Project management - Planner
Víctor Segarra
Public Health
Summary
Public health expert with more than fifteen years of demonstrated managerial experience and practical understanding of laws and policies affecting the delivery of health care in the Veterans Health Administration (VHA). Leading compliance efforts to achieve maximum productivity and business goals. Career highlights at the Veterans Affairs Caribbean Healthcare System (VACHS) include setting productivity targets based on patient treatment level for seven specialized mental health programs, managing an annual allocation of $4 million in special purpose funds for resource enhancement, and implementing managerial cost accounting (MCA) and Veterans Equitable Resource Allocation (VERA) strategies to improve access within enterprise budget plans.
Overview
12
12
years of professional experience
1
1
Language
Work History
Health System Specialist for the Executive Team
Patient Care Services, VA Caribbean Healthcare System, VHA
2017.08 - Current
- Planned, coordinated, and directed on behalf of the Associate Director for Patient Care Services (ADPCS) with a focus on services or program objectives. Requested action plans, held discussions, and made recommendations to service chiefs for the delivery of the service.
- Provided recommendations to senior executives by performing quantitative and/or qualitative analyses of complex problems or data. In some circumstances, relying merely on the laws and regulations of the healthcare system could not be sufficient, requiring experience and objective analysis to solve the problem.
- Analyzed service-level business plans to determine potential budget impacts, i.e., proposals for new or expanded clinical programs.
- Procured, organized and managed contracts worth over $500,000 directly related to the mission of health care delivery.
- Coordinated and directed health care productivity analysis, health program evaluation, and capability analysis to make suggestions to service chiefs to improve clinic flows, staffing methods, and the integration of new care models. Assessments are made for inpatient, ambulatory, and community care.
- Provided in-depth support to senior nurse executives in regard to healthcare cost analysis by educating them in the financial and accounting mechanisms VHA provides to measure the cost of operations. The Medical Center Allocation System (MCAS), MCA, and VERA are among the most relevant systems provided by VHA.
- Served as financial advisor to the Associate Director for Patient Care Services in preparing the budget submission for approval. Prepared a 4Cast budget plan, requests to the finance workgroup, and staffing methodology budget impact.
- Performed, in conjunction with the ADPCS' authority, a review of workload, business plans, and compliance with regulatory requirements to hold accountable service sections needing improvement.
- Served as management representative for the Associate Director for Patient Care Services. Assisted in assessing needs, documenting them, and presenting them to a diverse audience of internal and external stakeholders.
- Implemented and monitored service plans and developed goals and strategies to address prioritized issues.
- Offered final recommendations and identified resources to resolve issues without established precedents.
- Performed market & forecast analysis of the Veteran population in Puerto Rico & the U.S. Virgin Island to estimate service needs.
- Performed health evaluations to identify opportunities to improve access in ambulatory care clinics of VA Caribbean Healthcare System (VACHS).
- Conducted quality improvement and customer satisfaction surveys to evaluate patient care.
- Interpreted policies and procedures that may rise controversy with scope of practice of enterprise.
Supervisory Administrative Officer
Behavioral Health Sciences, VA Caribbean Healthcare System, VHA
2016.05 - 2017.08
- Planned, coordinated, supervised, and directed on behalf of the ACOS for Mental Health & Behavioral Sciences with a focus on services or program objectives. Requested action plans, held discussions, and made recommendations to service chiefs for the delivery of the service.
- Performed required activities related to the advertising, recruitment, and hiring processes and practices.
- Performed required activities related to the credentialing and privilege of clinicians (e.g., licensure, VETPRO, focused professional practice evaluation (FPPE), or ongoing professional practice evaluation (OPPE).
- Demonstrated responsibility over variety of administrative duties that have impact on patient care. Delegated authority to supervisors under purview and held them accountable for fulfillment of their service lines, programs, and human resource needs.
- Supervised and guided employees and responded quickly to questions to improve understanding of job responsibilities.
- Determined appropriate staff utilization and offered suggestions for workforce planning and development.
- Evaluated organizational performance by gathering, analyzing, and interpreting data and metrics.
- Partnered with service leaders to achieve financial performance, expand services, and foster inclusive culture for all employees.
- Conducted scheduled review and evaluation of systems and processes to maintain efficiency and proficiency across enterprise.
- Directed technological improvements, reducing waste and business bottlenecks.
- Devised and presented business plans and forecasts to service chief and executive resources board.
- Communicated service objectives to service sections to meet deadlines and adhere to organization budget.
- Prepared reports to assist business leaders with key decision making and strategic operational planning.
- Contributed to service operational and strategic meetings by providing authoritative advice on wide range of healthcare management issues.
- Formulated service policies, goals, and objectives.
- Formulated service annual budget and evaluated financial long-term goals and accomplishments.
- Conducted complex patient flow analysis to identify health care barriers and provided recommendations to optimize resources utilization.
Administrative Officer
Psychiatry Service, VA Caribbean Healthcare System, VHA
2012.04 - 2016.05
- Evaluated organizational performance by gathering, analyzing, and interpreting data and metrics.
- Partnered with service chiefs to achieve financial performance, expand services and foster inclusive culture for all employees.
- Conducted scheduled review and evaluation of systems and processes to maintain efficiency and proficiency across enterprise.
- Directed technological improvements, reducing waste and business bottlenecks.
- Devised and presented business plans and forecasts to service chief and executive resources board.
- Managed financial, operational, and human resources to optimize service performance.
- Communicated service objectives to service sections to meet deadlines and adhere to organization budget.
- Prepared reports to assist business leaders with key decision making and strategic operational planning.
- Formulated service annual budget and evaluated financial long-term goals and accomplishments.
- Conducted complex patient flow analysis to identify health care barriers and provided recommendations to optimize resources utilization.
- Analyzed data related to administrative costs and spending trends to prepare budgets for personnel.
Education
Master of Public Health - Public Health
Graduate School of Public Health, University of PR
San Juan, PR United States 2014.08 - 2016.06
Bachelor of Science - Forensic Science
Inter American University of Puerto Rico
Bayamon, PR United States 2007.08 - 2010.05
Skills
Mission understanding
Accomplishments
- Managed for over 4 years the VA Central Office (VACO) Mental Enhancement Initiative for VACHS. This initiative provided over $4 million per fiscal year in specific salary funds. Led efforts to guarantee all BHS programs adhered to budgetary regulations, ensuring all funding goals were met.
- Improvement of access through health program evaluation and lean six sigma, reducing up to 87% the inefficiencies related to transition of care in the Mental Intensive Case Management Program.
- Established healthy productivity targets based on RVUs for all mental health programs. This helped the clinic directors understand thresholds for potential staff burnout and demonstrated the quality of health care. While general productivity guidelines exist for mental health providers as defined by VHA Directive 1161, specific targets are needed at the program level.
- Established a nursing staffing methodology tool to account for the daily nursing hours projection at the unit level, implemented it, and deployed it for all nursing units. It’s used as the primary source for daily staffing needs.
- Deployed the National Labor Mapping Tool to all nursing sections to manage the managerial cost accounting data for all nursing service employees.
Publication
Segarra, V et al. (2016). Descriptive study on the perception of risk and level of preparation for emergencies and disasters in the homes of a community at risk of threats of floods, storm surges and tsunamis. University of Puerto Rico, Graduate School of Public Health.
Training
- Federal Acquisition Certification for Contracting Officer's Representative (FAC-COR)
- FEMA Incident Command System (ICS) 100, 200, 700, and 800
- Lean Six Sigma Green Belt Certification
Software
Data visualization - Tableau Desktop, Minitab 21, PowerBI, Pyramid Analytics, MS Excel
Corporate Data Warehouse (CDW) - SQL
Affiliations
American Public Health Association
2024 - Present
Faculty, VA Caribbean Healthcare System, VHA
2024 - Present
Timeline
Health System Specialist for the Executive Team
Patient Care Services, VA Caribbean Healthcare System, VHA
2017.08 - Current
Supervisory Administrative Officer
Behavioral Health Sciences, VA Caribbean Healthcare System, VHA
2016.05 - 2017.08
Master of Public Health - Public Health
Graduate School of Public Health, University of PR
2014.08 - 2016.06
Administrative Officer
Psychiatry Service, VA Caribbean Healthcare System, VHA
2012.04 - 2016.05
Bachelor of Science - Forensic Science
Inter American University of Puerto Rico
2007.08 - 2010.05
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