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Thomas F Krajewski M.D.

Academic Title: Clinical Associate Professor
Primary Appointment: Psychiatry
tfkrajewskimd@verizon.net
Location: 701 W. Lombard 388
Phone: (443) 895-4873
Fax: (410) 296-9105

Personal History:

October 2008-present

Team Leader for the Older Adults Targeted Capacity Expansion Federal Grant Program

This position provides technical assistance to grantees organizing and implementing their plan of activities over the life cycle of the grants, in terms of objective setting and management expectations that are grounded in the soundest knowledge about the issues under study. Currently this position oversees 10 separate grants nationwide.  Annual meetings for all grantees will help to accomplish this, as well as assessments of progress through site visits and various communication strategies.

May 2008-October 2008

Psychiatric Consultant To Comprehensive Care of Indiana

This position provides clinical and administrative direction to the managed care component of Indiana Medicaid under the Comprehensive Care Contract.  This includes development of new policies and procedures that promote high-quality care in a more cost-effective environment.

April 2007-Present

Director of Integrated Medical Services for Integra Health Management

This position is responsible for providing clinical supervision and education to staff as well as medical consultation in the development of product lines for Integra Health Management.

October 1999-Present

Vice President, Physician Advisor Services

Physician Advisor Services is an independent review group that provides clinical consultation in cases related to utilization review, quality of care, and forensic issues. The physician advisor group has extensive experience in governmental, administrative, managed care, JCAHO, and forensic experience with all levels of psychiatric care on both a national and international basis.

March 1995-December 1999

Chief Psychiatric Consultant, ADVOCARE of Tennessee, a subsidiary of Magellan Health Services/Green Spring Health Services

The Chief Psychiatric Consultant is responsible for the outpatient and inpatient review for medical necessity and medical treatment in a managed care organization dealing with mental health and addiction services. The Chief Psychiatric Consultant is also responsible for the quality improvement and supervision of all clinical personnel within the subsidiary. The Chief Psychiatric- Consultant interfaces with the TENNCARE project, particularly, the Blue Cross and Blue Shield component of TENNCARE.

From 1997-December 1999

Senior Psychiatric Consultant to Magellan Health Services

This position is responsible for four distinct functions. The first is a quality improvement manager on a nation-wide basis for local operating units. This function entails special audits, reviews and projects all relating to quality improvement.

The position also has the responsibility for nation-wide appeals. This is the final level of decision making in any quality of care issue, as well as authorization for services. This position also has the responsibility for providing start-up consultation and training to local operating units who have been recently awarded contracts. This may entail off-site or on-site of supervision of staff at all levels, including the training of permanent staff for continuous operations.

Finally, numerous special assignments are performed by this position. This includes special consultation training and quality improvement services for those units experiencing difficulties in these areas. These special assignments are on a nation-wide basis and vary from month to month.

1992- 2001

Psychiatric Consultant to Medicare of Maryland

This ad hoc position is responsible for providing periodic consultation services in areas of quality improvement, policy, chart review, and overall compliance with Medicare regulations. This role also includes educational services and meetings with designated Medicare facilities concerning the above areas of review.

March 1995- 1997

Associate Medical Director, Green Spring Mental Health Services for the TAO subsidiary

This position was responsible for the supervision of the senior clinical management of the TAO (Eastern Pennsylvania) subsidiary of Green Spring Mental Health Services. These responsibilities include the monitoring and supervision of the clinical and utilization review care in a managed care organization with both utilization review and direct care management responsibilities. This essentially was a consultation role during the start-up of the TAO subsidiary, which was later called Green Spring of Eastern Pennsylvania.

June 1992- March 1994

Acting Medical Director, Green Spring Mental Health Services of New Jersey

The position of Medical Director supervises both the direct care management as well as the utilization review operations of the Green Spring subsidiary of New Jersey. This involves direct supervision of all clinical staff, including quality performance improvement areas as well as quality assurance. This position interfaced with the Blue Cross and Blue Shield of New Jersey program as the managed care component for their psychiatric and addiction services.

April 1989 to 2007

Chief of Geropsychiatric Services, State of Maryland

This position is responsible for the coordination and direction of the psychiatric services provided to the geriatric population in the State of Maryland. This includes project monitoring; including coordination of the Nursing Home Reform Act, and the nursing home transfer initiative. In addition, this position serves as a special consultant to the elderly population of the State of Maryland who present with complicated mental health and medical problems. The position is also responsible for the development of policy and services serving the mental health needs of elderly in the state of Maryland. The Chief is also the special advisor to the Director of Mental Hygiene Administration for Services for the Elderly.

April 1989 to 2007

Director of the Medical/Surgical Psychiatric Program, Spring Grove Hospital Center, Catonsville, MD.

This includes special consultation to wards with complex clinical problems. This specific service division cares for the elderly, psychiatrically ill population, as well as acute psychiatric patients with medical/surgical problems. The position also is responsible for the direct acute psychiatric care of the medical/surgical unit that provides services for patients who are dually diagnosed with acute psychiatric as well as concomitant medical problems.

July 1987-April 1988

Mental Hygiene Administration, 201 West Preston Street, Baltimore, MD 21201

Director of Clinical Programs

This position supervises the Directors of each of the geographic (Eastern, Western, Southern and Central) regions and the Director in charge of forensics. The Director of Clinical Programs is in charge of all inpatient and outpatient, psychiatric and psychosocial programs for the Mental Hygiene Administration of Maryland

January 1986-July 1987

Department of Health and Mental Hygiene, 201 West Preston Street, Baltimore, MD 21201

Acting Assistant Secretary for Mental Health, Mental Retardation, Developmental Disabilities, Drug and Alcohol Addiction Programs

This position is the chief administrator of the following programs: Mental Hygiene Administration, the Mental Retardation Developmental Disabilities Administration, the Alcohol Control Administration, and the Drug Abuse Administration. This position has the responsibility for overseeing such programs and coordinating their efforts, as well as establishing public policy for the services provided in these programs.

January 1984-July 1987

Department of Health and Mental Hygiene, 201 West Preston Street, Baltimore, MD 21201

Chief Medical Advisor for the Department of Health and Mental Hygiene.

This is a continuation of the same position that was held since June, 1984.

June 1984-January 1986

Department of Health and Mental Hygiene, 201 West Preston Street, Baltimore, MD 21201

Assistant Secretary for Health

Senior Medical Advisor for State Department of Health and Mental Hygiene has policy and management responsibility for: Preventive Medicine administration; Office of Chronic and Rehabilitation Facilities (including four hospitals); Laboratories Administration; Local Health Administration; Juvenile Services Administration; and Post-Mortem Examiners. The first three months in this position were held in an acting capacity.

November 1980- June 1984

Springfield Hospital Center, Sykesville, MD 21784

Superintendent

Chief Executive Officer of a 1,200-bed hospital which provides inpatient psychiatric services from acute to rehabilitative in nature. This position entailed full authority and responsibility over both non-clinical and clinical matters, policy issues, community liaison assurance and program evaluation for the hospital center. (The first five months in this position was spent in an acting capacity).

April 1980-November 1980

Springfield Hospital Center, Sykesville, MD 21784

Clinical Director

Director of Clinical Services for a 1,400-bed hospital responsible for a full range of inpatient psychiatric care for severely disturbed individuals. Springfield Hospital serves approximately 1.3 of the population of the State of Maryland. This entailed management responsibility for approximately 1,000 clinical staff member, including the provision of direct consultation to staff regarding significant clinical issues.

1979-1980

Springfield Hospital Center, Sykesville, MD 21784

Assistant Division Director- Tri-County Unit

Chief Administrative Officer for a 120-bed unit serving a population of approximately 600,000 citizens in the state of Maryland. This position included the direction and coordination of all clinical and non-clinical affairs pertaining to the unit as well as developing liaison with the various community mental health services and integrating them into a network which would provide continuity of care from the acute inpatient phase through the convalescent outpatient phase.

1978-1980

Springfield Hospital Center, Sykesville, MD 21784

Director of University Maryland Residency Training Unit

This position entailed the creation and direction of the first training unit in the Maryland state hospital system for university psychiatric residents.  Known as The Maryland Plan, this process was internationally acclaimed for the training and recruitment of psychiatric residents for the purpose of serving the most seriously ill and disadvantaged citizens of the state of Maryland.

1978-Present

Private Practice

606 Baltimore Avenue, Towson, MD 21204

General psychiatric practice with special emphasis on forensics, geriatrics, psychopharmacology and hypnosis.

1982-present

University of Maryland School of Medicine, Institute of Psychiatry and Human Behavior, 655 West Baltimore Street, Baltimore, MD 21201

Clinical Associate Professor of Psychiatry

Supervision, teaching and consultation to the Department of Psychiatry including medical students, residents and fellows.

1979-1982
University of Maryland School of Medicine, Institute of Psychiatry and Human Behavior, 655 West Baltimore Street, Baltimore, MD 21201

Clinical Assistant Professor of Psychiatry

Supervision, teaching and consultation to the Department of Psychiatry including medical students, residents and fellows.

1977-1978

University of Maryland School of Medicine, Institute of Psychiatry and Human Behavior, 655 West Baltimore Street, Baltimore, MD 21201

Chief Resident-Chief Outpatient and Liaison Divisions

Management responsibility for outpatient psychiatric services and liaison psychiatric services at the University of Maryland Hospital Center. This position involved the organization and implementation of a psychiatric residency training program interfacing with both outpatient and liaison services. It also included responsibility for the direction of emergency psychiatric services for the University of Maryland Hospital.

1977

University of Maryland School of Medicine, 655 West Baltimore Street, Baltimore, MD 21201

Director, Group Therapy Clinic

This position involved the coordination of psychiatric group therapy clinic service which involved appropriate screening and provision of the therapy.

Publications:

Inpatient Family Therapy, International Journal of Family Therapy, Vol. 1, No. 4, 1980, International Universities Press, Inc., New York, New York

Psychogenic Regurgitation: A Specific Entity and Suggested Treatment, Journal of Behavioral Therapy and Experimental Psychiatry, Vol. 11, pps. 263-266

Psychiatric Manpower and Public Mental Health: Maryland's Experience, Hospital and Community Psychiatry, Vol. 33, No. 4, April 1982, Henry T. Harbin, M.D.; Walter Weintraub, M.D.; Gary W. Nyman, M.D., M.B.A.: Alp Karahasan, M.S., Ph.D.; Jonathan Book, M.D.; and Thomas F. Krajewski, M.D.

The Maryland Plan for Recruiting Psychiatrists into Public Service, The American Journal of Psychiatry, Vol 141, No. 1: 91-91, Walter Weintraub, M.D.; Henry T. Harbin, M.D.; Jonathan Book, M.D.; Gary W. Nyman, M.D., M.B.A.; Alp Karahasan, M.D., Ph.D.; Thomas F. Krajewski, M.D.; Bruce Regan, M.D.

Effective Short-Term Treatment of Generalized Anxiety Disorder with Trifluoperazine, Mendels, J., Krajewski, T.F., M.D. et al. J. Clin. Psychiatry 47:170 (Apr. 1986)

Psychotropic Medication for Elderly Patient: Use with Caution, Maryland Medical Journal, November, 1986, Paul E. Ruskin, M.D.; Gary W. Nyman M.D.; Thomas F. Krajewski, M.D., pp. 939-940

A System for Patients' Rights Advocacy in State Psychiatric Inpatient Facilities in Maryland, Hospital and Community Psychiatry, Thomas F. Krajewski, M.D. and Carolyn Bell, MSW, 43:2 (Feb. 92)

Systems of Treatment for the Mentally Ill: Filling the Gaps by Richard E. Gordon and Katherine K. Gordon, reviewed by Thomas F. Krajewski, M.D., in the Journal of Nervous and Mental Disease, Vol. 171, No. 8, Printed in the U.S.A.

The Chronic Mentally Ill: Treatment, Programs, Systems by John A Talbot, Human Sciences Press, New York, 1981 pp. 374, review by Thomas F. Krajewski, M.D. in the Journal of Nervous and Mental Disease, Vol. 173, No. 3

The Family Changes the Hospital, The Psychiatric Hospital and the Family, 7: 143-156, 1982, Spectrum Publication, New York

Elder Interventions: A Guide to Caring for the Elderly with Behavior and Emotional Problems, Thomas F. Krajewski, M.D. Author, House, 2006