Colm Moran, President of Cragg House Consulting, is an energetic, hands-on Healthcare Executive with IT Strategy and Operations, Operational Optimization, Solution Architecture and Program/Project/Portfolio Management skills. Over his 23 years of experience, he has a proven history of helping both start-ups and large organizations across healthcare and other industries exceed their goals.  He's continuously requested back by his clients.  Sample projects include:

ACO Operations & strategy

Colm assessed operations and delivered strategic recommendations for a leading physician-run, hospital-supported ACO, based on ACO and value-based care leading practices. Recommendations will help ACO better manage risk in their CMS Enhanced contract. Areas addressed included:

  • Physician Engagement, Technology & Data Analytics, Quality Reporting, Performance Management, Hospital Support, Preferred Network, Care Management and Shared Savings Distribution Models

Colm also worked with the ACO executive management and physician leaders to gather performance feedback, assess needs, build an implementation plan and provided recommendations on how the hospital system and a new hospital leadership role could continue to best support the ACO

CIN / ACO Operations & strategy

Colm has worked with a Clinical Integration Network in Arizona for 3 years, helping with both their CMS MSSP ACO Program and other commercial value-based contracts.  As Program Manager, Colm led the ACO Operations, resulting in the ACO becoming the only MSSP ACO in Arizona, and one of only 15% of MSSPs nationwide, to achieve shared savings three years in a row.  Colm’s experiences include:

  • Designing and managing the annual quality reporting process (including integrating data from multiple sources including EHRs, HIEs, and other data repositories.)

  • Managing ACO operations such as Beneficiary Assignment, Medicare Claims processing (CCLF files) for population and risk management

  • Helping to implementation of a system to manage the Provider Network and

  • Working with practices on patient and reporting processes

clinical informatics 

Colm created a Business Intelligence (BI) and Data Warehouse (DW) roadmap for the largest Hospice organization in the western US. He assessed the enterprise needs, led and managed the program to select and build out DW and BI platforms, to pull and standardize data from multiple sources, to design and create multiple phases of clinical and operational dashboards, reports and visualizations for Hospice senior leadership.

Colm created a growth and operations strategy for an ACO's Clinical Informatics team to become more capable, efficient and able to handle additional growth.  The strategy consisted of process, team and tool evaluations & recommendations based on corporate direction and priorities.

CTO / CIO SERVICES

Colm was interim CTO for a new a new health insurance COOP.  He joined the executive team during very early stages, and helped to design the IT Strategic Blueprint for the organization, and helped implement this strategy allowing the organization to rapidly grow and become functional with Federal Insurance Exchange in 9 months, while simultaneously laying a longer-term technology foundation for future growth.  This included overseeing and implementing multiple IT solutions to stand-up and automate the organization’s operations, defining start-up and on-going IT resource models, budgets and plans.  Colm also oversaw the EDI and other data integration between the insurance plan and 8 business partners.

Colm was CIO for a management consulting organization which included leading and managing the IT Strategy and Operations for client-serving and administrative staff.  This role included selecting, implementing and managing operations around all enabling business systems and technologies, managing the technology budget for the organization.  

INTEGRATION PROGRAM MANAGER, INTEGRATION ANALYST/PROJECT MANAGER

Colm helped a new health payer organize, manage and implement >130 interfaces covering Enrollment & Eligibility, Claims, Broker Sales, Prior Auths, Patient Portal and other functions for Federal Exchange and Commercial Medicare Advantage markets across 3 states. He worked with Trading Partners and Internal customers to organize and implement interfaces using EDI, HL7, JSON & custom formats.

community provider clinical integration IT strategy

Colm helped a large integrated clinical network develop its Community Provider Clinical Integration IT strategy in the Arizona market.  This included evaluating, recommending and building budgets and models for the technologies needed across multiple business growth strategies and diversified partnerships assets including joint ventures and acquisitions with local provider organizations, alliances/partnerships, market lab, imaging and other service providers, and other outpatient growth strategies for employed and non-employed providers.  Technologies evaluated included Practice Management and Ambulatory EHR systems, HIE technology, IT Connectivity, Enterprise Master Patient Identity solutions, Imaging solutions and more. 

COMMUNITY PROVIDER CLINICAL INTEGRATION IT STRATEGY

Colm helped a large integrated clinical network prepare Community Provider EHR Subsidy programs in multiple markets including Arizona, Inland Health and Henderson.  This included evaluating and creating full service solutions for the implementation and integration of multiple EHR systems, funding and services options to remaining compliant with Federal STARK and other regulations.

Security Consultant

Colm developed a new process for Third-party Security Management Review of US Domestic Banks for the Chief Security Information Office of a large credit card and travel service provider.  Colm also built a department future-state roadmap which addressed a content asset refresh strategy, optimized the internal security request process, captured the organizational desired future state and developed a prioritized project portfolio enabling the client to achieve a CMM Level-4 maturity level within 12 months.

Senior director, enterprise applications, e-Learning

Colm directed the strategy, management, budget and operations for the software systems relied upon by Sales, Customer Service, Marketing, Finance / Accounting, Field Consultants, Product Support and Warehouse / Fulfillment teams of an 700+ employee global eLearning company.  Responsibilities included understanding business goals and processes, aligning technology solutions to the goals, and delivering high-impact, on-target projects.  Colm established portfolio, program and project management best practices which increased initiative success, directed M&A IT transition and consolidated a portfolio of 75 enterprise applications across all international divisions.  Sample projects included:

  • Migrating 5 different global sales organizations from their separate CRM applications onto a single, centralized CRM application for Account And Contact Management, Territory Management, Activities, Opportunity Management And Forecasting

  • Simultaneously migrating two company’s global Order Management, Fulfillment, Invoicing, Revenue and Financial processes to one new consolidated ERP system. Functional scope included Order Entry and Management, Invoicing and AR, Payment Processing, Product Administration, Fulfillment, Contracts, Installations, Royalties, Commissions, and Classroom Administration

  • Leading the IT organization through 8 audits including 3 SOX audits

  • Managing Reporting & Analytics teams; Integrating Web Leads; Automating Email Campaigns and Contract Generation; Optimizing Contact- and Consumer- Order Entry