Ajit Dhavle

Ajit Dhavle, Pharm.D, MBA

VP of Health IT, Audits & Life Sciences

Ajit is the Vice President of Health IT Audits and Life Science at Quandary Peak Research, where he oversees a team of health informatics experts to provide Strategy, Management, Product Management, Software Development Life Cycle (SDLC), Patient Safety, Compliance, and Engineering Consulting and Audit services to both Government and Commercial entities.

Previously, Ajit founded Adviva Health, Inc a SaaS prescription medication history reconciliation and analytics platform designed to streamline the medication experience for EHR users.

Ajit joined Surescripts in its early years and helped replace the paper prescription and start the first National E-prescribing network.  At Surescripts, he last served as the Vice President of Clinical Quality and was responsible for corporate clinical quality, patient safety, and quality research initiatives. While at Surescripts, he also built and ran the first-of-its kind enterprise-wide clinical quality program – a critical component of company’s e-prescribing business solutions –  to help prescribers, pharmacies, pharmacy benefit managers (PBMs), and healthcare system organizations achieve the three fundamental pillars of e-prescribing: accuracy, efficiency, and patient safety.

Summary of Qualifications

Innovative healthcare technology leader and chief problem solver:

  • Consulting clients include major EHR vendors, pharmacy vendors, pharmaceutical manufacturers, Health and Human Services (HHS) and the ONC (Office of National Coordinator for Health IT) on matters involving Health IT Software Development Lifecycle, Software Quality, Standards, Usability, Patient Safety Risk Compliance and Best Practices, Regulatory affairs, and Standards implementation.
  • Created the first nation-wide e-prescribing continuous quality improvement program to measure, monitor and improve the quality of e-prescriptions in the U.S.
  • Built and successfully deployed Adviva Health, a SAAS prescription medication history reconciliation and analytics platform, to streamline the user EHR medication experience.
  • Track record of successful implementations  of large-scale HIT programs and solutions that introduce efficiencies, drive customer satisfaction and growth, and enhance revenues.

Areas of Expertise

  • Patient Safety
  • Business Development Innovation
  • Product Strategy
  • Product Management
  • Program Management Revenue Growth
  • Pharmacy Management Systems Electronic Prescribing (e-Rx)
  • Electronic Health Records (EHRs) Process Improvement
  • Operational Improvement Healthcare Systems Integration Data Analytics
  • Healthcare Technology Optimization Health Information Exchange
  • E-Medication History
  • Formulary and Benefit Eligibility
  • Prescriber & Pharmacy Workflows
  • E-Prior Authorization (e-PA)
  • Meaningful Use
  • Clinical Interoperability
  • Clinical Terminology
  • Health Information Technology (HIT) standards
  • Health Informatics

Litigation Experience

  • Joao Martins v. Michael Curi, M.D., et. al.
    Jurisdiction: Superior Court of New Jersey, Law Division: Middlesex County
    Counsel: Farkas & Donohue, LLC
    Nature of Matter: Medical Malpractice
    Health IT System: Sunrise McKesson (Now Allscripts)
    Review and analyze electronic health records, audit trails, to determine edits made to clinical notes.
  • Hayden Mac Ingram v. Cerner Health Services., et. al.
    Jurisdiction: Circuit Court Of Jefferson County, Alabama
    Counsel: Hare, Wynn, Newell & Newton, LLP
    Nature of Matter: Medical Malpractice
    Health IT System: Cerner
    Review and analyze electronic health records, system configurations, and system generated artifacts along with internal development documents to determine the nature of microbiology laboratory results display.
  • Sarah Trotta v. Community Health Network, et. al.
    Jurisdiction: Marion County Indiana Superior Court
    Counsel: Zeigler Cohen & Koch
    Nature of Matter: Medical Malpractice
    Health IT System: Epic
    Review and analyze electronic health records and EHR configurations for display of laboratory results.
  • Andrew Puglisi v. Maria N. Musso, D.O., et. al.
    Jurisdiction: Supreme Court of the State of New York, County of Queens
    Counsel: Bamundo Zwal Schermerhorn & Caffrey, LLP
    Nature of Matter: Medical Malpractice
    Health IT System: eClinicalWorks (eCW)
    Review and analyze electronic health records, audit logs, and determine what information has been shared and with whom.
  • Tony L. Sylvester v. University of S. Alabama Health Services Foundation et. al. (representing named defendant, Laboratory Corporation of America Holdings)
    Assisting with the review of produced electronic health record information relevant to the case and providing analysis regarding industry standards for integration of electronic laboratory results into electronic health record software.
  • Estate of David Rose and Carol Ann Rose v. Medical Information Technology Inc.
    Jurisdiction: Superior Court of New Jersey
    Counsel: Sills Cummis & Gross P.C.
    Nature of Matter: Medical Malpractice
    Perform forensic analysis to evaluate and recreate medication prescription generation and transmission of prescriptions to pharmacies. Review and analyze electronic health record audit logs, system configurations, and system generated artifacts.

Management, Audits, & Compliance Consulting

  • Adheris Health, a MedAdvisor Company
    Lead a team of expert Management consultants to provide Strategy, Due Diligence and SDLC consulting services.
  • Department of Veterans Affairs (VA) Electronic Health Modernization (EHRM) Integration Office (IO) and MITRE Corporation
    Provide SME services focussed on VA Prescribing and Pharmacy workflows and make process and enhancement recommendations
  • Bluesight, Inc.
    Lead a team of expert Management consultants to perform management advisory services related to assessment of effectiveness of organizational strategy as executed through technology processes and functions, people, structure, and culture.
  • Electronic Health Record Vendor | CLIENT CONFIDENTIAL
    Performing consultation regarding compliance and regulatory matters for Certified Health IT software.
  • Electronic Health Record Vendor | CLIENT CONFIDENTIAL
    Performing gap analysis and recommendations for improving compliance with CEHRT regulations for Certified Health IT software.
  • REMS–Data, Quality, Process and Systems Review | CLIENT CONFIDENTIAL
    Performing independent, internal data, quality, process and systems review for a major FDA-regulated REMS (Risk Evaluation and Mitigation Strategies) program and for a popular generic medication with serious side effects. Includes 21 CFR Part 11 compliance review, review of software development, architecture, requirements, documentation, testing and validation; review of annual report data and assisting with responses to FDA inquiries.
  • Electronic Health Record Vendor | CLIENT CONFIDENTIAL
    Developing guidance to meet CEHRT regulations with a focus on software governance and quality management systems; drafting policies and procedures that combine agile processes with regulatory governance requirements. Reviewing source code and issue tracking records to identify potential regulatory issues.
  • eClinicalWorks, LLC and the Office of the Inspector General of HHS Software Quality Oversight Organization, Team Lead
    Led a team of 15 serving as the Software Quality and Oversight Organization (SQOO) under the Corporate Integrity Agreement between eClinicalWorks LLC and the Office of the Inspector General of the United States Department of Health and Human Services dated May 30, 2017. Served as an independent audit and oversight organization covering a technical review of EHR software and development processes as it relates to patient safety. The project included software process and source code review, including review of past issues, recommendations for risk and quality management systems, design controls, improvements to software development and testing processes, code review and manual and automated code quality analysis.
  • Agency for Healthcare Research and Quality | Rockville, MD
    Analyzed current industry Prior Authorization (PA) workflows and standardized clinical PA questions to create an electronic question database for standards creation.
  • National Library of Medicine | Bethesda, MD
    Analyzed the RxNorm clinical drug terminology and assessed the scope, feasibility, and integration into existing pharmacy and provider e-prescribing workflows.

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