Recent Client List

Kaiser Permanente

When Kaiser Permanente implemented a new radiology IT system, Virginia created a work flow documentation approach that baselined current processes at their care delivery sites and central film repository, and modeled the process requirements for the new system. These work flows identified required system interfaces, became the basis for detailed specifications and testing scenarios, and facilitated a smooth implementation of the new IT system.

This change:

  • Anticipated and streamlined work flow and application integration at 30 service locations
  • Increased efficiency between operations, IT, and patient care
  • Defined functional capabilities and testing scenarios consistent with Kaiser standard methodologies

Managed Care Organizations

For a number of Managed Care Organizations, Virginia managed the procurement of information systems to support enrollment, premium billing, benefits management, authorizations, claims adjudication, and management reporting. Virginia worked with managers and users to identify and prioritize requirements, prepared RFI/RFP materials for distribution to candidate vendors, evaluated vendor functional, cost, and implementation proposals. She also developed a rigorous approach to vendor demonstrations and participated in contract negotiations.

This change:

  • Created proposals that could be compared across vendors
  • Prevented vendors from “snowing” clients during software demonstrations
  • Produced documented decisions that were well understood across the organization

U.S. Department of Defense

When the U.S. Department of Defense (DOD) wanted to adopt a managed care delivery system for its 9 million beneficiaries, Virginia managed the development of an operational model and migration path for the use of current information systems. Under Virginia’s direction, representatives of all service arms participated in work groups to model the patient and management processes required to adopt a managed care delivery model. They inventoried all DoD health care systems and their functions, and developed a migration model to support the rapid implementation of managed care for the DoD's health services.

This change:

  • Provided enhanced treatment and care to patients
  • Integrated budget and financial management for patient care
  • Linked military and civilian services for better efficiency

National Cancer Institute

When the National Cancer Institute needed to streamline the process for collecting data for clinical trials, Virginia managed the design and development of an Electronic Data Capture tool. Virginia’s review of data capture at several sites uncovered important and unanticipated requirements. Users were maintaining shoe boxes of 3x5 cards and Excel spreadsheets to track when treatment and reporting events should occur. Based on this analysis, the functional requirements were expanded to include event tracking and reminders that provided even more benefit to the users than electronic data capture. At Virginia’s direction, a commercial rules engine tool was incorporated into the application to manage the protocol defined requirements for patient eligibility, adverse event detection, and data integrity.

This change:

  • Provided automated tools that addressed user needs for event tracking
  • Reduced errors to near zero
  • Enabled data checking rules to be managed by non-programming personnel