Vernon Pertelle, hospital & healthcare executive
Vernon Pertelle's Bio:
Vernon Pertelle is the President and CEO, StratiHealth, which provides management consulting services for Accountable Care Organizations (ACOs), hospitals and health systems, health plans, medical device and pharmaceutical companies on strategic planning, clinical integration, business development, research and project management; and specialty programs for Chronic Obstructive Pulmonary Disease (COPD).
Vernon Pertelle is the President and Executive Director, Pulmonary Horizons, which provides national, regional, local and organization specific education programs designed to improve the overall diagnosis, treatment and management of patients with COPD.
Vernon Pertelle has served as the Durable Medical Equipment (DME) Benefit Administrator for Kaiser Permanente, the nation’s largest Integrated Health Maintenance Organization (HMO), Senior Consultant for the Permanente Medical Group for New Medical Technology and Clinical Practice Guidelines, where he was the liaison to the Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) and the Blue Cross Blue Shield Association, Technology Evaluation Center (BCBSA-TEC).
Vernon Pertelle was the Corporate Director for Respiratory Therapy and Home Medical Equipment (HME) at Apria Healthcare and has also served on the Board of Directors for SeQual Technologies, a medical device manufacturing company that was acquired by Chart Biomedical.
Vernon Pertelle has served as the Vice President of Clinical Operations for Catholic Health Initiatives (CHI), the second largest catholic healthcare organization, and as Assistant Vice President, Tri-City Medical Center a California District Hospital.
Vernon Pertelle served as an expert panelist for Quality Standards for the Program Advisory and Oversight Committee (POAC), National Competitive Bidding (NCB) for Centers for Medicare and Medicaid Services (CMS).
Vernon Pertelle is a frequent speaker and lecturer for professional healthcare conferences and summits. Pertelle is a registered respiratory therapist, licensed nurse, certified case manager and attended the U.S. Navy School for Health Sciences, Southern Illinois University, Carbondale, UCLA Anderson School of Management and Harvard University, Extension School.
Vernon Pertelle's Experience:
Vice President Clinical Operations at Catholic Health InitiativesAugust 2009 - February 2012
Set strategic and operational direction for four hospital health system. P&L responsibility for multimillion dollar budgets (700+ employees) with primary oversight of strategic services, project management, ancillary services performance improvement & business development including: radiology, cardiology, cardiac catheterization lab, laboratory services, respiratory therapy, radiation oncology, pharmacy, center for sleep medicine, center for wound care & hyperbaric medicine, food & nutrition services, security, telecommunications, home healthcare, neurodiagnostic, rehabilitation services, pulmonary rehab, cardiac rehab, outpatient services, occupational services, physician contracting for medical direction and strategic leadership of ancillary programs, property management & real estate.
Member of the Board of Directors, SeQual Technologies at Chart IndustriesJanuary 2006 - December 2010
Corporate governance, set strategic direction of the organization in support of senior leadership and the president & CEO regarding strategic business initiatives for a medical device manufacturer of home respiratory equipment; marketing and positioning the organization for acquisition. Serve on board committees and share accountability for effective and efficient operations of the organization and senior leadership performance.
Assistant Vice President at Tri-City Medical CenterJanuary 2006 - June 2009
Strategic business development; budget and P&L responsibility for multimillion dollar budgets; responsible for 380 plus employees, oversee home care, hospice, rehabilitation services, occupational medicine, wellness center, center for wound care & hyperbaric medicine, social service & case management, acute rehab; develop and implement programs and services; manage direct reports including performance assessment, mentoring, disciplinary actions and strategic business planning; negotiate and contract with medical groups for ancillary services, actively involved in community affairs and marketing of ancillary and outpatient services.
Corporate Director Respiratory & Home Medical Equipment (RT/HME) Services at Apria HealthcareJune 2003 - January 2006
Direct full-scale clinical operations for the U.S. Set strategic direction of clinical respiratory services; responsible for clinical oversight, Policy & Procedure development, implementation and adherence, regulatory compliance, P&L and budget of clinical services; develop clinical practice standards nationwide; lead strategic clinical initiatives, program development and implementation; primary clinical liaison with major health plans throughout the country, primary 'key liaison' for medical and government affairs; develop and implement strategic initiatives with major health plans and medical groups throughout the country; support negotiations with large health plans for RT/HME services; develop and implement clinical programs of strategic importance to the overall bottom-line of the organization; participate in government relations with members of congress and the senate; participate on industry advisory boards and committees of strategic importance to the organization. Serve as expert panelist to Centers for Medicare & Medicaid Services, Program Advisory Oversight Committee for Respiratory/HME Services for Competitive Bidding.
Senior Project Manager at Kaiser PermanenteMarch 2002 - June 2003
Manage strategic business initiatives to improve utilization of prescription drug benefit in collaboration with senior health plan and medical group leadership for a $2 billion annual budget. Develop evidence based evaluations on evolving drugs for patient specific exceptions; lead project development, process and implementation utilizing six-sigma and lean methodology.
Senior Consultant at Kaiser PermanenteJanuary 2000 - March 2002
Lead evaluation of new medical technology (medical devices, clinical trials, etc) for medical group in all regions throughout the country, member of the Interregional New Technology Assessment Committee; develop and implement clinical practice guidelines.
Division DME Coordinator California at Kaiser PermanenteDecember 1998 - January 2000
Benefit administrator for a $220 million Durable Medical Equipment (DME), Prosthetics & Orthotics (P&O), and Supplies & Soft Goods benefit for Commercial, Base and Kaiser Permanente Medicare-Plus Choice members; budget and P&L responsibility; primary clinical lead for contract negotiations. Develop and implement DME/P&O formulary for standardization of benefits across all regions. Manage formulary exception review process; facilitate development of alternative processes to improve patient access to care and services.
Respiratory Case Management Supervisor at Graybill Medical GroupMarch 1995 - December 1998
Develop and implement case management programs for COPD, Asthma and CHF for contracted HMOs, private pay, government and third party payers; collaborated with director utilization management and medical group physicians for the development: one of country's first respiratory case management programs using respiratory therapist as a primary case managers. Develop relational database to manage utilization of physician and ancillary services. Support negotiation contracts for DME, P&O, and Home Health Services for MSO affiliated with the health system; develop and implement outcomes management program for all respiratory patients.
Pulmonary Outreach Supervisor, Home Health at Palomar HealthJanuary 1993 - March 1995
Manage operations and contract for transfer agreements with skilled nursing facilities (SNF) for Medicare Part-A Respiratory Therapy Services; policy development and implementation of clinical policies & procedures. Lead strategy and operations and pursue organizations with need for contract respiratory services. Navigate department from infancy to subsequent profitable operations. Develop home case management services with medical groups; support equipment maintenance for DME/HME providers.
President & Executive Director at Pulmonary Horizons, Inc.January 2013 - Present
Mr. Pertelle is a member of the PulmonaryHorizons® Board of Directors, in which he serves as President and Executive Director. Mr. Pertelle is a member of the PulmonaryHorizons® program committee, and featured speaker and presenter for conferences and workshops. The mission of PulmonaryHorizons® (PH) is to provide the highest quality, balanced, patient centered cross-continuum education™ in a learning environment that fosters critical thinking, encourages participation by all stakeholders, and instill a strong appreciation of practical knowledge and applied evidence-based programs in the treatment and management of patients diagnosed with COPD. Pulmonary Horizons is a nonprofit, tax-exempt IRS Section 501 (c) (3) organization; in partnership with the National Lung Health Education Program (NLHEP), a nonprofit, tax-exempt IRS Section 501 (c) (3) organization. www.pulmonaryhorizons.org
President and CEO at StratiHealthFebruary 2012
Set strategic direction and development of a multifaceted health care services and solutions organization. Lead growth and business development, strategy, integration with partner organizations across the continuum of care. Develop and integrate solutions and services for ACOs, Patient Centered Medical Homes (PCMHs), and other healthcare organizations. Develop and implement Patient Centered Respiratory Care services for organizations to improve health and financial outcomes of patients diagnosed with COPD. Management consulting services for strategic business initiatives, technology assessment and clinical research, telehealth, change management and health care operations improvement.
Vernon Pertelle's Education:
Harvard University2012 – 2015Extension School
Indiana State University2012 – 2015Concentration: Registered Nursing/Registered Nurse
California College-San Diego1991 – 1993Concentration: Respiratory Care Therapy/Therapist
Southern Illinois University, Carbondale1985 – 1987Concentration: Health/Health Care Administration/Management
US Navy School for Health Sciences1983 – 1984Concentration: Cardiopulmonary Technology/Technologist; Licenced Vocational Nurse
University of California, Los AngelesConcentration: Business Administration and Management, General
Vernon Pertelle's Interests & Activities:
Healthcare Advocacy for Veterans, American Legion, Performing Arts and Live Productions, Broadway Musicals, Corporate Governance, Healthcare Literacy