He was the co-author of the innovative cost-effective protocols in screening for HIV and hepatitis, which reduce the cost of screening by a factor of 5 to 10 while simultaneously reducing errors by a factor of 20 to 40. These protocols have been positively evaluated by FDA, NIH and CDC, which were the subject of a large-scale international trial supported by the U.S. Agency for International Development as well as Chiron and Roche pharmaceutical companies. Dr. Litvak served as a Principal Investigator from the U.S. for this trial.
Dr. Litvak is an author of more than 60 publications in the areas of operations management in healthcare delivery organizations. He was the editor of The Joint Commission’s patient flow books “Managing Patient Flow in Hospitals: Strategies and Solutions”, 2nd Edition and “Optimizing Patient Flow: Advanced Strategies for Managing Variability to Enhance Access, Quality, and Safety” as well as the leader of the organization’s first patient flow seminars. He was a member of the Institute of Medicine (currently the National Academy of Medicine) Committees “The Future of Emergency Care in the United States Health System”, “The Learning Health Care System in America” and “Optimizing Scheduling in Health Care.” Dr. Litvak also served as a member of the “National Advisory Committee to the American Hospital Association for Improving Quality, Patient Safety and Performance”. Currently, he serves on the Executive Leadership Council, Strategic Innovation Engine, Centers for Medicare & Medicaid Services.
Since 1995 he has led the development and practical application of innovative approaches for managing patient flow variability (introduced by him and Dr. Long) for cost reduction and quality improvement in health care delivery systems. Application of these approaches has resulted in significant quality improvement and multimillion-dollar improvements in the margins for every hospital that has applied them. He is also Principal Investigator in many hospital and hospital systems operations improvement projects. These include CMS sponsored initiative “Partnership for Patients” in NJ and nationwide patient flow initiative in Scotland.
Cheri holds an MPH from the Harvard School of Public Health with a concentration in health policy and management and has co-authored a chapter on patient flow assessment in a book published by The Joint Commission “Optimizing Patient Flow: Advanced Strategies for Managing Variability to Enhance Access, Quality, and Safety”. Prior to her current role at IHO, Cheri accumulated over 10 years of clinical experience providing care in hospitals, skilled nursing facilities, outpatient clinics and home settings. These roles provided her with critical insights into patient flow struggles experienced by front-line staff. Cheri has utilized her unique combination of experiences to ensure that critical goals of improving staff satisfaction, staff retention, and quality of patient care are balanced with cost reduction and process optimization to create the most efficient healthcare system possible.
During the COVID-19 crisis, Julia was grateful to help several organizations beyond IHO’s clients. She worked with Northwell Health on Long Island in the spring of 2020 to evaluate and implement patient monitoring technologies to improve patient outcomes and ease nursing workload. Additionally, she worked with the NYC Department of Health and Mental Hygiene to develop the protocol for their Employee Vaccine-or-Test program, and ensured that employees were able to return to in-person work safely.
Julia holds an MBA from Boston University with a certificate in Health Sector Management, as well as degrees from Brown University and the University of Arizona. Before her time with IHO, she was a practicing RN in Cardiac Intermediate Care at University Medical Center in Tucson, AZ, and Gastroenterology/ERCP at Indiana University Hospital in Indianapolis, IN, where she found her true passion for workflow redesign and optimized care.