Universidad San Ignacio de Loyola (USIL)

Faculty Member, Center for American Education (CAE)

Other Affiliations: A.T. Still University, Health Sciences
Texas Tech University, Health Sciences Center
University of Oxford, Centre for Evidence Based Medicine

Professor

Texas Tech University Health Sciences Center

About

Dr. Palmieri is an American healthcare expert and translational scientist who resides in Lima, Peru. Adopting a holistic approach to translational science, Dr. Palmieri balances professional, academic, research, and community service roles, including: professional work with healthcare providers and insurers; university course instruction and student mentorship; clinical and organizational research; scientific publication and conference presentation; and community volunteerism and financial donations.

His professional work focuses on “tropicalizing” (translating, adapting, and implementing) North American and European healthcare knowledge into system solutions for implementation in developing countries in Latin America. These knowledge areas include: 1) administration, 2) finance, 3) insurance, 4) information technology, 5) architecture, 6) clinical operations, 7) quality improvement, 8) patient safety, 9) risk management, and 10) evidence-based medicine. Through the topicalization process, implementation strategies are developed to transform poorly organized systems into highly reliable systems focused on delivering widely accessible, high quality, and cost effective health services. Dr. Palmieri has experience in developing integrated delivery systems (IDS) development in Latin including strategic planning activities to vertically integrate health assets (insurer and provider) and developmental work to establish internal structures (quality, safety, and risk management) necessary to produced highly reliable patient centered care (improve outcomes, increase access, and reduce costs).

Dr. Palmieri's scholarly work focuses on global health services research in Latin America. He has studied phenomena related to complex adaptive systems, organizational behavior, disease management, and other clinical and management topics with a transdisciplinary lens. In terms of theories, Dr. Palmieri is interested in systems and complexity theories, attribution and leader-member exchange theories, and normal accident and high reliability theories. He has completed studies in patient safety and health outcomes in Peru. Additionally, his focus has broadened to include structuring evidence-based healthcare and disease management programs in developing countries through postdoctoral training at the University of Oxford.

CURRENT BOARD CERTIFICATIONS:  Board Certified Professional in Healthcare Risk Management (American Society for Healthcare Risk Management); Board Certified Professional in Healthcare Quality (National Association for Healthcare Quality); and Board Certified Healthcare Executive (American College of Healthcare Executives).

FUNDED RESEARCH:  Organizational Safety and Culture Survey Reliability and Validity –A Pilot Study, funded with a T-32 Clinical and Translational Science Award (Palmieri, PI) from the Clinical Research Training Programs of the National Institutes of Health, Road Map for Medical Research at the Duke Translational Medicine Institute (Califf, PI).

PREVIOUS FUNDED FELLOWSHIPS:  Health Information Technology Fellow (Duke Health Technology Solutions), Duke University; Fellowship in Patient Safety (Baptist Medical Center), Virginia Commonwealth University; and Fellowship in Healthcare Administration (Avera Health), American College of Healthcare Executives.

ACADEMIC DEGREES:  D.H.Sc. in Global Health Systems; M.A. (Thesis, 2010) in Organizational Behavior and Human Factors; Ed.S. in Educational Technology; Postmaster Graduate Certificate in Adult Education;  Postmaster Graduate Certificate in Patient Safety; M.S.N. in Acute Care Nurse Practitioner, specialized in Nephrology; M.B.A. in Management; B.A. in Business Administration; and A.A. in Liberal Arts.

KEYWORDS:  Organizational behavior; information technology; health care administration; health care leadership; nursing; complexity theory; attribution theory; sociotechnical systems; evidence-based medicine; global health; risk management; quality management; human factors; organizational safety; patient safety; safety science, culture, climate, attitude; James Reason; Swiss cheese model; iatrogenesis; Institute of Medicine; To Err is Human.

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