John’s experience includes over a decade in clinical operations, beginning his career as a Medical assistant and serving in various roles including Clinical Manager for IM Department in a 40,000-member community health center. In those capacities, he became intimately familiar with the Prior Auth (PA) workflow in daily care deliver operations. Beginning in the late 70’s, John’s organization employed a fully functioning homegrown EMR for managing 300,000 patients in a staff model HMO (Harvard Community Health Plan). As a staff model HMO, they required a PA for every patient service not delivered within the four walls of a health center.  He took on EMR/Admin System development responsibilities in 1988 and managed components of the conversion to EPIC in their first deployment into a large, multi-specialty health system in the mid-90’s.

Over the span of his career, John has led the development and implementation programs for at least 5 software development efforts to automate PA for various organizations. In various roles, John designed the architecture for and managed administrative process integration efforts with Epic, Cerner, eCW, AthenaHealth, GE, Change Healthcare, and other HIT vendors.

He wrote the specs for and managed the technical implementation of the HIE for the Commonwealth of Massachusetts, working closely with Micky Tripathi and John Halamka (Mayo Clinic) to achieve the digital transformation of patient information exchange statewide.

John also chaired the WEDI National Council on Prior Authorization and was responsible for drafting the WEDI whitepaper on PA.

He was a founding Member of the HL7 Da Vinci Project and was a lead contributor to the development of the Da Vinci IG’s for PA (DTR, CRD, PAS).  John has spoken frequently at HIMSS, WEDI and other national conferences as an HIT expert with a specific focus as an expert on Prior Authorization, FHIR and x12.