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UNDERSTANDING A COMPLEX RETINA PATIENT’S ENTIRE MEDICAL HISTORY

A Case Study

Complex Retina Patient with Glaucoma Disease: Ryan Smith

Several areas of this complex retina patient’s history require specific attention. Ryan Smith is not a “simple” patient. There are missed appointments, possible compliance issues, and various revenue denials, all on top of the fact that while Ryan Smith is a retina patient, he also suffers from glaucoma, and his patient history was documented in two separate EHR systems.

To understand Ryan Smith’s complete story, doctors using most EHR systems must delve into various tabs and maneuver through several screens. DHRpro, an add-on technology for the provider’s current EHR, gathers Ryan Smith’s entire patient story and presents it on a single dashboard so that at Ryan Smith’s next visit, the physician can easily understand his complicated history in moments while receiving alerts on particularly notable points. 

Getting To Know Ryan Smith

Complex Retina Patients Demographics

Smith is a 67-year-old male visiting for his usual 2x per month checkup. His primary insurance is Aetna, which covers his medication payments, and the physician can see Smith’s unpaid patient balance of $150, likely due to a co-pay. DHRpro also shows the referring doctor, Dr. Naomi Brown, and the chief complaint for the latest visit.

Appointment Statuses

DHRpro shows all of Smith’s visits in a longitudinal column until his last visit on 10/07/2022, including missed appointments. In 2022, Smith missed two follow-ups, one on 7/11/2022 and the second on 09/26/2022. He had canceled the first and the office the second.

In both instances, Smith returned to the office within two weeks but had he not, there could be a concern for reduced effectiveness of reoccurring injections and Glaucoma medications.

date of service with provider and location

Complex Retina Patient's Injections and Procedures

Over 10 months, DHRpro shows 5 injections in Smith’s right and left eye. All these injections are shown side by side in longitudinal columns based on OD and OS. And the total injections per drug are summarized at the bottom of the dashboard.

In his right eye, Smith received three Eylea injections on 11/22/2021, 12/27/ 2022, and 01/24/2022. He then received two Avastin injections on 3/28/2022 and 5/23/2022. In Smith’s left eye, he received two injections of Avastin on 12/13/2020 and 01/10/2022, followed by Eylea on 01/24/2022, and two more injections of Avastin on 03/14/2022 and 05/09/2022.

Complex Retina Patients Injections and Procedures

Flagging a Potential Compliance Issue

Without knowing more about the patient, DHRpro alerts physicians of possible compliance issues, informing Smith’s doctor that there is a potential error with the injection log matching the associated bills on 1/24/2022.

Injection in Less Than Days Alert

If the alerts were red, physicians would know that injections had been administered too close together, but in this case, yellow indicates a clinical-billing mismatch. The physician can easily see that the problem stems from an Eylea injection in the left eye within two weeks of an Avastin injection in that same eye. A doctor is not even allowed to bill for the Eylea injection so soon after the previous injection. A doctor would only do so because the patient’s left eye became so bad that a more aggressive approach was necessary or because this is a fearful case of malpractice. To investigate this curiosity, the doctor can use DHRpro’s dashboard to dig into where things may have gone wrong.

On the same dashboard, the doctor can see that there was a procedure billed for the Eylea Sample in the right eye, but there was no injection billed, the gray injection icon indicating just that. 

Injections and Financial Indicators

To begin investigating, the doctor can first look at their previous plan to see if they had explained any discrepancies.

retina dashboard plan viewer

Next, perhaps they determined the patient’s eye health had digressed so drastically that the Eylea injection in the left eye was necessary. In that case, the doctor can look at the patient’s vision. The patient’s left eye went from 20/40 to 20/50-1. With a vision that only lost one line, there seems to be only a minimal decline. But the doctor can check further by pulling up the OCT on the dashboard. In this case, the OCT, compared to its previous OCT, shows minimal decline too. The doctor then knows they did not administer the Eylea injection out of necessity.

Image Viewer Within Retina Dashboard

All that is left to assume is that the Eylea Sample in the right eye was administered and billed, and there was likely a mistake with ordering the Eylea injection in the left eye or logging it incorrectly. Since it was not billed, there was no explanation in the plan, and the patient’s health had not fallen drastically, the doctor can assume something was documented or logged incorrectly in the left eye.

Data From Multiple EHRs

Data from Multiple Ehrs

In Smith’s case, DHRpro grabs information from two separate EHR systems and presents it on the single-screen dashboard. Whether Smith switched providers, or his provider switched EMR systems, Smith has information from MDOffice and NextGen.

A Retina Patient with Glaucoma

DHRpro also shows the doctor that Smith has multiple diseases. Smith is particularly complicated since even though he is a retina patient treated with injections, he is on glaucoma medications as well. The retina doctor can know that this patient has glaucoma and needs to see a comprehensive ophthalmologist or a glaucoma specialist for glaucoma management. The doctor can help ensure the patient meets the necessary provider through a referral or within the same practice.

DHRpro shows all of Smith’s historical visions next to the medications administered. Therefore, his physician can easily see the correlation. DHRpro also creates alerts for any sudden historical decreases or uptakes, which, while not necessarily pertinent to today’s visit, is an important part of Smith’s patient history.

Complex Retina Patients Medications and Iop

Customizable Alerts for Diagnostic Tests

Erg Alert and Popup

DHRpro alerts the doctor to any diagnostic test they should choose. For example, if a doctor wants a visual field every two years, they can set DHRpro to alert them for that. In this case, the doctor chose to receive an alert for an ERG if one had never been done before on a diabetic patient. But those parameters are doctor specific and can be set for any diagnostic test.

Revenue Cycle Management – Addressing Denials

Finally, DHRpro shows that on the four appointments 3/14/2022, 3/28/2022, 05/09/2022, and 05/32/2022, the Avastin injection and the associated procedure were denied for CO55, the claim/service was denied because the procedure/treatment is deemed experimental or investigational by the payer.

Perhaps this could be resolved by submitting additional documentation proving the patient did require such medications, but Smith’s physician would need to involve the practice billers to know for sure. At the very least, Smith’s physician is alerted that a particular drug had been denied several times consecutively.

Complex Retina Patients Injectable Meds Graphic

In Conclusion

DHRpro’s Retina Dashboard is everything you need on one screen. It not only makes your exams more efficient, but it also assists in delivering a better quality of care. So, with DHRpro by your side, you can be sure that the next time Ryan Smith steps into your office, you are providing him with the most thorough quality care possible. 

James Thimons Od Faao

James Thimons, OD, FAAO

Co-Founder and Medical Director,

Ophthalmic Consultants of Connecticut

Dr. James Thimons is nationally and internationally acclaimed speaker and educator.  He has received numerous awards for his service and has over 200 publications in glaucoma, cornea and external disease, dry eye, refractive surgery, and new technologies. 

Dr. Thimons is a 1978 graduate of Ohio State University College of Optometry. He completed his hospital residency at the Chillicothe, VA Medical Center and served as Chief, Optometry Service until 1985. He was the Center Director at Omni Eye Services in Fairfax, Virginia, and then became Chairman, Department of Clinical Sciences at the State University of New York.  While at SUNY, Dr. Thimons developed The Glaucoma Institute, a clinical research center, and served as its first Director. In 2002, he co-founded Ophthalmic Consultants of Connecticut.

Dr. Thimons was awarded Optometry’s Top Educator in 1999 and was selected as one of the Top Ten Clinicians of the decade. In 2002, he founded the National Glaucoma Society which provides educational and clinical development services to primary care clinicians worldwide.  He was inducted into the Optometry Hall of Fame in 2005 and was named on Newsweek’s America’s Best Eye Doctors list in 2002.

Leonard Ginsburg Md

Leonard H. Ginsburg, MD

Founder and CMO

DHRpro

For more than 30 years, Leonard H. Ginsburg, M.D. has been on a mission to connect healthcare professionals through a multi-disciplinary, holistic approach to total patient care. This mission led Dr. Ginsburg to open Moore Eye Institute in collaboration with several hospital systems. Such partnerships opened doors for Moore Eye Institute to introduce high-end new-age technology such as indocyanine green digital angiography (third in the U.S.) and first to introduce OCT, now the most common diagnostic test in eye care, in the Pennsylvania, Delaware, and New Jersey regions.

Dr. Ginsburg’s work in health systems enabled him to bring together many specialists resulting in his chairing two multi-specialty diabetes centers with endocrinologists, nephrologists, podiatrists, ophthalmologists, and diabetes educators. He also served as the regional President of the American Diabetes Association and was one of the only ophthalmologists in America to become a Certified Diabetes Educator. These hospitals also supported his work in residency programs. Dr. Ginsburg was Clinical Chief at Drexel University’s Department of Ophthalmology and now serves as Chairman of the Ophthalmology Residency Program at PCOM.

Having always been intent on ophthalmology working closely with the rest of medicine, Dr. Ginsburg has served in various leadership roles to promote such ideals.  He was Vice Chairman of the American Medical Association Ophthalmology Section Council for eight years, representing all major ophthalmology organizations. And while representing the American Society of Retinal Specialists to the AMA, he co-authored the booklet, “The Revealing Retina – What All Physicians Should Know.”

His interest in operational efficiency, clinical reporting, and diabetes led to many abstracts, articles, book chapters, and presentations, including co-authoring “The Focal Points of the AAO:  Diabetic Retinopathy Classification Progression and Management,” “Doctors are Held Responsible for What They Do Not Know,” and more than 150 others.

Early in his career, he became knowledgeable about the importance of computers in connecting people and data. While Chairing the American Association of University Students, IBM donated 50 computers to connect student governments, and with the help of Uni-Col and using ARPANET, the first student computer network was created in 1984. In 1985 the International Association of Universities which represented 800 major universities from 120 nations, met in Los Angeles. Dr. Ginsburg served as chairman of the student section.

This background made it natural to discover a solution for what most physicians find frustrating. 1) Having to enter data into an EHR yet struggling to locate that data, and 2) Poorly coordinated patient care amongst doctors in the same or different specialties in different EHRs – faxes are not a solution! These common struggles motivated him to create DHRpro to allow the data to finally work for the doctors, and to have the capabilities to share that data across all EHRs.

Dr. Ginsburg went to college and medical school at the University of Pennsylvania. He completed his ophthalmology residency at Albert Einstein College of Medicine Center in NY, and he was a retinal fellow at Massachusetts Eye and Ear Infirmary and the Joslin Diabetes Center of Harvard University. He enjoys spending time with his wife, five kids, nine grandchildren, studying archeology and horticulture, and scuba diving.

Ruth Williams Md

Ruth Williams, MD

Leadership Committee Chair, Glaucoma Research Foundation

Chief Medical Editor, EyeNet Magazine

Ruth Williams, MD is a glaucoma specialist at Wheaton Eye Clinic and Chief Medical Editor for EyeNet Magazine.  She serves on the Board of Directors of the Glaucoma Research Foundation.  Dr. Williams is past president of the American Academy of Ophthalmology.  She is a current member of the American Glaucoma Society, Women in Ophthalmology, the Chicago Glaucoma Society, the American Academy of Ophthalmology, and the American Medical Association.

Dr. Williams received the Senior Achievement Award from the American Academy of Ophthalmology.  She lectures nationally and internationally, has appeared on major television networks, and has been interviewed by newspapers and magazines including The Chicago Tribune, The New York Times, Women’s Health, Health, Shape, AARP Magazine, and Good Housekeeping.

Dr. Williams earned her bachelor’s degree and Wheaton College and her medical degree at Rush Medical College.  She completed her glaucoma fellowship training at the University of California San Francisco and at Shaffer Associates.

Dr John T Thompson

John T. Thompson, MD

Clinical Associate Professor, University of Maryland

Former President, American Society of Retina Specialists

A good analogy to explain DHRpro is how the cockpit of jet aircraft are very carefully designed to give the pilot easy access to the most important information. Even though the plane requires many controls…the control panel has evolved to make it simpler for pilots to manage. This is what DHRpro does with medical records.  – John T. Thompson, MD

John T. Thompson, M.D. is an Assistant Professor at Wilmer Eye Institute and a Clinical Associate Professor at the University of Maryland.  He served as President of the American Society of Retina Specialists, President of the Maryland Society of Eye Physicians and Surgeons, and President of the Baltimore City Medical Society.  Dr. Thompson is an active member of the American Academy of Ophthalmology, the Retina Society, the American Society of Retina Specialists, the Macula Society, Club Jules Gonin, the Association for Research in Vision and Ophthalmology, and the American Ophthalmological Society.

Dr. Thompson earned his bachelor’s degree from The Johns Hopkins University and received his medical degree from The Johns Hopkins Medical School.  He completed his surgical retina fellowship with Dr. Ron Michels at The Wilmer Institute and his medical retina fellowship training at the Retinal Vascular Center of the Wilmer Institute.

Michael Mittelman Od Mph Faao

Michael Mittelman, OD, MPH, MBA, FAAO, FACHE

President, Salus University

Former Deputy Surgeon General, U.S. Navy

Rarely, do you come across a computer program that is transformative.  DHRpro is one of those programs that integrates seamlessly with your EMR to provide unparalleled decision support by simplifying many aspects of glaucoma and other ophthalmic-related care.  The program provides unique temporality in the sense that any information you need is instantaneously visible.  Most importantly, DHRpro will help to facilitate the sharing of key patient care information between optometrists, ophthalmologists and potentially primary care managers, making care safer, more efficient and collaborative.  – Michael Mittelman, OD, MPH, MBA, FAAO, FACHE

Dr. Michael H. Mittelman serves as President of Salus University after a distinguished 33-year career in the U.S. Navy.  Prior to joining Salus, Dr. Mittelman was Deputy Surgeon General of the Navy and achieved the rank of Rear Admiral.  He was the first optometrist to command a major naval hospital and the first non-medical doctor to serve as the command surgeon for the U.S. Joint Forces.  He was the first and only clinician to lead the Navy Medical Service Corps.

Dr. Mittelman is the recipient of the American Optometric Association’s 2012 Distinguished Service Award and in 2022, a Philadelphia Business Journal Veterans of Influence honoree.

Dr. Mittelman earned his bachelor’s degree Jacksonville University and a Master of Public Health degree from the University of Alabama at Birmingham.  He graduated from the Naval War College non-resident program and earned his MBA from Temple University.

Cathleen Mccabe Md x

Cathleen McCabe, MD

Chief Medical Officer

Eye Health America

Cathleen McCabe, MD serves as the Chief Medical Officer of Eye Health America.  She is a renowned eye surgeon having performed more than 50,000 laser cataract and 17,000 LASIK procedures.  Dr. McCabe has a deep interest in research; participating frequently in clinical trials involving innovations for glaucoma, dry eye, and presbyopia.

Dr. McCabe received the American Academy of Ophthalmology Achievement and Secretariat Awards and was chosen as a LASERVISION Top 100 LASIK Surgeon.  She serves as Chair of the Refractive Surgery Clinical Committee for the American Society of Cataract and Refractive Surgery and serves on the governing board of ASCRS.  In 2021 and 2022, she was named to the Global Top 100 Power list.  She holds leadership positions and volunteers frequently for national and global charitable organizations.

Dr. McCabe earned her bachelor’s degree at Florida Institute of Technology, her medical degree from the Medical College of Wisconsin, and received her residency training at Bascom Palmer Eye Institute.

Mark Latina Md

Mark Latina, MD

President, Advanced Glaucoma Specialists

President, Lasercare Cosmetic Centers

Mark A. Latina, M.D. is President of Advanced Glaucoma Specialists and President of Lasercare Cosmetic Centers of Reading, Massachusetts.  He is on the staff and serves as Associate Clinical Professor at New England Medical Center, Tufts University School of Medicine and holds appointments at Massachusetts Eye and Ear, Harvard Medical School, and Massachusetts General Hospital.

Dr. Latina is a world-renowned glaucoma specialist and laser pioneer. His research focuses on laser applications and development, which contributed to his inventing new laser procedures for the treatment of glaucoma.  Dr. Latina holds numerous patents including Selective Laser Trabeculoplasty (SLT) and Dye-Enhanced Gonioscopic Laser Sclerostomy.

Dr. Latina earned his bachelor’s degree in chemistry, graduating Summa Cum Laude and Phi Beta Kappa from Tufts University.  He received his medical degree from University of Connecticut Medical School and completed glaucoma fellowship training at Massachusetts Eye and Ear.  Dr. Latina is part of the research staff at the Schepen’s Eye Research Institute at Harvard Medical School and the Wellman Laboratory of Photomedicine at the Massachusetts General Hospital.

Linda Lam Md Mba

Linda A. Lam, MD, MBA

Vice Chair of Satellite Clinical Affairs, USC Keck School of Medicine

Medical Director, USC Roski Eye Institute Arcadia

Linda A. Lam MD, MBA serves as Vice Chair of Satellite Clinical Affairs and Professor in Ophthalmology at the USC Keck School of Medicine.  She serves as Medical Director of USC Roski Eye Institute Arcadia.  Dr. Lam is on the Vision Rehabilitation Committee of the American Academy of Ophthalmology and on the Board of Directors for the Braille Institute of America. 

Dr. Lam earned her medical degree with honors at Cornell University Medical College.  She completed a research fellowship on retinal cell physiology at Cornell University Medical College and medical and surgical vitreoretinal fellowships at Georgetown University Hospital and the Retina Group of Washington.  She earned her MBA at the USC Marshall School of Business.  Dr. Lam’s research interests include diabetic retinopathy, macular degeneration, complex vitreoretinal surgery, and low vision technology.

Davinder Grover Md x

Davinder S. Grover, MD, MPH

Director of Research

Glaucoma Associates of Texas

Davinder S. Grover, MD is a glaucoma specialist and cataract surgeon at Glaucoma Associates of Texas where he also serves as Director of Research. He is a member of Versant Health’s Medical Policy Council and serves the American Glaucoma Society and Cure Glaucoma Foundation as a member of the Board of Directors for both organizations.  Dr. Grover participates in various committees with the American Academy of Ophthalmology and routinely lectures at its annual meeting.

Dr. Grover earned his bachelor’s degree in Neurobiology, Physiology & Behavior from the University of California, Davis, his medical degree from Johns Hopkins University, and completed his glaucoma fellowship at Bascom Palmer Eye Institute. He completed his master’s in public health at Harvard University.

Eric D Donnenfeld Md

Eric D. Donnenfeld, MD

Founding Partner, Ophthalmic Partners of Long Island

Clinical Professor of Ophthalmology, New York University

Dr. Eric Donnenfeld is a clinical professor of ophthalmology at New York University. He is an internationally recognized expert with over 225 peer-reviewed papers, 45 book chapters, and 3 books as well as many named lectures around the world. Dr. Donnenfeld is a past president of ASCRS and OMIG, Trustee of Dartmouth Medical School, Editor in Chief of EyeWorld, and the President of the International Intraocular Implant Club.  Dr. Donnenfeld was named America’s Best Eye Doctor in 2021 and 2022 by Newsweek and The Ophthalmologist named him one of the 50 most influential people in ophthalmology for 2020-2023.

Dr. Donnenfeld is a Fellow of the American Academy of Ophthalmology and has received its Honor Award, Senior Honor Award, Life Achievement Honor Award and Secretariat Award. 

Michael Boland Md Phd

Michael V. Boland, MD, PhD

Medical Director of Practice Innovation, Massachusetts Eye and Ear

Associate Professor of Ophthalmology, Harvard Medical School

Michael V. Boland, MD, PhD serves as Medical Director of Practice Innovation for Massachusetts Eye and Ear, Site Director for Massachusetts Eye and Ear at Lexington, and Associate Professor of Ophthalmology at Harvard Medical School.  He earned a PhD in biomedical engineering at Carnegie Mellon University and fellowship training for glaucoma at Wilmer Eye Institute and also for health sciences informatics at Johns Hopkins Hospital.

Dr. Boland is a member of the Glaucoma Service at Massachusetts Eye and Ear.  He is recognized as an expert in technology-based innovations and provides guidance that improves practice efficiency and facilitates the improvement of patient care.  From 2007 through 2017, he studied the adoption of electronic health records in ophthalmology and conducted a series of studies to evaluate the impact of EHR integration with medical practices and their patients.

Dr Ike Ahmed

Iqbal "Ike" Ahmed, MD, FRCSC

Chief Innovation Officer

Prism Eye Institute

Directly correlating clinical and diagnostic findings with medication and surgeries has been one of the greatest challenges in chronic disease management. The ability to have this as a unified platform improves our efficiency, improves our accuracy, improves our resources to our practices, and ultimately improves patient care…[DHRpro] is kind of the quarterback, I would say, of our care in our practices.

Dr. Ike Ahmed is one of the most distinguished complex eye surgeons in the world. He is known as “The Father of MIGS” and the inventor of glaucoma diamond scalpels and other innovative devices.  He serves as the Chief Innovation Officer at Prism Eye Institute, Professor for the Department of Ophthalmology and Visual Sciences at John A. Moran Eye Center, Division Head of Ophthalmology for Trillium Health Partners, and Assistant Professor for the Department of Ophthalmology at the University of Toronto.

Dr. Ahmed sees patients from around the world and has operated in four continents.  He was named to Canada’s “Top 40 Under 40” list in 2010 and consults for an array of manufacturers regarding the development of new technologies and devices.  He sits on numerous editorial boards and is widely published.  In 2002, he was ranked #2 worldwide on the “Power List” compiled by The Ophthalmologist magazine.

Joe Zebrowitz Md

Joe Zebrowitz, MD

Founder and President

Vesalus Health

DHRpro improves doctors’ efficiency while allowing them to comply with all regulations.  In the rare case of this compliance tool, while doctors are doing good, they actually improve the bottom line…This is the most comprehensive physician tool to leverage EMRs that has ever been created.  It’s a tool that allows you to increase compliance while increasing revenue, and that’s a MAGIC BULLET.

Dr. Joe Zebrowitz is Founder and President of Versalus Health, a company that specializes in helping more than 2,500 hospitals optimize compliance and improve their financial performance.  Prior to Versalus, Dr. Zebrowitz was Managing Partner of the diversified healthcare investment firm, Devon Hill Capital Partners. Before DHCP, he served as Executive Vice President of Executive Health Resources where he advised thousands of hospitals, developing the role of the “Physician Advisor” and establishing the standard for medical necessity reviews. Today, Executive Health Resources is known as Optum360 after being acquired by UnitedHealth Group for $1.4 billion.  Now, its software that Dr. Zebrowitz and his team developed is used in three-quarters of U.S. hospitals.

Dr. Zebrowitz earned his bachelor’s degree in psychology from the University of Pennsylvania and his medical degree from Temple University School of Medicine.  A former OB/GYN specialist, he studied business at the University of Pennsylvania’s Wharton School of Business.

Mark Tykocinski Md

Mark L. Tykocinski, MD

President

Thomas Jefferson University

Dr. Mark L. Tykocinski, MD serves as President of Thomas Jefferson University and as the Anthony F. and Gertrude M. DePalma Dean of Jefferson University’s Sidney Kimmel Medical College. Among his accomplishments at Jefferson are tripling the extramural research portfolio to expand collaborative discovery and thematic research and opening eight global centers to elevate Jefferson’s international profile.

In addition to academic leadership, Dr. Tykocinski is a biomedical innovator.  He designed several classes of fusion proteins with therapeutic potential for cancer and autoimmunity. He holds several patents related to protein and cellular engineering, and he is a National Academy of Inventors Fellow.

In the past, Dr. Tykocinski served as Chair of the Department of Pathology and Laboratory Medicine at the University of Pennsylvania, Founding Director of Case Western Reserve University’s Gene Therapy Facility, President of the American Society for Investigative Pathology/FASEB, and President of the Association of Pathology Chairs.

Dr. Tykocinski earned a BA degree in biology magna cum laude from Yale University and a MD degree from New York University. He completed residency training in the Department of Pathology at New York University and completed his research fellowship at NIAID/NIH in Bethesda.

Bhaskar Ramamurthy Phd x

Bhaskar Ramamurthy, PhD

Founder and CTO, Cordance Medical

President, Pacific Science Consulting

Bhaskar Ramamurthy, PhD is the Founder and CTO of Cordance Medical and President of Pacific Science Consulting.  He has more than 25 years of experience in medical device design and development.  In the past, he served as Executive Director, Ventures for SRI International (formerly Stanford Research Institute) and CTO of Innervision, Acuson, and Siemens.

Dr. Ramamurthy’s expertise includes intellectual property strategy, commercialization, and technology development for diagnostic imaging and ultrasound systems.  He is an inventor with more than 40 patents issued and pending. Dr. Ramamurthy earned a PhD in biomedical engineering at Duke University.

Dan Montzka Md x

Dan P. Montzka, MD

Owner

Gulf Coast Retina Associates

Dr. Dan P. Montzka founded Intellemed to solve the inherent challenges he experienced with inflexible, burdensome EHR technology in his own ophthalmology practice. He developed an EHR with customizable templates that improved efficiency by reducing time spent typing patient notes.  In 2003, his Intellemed merged with Extensys Inc. to form MDIntelleSys. Through this merger, Dr. Montzka was able to transition the technology from server to cloud, leveraging centralized infrastructure to lower overhead, while offering an EHR solution that is still considered one of the top choices among retina surgeons. In 2014 after his EHR was installed in ophthalmology practices across America, he sold his company to Nextech where he served nearly five years as Chief Medical Officer.

Today, Dr. Montzka practices at Gulf Coast Retina Associates.  He earned his bachelor’s degree with honors in Chemical Engineering from the University of Minnesota Institute of Technology and graduated from the University of Pennsylvania School of Medicine where he received the Charles A. Oliver award for outstanding achievement in the field of Ophthalmology. From there, he completed his ophthalmology residency at Scheie Eye Institute, followed by fellowship training at Wills Eye Hospital in retina and intraocular tumors.

Jesse Alexander

Jesse Alexander, MBA, PMP

President

DHRpro

Jesse Alexander serves as President of DHRpro, directing the strategy and tactical execution of the company to realize the transformational dream of DRHpro.  He brings 30 years of global technology and healthcare experience, including strategic planning, mergers and acquisitions, sales, service, and development to deliver profitable growth for his companies and stakeholders.  Jesse builds healthy performing companies, with a mantra of “Mission First, People Always.”

With several successful exits behind him, he has accelerated the trajectory of his previous companies through organic growth as well as mergers, acquisitions, and integrations.  Jesse has served in various senior executive roles at companies such as Allscripts Healthcare, LexisNexis, Innovative Technology Solutions, WhiteHatAI, Mitsubishi, and Solectron.  While at Allscripts Healthcare as a senior executive, he led several divisions supporting cloud hosting, applications support, and IT operations serving over 100 hospitals and healthcare systems, 160,000 physicians, and 500 million annual claims. 

Jesse graduated with a BA (honors) in Economics from the College of William and Mary, followed by an MBA (honors) in International Marketing and Operations from CNU.  A former Army Officer, Jesse is a dedicated husband and father of three who enjoys spending time traveling, exercising, building things, and giving back to the community.

Aneesh Chopra

Aneesh Chopra, MPP

President, CareJourney

Cofounder, Hunch Analytics

DHRPro is the ideal platform, as far as I can tell, to administer clinical-grade trusted decision support and can democratize access through our regulated Smart on FHIR protocols. The timing couldn’t be better for DHRpro’s entry in the market and I can’t wait to celebrate its impact on American healthcare.   – Aneesh Chopra

Aneesh Chopra is President of CareJourney and Cofounder of Hunch Analytics, companies that harness the potential of open health data to provide patient-specific insights and workflow automation. He was the first appointed Chief Technology Officer of the United States and served under the Obama Administration.  Previously, he was Virginia’s fourth Secretary of Technology. 

Chopra is widely recognized for designing the National Wireless Initiative (a nationwide public safety broadband network) and for implementing President Obama’s open government strategy that fostered collaboration between government and the private sector. A frequent keynote speaker, Aneesh Chopra lectures widely on technological innovation and its effects on the global economy.  He wrote Innovative State:  How New Technologies Can Transform Government, which shares insight into the new digital era and how open government can tackle the challenges of affordable health care and economic development.

Chopra holds seats on several boards of directors including the Virginia Center for Health Innovation, the Health Care Cost Institute, the International Digital Accountability Council, and the George Mason Innovation Advisory Council. He earned his Master of Public Policy degree from Harvard University’s Kennedy School and his BA from The Johns Hopkins University.

Ryan Buell Mba Dba

Ryan W. Buell

Professor of Business Administration

Harvard Business School, Technology and Operations Management

Ryan W. Buell is a Professor of Business Administration in the Technology and Operations Management Unit at Harvard Business School and serves as a section chair of MBA required curriculum.  Professor Buell is Faculty Chair of the Transforming Customer Experiences Executive Education program and 2016 recipient of the Charles M. Williams Award for outstanding teaching.

Professor Buell investigates the interactions between service businesses and their customers, and how operational choices affect customer behaviors and firm performance. He is affiliated with the Behavioral Insights Group at Harvard University Kennedy School’s Center for Public Leadership. His work is widely published and received media attention from The New York Times, The Washington Post, The Wall Street Journal, The Boston Globe, The Guardian, and several other revered news publications.  In 2019, Professor Buell won the Wickham Skinner Early Career Research Accomplishments Award.

Leonard Ginsburg Md

Leonard H. Ginsburg, MD

Founder and CMO

DHRpro

For more than 30 years, Leonard H. Ginsburg, M.D. has been on a mission to connect healthcare professionals through a multi-disciplinary, holistic approach to total patient care. This mission led Dr. Ginsburg to open Moore Eye Institute in collaboration with several hospital systems. Such partnerships opened doors for Moore Eye Institute to introduce high-end new-age technology such as indocyanine green digital angiography (third in the U.S.) and first to introduce OCT, now the most common diagnostic test in eye care, in the Pennsylvania, Delaware, and New Jersey regions.

Dr. Ginsburg’s work in health systems enabled him to bring together many specialists resulting in his chairing two multi-specialty diabetes centers with endocrinologists, nephrologists, podiatrists, ophthalmologists, and diabetes educators. He also served as the regional President of the American Diabetes Association and was one of the only ophthalmologists in America to become a Certified Diabetes Educator. These hospitals also supported his work in residency programs. Dr. Ginsburg was Clinical Chief at Drexel University’s Department of Ophthalmology and now serves as Chairman of the Ophthalmology Residency Program at PCOM.

Having always been intent on ophthalmology working closely with the rest of medicine, Dr. Ginsburg has served in various leadership roles to promote such ideals.  He was Vice Chairman of the American Medical Association Ophthalmology Section Council for eight years, representing all major ophthalmology organizations. And while representing the American Society of Retinal Specialists to the AMA, he co-authored the booklet, “The Revealing Retina – What All Physicians Should Know.”

His interest in operational efficiency, clinical reporting, and diabetes led to many abstracts, articles, book chapters, and presentations, including co-authoring “The Focal Points of the AAO:  Diabetic Retinopathy Classification Progression and Management,” “Doctors are Held Responsible for What They Do Not Know,” and more than 100 others.

Early in his career, he became knowledgeable about the importance of computers in connecting people and data. While Chairing the American Association of University Students, IBM donated 50 computers to connect student governments, and with the help of Uni-Col and using ARPANET, the first student computer network was created in 1984. In 1985 the International Association of Universities which represented 800 major universities from 120 nations, met in Los Angeles. Dr. Ginsburg served as chairman of the student section.

This background made it natural to discover a solution for what most physicians find frustrating. 1) Having to enter data into an EHR yet struggling to locate that data, and 2) Poorly coordinated patient care amongst doctors in the same or different specialties in different EHRs – faxes are not a solution! These common struggles motivated him to create DHRpro to allow the data to finally work for the doctors, and to have the capabilities to share that data across all EHRs.

Dr. Ginsburg went to college and medical school at the University of Pennsylvania. He completed his ophthalmology residency at Albert Einstein College of Medicine Center in NY, and he was a retinal fellow at Massachusetts Eye and Ear Infirmary and the Joslin Diabetes Center of Harvard University. He enjoys spending time with his wife, five kids, nine grandchildren, studying archeology and horticulture, and scuba diving.

Dale D Royal

Dale D. Royal

Strategic Advisor

DHRpro

Dale Royal is an entrepreneur and senior-level executive with proven leadership experience across respected SaaS, cloud, security, and open-source companies such as AT&T, Sequent, and VERITAS.  Always emphasizing growth, sustainable revenue, and team development, he has served as operational executive, board member, and advisor for technology companies worldwide.  Dale founded the global enterprise software startup, COEUM and successfully steered it through its accelerated ARR growth phase and eventual M&A sale.  Recruited to UNITASK, a foreign headquarter based software company, he transformed the business from cashflow negative to positive in less than one year and ultimately through M&A sale.

Dale is passionate about helping early-stage startups and is driven by the challenge of financial growth, market development, and expansion.  In his spare time, he is an avid gardener, golfer, and wine connoisseur.

Ryan Twomey allaire

Ryan Twomey-Allaire

Chief Product Officer

DHRpro

Ryan Twomey-Allaire has more than 20 years of leadership experience in regulated software technologies.  A former product executive for 11 eye care solutions spanning 40% of the specialty market, he developed a wide variety of multi-platform database-integrated solutions including web portals, referral management and tracking programs, mobile applications, and kiosk systems.  He has managed key functions such as the full software life cycle, product ownership, quality assurance, conversions, integrations, training, and technical support for EHR, practice management, regulatory, and patient engagement frameworks.

Ryan’s unique approach to product management stems from diverse career experience including six years as owner and operator of a publishing company.  His holistic approach to all things allows him the opportunity to showcase publishing experience through technical documentation, customer service through management style, and thorough analysis through intelligent innovation.

An outdoor enthusiast, Ryan enjoys hiking and a rural lifestyle filled with DIY projects often involving outbuilding construction, landscaping, and gardening. When he isn’t outside, he’s either involved in a home remodeling project or in the kitchen whipping up a seasonally inspired gourmet dish. 

James Thimons Od Faao

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Co-Founder and Medical Director,

Ophthalmic Consultants of Connecticut

Dr. James Thimons is nationally and internationally acclaimed speaker and educator.  He has received numerous awards for his service and has over 200 publications in glaucoma, cornea and external disease, dry eye, refractive surgery, and new technologies. 

Dr. Thimons is a 1978 graduate of Ohio State University College of Optometry. He completed his hospital residency at the Chillicothe, VA Medical Center and served as Chief, Optometry Service until 1985. He was the Center Director at Omni Eye Services in Fairfax, Virginia, and then became Chairman, Department of Clinical Sciences at the State University of New York.  While at SUNY, Dr. Thimons developed The Glaucoma Institute, a clinical research center, and served as its first Director. In 2002, he co-founded Ophthalmic Consultants of Connecticut.

Dr. Thimons was awarded Optometry’s Top Educator in 1999 and was selected as one of the Top Ten Clinicians of the decade. In 2002, he founded the National Glaucoma Society which provides educational and clinical development services to primary care clinicians worldwide.  He was inducted into the Optometry Hall of Fame in 2005 and was named on Newsweek’s America’s Best Eye Doctors list in 2002.