MICHAEL LETTERA

• Led 2022 TJC survey preparation for Metropolitan (hospital and behavioral health programs) leveraging stakeholders and subject matter experts to run tracers, assess and mitigate risk, and engage staff. Co-led survey command center including designing TJC survey database and defining staff roles and responsibilities. Successful
• Oversaw hospital-wide policy review and revision effort, culminating in creation of online library; 1000+ documents, real-time update capability.
• Modernizing tracking of regulatory and accreditation activities hospital-wide; enabling risk-based monitoring and mitigation; increasing ongoing survey readiness.

Implemented customer-friendly approach to demystify research approval process; provide education/training re: human subjects research, IRB submissions and overall research process.

• Expanded role of Facility Research Coordinator from clerical to substantive review of research proposals. Serve as first-line review for all research at Metropolitan, including multi-site studies with H+H and private hospitals.
• Provide training, guidance, and support to clinical research teams across hospital, including attending physicians, residents, and medical students.
• Established standard throughput reports to monitor research application processing and decrease idle time. Reduced cycle time by 25%.
• Co-chair Facility Research Review Committee. Ensure 100% of members are certified in human subjects research.
• Liaison to Memorial Sloan Kettering for their IMPACT genomic profiling study partnership to capture underserved communities with disproportionate rate of cancers especially in later stages. Exceeding patient recruitment goals.

Established first Student Affairs office to develop and manage relationships with academic teaching programs centrally; focused on internal and external client satisfaction and service, increased efficiency, and better planning.

• Manage relationships with 50+ schools/400+ students per year.
• Created streamlined processes and standardization to reduce inefficiencies (cycle time down 50%) and improve client experience.
• Negotiated academic rotation fees where none existed previously and increased others already in existence. Projected increase in revenue 40%.
• Monitored office workflow and administrative processes to keep operations running smoothly.

• Implemented DSRIP projects that improved outcomes through better care management, coordination and patient engagement e.g., Asthma Home-Based Management, Post-Discharge Care Transitions, in most vulnerable patients, addressing medical and social needs.
• Developed relationships with community service providers and managed their staff deployed at Metropolitan for care coordination programs.
• H+H earned $927M (80%) of $1.17B available, contributing statewide to reduction in overall ER visits (26%), asthma ER visits for adults (50%) and kids (40%).
• Led Metropolitan's Patient Centered Medical Home team; three consecutive successful NCQA accreditations with high marks: 2016, 2019, and 2020.

Developed and directed enterprise wellness programs (employee- and community-facing) and ensured coordination and integration among health system and Taft-Hartley fund initiatives. Utilized population health model to develop evidence-based health promotion and wellness programming, identify and reduce health disparities, and improve productivity and employee satisfaction. Performed needs assessments, evaluated programs, and ran research studies to identify best practices. Wellness liaison to internal departments, community organizations, and labor partners.

• Strategically redesigned $12M–$15M Wellness Pledge program to better incentivize healthy lifestyle choices and increased overall employee accountability and engagement; worked with HR IT to automate backend processing and reporting and created employee-centered interface.
• Piloted employee use of wearable fitness technology integrated with motivating and sustainable programs design and rewards.
• Increased employee engagement, motivation, activity and perceived health. High scores on participant satisfaction (90%+).
• Achieved 80% enrollment in “Know Your Numbers” (employee biometric screening).
• Conducted needs assessments and surveys to determine interest in and satisfaction with wellness and fitness programs, events or services.
• Cultivated and strengthened lasting client relationships using strong issue resolution and dynamic communication skills. Expanded wellness programs at external client, increasing annual revenue by 30%. Implemented programs to reduce workplace injury, increase health literacy & self-care.
• Tracked trends and suggested enhancements to both challenge and refine company's product offerings.
• Championed relationship building, cross-collaboration and mentorship throughout strategic partners.
• Developed and implemented comprehensive fitness and wellness programs to promote healthy lifestyles.
• Monitored and evaluated program performance to determine value and quality.
• Coordinated marketing efforts to promote fitness and wellness programs.
• Collaborated with health and wellness professionals to create and execute events, seminars and workshops on various topics.
• Built and implemented programming strategy and standards that supported enterprise philosophy.
• Recruited, trained, mentored and engaged highly successful operations leadership team.
• Secured workplace wellness grants from 1199 SEIU National Benefit Fund and facilitated program implementation and development with union and non-union stakeholders.

• Secured $1.5M grant to expand reproductive health training, increase patient satisfaction, and enhance access to health clinics citywide; culminated in creation of Teen Health Improvement Program. In its first year, 85% of providers rated program useful; 80% reported learning something to incorporate into their practice.
• Co-founder of “Guns Down, Life Up” anti-gun violence initiative. Secured pro bono design services for new campaign brand that continues to resonate with diverse audiences.
• Developed early prototypes that led to system-wide rebranding.
• Managed team of web developers, writers, and graphic designers to create the “HHC Art” and “Fund for HHC” websites and multi-media patient-safety documentary series, “HHC Believing”.
• Lead geographically dispersed disaster response communications team to deliver post-Hurricane sandy communications portal which facilitated large-scale clinical operations redeployment from areas impacted by storm surge to secure sites; ensured continuity of patient care despite devastation of public and private infrastructure.
• Coordinated implementation of evidence-based Music and Memory programat SeaView Hospital Rehab Center and Home, substantially improving qualityof care for Alzheimer’s and dementia patients.
• Secured seed funding for Big Apple Circus “Flip Side of the Chart,” to train healthcare professionals to communicate more effectively with patients and peers.

Managed day-to-day operations of Health Promotion Department and oversaw programs to increase access to
health services, health literacy, and provider education.

• Developed evaluation metrics and oversaw surveillance, utilization monitoring, and survey activities.
• Supervised management of grant applications and service agreements with NYS DOH, NYC DOHMH, Mayor’s Office, and non-governmental agencies (i.e. American Cancer Society, Public Health Solutions).
• Secured $1M grant for Year 2 breastfeeding promotion initiative based on Year 1 results.
• Secured continued public health grant funding - $2.5M/year for preventive health care programs (colonoscopy, obesity prevention, smoking cessation).
• Member, system-wide Vaccine Committee, providing daily reporting of vaccine inventory during H1N1 season. Secured purchase of vaccines for entire health system months in advance of flu season ensuring nearly 65% of doses on hand in advance of flu season with balance delivered in stages. No vaccine shortages reported for 400,000+ patient population.

Led first system-wide breastfeeding promotion initiative across 11 hospitals (24,000 births annually).

• Coordinated activities of 22 clinical and administrative staff, steering committee and clinical stakeholders.
• Built program based on World Health Organization Baby Friendly® standards, developed and piloted
  comprehensive quality assurance tool to assess compliance, and led clinical steering committee.
• Integrated key program metrics and clinical indicators into electronic medical record (EMR); co-led IT team
  for design, development and implementation.
• Harlem Hospital received Baby Friendly® certification – first in New York City, second in New York State.

Administrative and Executive Accountability

• Prepared reports for Board of Directors, Senior Management, and outside agencies.
• Prepared and managed Health Promotion department budget - $6m/year including Corporate and grant
  funded activities; authorized purchases, and continuously monitored expenditures.
• Direct supervision of permanent staff, student interns and temporary employees.

• Principal liaison to New York State Department of Health – successfully managing company-wide compliance with New York State HMO regulations. Recognized by DOH as “best in class”. Led team to successful 2002 survey despite losing headquarters at 1 World Trade
• Led records recovery and archiving efforts in months following 9/11.
• Oversaw preparation for annual audits including risk assessments, data and materials collection; briefed CEO and senior leaders; no significant findings in subsequent 5+ years.
• Led 50+ member cross-functional team and performed ongoing compliance audits. Instituted proactive, ongoing monitoring procedures including secret shopper surveys.
• Managed enterprise-wide compliance for consumer/patient protection regulations across HMO and PPO plans in New York.
• Centralized oversight and tracking of all external regulatory audits, reviews, and examinations across all lines of business including CMS, NYS Comptroller, Federal Employee Program, and BCBS Association. 40+ active audits at any given time.
• Collaborated with Legal, IT, and Operations to build company’s first federal anti-terrorism program in accordance with post- 9/11 Presidential Executive Order (Office of Foreign Assets Control; OFAC). Integrated single enterprise-wide program covering $60 billion in revenue in 14 states. Coordinated timely review of millions of corporate data records, performed due diligence, and worked with federal government to ensure firm was not doing business with actual or suspected terrorists.
• Responded to employee inquiries regarding compliance regulations and procedures.
• Identified, investigated and documented compliance violations and recommended corrective measures.

• Audited diverse health plan operations including: medical management, claims, provider contracting, human resources, fee schedules, and Medicare Advantage. Identified $1M+ in cost savings and recoverable funds.
• Explained risk and compliance concepts to managers and executives.
• Reviewed and identified risks, analyzed controls and tested compliance.
• Developed auditing programs to address risks and evaluate regulatory requirements.
• Prepared and distributed risk and audit reports to appropriate personnel.