Résumé
21 years across sleep medicine, practice operations, and IT.
Overview
I run day-to-day operations and IT for a pulmonology and sleep medicine practice and its two hospital-based sleep labs. That covers staffing, scheduling, credentialing and payer enrollment, billing oversight, purchasing and budget, AASM accreditation, and the quality program that keeps it. I started on the night shift running polysomnograms 21 years ago, which is still the most useful training I’ve had for the job.
The IT side is mine too — Microsoft 365 and Entra administration, endpoint security, HIPAA-compliant policy, SharePoint systems, and the internal tools I build when the off-the-shelf option doesn’t fit. I lean on Theory of Constraints to decide what actually deserves attention.
Web development grew out of that. I needed our practice site to be fast, accessible, and maintainable by non-developers, so I learned to build it properly. Now I do the same for a handful of small businesses through TriCity Technologies.
Experience
Sleep Care Manager, February 2014 – Present
- Run day-to-day operations for the practice office and two hospital-based sleep lab sites.
- Handle staffing, scheduling, hiring, and training across clinical and front-office staff.
- Manage credentialing and payer enrollment, and oversee billing vendor performance.
- Own purchasing and the operating budget for the sleep program.
- Lead AASM accreditation and reaccreditation across multiple hospital-based sleep lab sites.
- Administer the Microsoft 365 tenant, endpoint security, and HIPAA-compliant policy for the practice.
- Build and maintain internal SharePoint-backed applications where off-the-shelf tools don’t fit the workflow.
- Apply Theory of Constraints to prioritize operational and IT work.
- Author the policy and procedure manuals under AASM guidelines, and run the quality improvement program against AASM benchmarks.
- Provide patient education, including PAP therapy management and follow-up, holding PAP compliance between 70 and 90 percent.
- Established a home sleep apnea testing program with patient education and follow-up.
- Organized the Free CPAP Clinic and support group programs for the community.
- Led the design and build of the practice website, TriCityLS.com.
- Perform polysomnography across the full range: baseline, pediatric with end-tidal capnography, full 10-20 seizure and parasomnia montages, and CPAP, BiLevel, ASV, spontaneous-timed, and AVAPS titrations.
Sleep Lab Coordinator, 2005 – 2014
- Supervised up to 10 sleep technologists and 4 medical receptionists across four locations.
- Built Out-of-Center Testing procedures and AWAKE CPAP support groups following AASM and American Sleep Apnea Association standards.
- Authored the policy and procedure manual, including home sleep testing, oral device therapy, and shift-worker protocols.
- Designed and built sleep labs end to end — layout, equipment, LAN installation, and EMR implementation with staff training.
Polysomnographic Technician / Lead Technician, 2005
- Performed the full range of diagnostic and titration studies; promoted to Lead Technician within the year.
Certifications
Certification in Clinical Sleep Health (CCSH), 2016
The CCSH credential recognizes specialists in sleep health education and management. It covers patient-centered care: identifying sleep disorders, educating patients and providers, and coordinating treatment plans to improve sleep health outcomes.
Registered Polysomnographic Technologist (RPSGT), 2006
The RPSGT is the internationally recognized credential for sleep technologists. It covers performing and interpreting sleep studies, administering therapies such as CPAP, and maintaining patient safety during sleep assessments.
Publications
Fundamentals of Sleep Technology
- Chapter 49: Advanced Positive Airway Pressure Therapies for Sleep-Disordered Breathing, co-authored with Saad S. Ahmad.
- Chapter 54: Other Therapies for Obstructive Sleep Apnea, co-authored with Saad S. Ahmad.
American Association of Sleep Technologists — Blog
- Positional Therapy — Is it Especially Helpful for Full Face CPAP Mask Patients? August 2016.
- How to Work Hard at PAP Adherence. May 2016.
RT Magazine: For Decision Makers in Respiratory Care
- Getting the Real Story: Raising the Bar for Compliance. June 2008.