Versatile and innovative Senior Director highly experienced in managing hospital and clinic wide quality, patient experience, risk management and performance improvement programs. Hands-on, results driven leadership and management background with a solid track record of success in process optimization and operational transformation. Seeking a position where I can utilize my passion and energy to elevate and engage an organization to reaching its optimal potential.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Senior Director, Quality, Patient Experience, Risk and Performance Improvement
Logan Health-Whitefish (formally North Valley Hospital)
07.2022 - Current
Member of the executive leadership team responsible for directing, developing, implementing and monitoring quality improvement, patient experience, risk management, and ongoing performance improvement initiatives
As a member of the leadership team, responsible for overall success of the organizational strategic plan
Senior executor that oversees the hospital Planetree affiliation that drives our culture and processes for patient, care giver and employee experience, engagement and outcomes
Chairs the Planetree committee and develops strategic plans for measuring the experience outcomes
Develops the Quality and Safety Annual Report to summarize organizational accomplishments and strategic plan on goals to implement and measure the culture of safety and patient experience outcomes every fiscal year
Presents to the Governing Board of Trustees for approval and adoption to implement the strategic plan
Reports to the Governing Board progress and outcomes on an ongoing basis
Regularly provides summary of quality data to Medical Executive Committees, Quality, Foundation, and Governing Boards
Lead and develop initiatives to ensure CMS compliance with Critical Access Hospital Conditions of Participations
Coordinate ongoing training for staff and monitoring compliance with existing and new CMS regulations
Lead hospital and clinic state and federal survey readiness and site surveys
Senior leader that is accountable for risk management mitigation processes, grievance committee and policy committee chair
In addition, oversees hospital and clinic wide emergency preparedness, employee health, security, patient safety, contract and vendor management, population health and implements the Community Health Care Needs (CHNA) and implementation plan
Serves as the Accountable Care Organization (ACO) Champion responsible for implementing and tracking quality, financial and population health outcomes
Accountable for department management including talent acquisition and retention, budget development and financial performance.
Director, Care Continuum and Outpatient Infusion
Logan Health-Whitefish (formally North Valley Hospital)
08.2018 - 07.2023
Responsible for overseeing the daily operations of the care continuum department which includes care managers, social workers, care coordinators, and the outpatient infusion department
Provided leadership in helping patients, families, and caregivers manage their healthcare as they navigate through the outpatient and inpatient setting in a rural care setting
Chaired the NW Montana Care Transitions Community Coalition, which serves as an avenue of subject matter experts in knowledge and engagement of available community resources, providing education and networking and measuring outcomes
Accountable for staff performance management, development, mentoring, counseling, interdepartmental and intradepartmental activities, and process improvement
Accountable for department management including budget development and financial performance
Lead team and engagement in the Share Leadership practice and collaborating councils.
Worked closely with organizational leadership and board of directors to guide operational strategy.
Clinic Quality Coordinator
Logan Health-Whitefish (formally North Valley Hospital)
06.2016 - 08.2018
Worked in collaboration with hospital and clinic leadership, providers, information systems and interdisciplinary workgroups to collect and validate quality data from provider clinics
Collaborated with this same team to optimize processes and make workflow improvements to support provision of quality services across the continuum
Provided coordination to care management and care transitions processes
Lead care coordination initiatives in primary care clinics, designing processes to facilitate the opportunity to improve care and outcomes at the population and individual patient level
Generated and analyzed data from various sources to view population heath trends, identifying health risks and populations, including identifying gaps in care and quality
Conducted quarterly reviews of quality measures and CG-CAPHS survey results for primary care providers to ensure transparency of data and identify opportunity for improvements
Collaborated with community resources, care coalition/navigation teams to share efforts and information on how to optimize care for the patients in our community and strategize on how to address gaps identified
Proactively stayed informed of regulatory changes regarding quality initiatives, reimbursement models, trends, compliance, anticipated changes and the impact to our organization, providers and patients.
Clinical Informatics Coordinator
Logan Health-Whitefish (formally North Valley Hospital)
08.2014 - 06.2016
Supported physicians, clinicians, health care workers, affiliates and partners by providing continuous application support (both on-site and remotely) by troubleshooting and identifying opportunities for clinical information system improvements
Participated in or managed the implementation of new applications, new modules, and new functionality, including documenting workflow and developing training and go-live plans
Assisted providers with onboarding and EMR support, including training, addressing needs and ongoing support to ensure safe and efficient utilization of the EMR
Worked directly with EMR vendor to ensure system readiness, safety and defect tracking operations were in place and optimal
Standardized process to EMR change management in accordance with current evidenced based care, quality initiatives, regulatory and billing compliancy
Participated in or managed the implementation of new applications, new modules, and new functionality, including design, documenting workflow and configuring the application.
Clinical Analyst
Hospira/TheraDoc
12.2012 - 06.2014
Clinical strategic lead of an Innovation Team for the product design and development of a clinical intelligence software product
Prioritized efforts in identifying the current gaps and future needs of health care professionals for analyzing data, Accountable Care Organization establishment, financial transparencies, and efficient data utilization
Collaborated with engineering, marketing and clinical teams, in designing, strategizing, and developing a new generation platform to meet the needs of current and future product performance
Researched current trends and predictions in health care initiatives to be informed of latest laws, recommendations and mandates to facilitate in product development
Lead clinical interviews and focus groups with nurses, physicians, care coordinators, quality directors, IT directors, CEO's, CFO's to aid in efficient product development
As the clinical lead, made recommendations and final decisions of inclusion of product functionality and use cases
Participated in weekly, monthly and quarterly presentations to the leadership team and other team members to keep them informed of progress and development
Established customer trust and relationships by acting as a liaison between customer support and providing clinical expertise.
Systems Validation Clinical Analyst
GE Healthcare
10.2007 - 01.2012
Clinical member of a technology product design and development team
Tested and validated an electronic medical record documentation system, ensuring patient safety and customer recommendations and needs were met
Collaborated with Engineering and Clinical team, in designing and developing electronic documentation and reporting systems for cross clinical customers including: Obstetrics, Newborn Intensive Care, Newborn Care, Postpartum Care, Intensive Care, clinicians, physicians and ancillary professionals
Planned testing efforts to align with agile development practices, developed testing strategies and plans
Designed comprehensive workflow test cases that were executed throughout phases of product development, ensuring user needs and requirements met
Completed monthly defect trend analysis escapes and devised plans, improving patient safety and customer satisfaction
Received numerous Healthcare Hero Awards for dedication, teamwork and innovation.
Registered Nurse
GOOD SHEPHERD HOSPITAL
01.2002 - 01.2007
Participated in job sharing with Good Shepherd Hospital under the management of Lutheran General Hospital, bringing Level 3 experience to the unit
Attended high risk deliveries, transport of infants to the Special Care Nursery or the Admitting Nursery
Provided admission criteria working with a neonatologist or pediatrician.
Registered Nurse
LUTHERAN GENERAL HOSPITAL
01.1999 - 01.2007
Provided bedside nursing to critically ill newborns in a Level 3 Neonatal Intensive Care Unit
Collaborated with a multi-disciplinary team including neonatologist, care managers, residents, medical students, sub-specialists and therapists.
Registered Nurse
EVANSTON HOSPITAL
01.1997 - 01.1999
Delivered patient care on a Neuro-Surgical unit
Cared for patients with a wide variety of diagnoses and treatments including neurology, neurosurgery, renal, orthopedic and trauma cases.
Education
BS in Nursing -
Lewis University
Romeoville, IL
Skills
Creativity and Innovation
Legal and Regulatory Compliance
People Management
Organizational Development
Strategic Planning
Financial Management
Rules and Regulations
Verbal and Written Communication
Project Management
Operations Management
Data Analytics
Policy Implementation
Key Performance Indicators
Team Building and Motivation
Culture Transformation
Certification
Licensed Registered Nurse, Montana
Accomplishments
In July 2023, Logan Health-Whitefish was award a 5 Star Overall Composite and Patient Experience rating from CMS (Center for Medicare and Medicaid Services), the highest rating achievable, and the first time the organization has historically achieved.
Improved hospital overall Willingness to Recommend CMS category to a 5 Star.
Awarded numerous Montana Performance Improvement Network (PIN) awards, most recently in 2023 the PIN award for Discharge and Care Transitions.
Logan Health-Whitefish was awarded as one of the top 100 CAH's in the country 2019, 2020, 2021 and 2023 by The Chartis Center for Rural Health.
Awarded Top 20 CAH's in America by Chartis for 2022.
Selected to present at the 2020 Rural Healthcare Leadership Conference in Phoenix, AZ on how a strategic plan was implemented to achieve a 5 Star CMS rating in care transitions.
References
References available upon request.
Timeline
Senior Director, Quality, Patient Experience, Risk and Performance Improvement
Logan Health-Whitefish (formally North Valley Hospital)
07.2022 - Current
Director, Care Continuum and Outpatient Infusion
Logan Health-Whitefish (formally North Valley Hospital)
08.2018 - 07.2023
Clinic Quality Coordinator
Logan Health-Whitefish (formally North Valley Hospital)
06.2016 - 08.2018
Clinical Informatics Coordinator
Logan Health-Whitefish (formally North Valley Hospital)
Certified Medical Assistant at Rivers Health Formally Pleasant Valley HospitalCertified Medical Assistant at Rivers Health Formally Pleasant Valley Hospital