Alan Krumholz MD, FAAP, DFACMQ
Dr Krumholz has been in the Mayo Health System for the last twelve years as VP of Practice Development at Franciscan
Healthcare (FH), and Medical Director of Health Tradition Health Plan. He has successfully implemented many programs
to significantly improve the utilization and productivity of the system. He was one of the physician leads in the design and
implementation of the Mayo Clinic Health System Electronic Medical Record. Prior to that, he led the development and
implementation of the Clinician Portal an internet based window for viewing all clinical notes and data at FH and the auto
cc project to automate cc note delivery to all FH PCPs. He presently serves as the chair of the MCHS Quality Outcomes
Team, whose charge is to improve all quality metrics across the practice to the 95th percentile and is physician informatics
lead of the Humedica database project.
Prior to joining the FSH, Dr. Krumholz was a consultant and instructor in healthcare informatics for Ruffin Informatics
and Medical Decision Networks. Prior to his consultant positions, he served as the Chief Medical Officer for QualChoice
of Virginia, a Managed Care plan sponsored by the University of Virginia Health System. While at QualCoice he
implemented the use of clinical database reporting and severity adjusting, and trained all of the network physicians to
interpret their own data. He worked directly with the vendor to redesign many of the standard reports for increased
interpretability and ease of use. He also re-engineered the processes of the medical services department to facilitate a 30%
increase in productivity and a 20% decrease in utilization with no increase in staffing.
Previously, Dr. Krumholz served as the Medical Director of Regional Partnerships at Blue Cross-Blue Shield of
Massachusetts where he was responsible for managing three Regional Medical Directors and introducing a medical
management delivery strategy for 800,000 covered lives across the state. He redesigned their provider-reporting package
to be rated as “best in class” by the network physicians. He also totally reorganized the credentialing and the provider
profiling departments and designed BCBSMA’s first provider report cards. Earlier at BCBSMA he was the Regional
Medical Director for the Central-Western Region of Massachusetts for HMO Blue. There he led the regional provider
team with the highest provider satisfaction scores in the state while lowering Admits and Days /1000 by 20%.
Earlier in his career, Dr. Krumholz served as a Medical Director for a Hospital PHO and their associated IPA, and for a
peer review organization. He was responsible for the design of a Utilization review program for a local hospital, as well
as the Maine Medical Foundation, utilizing Wennberg’s SAV data. He also was one of the original authors of the
Pediatric SI/IS criteria for Interqual. Concomitantly, he was a full time Pediatric Practitioner for 15 years, in a 4-6physician group. While in practice, he also invested to maximize the efficiency of his staff with automated systems as
early as 1982.
Dr. Krumholz is a Distinguished Fellow and is past president of the American College of Medical Quality and a Fellow of
the American Academy of Pediatrics. He is Board Certified in Pediatrics and Quality Assurance and Utilization Review.
Dr. Krumholz holds an MD from SUNY at Downstate Medical Center, Brooklyn, NY. He completed his Pediatric
Internship at Boston City Hospital and Residency at the U of Mass. Medical Center in Worcester, MA. In addition he
hold a BS in Physics, from SUNY Stonybrook.
Dr. Krumholz was an Associate Professor at the University of Virginia in he Department of Health Evaluation Sciences,
in that capacity he worked directly with residents to help them understand and prepare for entering the medical practice
environment. In another prior role as an Assistant Professor of Pediatrics at the University of Massachusetts Medical
Center, he has developed curricula for training practitioners to teach residents. Additionally he was one of the creators of a
program to move Pediatric residents out into the community to do their outpatient continuity experience. In this role he
mentored 2 residents through their three year outpatient experience, mentored numerous other physicians entering this
role, and spoke at conferences and academic centers on the benefits and costs of this program. He has published articles
on Emergency Room Utilization and Training the Trainer.