Joseph Nahmias

NewYork-Presbyterian Hospital: New York, NY.

Manager - IS

Lead a team of seven within the CPOE group responsible for the Electronic Medical Record systems for the entire institution. Key projects and responsibilities include:

• Development and implementation of Meaningful Use Stage 2 workflows and reporting for Eligible Hospital and Eligible Professional regulatory requirements.
• Configuration and maintenance of Consolidated - Clinical Document Architecture (C-CDA) for healthcare data exchange initiated from Allscripts Sunrise Clinical Manager (SCM) to the hospital patient portal and via NHIN Direct.
• Lead ICD-10 implementation of dual-coding interfaces, updating of MLM and ObjectsPlus custom software, and conversion of other configuration items within SCM (order sets, physician favorite lists, superbills).
• Manage operational, research, quality, regulatory and other reporting and data analytics requests from multidisciplinary teams across the institution.
• Oversaw maintenance and enhancement to custom application for Pro-Fee billing for inpatient stays from within SCM through ColumbiaDoctors.
• Supervise inbound HL/7 interface data quality, message rejection remediation, and merge processing.
• Microsoft SQL Server query performance troubleshooting, diagnosis and tuning.
• Always-On database High Availability architecture design and implementation oversight.

Streamline Health Inc: Atlanta, GA.

Director of Implementation Services, Meta Health Division

Continued pre-acquisition duties upon finalization of merger. Member of transition team with responsibilities for client retention and employee morale. Assisted with consolidation of technical infrastructure into parent company.

Meta Health Technology Inc: New York, NY.

Management Executive

Member of the executive team in charge of corporate strategy and operations.

• Designed next generation workflow-centric, web-based suite of products as a successor to the current product line.
• Guided operational & strategic direction, including resource allocation and client relationships.
• Oversaw internal process improvements including rigorous source control and automated testing.
• Implemented corporate metric tracking system to measure achievement of departmental goals.
• Coordinated user steering committee and annual user conference for 200+ facilities.
• Demonstrated company software in various tradeshows.
• Presented at numerous industry and company conferences, including:
  • ICD-10 @ PA AHIMA
  • Meta User Groups

Director, Implementation Services

Managed the implementation group with 6 direct reports, comprised of Project Managers, Health Information Management [HIM] experts and Technical Analysts. Provided sales support and pricing guidance; answered RFP/RFI proposals; reviewed and negotiated client deliverables and contracts. Managed client relationships and acted as escalation point for ongoing projects, client requests and issues. Specific projects/deliverables include:

• Designed, tested and implemented electronic signature and new document routing system for 11 acute-care facilities to replace Nuance/Dictaphone system.
• Directed consolidation project for combining two active client databases, supporting 20 facilities, into a single high-availability Oracle database instance.
• Managed implementation of ICD-10 ready abstracting system to replace Eclipsys Sunrise Record Management [SRM] at a five-facility institution.
• Converted mainframe abstracting, deficiency management, chart-tracking systems and related HL/7 interfaces to CHARMS 2000 client-server product suite at five teaching hospitals.
• Oversaw migration to a new web-based, ICD-10 ready, abstracting system at 70+ acute-care facilities within a rollout deadline of nine months.
• Led implementation of ICD-10 ready abstracting, physician query and clinical documentation improvement systems at 27 long-term care facilities.
• Managed beta-site implementation of new eCDI [Clinical Documentation Improvement] solution at nine acute-care hospitals; Implemented HL/7 interface with Cerner Millennium (Care4) for physician query notification and cold feed to CGI/Sovera EMR.
• Designed XML-based web-service integration interface between 3M/CodeRyte Computer-Assisted Coding [CAC] solution and Meta's PowerAbstract coding & abstracting product; Implemented this solution at nine acute-care facilities.
• Implemented electronic signature module and document repository at seven facilities; Integrated solution with existing PowerMonitor deficiency management product for automated assignment and completion of chart deficiencies.

Director, Corporate Technology

Managed the internal company IT group consisting of a Systems Administrator and a Database Administrator. Responsibilities included:

• Desktop support for 50 on-site and remote users
• VMWare consolidation of 25+ servers
• Software and Hardware procurement and budgeting
• Disaster Recovery planning; Backup & Restore
• Network, firewall, email and remote access management
• Database maintenance
• Email to Ticket system gateway

Lehman Brothers Holdings, Inc.: New York, NY.

Senior Engineer

Member of the real-time Market Data group responsible for all live data feeds of quote and related information to all traders and brokers across the entire firm.

• Monitored, maintained and provided second and third level support to 3000+ users on desktop trading applications from multiple vendors including Bloomberg and Thomson/Reuters.
• Supervised packaging for Market Data applications to certify interoperability and compliance with firm-wide standards.
• Implemented global Market Data software pilot procedures to provide smooth rollout of applications and ensure sign-off by affected business units.
• Oversaw and maintained Market Data Disaster Recovery (DR) infrastructure pre-9/11.
• Upgraded and expanded DR infrastructure to accommodate increased utilization post-9/11.
• Coordinated, installed and supported Market Data telecommunications infrastructure (100+ data circuits) and equipment (100+ servers) for new data center post-9/11.