Ralph M. Costanzo, MD, MHA11509 Tulin Park Loop; Anchorage, AK 99516

406-690-4173 | mdrmcsky@gmail.com | https://www.linkedin.com/in/ralphcostanzo1

PROFESSIONAL PROFILE

Accomplished physician leader who has demonstrated abilities to drive innovative change, especially in the areas of provider engagement, hospital quality and process improvement, and alignment around value-based care initiatives.

Currently, employed as the Chief Medical Officer at Alaska Regional Hospital, a member of the HCA healthcare system, in Anchorage, Alaska.

A Board-certified orthopedic hand surgeon with 23 years of independent practice experience and recently completed a Masters in Healthcare Administration in the Carlson School of Management at the University of Minnesota.

LEADERSHIP & MANAGEMENT EXPERIENCE

Chief Medical Officer, Alaska Regional Hospital; Anchorage, AK September 2016 – present

Alaska Regional Hospital is a member of the HCA healthcare system, which is comprised of more than 250 hospitals and ambulatory care facilities in 20 U.S. states and in the United Kingdom. Alaska Regional Hospital is a 250-bed licensed and accredited hospital with more than 1000 employees and a medical staff of over 550 independent providers. The hospital is one of two major trauma centers in Alaska and offers a broad range of health services to the community, including a fully-staffed ED, ICU, NICU, as well as comprehensive cardiac and stroke programs. It is also the designated Shriners clinic facility in Alaska.

As the Chief Medical Officer, I am responsible for assisting leadership drive strategic alignment and execution around value-based care initiatives; utilizing performance data and evidence-based protocols to assist members of the medical staff elevate care quality and safety while leveraging opportunities to lower care costs. Finally, this position provides senior level leadership for traditional medical staff functions such as credentialing, risk management, staff education, and utilization review.

Chairman, Department of Orthopedics; St. Vincent Healthcare, Billings, MT January 2016 - September 2016

St. Vincent Hospital is a member of SCL Healthcare, a non-profit multistate healthcare organization based in Denver, CO. The hospital is a level II trauma center and functions as a tertiary referral center for a three-state region. The medical staff is comprised of 431 physician providers, including a large employed enterprise group, 1750 FTE employees, a 286 bed acute care facility, and 32 outpatient clinic sites. It was recently named a Truven “Top 100” hospital for 2015.

As Department Chairman, I am responsible for assisting hospital leadership align providers with strategies to improve care quality, patient access, and the patient experience across all care delivery sites. In addition, I am tasked to help develop and operationalize a more comprehensive and transparent Balanced Scorecard related to these efforts that can be applied across the care continuum for orthopedic patients. I am also responsible for representing the interests of orthopedic providers and our patients at the Medical Executive Committee level.

Achievements Engaged with stakeholders from the hospital, our ASC partner, and a transitional care provider to develop an

ACC campus for 72 hour stay surgical cases. This requires ongoing work with clinicians, both orthopedic and other surgical subspecialists, and non-clinicians in order to deliver a comprehensive care model for these patients, including the post-acute care piece. It also requires negotiations with payors in order to develop a bundled payment reimbursement model, which includes agreed upon quality and patient experience metrics.

Ongoing work with hospital administration, specifically the COO, to develop a formal Quality and Process Improvement program within the orthopedic department in order to further improve patient safety and the patient experience across all access points within the organization.

Member, Hospital Board of Directors; St. Vincent Healthcare, Billings, MT 2012 – 2016

The hospital BOD functions as an advisory board by representing the needs of our community and our providers to our parent SCL organization. The BOD is responsible for monitoring the overall quality and safety performance within the organization, the development of an annual budget and capital request list, and efforts taken to meet the expectations of an annual system-wide Balanced Scorecard.

Achievements Worked closely with hospital administration and board members to build a coalition supportive of developing

an Ambulatory Care Campus on undeveloped property owned by SCL Health. The infrastructure is completed with possible ground-breaking to occur in 2017.

As a member of the Strategy and Business Development subcommittee, saw improvement in the activities within the employed physician enterprise along with acquisitions of cardiology, oncology, and neurosurgery services coupled with marketing activities that drove market share in our service areas above 50%.

Director, Orthopedic Service Line; St. Vincent Healthcare, Billings, MT 2011 – 2013

The orthopedic service line functions to bring stakeholders together from across the organization in order to more effectively deliver musculoskeletal care within our acute care facility. The service line is led by a physician director and a non-clinical administrator working in a dyad relationship. Additional members include representatives from nursing services, pharmacy, care management, supply chain resources, the hospitalist service, and the operating room.

Achievements Completed an 8 million dollar renovation of the orthopedic inpatient physical space, including an innovative

“hospital-within-hospital” model for delivering concierge care to patients requiring elective total joint arthroplasty and spine procedures.

Worked with an outside consulting group to elevate aggregate orthopedic HCAPHS scores from the 50th to above the 80th percentile.

Worked with our joint arthroplasty surgeons and supply chain director to standardize implant options and thereby drive implant costs well below the national median.

Acted as a physician champion for orthopedics during EPIC EHR implementation at St. Vincent Hospital Member, Medical Staff Quality Improvement Committee (MSQIC) which is responsible for peer review across

the organization.

President, Ortho Montana, PSC; Billings, MT 2011 – 2013

Ortho Montana is a single specialty orthopedic group comprised of 14 fellowship-trained physicians, one employed sports-medicine fellowship-trained family physician, 13 advanced practice providers, and 130 FTE staff members. We provide tertiary referral care for patients in central and eastern Montana, western North Dakota, and northern Wyoming. We are the largest musculoskeletal group between Minneapolis, MN, and Spokane, WA.

As group president, I had purview over all clinical and non-clinical services and activities. The organization experienced over 10,000 patient visits last year and had gross revenue of approximately $20,000,000.

Achievements Developed a dyad management model with our current CEO, which included weekly meetings along with

running a monthly BOD meeting and the responsibility for organizing an annual retreat. Oversaw the expansion of the group from 10 to 14 fellowship-trained orthopedic surgeons, including the

addition of a new service line around trauma surgery. This included assisting our CEO in the negotiation of a PSA for orthopedic trauma services and obtaining group reimbursement for trauma coverage.

Instrumental in developing an effective service line model for orthopedics at St. Vincent Hospital.

Member, Executive Committee; Ortho Montana, PSC 2008 – 2011

Achievements

Served on the Executive Committee and the Finance Committee assisting leadership with merger integration, development of the Centers of Excellence infrastructure, solidifying group culture and dynamics, and consolidating non-clinical staff.

Lead physician in investigating, purchasing, and then implementing an EHR for the entire organization. Established an internal Compliance Committee. I remain the physician lead for the group compliance program.

Chairman, Compliance Committee; Ortho Montana, PSC 2008 – present

Achievements Worked in conjunction with our CEO to develop all relevant policies pertaining to HIPAA, HITECH, Stark, and

ACA statutes. Responsible for performing annual provider chart reviews and giving feedback on coding performance. Developed a provider dashboard that is shared with physicians quarterly regarding their performance in

accurate coding and documentation. Developed a matrix for monitoring provider performance in chart completion and also instituting corrective

policies for poor performance, including financial penalties.

Member, Executive Council; Ortho Montana, PSC 2006 – 2008

Achievements Acting member of a combined executive council along with members of a competing orthopedic group in order

to investigate the possibility of a group merger. The merger was successfully consummated in 2008 along with hiring our first CEO, forming a single-specialty private practice orthopedic group.

Physician Lead, Human Resources Department; Ortho Montana, PSC 2003 – 2008

Achievements Worked with existing management personnel to develop a Human Resources department and then standardize

policy and operations for clinical and non-clinical staff, including advanced practice providers.

CLINICAL EXPERIENCE

Ortho Montana, Billings, MT – Physician Member September 2003 – Present Ortho Montana is a multispecialty orthopedic practice in Billings, MT., which is dedicated to providing the highest quality subspecialty care in the region. The practice is comprised of fellowship-trained orthopedic and primary care physicians as well as physician extenders operating within a dedicated Center of Excellence model. Practice focuses on treatment of injuries or disorders affecting the hand, wrist, or elbow.

Provide both non-operative and operative care in most major orthopedic disciplines; on-site ancillary services, including MRI, PT, hand therapy, on-site surgery and an adjoining ASC, and an urgent care musculoskeletal center; and tertiary care for a three state region and parts of southern Canada.

Serve as clinical faculty in the Rocky Mountain Physician Assistant program, the Montana Family practice residency program, and the WAMI program that trains medical students through the University of Washington Medical School.

Michigan Hand Center, Grand Rapids, MI – Physician Member August 1994 – August 2003Michigan Hand Center is a single specialty private-practice hand and upper extremity group located in Grand Rapids, MI. The group covers Spectrum Health and the DeVos Childrens Hospital along with several outreach clinics.

Consultant in the congenital limb difference clinic at Mary Free Bed Hospital. Served as a clinical associate faculty member in the division of orthopedics and plastic surgery for Michigan

State University and the GRAMEC post-graduate program with clinical responsibilities for teaching both medical students and residents.

Developed the orthopedic module for the physician assistant program at Grand Valley State University and became the clinical coordinator of the program.

EDUCATION

University of Minnesota, School of Public Health, Minneapolis, MNMaster of Healthcare Administration (Executive Program) Received January 2016

Internship : University of Minnesota Physicians and M Health (worked with members of senior leadership on projects involving orthopedic service line performance, volume forecasting, and quality improvement)

Honor Society Member GPA: 3.91

Wayne State University School of Medicine, Detroit, MIMedical Doctorate (with Distinction) June 1988

Honors : Alpha Omega Alpha Medical Honor Society Fellowship : AO Upper Extremity Trauma Fellowship, Salzburg, Austria and Bern, Switzerland (1995-1996) Fellowship : Hand, Wrist, and Upper Extremity Surgery and Microsurgery, Timbercourt Orthopaedics and Hand

Surgery, P.C., Pittsburgh, PA (1993-1994) Residency : Orthopaedic Surgery, SUNY – Health Science Center, Syracuse, NY (1989-1993) Internship : General Surgery, SUNY – Health Science Center, Syracuse, NY (1988-1989)

Albion College, Albion, MIBachelor of Arts – Biology (Magna Cum Laude) May 1984

Honors : Phi Beta Kappa; Tri-Beta Biology Honor Society; Motor Board Senior Scholastic Honorary, Albion College Fellow

CERTIFICATIONS & LICENSURESWyoming Board of Medicine License – February 2007Michigan Board of Medicine License – July, 1994-2004Montana Board of Medicine License – September, 2003Diplomate, National Board of Medical Examiners – 1988

BOARD CERTIFICATIONSAmerican Board of Orthopaedic Surgery

Board Certification – July, 1996 (recertification 2006, 2014) Certificate of Added Qualifications in Hand Surgery – August 1997 (recertification 2006, 2014) Current MOC Active Participant

MEDICAL MISSION WORKChinle Reservation, Chinle, Arizona – Public Health Service 2005 – Present Health Volunteers Overseas, Trinidad, Tobago – Hand Surgery/Orthopaedics 2004St. Luke Society, Tegucigalpa, Honduras – Hand Surgery/Orthopaedics 1996 – 2000

MEMBERSHIPSAmerican Academy of Orthopaedic Surgery; FellowAmerican Society for Surgery of the Hand; Active memberMember, American College of Healthcare ExecutivesMember, American Association of Physician Leaders