Sandra D. Fritzsch RN JD

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1 Sandra D. Fritzsch RN JD Current Experience 2005-Current Consultant in the Chronic Renal Disease CKD) Industry for the development and certification of CKD dialysis facilities. Have participated in the development of 175 Dialysis Facilities. Administrative Consultant for a Home Program in Boston, MA & Lousiville, Ky, Cincinnati Ohio. Management Firm for over 250 patients in Texas Current-Three facilities in various phases of the Development Process Development of a complete set of Policies and Procedures for the operation and management of a CKD Facility. Experience Renal Ventures Management Golden, CO VP of Facility/Business Development /Corporate Officer Responsible for the development, construction, and certification of three facilities located in Texas, New Jersey, and West Virginia. Six more facilities in various stages of development. Development of a new corporate initiative for management services and coordinated the recruitment and implementation of the first ESRD Facility Management Agreement finalized May 2005, which incorporated over 150 new patients. Developed multiple physician contacts for future JV relationships. Participated in the analysis and implementation of a Professional Employer Organization, which incorporates all employee benefits for RVM and management services employees. Analyzed/monitor all General and Professional liability insurance requirements. Participate in the financial management of the facilities through supply contract analysis, reducing costs associated with various service agreements, and personnel cost management. Performed various compliance audits for the ESRD facilities. Organized for each facility the corporate administrative compliance manuals, which hold all required facility formation and legal documents. Responsible for the development of the RVM web page and educational reference links. Chair of the Corporate Quality Committee with Corporate Quality Medical Director. Assisted with the development of the corporate quality indicator goals. Developed multiple marketing tools at both corporate and facility level.

2 WellBound Inc. Mountain View, Ca VP of Facility Development/Business Development Assisted in the development of a new start-up home therapy company. Projects include input in the financial proforma and analysis tools for the presentations to Physician Joint Venture partners. Input into the Physician Joint Venture Model & Legal Structure and Medical Director Agreements. Chaired the Policy and Procedure development committee. Personally responsible for the development of the HIPPA compliance policies. Input into the development of the Clinical Information Systems. Responsible for the development, construction, and certification of the first three facilities located in California Fresenius Medical Care Boston, MA FMC acquired EHCSC 2001 Vice President of Internal Development- South Business Unit Facility Development for DeNovos, Expansions, and Relocations. 77 active projects in various phases of development. Development included review of patient demographics and project viability, site selection, lease negotiations, facility design, construction management, Regulatory Compliance with all permits and certifications, and transition to the clinical team. Responsible for the Certificate of Need Process in Illinois, which included pre/post permit filings. Developed with the Corporate Office new tools and systems for proje development to decrease the total time frame for the project process Everest Healthcare, Inc Chicago, IL Everest Healthcare acquired HDA 1997 Director of Development/Facilities Responsible for the Facility Development Process, which included identification of Project Need, input into the financial proforma, analysis of economic impact, coordination, construction, & control of project till ESRD certification. Responsible for the facility leases which included site development, negotiations, renewal, and maintenance of the lease documents and associated expenses. Due Diligence review of a potential target acquisition and the transition of the entity into EHCSC. This included assisting with financial review of the pending purchase price and the confirmation of the data submitted by the target acquisition. Corporate Legal review of multiple projects and contracts. Developed Regulatory Compliance Manuals and coordinated compiling the data to be maintained at the facility level, corporate level, and at the outside counsel data room.

3 Initiated programs and tracking systems to facilitate compliance to federal, state, and local regulatory statutes. Chairperson for the Policy and Procedure Committee. Two-year project resulted in the development of 11 new manuals and 550 new policies. Coordinated implementation of polices to the facilities and management Chairperson for the Medical Record Committee Chairperson for the Product Evaluation Committee Home Dialysis of America Tucson, AZ HDA was acquired by EHCSC in Regional Director Midwest Responsible for the Development Process of 14 new ESRD facilities and multiple acute hemodialysis programs. Direct Supervision of 18 ESRD facilities in the Midwest region. Developed and assisted in the implementation of an effective CQI program. *Joint Venture Partner in multiple HDA ESRD facilities The Christ Hospital. Cincinnati, OH Director of Nephrology Responsible for the operational and financial management of the Renal Division. Dialysis Therapies included Hemodialysis, peritoneal dialysis, and kidney transplantation. Chairperson for the Departmental QA program. Established Physician Peer Review for the Renal Division The Christ Hospital Cincinnati, OH Nephrology Manager The Christ Hospital Cincinnati, OH Head Nurse Peritoneal Dialysis The Christ Hospital Cincinnati, OH Staff Nurse Hemodialysis and Peritoneal Dialysis

4 Education Salmon P. Chase, Evening Division Highland Heights, KY Juris Doctor St. Joseph s College North Windham, Maine BS Business Administration Community Hospital of Springfield Springfield, Ohio Nursing Diploma Central State University Zenia, Ohio Associate Degree, Arts & Sciences Additional Professional activities Medical Review Board of the Renal Network 9 & NRAA Communications Committee Professional Memberships, Licensures & Awards Professional Memberships: American Nephrology Nurse Association National Renal Administrators Licensures: State of Ohio, Board of Nursing Education and Nurse Registration 1976-present The Supreme Court of Ohio Attorney Registration 1994-present Nephrology Nursing Certification Awards: Chairman s Award in Recognition of Outstanding Contribution to the Everest Corporation (Employee of the Year). 1997

5 Research Work Presented or Published 1. Efficacy of Interperitoneal Clindamycinin Refractory Peritonitis, Report of Two Cases, L. Cohen, M.D., D. Keller, R.N. Peritoneal Dialysis Bulletin, April, June Research in cooperation with Sandra Fritzsch, R.N. 2. Continuous Cyclic Peritoneal Dialysis (CCPD) Becomes an Economical Modality when Performed without Drain Bags, Does not increase the Risk of Peritonitis. Presented at the American Association of Nephrology Nurses and Technicians, Hollywood, Florida, May The presentation was written in cooperation with D. Keller, R. N., B.S.N. 3. Provision of Accurate Documentation of Dialysis Treatments Can Be Achieved in Creative Format without Duplicate Charting. Poster presentation at the American Nephrology Nurses Association, San Diego, California, May The poster presentation was completed in cooperation with D. Keller, R.N. and J. Smith., R.N. 4. Overcoming Hurdles to Peritoneal Dialysis Growth, Patient Selection. Presented at the Seminar, Special Clinical Issues in the Established Growth Oriented Peritoneal Dialysis Program. Sponsored by Travenol Labs, Inc., Chicago, Illinois, October, CCPD. Presented at the seminar, Special Clinical Issues in Established, Growth-Oriented Peritoneal Dialysis Programs. Sponsored by Travenol Labs, Inc. Chicago, Illinois, October, Quality Assurance. CAPD Specific Poster Presentation at the CAPD 7 th National Symposium, Kansas City, Missouri, February Easy Lock Exchange Procedure. Poster and Procedure Presentation at the CAPD 7 th National Symposium, Kansas City, Missouri, February, Individualization of Dialysis Prescription to Improve Clearances, Ultrafiltration, and Patient Acceptance. L. Cohen, M.D., S. Fritzsch, R.N. Presented and Published at the IV Congress of the International Society for Peritoneal Dialysis. Venice Italy, July Patient Selection-Modality Conferences. Presented at the peritoneal Seminars sponsored by Baxter Labs, Inc., Indianapolis, Indiana, October Use of Multiple Exchange Systems. Presented in a poster presentation at the 9 th annual Conference on Peritoneal Dialysis, February A Clinical Study of 2.5 Liter CAPD Exchanges. Presented in a Poster Presentation at the 9 th annual Conference on Peritoneal Dialysis, February Quantifying Patient Acuity to Determine Staffing Needs. Presented at the American Nephrology Nurses Association, Dallas, Texas, May, Research in cooperation with E. Berilla, R.N., and V. Holmes, BS, B.S.N. 13. Short Dialysis Therapies: An Overview. A panel discussion presented at the Council of Nephrology Nurses and Technicians/the National Kidney foundation, Inc., Cincinnati, Ohio, April 28, OSHA Inspection How One Facility Fared. NRAA Journal. Vol. 10. Number 1: Spring, Peritoneal Dialysis: Care of the Critically Ill Renal Patient. Presented at the American Association of Critical Care Nurses, Cincinnati, Ohio: 3 Oct., Quantifying Patient Acuity to Determine Staffing Needs. NRAA Journal. Vol. 11. Number 1: Spring, Computerization: The Integration Process for Hospital Based Facilities. NRAA Journal. Vol. 12. Number 1: Spring Vancomycin-Resistant Enterococcus (VRE) Infection is a rare complication in Out-Patient Peritoneal Dialysis Patients. Paul Zabetakis, Claire Callahan, Randi Krapf, Clare Sasak, Sandra Fritzsch, Alan Pollock, Paul Balter, And Michael F. Michelis. Abstract presentation at the 30 th Annual ASN Meeting Nov The Provider s Challenge-Balancing Provision of Care, Setting Reasonable Expectations & Enforcing Consequences: A Legal Perspective. Presented at the 2003 Nephrology Conference, Indianapolis, Indiana: May 17, 2003.

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