Team and Associates
Members of the Canadian Healthcare
Management team have been selected for their experience, accomplishments and
attitudes. All are on the leading edge in their individual areas of expertise
and all believe that innovative solutions are needed to meet today’s health care
challenges. Our partners have extensive backgrounds in the health care field
and many are also experienced in working in the private sector. As a result, we
bring a business-minded approach to our work - an approach that fits with the
way health care can be delivered now and how it will be delivered in the
future.
Our attention is focused on the
bottom line - in terms of the satisfaction of your patients and staff and on
value for the dollars you spend to provide high quality health care. It means
offering the very best service to our customers - and yours - at a reasonable
cost. The Canadian Healthcare Management team believes that all
patients deserve high quality health care delivered in the most efficient manner
possible.
Rather than act merely as
contractors, we see ourselves as partners with our clients - it’s in our
interest to ensure we deliver the expected results while respecting the
special culture of your organization. This calls for an approach that’s
built upon working cooperatively with our clients - to meet our shared
objectives while being flexible enough to accommodate your individual
requirements.
In addition to our core members,
the team includes associates and key advisors who bring their special expertise
in developing the very best solutions for our clients and the communities
you serve.
Click
on any of our Team or Associate members names for highlights
TEAM MEMBERS
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John
Sexton, CHE - Partner |
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Latiff Kitchell, B.Sc.,
MD, FRCP - Medical Consultant |
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Leonard
Lefaive, BScN, MHSc.
- Director, Utilization Practice |
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Louise Grant, BScN,
RN
- Nurse Utilization Consultant |
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Gillian
Price - Director Health Records Practice |
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OUR ASSOCIATES |
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Craig Muir, MD, FSCSC, FACS
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Utilization Physician Reviewer |
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F.G. (Gerry) McNestry, MD, FRCPS
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Utilization Management Consultant-
Psychiatry |
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John
Sexton, CHE
Managing Partner
As former Director of Utilization Management at
the Toronto East General Hospital in Toronto, Ontario, John was responsible for
guiding the hospital’s utilization and resource management program, resulting in
the shortest length of stay of typical cases of all hospitals in Canada for
several years.
As a founding partner of Canadian Healthcare
Management Inc., John brings a variety of skills including strong knowledge of
health records management, coding and case costing methodology, health care
information systems as well as resource utilization. Having worked on large
scale re-engineering and change-centered projects at Hamilton Health Sciences
Corporation and North York General Hospital, John is familiar with the
challenges of bringing innovation and new ways of thinking into the health care
environment.
John has worked for leading hospitals both in
Canada and the United States, and as a project manager for the Ontario Ministry
of Health on many Hospital Operational Reviews. John is active in many health
care associations including the Joint Policy and Planning Committee (JPPC) in
Ontario. He was also the hospital representative on the Ontario provincial
study of Non-Acute Care Hospitalization rates involving over 100 hospitals.
Latiff
Kitchell, B.Sc., MD., FRCP (C)
Medical Consultant
A fellow of the Royal College of Physicians and
Surgeons in Internal Medicine and a licensed practitioner for over 20 years, 'Kitch'
brings to the Canadian Healthcare Management team the clinical
understanding essential for interfacing on a professional basis with medical
staff. Furthermore, as the most experienced physician in Canada in undertaking
retrospective and concurrent appropriateness reviews, Dr. Kitchell is a key
member of the consulting team and is an acknowledged as an expert is utilization
management and an advocate for best practice in medicine.
Dr. Kitchell is a member of the active medical
staff at the Toronto East General Hospital, Toronto, Ontario, where he is the
Physician Reviewer for the Utilization Management Program and Chair of the
Pre-Operative Assessment Clinic.
He completed his medical training at the
University of Saskatchewan and his residency in internal medicine at the
University of Toronto. Dr. Kitchell was also the physician hospital
representative on the Ontario provincial study of Non-Acute Care Hospitalization
rates involving over 100 hospitals.
Leonard Lefaive, B.ScN, M.HSc
Director, Utilization Management Practice
With extensive experience in leading clinical
audits and the use of medical appropriateness criteria, Len provides the team
with the ability to not only conduct retrospective and concurrent reviews but
also has the hands-on experience to help client hospitals improve care and
reduce unnecessary resource utilization. In addition, as the former chair of
the Clinical Pathway Resource Development Committee at a leading Metro Toronto
hospital, Len is intimately familiar with the care mapping process and the
benefits it can bring to interdisciplinary care teams. As former nursing unit
manager and resource nurse, Len understands the nursing process and provides
that all-important practical perspective in assisting clients in reducing costs
and improving patient care. He is a certified InterQual instructor.
A talented organizer and
gifted leader, Len brings a special enthusiasm and energy to the Canadian Healthcare
Management Inc. team.
Louise Grant,
B.ScN., RN
Utilization Management Consultant
With more than twenty-five years experience in
neurosciences and general medical/surgical nursing, Louise brings to the team
extensive experience in leadership and teaching in resource utilization. As a
former nursing unit manager and clinician with a Discharge Support Team, Louise
facilitated the discharge planning process by promoting systems that encourage
collaboration among the patient/family, community resources and the
interdisciplinary health care team.
Louise has three years
experience in conducting concurrent reviews in a large acute care teaching
hospital thus has a comprehensive understanding of medical criteria tools and
review process.
For the last ten years, Louise has performed
numerous clinical resource utilization audits with the Canadian Healthcare
Management Inc. for both the Ministry of Health of Ontario and client hospitals.
Gillian Price
Director, Health Records Practice
Ms. Price’s extensive experience in health care
includes Corporate Director of Health Data and Admissions at a large two-site
teaching hospital in Toronto. An accomplished leader, in implementing change and
developing more effective ways to reduce costs and increased efficiency Ms.
Price has directed hospital wide improvement programs for chart management, data
dissemination and A.D.T integrity for the purposes of Decision Support.
Experienced in conducting health record
departmental operations reviews, Gillian brings to projects practical solutions
to realize more efficient operations. Ms. Price also brings health records
systems implementation experience to projects with a full appreciation of the
impact on hospital operations and clinical information operations. In addition
Ms. Price has been involved in a large collaboration of a multi site (7
hospitals) implementation and operation of systems applications for
registration, chart management, transcription, abstracting and correspondence
management systems.
Ms. Price has been involved in the
implementation of Utilization programs and as a certified InterQual Utilization
Management user, has a full understanding of Utilization management and its
impact on an organization. Gillian adds to her extensive understanding of the
field an engaging style and orientation that has won her high praise from client
organizations.
Craig Muir, MD, FSCSC, FACS
Utilization Physician Reviewer
Graduated from McMaster University in 1982 and
obtained a specialist certificate in general surgery in 1988. He currently is a
general surgeon at the Greater Niagara General Hospital Site within the Niagara
Health System. He has previously been Chair of the Department of Surgery
(1993-2000) and has served in the position as President of Medical Staff at
Greater Niagara General.
Dr. Muir has been involved in utilization
initiatives since 1992 and is currently the Regional Chair of the Quality and
Utilization Committee within the Niagara Health System. His knowledge and
expertise in strategic planning, operational review and benchmarking as they
relate to utilization has been widely recognized.
F.G. (Gerry) McNestry, MD, FRCPS
Utilization Management Consultant-
Psychiatry
Dr. McNestry received his medical degree form
Trinity College, U.K. He is a member of the Psychiatry Royal College U.K. (1985)
as well as a holding a Fellowship of the Royal College of Physicians and
Surgeons (1988).
Dr. McNestry is currently the Chief of
Psychiatry at a large community hospital in Ontario and also serves as the
Physician Reviewer for the Utilization Management Program at the hospital. In
addition, Dr. McNestry is the past Chair of the Section of Psychiatry for the
Ontario Medical Association. Prior to his current position, Dr. McNestry served
as Chief of Psychiatry for twelve years in a large northern Ontario hospital.
Dr. McNestry is a key member of the team and he brings an extensive mental
health clinical background combined with a strong commitment to patient care.
His experience as both an active clinician and as Chief of Psychiatry combined
with his Utilization Management role provides our team with the appropriate
knowledge and skills to effectively meet the mandate of this project.
