alumni Association, 07/01/11 - current
- William Anderson Academic Society, Nova Southeastern University, College of Medicine, 07/01/04 - 05/01/07
- Phi Eta Sigma Honor Society, University of Florida, Gainesville, FL, 06/01/97
Presentations Publications
- Professional Presentation: Baylor Medical Center Carrollton Grand Rounds– Ethics CME: “Is This Worth It? A Review of Ethical Principle of Medical Futility”, 12/01/16
- Professional Presentation: Baylor Medical Center Carrollton Primary Care Symposium – Ethics CME: “Is This Worth It? A Review of Ethical Principle of Medical Futility”, 06/01/16
- Professional Presentation: Baylor Medical Center Carrollton Grand Rounds: “Dying In America: Palliative Medicine and the Evolving Healthcare System”, 01/01/15
- Professional Presentation: Baylor, Scott & White Healthcare Supportive & Palliative Care Department Quarterly Meeting: “Dignity Therapy”, 01/01/15
- Professional Guest on Jacksonville Morning News TV Show: “Coastal Living” Discussion on palliative medicine, 12/01/13
- Professional Guest on Jacksonville Radio Station WOKV’s “Meet the Doctor” Discussion on palliative medicine, 11/01/13
- Professional Presentation: Introduction to Palliative Care Nursing Orientation: Baptist Medical Center Jacksonville, FL, 10/01/12
- Professional Presentation: Schwartz Center Rounds, 06/05/12
- Professional Presentation: Barriers and Misconceptions Palliative Medicine, 01/12/12
- Professional Presentation: If The Time Comes: Advance Care Planning, 01/12/12
- Professional Presentation: Introduction to Palliative Medicine, 01/12/12
- Professional Presentation: Palliative Medicine Journal Club: Prognostication after Traumatic Brain Injury, 01/09/12
- Community Presentation: Stress Management As We Age, 01/05/12
- Professional Presentation: Palliative Medicine Case Presentation: Filial Piety, 12/12/11
- Professional Presentation: Introduction to Palliative Medicine, 07/11/11
- Community Presentation: Elderly and Medication Management, 10/05/11
- Professional Presentation: Patient Case Presentation: Pott’s Disease, 06/07/11
- Community Presentation: Stress Management, 07/08/10
- The Reverend: Waiting For A Miracle., Journal of Palliative Medicine, 07/01/13
- Filial Piety in Palliative Care: Faithfully Following Family Feelings. Or is it?, Journal of Palliative Medicine, 05/01/13
- Poster Presentation: AAHPM National Conference: “Assessing Outpatient Primary Care Patients’ Attitudes and Understanding of Advance Care Planning”, 02/01/17
- Poster Presentation: TCU Annual Evidence Based Research Symposium. Faculty Advisor. “Cancer Pain Management”, 08/01/16
- Ongoing Palliative Research Project: Use of Standardized Template to Enhance Documentation of ACGME Core Competencies in a Palliative Care Consultation, 2011 - current
- Ongoing Palliative Community Project: Development of Bereavement Packages for Families of Hospitalized Patients at End of Life., Baylor Medical Center Carrollton, 2016 - current
Volunteer Experience
Community Medical Volunteer for Special Needs Hurricane Shelter, 2010-2011, 2011-2012
References
References available upon request.
Timeline
Medical Director (supervisory)
UpLift Medical Spa
01.2021 - Current
Medial Director
Three Oaks Hospice
05.2020 - Current
Medical Director
Three Oaks Palliative Care
05.2020 - Current
Medical Director Supportive and Palliative Care
Baylor, Scott & White Medical Center Carrollton
09.2014 - 05.2020
Associate Medical Director
Community Palliative Consultants
08.2012 - 07.2014
Hospice and Palliative Medicine Fellowship
Mayo Clinic
07.2011 - 08.2012
Family Medicine Residency
Mayo Clinic
07.2008 - 06.2011
General Surgery Internship
UF/Shands Hospital
07.2007 - 06.2008
Doctorate Osteopathic Medicine -
Nova Southeastern University College of Osteopathic Medicine
Masters Public Health - Tropical and Infectious Disease
University of South Florida
B.A. - Natural and Interdisciplinary Sciences, Pre-medicine Concentration
University of South Florida
Emergency Medical Technician (EMT) -
Hillsborough Community College
University of Florida - Food Science and Human Nutrition – Biology, Pre-medicine concentration
University of Florida
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