Career Summary

Following completion of residency training I entered practice in a federally designated “Health Workforce Shortage” area of North Carolina. While in North Carolina I served in a number of regional and national leadership positions. Because of this experience I was recruited to lead a hospital system in Rochester NY. Subsequently I was asked to provide medical leadership in increasingly complex organizations. In 2002 I returned to Connecticut and to full time private practice.

In 2010 Dr Michael Baldwin, Dr Alan Spagnola and I formed Essex Internal Medicine, a group medical practice dedicated to excellence in medical care and patient service through the application of advanced information technology.  In 2011 Essex Internal Medicine was recognized by the Medicare program as one of the first practices in Connecticut to achieve the lofty federal goals of advanced medical information management.  At the same time the group was recognized by the National Committee for Quality Assurance (NCQA) as achieving the highest level of care using the Patient Centered Medical Home model for primary care services.

Education and Postdoctoral Training

• M.D., University of Pittsburgh
• University Health Center of Pittsburgh, internship and residency in Internal Medicine
• B.S., Purdue University

Medical Credentials

• Certified in Internal Medicine by the American Board of Internal Medicine
• Certified in Geriatrics by the American Board of Internal Medicine
• Fellow of the American College of Physicians

Continuing Education

• AMA Physicians Recognition Award 2009 and every three years since completion of formal education (requires >150 hours of continuing education)
• More than 500 contact hours of management education from Darden School of Business at the University of Virginia and at Harvard University

Teaching, Writing and Research

• University Of Connecticut, Clinical Assistant Professor of Medicine
• Hofstra University, Adjunct Associate Professor
• Physicians Evaluating Health Plans (PHEP) Study, Advisory Committee
• Harvard University, Resource Based Relative Value Scale Study (RBRVS), Technical Advisor
• The Internist, Health Policy in Practice, Contributing Editor
• Today’s Internist, Contributing Editor
• Effective Medical Management Self Assessment Program (EMMSAP), Editor
• ADHERE Study of Hypertension and Diabetes, Principle Investigator
• American College of Physicians, Education Committee
• American College of Physicians, Clinical Efficacy Assessment Project
• American College of Physicians, Performance Measures Subcommittee
• Internal Medicine Center to Advance Research and Education (IMCARE), Board of Directors
• American Academy of Homecare, Chairman of the Taskforce on the Efficacy of Home Care

Recent Publications

• Leveraging Improvement in Quality and Value in Health Care,  Article in the American Journal of  Medical Quality
• Diabetes Guidelines, Article in the Annals of Internal Medicine
• Preventing Complications of Surgery, Article in the Annals of Internal Medicine
• Care of Chronic Wounds, Book Chapter (#18)
• Performance Based Payment for Physicians, Book (out of print)
• Current Diagnosis of Venous Thromboembolism in Primary Care, Article in the Annals of Family Medicine
• Management of Venous Thromboembolism Article in the Annals of Internal Medicine

Recent Presentations At National Medical Meetings

• PrimeMed May 2011. Keynote presentation, “Preparing for Health System Reform – What Physicians Ought to be Doing”
• Physicians’ Consortium for Performance Improvement, Board of Directors. March 2009.  Invited Presentation: “Quality Improvement in a Clinical Microsystem”
• American College of Physicians Annual Session May 2008. Course Director “Implementing and Using a Disease Registry”. Computer Laboratory Session
• American College of Physicians Annual Session May 2008. Pre-Session Faculty for “Focus on the Practice: Challenges, Choices and Change”
• American College of Physicians Annual Session May 2008. Faculty for session “The Survivor’s Guide to Performance Measurement and Pay For Performance”.
• American College of Physicians Annual Session April 2006. Workshop on Pay for Perfomance Initiatives.
• American College of Physicians Annual Session April 2006. Meet the Professor Session on Patient Registry Programs

Leadership Experience

• Member of the Board of Directors, Capital Senior Living (NYSE: CSU)
• Chairman, Clinical Integration Committee, Medical Professional Services
• American Society of Internal Medicine, Trustee
• American Medical Association, Delegate
• Gentiva Health Services, Senior Vice President and Chief Medical Officer
• North Shore-Long Island Jewish Health System, Vice President and Medical Director
• Aetna Professional Management Corporation, Chief Medical Officer
• Park Ridge Health System, Chief of Medicine
• North Carolina Society of Internal Medicine, President
• Commission on Office Laboratory Accreditation (COLA) Member and Chair, Board of Directors

Community Service

• Professional Advisory Board,  Sustinet, the Connecticut State Health Reform Authority
• Physician Advisory Board,  Alliance for Home Health Quaility and Innovation
• Connecticut Department of Social Services Patient Centered Medical Home Advisory Board
• Visiting Nurses of the Lower Valley, Chair, Professional Advisory Board
• Standing Rock Indian Health Service Hospital, Fort Yates, North Dakota, volunteer physician
• Dolan Family Health Center, Huntington New York, volunteer physician
• North Carolina Cervical Cancer Task Force, member
• Program for the Medically Indigent, Craven County (NC) Medical Society, Chairman

Professional Societies

• American Medical Association
• American College of Physicians
• American Geriatrics Society
• American Academy of Home Care Physicians
• Connecticut State Medical Society
• Middlesex County Medical Society
• American College of Physician Executives

Honors and Awards

• Fellow of the American College of Physicians
• American Society of Internal Medicine, Young Internist of the Year 1990
• Alpha Omega Alpha, Honor Medical Society

Personal

• Married to Deborah Bradford Hornbake
• Three adult children
• Residence in Hadlyme, Connecticut
• Hobbies include gardening, hiking, woodworking and cooking