The Management team at First includes some of the most experienced and talented healthcare business and cybersecurity leaders in the industry, who consistently demonstrate the vision necessary for leading a national healthcare advisory organization. Our team separates itself by by leveraging a wide network of relationships in areas that strengthen our core expertise to the ultimate benefit of our clients. Each First manager is focused on HIT advisory and cybersecurity, providing our clients focused expertise in the field and issues driving healthcare transformation.
Randy Bailey - Chairman
Randy is a Founder and the Chairman of First. Most recently Randy served as CEO of First. Prior to founding First, Randy was Senior VP and member of the Executive Management Team of Park City Solutions. As a member of the Executive Management Team he participated in all aspects of the operations of the company.Along with Randy’s duties on the Executive Management Team at Park City Solutions, he served as Senior Vice President of Consulting Services and Senior Vice President of Marketing and Public Relations. Actively involved in the information technology industry for more than 26 years, Randy’s experience includes operational and leadership roles in the consulting and information technology industry both as a vendor and private consulting firm. Having received his educational training in accounting and advanced public speaking, he has spent his entire career in information technology.
Carter Groome - Chief Executive Officer
Carter GroomeChief Executive Officer
Carter is a Founder and the Chief Executive Officer of First. He brings 21 years of healthcare information technology management, consulting, and security leadership experience to the company.As Chief Executive Officer, Carter is able to draw upon his cyber health, consulting, and vendor leadership background to benefit First’s commercial and Federal clients and partners. Before becoming CEO of First in 2010, Carter was Executive Vice President responsible for sales, marketing and strategic direction. Prior to founding First, he was the Director of Business Development at Park City Solutions. Carter spent 5 years as an applications and integration Program Manager and consultant in the healthcare information technology arena with First Choice Consulting.Prior to his consulting career, Carter held various IT management positions with Adventist HealthCare.Carter holds a B.S. in Health Science from the University of Arizona and a M.B.A. from Johns Hopkins University.
Jack Wagner - VP - Advisory Services
Jack WagnerVP - Advisory Services
Jack brings 28 years of Information Technology experience to First’s VP of Advisory role, with the past 12 in the healthcare industry. Jack brings an extensive background in technology, program/project management, and hospital IT management to the organization. His broad experience allows him to focus on the macro-level while tracing the inner workings of the organizations for which he works to assist them perform tight integration of technologies, processes and governmental regulations within complex environments.Prior to joining First, Jack was the Area Vice President of Consulting Services (South Central US) for maxIT-VCS and the Technical Services Manager for St. Vincent Health System in Little Rock, AR. Previous to these positions, Jack was on active duty in the United States Marine Corps.Jack is a certified Project Management Professional (PMP) and has worked on various IT leadership roles and large projects during his career to include Epic Inpatient and Ambulatory projects at Mount Sinai in New York, and multiple system selection projects to identify and procure services from vendors in the Health Information Exchange (HIE), Population Management, and Data Framework technology space. He has in-depth knowledge in large challenges facing organizations today, to include the various stages of Meaningful Use for both the Eligible Hospital and Eligible Professional.
Carol Selvey - VP - Advocacy
Carol SelveyVP - Advocacy
As First’s VP of Advocacy, Carol brings over 28 years of experience in leadership and operational management, for both consulting and information system vendors. First clients benefit from Carol’s deep vendor, services, and advisory capability, in addition to strong IDN, acute care, academic, long term care, commercial lab, and physician practice knowledge. Having spent time with PwC, SoftMed, ACS, the Revere Group and Iatric Systems she is also extremely well versed in healthcare information technology.Carol’s advocacy reach is broad, serving in many industry group roles and linking First with legislators to better understand the regulatory landscape and how it impacts our field. Carol served on the HIMSS Board of Directors from 2008-2011 and is an active Board Member of the Central and North Florida HIMSS Chapter.Carol is a Fellow with the American College of Healthcare Executives (FACHE) and holds a BA from Vassar College and an Master of Health Services Administration from University of Kansas. Carol also completed the Health Care Certificate Program in Leadership Strategies for IT at Harvard School of Public Health.
Bob Hooper - VP of Sales
Bob HooperVP of Sales
Bob is the Vice President of Sales for First. He brings 23 years of healthcare information technology management, implementation, support, consulting, and sales experience to the company.As VP of Sales, Bob is able to draw upon his technical and applications background from working at hospitals as a Network Engineer, Project Manager, and an Applications Director, to ensure that he is bringing the right resources to his customers. He has been on the other side of the table, using resources for his project teams and to augment his own staff. He knows what to look for in consultant or new hire, and uses that experience to properly vet candidates for his customers that will have the right skillset and personality to work well with their existing teams.Bob has worked with SMS, MEDITECH, McKesson Horizon Clinicals, and Epic in his years of working at hospitals. He knows what it is like to be in his customers’ position, and therefore works tirelessly to provide the right resources to them, so that his customers can focus on other priorities.Bob holds a B.S. in Physical Science from the United States Naval Academy, and was commissioned as a US Naval Officer. He served as a Surface Warfare Officer in the US Navy before finding his calling in the healthcare arena.
Kerri Gallagher - Chief People Officer
Kerri GallagherChief People Officer
Kerri is the Chief People Officer at First Healthcare Advisory Solutions, providing our advisors the support needed to be successful while managing the recruiting organization for the company.Kerri has extensive experience within healthcare information technology sales, marketing, recruiting and client services. With her dedication to First’s clients and consultants, Kerri continually commits to positioning First as a trusted partner for clients and a trusted manager for our advisors. Prior to joining First, Kerri spent 4 years with Vitalize Consulting Solutions.Kerri holds a BS in Psychology and Marketing from Arizona State University.
Patti Donoghue - Chief Financial Officer
Patti DonoghueChief Financial Officer
As Chief Financial Officer at First, Patti brings extensive services and retail experience to her role in managing the fiscal activities and relationships. Patti has extensive payroll, benefits, financial reporting, tax preparation and banking relations experience and has positioned First as a well respected partner to our clients and a trusted employer to our advisors. Patti’s commitment to timeliness and accuracy has proven invaluable to the engine of the company and industry reputation.As a CPA and prior to joining First, Patti spent 11 years with Prince Manufacturing. Responsible for implementation and ongoing IRS compliance, GAAP reporting, pension planning, and other benefit planning. Prior to Prince, Patti spent time at KPMG focused on audits and preparation of financial statements.Patti holds a BS in Business Administration/Accounting from LaSalle University
Mary G. Gregg, MD, FACS, MHA - Physician Executive Advisor
Mary G. Gregg, MD, FACS, MHAPhysician Executive Advisor
Dr. Gregg is a cardio-thoracic surgeon with industry-recognized expertise in patient safety, risk management and quality improvement. Dr.Gregg uses her 20 years as surgeon and healthcare administrator to manage change within the organizations she serves to implement new electronic healthcare systems, develop better work flows, increase patient safety, and reorganize and reorient workforce efforts to provide higher quality lower cost levels of service. As a Baldrige examiner, Dr. Gregg has also been trained in to assist facilities with the Baldridge Cybersecurity Excellence Builder to help healthcare facilities adopt the NIST Cybersecurity Framework in their network.
Dr. Toby Gouker - First VP and CISO
Dr. Toby GoukerFirst VP and CISO
As the former Provost for the SANS Technology Institute, Dr.Toby Gouker brings a wide breadth of cybersecurity expertise to First’s cyber health practice. Coupled with years of experience in the Federal Healthcare IT industry, his experience and expertise sits at the nexus of cybersecurity and healthcare. With over 30 years of industry experience and 10 years in the educational arena, Dr. Gouker represents the kind of scholar/practitioner you would want to have advising a healthcare organization on theoretically sound, business effective tools, techniques, and teachings to fortify a healthcare organization’s defense of its information assets.
Cybersecurity Veteran Joins First
First Announces the Addition of Dr. Mary Gregg as Physician Executive Advisor
DATELINE Scottsdale Arizona 6/17
“As a leader in health IT advisory and workforce cybersecurity development programs, I am pleased to announce the addition of Dr. Mary Gregg to our team as First’s Physician Executive Advisor,” said First CEO Carter Groome.
“Dr. Gregg melds her experience in cardio-thoracic surgery, CMO positions and healthcare board leadership roles with a strong background in patient safety, risk management and quality improvement. Dr. Gregg’s perspective on clinical workflows, EHR usability, privacy issues and security challenges are highly coveted by our clients addressing change management and how clinicians are impacted by security measures. Dr. Gregg, as a clinical educator and National Baldrige Examiner is also trained in the Baldrige Cybersecurity Excellence Builder. Her unique history will serve our clients from a physician, board, executive and end user view of EHR technology and the balance between securability and availability of ePHI and PHI,” said Mr. Groome.
First healthcare advisors and cybersecurity experts partner with our clients to derive value from investments in technology with the understanding that people will have the most significant impact on cost and quality advances.
First develops and sustains relationships by delivering dependable, budget sensitive Security, Clinical, Revenue Cycle and Advisory solutions for healthcare organizations. We understand what healthcare entities are facing today as they adapt to value based care delivery. Organizations turn to First for guidance as they navigate security concerns, regulatory mandates and interoperability challenges with constant budget pressure and frustration with EHR user experience.First works extremely hard to provide our clients with the right advisor for the program, project or role requested. The time we invest in vetting and preparing our personnel save our clients valuable time and dollars while building trust that we have, and will, provide the ideal resource. The manner in which First addresses and supports our clients interests and concerns is a key discriminator of our organization.
The People of First
- Accomplished healthcare IT and security professionals that have demonstrated their problem solving expertise with healthcare information technology systems.
- Provide benefit and value throughout the life of the engagement, training or partnership.
- Solve and support complex clinical and cyber initiatives, allowing our clients to concentrate their resources on core priorities and business objectives.
- Deliver complete and fully documented solutions.
The Clients of First:
- Value our ability to deliver highly vetted and specialized advisors and a management team that has served on every side of the healthcare and cybersecurity delivery spectrum.
- Value our ability to deliver the “right” solutions regardless of the complexity of the problem.
- Value our flexibility in addressing the challenges in utilizing and managing consultative personnel, acting as long term partner.
The Management Team at First:
- Includes some of the most experienced and talented healthcare business and cybersecurity leaders in the industry, who consistently demonstrate the vision necessary for leading a national cyber health advisory organization.
- Separates itself by leveraging a wide network of Federal and commercial relationships in areas that strengthen our core expertise to the ultimate benefit of our clients.
- Focuses solely on the healthcare industry and government agencies with healthcare related missions, attracting the top experts in the field.
Working at First:
First knows that prosperous employees create successful client experiences and we believe that technology can only be made meaningful through people. Our people have a superb support structure at First, creating enriched skill sets, engagements and careers. Our company is equally focused on ensuring that our employees maintain a balance with their career and family or personal lives. Our compensation, vacation policy, non-billable and bench time plans, and overall culture encourages pursuits outside of the consulting world. Our compensation package is HIGHLY competitive and there is no relocation necessary. In addition, First has a long history of working with experienced independent consultants and paying above market rates. First is committed to our employees while on billable engagements or not and we are constantly investing in our employees finding new ways to function and collaborate as a one team even though we serve many clients in multiple locations.
Vision & Approach
Today’s health tech and security initiatives go far beyond the CIO’s world. CISO’s, CMIO’s, CFO’s, clinicians and more are invested in and navigating a massive shift in how healthcare must be delivered, in how information is protected and how involved patients are in their well being.
Clients are asking questions like:
- “How do we realize the value from our technology investments?”
- “How do we train our non-technical employees on cybersecurity?”
- “How do we ensure our security posture strikes the right data accessibility balance for healthcare?”
- “How do we get our physicians to adopt our new systems?”
- “How do we avoid lapses in security training and how do we measure successful education and awareness?”
- “Compliance is overwhelming us, how do we get beyond just checking the box with a budget?”
Consensus practices on how to approach healthcare security and EHR optimization, at best, will have limited impact on bending the cost curve in your organization. Time and time again, we see that more effective strategy involves the alignment of an organization’s clinical, technical and security processes with their unique culture is a major influencer. This alignment must occur in small steps on a customized basis, as no two organizations are the same. Small success will allow for larger initiatives and capability for marked progress. First provides the experts to quickly identify efficiency issues, improve security awareness, and transfer lasting knowledge to your organization.
Our Client Approach “Dynamic Maximization”
First developed and honed and approach and methodology called FirstTRAK that measures and accelerates process efficiency to optimize clinical and cyber health components of your organization. The dynamic part of our approach refers to an understanding that no two health delivery organizations are alike and we must take socio-cultural factors into each engagement. Maximization refers to an improved state of harmony between the value influencers and the personnel side of healthcare. FirstTRAK is built to provide value in diverse implementation, optimization, privacy, security, training or even assessment efforts.
Our Advisor Approach cultivates and supports experts that are dedicated to improving the delivery of healthcare
Voted the best places to work in 2014 by Modern Healthcare magazine, employees and consultants choose to work with First. All of our advisors are experienced professionals in healthcare, security or both, in addition to their deep knowledge of the latest technology and practices. First diligently matches our advisors experience with engagements that are poised to take advantage of their background and personalities. Our people are located throughout the US, often times allowing our clients to take advantage of regional resources for smaller targeted engagements while lowering any expenses related to consultant travel. In addition, First is capable of leveraging the combined experience of our business units (Health Advisory and Cyber Health Solutions) to meet large scale deliverables with deep resource needs.
EHR Value Realization
Client: Community Health Systems Assignment: Cerner Clinical Workflow Optimization Results: Multi-hospital core measure improvements
Client: Veterans Affairs Assignment: VistA Workflow Integration Results: Development and testing efficiency gains
Client: Mt. Sinai Health System, NYC Assignment: MU Program Management Results: Attestation strategy, execution and new entity
Client: Renown Health Assignment: Epic Revenue Cycle Implementation and Workflow Design Results: Charge review training and metric improvement
Client: Bon Secours Health System Assignment: Epic Revenue Cycle Optimization Results: Reporting and Integration Streamlining
Client: Mt. Sinai Health System, NYC Assignment: ICD-10 Program Management Results: Testing and training program implementation and readiness
Client: Swedish Medical Center (Providence Health) Assignment: Support of legacy systems while Epic installed Results: Single sourcing for all support needs over 3 years