Charles R. Denham, M.D.
Curriculum Vitae
(Abbreviated)
HCC Corporation, CEO
Texas Medical Institute of Technology (TMIT), Founder and Chairman
Leapfrog Group NQF Safe Practices Program, Chairman
Education:
1979-1983 Baylor College of Medicine: Radiation Oncology Residency – including Pediatric Radiation Oncology training at Texas Children’s Hospital, and Medical Oncology at M.D. Anderson Hospital, Houston, TX
1975-1979 Medical Doctor - University of Alberta
1973-1975 Bachelor of Science - University of Alberta
Faculty, Research, and Scientific Affiliations:
2004-Present National Patient Safety Foundation: Board of Directors, McLean, VA.
2004-Present American Journal of Medical Quality: Editorial Board Member, Bethesda, MD.
2004-Present LLW Journal of Patient Safety: Editorial Board Member, Philadelphia, PA.
2003-Present National Academy of Sciences: Presidents Circle Member, Washington, D.C.
2002-Present Johns Hopkins Hospital & Health System: Patient safety communications development for the Josie King Patient Safety Program.
2001-Present Institute for Healthcare Improvement: Faculty, Boston, MA.
2001-2003 Health Technology Center: Board of Directors, San Francisco, CA.
1987-1990 University of Texas at San Antonio Health Science Center: Clinical Assistant Professor, Dept. of Radiology, San Antonio, TX.
1983-2002 University of Texas at Austin: Associate Professor of Biomedical Engineering; collaborative cross-functional teaching and design projects in mechanical engineering and UT MBA Internship Program.
Employment:
1983-Present CEO, HCC Corporation, Austin, TX
1983-1993 Chairman, Austin Radiation Oncologists (clinical practice), Austin, TX
Experience:
2003-Present Chairman, Leapfrog NQF Practices Program
2001-Present Co-founder, Community Emergency Healthcare Initiative (CEHI), Austin, TX
2000-Present External Leadership Team Member, Premier, Inc., San Diego, CA
2000-Present Principal, Premier Supplier Innovation Program, Premier, Inc., San Diego, CA
1990-Present Owner, AirCare International, Inc., Austin, TX
1983-Present Founder and Chairman, Texas Medical Institute of Technology, Austin, TX
1996-2000 Co-founder, Principal, Premier Innovation Institute
1997-1999 Consultant to IC2 Institute, The University of Texas at Austin School of Business
1983-1993 Managing Partner, Austin Radiation Oncologists, Austin, TX
1985-1988 Accident Investigation Officer, Champion Aircraft, Inc., Austin, TX
1990-1992 Founder, Board Member, Director of Product Research and Research and Development, U.S. Medical Products, Austin, TX
1989-1992 Safety Officer, Seton Medical Center, Austin, TX
1986-1991 Board Member, American Cancer Society, Board of Directors and Hospice Advisory Board, Austin, TX
1986-1990 Board Member, Seton Medical Center Cancer Committee, Austin, TX
1985-1986 Board Member, Texas Legislative Task Force on Clinical Investigations, Cancer Task Force, Austin, TX
1985-1986 Board Member, Texas Legislative Task Force on Regionalization of Medical Care
1985-1986 Board Member, Texas Legislative Task Force on Cancer, Lung Cancer Group
1990-1991 Board Member, Texas Medical Association Radiation Safety Committee
1989-1991 Board Member, Texas Cancer Plan Computer Network Advisory Committee
1989-1991 Member, Scientific Advisory Committee, Texas Research Oncology Network
Honors:
1974 Queen Elizabeth National Scholarship
1975 Queen Elizabeth National Scholarship
1975 University of Alberta Medical Scholarship
1979 President of Graduating Class of Medicine
1982-1983 American Cancer Society Fellowship
Book and Multimedia Authorship:
1. Denham CR. “Partnership and Collaboration on Patient Safety with Health Care Suppliers,” in Youngberg B, ed. The Patient Safety Handbook. Jones & Bartlett Pub, 2003, ch. 44.
2. Denham CR. Blind Spot – Why Good Hospitals, Good Doctors, and Good Patients Keep Having Catastrophic Healthcare Accidents - Summer 2004.
3. Denham CR. The Economics of Honesty, Is There a Business Case for Ethics in Healthcare? National Patient Safety Foundation, Multimedia Application 2003
4. Denham CR. No Outcome – No Income Tsunami: Surviving Pay-For-Performance Multimedia Application TMIT Productions, 2003
5. Caldwell C, Denham CR. Medication Safety and Cost Recovery: A Four-Step Approach for Executives. Chicago: Health Administration Press, 2001.
6. Denham CR. Leapfrog NQF Safe Practices Survey: The Submitter’s Roadmap (interactive website/online survey)
Film/Video Productions:
1. Denham, CR, p. “No Excuses”: The Reality That Demands Action. TMIT, Austin. 2005.
2. Denham, CR, p. A Conversation with Mark McClellan. TMIT, Austin. 2004.
3. Denham, CR, p. A Conversation with Gregg Meyer. TMIT, Austin. 2004.
4. Denham, CR, p. A Conversation with Lucian Leape. TMIT, Austin. 2004.
5. Denham, CR, p. A Conversation with Chris Olivia. TMIT, Austin. 2004.
6. Denham, CR, p. The Chuck Utley Story. TMIT, Austin. 2004.
7. Denham, CR, p. It’s a Communications Problem: Dr. Lucian Leape. TMIT, Austin, 2004.
8. Denham, CR, p. You Don’t Have To Be French To Make an Impression: Dr. James H. Thrall. TMIT, Austin, 2004.
9. Denham, CR, p. The Josie King Story, Told by Sorrel King. TMIT, Austin, 2003.
10. Denham, CR, p. The Sue Sheridan Story. TMIT, Austin, 2003.
11. Denham, CR, p. The Pete Conrad Story. TMIT, Austin, 2003.
Applied Research and Development:
1. Proprietary:
- Spectrum Innovation Development Guidance SystemTM, Knowledge management system composed of web delivered software, concepts, tools, and resources providing a step by step systematic approach to multi-disciplinary innovation development and optimization. Patient-centered, evidence-based medicine grounded, systems-performance focused.
- Spectrum Business Development Guidance SystemTM. Knowledge management system composed of web delivered software, concepts, tools, and resources providing a step by step systematic approach to multi-disciplinary business development and optimization.
- Spectrum CycleTM and Spectrum Market Penetration SystemTM. Software driven decision support applications for performance solution market penetration and provider adoption.
- Siemens Solution ScienceTM licensed to Siemens Medical Solutions in 2002. Private labeled patient centered, evidence based, systems performance focused medical product, service, and technology development system for Siemens Global Solution Center.
- Denham CIA Performance Model and Denham Impact Index: Integrated clinical, operational, and financial performance impact modeling system for healthcare provider systems. Licensed to TMIT for application through Leapfrog NQF Safe Practices Program 2003-2008.
- Business Opportunity Processing System (BOPS) licensed to GlaxoWellcome in 1999, now GlaxoSmithKline. A private labeled stage and gate processing system comprised of screening, opportunity assessment, business development, and maintenance stages. Used to assess and develop products, business development, and M&A activities.
- Premier Breakthrough Processing Frontline System: A healthcare product, service, and technology assessment system used for sourcing and group purchasing contracting Licensed to Premier Inc. in 1996, it is now used to assure competitiveness for purchase of $20 Billion in annual healthcare supply purchasing for 1,500 hospitals (2003).
- HealthBankTM: A manual and software enabled personal medical information repository.
2. Integrated Impact of Performance Solutions at Frontline Hospitals: Clinical, Operational, and Financial impact of best practices enabled by products, services, and technologies. Frontline Test Bed Hospital studies undertaken through Rural, Pediatric, and General Hospital Pay-For-Performance Task Forces. Research undertaken through Leapfrog NQF Safe Practices Program for 150 Fortune 500 companies representing $59 billion in annual purchasing and 33 million covered lives. Performance impact evaluation of technologies such as smart pump infusion devices and Computerized Physician Order Entry (CPOE) systems.
3. Imaging Performance Improvement Program: Frontline Test Bed studying performance improvement at acute care hospitals in association with Fuji Medical Systems focused on PACS (Picture, Archive, and Communication Systems), CR, and critical patient care information transfer. Specific attention to critical information communication circuits.
4. Creating a Culture of Safety: Focused research and development of transformational change in culture targeting NQF Safe Practices Safe Practice 1. Specific attention to high incidence-high risk adverse events in OB, acute myocardial infarction, surgical misadventure, and missed diagnosis (primarily lung, breast, colon, and prostate cancer).
5. NASA: Commercialization of Emerging Technologies – TMIT and NASA collaboration. Patient Safety Performance Improvement: applying aviation and aerospace best practices
6. Institute of Medicine: TMIT/HCC collaboration regarding Frontline Providers Perceptions of Patient Centered Care as defined by Crossing the Quality Chasm: A New Health System for the 21 Century, 2001.
7. Agency for Healthcare Research and Quality: Patient-centeredness and Frontline Emergency Care and Disaster Preparedness. Rural hospital implementation of medical informatics solutions.
8. Healthcare Resources and Services Administration: Emergency Department performance improvement in Rural Hospitals.
9. Department of Defense: Emerging technologies enabling critical and emergency care and medical informatics in the battle space and disaster preparedness scenarios in Homeland Defense.
10. Cine Orthopedic Imaging: Cine imaging enhancement for ankle, neck, shoulder, knee, and wrist. GE MRI applications.
Publications (Selected):
1. Denham CR. Can Pay-For-Performance Requirements Help Define Hospital Safety Programs? Journal of Patient Safety. 2005;1:6-9.
2. Denham CR. Patient Safety Practices: Leaders Can Turn Barriers Into Accelerators. Journal of Patient Safety. 2005;1:49-63.
3. Denham CR. Partnering with Suppliers to Improve Patient Safety. Patient Safety & Quality in Healthcare. 2005;(1):38-40.
4. Denham CR. The No Outcome No Income Tsunami – Surviving Pay-For-Performance. Focus on Patient Safety for the National Patient Safety Foundation. 2004;7(1):1-3.
5. J. Bryan Sexton, PhD, Robert L. Helmreich, PhD, Torsten B. Neilands, PhD, Kathy Rowan, Ph.D, Keryn Vella, MA, James Boyden, MD, Peter R. Roberts, MD, Charles R. Denham, MD, Eric J. Thomas, MD. A Survey of Safety Attitudes in Healthcare Settings: Safety Attitudes Questionnaire Benchmarking and Psychometric Properties. Health Services Research. Forthcoming Q3 2005.
6. Denham CR. Leapfrog NQF Safe Practices Survey. Texas Medical Institute of Technology. The Leapfrog Group website. 2003.
7. Denham CR. The Business Case for Creating Cultures of Safety. Patient Safety Leadership Fellowship. Health Forum Fellowship. American Hospital Association 2003-2004.
8. Denham CR, Campbell PM, Radensky PW. Economic Analysis of Systematic Anticoagulation management vs. Routine Medical Care for Patients on Oral Warfarin Therapy. Disease Management and Clinical Outcomes. Dec. 2000: 1-8.
9. Denham CR. Technology Management: Answers through Macroeconomics. Managed Care Medicine. 1994;1(2): 30-33.
10. Denham CR, Jacobson AK, Guilloteau FG, Campbell PM. Comparison of Point Care Testing and Standard Reference Laboratory Testing for PT/INR Measurements in Patients Receiving Routine Warfarin Therapy: An Engineering Work Process Flow Study. Disease Management and Clinical Outcomes. Dec. 2000: 1-8.
11. Denham CR, DeGroot WJ, Bagwell JC, et al. Lung Cancer: Oncology Guidelines Report. Texas Medicine. September 1987.
12. Denham CR, Valvano J. A Noninvasive Technique to Measure Perfusion. Association for the Advancement of Medical Instrumentation. 1986: Chicago, Illinois.
13. Denham CR, Welch AJ. Seven Flux Model for Light Distribution in Laser Irradiated Tissue. ICALEO Proceedings International Congress on Applications of Laser and Electro-Optics. 1985: Austin, TX.
Presentations (Abbreviated):
1. Denham CR, Classen D. Risky Business: Can We See the Warning Signs. Presented on June 9, 2005 at the IHI 1st Annual International Summit on Redesigning Hospital Care, San Diego, CA. Also presented (Denham CR, June 10): How Safe is my Hospital? The Leapfrog Group Safe Practices Program.
2. Denham CR. Communicating The Business Case For Performance Improvement Projects To The C-Suite. Presented on May 19, 2005 at the Premier Annual Conference – Breakthroughs, Las Vegas, NV. Also presented (May 20): The Solutions Series: A review of Actionable Solutions for CEOs and Senior Leaders.
3. Denham CR, mod. No Excuses: Answers to the Top Excuses that Sabotage Patient Safety. Presented on May 5, 2005 at the 7th Annual NPSF Patient Safety Congress, Orlando, FL. Also presented: Getting Started with Rapid Response Teams.
4. Denham CR. Innovation Adoption: Turning Barriers into Accelerators. Presented on April 19, 2005 at the MGMA –APA Educational Conference, New York, NY.
5. Perazzo C, Norling RA, Denham CR. Performance Improvement Solutions series: Actionable Solutions for Senior Leaders. Presented on January 25, 2005 at the Premier Governance Conference, Phoenix, AZ.
6. Denham CR. Leapfrog NQF Safe Practices Survey: Using It As a Road Map for Patient Safety and Market Success. Presented on December 15, 2004 at the IHI National Forum on Quality Improvement in Health, Orlando, FL.
7. Denham CR. The No Outcome – No Income Tsunami: Surviving Pay for Performance. Presented on October 28, 2004 at the Harvard Conference on American Healthcare, Boston, MA.
8. Denham CR. The Solutions Series: A review of Actionable Solutions for CEOs and Senior Leaders. Presented on September 23, 2004 at the Premier CEO Leadership Forum, Colorado Springs, CO.
9. Denham CR. The Leapfrog NQF Safe Practices Program: Early Returns, Lessons Learned, and Future Directions. Presented on September 10, 2004 at Texas Health Resources’ Leadership Conference, Quality and Patient Safety Journey: A Work in Progress, Frisco, TX.
10. Denham CR. Position Owner Hospitals as Leaders. Presented on September 8, 2004 at the Child Health Corporation of America’s Pediatric Summit Quality and Safety Day, San Diego, CA.
11. Denham CR. Surviving the No-Outcome, No-Income Tsunami: Pay-4-Performance Patient Safety Focus. Presented on June 8, 14, 2004 at the VHA Grand Rounds Teleconference Series. Also presented on March 12, 2004 at Alaris Medical Systems CIO Forum, San Diego, CA.
12. Denham CR. Preparing for Technology, People, Process & Pitfalls. Presented on May 3, 2004 at 6th Annual NPSF Patient Safety Congress, Boston, MA.
13. Denham CR. Paying for Performance. Presented on January 24, 2004 at American College of Radiology Board of Chancellors Meeting, La Jolla, CA.
14. Denham CR. The Business Case for Quality and Patient Safety; Capture the Gold. Presented on January 20, 2004 at Premier Governance Education Conference, Scottsdale, AZ.
15. Denham CR. No Outcome, No Income Tsunami. Presented at the TMIT-Hosted Adventist Conference, January 5-8, 2004, Orange County, CA. Also presented on September 15, 2003 at the Society of Chairmen of Academic Radiology Departments’ Fall Meeting, Vancouver, B.C.
16. Denham CR. National Forum on Quality Improvement in Health Care Workshops: Partnering to Solve Clinical Issues: Stakeholders for Medication Safety (presented on December 2, 2003 with Peter Pronovost) and Case Studies in Successful Implementation of Computer Prescriber Order Entry Objectives (presented on December 4, 2003 with Dave Classen).
17. Denham CR. Leapfrog Safe Practices Workshop Facilitator and Panelist. Presented on October 31, 2003 through November 3, 2003 at the Institute for Healthcare Improvement (IHI), Boston, MA.
18. Denham CR. Economics of Honesty. Presented on October 14, 2003 at Adventist Health Leadership Committee Meeting, Roseville, CA. Also presented on January 14, 2003 at Premier Governance Education Conference, Naples, FL.
19. Denham CR. A Systematic Approach to Technology Assessment. Presented on March 13, 2003 at National Patient Safety Foundation’s 5th Annual Patient Safety Congress, Washington, D.C.
20. Denham CR. Lessons in Patient Safety Learned from Anesthesia. Presented on January 31, 2003 at Society for Critical Care Medicine Congress, San Antonio, TX.
21. Denham CR. Business Case. Presented on December 9, 2002 at Institute for Healthcare Improvement’s 14th Annual National Forum on Quality Improvement in Health Care, Orlando, FL.
22. Denham CR. Anesthesiology: Taking the Lead in Safety and Quality. Presented on November 9, 2002 at Association of Anesthesiology Program Directors/Society of Academic Anesthesiology Chairs 2002 Annual Meeting, San Francisco, CA.
23. Denham CR. Performance Measures. Presented on November 7, 2002 at Alaris Medical Systems Critical Medications: Using Technology to Address Administration Errors, San Diego, CA.
24. Denham CR, Conrad N. Economics of Patient Safety. Presented on October 14-16, 2002 at Partnership for Patient Safety Meeting, Dallas, TX.
25. Denham CR, Conrad N. The faces of patient safety. Presented on July 26, 2002 at American Hospital Association Health Forum Meeting, San Diego CA.
26. Denham CR. Technology Assessment. Presented on June 12, 2002 at Institute for Healthcare Improvement’s Safety Patient Summit, Salt Lake City, UT.
27. Denham CR. Leadership and Disclosure. Presented on May 7, 2002 at Institute for Healthcare Improvement’s Quantum Leaps in Patient Safety, Tempe, AZ.
28. Denham CR. IT Opportunities. Presented on May 5, 2002 at Institute for Healthcare Improvement’s Pursuing Perfection: Raising the Bar for Health Care Performance, Boston, MA.
29. Denham CR. Medication management: the roadmap for CPOE and other innovations. Presented at April 14-17, 2002 Premier Breakthroughs in Performance Improvement, San Diego, CA. Also presented on January 22, 2002 at the Premier Governance Education Conference, Phoenix, AZ.
30. Denham CR. Epidemiology and Therapy of Adverse Drug Errors in the ICU. Presented on January 26, 2002 at the Society of Critical Care Safety Planning Meeting, San Diego, CA.
31. Denham CR, Conrad, N. Putting a face on Patient Safety. Presented at December 9-12, 2001 Institute for Healthcare Improvement National Forum, Orlando, FL.
32. Denham, CR. State of the Art of CPOE. Presented on November 12, 2001 at the Premier Nurse/Physician Collaboration and a Practical Approach to CPOE, Baltimore, MD.
33. Denham CR, Classen D. CPOE: A Roadmap and the Leapfrog Standards. Presented on November 6, 2001 at the IHI Collaborative on Quantum Leaps in Patient Safety, Atlanta, GA.
34. Denham CR, Classen D. The Business Case Part II: Case Examples. Presented on November 5, 2001 at the IHI Collaborative on Quantum Leaps in Patient Safety, Atlanta, GA.
35. Denham CR, Conrad N. Putting a face on Patient Safety: the crisis, the people, the opportunities, and the heroes. Presented on October 10-12, 2001 at Partnership for Patient Safety Meeting, Dallas, TX.
36. Denham CR, Billings C. CEO Leader Session – Complexity and Safety. Presented on September 11, 2001 at the Premier CEO Meeting, Aspen, CO.
37. Denham CR. The medication system: hazard zones and risk trajectory. Presented on June 25, 2001 at Institute for Healthcare Improvement’s Breakthrough Series Collaborative on Achieving Quantum Leaps in Patient Safety: Redesigning Culture and Process of Medication System, Atlanta, GA.
38. Denham CR. Patient risk management systems. Presented on May 22, 2001 at the National Academy of Engineering’s Workshop on Engineering and Health Care Delivery Systems, Washington, D.C.
39. Denham CR. Future technological possibilities. Presented on April 29, 2001 at The Quality Institute’s Promoting Patient Safety: Is Technology the Solution, Cleveland, OH.
40. Denham CR. Business Case for ADE’s. Presented on February 16, 2001 at The Premier CFO Conference, San Diego, CA.
41. Denham CR. Efforts toward a healthcare continuum: creating quality and efficiency for consumers, providers, and supply chain participants. Presented at May 22-24, 2000 Healthcare USA and Supply Chain’s Exhibition and Conference, Atlanta, GA. Also a panelist for E-business—technology and process vision for the healthcare continuum.
42. Denham CR, Norling R. The Future of E-Health. Presented on December 8, 2000 at the Institute for Healthcare Improvement National Forum, San Francisco, CA.
43. Denham CR. Idealized Design of Medication Management. Presented on December 5, 2000 at the Institute for Healthcare Improvement National Forum, San Francisco, CA.
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