Consultants

Robert A. Frolichstein, MD FAAEM

Bob Frolichstein, MD FAAEM is the Secretary-Treasurer for AAEM in now his 4th year on the Board of AAEM. Bob serves as President of Greater San Antonio Emergency Physicians (GSEP) an independent, democratic group with 9 EDs and 49 emergency physician partners. Bob graduated from Southern Illinois University – Edwardsville before entering medical school at the University of Missouri. He attended medical school on a military scholarship. After graduation he completed a transitional internship at Tripler Army Medical Center in Honolulu, HI. Bob and his wife Dena then spent three years in the Republic of Panama where Bob worked in the ED of Gorgas Army Hospital and as Officer in Charge of a health clinic for active duty soldiers and their dependents. Next, he completed his Emergency Medicine Residency training at the military training program in San Antonio, TX. He stayed on as teaching faculty for three years post-graduation completing his military obligation.

Bob joined GSEP and after completing his partnership track, became a partner. He quickly assumed leadership roles including, Assistant Department Director, Department Director, Board of Directors and, for the last ten years served as the President of GSEP. GSEP practices within the Methodist Healthcare System in San Antonio an HCA owned hospital system. He has served on, and chaired numerous hospital committees including serving as the chair of the system level committee devoted to health and behavioral issues of the medical staff. He is currently the Vice-Chief of Staff of the largest hospital within the Methods Healthcare System and will transition to Chief of Staff at the beginning of 2022. GSEP has successfully struggled to remain independent while providing exceptional care to over 200,000 patients annually in San Antonio. He considers the preservation of the opportunity for each emergency physician to practice in an independent, democratic group where each physician is treated fairly with transparency vital to the continued success of our specialty. Bob has valuable experience dealing with some of the CMGs and corporate hospital organizations.

Areas of Expertise

Group Structure and Governance, Group Income Distribution, People Management, Dealing with the Problem Physician, Hospital Medical Staff Relationship, Hospital Contracts, Threats from CMGs, Understanding and Partnering with the Hospital C-Suite

L.E. Gomez, MBA MD FAAEM

L.E. Gomez, MD MBA is medical director for one of the largest occupational health urgent care centers in the Baltimore-Washington Metro Area. Previously on the faculty of Howard University College of Medicine, he earned his undergraduate degree from Cornell University, MD from the Ichan School of Medicine, and completed internship in medicine at Boston University prior to residency in emergency medicine at the University of Chicago Hospitals. He has healthcare business consulting experience in business performance, budget analysis, process engineering, and improvement of patient experience. He has served as consulting clinician for CMS MIPS and a former AAEM Advocacy Congressional Fellow. Dr. Gomez has published original research on the economic power of diversity to improve performance, outcomes, and influence culture. He serves as liaison to our board for Social Emergency Medicine and Population Health at AAEM and a current MPH candidate in the Hopkins Bloomberg School of Public Health Program.

Areas of Expertise

Performance Improvement (including patient flow), Business Development (including revenue / expense forecasting), Patient Experience (including quality and safety), Staffing (including scheduling and recruitment), Budget Analysis (including variance

Anthony J. Hackett, MD FAAEM

Dr. Anthony J Hackett is a clinical assistant professor of Emergency Medicine at Texas A and M university and practices clinical emergency medicine at CHI Saint Joseph Regional Medical center. Dr. Hackett received his undergraduate degree in Biochemistry from the Worcester Polytechnic Institute, conducting a research thesis there in concert with the University of Massachusetts Medical School developing small molecule receptors to molecularly target diabetes at the genetic level. Following that, he then served as the chief research associate in the laboratory of nucleic acid vaccines at the University of Massachusetts Medical School where he worked for several years on HIV, Influenza and Cholera vaccine development. He then attended medical school at the New York College of Osteopathic Medicine and entered the army thereafter, completing a general surgery internship and an emergency medicine residency where he also served a year as chief resident. Following his training, he remained in the army and was part of the residency faculty at Fort Hood’s Emergency medicine residency for four years serving as the director of research for the residency program. He served as a board member on the Southwest Regional Command’s Institutional review board evaluating a variety of multidisciplinary research protocols for the command in conjunction with ten other members. During this time, he founded and chaired the department of clinical investigation and the scientific review board at Fort Hood’s Medical Center. During his time in the army he was awarded as faculty of the year as well as the Emergency Medicine Foundation’s research grant for his research on ketamine for headaches. He has had the privilege to speak at multiple national and international conferences on his research interests which include advanced cardiac arrest therapy, pulmonary embolism, and advanced airway management. He has published more than 20 articles and reviews in peer reviewed journals and continues to be active in research related to emergency medicine. He is currently the clerkship director for Emergency Medicine and a member of the medical student research advisory council at the Texas A and M University medical school. Additionally, he is the director for the US Army’s military Emergency Medicine partnership at the CHI St Joseph Regional Hospital in Bryan College station Texas. He is a fellow of the American College of Emergency Physicians, the American Academy of Emergency Medicine and the Royal Society of Medicine (UK). Outside of work Dr. Hackett enjoys reading, woodworking, design and architecture. Additionally, he is an avid skier and ice hockey player and enjoys culture, traveling and exploring the US and around the globe.

Areas of Expertise

Research, Academics, Resident and Medical Student Education, Critical Care Medicine, Risk Management

Megan Healy, MD FAAEM

Megan Healy, MD FAAEM, holds a faculty appointment as Associate Professor of Emergency Medicine at Lewis Katz School of Medicine at Temple University. A Philadelphia native, she completed medical school at Drexel University College of Medicine in 2010 and residency at Temple in 2013. She serves as Associate Program Director for the residency program, Vice Chair for Practitioner Wellness for the Temple University Health System, AAMC Gender Equity Lead for the medical school and Director of Health Equity and Community Engagement for her department. She is currently pursuing a Masters in Urban Bioethics. She has won multiple teaching awards from the residency program and medical school.

In addition, Megan served for three years on the Board of Directors of the American Academy of Emergency Medicine (AAEM). She chaired the AAEM Marketing Task Force which developed the new logo and tagline for AAEM in 2017, re-invigorated the now thriving Women in Emergency Medicine Section and founded the AAEM Social Emergency Medicine and Population Health interest group.

Areas of Expertise

Residency Education, Physician Wellness, Diversity/Equity/Inclusion, Community Engagement

Robert Lam, MD FAAEM

Robert Lam, MD is a partner in Emergency Physician Specialists PC, a 50 physician independent, democratic practice. Dr Lam also serves as the Director for Physician Wellness in the Southern Region. Dr. Lam is a Clinical Assistant Professor of Emergency Medicine at the CU School of Medicine and directs the medical education programs for Emergency Medicine Specialists- PC. Dr Lam completed his emergency medicine residency at Truman Medical Center in Kansas City.

Dr. Lam has been very active in organized medicine. He served as Founder and Chair of the Wellness Committee for the American Academy of Emergency Medicine from 2005 to 2021. As chair he led the committee to launch a resilience curriculum for the Scientific Assembly, started a resilience column in EM News, authored multiple position statements and joined a national collaboration of all EM organizations to create National Physician Suicide Awareness Day. He currently serves as Director of Physician Wellness for the UCHealth South Region where he launched an organizational wellness program for physicians that included an individual resilience curriculum, peer support program, social connectedness and collegiality program and excellence in communication training for an enhanced patient and provider experience. Dr Lam has spoken nationally on topics of physician well-being and medical education.

Areas of Expertise

Physician Engagement, Physician Wellness, Patient Experience

Mitchell Louis Judge Li, MD FAAEM

Dr. Li is passionate about transparency in healthcare and offers consultation services to introduce alternatives to expensive traditional ‘BUCAH’ insurance plans by combining Direct Primary Care and Level-Funded plans to both decrease benefit expenses and increase quality to small democratic groups. Groups may be able to cut premiums by 30-60% while increasing collaboration with like-minded independent physicians (Direct Primary Care) who can provide further access to wholesale medications, labs, and imaging. Employers who partner with DPC practices can simultaneously support independent physician colleagues while assuring high-quality physician-led care for their families. Dr. Li is also happy to provide an overview of the newly formed AAEM-Locum Group as a resource to independent physician groups.

Mitchell Li, MD is a graduate of University of Massachusetts Medical School and completed Emergency Medicine residency at St John Hospital in Detroit, MI. Dr. Li is also the founder of Thrive Direct Care, PLLC, a subscription-based medical service inspired by the Direct Primary Care (DPC) movement where patients subscribe directly with the Physician. Dr. Li served on the Board of Directors for the American Academy of Emergency Medicine Physician Group (AAEM-PG) where he co-founded the launch of the American Academy of Emergency Medicine Locum tenens Group (AAEM-LG) where he now serves as Chief Medical Officer. He is an advocate for fair practice arrangements where physicians regain autonomy in medicine.

Areas of Expertise

Direct Primary Care and Benefits, Personal Finance for the Physician, Locum Tenens Support for Small Democratic Groups

Lisa A. Moreno, MD MS MSCR FAAEM FIFEM

Dr. Lisa A. Moreno is Professor of Emergency Medicine, Director of Research and Director of Diversity for the Section of Emergency Medicine at Louisiana State University Health Sciences Center- New Orleans. She serves as Director of the Latino Scholars Program for the School of Medicine and Regional Faculty Advisor for the Southwestern Region of the Latino Medical Student Association. Dr. Moreno is the first woman President of the American Academy of Emergency Medicine (AAEM). During her years serving on the AAEM Board of Directors, she has focused on the development of women and underrepresented minorities in leadership positions. She holds degrees in Medicine and Clinical Research, and is a National Institutes of Health Research Scholar. She is the founder of the Academy for Diversity and Inclusion in Emergency Medicine (ADIEM), an academy of the Society of Academic Emergency Medicine (SAEM). Her multiple awards include the SAEM Martin Leadership Award, Alpha Omega Alpha Medical Professionalism Award, Council of Residency Directors in Emergency Medicine Distinguished Educator Award, the ADIEM Outstanding Academician Award, Association of American Medical Colleges (AAMC) Healthcare Executive Diversity & Inclusion Certificate, and the Order of the International Federation of Emergency Medicine. The recipient of many research grants, Dr. Moreno has over 500 academic presentations, 45 publications, 6 book chapters, and two authored textbooks “Diversity and Inclusion in Quality Patient Care,” and “Your Story, Our Story: A Case Compendium of Diversity and Inclusion in Quality Patient Care.” Her research interests include HIV, violence prevention and treatment, diversity and healthcare disparities. Her office at University Medical Center participates in the LSU School of Medicine Dean’s Summer Research Program, mentoring college students who aspire to careers in medicine towards the completion of basic research projects. She has mentored over 300 students, residents, and junior faculty around the world towards successful careers in research and medicine. As a global health consultant and educator, she has served in over 25 countries with a focus on the development of research and elimination of healthcare disparities for women, underrepresented minorities, and the under-resourced.

Areas of Expertise

Unconscious Bias Training, Healthcare Disparities, Career Development, Injury Prevention, Viral Illnesses, and Recruitment and Retention of Diverse Staff

Mark Reiter, MD MBA MAAEM FAAEM

Mark Reiter, MD MBA is a partner in Middle Tennessee Emergency Physicians, a 70 physician independent, democratic practice, where he is also the serves on the Executive Board. Dr. Reiter is Professor and Residency Director of the University of Tennessee- Nashville/Murfreesboro emergency medicine residency. He also earned an MBA from the Rutgers Business School. Dr. Reiter completed his emergency medicine residency at the University of North Carolina-Chapel Hill. Dr. Reiter is the CEO of Emergency Excellence, a company dedicated to emergency medicine performance improvement, which offers services including patient callbacks (discharge phone calls), benchmarking, and consulting.

Dr. Reiter has been very active in organized medicine. He served on the Board of Directors for the American Academy of Emergency Medicine from 2005 to 2020 and served as national President from 2014 to 2016. He currently serves as CEO of the AAEM Physician Group, where he has coordinated the launch of the AAEM Consultation Service. He has served on the Council on Legislation for the American Medical Association and the Board of Trustees for the Medical Society of New Jersey.

Areas of Expertise

Patient Experience, Patient Flow, Finance, Group Governance, Coding/Billing/Reimbursement, Medicolegal Issues, Contract Threats, Residency Education

Jennifer Repanshek, MD FAAEM

Jennifer Repanshek, MD is an Associate Professor of Emergency Medicine at the Lewis Katz School of Medicine at Temple University Hospital, where she is a core faculty member of the Temple Emergency Medicine residency. Dr. Repanshek completed both her medical school and residency training at Temple, and is the co-director of the Temple EM Medical Education Fellowship. She also serves as the director of EM simulation, and the director of airway and procedural education within the residency.

Dr. Repanshek has been an active member of organized emergency medicine groups, particularly AAEM. She is a member of the Women in EM, Education, and Social Media committees, and has previously been the Chair of the Pecha Kucha subcommittee and a member of the Scientific Assembly Planning committee.

Areas of Expertise

Residency Education, Medical Student Education, Social Media and Digital Branding, Women in Medicine

Anthony R. Rosania III, MD FAAEM

Anthony Rosania, MD is a Board Certified Emergency Physician, Informaticist and Physician Administrator practicing for 12 years. He has extensive experience in Observation Medicine, Operations and Informatics as well as systems thinking. Dr. Rosania is currently the Vice Chair for Clinical Operations and Observation Medical Director at Rutgers – New Jersey Medical School. He has completed both an MHA and a Masters in Health Informatics.

Areas of Expertise

Observation Medicine, Health Informatics, Clinical Operations, Revenue Cycle Management

Wayne A. Satz, MD FAAEM

Wayne A. Satz, MD is an Associate Professor of Emergency Medicine at the Lewis Katz School of Medicine at Temple University Hospital practicing academic EM since 1992. Dr. Satz earned his MD degree at Temple University School of Medicine(1992) and completed his emergency medicine residency at the Medical College of Pennsylvania (1995), then completed a research fellowship year before serving in various roles as clinical director, chief of service, vice chair of clinical operations from 1996 through 2009, before transitioning to Director of Informatics, ED EHR system administrator. He has served 18 years as chair for HIM/Medical Records Committee, plus various hospital committees.

Specific informatics, and EHR skill sets:

• Held title as top Epic physician builder for smart forms and second for any physician build
• Custom charting including full cohort of custom EMBU procedures, auto-completed clinical scores
• Custom and interactive track boards and patient list columns including wall monitor viewing
• Automated interface to resident procedure logs to New Innovations
• Automated email system for medical student evaluations, and non-EM resident evaluations
• Automated criteria-based notifications to alert research staff for prospective candidates
• Custom Reporting Workbench reports and Clarity/SQL based reporting including SSIS/SSRS applications
• Alternative workflow focused chart completion and monitoring process
• Email and push notification alerts from criteria-based triggers
• Machine learning for structured and natural language data in python or R
• Research SQL data marts
• Examples available on request

Areas of Expertise

ED Clinical Informatics, Clinical Operations, Clinical Decision Support, Cognitive Computing, Informatics Linked Research, Performance Improvement with Focus on Informatics Augmented Risk Mitigation, Revenue Capture from Physician Procedures, EKG Rea

Kraftin E. Schreyer, MD MBA FAAEM

Dr. Kraftin E. Schreyer is an attending physician and Associate Professor of Emergency Medicine at the Lewis Katz School of Medicine at Temple University. She received her medical degree from Drexel University College of Medicine and completed her residency training at Temple University Hospital. She is currently the Director of Clinical Operations for the Episcopal Campus at Temple University Hospital, the Assistant Director of Clinical Operations for Temple University Hospital, Director of the Emergency Medicine Administrative Fellowship at Temple University Hospital, and the Quality Officer for the Department of Emergency Medicine. She holds a Certification in Medical Quality and an MBA from the Fox School of Business at Temple University. Her clinical interests are in emergency medicine administration and operations, quality and performance improvement, and patient experience. She is particularly interested in the intersections between ED operations, resident education, and community engagement.

Areas of Expertise

ED Operations, Administration, Patient Flow, Quality and Performance Improvement, Patient Safety, Patient Experience, Community Engagement

Arthur Smolensky, MD FAAEM

Arthur Smolensky, MD MS is a partner, Chief Financial and Chief Operating Officer in Middle Tennessee Emergency Physicians an independent private practice group in the Nashville area. The group staffs 7 hospitals ranging from 80,000 visits down to under 10,000 visits per year. Dr. Smolensky is also an Assistant Professor, Director of Informatics and Documentation with the University of Tennessee-Nashville/Murfreesboro emergency medicine residency. Prior to coming to Nashville Dr. Smolensky was the Human Resources Director and was on the Executive Board of a private emergency medicine practice in the Phoenix area. Dr. Smolensky earned his undergraduate degree from the University of Pennsylvania, his Medical degree from Rosalind Franklin University. Additionally, he completed his emergency medicine residency and was Chief Resident at the University of Arizona. Dr. Smolensky also worked as a management consultant specializing in logistics management and worked in a startup prior to attending medical school. Dr. Smolensky also is the President of Premier Scribes, a medical scribe service whose aim is to allow physicians to focus on patient care while ensuring chart accuracy and quality.

Dr. Smolensky also serves as the Secretary of AAEM Physician Group and serves as the Secretary-Treasurer of the Tennessee Chapter Division of AAEM. He also previously served on the Arizona ACEP chapter board of directors.

Areas of Expertise

Contracting, Payer Negotiations, Revenue Forecasting, Documentation, Group Structure and Governance, Group Income Distribution, Hospital Contracts, Benefits, Group Retirement Planning, Coding/Billing and Reimbursement

Thomas Tobin, MD MBA FAAEM

Thomas Tobin, MD MBA is a CMO at Colorado West Health System, consisting of a hospital, ASC, multiple clinics including primary care and specialist with over 300 physicians on staff. He also earned an MBA from the University of Tennessee, Knoxville. Dr. Tobin completed his emergency medicine residency at the University of Pittsburgh.

Dr. Tobin has been active in organized medicine, serving on the Board of Directors for the American Academy of Emergency Medicine. He currently serves as on the Board of the AAEM Physician Group. In addition, he is on the Board of Selkirk Pharma in Spokane, WA.

Areas of Expertise

Contracting, Group Management, Patient Flow, Finance, Coding/Billing/Reimbursement, Medicolegal Issues

Joseph Twanmoh, MD MBA

Joe Twanmoh, MD MBA is the president and founder of Queue Management, LLC, a healthcare consultancy specializing in fixing crowded emergency departments through improving patient flow and demand to capacity matching.

Dr. Twanmoh has seen first-hand clinical operations in dozens of emergency departments across the country and in a variety of practice settings: urban, rural, suburban, community, and academic. Prior to his role as a consultant, Dr. Twanmoh served as a medical director and department chair in both high and low volume emergency departments, and as faculty at University of Maryland School of Medicine.

A career emergency physician, Dr. Twanmoh continues to practice clinically and is a nationally recognized speaker on emergency department crowding, operations management, and change management.

Certified in Lean, Dr. Twanmoh is a graduate of the Johns Hopkins Carey Business School and Rutgers-Robert Wood Johnson Medical School and completed his emergency medicine residency at Spectrum Health Butterworth Hospital in Grand Rapids, Michigan. Dr. Twanmoh established the AAEM Emergency Department Management Solutions Conference and the AAEM Emergency Department Operations Certificate Course and continues to serve as course director and faculty. Along with that, Dr. Twanmoh previously served as Chair from 2016 to 2018 for the Operations Management Committee, now the Operations Management Section, and remains a member to this day.

Areas of Expertise

ED Crowding, Patient Flow, Demand-to-Capacity Modeling, Lean, Queuing Theory, Theory of Constraints, Change Management Strategy

Benjamin White, MD

Benjamin A. White, MD is an attending physician at the Massachusetts General Hospital Department of Emergency Medicine, and an Associate Professor of Emergency Medicine at Harvard Medical School. Dr. White earned his MD degree at Harvard Medical School, and completed his emergency medicine residency at the Harvard Affiliated Emergency Medicine Residency (HAEMR). Dr. White currently serves as the Director of Clinical Operations, the chair of the ED Operations Committee, and Co-chair of the ED Patient Experience Committee at MGH. His academic work has focused on ED operations and systems improvement, with an emphasis on systems engineering, process flow, Lean methodologies, rapid cycle change, and improving patient experience. He has led multiple grant-funded projects in this capacity, with resultant peer-reviewed publications, and has lectured nationally on these topics at AAEM, SAEM, ACEP, and through multiple other invited presentations. Dr. White also serves on multiple national committees, including as Co-Chair of the AAEM Operations Management Committee, and is a founding faculty member of the AAEM ED Management Solutions Course. He is also an active member of the SAEM ED Administration and Clinical Operations Committee, and the ACEP EM Practice Committee.

Areas of Expertise

ED Operations, Clinical Innovation, Systems Improvement & Systems Engineering, Process Flow, Lean Methodologies, Rapid Cycle Change, Ancillary Testing Optimization, Patient Progression, Patient Experience, ED Policies and Procedures

Leslie S. Zun, MD MBA FAAEM

Leslie S. Zun, MD MBA is the medical director, Lake County Health Department/Community Health Center in Lake County Illinois and Professor, Department of Emergency Medicine with a secondary appointment in the Department of Psychiatry at the Rosalind Franklin University of Medicine and Science/Chicago Medical School in North Chicago, Illinois. He responsible for faculty development at Chicago Medical School. His background includes a medical degree (M.D.) from Rush Medical College and a business degree (M.B.A.) from Northwestern University’s School of Management. He has presented his research and lectured on behavioral emergencies topics both nationally and internationally. He is past President of the American Association for Emergency Psychiatry and prior board member of American Academy of Emergency Medicine. He is the chief editor of the Behavioral Emergencies for Healthcare Providers textbook and course director for the National Update on Behavioral Emergencies conference. He is the chair for the Coalition for Psychiatric Emergencies.

Areas of Expertise

Behavioral Emergencies, Psychiatric Observation, Academic Emergency Medicine, Hospital/Medical Staff Relations, Community Integration, Medicolegal, Physician Productivity, Customer Service and Quality Improvement