VITAE: Bruce W McKinnon's Medical Administration Curriculum Vitae 1964-1998

8/14/2019 VITAE: Bruce W McKinnon's Medical Administration Curriculum Vitae 1964-1998

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BRUCE W. MCKINNONAddress 1611 Edgemoor Lane, Everett, Washington 98203

Phone Phone: (425) 353-5642 [email protected]

EDUCATIONHigh School (1960); Worthington, Minnesota College

Undergraduate B.A. (1964); Double Major, History and Political Science

Hamline University, St. Paul, Minnesota (Pre-Law) Graduate M.B.A. (1979); Masters Degree in Business Administration,

University of Southern Mississippi, Hattiesburg, Mississippi

EXPERIENCE

Des Moines Orthopedic Surgeons, P.C. (DMOS), was then a $30,000,000 gross ($19,000,000 net) group

practice--3 podiatrists & 19 physicians: 3 general orthopedists & 16 fellowship trained specialists (2 pain management + 14 orthopedists--hand, foot & ankle, sports, trauma, spine and total joint. The Group islocated in a (1994) 65,000 sq. ft. clinic (40 exam, 1 MRI, 8 cast & 4 x-ray rooms + separate areas for then

hospital leased P.T., hand therapy & same-day surgery). Group owned 5 OR surgery center was late added to the practice. DMOS ranked in 95 th percentile in U.S. in production with 90 FTE’s, a $650,000 computing investment (80+ P.C.’s in a Novell/SCO UNIX integrated, 4 server network—LAN/WAN) withelectronic medical records, hospital MIS access and an outcome study commitment. The 3 office, 15

satellite group dominated an 80 mile drawing area (90+% of Methodist and Lutheran Hospita orthopaedics) with 30+ contracts (IPA, PPO & HMO) in a rapidly evolving managed care environment.

Revised Business Structure: Legal--totally revamped corporate and building partnership documents. Personnel-Instituted new governance structure, a broader but more cost effective benefit program (health, dental, disability & life

insurance, and flex benefit plan), policy manual, team management and CQI. Finance--Led conversion of G/L, A/P and

payroll (with integrated electronic Kronos time clock and direct deposit software) to Great Plaines Dynamics software andMedical Group Management Associations Chart of Accounts. Outsourced pension plan tracking (SmithBarney investmen

mix) to Milliman & Robertson. Computing--Initiated conversion of LAN to distributed Network (Microsoft Office 97)Led selection and implementation of Cubix NT fax communication server, Compaq Proliant 6000 (Medical Manager

billing system) and Proliant 2500 (LAN) servers plus sophisticated telephone (Corel/Tadiran) call tracking softwareDeveloped and instituted internet web site.

Revitalized Operations: Facilitated cross training and stabilization of high turnover billing department. Deployed new

fee schedule, CPT/ICD-9 coding guides and A/R management monitoring tools (reduced A/R turnover ratio to 1.8months). Revamped MIS file structures and expanded EDI links. Implemented comprehensive marketing plan thaincluded a highly successful workers comp outreach program targeting employers and insurance networks. Negotiated

high returns on managed care contracts (based on RBRVS). Cut costs and deployed budget. Facilitated selectionnegotiated purchase and directed installation of MRI. Directed recruitment of 5 orthopedic surgeons and 3 podiatrists

Prepared Board agendas and minutes. Moved to Seattle to raise adopted children in multi-cultural environment. Late

began career in real estate.

The Denver Orthopedic Specialists, P.C. (DOS) was a 40+ M.D., multispecialty, full-asset merged(effective 1/1/94), geographically distributed (10 offices, 10 hospitals) group practice. Denver OrthopedicClinic, P.C. (DOC), Denver’s oldest & largest orthopedic group (upper extremity, total joint, sports

medicine, spine, tumor and pediatrics). DOS was heavily entrenched in outcome studies witinvolvement in 17 ongoing protocols plus SF-36/HSQ. DOC drew patients from 3 states, served 3 major

hospitals and 2 satellites in the 5th highest penetrated managed care (discount FFS, risk & capitation payments) market in U.S. (MSO’s, PHO’s, IPA's & Groups Without Walls).

Revised accounting systems: Converted G/L and A/P to Computer Associates’ ACCPAC+ software utilizing MedicaGroup Management Association’s chart of accounts. Installed new financial & budget reporting system and physician &P.A. income distribution formulas (70/30 split of net receipts) using 12-month rolling average.

Enhanced computing system: Upgraded operating systems--UNIX (added LAN emulation package to extend A/R

system to 20 work stations) and Novell. Replaced 8 - 80286 computers with 50--80486 and Pentium PC's used in financeresearch, medical records and transcription. Converted to Microsoft Windows environment (Windows for Work GroupsWord, Excel, Access, Outlook & Power Point).

Expanded practice base: Negotiated higher managed care reimbursement rates with many major insurance networks(e.g., Kaiser Permanente, FHP, Sloans Lake PPO, United Healthcare, HMO Colorado). Designed floor plan for new

18,500 square-foot office which included areas for research, PT, cast plus 3 x-ray rooms and 26 exam rooms. Negotiatedfinancing and designed and marketed 2--1600+ square-foot satellite offices. Recruited physician + 3 P.A.’s. Initiated

and crafted full-asset merger of 6 orthopedic groups. Implemented new benefit program {health, dental, life, disabilityprofessional and general liability, cafeteria, 401(k) & money purchase pension plans} and group purchasing plan.

Managed Operations: Personnel--Initiated performance evaluations, cross-training and “bottom-up” team management

Reorganized operations. Procedures—Implemented pre-registration, insurance verification, pre-surgical deposits“payment-for-today’s services”, and electronic data integration (EDI). Reduced A/R turnover ratio to below 1.8 monthsPrepared Board agendas and minutes. Accepted position with DMOS (see above).

August 1995 to October 1998

CEO

DES MOINES

ORTHOPAEDICSURGEONS,

P.C.( DMOS )

West Des Moines, Iowa

November 1991 to July 1995

ADMINISTRATOR

DENVER

ORTHOPEDICSPECIALISTS,

P.C. ( DOS )

Formerly- ADMINISTRATOR

and CEO

DENVERORTHOPEDIC

CLINIC, P.C.( DOC )

Denver, Colorado

mplemented A/Rmanagementmonitoring tools,



Resume of Bruce W. McKinnon

Washington Sports Medicine, P.C. (WSM) was Seattle’s largest private, multi-disciplined sports medicine practice (sports fellowship trained orthopedic, pediatric & family medicine M.D.'s and dieticians). WSM also served as team physicians for the University of Washington Husky athletic programs.

Transitioned and reorganized group. Secured practice set-up bank financing: Converted GL and A/Pto Computer Associates’ ACCPAC+ accounting system software.

Facilitated formation of professional corporation and building partnership. Instituted new income andexpense allocation formula. Developed and deployed strategic plan. Recruited 3 physicians.

Directed Operations: Revised billing and collection procedures, improved cash flow, reduced contractuaadjustments. Increased return on managed care contracts. Directed budget management. Prepared Boardagendas and minutes. Offered position with DOC (see previous page).

Founder of medical practice consulting and computing firm. Set up 44 practices. Recruited 1 physicians. Designed 9 freestanding clinics (supervised construction on 3 new buildings). Set-up an

managed 120 M.D.' IPA. Designed and sold computer software and hardware systems for physicians offices--12 installations, 9 different specialties.

Management and Strategic Planning Consultant to specialist and primary care physicians: Set-up

medical practices. Services included: (1) group practice development --“turn key” set-ups, mergers

acquisitions, multi-site facility strategies and benefit plans; (2) physician contract preparation and

negotiation--partnership and employment agreements and income distribution formulas; (3) guide to

organizations addressing IPA/PPO/managed care issues; and (4) computer system selection.

Conducted practice management evaluations: (1) Analyzed office functions, physician and employeeproductivity, personnel management, computer systems, fee structure, income distribution formulas

practice expansion plans, managed care contract strategies, (2) presented findings and recommendations

and (3) provided summary report.

Streamlined operations: (1) developed client systems to maximize reimbursement and monitorperformance; (2) designed forms--patient brochures, charge tickets listing procedures and diagnoses basedon CPT and ICD-9-CM, management reports, collection systems, medical and ancillary record content, etc.

(3) trained personnel; and (4) implemented new procedures.

Designed clinics: (1) designed and prepared site and floor plan blueprints--a two-story, 6,000 square-fooOB-GYN office* with lab and ultrasound; a two-story, 10,000 square-foot pediatric office* with lab andx-ray; a two-story 7,500 square-foot dermatology office* with a lab and 2 minor surgery suites; a 4,000square-foot ENT office with x-ray and allergy testing; a 2,500 square-foot ophthalmology office* withoptical lab; a two-story 5,200 square-foot dental office with 5 opratories and x-ray; a 3,500 square-fooOB-GYN branch office*; a two-story 8,000 square-foot family practice office with lab and x-ray and

EKG/treadmill lab; and a 3,000 square-foot plastic surgery office with a surgery suite*; (2) negotiated

construction and permanent financing loans; (3) negotiated construction and architectural contracts; and (4supervised construction on 6 building projects* without presence of architect.

Designed software and sold computer systems (1981-1986): Formed computer firm and hardwaredealership (OEM/VAR). Developed multi-user, computerized billing system (software package) fomedical groups. Directed operations and marketing. Demonstrated, sold and installed 12 computer system($50,000+/installation). Trained personnel and provided technical support and software maintenance

Consulting assignment led to Seattle position (see above).

February 1989 to November 1991

ADMINISTRATORand CEO

WASHINGTONSPORTS

MEDICINE,P.C.( WSM )

Kirkland, Washington(Seattle)

March 1977 to January 1989

PRESIDENT

and CEO

SUPERSYSTEMS

CORPORATION

(SSC)

Hattiesburg, Mississippi




Forrest General is a 537 bed hospital and trauma center (which included lithotripsy, open-heart surgery, MRI, freestanding psychiatric and 23 hour surgery center) located in a two-college community of then 50,000 with two hospitals (750 beds), a drawing area of 400,000 and 500+ board certified physicians. In1977, Hattiesburg was ranked 6th in the U.S. for living quality and 1st in health care (for cities unde75,000 in population).

Administrative Assistant (part time) while attending graduate school: Assigned special projects incollections, materials management, cart logistics, organizational development and unit dose. Designedmicrofilm MIS and an inventory control system for orthopedic implants in the O.R. Developed plan foreorganizing O.R. and patient discharge program. Served as consultant reporting directly to CEO and

Executive V.P. Started private consulting business (see Super Systems Corp, previous page).

The Hattiesburg Clinic (HCPA) was a 30 physician, 120 employees, multispecialty group practice in a 150 physician community. Hattiesburg was ranked #1 in healthcare and # 6 in quality of life for cities unde75,000 in population (small city Places Rated Book, 1977). Today, Hattiesburg is a 500+ physician

community. HCPA (main clinic-250,000 square feet) consists of 250+ physicians, 1,880 employees, 19 family practice satellites and 12 “Free-standing” dialysis centers—and is now one of top 100 groups in size in U.S. The Milken Institute ranked Hattiesburg 31 st out of the 179 best performing metropolitan areas in which to live in the U.S..

Managed 30 physician group: Practice consisted of surgery (general, thoracic, vascular, cardiovascular)neurosurgery, orthopedics, ENT, OB-GYN, pulmonology, nephrology, cardiology, gastroenterology

rheumatology, hematology, oncology, internal medicine, neurology and family practice. Ancillarydepartments included P.T., dietary, EEG/EMG, EKG/treadmill, pulmonary functions, dialysis, andcontracted pathology and radiology.

Directed operations: Designed personnel policies and all systems for appointments, registration, medicarecords, insurance, billing, collections, inventory control and maintenance. First Administrator in U.S. tocomputerize the 1974 California Relative Value Study (CRVS).

Served as “clerk-of-works” on five-story clinic construction program (90,000 square feet). Recruited 13physicians (practice grew from 17 to 30 M.D.’s). Coordinated activities of 3 organizations (including P.A.equipment leasing company, and building corporation). Prepared Board agendas and minutes.

Author: Wrote the 1974 Medical Group Management Association 54 page publication entitled TheSuperbill--A Uniform Billing and/or Claims System.

Accepted part time position with Forrest General Hospital (above) in order to attend graduate school.

The Medical Education and Research Foundation (501-C3) was a 250+ physician academic faculty group practice located at St. Paul-Ramsey Hospital, a 550 bed, University of Minnesota affiliated teaching hospital. MERF was later Minneapolis and St. Paul’s second largest group practice and part of the larges managed health care, Integrated Services Network (ISN) in Minnesota .

Managed 80 employee, physician' billing office for academic plan: Reorganized, designed and equippednew business office. Directed operations. Devised computer charge tickets for 20+ medical and surgica

departments based on 1969 California Relative Value Study (CRVS), first U.S. and Minnesota computerizedadaptation. Responsible for systems work on new computer system designed for billing, insurance andcollections.

Key player in the development of what became the first managed care (capitated) contract in Minnesotabetween a fee - for - service group (Ramsey M.D.'s) and a fully capitated system (at that time called Group

Health of St. Paul)----before Paul M. Ellwood, M.D., founder of Interstudy and the Outcomes Institute(Minnesota), coined the term “HMO.” Offered position with Hattiesburg Clinic (see above).

March 1977 to August 1979

ADMINISTRATIVEASSISTANT

( Part Time while in graduate school )

FOREST

GENERALHOSPITAL

(FGH)


March 1972 to March 1977

ADMINISTRATOR

HATTIESBURGCLINIC, P.A.

( HCPA )


June 1969 to February 1972

ASSISTANTDIRECTOR

MEDICAL EDUCATION

AND RESEARCH

FOUNDATION(MERF or

Ramsey Clinics)

St. Paul, Minnesota




Travelers Insurance was then the largest multiple-line insurance company in the U.S. and one of 66 original companies to be awarded a contract to process Part B Medicare (physician’s charges) claims inU.S. (then, a 120 employee office) at program’s inception in July, 1966.

Supervised 30 employee Medicare Part B claim unit (March 1967 to June 1969): Duties includedpolicy formulation, writing training manuals and teaching ICD-8 & RVS procedure coding (1964 CRVS)for data entry. Formulated reimbursement factors between hospital-based physicians and hospitalsPerformed studies on physicians’ fees and utilization. Offered position with MERF (see previous page).

Multiple-line Adjuster (July 1964 to March 1967): Property and casualty insurance claim investigatorand examiner (e.g., life, long term disability, general and professional liability, automobile, homeowners

worker’s compensation, boiler & machinery). Prepared claims for arbitration and subrogation andinterrogatories for defense counsel. Collected monies on fidelity, surety and uninsured motorist’s claims

Promoted to Supervisor in Medicare Claims (see above).

Member: Medical Group Management Association (M.G.M.A. — Former Vice Chairman of the nationaProcedures Committee) and the American College of Medical Practice Executives.

Former Member: Minnesota (Chairman, Third Party Billing and Procedures Committee), Mississipp(founding member), Washington, Colorado & Iowa State M.G.M.A.; The M.G.M.A. Orthopedic PracticeAssembly; the Iowa Bones Society; and Group Health Association of America, Inc. Served on clinicaccreditation team with American Group Practice Association. Colorado CHMIS (Community HealthManagement Information System) planning project, database and networks Task Force participant.

McKinnon, Bruce W., et al. The Superbill–A Uniform Billing and/or Claims System. Denver, ColoradoMedical Group Management Association, 1974.

McKinnon, Bruce W., “The Superbill,” 20 (1) 21-25, Nov./Dec. 1972, Medical Group Managemen(Journal of the M.G.M.A.).

McKinnon, Bruce W., “At Issue–The Superbill Revisited–Chapter II,” 20 (3) 25-26, March/April 1973Medical Group Management (Journal of the M.G.M.A.).

McKinnon, Bruce W., “The Hattiesburg Clinic,” 22 (4) 24-25, May/June 1975, Medical GroupManagement (Journal of the M.G.M.A.).

“The Superbill,” February 1972, A.M.A. Ad Hoc Committee on the Standard Insurance Claim Form

Chicago, Illinois.

“The Superbill,” September 1974, 48th Annual Conference of Medical Group Management AssociationWashington, D.C.

“The Superbill.” November 1974, 1st Conference of Mississippi Medical Group Management AssociationJackson, Mississippi.

“Insurance Claim Processing,” April 1975, educational institute entitled “Principles of ClinicManagement,” Medical Group Management Association, New Orleans, Louisiana.

“The Superbill,” June 1975, 29th Annual Conference of the Southern Section of Medical GroupManagement Association, San Antonio, Texas.

“The Superbill,” September 1975, meeting of the Southeastern U.S. Clients of Medical Computer SystemsInc., Dallas, Texas.

“Insurance Claim Processing and the Superbill,” November 1975, 49th Annual Conference of MedicaGroup Management Association, Honolulu, Hawaii.

“The Superbill–Alternatives I and II,” December 1975, special meeting of the Medical Administrators oTexas, Houston, Texas.

Participated seven years in high school and college debate and public speaking. Member of National Forensic Leagu

and Phi Kappa Delta, a national honorary forensic fraternity. Active in high school and college sports (lettered four yearfor Hamline University Tennis Team—Conference champions 2 of 4 years). Enjoy hiking, skiing and tennis.

Available on Request

July 1964 to June 1969

(1) CLAIMSADJUSTER

(2) MEDICARESUPERVISOR

TRAVELERS

INSURANCECOMPANY

Minneapolis, Minnesota

PROFESSIONAL

ORGANIZATIONS • MEMBERSHIPS

PUBLICATIONS

• BOOKS

• PERIODICALS

• PAPERS AND PRESENTATIONS

PERSONAL DATA• ACTIVITIES

REFERENCES

VITAE: Bruce W McKinnon's Medical Administration Curriculum Vitae 1964-1998

Documents

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