Operational Reviews and Modeling ·   Evaluated the day-to-day operations of eight (8) Department of Health urban district health centers, providing 325,000 outpatient visits annually for a mainly uninsured and medically underserved inner city population.  Analyzed patient flow, paper trails, patient scheduling, staff utilization and visit volume by components of primary care service (i.e., adult medicine, pediatrics, dental, pharmacy, etc.).  Developed graphic design of patient flow process, depicting similarities and differences between the district health centers.  Proposed recommendations including enhancements to patient intake procedures, staff responsibility and accountability measures, management information reporting, and clinician productivity.   ·   Developed financial projection model for Department of Health's urban district health centers.  Model, designed for use with standard desktop software, included flexible "if - then" variables for subsequent scenario building.  Researched variables having the greatest potential financial and operational impact on the centers, including changes in the Medicaid and uninsured populations as a result of state and federal Welfare Reform measures, growth of managed care coverage for Medicare patients as a result of the 1997 Balanced Budget Act, projected demographic changes in the urban populations being served, and federal and state programs to provide coverage for uninsured children.   ·   Performed an operational review of a two-site family practice program affiliated with a teaching hospital in a non-urban community.  The two family practice centers were anticipating expansion to accommodate the unmet demand for primary care services in their defined service areas.  Expansion options were evaluated in light of the centers' existing physical plant capacity constraints, effectiveness and efficiency of the patient care and administrative functions, and clinical opportunities for the hospital's family practice residency program.  Recommendations for growth included options for expansion of center hours of operations, development of additional satellite sites, acquisition of existing private practices, and use of non-physician practitioners to assist in serving the community's primary care needs.   Physician Compensation Plans ·   Developed and implemented an incentive-based compensation plan for a major single-specialty academic faculty practice plan.  Designed plan to alleviate growing annual deficits and eroding funding base.  Incorporated recognition for revenues received through federally-funded research grants, administrative subsidies, and clinical practice / patient care services.  Developed overhead expense allocation methodology, including recognition for space utilization, staffing, malpractice insurance and general expenses.