| PERSONAL | Birth Place: Norfolk, Virginia Citizenship: United States Children: Sarah Toy & Edward M., IV |
| EDUCATION | Georgetown University, Washington, DC. Bachelor of Science (Social Studies), June, 1959 Medical College of Virginia, School of Hospital Administration, Richmond, Virginia Master of Hospital Administration, June, 1969 |
| POSITIONS | E. M. Holmes & Associates 1991-2002 Health Care Consultant, Norfolk / Virginia Beach, Virginia 1985-87 Health Care Consultant, Norfolk, Virginia
Hospital of the University of Pennsylvania (HUP), Philadelphia, Pennsylvania
Sentara Health System, Norfolk, Virginia
Medical College of Virginia, Richmond, Virginia
C. E. Thurston & Sons, Inc., Richmond, Virginia
Life Insurance Company of Virginia, Richmond, Virginia |
| MILITARY SERVICE |
United States Navy - Honorably Discharged August, 1963, Lieutenant, USNR, 1962-63 Heavy Attack Squadron Five (VAH-5), NAS Sanford, Florida - A3D Bombardier / Navigator & Special Weapons Officer 1962-63 USS Forrestal (CVA-59) / Carrier Air Group Eight (CAG-8), Mediterranean & other cruises 1960-61 Naval Training Commands - Newport RI, Pensacola FL, Corpus Christi TX, & Sanford FL |
| 1991-2002 & 1985-1987 |
Health Care Consultant Consulting services covering a rich and diverse range of projects—often involving aeromedical, critical / tertiary care, and / or new and innovative types of health services. Engagements have required a range of efforts: justification / financial impact studies, outreach / marketing plans, and the actual development and implementation of new service concepts. A sampling of efforts is as follows: * Extended engagement as sole health consultant to an American / Russian joint venture developing a health facility with major outpatient services in Moscow, Russia. Involved research and development of all health aspects including defining target populations, determining the initial scope of services and project staffing, a "first stage" medical facility / mini-hospital, and financial performance projections. (Majority control of project was acquired by a Fortune 500 company during mid 1994. The Moscow service was inaugurated in association with a major New York medical center November, 1994) * Developed conceptual model of a combined hospital / hotel physical facility for third world settings. * Performed feasibility studies, assisted with Certificate of Need and Board submittals, and guided the implementation of multiple new hospital-based aeromedical programs. * Performed a financial analysis and program staffing plan for a project involving a L1011 jumbo jet configured and equipped as a flying surgical facility / mini hospital. * Advised physicians / physician groups on new medical ventures / entrepreneurial projects * Developed and implemented both operational and hardware innovations for aeromedical helicopters / industry. * Conducted original research on aeromedical cost issues and developed economic justification schemes. * Developed and maintain an extensive data base of aeromedical helicopter accidents starting with 1972. * Chaired committee that developed major recommendations for a national association's provider categories, membership, and future composition (All adopted by board and membership). * Served clients in Florida, Hawaii, Maine, Mexico, Michigan, New Hampshire, New York, North and South Carolina, Pennsylvania, Texas, Virginia, and Russia. Advised potential projects in Africa, Caribbean Island chain, and South America. * Invited, as only North American, to present a paper at major Latin American EMS Conference in Mexico City, Mexico. * Co-authored several scientific papers and a chapter. (see Publications section below) * Developing a hub / spoke day-hospital plan using rapid shuttle transport to serve under-served remote or rural areas efficiently and at reduced cost. |
| 1987-1991 | Senior Management - University Medical Center * Recruited to develop and implement, on an accelerated basis, a trial project involving a Level One Trauma Center, a Flight Service, associated educational / research components, and all support facilities. * Implemented a highly successful outreach / marketing effort involving 155 hospitals and 100 plus health / safety agencies in an established, highly competitive market. * At the end of the trial period, a Clinical Effectiveness study reported new services had markedly exceeded target projections regarding new admissions and hospital impact and had made a contribution margin to Medical Center of $9.1 million dollars. All services were granted permanent operational status. |
| 1985-1991 | Health Care Consultant - as noted above |
| 1983-1985 | President - Ambulatory Care / New Ventures Corporation * Over a two year period, while starting a new ambulatory care corporation for parent / holding company, developed and implemented the following services: urgent care centers (3), outpatient diagnostic center, IV therapy center, doctors office building, rehabilitation center, home health service, outpatient dialysis center and child care service. * Management efforts led to new corporation achieving break-even in twenty-two months. * Received Board approval to start major health care products dealership and begin advanced planning for a $5.8 million health fitness center. * Chaired committee to coordinate the annual conference of a national association. |
| 1976-1983 | Administrator - Medium General Hospital * Oversaw "downsizing" of 167 bed hospital and construction ($26 million), staffing, equipping, program expansion and occupancy of a new 256 bed hospital located in growth corridor. * Paid off new hospital start-up expenses in record time. * Opened a new Emergency Department and the first free-standing Outpatient Surgery Center in the state. * Implemented one of earliest hospital wide computerized "Order Entry" systems. * Worked with Medical Staff to develop a surgical step-down unit and provide specialized services in Orthopedics, Vascular Surgery, and Breast Reconstruction. * Maintained census at mid to high eighties in a very competitive market. * Oversaw successful management response to organizational effort of parent corporation by 1199C. Union withdrew due to lack of employee interest. * Performed feasibility study, coordinated / submitted an uncontested Certificate of Need, and implemented a medical helicopter ambulance service - the thirty-first in the nation. * Chaired sub-committee to develop policy statement for American Hospital Association. * Served as President of local hospital council * Chaired state committee to develop first Emergency Medical Services plan for Commonwealth. |
| 1969-1976 | Assistant & Associate Administrator - Large General Hospital * Operational responsibility for multiple departments in 750 bed tertiary hospital including Nursing, Operating Room, Emergency Room, Radiology, Laboratory, Medical Records, and Physical Plant. * Administrative lead to the Medical Staff for the development of the Open Heart Surgery Program, Transplant Program, Trauma Service, Biomedical Ethics Review Committee, Chaplaincy Program and major revision of Medical Staff Bylaws. * Wrote and received approval for Certificate of Need for the first brain scanner (EMI) in the Commonwealth of Virginia. * Planned and installed one of the first hospital heliports on the Eastern seaboard to facilitate use of military aircraft to transport rural trauma patients. * Initiated / chaired pilot project to coordinate the medevac of patients by U.S. Coast Guard helicopters from southeastern Virginia / northeastern North Carolina hospitals (1974-76). * Assisted in development of one of the first free-standing municipal rescue services in the country. * Implemented the first regional Hospital Emergency Administrative Radio communications network in the Commonwealth. * Chaired state committee that developed the first EMS vehicle classification system to include aircraft. * A founding member of one of the first regional bio-medical ethics committees. * Principal in the formation of one of the earliest regional Emergency Medical Services councils. |
| Holmes, E.M.: "The Feasibility of Establishing a Helistop at Norfolk General Hospital", a requirement for a Masters Degree, Medical College of Virginia, 1969; (June) Schwab, C.W., Peclet, M., Zakowski, S.W., Holmes, E.M., Forrester, J.C., Hensleigh, C.N.: "The Impact of an Air Ambulance Service on an Established Trauma Center", Journal of Trauma. 1985; 7: 580-586 Rhee, K.J., Holmes, E.M., Moecke, H., Thomas, F.: "A Comparison of Emergency Medical Helicopter Accident Rates in the United States and the Federal Republic of Germany" Aviation, Space & Environmental Medicine, 1990; (August): 750-752 Rhee, K.J., Holmes, E.M., O'Malley, R.J.,: "Helicopter Safety and Medical Transport" Chapter for Problems in Critical Care, 1990 (December); 4: 528-533 Holmes, E.M.: "The Emergency Medical Helicopter - 1945 to the Present", (in preparation) |
| National | American Hospital Association 1980-82 (Vice Chairman 1982) Council on Human Resources 1981--- Chairman - Subcommittee to draft AHA Policy Statement on Human Resources Association of Air Medical Services (Formally ASHBEAMS) 1984-87 Board of Directors (elected as the Eastern Regional Representative 1985-87) 1984--- Chairman - Fifth Annual National ASHBEAMS / NFNA Conference 1985--- Chairman - Ad Hoc Fixed Wing & Rotorcraft Membership Task Force Joint National Committee for Private Initiative in Quality Assurance (PIQuA) 1982-83 Member - representing the American Hospital Association |
| State | Commonwealth of Virginia Governor's Advisory Board for Emergency Medical Services 1974-78 & 1980-86 Representing the Eastern Virginia Medical School 1976-78 & 1981-84 Executive Committee 1974-82 (Chairman 1974-78) - Task Force for Transportation & Communications 1974-82 Task Force on EMS Facilities 1980-84 Chairman - Task Force for Planning & Development 1978-83 & 1985-87 State Medevac Committee 1986-87 Co-Chairman - First Virginia Medevac Conference Diocese of Richmond 1976-79 Medical Ethics Commission Virginia Hospital Association 1974-82 (Vice Chairman 1975) - Emergency Medical Services Committee 1976--- Committee on Nursing 1978-82 Committee on Trauma Center Designation 1981--- Chairman - Accreditation Advisory Committee 1981-82 Chairman - Management-Labor Relations Committee Hospital Association of Pennsylvania 1988-90 Council of Teaching Hospitals Committee on Accredited Trauma Centers Pennsylvania Chapter of Air Medical Services 1988 & 1990 Formation Committee / Member |
| Regional | Eastern Virginia Health Systems Agency 1979-82 Board of Directors 1979-82 Project Review Committee 1980-82 Coordinating Committee Eastern Virginia Medical Authority - Tidewater Rehabilitation Institute Advisory Board 1976-80 Member Eastern Virginia Medical School - Biomedical Ethics Committee 1973-83 (Founding member) Tidewater Emergency Medical Services Council 1971-74 Formation Committee (under Tidewater Regional Health Planning Council) 1974-87 Board of Directors 1987--- Chairman, Finance Committee - Virginia State EMS Conference Planning Committee Tidewater Hospital Council 1973-74 Initiator / Chairman - Emergency & Ambulatory Care Committee 1975 Secretary-Treasurer 1976 Vice-President 1977 President DOS Umbrella (regional computer publication) 1994-97 Board of Directors Tidewater User Group (TUG) 1994-97 (Vice President 1994) - Board of Directors |
| Local | Norfolk Community Mental Health & Mental Retardation Services Board 1981-84 Member - appointed by Norfolk City Council City of Norfolk, Virginia 1973-77 Paramedical Rescue Services Telemetry Project Committee 1973 & 1982 City-wide Disaster Drill (Chairman, Hospital Coordination Committee 1973) Ghent Square Community Association 1986-87 (Vice Chairman 1987) - Board of Directors Philadelphia EMS Advisory Council 1988-90 Ad Hoc Committee, Use of Medical Helicopters in Philadelphia, Pa. Montgomery County (PA) EMS Helicopter Oversight Committee 1989-90 Member |
| Manpower Issues of the 80's, American Hospital Association Human Resource Seminar, Washington, DC, "Competition for Manpower", 10/19/81 Virginia Chapter, American College of Emergency Physicians, Fredericksburg, Virginia, "The Helicopter Ambulance - Its Impact on the EMS System", 11/14/81 The Richmond Academy of Medicine, Richmond, Virginia, "Nightingale - A Hospital-Based Air Ambulance Service", 2/8/83 First Annual Trauma Symposium, Eastern Virginia Medical School, Norfolk, Virginia, "Air Ambulance Systems", 5/13/83 Advances and Controversies in Emergency Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland, "Helicopter Aeromedical Services, Cost and Capabilities", 5/14/85
MBB Seminars, Messerschmitt-Bolkow-Blohm, Downingtown & West Chester, Pennsylvania The 1st Virginia Air Medevac Conference, Virginia Department of Health - Division of Emergency Medical Services, Richmond, Virginia, Conference Moderator, 6/2 & 6/3/87
Annual ASHBEAMS / NFNA Conferences II Reunion de Preparativos para Casos de Desastre, Sociedad Mexicana de Medicina de Urgencias y Desastres, Mexico City, Mexico, "The Multipurpose Medical Helicopter", 9/07/90
Annual EMS Symposium, Virginia Department of Health - Division of Emergency Medical Services |
| United States Navy: 7/05/62 Heavy Attack Wing-One, "Bulls Eye" Club membership 7/62 Heavy Attack Squadron-Five, Letter of Commendation "Top Bombing Crew" 7/63 Heavy Attack Squadron-Five, Letter of Commendation "Top Bombing Crew" 1963 FY Atlantic Fleet, Individual Navy "E" for Horizontal Bombing Tidewater Hospital Council 1977 Award honoring service as President Medical Center Hospitals Board of Directors 3/79 Resolution commending Leigh Memorial management on success of new hospital’s Opening and first year Operations. American Business Women's Association - Hampton Roads Chapter 1980 "Boss of the Year" Eastern Virginia Health Systems Agency 1/04/83 Special resolution for "Outstanding Service" Medical Center Hospitals Medical Staff 4/19/83 Special resolution re "Support and Leadership to the Medical Center Medical Staff" Tidewater Emergency Medical Services Council 1987 Award for "Exceptional Service" Association of Air Medical Services, Boston, MA 9/19/88 Secret election to the "Order of Late Developers - Former Aviation Resource Types" |
| New Health Care Delivery Concepts, Development and Implementation of Quality Services, Marketing, Transportation Issues, Aviation (Private Pilot), Computers (Business & Graphic applications), Writing (articles & monthly columns), Boating, Photography |
