Executive MBA for Physicians Blog

Educating physician leaders in the new science of medicine and management

Tag: Class of 2019

EMBA Alum Discusses Transitioning into the Role of Vaccines Medical Director with Pfizer Vaccines

Headshot of Dr. Tracy FooBelow is an interview with Dr. Teresa “Tracy” Foo, a member of the EMBA for Physicians class of 2019 who transitioned into the role of Vaccines Medical Director at Pfizer Vaccines in 2020.

Please tell us about your role. What are you responsible for? What projects are you working on?

I am a Vaccines Medical Director with Pfizer Vaccines. I am responsible for providing medical and scientific information about Advisory Committee on Immunization Practices (ACIP) recommended and approved vaccines. I have been working to improve vaccine confidence, knowledge about our vaccines, and internal team processes.

What did you do before working at Pfizer? Why did you want to transition into the pharmaceutical industry? 

Prior to starting at Pfizer in April 2020, I had been working in public health at the state level in both immunizations and acute disease epidemiology. I was attracted to my current role because it allowed me to focus my efforts on increasing vaccination rates and have a broader impact in my work.

What should physicians know about the COVID vaccine? How can physicians better prepare for conversations about vaccines with patients? 

Health care providers need to know that they are often the most trusted source of information about the COVID-19 vaccine for their patients. A strong vaccine recommendation from a health care provider is often the reason a patient gets vaccinated. There are many resources available to health care providers to improve vaccine confidence. One to start with is https://www.cdc.gov/vaccines/covid-19/vaccinate-with-confidence.html

How has the EMBA for Physicians program helped you in your new role?  

The EMBA program helped me determine what type of organization I was looking to join and also better assess the organizations (e.g. culture, leadership) I interviewed with. The leadership courses and my development as a leader through the program helped prepare me to take on this new role and join a new team. The program also helped improve my skills in system thinking and analysis, as well as organizational change management.

 

EMBA Alum Transitions into Insurance Industry

Head shot of Dr. Kate McIntoshDr. Kate McIntosh was a member of the class of 2019 and is the Senior Medical Director and the Director of Quality for Blue Cross and Blue Shield of Vermont (BCBSVT). She transitioned from private practice as a pediatrician and Chief of Pediatrics at her local hospital to this role during the last semester of the Executive MBA for Physicians program. Below, Dr. McIntosh tells us more about her new role, moving into the insurance industry, and how her MBA degree has helped her in this journey.

Please tell us about your new roll. What are you responsible for?

I am the Senior Medical Director and the Director of Quality for BCBSVT. BCBSVT is one of the smallest of the independent health plans of the Blue Cross and Blue Shield Association. Working for a health plan as a physician can take many forms, and one of the advantages of working for a small health plan is that I get to do a large variety of things which might be done by separate people at a larger plan.

I am one of only two physicians employed by the plan. Dr. Joshua Plavin, the CMO, is also an alumnus from the Brandeis Executive MBA program; he graduated in 2017. The two of us are the voice of the physician within the organization. Whereas Dr. Plavin’s role is more external and strategic, mine is more internal and operational.

As Senior Medical Director, I am responsible for medical policy, coding, and supporting all of the internal departments of BCBSVT by lending a physician perspective. As part of this, I support the utilization management nurses and the appeals team and coordinate a team of contracted physicians who do medical reviews. The speed at which medicine is changing seems to be ever-accelerating, and it’s an ongoing challenge to keep up with the latest changes in technology and pharmacology.

As part of my work as the Director of Quality, I oversee our HEDIS measures, our NCQA reporting, our internal quality initiatives, and the metrics and reporting for the quality and value-based projects with our local ACO, regional hospital networks, and other provider groups. I also work closely with the quality nurse and provider contracting to review patient complaints and to provide feedback to hospitals and providers throughout Vermont. I also work with the Fraud, Waste, and Abuse department to look for red flags or concerning behaviors. Fraud is a growing area of concern in health care, estimated to cost the United States up to $68 billion annually.

What did you do before this new role?

Before I started at BCBSVT, I ran my own practice for 16 years and was the medical director for the Vermont Health Information Exchange. I was also Chief of Pediatrics at my hospital and sat on its board of directors. Coming to a health plan from owning and running a practice has allowed me to bring a useful and less common perspective about the business of medicine to the organization and to the conversation about health care in Vermont as a whole.

Why did you want to transition into the insurance industry?

I never thought that I would work for a health plan. After 22 years of practice, I wanted to do something different. Running a practice had shown me that I really liked administrative work, and I wanted to do something that let me use my administrative skills. I would not have come to BCBSVT if it hadn’t been for Dr. Plavin, who was instrumental in encouraging me to enter the Brandeis program and also in bringing me to BCBSVT. I started at BCBSVT as a contractor doing medical reviews, but quickly found that the type of systems thinking required was a good fit for me. When the Senior Medical Director position opened, I knew that I wanted to apply for it. The Director of Quality was added later as part of a divisional reorganization but has made tremendous sense for the organization as a whole and has made my position even more interesting and rewarding.

Did pursuing the EMBA for Physicians impact your ability to get this new role? If so, how?  

I think that it is fair to say that I would never have gotten this position without the EMBA program at Brandeis. Dr. Chilingerian’s teaching especially was instrumental in allowing me to enter the company as a contractor and quickly to be able to understand the needs of the organization and how best to meet them. This was a significant culture shift from where I had been before and a completely different type of organization. I think that the EMBA program helped me make the rapid pivot that was necessary to get this new role.

How has the EMBA for Physicians program helped you in your new role and which skills and tools from the EMBA program have you been using the most?

Every class that I took in the EMBA program has helped me in my new role. This new position sits at the intersection of business, health care, health reform, and politics. In addition, I use the tools we learned for strategy, finance, quality, ethics, and operations management on a daily basis. The courses have been critical to navigating the complex world of value, where quality and cost intersect. Dr. Plavin and I are both interested in encouraging providers to push forward innovative value-based projects and health reform initiatives, and we have to sell these both internally and externally, not only to health care leaders, but also to multiple stakeholders, including politicians, actuaries, and executives. In addition, I am working to optimize many of our internal processes which often involves all the diverse change management and communication tools that we learned or touched on in school, especially when working with teams from multiple departments and with multiple skill sets and priorities. The white board in my office is often a mess of flow charts and operational diagrams. Dr. Morrison would be amused!

EMBA Alum receives funding to expand his Executive Team Consulting Project

Recently, we chatted with Dr. Michael Tang, an alumnus of the class of 2019, to learn more about his successful Executive Team Consulting Project (ETCP). Dr. Tang is a psychiatrist and pediatrician who works at Dimock Community Health Center in Boston. He worked with his organization to focus his ETCP on behavioral health integration through a management approach. He has received funding to expand this project to additional health centers throughout Massachusetts.

The ETCP is a capstone activity that supports each student as they launch, lead, and work with a team of their colleagues to complete a change initiative that impacts an aspect of their own work in healthcare. Keep reading to learn about the process of creating and implementing a successful project.

What was the subject of your ETCP?

My ETCP built upon existing work within my organization, Dimock Community Health Center. It highlighted the importance of a management approach to Behavioral Health Integration. For nearly ten years, Dimock has found that fully merging primary care medical and outpatient behavioral health clinics enable operational efficiencies and financial sustainability that directly lead to improved patient care. My ETCP sought to model this integration, including through a linear program, dashboard of metrics, and workflow changes to reduce wait times. The project further aimed to disseminate this model, contributing to a peer-review publication and a multi-year grant to create a Leadership Learning Network for C-suite leaders in ten Massachusetts Community Health Centers to learn about these management strategies.  

This project is significant for our organization as it helped our health center share innovations with colleagues from across the Commonwealth. Integration is particularly important for the new Massachusetts Medicaid Accountable Care Organizations (ACOs), and other value-based models that reward improved patient outcomes, population health, and provider satisfaction, and lower health care costs. We believe this Behavioral Health Integration approach helps providers better achieve this Quadruple Aim.

How did you decide on the topic?

It advanced the work I was already doing at my job on integrating primary care, behavioral health, and substance use disorder services.

Tell us about how you acquired support (financial support, leadership buy-in, etc.) within your institution.

There was great synergy between my ETCP and my job. The project advanced my thinking and generated content, which I could then take back to my job to build support from my leadership, assist my colleagues, and increase financial backing.

What was the process of forming your team like?

It went smoothly, since we were already a well aligned organization and the project helped move our team forward.

How is the project evolving now that you have graduated?

The ETCP continues to strengthen and expand even after graduation. We are continuing to strengthen our behavioral health integration within the health center, using skills and techniques developed in the ETCP. We were funded by Boston Children’s Hospital to spread our Behavioral Health Integration model to 10 additional health centers across the Commonwealth, disseminating these best practices.

How did the Brandeis EMBA for Physicians program help you along the way?

The Brandeis EMBA  for Physicians program helped this project in all regards. Accounting helped me understand the finances and return on investment. Leadership helped me think about the strategy and change management. Operations helped design a linear program and manage wait lists. The Health Care Entrepreneurship class shaped this start-up project. Relational Coordination helped me understand team dynamics. Marketing helped think about messaging and population segmentation. Systems Thinking introduced a clear approach to problem solving. Each class added a new element that the ETCP pulled together.

The program overall helped me become a better manager and leader.

Entrepreneurial EMBA Physician Brings Quality Medical Care to Campers

Dr. Jill Baren is a member of the Executive MBA for Physicians class of 2019 and an emergency physician who has been practicing for 25 years. She was also one of the first physicians to subspecialize in pediatric emergency medicine. She has practiced in both urban academic hospitals and freestanding children’s hospital emergency departments. Currently, she is Professor of Emergency Medicine, Pediatrics, and Medical Ethics at the Perelman School of Medicine at the University of Pennsylvania. She is also President-Elect of the American Board of Emergency Medicine. Below, we discussed Dr. Baren’s new venture, Camp Health Consulting, which helps camps achieve exceptional standards of healthcare by providing education, operational advice, and recruitment of qualified nurses and doctors to work in the unique setting of a camp . We discussed the venture, how it came to be, and how the EMBA for Physicians program has been helpful so far.

Can you tell us about your venture?

I founded Camp Health Consulting with my business partner who is also an emergency physician. Both of us are passionate about working as physicians in residential camp settings, or “sleepaway camps”, as some people call them. Camps provide a great atmosphere for kids and offer various activities such as sports, science, outdoor adventure, and plenty of social interaction away from the internet! Camps are often located in more remote environments, in mountainous or lake areas, so the proximity to medical care can be relatively limited. My partner and I have a very long tenure as camp physicians (over 25 years between us) and both of us attended summer camps when we were growing up. We noticed that there were gaps in the standard of care that’s delivered at camp and in the skills of the providers that are typically recruited to work in camp settings. Many camps use nurses, not doctors. Nurses are trained on a treatment rather than a diagnostic paradigm so it’s harder for them to figure out undifferentiated complaints or perplexing problems without physician backup. Sometimes that can result in unnecessary trips to a hospital. In a typical camp health center you will see a combination of infectious diseases, dermatology, orthopedic, and mental health complaints, among other things. We think the best skillset for camp doctoring is emergency medicine, but other physicians with proper training and experience can be taught to fill in the gaps. We work with camp directors and owners to address deficiencies. Some camp health centers are starting from ground zero. They have no idea how to set up a health center and want advice about how many people should staff it, what their qualifications should be, and how they should deal with parent communication issues. We’re actively building our recruitment arm of the company. As clinicians, we have greater accessibility to clinicians and knowledge of the industry. Camp directors are busy recruiting everyone else needed to run a camp and find it difficult to recruit their health center staff each summer. When a camp decides to hire us to assist with recruitment, we will deliver an educated nurse or doctor – one that meets our standards and has gone through a series of educational modules that focus on the unique healthcare needs of kids at camp.

What sparked this idea?

It was nothing more than my own clinical experience working as a camp doctor at a summer camp that my sons attended many years ago. The director of this camp was invested in providing an injury free, healthy camp environment for nearly 300 campers and 100 staff, but didn’t always have the optimal tools to do so. For example, we had a medication distribution system that needed to be improved from a safety and efficiency standpoint and we worked together to accomplish that. There were other challenges I observed that made me think, “Wow, this is a business waiting to happen.” A few years ago, I met my business partner. A colleague connected us, and we instantly clicked as we had noticed the same exact issues at our respective camps and both had a love of camping. We agreed to build a business to improve healthcare at camps.  We spent another year ironing out the business concept and then established the company. Now we’ve got a number of people involved. We have independent contractors, equity partners, and advisory board members, and we’re pretty excited about how quickly it has developed. We will be launching our products and services in the summer of 2019.

How has the EMBA for Physicians been helpful in growing your venture?

The EMBA program has been incredibly helpful. Most importantly, my classmates are so excited for me. They are interested in my business and have supported me, reaffirming my ideas. It’s like having a bunch of cheerleaders. There have been a number of classes that have been directly related to my work. Just this week, I went over my monthly financial statements with my bookkeeper and knew how to ask the right questions and easily follow the balance sheet. I learned how to do cash flow projections for the business. The program has provided me with real world knowledge that I can apply right away. The entrepreneurship course has also been a great help. I pitched my business in a slide deck for the class project and got pages of comments back from the professor. I’ve never had a professor take that much time to give such detailed feedback and I was really appreciative. Having the EMBA side by side, paralleling the development of the company, has been fantastic for me.

What advice would you give to a physician who is thinking about pursuing an entrepreneurial venture?

There are so many things you can do as a physician. The jobs are limitless. You just have to think outside of the box. I created this company but have no immediate plans to leave my position as a leader in academic medicine and a leader in my specialty nationally. Physicians should be empowered to believe that there are lots of jobs accessible to them and that many doors can be opened with additional skill sets. If you have an idea or if you are willing to partner with non-physicians or with other physicians who are interested in expanding their own skill sets, it’s totally doable. Physicians are lifelong learners. If you are a person with passion, who cares about improving health, there are plenty of areas that need work. You can do it.

What advice would you give to a physician who is starting our program?

People come into the program with lots of different goals. Whatever your goal is upon entering, don’t be rigid. Allow yourself to see what your classmates are doing and feel your way through the program. The connections you make as a part of the program with colleagues and faculty are invaluable.  In our class, people are starting to grow into and envision themselves as productive in different roles than their current ones. Don’t box yourself in. Go with an open attitude because you never know what could happen.

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