HANYS Solutions’ Practice Advancement Strategies delivers the solutions needed to help clients redesign their systems and move toward a value-based model of care. Our expertise in the Patient-Centered Medical Home (PCMH) model, physician engagement, and information technology, along with our unique blend of healthcare business and policy intelligence enables us to employ a very focused, yet creative approach to meet the unique needs of our clients.
To truly transform practices requires a willingness to change throughout the organization and embed new ways of doing things—and oftentimes this means a real cultural shift. The status quo is no longer an option. There are proven initiatives and key elements that can help achieve true transformation to achieve the Triple Aim.
We leverage technology and resources to provide efficient and effective transformation consultation to practices and healthcare systems. This means fewer costly on-site visits and better use of these visits for the transfer of knowledge.
Our advisors are National Committee for Quality Assurance (NCQA)-recognized PCMH Certified Content Experts who go through rigorous training before guiding a practice transformation. They are trained in change management approaches, which are embedded in our transformation team activities and distance learning modules.
Our passion for driving change, combined with proven transformation tools, an understanding of primary care practice operations, and the practice redesign standards, leads to a powerful and successful journey for our clients.
Senior Director, Practice Advancement Strategies, HANYS Solutions
Nicole Harmon leads HANYS Solutions’ Practice Advancement Strategies. She has tremendous experience in the areas of primary and specialty care practice transformation, cross-functional teams, establishing a culture of change and quality improvement, redesigning workflow and responsibilities, and electronic medical record implementation and reporting. In addition, Ms. Harmon works on physician engagement and physician payment reform strategies to round out the overall Practice Advancement Strategies portfolio.
Ms. Harmon is a nationally recognized speaker on topics such as positioning physicians for success in the transition from fee-for-service to value-based payment models, change management, the role of culture in transformation efforts, and practice transformation in both primary and specialty care.
Before joining HANYS Solutions, Ms. Harmon was a Practice Manager, Patient-Centered Medical Home, at The Exigence Group, and served as Assistant Director for Advanced Primary and Specialty Care at Independent Health. Ms. Harmon’s experience also includes the Windsong Radiology Group, where she spent two years as Marketing Specialist before moving into the Organizational Development Supervisor role.
Ms. Harmon holds a Bachelor of Science degree in Business Administration from Rochester Institute of Technology and a Master of Business Administration degree from Canisius College. In November 2014, Ms. Harmon completed the Cornell-HANYS Academy for Healthcare Leadership Advancement. She is PROSCI® certified in change management and by National Committee for Quality Assurance (NCQA) as a PCMH Certified Content Expert.
Director, Practice Advancement Strategies
Carmen Francavilla works collaboratively with healthcare organizations to achieve physician practice transformation. She has worked in hospital systems aligned with physician practices to advance population health, quality outcomes, practice transformation, the Delivery System Reform Incentive Payment (DSRIP) program, the Physician Quality Reporting System, meaningful use of health information technology, and compliance with The Joint Commission regulations.
Before joining HANYS Solutions Practice Advancement Strategies team, Ms. Francavilla was Director of Population Health at Our Lady of Lourdes Memorial Hospital in Binghamton, New York, an Ascension Health organization. Ms. Francavilla also served as manager of nursing and clinical informatics at Lourdes’ physician practice sites.
She is board certified in ambulatory care by the American Nurses Credentialing Center, and is certified by the National Committee for Quality Assurance as a PCMH Certified Content Expert. Ms. Francavilla holds a Bachelor of Science degree in Nursing from Binghamton University and is a licensed registered professional nurse. She also holds a Master of Business Administration degree, specializing in Healthcare Management, from American Intercontinental University.
Associate Director, Practice Advancement Strategies
Lindsay Milchteim is a member of HANYS Solutions’ Practice Advancement Strategies team, working with community- and hospital-based primary care practices and clinics to achieve practice transformation. Ms. Milchteim’s experience includes the Delivery System Reform Incentive Payment (DSRIP) program, population health technology, revenue cycle improvement, and federal and state healthcare policy and advocacy.
Before joining HANYS Solutions, Ms. Milchteim was a DSRIP Project Manager at Nassau University Medical Center, where she was responsible for creating an integrated delivery system, including contracting with primary care practices, hospitals, behavioral health specialists, and other community providers. She also managed population health projects related to diabetes and cardiovascular issues. Before that, she worked for Accretive Health, a revenue cycle management consulting firm aimed at improving the work streams and protocols within a hospital’s revenue cycle. She worked for several years at AARP as a Healthcare Policy Analyst, with a specific focus on the Affordable Care Act.
Ms. Milchteim holds a Bachelor of Arts degree in Political Science and a Master of Public Health Policy degree, both from George Washington University.
Chief Medical and Health Systems Innovation Officer
Through leadership, outreach, and research initiatives, Dr. Streck works with HANYS members to facilitate transitions in meeting key healthcare delivery reform imperatives. Dr. Streck works with HANYS member hospitals and health systems with a focus on emerging models of care, population health initiatives, risk management strategies, and physician relationships. In addition, he works with HANYS businesses to evaluate, develop, and execute new data-driven products and services that guide members' efforts to execute population health initiatives and risk management strategies.
Before joining HANYS in December 2014, Dr. Streck was one of the longest serving health system executives in New York State and the country, having retired in July 2014 after 30 years as President and Chief Executive Officer of Bassett Healthcare Network in Cooperstown. Under Dr. Streck's leadership, Bassett grew from an employed physician group of 70 physicians at a single hospital to its current regional network and programs as a vertically integrated healthcare system with academic, teaching, and research missions. He served five New York State governors on advisory boards, key Department of Health committees, and state policy groups. In addition, Dr. Streck has served on various professional and policy groups at the state and national levels. Dr. Streck received his Bachelor of Science degree in Psychology from Oklahoma State University and his medical degree from the University of Missouri. He began his medical career at Strong Memorial Hospital in Rochester, New York.
Senior Practice Transformation Advisor
Mandi Diamond brings to the HANYS Solutions’ Practice Advancement Strategies team more than 15 years of hands-on information technology (IT) and clinical project management experience. Her work in healthcare and with providers has touched the arenas of insurance, vendor/product implementation, and hospital and private practice administration.
Since joining HANYS Solutions in 2015, Ms. Diamond has guided multiple practices of varying sizes through their Patient-Centered Medical Home (PCMH) transformation journey, achieving PCMH Level 3. She has hosted virtual and in-person education sessions, conducted practice workflow redesign, championed efforts to maximize the functionality within electronic medical records, and performed document review in preparation for NCQA submission. She acts as a liaison and trusted advisor by utilizing change management strategies and sharing her expertise on the National Committee for Quality Assurance (NCQA) PCMH Standards and Guidelines. Ms. Diamond listens to representation of the practices and is agile in her approach based on expectations and their preferred learning styles
Most recently, she held multiple positions at Brookhaven Memorial Hospital Medical Center in Patchogue, New York. Ms. Diamond was the clinical IT project manager for meaningful use initiatives throughout the inpatient setting, with a focus on implementing computerized provider order entry. She was then selected to manage the PCMH transformation of Brookhaven Memorial Hospital’s Family Medicine Teaching Center. She also held the position of Practice Administrator and oversaw and directed all of the physicians and staff of the hospital’s privately-owned primary and specialty practices.
Ms. Diamond partnered with internal and external leaders at the Performing Provider System level to manage workflow and reporting for Delivery System Reform Incentive Payment (DSRIP) projects. In these roles, she developed her skills for implementing and sustaining projects focusing on change management, creating educational and training resources, building trusting partnerships with physicians, engaging staff with effective communication tools, and analyzing process improvement and re-design.
Before joining Brookhaven, she managed implementation teams nationwide for vendors in the fields of e-prescribing and physician-patient secure messaging. Ms. Diamond earned her Bachelor’s degree from the State University of New York at Stony Brook.
Senior Practice Transformation Advisor
Rebecca Durday has experience in both the public and private sectors of healthcare including the local government, non-profit, hospital, and payer settings. Her diverse background provides her with a comprehensive understanding of the complex systems that enable healthcare delivery in an evolving marketplace. She is passionate about primary care transformation, access to care, quality outcomes, and the Triple Aim.
Before joining HANYS Solutions’ Practice Advancement Strategies team, Ms. Durday worked as the Director of Physician Relations and Network initiatives at The Brooklyn Hospital Center. In that role, she provided project management for a dynamic roster of projects, policy initiatives, grants, and network development opportunities, working closely with administrative, information technology, and clinical departments. Ms. Durday first joined The Brooklyn Hospital Center to manage the New York State Hospital Medical Home Demonstration that included PCMH recognition in six practices, care transition management, resident continuity, and inpatient quality initiatives.
She received her Master of Public Health degree from the Mailman School of Public Health at Columbia University with a focus on healthcare policy and management and a Bachelor of Science degree in Public Health from the University of Washington in Seattle, Washington.
Practice Transformation Specialist, HANYS Solutions Practice Advancement Strategies
Aleksander Saar works collaboratively with primary care sites to achieve practice transformation. Mr. Saar guides practices seeking to enhance patient experience, improve clinical care, and achieve value-based payments under New York State’s Advanced Primary Care Model. Before joining HANYS Solutions, Mr. Saar was the Practice Manager at Upstate Dermatology, a four-office practice that provided 72,000 visits annually and employed 16 specialty providers. Mr. Saar assisted with the daily business functions and implementation of short-term and long-term goals for the practice during a time when patient appointments grew by 76%. He was responsible for redesigning workflow associated with Physician Quality Reporting System measures, e-prescribing, electronic medical record implementation, meaningful use, and the Merit-based Incentive Payment System (MIPS). Mr. Saar holds a Bachelor of Science degree in Neuroscience from St. Lawrence University and a Master of Business Administration degree in Healthcare Management from Clarkson University.
Practice Transformation Specialist, HANYS Solutions Practice Advancement Strategies
Chris Anne Scalamandre has 20 years of healthcare experience, working for healthcare delivery systems, dialysis centers, and managed care health plans. Ms. Scalamandre works collaboratively with organizations to achieve practice transformation, enhance patient-centered care and improve quality outcomes. Ms. Scalamandre’s expertise lies in driving improvement in clinical initiatives to support provider practices. This was enhanced while working at IPRO (New York’s Quality Improvement Organization) and Montefiore Pioneer Accountable Care Organization as a project manager and quality improvement specialist. Ms. Scalamandre has a broad background in Medicare Advantage and Medicaid Managed Care quality reporting, such as the Health Effectiveness Information Set (HEDIS) and Quality Assurance Reporting Requirements (QARR) and working with provider offices to improve workflow and patient outcomes. Ms. Scalamandre graduated Magna Cum Laude with a Bachelor of Science degree in Health and Nutrition from the City University of New York—Brooklyn College and is a Registered Dietitian/Nutritionist.
Practice Transformation Program Coordinator, HANYS Solutions Practice Advancement Strategies
Danielle Durant serves as Practice Transformation Program Coordinator for HANYS Solutions’ Practice Advancement Strategies. She has significant experience in project management, managing multiple projects and staff members, and has expertise in process improvement and workflow redesign. In addition, Ms. Durant brings curriculum development, data management, and statistical analysis expertise to the Practice Advancement Strategies portfolio. Before joining HANYS Solutions, Ms. Durant was Project Coordinator for the New York State Partnership for Patients (NYSPFP) program, and worked on several special projects at the Department of Health (DOH) related to the Delivery System Reform Incentive Payment program, and implementation of the New York Medicaid Management Information System. Ms. Durant’s experience also includes Clarkson University, where she spent two years as Associate Director of Graduate Business Programs, before moving into an instructor role, teaching Organizational and Business Strategy, Personal Selling, and Marketing. Ms. Durant is a Public Administration PhD candidate at Rockefeller College of State University of New York (SUNY) at Albany, studying Healthcare Management and Policy. She has conducted research with DOH on improving the food environment in rural New York, and with HANYS evaluating the effectiveness of nurse-driven protocols on patient outcomes. For her dissertation, Ms. Durant will continue to work with HANYS, conducting research on antibiotic stewardship. Ms. Durant has a Bachelor of Science degree in Finance and Economics and a Master of Business Administration degree from SUNY Oswego, as well as a Master of Science in Engineering and Global Operations Management from Clarkson University.
Practice Transformation Advisor, HANYS Solutions Practice Advancement Strategies
Christina Brooks is a member of HANYS Solutions’ Practice Advancement Strategies team, working with outpatient care centers to achieve practice transformation. Ms. Brooks brings to HANYS 12 years of experience in the healthcare field, with knowledge of clinical research, electronic medical record adoption and quality initiatives. Before joining HANYS Solutions Practice Advancement Strategies, she worked as a practice transformation specialist at Millennium Collaborative Care focusing on assisting practices in achieving NCQA Level 3 PCMH recognition and meeting Delivery System Reform Incentive Payment program deliverables. In that role, she provided project management for many New York State projects and relationship management with all partners. She received her Master of Healthcare Administration degree from Capella University with a focus on healthcare policy and law. She also holds a Bachelor of Science in Biomedical Science from the University of Guelph and a Bachelor of Arts in Psychology from the State University of New York at Buffalo. She is a Certified Clinical Research Professional.
Practice Transformation Advisor
Emily Fisk brings to HANYS six years of experience in outpatient healthcare, with knowledge in practice transformation strategies, electronic medical record optimization, quality measures, and value-based payment models. Before joining HANYS, she worked as a practice transformation coach for the Delaware Valley Accountable Care Organization (ACO) in Philadelphia, the largest Medicare ACO in the region, assisting practices in achieving National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home (PCMH) Level 3 recognition, and assisting them in meeting the quality and transformation requirements of the ACO. Her previous experience working within a primary care office setting brings a unique perspective to the HANYS Solutions’ Practice Advancement Strategies team. A Registered Dietitian, she holds a Bachelor of Science degree in Dietetics from Central Michigan University and is currently working toward completion of a Master of Health Administration degree from Louisiana State University at Shreveport.