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Long-term care providers look to Team TSI for clinical and regulatory knowledge, state-of-the-art technology and
excellent customer service. We encourage you to give our responsive and knowledgeable staff members a call to get acquainted or discuss any challenges you might have.
Andrew Porch, Ph.D.
Chairman and Chief Executive Officer
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Andrew is the founder of Team TSI. He is
recognized as one of long-term care’s foremost
experts in nursing home MDS data, survey risk
management and the CMS Five Star rating system.
- 20+ years experience in technology, specifically in web application development, statistical analysis and innovative product applications
- 20+ years experience in healthcare, specializing in nursing home, assisted living, home health, and hospice care
- Formerly senior vice president of
operations at Heaton Publications
- Earned master’s degree with honors from
the Naval Institute of Technology and his
Ph.D. from San Diego State University
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Bradley N. Shiverick, CPHQ
Senior Vice President of Healthcare Analytics
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Brad is involved in all aspects of the healthcare division, including product development, client relations, sales and marketing.
- 20+ years experience in long-term care quality and public policy development
- Formerly chief quality officer of My InnerView, responsible for research agenda, information services activities, and development of strategic direction into new products and business lines
- Served as vice president for quality
improvement with Harborside Healthcare,
responsible for quality programs, customer
service activities and performance
measurement
- With AHCA for five years in both the
research and information group, as well as
directed the Facilitator Quality Management
System project
- Participated in the New York Quality
Assurance System and the Multi-state Nursing
Home Case Mix and Quality (RUG-III)
Demonstration
- Member of the American Health Care
Association's Quality Improvement
Subcommittee, and AHCA Quality Award
program’s Boards of Examiners and Overseers
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Marsha Moxley, RN, BSN, MA, CPHQ
Vice President of Clinical Quality
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Marsha has extensive experience in a variety of positions in healthcare, including long-term care, managed care and acute care.
- 20+ years experience in quality improvement, quality standards and customer satisfaction, including 10+ years with oversight of a quality infrastructure for a national multi-facility chain and additional experience as faculty at two schools of nursing
- Member of NAHQ and has served on
NAHQ’s Leadership Council and
Nominating Committee
- Member of AHCA QI committee and
education committee for AHCA annual
convention; member of AHCA Quality
Award program’s Board of Examiners
and Overseers
- Served on AHCA QI committee for
several years; AHCA/NCAL National
Senior Examiner; currently serves as
a team leader for AHCA/NCAL National
Senior Examiner Quality Award
Program
- Past president of Florida
Association of Healthcare Quality;
served on numerous committees for
FAHQ, most recently as the team
leader for CPHQ; on newsletter
committee; speaker for webinar
series; currently a FAHQ board
director
- Speaker for various state
associations and AHCA/NCAL annual
convention and QI symposium
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 Team TSI is exclusively aligned with
Polaris Group, industry-leading experts trained to help long-term care providers manage costs, improve reimbursement accuracy, and identify opportunities for efficiency company-wide.
Chuck Cave, BS
Chief Operating Officer
Chuck has expertise in financial and operational areas for skilled nursing facilities, including billing, ancillary management, therapy services and financial improvement initiatives. He provides timely and innovative approaches to managing revenue and costs.
- 15+ years of progressive
healthcare and consulting experience
- Consulted with both
independent and large-chain providers
- Speaker for several state
healthcare associations and numerous corporations
Marty Pachciarz, RN, BSN, CRM
Director of Clinical Services
Marty develops clinical programs and case management systems to assist long-term care organizations obtain optimal revenue, ensure OBRA compliance and maintain quality.
- 30+ years experience in
long-term care, with 4 years in managed care
- Nationally recognized expert
on the MDS, regulatory compliance and quality
improvement
- Has sold manual nationwide
- Assisted 100+
facilities to achieve compliance, improve
efficiency, and survive manage care through her
consulting firm, Quality Solutions
- Responsible for utilization
outcomes, case management, quality improvement,
provider support and benefits while manager for
Medicare risk HMO
- Responsible for implementing
utilization and quality improvement efforts in
coordination with providers and state and federal
officials while with a state PRO
- Formally director of nursing
and charge nurse
- Speaker for both state and
national associations
Victor Kintz
Director of Operations
Victor has:
- 20+ years experience in the
healthcare profession working extensively in the
post-acute arena, including administration, regional
management and consulting in operations, billing,
finance and rehabilitation
- Negotiated or reviewed hundreds
of managed care contracts up to and including an
exclusive provider arrangement
- A bachelor’s in business
administration with a double major in marketing and
management; master’s degree in health care
administration
- Currently been serving on board
of directors at Santiam Memorial Hospital
Cynthia Wilkins, RN, MSN
Senior Nurse Consultant
Cynthia works with skilled nursing facilities, continued care retirement communities and hospital-based skilled nursing units in the areas of clinical, operational and financial management, with an emphasis of Medicare regulations, MDS, RAP, care plans and quality Indicators.
- 10+ years of healthcare
experience ranging from acute care to the long-term care
setting; 4 years of case management with home health
agency (including pilot program with implementation of
the OASIS process)
- Worked in multiple corporate
position in various states, focusing on quality
compliance, regulatory compliance, and policy and
procedure development
- Formerly responsible for six
clinical sites with a total census of 500+ patients
- Has consulted with both
independent and large-chain providers, offering
insight into improved efficiency in all aspects of
care delivery and financial operations
- Worked with point-of-care
system and color-coded system for scheduling
- Formerly licensed nursing
home administrator, and director of home health of
privately owned and hospital-based home health
agencies
Amy Snetsky, RN
Senior Nurse Consultant
Amy provides consulting and training services to skilled nursing facilities and continuing care retirement communities in clinical, operational and financial areas, including Medicare regulations, MDS, documentation and care plans.
- 15+ years of healthcare
experience at both acute and long-term care facilities
- Extensive knowledge in the
development, implementation and monitoring of
clinical and operational systems to improve resident
outcomes and increase regulatory compliance
- Has provided consulting
services to lawyers and law firms
- Formerly a director of
nursing in long-term care facilities with bachelor
of science degree in nursing; completed legal nurse
consultant program; certified by American
Association of Nurse Assessment Coordinators as a
RAC-CT
Debora (“Deb”) Philips
Manager of Regulatory Affairs
Debora has experience in risk management assessments and medical record reviews.
- 25+ years experience in
long-term care, including mentoring for directors of
nursing and continuing education for nurses
- Has served in skilled
nursing facility-level positions such as director of
nursing, and in quality assurance, regulatory
compliance and staff development
- Formerly regional director
of nursing serving the developmentally disabled
population
Deborah Moss
Medicare Review Nurse
Deborah reviews QI/QM and Medicare data, and provides recommendations to skilled nursing facilities based on concerns identified to improve resident outcomes, increase regulatory compliance and increase reimbursement. She is also involved in the Polaris Solution Center and assists with special projects.
- 20+ years experience in variety
of healthcare settings, including 15 years in long-term
care
- Formerly MDS coordinator,
assisted director of nursing, staff developer and
unit manager
- Has taught geriatric and
psychiatric practicums for associate degree nursing
and practical nursing programs, as well as certified
nursing assistant training
- Has been responsible for MDS
scheduling, completion and care plan process as MDS
coordinator for a 120-bed facility and a 210-bed
facility
- Has provided independent
consultations to nursing homes regarding the MDS
process, as well as conducted medical record reviews
for several law firms and insurance companies
- Holds an associate degree in
nursing, bachelor of science degree in speech, and
masters of health science in rehabilitation
counseling; licensed to practice nursing in the
Florida; certified by American Association of Nurse
Assessment Coordinators as a RAC-CT
Susan Dickson
Medical Review Nurse
Susan provides comprehensive off-site chart audits to assist in monitoring for compliance with both OBRA and Medicare regulations, as well as best practices related to clinical programs. She also provides coverage for the Polaris Solution Center, answering questions regarding Medicare coverage, PPS, MDS and regulatory compliance.
- 30+ years of healthcare
experience as a registered nurse in a variety of
settings, including acute hospitals, home health and
public health
- 10+ years in long-term care
as an MDS coordinator
- Certified by American
Association of Nurse Assessment Coordinators as a
RAC-CT
Dave O’Toole, MS, CCM, CRC, CCA
Senior Health Care Consultant
Dave provides innovative approaches to managing revenue and costs while ensuring compliance under Federal and State regulatory guidelines.
- 30+ years of progressive
healthcare and consulting experience
- Has consulted with
proprietary and not-for-profit entities, as well as
independent, regional and large-chain providers
- Expertise in the evaluation
and analysis of facility systems with a focus on
developing strategies to improve the clinical,
operational, regulatory and financial functioning
- Has provided dynamic
training and seminars nationally on a variety of
topics including therapy management, case management
best practices, Medicare-specific topics and the
Medicare reimbursement system
Monica Mondy
Senior Health Care Consultant
Monica focuses on the areas of financial operations and clinical reimbursement.
- 10+ years of progressive
long-term care accounts receivables management and
skilled nursing facility reimbursement experience
- Has
worked in the healthcare
finance field at multiple
corporate levels, such as
regional accounting manager
and healthcare financial
consultant
- Has
utilized her expertise in
Medicare, Medicaid, Medi-Cal
and managed care
reimbursement, as well as
Federal and state regulatory
guidelines, to improve the
financial outcomes for
multi-state chain, private
and not-for-profit
healthcare providers
- Has
provided training courses in
Medicare billing, collection
strategies and admission
best practices
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