Healthcare Risk GroupProj

3/1/02-present: Faculty physician with the Baptist Medical Center Family Practice residency program.

8/01-3/02: Independent contractor, working as a Hospitalist with St. Vincent’s Primary Care’s hospital team, working Fast Track Emergency Room with Emergency Resource Group, also at St. Vincent Hospital, and working for the Solantic Urgent Care Center.

7/97-8/01: Private practice with the Jacksonville Health Care Group, a primary care practice with multiple office sites; 60% office based and 40% hospital based. Jacksonville Health Care Group, 8316 Maverick Road, #1400, Jacksonville, Florida, 32207, (904) 396-0000

7/91-7/97: Assistant Professor, devoting time to teaching (50%), research (10%), patient care (30%) and administration (10%). Dept. of Community Health and Family Medicine, 653-1 West Eighth St., Jacksonville, Florida, 32209-6511, (904) 549-3193. Office Address, University Family Practice Center, 1266 Lila Street, Jacksonville, Florida, 32208, (904) 549-5800.

7/89-6/91: Clinical experience through the Family Practice Center of the North Carolina Baptist Hospital, during a research fellowship.

3/87-4/89: Fulfilling National Health Service Corp obligation at the Greater Meridian Health Clinic, 2700 6th Street, Meridian, Mississippi, 39301, (606) 693-0118. I was the Acting Medical Director, then Medical Director, as well as maintaining a full-time clinical practice.

7/86-12/86: Private practice with the Sumter Medical Group, based at the Livingston-Tombigbee Regional Medical Center, P.O. Box AA, Livingston, Alabama, 35470, (205) 652-9511.

Education: M.S., Clinical Epidemiology, Wake Forest University, Bowman Gray School of Medicine, 1989-91, in conjunction with a Faculty Development fellowship with the Dept of Community Health and Family Medicine, North Carolina Baptist Hospital.

Family Practice Residency, St. Elizabeth Medical Center, located in Covington (North unit) and Edgewood (South unit), Kentucky, 1983-86.

M.D., University of South Florida, Mobile, Alabama, 1979-83

B.S., University of Alabama, Tuscaloosa, Alabama, 1974-77.

Board status: Family Practice Boards passed July 11, 1986. Recertified, 1992 and 1998.

Certifications: American Association of Hospital Physicians, 2010

American Board of Physician Specialties, 1988. Recertified, 1993 and 1998.

American Board of Family Medicine Executives, 1990. Recertified, 2000

Research: 1993-1997: prospective study of proposed Pap smear abnormality risk factors and their bearing on colposcopy referral. Funded through a Department of Sponsored Research grant, $13,000.

1993-1997: Prospective study of characteristics of women who have early removal of their Norplant contraceptive.

1992: Obesity focus group. Funded through a Division of Sponsored Research New Faculty grant, with matching funds through the Dean, $5,000.

1991: completed a Master's thesis entitled, "Class II Pap Smears, Risk Factors and Colposcopy Referral".

1984-86: St. Elizabeth Family Practice Center, studying: (1) Families and Nursing Home placement, (2) Office glucometer vs. hospital glucose results, (3) Care of the elderly in Northern Kentucky.

1979: University of South Alabama, studying the autoregulation of gastric blood flow.

Hayden, J, Thelen, SM. Chronic Kidney Disease in Primary Care. J Am

Board Fam Med, 23(4):542-550 2010.

DeHaven MJ, Wilson GR and Hayden J. Family practice residency program director’s views on research. Department of Community Health and Family Medicine, University of Florida, Jacksonville, USA. Fam Med, 29(1):33-7 1997 Jan.

Gherghina V, DeHaven MJ and Hayden J. Iron Deficiency Anemia in Children: Update on an Old Problem (abstract). Jacksonville Med.

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Hayden J and Anez L. Right Mandible Swelling of Unknown Origin. Department of Community Health and Family Medicine, University of Florida, Jacksonville, USA. J Fam Prac, 42(4):401-3 1996 Apr.

Hayden, J, DeHaven, MJ. Does Grandma Need Condoms?: Condom Use Among Women in a Family Practice Setting. Department of Community Health and Family Medicine, University of Florida, Jacksonville, USA. Arch Fam Med, 4(3):233-8 1995 Mar.

DeHaven, MJ, Wilson, GR, Hayden, J. Developing a Research Program in a Community-based Department of Family Medicine: One Department's Experience. Fam Med, 26:303-8 1994.

"Managing Obesity". Poster presentation, the 27th Society of Teachers of Family Medicine Annual Spring Conference, Atlanta, Georgia, April 30-May 4, 1994.

Hayden, J. Patient Attitudes Toward Physician Treatment of Obesity. J Fam Prac, 38(1):45-8 1994.

Hayden, J, DeHaven, MJ. Predicting Atypical Pap Smear Progression: A Case-Control Study. Department of Community Health and Family Medicine, University of Florida, Jacksonville, USA. Fam Prac Resrch J, 13(3):233-47 1993.

"Managing Obesity". Poster presentation, College of Medicine Faculty Research Day, Gainesville, Florida, April 21, 1993.

Parrish, D, Dobratz, D, Hayden, J. Maternity Care in Family Practice. Fl Fam Phys 43:17-19 1993.

Letter to the Editor, "Abnormal Pap Smears", Am Fam Phys, 1992;46:1039.

Hayden, J, Funderburk, M. The New and Improved Sports Physical. Jacksonville Med 42:486-91 1991.

"Oxygen Uptake as a Determinant of Gastric Blood Flow Autoregulation," Digestive Diseases and Sciences 27:675-9 1982.

Memberships:

American Academy of Family Medicine

Florida Academy of Family Medicine

Florida Association of Physicians

Awards/Other activities:

Outstanding Faculty Member, 2001-02, St. Vincent’s Family Practice residency

Teacher of the year, 1991-92, Dept. of Community Health and Family Medicine

Teacher of the year, 1992-93, Dept. of Community Health and Family Medicine

Nominated, Clinical Science Teacher of the Year, 1992

Nominated, Clinical Science Teacher of the Year, 1993

Past reviewer for the Archives of Family Medicine

See below for additional information.

Hospital of Hope

Addendum to Resume Submission

Name: John Hayden, MD

Address: 2627 Arlington Ave. City: Jacksonville State: FL Zip: 32218

Phone: 904-308-8382

Enter the requested information:

DEA #: NE5027 Current state license#:

Answer the following questions. If yes, provide reason/explanation:

· Have you at any time lost medical professional liability coverage? No__ X__ Yes____

If yes, explain:

· Loss of DEA number? No__ X__ Yes____

If yes, explain:

· Had privileges/suspended or revoked? No__ X__ Yes____

If yes, explain:

· Any claims filed against your liability coverage? No__ X__ Yes____

If yes, explain:

· Any prior professional disciplinary actions? No__ X__ Yes____

If yes, explain:

By initialing I hereby give my consent and agreement to the following actions:

_JH___ I have received a written copy of the Hospital of Hope applicable rules and regulations.

__ JH___ I agree, in writing, to exhaust administrative internal remedies before litigating adverse credentialing decisions.

__JH___ I hereby, release Hospital of Hope to conduct a background investigation.

John Hayden, MD John Hayden, MD

Printed Name Signature

Written Clinical Privilege Request

I hereby request clinical privileges at the Hospital of Hope. I am only requesting privileges for which I my education, training, current experience, and demonstrated performance I am qualified to perform.

John Hayden, MD John Hayden, MD

Printed Name Signature

( C G ) CunninghamGroup

Medical Malpractice Insurance Specialists

Certificate Holder(s): Insured:

Hospital of Hope John Hayden

One Hospital Road St. Vincent’s Family Medicine Medical City, FL 32256 2627 Arlington Ave.

Jacksonville, FL 32218

CunninghamGroup of Florida certified that professional liability insurance has been issued to the insured name below for the policy period indicated. The insurance afforded by the policy referenced below is not subject to any requirement or condition of any contract or other obligation.

This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the Policy referred to herein.

Insured: John Hayden

Policy Number: CG1234

Policy Period: 1/1/2019 to 12/31/2021

Retroactive Date: 1/1/2018

Limits of Insurance: Each Medical Incident $1,000,000 Aggregate – Policy Period $3,000,000

Policy Type: Permanent Protection Policy

Classification: Physician

· Limits shown may have been reduced by paid claims

Mr. Big Wig Mr. Big Wig

CEO CunninghanGroup Mr. Big Wig

CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE

UNITED STATES DEPATMENT OF JUSTICE

DRUG ENFORCEMENT ADMINISSTRATION

WASINGTON, D.C. 25037

DEA REGISTRATION THIS REGISTRATION FEE

NUMBER EXPIRES PAID

( NE5027 4-30-2018 $1523 )

( Sections 304 and 1008 (21 USC 824 and 958) of the Controlled Substances Act of 1970, as amended, provide that the Attorney General may revoke or suspend a registration to manufacture, distribute, dispense, import or export a controlled substance. ) ( PHYSICIAN 5-01-2015 )SCHEDULES BUSINESS ACTIVITY DATE ISSUED

( J ohn H ayden 2627 Arlington Avenue Jacksonville, FL 32218 )

THIS CERTIFICATE IS NOT TRANSFERABLE ON CHANGE OF OWNERSHIP, CONTROL, LOCATION, BUSINESS ACTIVITY OR VALID AFTER THE EXPIRATION DATE.

HSA4502 Project – Part 2 – Doctor Information

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