Résumé and Curriculum Vitae
David R. Scrase, M.D.
Education
Undergraduate:The University of Michigan, B.S. with distinction, 1973; Zoology Major, Mathematics and Chemistry Minors
Graduate:The University of Michigan Medical School, M.D. 1978
Postgraduate:The University of Michigan School of Public Health, Masters Degree in Health Services Administration, 1995
Fellowship:American Association of Health Plans Executive Leadership Program, Certified Managed Care Executive (CMCE), 2000
Postdoctoral Training (Internship and Residency)
Internal Medicine, St. Joseph Mercy Hospital (SJMH), Ann Arbor, Michigan, 1978 - 1981
Current and Prior Academic Appointments
Department of Internal Medicine, University of New Mexico, Albuquerque, Clinical Faculty, 2001 – 2007
Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, Clinical Instructor I, 1987 - 1992; Clinical Assistant Professor, 1992 - 1998
Department of Internal Medicine, Associate Head for Education (Residency Program Director), SJMH, Ann Arbor, Michigan, 1986 - 1995
Current Professional Status
Internal Medicine and Geriatrics Practice, Presbyterian Medical Group, Albuquerque, New Mexico
Department of Internal Medicine, Associate Active Status, Presbyterian Hospital, Albuquerque, New Mexico (Internal Medicine group practice), 1998 - present
Honors/Awards
Named one of The Best Doctors in America, for nine consecutive two-year periods, from 1996-2012 (Aiken, South Carolina: Woodward/ White, Inc.) http://www.bestdoctors.com/us/
Graduate of Leadership New Mexico, 2000
Named one of New Mexico’s Power Brokers by The New Mexico Business Weekly, 2005, 2006, 2007 (cover story)
Named the Albuquerque Top Doc in Geriatrics, 2010 and 2011, Albuquerque, The Magazine http://www.abqthemag.com
Named one of The Leading Physicians of the World by the International Association of HealthCare Professionals, 2011 http://iahcp.com/
Prior Professional and Administrative Positions
Executive Vice President and Chief Operating Officer, Presbyterian Healthcare Services (PHS), 2007-2009
Chief Operating Officer for PHS, a $2 B healthcare organization, the largest in New Mexico
primary responsibility for the Presbyterian Delivery System, a $1 B annual revenue organization consisting of seven hospitals, a 500 physician medical group, as well as Home Health, Ambulance, and other medical services
hired an entirely new executive team and established connectivity across the delivery system to create a common approach to performance improvement
led the PHS Enterprise Operations Team, consisting of 12 operational leaders responsible for overall system performance
established a comprehensive system for measuring system performance in five key areas: Clinical Quality, Customer Loyalty, Financial Outcomes, Staff Focus, and Growth and Mission
led system-wide Monthly Performance Review meetings to manage performance against Board-established targets.
implemented a system to measure productivity for each hospital and medical group department, resulting in a 10 percent increase in productivity
led the establishment of multiple enterprise-wide initiatives including a Quality Institute, a customer call center, an appeals and grievance function, medical management function, and decision support
sponsored the development of a Hospital at Home program that reduced length of stay and cost per day while increasing patient satisfaction and improving outcomes
President, Presbyterian Health Plan (PHP), 1998-2007
accountable for overall operations and performance for 450,000 members in Commercial, ASO, Medicare, and Medicaid products (including Dual Eligible Pharmacy benefit)
helped to lead growth in revenues from $500 million to more than $1 Billion in an eight year period
achieved a three year NCQA (National Committee for Quality Assurance) accreditation in all products on first site visit to PHP; PHP was one of only 10 Health Plans in the United States to hold Excellent ratings in Commercial, Medicare, and Medicaid
led efforts to improve member satisfaction from less than the 50th percentile to the 90th percentile between 2000 and 2006
developed a measurement oriented culture that defined and published monthly progress toward all organizational targets
established a Quality Improvement program that identified and fixed process and performance issues
established a clinical and financial data warehouse, including a comprehensive physician profiling tool
led financial turnaround from a 7.8 percent net operating income loss in 1998 to a 4.5 percent profit in 2004 on $950 M in revenue, with clearly met performance targets in four of four product lines in multiple years. In addition, brought Plan to a positive net retained earnings position and paid Presbyterian Healthcare Services dividends of over $50 million.
established disciplined underwriting to allow New Mexico commercial products to meet performance expectations
successfully negotiated contracts with the New Mexico Human Services Department to keep the 130,000 member PHP Medicaid product performance at targets despite frequent policy and regulatory changes in the program
developed internal audit and compliance programs , creating a plan-wide environment of compliance that created the required level of compliance with all regulators
developed successful start up of Presbyterian Insurance Company to offer PPO and other indemnity products in 2002
led team efforts to reduce administrative costs from 18% of revenues to less than 8 percent, exclusive of premium taxes, substantially increasing value to customers
Vice President, Medical Affairs, Presbyterian Health Plan, 1998
developed region, product, and benefit financial analysis of health care costs and implemented action plans to improve utilization of medical services, including $2 million projected savings in medical costs
developed comprehensive NCQA self assessment and plan for accreditation
facilitated development and implementation of system Health Management plan
facilitated development of an HMO data warehouse and clinical data mart
brought 165,000 commercial lives into a behavioral health “carve-in” product
implemented changes in first six months saving $1.2 million of $7.5 million administrative budget
Vice President and Chief Medical Officer, Mercy Health Plans and Vice President, Clinical Informatics, Mercy Information Systems (1997-1998)
key member of Mercy Health Plans’ executive management team and Office of the President with responsibility and accountability for corporate-wide success
executive responsible for Care Choices HMO Board of Directors
developed with General Motors nationally adopted quality measurement criteria
achieved successful NCQA accreditation survey with 6 months of preparation
developed new Medicare and Medicaid products, achieved regulatory approvals
redesigned medical management team and created a successful turnaround
redesigned member grievance and appeal process
redesigned utilization management with 80% increase in physician efficiency
clinical member of MIS executive management team
developed a corporate clinical information systems design template
organized selection process for system wide electronic medical record
Vice President for Primary Care, Mission Health Corporation (1995-1997)
key executive team member responsible and accountable for success of $1 billion joint venture between two Catholic Healthcare Systems
leader of combined 120 physician primary care group
created primary care productivity based physician compensation plan which included managed care and fee for service based incentives and effectively incorporated mid-level providers
responsible for primary care practice analysis and purchase
hospital representative on PHO Board of Directors (responsible for 110,000 globally capitated lives)
created and administered a Physician Leadership Development program with emphasis on managed care education, in conjunction with the University of Michigan School of Public Health
Associate Head for Education, Department of Internal Medicine (1986-1995)
turnaround and development of a nationally recognized residency program
principal investigator for a $500,000 Federal grant for underserved
extensive CQI training; taught more than 200 physicians in CQI courses
developed a comprehensive analysis of GME financing for my hospital
served on the Accreditation Council on Graduate Medical Education Appeal Panel for six years
served on the Association of Program Directors in Internal Medicine Council for three years
Huron Valley Physicians Association (HVPA) Board of Directors (1984-1986)
one of six physicians who created HVPA and McAuley Health Plan (HMO) in 1984
elected HVPA Treasurer for three years and Finance Committee chair for six years, created and evaluated alternate financing mechanisms, including primary care and specialty capitation
designed Utilization Review and Quality Assurance process for new HMO
Clinical Practice of Internal Medicine, 1981-present
co-founded, directed and developed a 15 physician Internal Medicine group
named one of The Best Doctors in America, 1996-2012, (Aiken, South Carolina: Woodward/White, Inc.)
elected to positions in state (ACP-Michigan Council, ACP New Mexico Council) and national (APDIM Council, ACGME) internal medicine
Certification and Licensure
Medical Licensure:New Mexico, 1998 - present
Michigan, 1978 - 2000
Board Certification:American Board of Internal Medicine, 1981
Added Qualifications in Geriatric Medicine, 1990, 2000
Memberships and Offices in Professional Societies, Government Activities
Health Coverage for New Mexicans Committee - Governor Richardson’s committee to insure all New Mexicans by 2009, 2006 - 2008
Insure New Mexico! Governor Richardson’s Commission to study the uninsured in New Mexico, 2005-2006
Council Member, American College of Physicians, New Mexico Chapter, (2006-2009), elected physician representative
Ambulatory Quality Association, 2005 – 2007. Member, Quality of Care Measurement Committee, 2005 – 2007
President, New Mexico Association of Health Plans, 2003-2004
Board of Directors, The Health Plan Alliance, 2002 - 2007
Member, Greater Albuquerque Medical Association, 1998 - present
Member, New Mexico Medical Society, 1998 - present
Council Member, Association of Program Directors in Internal Medicine (1995 - 1998), elected community hospital representative
Council Member, American College of Physicians, Michigan Chapter, (1990 - 1997), elected physician representative
Member, Medical Group Management Association (1995 - 2008)
Member, American College of Physician Executives (1991 - 2009)
Member, Association of Program Directors in Internal Medicine (1986 - 1998)
Member, American Society of Internal Medicine (1986 – 1998)
Member, American Medical Association (1981 - present)
Member, Washtenaw County Medical Society/Michigan State Medical Society (1981 - 1998)
Member, The American College of Physicians (1979 - present)
Member, Society for Clinical Decision Making (1986 - 1992)
Teaching Activities
National speaker presenting interesting and challenging medical cases to physicians since 1986, including annual presentations in Michigan, New Mexico, and the American College of Physicians Annual Scientific Meeting.
Extensive involvement in medical student and resident education in role as Internal Medicine Residency Program Director from 1986-1995, including curriculum development, program development, as well as participation in all forms of teaching activities at SJMH from 1981 to 1998 (see Résumé).
Faculty member, training over 150 physicians in quality management and quality action teams curricula.
Primary Care Issues: Monthly Lecture Series. Covered a variety of topics including Medicare, managed care, physician compensation, public policy, St. Joseph Mercy Hospital, 1995 -1998.
Other Hospital, Medical Group, and Health Plan Committee and Administrative Services
Presbyterian Health Plan Board of Directors, ex officio member 1998 - 2007
Presbyterian Medical Group Executive Committee, ex officio member 1998 - 2009
Presbyterian Healthcare Services (PHS) Quality Council, 1998 - 2009. Co-chair, 2000 - 2003
PHS Human Resources Council, 1999 - 2009
PHS Information Technology Committee, 2000 - 2009
New Mexico Medical Society Managed Care Liaison Committee, 1999 - 2009
Accreditation Council for Graduate Medical Education (ACGME) Accreditation Appeals Panel for Internal Medicine, 1993 - 1999
Program Director, American College of Physicians, Michigan Chapter, Scientific Meeting, September, 1997
Mercy Health Systems Physician Partnership Team, 1997
Mission Health Clinical Integration Team, Physician Executive Council, Mission Services Team, Associate Support Team, 1995 - 1997
Mission Health Information Systems Steering Committee, 1995 - 1997
Community Service and Involvement
Equality New Mexico Board of Directors, 2012 - present
United Way of Central New Mexico, Alexis de Tocqueville Society, 2000 - present
Board Member, New Mexico Association of Commerce and Industry, 1999 - 2008
Executive Committee, Association of Commerce and Industry, 2003 - 2008
St. Michael and All Angels Episcopal Church, Vestry Member, 2004-2007
Vice President, New Mexico Chapter of NAMI, 2004 - 2005
New Mexico Museum of Natural History Foundation Board, 2000 – 2003
Bibliography - Medical Topics
Book
Practice Makes Perfect: How One Doctor Found the Meaning of Lives. CreateSpace, 2013.
Major Presentations (complete list available on request)
Outpatient Thieves’ Market (unusual Medical Cases), American College of Physicians, Michigan Chapter, each year in September or October, 1991 – 2012, New Mexico Chapter, 2005-2012.
Thieves’ Market (unusual Medical Cases), American College of Physicians, National Meeting, 2000-2013.
Future Trends in Healthcare: annual presentation to Leadership New Mexico classes, 2008-2012.
Access to Health Care: The Managed Care Perspective. American College of Physicians, New Mexico Chapter, November 2000.
The State of Healthcare in New Mexico, Albuquerque Economic Forum, July 1999; NM Public Regulatory Commission, September 1999; NM State Legislature February 2000.
What You Can Do about the Health of New Mexicans, PHS Leadership Retreat, Taos, New Mexico, 1998, Santa Fe, 2005, 2006, 2007.
The Liability of a Medical Education, Student Commencement address to my graduating medical school class, The University of Michigan Medical School, June 1978.
Bibliography -Administrative Topics
Masters Thesis
Graduate Medical Education Financing at St. Joseph Mercy Hospital. 1995.
Publications
Scrase, D.R., Hammer, D.A., Surviving the CAAR Survey Process: One Program's Experience, Careers in Internal Medicine, 1992;9:11-15.
Schultz, H, Scrase, D., Beasley, B., Determining the Predictors of Internal Medicine Residency Accreditation: What They Do (Not What They Say), Academic Medicine, 2002; 77:238-45.
Abstracts
Development of an Endowment Fund for Internal Medicine Resident Education in a 550 Bed Community Hospital, David R. Scrase, M.D. and Ron J. Vanden Belt, M.D., APDIM Meeting, San Diego, CA, March, 1992.
Reevaluating Evaluation: Assessment of a Revised American Board of Internal Medicine Resident Evaluation Form, David R. Scrase, M.D. APDIM Meeting, San Diego, CA, March, 1992.
The Effect of a Group Practice Model on Charges for Medical Services by Internal Medicine Residents, David R. Scrase, M.D. and Linda Morton, APDIM Meeting, San Diego, CA, March, 1992.
Addresses
Patient Care Office
Kaseman Internal Medicine
8300 Constitution NE
Albuquerque, NM 87110
(505) 291-2200, (505) 291-2201; email: dscrase2@phs.org
David R. Scrase, M.D., L.L.C.
16 Calle Cholla
Placitas, NM 87043-9310
Email: davidscrase@gmail.com