Alison Gwynne

• Led Quality Assessment and Performance Improvement (QAPI) program to enhance patient care and safety.
• Lead the Quality Assessment and Performance Improvement (QAPI) program.
• Analyzed quality, patient safety, and risk data to drive targeted performance improvement initiatives.
• Direct Joint Commission survey preparedness through tracers, policy review, and staff education.
• Facilitated interdisciplinary quality improvement projects and corrective action planning to address identified issues.
• Led interdisciplinary teams to improve service coordination, communication, and treatment execution.
• Directed daily operations, aligning clinical workflows with organizational goals and patient care standards.
• Oversaw staffing, scheduling, and resource allocation to maintain efficient department coverage.
• Implemented process improvements that strengthened compliance, documentation accuracy, and operational consistency.
• Collaborated with physicians, nurses, and case managers to support patient-centered care delivery.
• Coached supervisors and staff on policies, procedures, and continuous improvement expectations.
• Monitored quality indicators and addressed performance gaps through targeted corrective actions.
• Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
• Managed budgets effectively to ensure optimal use of resources while maintaining financial stability.
• Facilitated cross-functional collaboration for improved decision-making processes within the organization.

• Direct organizational risk management activities to identify, evaluate, and reduce risks related to patient safety, staff safety, regulatory compliance, liability exposure, and daily operations.
• Manage healthcare-related projects focused on patient safety, incident review, grievance response, regulatory readiness, process improvement, documentation practices, and risk reduction.
• Advanced PACT initiative through promotion of patient-centered communication, accountability, teamwork, and timely follow-up on safety events, complaints, and care concerns.
• Collaborate with providers, department leaders, medical staff, and interdisciplinary teams to support PACT goals through improved communication, consistent follow-up, and shared ownership of patient safety outcomes.
• Reviewed and investigated reported safety events, patient complaints, grievances, and potential liability concerns, ensuring thorough follow-up and resolution.
• Coordinate event reviews and corrective action planning to ensure concerns are addressed promptly and aligned with organizational quality and safety expectations.
• Prepare professional case summaries, peer review materials, grievance reports, board updates, and leadership reports in a factual, organized, and executive-ready format.
• Lead and participate in root cause analyses, incident reviews, and performance improvement activities to support safer patient care and reduce repeat events.
• Monitored trends in incident reporting, complaints, grievances, and safety concerns to identify improvement opportunities and proactively mitigate risks.
• Collaborate with legal counsel, compliance, quality, patient experience, security, and clinical leadership regarding risk concerns, follow-up actions, and organizational response.
• Support regulatory readiness through policy review, documentation audits, staff education, survey preparation, and leadership communication.
• Prepare reports and trend analyses for leadership to support planning, accountability, and organizational decision-making.
• Directed enterprise risk management programs supporting patient safety, compliance, and operational resilience.
• Led investigation and root-cause analysis for sentinel events, near misses, and adverse incidents.
• Oversaw incident reporting workflows, ensuring timely review, documentation, and escalation.

• Led infection prevention projects and department-level initiatives to improve compliance, reduce infection risks, and support organizational quality and safety goals.
• Managed healthcare-related projects involving infection surveillance, outbreak investigations, staff education, regulatory reporting, policy development, and process improvement.
• Coordinated with healthcare leaders, providers, medical staff, and interdisciplinary teams to analyze infection trends, address concerns, and implement corrective action plans that enhanced patient safety.
• Supported provider relations and medical staff communication by preparing reports, reviewing infection prevention concerns, and assisting with follow-up actions.
• Collaborated with medical staff services, department leaders, and frontline staff to ensure infection prevention practices aligned with regulatory requirements and organizational standards.
• Established and implemented infection prevention policies and procedures that strengthened departmental operations and contributed to improved infection control outcomes.
• Investigated potential outbreaks and revised control measures to reduce recurrence and prevent future incidents.
• Educated staff on infection prevention practices related to influenza, gastroenteritis, healthcare-associated infections, isolation precautions, and other communicable illnesses.
• Conducted ongoing surveillance of healthcare-associated infections to ensure accurate data collection, enforce control procedures, and guide effective staff interventions.
• Developed staff training programs to support understanding and consistent implementation of infection prevention practices.
• Performed preventive rounding, risk assessments, and procedural reviews to maintain safety standards and reduce the spread of infection and disease.
• Collected, analyzed, and reported infection data for quality improvement, leadership review, and regulatory compliance.

• Managed employee health initiatives and healthcare-related projects to reduce communicable disease risk and support organizational safety goals.
• Implemented employee immunization plans to minimize the spread of communicable diseases, including influenza and other vaccine-preventable illnesses.
• Coordinated with department leaders, providers, and staff to support employee health requirements, onboarding compliance, annual health reviews, and follow-up needs.
• Ensured accuracy of employee health documentation, screenings, and immunization records to enhance provider relations and medical staff readiness.
• Documented employee health information in ReadySet and maintained accurate, detailed records, reports, and compliance documentation.
• Administered routine immunizations, including influenza and tetanus vaccines, to reduce infection risk among staff.
• Performed medical testing, vision screenings, and hearing screenings to identify health risks and support employee wellness.
• Educated employees on safety practices, communicable disease prevention, and wellness to promote a healthier workplace environment.
• Summarized employee health data in trend reports for leadership, identifying patterns to inform future health initiatives.
• Collaborated with infection prevention, leadership, and frontline departments to support employee safety, regulatory compliance, and organizational health initiatives.

• Documented patient progress, medication administration, and nursing care to ensure accurate records and facilitate effective care.
• Provided direct patient care, including vital signs, wound care, basic treatments, and ongoing patient monitoring.
• Developed care plans and supervised services provided by certified nurse aides.
• Provided direct patient care, including vital signs, wound care, and ongoing monitoring to support patient recovery and comfort.
• Charted and reported changes in patient condition, medication side effects, and treatment progress.
• Charted and reported changes in patient condition and medication side effects to inform treatment adjustments and enhance patient outcomes.

• Degree in Progress
• GPA: 4.0

Degree Received: 2023