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Michael Bakerman, MD, FACC, MMM
Michael M. Bakerman, MD, MMM, FACC, FACP Senior Manager Dr. Bakerman joined the Health Sciences Advisory Services team in May of 2002. A board certified internist and cardiologist, he has 15 years of healthcare experience as a clinician, a medical director for several Medicare risk products, a vice president for a 35 physician primary care group, and a board member of a 250 physician, physician led primary care organization. Dr. Bakerman's areas of interest involve assistance to physician practices, interaction with physician and hospital administration, system integration, uses for technology in medical practice and healthcare delivery, assisting payers and other leaders understand the rapid changes in healthcare and working with employer groups to understand drivers of healthcare cost and strategies to reduces expenditures. Dr. Bakerman has a broad background in and understanding of developing and running a medical practice. In addition, as a former medical staff president, he worked on issues such as hospital mergers, practice acquisitions, and the problems of physician/hospital administration relationships. In conjunction with developing a physician led primary care organization, he assisted with the implementation of strategic planning, development of a vision and values, and consensus building among a diverse spectrum of providers. Additional accomplishments include developing a five physician and five physician extender medical group, merging a primary care medical group with a multispecialty group, and growing a network of 150 primary care physicians to over 250. Relevant Experience U.S. Territory Healthcare Delivery System Redesign Currently assisting the government of a U.S. territory with the redesign of the island's healthcare delivery system and reimbursement structure. Four initiatives are being developed simultaneously: benefit plan design, mental healthcare delivery assessment, Medicaid eligibility determination and hospital operations. Specific responsibilities encompass the following: - Managing a team responsible for the assessment of behavioral healthcare delivery - Managing a team responsible for the development of standardized electronic data submission and reporting - Developing a comparison grid to allow selection of managed behavioral healthcare organizations ("MBHOs") - Assisting with the change management process - Developing health indicators, in accordance with the department of health, to assess the health of the covered population and measure the effectiveness of the MCOs and MBHOs - Assisting with the development of PMPM targets and cost of care projects - Assisting with the negotiations with the MCOs and MBHOs and the local government in the awarding of healthcare contracts Financial Recovery Strategy Assessment Provided assistance to a health system in North Carolina regarding strategic development of a financial and clinical redesign process. This institution was in financial distress with only 17 days of cash on hand. Operational and clinical issues regarding consolidation of emergency room and urgent care facilities, consolidation of operating room and surgicenter facilities, and quality of care issues were emphasized. National HMO Benchmarking Managed a multidisciplinary team that was working with a national HMO to benchmark and assess the client's medical care processes. The areas of concentration involved medical office redesign, laboratory redesign, coordination of benefits and cash acceleration, and the benchmarking of inpatient and outpatient clinical practices. Specific responsibilities included the following :- Developed benchmarking data for the inpatient and outpatient clinical practices. - Interviewed clinical leaders to assess change readiness. - Reviewed laboratory utilization and benchmarking data. - Evaluated the call center function and staffing. - Developed a regional strategic plan to redesign the medical care process. - Assisted with the implementation of the strategic plan. Non-U.S. Healthcare Delivery System Redesign Assisted the government of a non U.S. island with the redesign of the island's healthcare delivery system and reimbursement structure. Four initiatives were simultaneously developed: hospital reimbursement, disease management, formulary development, and elder care program development. Specific responsibilities encompassed the following: - Managed a team responsible for the establishment of an islandwide formulary and the related architecture for implementing generic substitution, using unique identification numbers for providers and patients, and developing an islandwide dispensing bureau. The work also included developing a plan for a tiered formulary system. - Worked with clinical leaders to develop the disease management program and assisted with the implementation of the programs for asthma, cardiac, and diabetes. - Assisted with the change management process. - Assisted with developing a new hospital reimbursement methodology. - Assisted with developing a peer review process for providers. Internet Start-Up Claims Processing Managed a multidisciplinary team to assist a medical Internet start up with a real time claims processing solution. Specific responsibilities included coordinating systematic reviews for medical content and validity, as well as reviews for HIPAA compatibility and Medicare compliance; assisting IBM with developing the Internet solution for claims processing; and providing subject matter expertise regarding provider behavior and clinical practice. Multifacility Clinical Benchmarking Assisted a multidisciplinary team in benchmarking clinical practices and instituting clinical guidelines and care maps at a multifacility health system. Specific responsibilities included developing local benchmark data, determining best practices and presenting them to management, assisting with the change enablement process, assisting with the development of clinical guidelines and care maps, and developing a strategic plan for implementation. Pain Management Market Trends Analysis Performed a strategic analysis of current market trends for pain management for a national cancer organization, as well as an analysis of the organization's own plan for cancer pain management, for presentation to the executive board. The work also included assisting with the formation of a strategic plan for developing a revised approach to cancer pain management. Non-U.S. B2B Hospital Supply Strategy Assisted with the development of a strategic plan for the creation of a business to business hospital supply solution for a Latin American company, including providing expert knowledge regarding provider behavior. Responsibilities also included helping to develop eCommerce solutions for providers and assisting with the implementation of the Ariba Marketplace Suite software and business solutions. Clinical Redesign Strategy Provided assistance to a health system in South Carolina regarding strategic development of a clinical redesign process. Focused areas of concentration included cardiology (clinical, pharmaceutical, and supply chain products), surgical (clinical, supply chain products, and OR utilization), pulmonary (clinical, guideline development, and implementation), and pharmacy (drug utilization, P&T committee, and clinical guidelines). Additional areas of focus included guideline implementation, pharmacy interchanges, and supply substitutions, as well as providing expert clinical knowledge and assistance in working with medical staff to implement strategies. Targeted (nonlabor) savings for the project were estimated at $2 million. Publications - "7 Habits of Highly Successful Medical Executives," Physician Executive, May June 2001.Presentations - "Electronic Medical Record," Healthcare Restructuring Symposium, Chicago, Illinois, March 2001. - "Healthcare Strategies on the Internet," Andersen Healthcare Seminar, Pittsburgh and Erie, Pennsylvania, November 2000. - "Breakthrough Strategies for Managed Care," International Institute for Research, Chicago, Illinois, September 2000. - "Supply Chain Management," Ector County Health System, Odessa, Texas, June 2000 - "Clinical Guidelines and Physician Incentives," Medical Leadership Forum, Hilton Head, May 2000. - "Future Implications of Technology on Physician-Patient Interactions," ePhysician panel discussion, Andersen Healthcare Seminar, Scottsdale, Arizona, May 2000. - "Physician Practices and Strategies for Performance Enhancement," Andersen Healthcare Seminar, Scottsdale, Arizona, May 2000. - "Supply Chain Management and Physician Influence," Andersen Healthcare Seminar, Scottsdale, Arizona, May 2000. - "Physician Enterprise Performance and Improvement," HFMA, Baltimore, Maryland, April 2000. - "Balanced Budget Amendment and Its Implications," HFMA and Georgia Society of CPAs, February 2000. - "Creating Value in Your Health System," Andersen Healthcare Seminar, Pittsburgh and Erie, Pennsylvania, 1999. White Paper - "eHealth and the Physician Patient Interaction," November 2000. Educational Background Dr. Bakerman received a bachelor's degree in psychology from the University of Massachusetts in Amherst (1976) and a doctorate of medicine from Albert Einstein College of Medicine in New York (1980). He completed his internship (1980-81), residency (1981-83), and cardiology fellowship (1983-85) at the University Hospital in Boston. In addition, he completed a master's degree program in medical management at Tulane University (1998), which was sponsored by the American College of Physician Executives. He is a member of Alpha Omega Alpha and Phi Beta Kappa.
