Fredric B. Garner, M.D.
							
8988 Fern Park Dr.:							9456 Wooded Glen Ave.
Burke, Va. 22015                                                           	                            	Burke, VA 22015                                                                  
Office: 703-978-6061  Fax: 703-978-4199				home: 703-451-2815      
Beeper: 703-612-1231  						Fax: 703-451- 0376
E-mail:fgarner@verizon.net

Qualification  Summary:

 Pediatric, Adolescent, and Neonatal Medicine      	  Computer Literate
 Quality Improvement and QI Leadership        		 Teaching Ambulatory Care      
 Managed Care Administration     	                     	 Practice Guideline Development
 Clinical Departmental Administration			 Corporate Practice Management
 Utilization Management                                                                Health Care Cost Containment

Pediatric Medical Practice:  1969-present
Balsamo, Arnoldson , Rees & Garner (1998-present)

Consultant
 Medical Quality and Cost Management

Clinical/Management Experience:	
	Medical Director
		Health Care Consultants   5/ 2003-12/2003
		Unicare Health Plan of Virginia 2001-2003
		NCPPO   1998-6/2003
	Consulting:
	•	Social Security  Administration, Consultant , Disability Determination 1998-present
•	Medical Society of Virginia Review Organization, 1992- present: Utilization and Peer Review ;  Practice Standards and Guideline Development
	•	AETNA/ US Healthcare, Middle Atlantic Region, Physician Advisory Board, 1995- 1997
	•	MAMSI, Quality Improvement  Committee, 1997-1998
	•	NCQA Reviewer: Certification 1991
	•	Capital Area Blue Cross - Blue Shield, 1993- 2000: Peer and Utilization Review 		

				Practice of Pediatric Medicine 1969-Present
Medical License: Virginia: 0101017927

George Washington University Health Plan
100,000 member HMO with commercial, PPO and Medicaid lines of business.  NCQA  Accredited 1997-1998
Medical Director: Quality Improvement and Utilization Management
Reorganized the Quality Improvement Department, Appeals process and credentialing to meet NCQA standards.
Reduced the cost of crendentialing by 50%
Founded and Chaired the Association  for Advancement of Managed Care Principle: a unique regional organization of MCO medical directors whose  focus it was to reduce “provider related” reduncduncy and provider compliance with managed care principles

Integrated Physician Services 
INOVA Hospital Corporation of Fairfax, Va  owned and managed network of  primary care practices. Approximately 200 providers.,1996-1997
Established new primary  care pediatric practice: Fred Garner, M.D., Pediatrics, Inc.    
Chairman of Quality Improvement Committee: Development of a standardized medical record to meet NCQA  and third party payor standards
 Fredric B Garner, M.D. p.2

Developed pilot information system to collect  data  related to physician utilization of purchased patient care (resource allocation) and which when implemeted will provide significant office administrative savings.

Virginia Medical Associates  
56 provider multi-specialty group practice located in Northern Virginia which is manage care focused, has “ “full risk, global “ contracts and is developing an  “ IPA.” Was to assume position as Medical Director of Gateway IPA  effective July 1, 1996, 1991-1996
  Director of Quality Management 	
 Initiated, developed, and managed the cultural  change to "quality" in  a 56 provider multi specialty medical group practice in its strategy for successful transition in the evolving managed care environment in northern Virginia. This effort has  insured the success of “V.M.A. “ in pursuit of its vision of "continued recognition by all of its “customers” as the premier medical services provider in the metropolitan area .
 Developed plan for reorganization of the executive  committee  as a "quality council."
 Developed and implemented plan for ambulatory quality improvement, customer 
satisfaction, and utilization  management. 
Chief of Pediatrics 
 Founded, developed, and administer a full service department of pediatrics, now  six physicians. During these years, the majority of my time was spent providing  direct patient care . Administrative responsibilities were accomplished within part time appointments.  Able to see 40-45 “very satisfied” patients in 8 hours 
 Developed and implemented a model medical record and documentation standards.

Group Health Association of Washington, D.C.
157,000 member staff-model HMO covering the Washington, D.C. metropolitan area, now Humana/GHA. Clinical administrative responsibility shared jointly by physician union leadership and administrative physicians functioning in committee structure and was participative in style ,1985-1991.
Associate Medical Director for Quality Management 
 Advised the medical director, quality management department, administrative  physicians, and appropriate committees  in  matters of "quality assurance, risk  management, peer review, and continuous quality improvement"
 Planned and promoted the transformation to "total quality management/ continuous quality improvement" with emphasis on the clinical delivery system.
 Liaison to external regulators, review organizations, and malpractice carriers.
Associate Chairperson, Department of Pediatrics  
 Direct Responsibility for Clinical Delivery System of 6 Physician Service to 8,000  Pediatric and Adolescent Members. The Associate Chair Acts in an Advisory Capacity  to the Department Chair and the Regional Administration as Well as the Medical  Director. The  Department 
consists of 26 Physicians Caring for 40,000 Members.
 Appointed Membership of All Administrative Committees from  One to Five Years.
 Department-wide Peer Review Implemented Quality Improvement Process Initiated.  
Maternal - infant discharge program developed implemented (cost savings 
projection= $1,000,000/year.)
 Developed neonatal coverage system for Arlington Hospital
 Developed and implemented home phototherapy system.
 Developed new format for the pediatric medical record and clinical documentation
 Chairman of the Pharmacy and Therapeutics Committee  
Initiated, developed and implemented a system-wide f formulary saving $3,000,000 of $15,000,000 budget  
 Improved the quality of care through the data provided from this  system.
  Regional Medical Director/Acting  
 Responsibility for the clinical and administrative  staff and services of a 30,000  member region with 4 centers, 22 physician FTES, 200 support staff and more  than 100 contract physician specialist.
 Reorganized the regional administration
 Successful initiation of peer and administrative review of  all purchased care  resulting in 
significant decline in unnecessary and questionable utilization of  services.
 Planned and implemented a regional after-hours and weekend medical service  center for the region. This   resulted in a net 30 percent savings per visit and  much higher member satisfaction.
 Initiated regional referral review and preferred provider policy effecting a 33% decrease in referrals.					

Fredric B. Garner, M.D. Page  3

Fairfax Hospital, Falls Church, Va
Fairfax Hospital is a 650 bed tertiary hospital in Northern Virginia. Within it is a full service CHILDRENS hospital with 55 beds, 14 Pediatric ICU and 40 Neonatal ICU beds. The active pedaitric staff is 300 physicians.
Chairperson, Pediatric Quality   Improvement Committee 1986- 1997
 Served as  department representative to the hospital-wide medical quality improvement committee.		
 Led the committee in its activities which gained hospital-wide recognition for the most effective quality  assurance committee within the hospital. its activities were used to defend the hospital , as the single example put  forth,  and contest a major jcaho contingency  in  the 1987 survey. Again in 1990, the committee was cited for  excellence  during the preparation for the survey.
 Initiated orientation and transformation from traditional quality assurance to continuous quality improvement (TQM)  in the   division of maternal-child health.                    
 Developed and delivered a weekly  lecture course on  ambulatory pediatric care for medical students and  residents focused on business management of private practice.       
 Developed the three year  curriculum guide for the “personal  growth” section of the new pediatric residency program at Fairfax Childrens Hospital.

 Neonatal Medicine: 1985-1990 (Part-time), 
Alexandria Hospital, Alexandria, Va

U. S. Public Health Service
 U. S. Public Health Service Hospital, Norfolk, Virginia : Chief of Pediatrics 1969-1971
(Rank: Lieutenant Commander/Assistant Surgeon)
Teaching:
• Clinical Assistant PROFESSOR, University Of Virginia Medical School/ INOVA Fairfax C hildrens Hospital, Fairfax, VA, 1996- present
• Clinical Assistant Professor of Pediatrics, Georgetown University Medical School, Washington, DC, 1985-95
•  Residency Curriculum Development Committee, 1993- 1996)
•  Assistant Professor of Pediatrics, Pennsylvania State University Medical School, Hershey Medical Center,                                                                                                                                                                                           Hershey, PA ,1971- 74
 • Harvard Teaching Fellow, , Harvard University Medical School , Boston, MA, 1968-69

Certification and Education:
American Board of Pediatrics, 1972
Residency: Childrens Hospital Medical Center, Boston, MA, 1966-69
Medical School: Medical College of Virginia, 1966. Class Valedictorian
Undergraduate: Duke University, 1962, AB History

Research:  PI-COOR Clinical Research, LLC   8982 Fern Park Dr. Burke, VA 22015
(approximately 50 studies of Asthma, Allergy, Infectious disease, Vaccines since 1999, including the following)

•	Xopenex in the treatment of asthma in children ( 1999-present)
•	Efficaiy of MMRV Vaccine in children (1999-2000)
•	Linzolide (Xyvox) in the treament of Staphyloccus skin infections in Children (2000)
•	Galdtofloxin in the treatment of otits media  and Pneumonia in children ( 3  studies : 2001-present)
•	Evaluation of the Trinity Rapid Streptococcal Antigen Test (2001)
•	Antibiotic comparison taste tests in children (2002)
•	Prevention of EIA  with Xopenex (2002- present)
•	Nasal Spray  Flu Vaccine in Children < 5 yo  ( 2004- present)
•	Levofloxin in treatment of Otitis Media and Pneumonia ( 2003- present)
•	Azithromycin in the treatment of streptcoccal infections in children. (1993)
•	“serevent vs leukotriene inhibitors in asthma” (1999-2000 )
•	Newer Antihistamines  in treatment of Children with Allergic Rhinitis
•	Multiple Influenza Vaccine studies ( Medimmune, IB Biomedical) 2004- present
•	Ketek in treatment of Otitis Media and Streptococcus pyogenes (2006)
Publications:  “Choosing Your Healthcare”, Quality Medical Resources, ,1993