Fastrack's Team

On-Line Purchasing


Order from vendors without the time consuming phone calls or faxes. Order on-line from Invacare Supply Group, Medline, Gulf South, McKesson, First Choice, Independence Medical and other wholesalers and manufacturers.

Networking Web Portal


Now your business partners can securely access and enter data via the web. Physicians can complete CMNs on-line. Referral sources can enter new patients. Sales Reps and clients can enter orders, virtually eliminating the need to enter data in the office.

Internet StoreFront


The Fastrack StoreFront offers providers a full solution to create a professional Internet presence to start generating additional revenue, accept insurance, credit and debit cards, Paypal and more. Orders and client information flow directly into the Fastrack System.

Available Standalone or
Integrated with Fastrack!



Our Team




Document Management


Facilitates the creation of a separate ERN835 for each patient, placing a copy in the patient record. Batch scan documents including delivery tickets for automatic insertion into the patient record.


Fastrack is very proud of the team we have assembled, comprised of information systems and Home Healthcare professionals from all over the United States.


Spencer Kay


Spencer is the founder of Fastrack Healthcare Systems which was started in 1994. In addition to the day to day operation of the business, Spencer oversees the marketing and sales with focus on business development as well as growth strategies.  From 1992-1994 he was Senior Vice President of Sandata, Inc, at the time a public company, overseeing their healthcare software division with products for Home Medical Equipment providers, Home Care Agencies, Medical Waste Management and Radiology departments within hospitals. Previous to this he was the President of a wholesale distributor of computer products, President of a software system for dentist and the International Sales Manager for a division of NCR.  Spencer has an MBA in International Business from George Washington University and a B.A. in Economics from Long Island University.



Jose Nebro

Sr. Vice President

Jose has over 22 years of experience in Health Care IT and is presently Senior Vice President of Fastrack. His responsibilities include; overseeing software development, technical support, quality assurance and customer service. Jose has been with the company since its founding in 1994.   In 1995 Jose lead the development effort that resulted in the first Windows based Home Medical Equipment software system. Jose was a Systems Developer with Sandata, Inc., a Home Healthcare software vendor from 1990 through 1994 and played a lead role in re-engineering their UNIX system for Home Medical Equipment providers.  While with the Sperry Corporation he was involved in the development of an advanced computerized traffic system. Jose brings a unique perspective to his role having come first from an IT background with experience in network infrastructure design as well as software design.  Jose has a degree in Computer Science from  CUNY -Queens College in New York City.



Kim Commito

Dir. of Homecare Services

Kimberly resides in Chicago, Illinois and has been part of the healthcare industry since 1985.  Working in Private Practice Management and Reimbursement, Clinical Pharmaceutical Research, Hospital Administration, Development of Pediatric Support Groups in the Chicago area for children with Crohn’s and Colitis, Home Infusion Operations and Technology and Consulting for Home Health Care, there is wide range of experience to draw upon for business management in the Healthcare industry.  Her past 15+ years have been dedicated to the Home Infusion, Durable Medical Equipment and Home Health arenas in the areas of Operational Management for Intake, Reimbursement and Quality Assurance.  In the past 20 years she owned her own consulting company and has assisted over 100 Home Health providers in system implementations, optimization and development, as well as operational process development and enhancement.  Having been an active part of the National Home Infusion Association has provided her opportunities for General Session speaking engagements and publication regarding the successes and pitfalls of system implementations from an operational perspective.  Kimberly currently helps to drive the appropriate development of the clinical aspects of Fastrack’s Enterprise Software solution, specifically in the areas of Home Infusion Pharmacy and Home Health Nursing.  She has been with the company for over 9 years.  In addition, she ensures that Fastrack’s integrated customers are successful in the implementation and ongoing use of the various technology offerings Fastrack provides.  Finally, consulting in the areas of Process development and documentation is another area of expertise offered to our user population, ensuring an ongoing partnership for success between Fastrack and our customers.


Gail Zainfeld

Director of Training & Implementation Services

Gail is the Director of Implementation and Training overseeing a staff of 6 trainers.   Gail started her career with Fastrack in 1996 working in the support department eventually becoming the manager of Help Desk before moving to the Training Department.   Prior to joining Fastrack she worked for a Fastrack client, Homecare Concepts in Farmingdale, New York, a Home Medical Equipment provider for 8 years holding various positions including Office Manager.  Gail earned her Bachelor’s degree in Marketing and Management from Long Island University-CW Post.  In her leisure time, Gail spends time traveling, entertaining; working with her charitable organization “Cure Mommy’s Breast Cancer”, but most of all enjoys the lifestyle of living in the beach town of Long Beach, NY. 



Customer Service/Implementation

Fastrack employs only individuals with actual healthcare experience in its Customer Service and Implementation/Training Departments.


What this means to Providers is Fastrack’s staff understands your business and speaks your language.


Quality Assurance
Fastrack's commitment to quality is evident by the increasing expansion of the QA department and the tools at their disposal.  Our Development Programmers and Documentation staff work closely with QA to insure we are providing the best possible products.

Development Programmers
Our team of Programmers are actively engaged with a significant number of our clients to insure we are meeting the needs of the providers community.  The staff is involved in new development of functionality, meeting regulatory changes and custom programming projects.

Technical Support
The Fastrack Technical support staff offers extensive knowledge in the Microsoft SQL database, Windows operating system, computer hardware and the Fastrack Applications.  This expertise allows for a quick diagnosis and resolution to our client's technical issues.