Randy is a faculty member of The Dartmouth Institute Microsystem Academy’s eCoach-the-Coach Program, a private consultant at Randy Messier, LLC, and an associate at the Tupelo Group. He is certified as an NCQA Primary Care Medical Home Content Expert as well as a Level 3 Clinical Microsystems Coach. Randy consults with many hospital based and private primary care clinics, as well as with the Cystic Fibrosis Foundation. He also consults with the Vermont Medical Societies Physician Foundation working to create physician leadership and education communities. Randy has 28 years of experience in all aspects of health care from laboratory and hospital facility based management to outpatient primary care clinic management as well as NCQA Medical Home and Community Care Team development within VT, NH, ME, and VA. Randy is Adjunct Clinical Faculty and a member of the Curriculum Committee in the Medical Laboratory Sciences program at the University of Vermont.