Digital Healthcare Leader And Innovator
Dirk Rittenhouse has over thirty years of experience as an Information Technology Executive at national health plans and large provider health systems. He has served as a consultant to Health Information Exchanges and physician practices.
He has developed strategy and business cases and led the deployment of innovative Health Information Technology solutions, specifically health information exchange and analytics, that improve clinical and administrative processes.
- IT Leadership
- Advisory Services
- Program Management
- Consulting
Services
Interim IT Leadership
Team/Department IT Management, Budgeting, Planning, Development
Advisory
Strategy, Business Planning, Data Exchange, HIT Mandates, Analytics, Use Cases
Program Management
Project Planning, Delivery and Execution
In-depth knowledge and extensive experience of healthcare insurance and provider use cases. Managed the navigation, implementation and execution of:
Interoperability Standards, HL7, FHIR, electronic medical records, clinical data analytics, insurance processes, applications, health information exchange, Population health, value-based care, STARS, Quality Measures, care management, utilization management, claims, membership, authorization automation
IT Leadership
- Senior Director of Engineering at Anthem Inc - interoperability and clinical analytics product management
- Regional Information Officer at NE Region of Kaiser Foundation Health Plan and Executive Director of Information Technology, National Claims Shared Service
- Vice President of Information Technology for HealthCare Partners, a large at-risk medical group and independent physician network currently owned by Optum
Project & Program Management
Led large-scale program planning and project execution:
- End-to-end Insurance applications, membership, UM, claims
- Extensive interoperability and health information exchange
- EMR and e-prescribing implementations
- Data curation and analytics
- Multiple regulatory compliance programs
- Mergers and acquisition integration
Advisory
- Strategy
- Business Planning, Funding and Grant Writing
- Change Management
- Vendor Management
- Regulatory
Consulting
As an Independent Consultant:
- Technical advisor to the New York State Department of Health on the implementation of The New York State Insurance Exchange as the NYS solution to the Affordable Care Act.
- Led the formation and startup of The Adirondack Regional Community Health Information Exchange. Raised over $4 million in private and public grant funding to establish a community data exchange.
- Established a Regional Extension Center. Staff provided consulting services to physicians that collectively received over $2 million in Meaningful Use stage one financial incentives.
Initiated and led the organization through a merger with the Healthcare Information Xchange of New York (HIXNY) to create data exchange coverage across Northeast New York.
Results
- Architected end-to-end platform from integration engines, quality checks, terminology management, user interface, insight API’s and data analytics.
- Introduced Artificial Intelligence(AI) to the Clinical Data Quality process, reducing 3-day manual data quality testing down to just hours using machine learning algorithms.
- Led deployment and support of Epic payor platform as well as payor solutions from other electronic medical record vendors, including Allscripts, eCW, Athena, NextGen and Practice Fusion.
- Created access to over 15M members medical records for quality, risk, utilization, and care management use cases, reducing record retrieval cost and customer abrasion. Exceeded chart chase saving goals.
- Served as founding member of Da Vinci HL7, deployed real world FHIR API solutions with large health systems for encounter notifications to PCPs.
- Reduced ER visits 20% in IN Medicaid population through the use of ADT notifications to trigger outreach to patients and providers for care coordination and re-direction of patients to primary care providers.
- Improved quality (STAR) measure performance in over 90% of Medicare Advantage markets for follow up post-ER visit (FMC).
Testimonials
“Dirk was a driving force in the creation of the Adirondack Regional Community Health Information Exchange (aka ARCHIE). His knowledge, guidance and leadership on technology, governance, funding and operations was invaluable and the work led to very positive results for the regional health information exchange landscape and community providers.“
Heather Hogan O’Connor
Director, Client Services, ARCHIE
“Dirk is insightful, knowledgeable, articulate and a pleasure to work with. He has a unique ability to quickly identify and prioritize critical issues, both technical and business, and communicate them in a way that is actionable and practical. At Bank of America, he became a trusted and valued member of our operations and technology teams and was always willing to go the extra mile. I would use him again and strongly recommend his service to others.”
Art Fowler
Sr. VP of Business Delivery, Bank of America
