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PROFESSIONAL EXPERIENCE:
2002 - Present: Mid-Atlantic
Medicare Medical Director, TrailBlazer Health Enterprises, LLCSM,
Dallas, TX
- Overseeing the
medical liaison function of the Medicare Part B program for Delaware,
Maryland, Virginia and the District of Columbia
- Developing corporate-wide
coverage, coding and pricing guidelines for the above jurisdictions,
coupled with western states based out of the Dallas corporate office
- Diverse other
activities, including, but not restricted to, physician community outreach,
leadership in corporate quality improvement program and promoting evidence-based
medical decision-making
- Liaison role with
the Centers for Medicare & Medicaid Services and other contractor
medical directors, particularly with respect to clinical laboratory
services
1996 - 2002: Medical
Officer, Coverage & Analysis Group, Centers for Medicare & Medicaid
Services (CMS) - Acting Director, Division of Medical and Surgical Services
(03/01-09/01)
- Developing Medicare
coverage policies at the national level, by working in conjunction with
Medicare contractor (Part A/B) physicians, industry representatives,
medical specialty societies and academic experts (including centers
of excellence in evidence-based medicine)
- Active participant
in the 1998-1999 congressionally-mandated negotiated rulemaking process
for developing national laboratory coverage policies
- Focused involvement
on microbiology coverage policies in cooperation with American Society
for Microbiology, in which I serve as an editorial board member for
the Cumitech series of publications
- Personal strengths
in team-building, facilitation and written communication (PC-based,
using multiple software applications)
1987 - 1996: Clinical
Pathologist and Hospital Epidemiologist, VA Maryland Health Care System
- Staff pathologist
with emphasis in clinical microbiology and laboratory utilization
- Extensive program
activities in hospital epidemiology and infection control, including
Infection Control Committee leadership
- Affiliated appointment
in the Department of Pathology, University of Maryland
- Served as part-time
consultant at the Philadelphia VA Medical Center (Allegheny University)
in clinical microbiology (1993 - 1996), including being a VA grant recipient
for cost-effectiveness research
- Quality improvement
and utilization review committee chairperson activities
PROFESSIONAL QUALIFICATIONS:
- M.D., University
of Maryland School of Medicine, Baltimore, with Robley Dunglison Award
for Excellence in Preventive Medicine (1982)
- Senior Resident,
Clinical Pathology, The Pennsylvania State University, Hershey (1986
- 1987)
- Intern and Resident,
Pathology, Sinai Hospital, Baltimore, Maryland (1983 - 1986)
- Diplomate of the
American Board of Pathology (Clinical Pathology)
- Diplomate of the
National Board of Medical Examiners
- Medical Licensure
(State of Maryland - No. D31869)
EDUCATION, OTHER:
- B.S., Chemistry,
University of Maryland, College Park (1978)
- M.P.P., Public
Policy, University of Michigan, Ann Arbor (1973)
- A.B. With Distinction,
Economics, University of Michigan, Ann Arbor (1972)
- LECTURES: Multiple
national and local speaking engagements on Medicare coverage policy
from 1997 to the present time
PERTINENT PUBLICATIONS:
- Burken MI: Case
Studies on the Local Coverage Process, In, Clinical Evaluation of Medical
Devices: Principles and Case Studies, 2nd Edition, Becker KM, Whyte
JJ, eds., Totowa, NJ: Humana Press (2005).
- Burken MI: Traditional
Health Outcomes in the Evaluation of Diagnostic Tests: Panel Comments,
Academic Radiology 6 (Supplement 1): S84, 1999.
- Burken MI, Shea
JA, Johnson CC, Hershey JC, Asch DA: Comparison of Sputum Microscopy
vs. Nucleic Acid Amplification for the Presumptive Diagnosis of Pulmonary
Tuberculosis: A Meta-Analysis, Clinical Performance and Quality Health
Care 6:53-59, 1998.
- Non-Invasive Laboratory
Testing for Helicobacter pylori, Presented at the Health Care Financing
Administration/Peer Review Organization Peptic Ulcer Disease Conference,
Baltimore, Maryland (January 1998)
- U.S. Congress,
Office of Technology Assessment, Impacts of Antibiotic-Resistant Bacteria,
OTA-H-629 (Washington, DC: U.S. Government Printing Office, September
1995). {Contributor}
PERSONAL: Born August
29, 1950, New York, NY; Married, one son
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