Forward-thinking executive professional with over 20 years of managerial experience. Collaborates with cross-functional teams to achieve goals and deliver optimal results. Adept at evaluating complex issues, identifying solutions, and implementing innovative practices. Proven track record of driving organizational growth and profitability.
Overview
13
13
years of professional experience
Work History
Director Performance
Commonwealth Care Alliance
01.2021 - Current
Management & Improvement
Direct Reports: 3
Commonwealth Care Alliance is focused on sustainable evidence-based healthcare that fills important gaps in care to improve health and well-being of people with significant needs
Commonwealth Care Alliance has a unique model of “uncommon care” and has achieved quality outcomes and lower cost
Collaborates with the CCA leadership team to ensure comprehensive attainment of CCA program goals
Collaborates with the leadership teams and staff across products and markets to develop strategies and processes to support achievement of publicly reported outcome metrics
Directs and oversees the on-going development and operations of CCA’s quality improvement committee
Maintains National Committee for Quality Assurance (NCQA/HEDIS) requirements and other regulatory State and contractual requirements
Is an integral member of the technical assistance meetings with MassHealth
Developed a quality measure framework within clinical operations by communicating a compelling vision and strategy, creating energy and optimism for future success, while building partnerships with peers, leaders, and teams
Led and owned an organizational performance improvement project (PIP) with MassHealth which focused on connecting with unengaged and unreachable members
The PIP successfully scored 98%
Developed a carefully planned care plan documentation compliance tracker by stimulating a free flow of information and communication, up, down, and across the organization while encouraging expression of opinions and ideas
This work and tracker resulted in a >than 500% increase in care plan compliance/completion
Instrumental leader to initiate, develop and execute the clinical leadership dashboard (scorecards) resulting in the ability of leadership visualizing outcomes measures and key performance indicators with the benefit of this key information available in one place
Implemented quarterly purposeful rounding with care team staff within the clinical teams, analyzed feedback, and collaborated with stakeholders for improvements
Led and owned the development of a members falls program to reduce emergency department visits and inpatient admissions and the costs of care associated with member falls.
Director Quality and Risk
Fairlawn Rehabilitation Hospital
01.2020 - 01.2021
Management
Direct Reports: 4
At Fairlawn Rehabilitation Hospital, an affiliate of Encompass Health, we are committed to helping patients regain independence after a life-changing illness or injury
Serving Massachusetts and the greater Boston area, we are a leading provider of rehabilitation after stroke, Parkinson’s, brain injury and other complex neurological and orthopedic conditions
Engages staff to create an environment and culture that enables the facility to fulfill its mission
Facilitating staff accountability for their performance, and motivating staff to improve their performance
Manages, directs, and plans all aspects of Quality and Risk Management
Responsible for a hospital -wide quality management program and works with hospital administration, departments, and the medical staff to monitor and evaluate the quality of delivery of patient care services within the hospital
Ensures proper compliance with regulatory agencies, accrediting bodies, corporate and hospital policies, and procedures and works to develop, implement, and maintain quality assessment and improvement programs within the facility
Successfully created quarterly, semi-annual, and annual reports to the Board of Registration in Medicine (BORiM)
Effectively facilitated performance improvement (PDCA) activities for patient care metric improvement
Successfully worked with multidisciplinary teams to decrease fall and wound rates at or below the regional and national benchmarks
Provides hospital education to new and existing staff
Promotes and maintains an inclusive work environment and culture that is respectful and accepting of diversity
Created process for contract evaluation from a quality metric perspective.
Consultant
Connecticut Hospital Association
01.2018 - 01.2021
Radiation Dose Management CollaborativeParticipating Hospitals to Date
Founded in 1919, the Connecticut Hospital Association (CHA) represents hospitals and health-related organizations
With more than 140 members, CHA is one of the most respected hospital associations in the nation
CHA and its members established the first statewide data repository in the United States, leveraging radiation dose measurement and analysis software
This data repository provides member hospitals with the ability to support dose compliance, safety and hospital quality initiatives
Assists with desired outcomes for Radiation Dose Management reduction solutions
Works with membership to identify and prioritize areas of greatest variation and development of best practices
Validate and verify equipment lists and naming conventions
Works with member hospitals and data teams for expectations of reporting mechanisms and analytics
Works with hospitals to validate results, process improvement and develop frameworks for root cause analysis for dose levels exceeding established dose reference levels.
Operations Director
Day Kimball Healthcare, Invasive Cardiology
01.2019 - 01.2020
Direct Reports: 50+ (COVID Furlough)
Day Kimball Healthcare is the premier provider of integrated healthcare services in Northeast Connecticut and nearby Massachusetts and Rhode Island
We provide high quality, compassionate care close to home through Day Kimball Hospital, Day Kimball Medical Group and Day Kimball Healthcare at Home (which includes HomeCare, HomeMakers and Hospice & Palliative Care) as well as healthcare centers in Danielson, Dayville, Plainfield and Putnam
Worked in partnership with legal counsel to submit a comprehensive application of certificate of need (CON) for a SPECT CT scanner
Successful 2019 DPH /DEEP re-licensure survey for reporting areas – zero findings / deficiencies
Responsible for and provides oversight for departmental quality initiatives and reporting to the Board Quality Committee
Successful implementation of programs which offer lung cancer screening and mammography screening for those who are under or uninsured in partnership with oncology
Successfully mentors’ supervisors by cultivating their gifts for the purpose of the positive exchange of ideas, information and opinions in support of our mission and sense of community for those we serve in the community
Successfully writes business letters and reports using subscribed formats.
01.2016 - 01.2018
Direct Reports: 4 FTEs
Indirect Reports: 4 FTEs
Trinity Health Of New England is currently composed of Saint Francis Hospital Medical Center, Mount Sanai Rehabilitation Hospital, Mercy Hospital (Springfield, ), Saint Mary’s Hospital and Johnson Memorial Hospital
Our primary focus was maintaining an effective Integrity and compliance program in all operations and professional business conduct
Responsible for Trinity Health of New England’s Audit and Monitoring program for all ministries and affiliates
Drafted annual Audit and Monitoring work plan for Trinity Health of New England
Conducted reviews, assessments and audits on identified potential risk areas by reviewing practice, current controls, medical record documentation and billing
Drafted audit findings report and provide recommendations for management corrective action
Maintains knowledge of industry and healthcare trends with regulatory agencies
Developed and regionalized Integrity & Compliance standard operating procedures specific to audits and monitoring
Regionalized ‘Hot Line’ system that provides employees and others the opportunity to report issues and concerns, including potential violations of laws and regulations
Monitored changes in laws and regulations, investigated and responded to identified compliance issues.
Regional Director
Trinity Health of New England
01.2012 - 01.2018
Assistant Vice President
Johnson Memorial Hospital
01.2014 - 01.2016
Gross Revenue: $69,578,000
Operating Budget: $12,817,805
Direct Reports: 9 FTEs
Indirect Reports: 88 FTEs
Johnson Memorial Hospital is part of the Trinity Health Of New England Hartford market and is licensed for 92 beds
Rolled out high reliability patient safety initiative to all colleagues at JMH
Developed a multi-disciplinary work plan using Press Ganey research and best practice for the purpose of engaging colleagues to achieve the goal of moving from the Medicare star rating of 3 to 4 stars
Responsible for budgets and oversight of the Pharmacy, Laboratory, Radiology & Imaging, Compliance, Patient Experience, Risk Management and Quality
Reviewed financial statements and data to improve operational efficiency
Recommended effective strategies for the financial well-being of Johnson Memorial Hospital
Improved processes and policies in support of organizational goals
Monitored adherence to rules, regulations and procedures
Assisted in recruitment and placement of required staff; establishment of organizational structure; delegation of tasks and accountabilities
Established work schedules
Supervised staff
Monitored and evaluated direct report performance and productivity
Monitored, managed and improved the efficiency of support services
Facilitated coordination and communication between support functions
Liaison with the President and Governing Body
Assisted in the development of strategic plans for operational activity
Implemented and managed operational plans
Developed comprehensive patient experience work plan with the purpose of improving the overall patient experience
Managed system complaint and grievance process leveraging the MIDAS application system
Developed and maintained internal patient experience and Quality Assurance / Performance Improvement (QA/PI) dashboards
Facilitated and managed all regulatory surveys to include the Joint Commission and DPH survey accreditation and licensure.
Director
Johnson Memorial Hospital
01.2012 - 01.2014
Identified process improvement opportunities through analysis of comparative and internal data collection
Assigned preordination and follow through on those activities, including identification of outcome measurements for QA/PI, which contributed to the achievement of fiscal and quality goals
Coordinated data collection, report preparation, and correspondence pertaining to the QA/PI program with payers, collaborating agencies and regulatory bodies
Coached and championed the organizations quality agenda
Worked with line managers and medical leaders to build a continuous quality improvement program and was responsible for all quality assurance efforts within the health system
Worked closely with medical staff leadership integrating quality data into physician performance improvement activities
Under the direction of the Chief Medical Officer, facilitated the physician peer review program and coordinated credentialing information
Reviewed and revised hospital-wide QA/PI plan and developed annual quality improvement measures and goals in collaboration with senior leadership.
Education
High School Diploma -
Agawam High School
Agawam, MA
Associate - science
Holyoke Community College
Holyoke, MA
Bachelors - science, Liberal Studies
Assumption College
Worcester, MA
Masters in business administration - Entrepreneurial Thinking and Innovative Practices
Bay Path University
Longmeadow, MA
Skills
Areas of expertise include:
Process Optimization Project Management
Team Motivation Engagement and Management Metrics
Manages all regulatory site visits: Mitigating Survey Deficiencies
(DPH, CMS, JC, FDA, and others) Cost Reduction
Operational and Strategic Planning Customer / Patient Relations
Quality and Performance Improvement
Affiliations
CPHQ – Certified Professional Healthcare Quality
ARRT – American Registry of Radiologic Technologists; Radiography and Computed Tomography
Licensed in Massachusetts
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Timeline
Director Performance
Commonwealth Care Alliance
01.2021 - Current
Director Quality and Risk
Fairlawn Rehabilitation Hospital
01.2020 - 01.2021
Operations Director
Day Kimball Healthcare, Invasive Cardiology
01.2019 - 01.2020
Consultant
Connecticut Hospital Association
01.2018 - 01.2021
01.2016 - 01.2018
Assistant Vice President
Johnson Memorial Hospital
01.2014 - 01.2016
Regional Director
Trinity Health of New England
01.2012 - 01.2018
Director
Johnson Memorial Hospital
01.2012 - 01.2014
High School Diploma -
Agawam High School
Associate - science
Holyoke Community College
Bachelors - science, Liberal Studies
Assumption College
Masters in business administration - Entrepreneurial Thinking and Innovative Practices