Reginald (Reggie) Allen, MBA, BSN

Experience

• 

  Columbia North Houston Medical Center

  Feb 1994 - Dec 1997

  Administrative management of all clinical and ancillary departments and 700 FTEs; managed day-to-day operations of the hospitals and maintain physician relationships. Reported to the Chief Executive Officer. Accountable for the Department of Nursing, Home Health, and Case Management, including 400 FTEs and an operating budget of $16M. Reported to the Chief Executive Officer.

  • Chief Nursing Officer/Chief Operating Officer

    Feb 1996 - Dec 1997

  • Chief Nursing Officer

    Feb 1994 - Feb 1996
• 

  CHRISTUS Health

  Jun 1998 - Dec 2021

  Spohn Shoreline and Spohn Memorial are two campuses licensed for 887-beds. They are the safety net facilities for Nueces County, serving the South Texas region covering 12 counties. Services include Level II Trauma Center, designated Stroke Center, Cardiac certified, and only commission on Cancer-certified center in the region—yearly budgeted operating revenue of $465M and 4,250 employees. Contributions• Reduced Total Premium Salary Expense by $2M, a 25% reduction each year.• Patient Days increased 11%, but FTEs per Adjusted Occupied Bed (AOB) decreased 0.64 (18%), and Salaries, Wages, and Benefits per Adjusted Patient Days decreased $70.20 (9%). • Reduced Medical Necessity write-offs $2.8M, a 30% reduction, reduced Provider Liable write-offs $6.9M, an 89% reduction, and reduced Case-Mix Adjusted LOS 0.30 days or 7.9%.• Increased associate engagement from 64% to 83%, a 30% improvement within one year. Show less Provided leadership and oversight for innovative care design and delivery across the continuum of care employing up-to-date, evidence-based medical protocols and guidelines, with relevant clinical and business research and data; implemented clinically and business quality improvement processes and coordinated/collaborated with all system and regional physicians and associates.Contributions• Created and produced a balanced scorecard (21 metrics) for the ministries with a roll-up to the corporate level aligning with the strategic plan of the organization• Served as interim leader of facility care management departments when vacancies occurred and managed system-wide Clinical Appeals unit for denied claims with feedback to business departments and clinical leaders; recovered $12M for FY 2017 and $25M for FY 2018.• Led system-wide harm reduction program and exceeded established goals for the past two fiscal years and Reduced Length of Stay (LOS) ratio 5% to 7% annually over the past seven years. Show less Provided strategic planning of clinical operations improvement, including program development, execution of action plans, and support services to acute and non-acute health care centers. Improved clinical operations through Six Sigma and Lean methodologies. Contributions• Utilized systematic review of government publications enhanced revenues by $16.5M through innovative programs and strategies such as MS-DRG Management. • Developed unique computerized Recovery Audit Contractors (RAC) Tracking Tool that enabled the system to monitor billing and avoid RAC penalties and instituted stopgap measures to prevent future penalties. These efforts resulted in $26M in net revenue.• Using clinical emergency department expertise and collaboration with other healthcare team members, established system-wide protocols for assessing and billing clinical services resulting in increased revenues of $28.6M for the system.• Executed a corporate-wide clinical documentation program that improved the accuracy of DRG coding. This increased annual net income by $13.5M.• Launched a system-wide Clinical Appeals Team for medical necessity compliance required by insurers with an annual net income increase of $15.9M.• Implemented a system-wide Labor Management program that reduced labor expense by $15M• Initiated a system-wide rapid cycle Sepsis Collaborative Project Mortality Initiative to reduce the septicemia mortality rate by 25% within one year through evidenced-based interventions. Show less Provided consultative, development, and support services to CHRISTUS Health facilities and affiliated networks in clinical and resource management. Designed and implemented operational programs to merge the clinical and financial aspects of care to achieve the best clinical and cost-effective outcomes.Contributions• Executed a system-wide care management program, resulting in LOS reduction of 0.35-0.60 days and a $1.5M-$2.0M yearly savings.• Successfully re-designed a large facility’s Pre-Access department through Six Sigma and Lean principles, resulting in an estimated savings of $1.6M through process improvement and expense reductions. Show less

  • Chief Operating Officer

    Feb 2019 - Dec 2021

  • Vice President Clinical/Business Operations Transformation

    May 2016 - Feb 2019

  • System Director, Quality and Clinical Operations

    Oct 2007 - May 2016

  • Senior Specialist, Clinical/Resource Management

    Jun 1998 - Sept 2007