AMY GUIDERA, DNP, FNP-BC
Nashville,Tennessee
Summary
Dynamic healthcare leader with extensive experience at the Department of Veterans Affairs, excelling in project management and quality improvement. Proven track record in vaccine coordination and stakeholder engagement, driving successful health initiatives. Adept at coaching teams and implementing evidence-based practices to enhance patient care and operational efficiency.
Overview
18
18
years of professional experience
1
1
Certification
Work History
TVHS HEALTH PROMOTION & DISEASE PREVENTION MANAGER
Department of Veterans Affairs
Nashville, Tennessee
08.2023 - 11.2025
- Quality improvement specialist with the TVHS Process Improvement Office
- Project leader of the TVHS eScreening Pilot project
- Deployed and scaled up eScreening to all locations and contract sites
- Instituted an e-Screening monitoring dashboard to track and ensure project objectives were met
- Operated as Tennessee Valley Healthcare System vaccine coordinator over 18 facilities servicing 130,000 Veterans
- Leader of immunization interprofessional team ensuring compliance with local and national vaccine policies and vaccine contracts
- Coordinated planning and execution of vaccine campaigns across logistics, procurement, informatics, pharmacy, MyHealtheVet, business office, occupational health, service lines, nursing education, governance, and leadership
- Monitored and educated all personnel on VA, CDC, and ACIP vaccine recommendations
- Authored facility-wide vaccine standing orders and comprehensive medical center policy on all TVHS vaccines
- Developed facility-wide vaccine dashboard to identify patterns, trends, and areas for improvement
- Generated changes to the national VA EHR vaccine clinical reminders
- Led Healthy Living Team to disseminate health promotion and disease prevention education, events, training, and messaging
- Contributed insights and recommendations as board member in national VA Primary Care End-User Subcouncil meetings
- Completed training to conduct and teach motivational interviewing techniques
- Coached and mentored 50 VA healthcare professionals on their inaugural quality improvement projects with the national Geriatric Scholars Program
- Nurse Practitioner in the Infectious Diseases HIV PrEP Clinic
- Provided sexual health and HIV PrEP education during national and local presentations and meetings
POSTDOCTORAL FELLOW/QUALITY SCHOLAR/NURSE PRACTITIONER
Department of Veterans Affairs
Nashville, Tennessee
07.2021 - 07.2023
- Leader of the local, regional (VISN-wide) quality improvement project with an implementation science approach, 'Sexual Health History Taking: A VISN-Wide Assessment to Improve PrEP Utilization' with national endorsement and support from VACO LGBTQ+ Office and national Hepatitis and HIV-Related Conditions (HHRC) Group
- Created and deployed nursing and provider sexual health history clinical reminder, STI quick order and treatment sets, and HIV PrEP e-consult to enhance patient care and streamline clinical processes
- Conducted retrospective chart reviews on sexual health history taking practices for TVHS and VISN 9
- Awarded Office of Health Equality (OHE) Grant in 2022 to expand sexual health clinical reminder into VISN 8-Orlando
- Co-led TVHS quality improvement project, 'Implementation of a Novel, Nursing Unit-Focused VA Quality Metrics Dashboard', collaborating with Executive Leadership Team and Nursing Informatics to empower clinical staff in utilizing quality data for improved patient outcomes
- Nurse Practitioner in Tennessee Valley Healthcare System Infectious Disease HIV PrEP Clinic
- Coach for the national Geriatric Scholars Quality Improvement Program
- Authoring and co-authoring scholarly manuscript publication submissions
- Providing educational presentations and trainings related to sexual health and HIV PrEP
- Disseminating scholarly work findings at local, regional, and national conferences
- Defined and tracked quality improvement measures and metrics to ensure compliance with organizational targets and enhance care delivery
- Experience participating in RCAs as a team member at Tennessee Valley Healthcare System
- Conducts on and offsite VA clinical staff and community stakeholder educational and outreach visits
- Assisted in recruiting and mentoring future VA Quality Scholars
NURSE PRACTITIONER
Belmont University Health Services
Nashville, Tennessee
10.2018 - 11.2022
- Developed, planned, and supervised COVID-19 satellite campus clinic to enhance healthcare access and response during the pandemic
- Providing comprehensive care for students, faculty, and staff in the campus community
- Monitoring and tracking communicable infections and potential outbreaks in the campus community
- Precepting and training clinical staff and graduate nursing students
- Educating and empowering students, faculty, and staff to be involved in their own health and happiness
- Collaborated with national college health experts to improve service quality and identify resource solutions for campus healthcare
- Capturing data and analyzing clinical trends/patterns in Medicat EHR for quality improvement
- Constructing, designing, and coding Medicat EHR templates and forms to improve clinic workflow and patient experience
- Recording, tracking, and submitting the CDC Sentinel Provider Network Influenza-like Illness (ILI) Weekly Report for communicable disease and vaccine development
- Attending college health conferences, leadership summits, and webinars to address campus healthcare challenges and promote evidence-based care
- Strengthened campus partnerships with community resources to expand access to care and enhance available services for the campus community
- Consulting on all requested medical care and cases for the Clinic Director, clinic providers and nursing personnel, campus leadership, and campus partners
- Exploring optimal patient care strategies in response to increased care demands and current resources
- Serving and advocating for best practices for health promotion and clinical care on campus committees and panels
- Negotiated MOA with the Tennessee Department of Health State Laboratory to reduce STI screening costs more than 50% for students
FAMILY NURSE PRACTITIONER
Community Quick Care, Middle TN Primary Care, Prohealth Rural Health Services
Nashville, Tennessee
07.2012 - 09.2017
- Assessed, evaluated, diagnosed, and treated acute/chronic conditions for patients of all ages
- Managed comprehensive care plans, prescribed medications, and facilitated patient and family education to promote health literacy
- Delivered culturally competent care, respecting patients' beliefs and practices to enhance patient satisfaction and trust
- Established strong rapport with patients, families, and healthcare team to foster a supportive and collaborative care environment
- Reviewed and interpreted ordered lab work and diagnostic testing
- Performed minor office procedures including suturing, stapling, abscess I & D
- Utilized EHR platform for timely, detailed documentation of patient encounters and formulated plans of care
- Mentored ancillary staff and collaborated with clinicians in practice setting
- Referred patients to appropriate quality services and specialists
- Participated in professional continued education
CRITICAL CARE REGISTERED NURSE/TEAM LEADER
Vanderbilt University Medical Center
Nashville, Tennessee
01.2008 - 12.2011
- Admitted emergency and trauma level I and II ICU patients, ensuring timely and appropriate care
- Executed trauma unit protocols, responded to codes, coordinated staffing and bed management to optimize patient flow
- Assisted with bedside surgeries and procedures including arterial line and central line insertions, intubation, bronchoscopy, and Dobhoff placement, enhancing procedural efficiency
ADJUNCT CLINICAL INSTRUCTOR
Belmont University School of Nursing
Nashville, Tennessee
08.2010 - 05.2011
- Instructed and supervised undergraduate nursing students on an orthopedic inpatient unit
- Directed clinical site skills checkoffs to assess and validate student competencies
- Provided instructor feedback and evaluated nursing care plans
- Prepared patient assignments for student hospital unit to enhance clinical learning experience
- Participated in role playing and monitoring academic simulation lab activities
- Attended faculty meetings and provided ongoing mentorship for professional development
- Maintained a supportive and professional educational environment conducive to optimal learning
- Provided letters of recommendation for former students
Education
DOCTOR OF NURSING PRACTICE -
Belmont University
Nashville, TN12.2021
MASTER OF SCIENCE IN NURSING -
Belmont University
Nashville, TN12.2011
BACHELOR OF SCIENCE IN NURSING -
Belmont University
Nashville, TN12.2007
Skills
- Project management
- Quality Improvement
- Implementation Science
- Strategic planning
- Policy and procedure development
- Vaccine coordination
- Stakeholder engagement
- Clinical leadership
- Evidence-based practice
- Root Cause Analysis
- Cost Analysis
- Statistical Process Control, Run, XmR, and Rare Events Charts
- Qualitative Coding
- Cross-functional teamwork
- Coaching and mentoring
- Public speaking
Affiliations
• Sigma Theta Tau International, Omnicron Chapter
• ACHA Advanced Practice Clinicians Board, Chair 2022, Chair-elect 2021 (former)
• American College Health Association (ACHA) (former)
• American Academy of Nurse Practitioners (AANP)
• American Nurses Association (ANA)
• Tennessee Nurses Association (TNA)
• ACHA Advanced Practice Clinicians Board, Chair 2022, Chair-elect 2021 (former)
• American College Health Association (ACHA) (former)
• American Academy of Nurse Practitioners (AANP)
• American Nurses Association (ANA)
• Tennessee Nurses Association (TNA)
Certification
• FAMILY NURSE PRACTITIONER (FNP-BC), ANCC
• BASIC LIFE SUPPORT (BLS)
• STOP THE BLEED TRAINING
• BASIC LIFE SUPPORT (BLS)
• STOP THE BLEED TRAINING
Accomplishments
• FIRST PLACE TEAM SPIRIT SITE AWARD-NASHVILLE, Summer Leadership Institute, VA Quality Scholars Program, 2021 & 2022
• NURSING RESEARCH & EDUCATION AWARD/NAMED TOP 50 BELMONT SCHOOL OF NURSING ALUMNI OF THE PAST 50 YEARS, Belmont University School of Nursing, 05/01/22
• OHE GRANT AWARD, VA Office of Health Equality, 03/01/22
• ACHIEVEMENT AWARD, Belmont University School of Nursing, 12/01/07
• NURSING RESEARCH & EDUCATION AWARD/NAMED TOP 50 BELMONT SCHOOL OF NURSING ALUMNI OF THE PAST 50 YEARS, Belmont University School of Nursing, 05/01/22
• OHE GRANT AWARD, VA Office of Health Equality, 03/01/22
• ACHIEVEMENT AWARD, Belmont University School of Nursing, 12/01/07
Publications
- Affordable housing specialists’ perceptions of advance care planning among low income, older adult residents., Kimpel, C.C., Jones, A.C., Ratcliff, A.C., & Maxwell, C.A., Journal of Hospice and Palliative Nursing, 2022
- The Impact of COVID-19 on End-of-life Planning Views, Social Connection, and Quality of Life for Low-income Older: A Qualitative Study., Kimpel, C.C., Lauderdale, J., Schlundt, D., Ratcliff, A.C., & Maxwell, C.A., Journal of Palliative and Supportive Care, 2022
- Region-wide evaluation of sexual health among Veterans with a sexually transmitted infection., Johnson, M., Ratcliff, A., Chia, L., Cole, M., Callaway-Lane, C., Stolldorf, D., Dietrich, M., Hulgan, T., Dittus, R., & Roumie, C., 2025
- Implementing the quality of care partnership to reduce the cost of screenings for sexually transmitted infections on a college campus., Ratcliff, A., Busby.S., Williams. C., & Phillippi, D., Belmont Digital Repository, 2021
Professional Development
- TENNESSEE VALLEY HEALTHCARE SYSTEM DIVERSITY CONFERENCE, Co-Presenter, 03/01/23, Nashville, Tennessee
- SEXUAL HEALTH HISTORY: A VISN-WIDE ASSESSMENT TO IMPROVE PREP UTILIZATION: UPDATES, Presenter, 12/01/22, Nashville, Tennessee
- UTILIZING THE ADAPT-ITT MODEL FOR EVIDENCE-BASED INTERVENTIONS, Co-Presenter, 11/01/22, Nashville, Tennessee
- SEXUAL HEALTH ASSESSMENTS, Presenter, 10/01/22, Nashville, Tennessee
- IMPLEMENTATION OF A NOVEL, NURSING UNIT-FOCUSED VA QUALITY METRICS DASHBOARD, Co-Presenter, 10/01/22, Nashville, Tennessee
- EVALUTATION OF SEXUAL HEALTH HISTORY TAKING AND PREP UTILIZATION AMONG VETERANS WITH A SEXUALLY TRANSMITTED INFECTION AT TENNESSEE VALLEY HEALTHCARE SYSTEM, Poster Presenter, 08/01/22, Houston, Texas
- IMPLEMENTATION OF A NOVEL, NURSING UNIT-FOCUSED VA QUALITY METRICS DASHBOARD, Poster Co-Author, 08/01/22, Houston, Texas
- MEASUREMENT AND ANALYSIS, Course Attendee, 08/01/22, Nashville, Tennessee
- EVALUATION OF SEXUAL HEALTH HISTORY TAKING AND HIV PREP, Presenter, 07/01/22, Nashville, Tennessee
- STIS AND SEXUAL HEALTH, Presenter, 07/01/22, Nashville, Tennessee
- IMPLEMENTING THE QUALITY OF CARE PARTNERSHIP TO REDUCE THE COST OF STI SCREENINGS, Presenter, 06/01/22, San Diego, California
- BEST PRACTICES AND STRATEGIES FOR SCREENING, DIAGNOSING, AND TREATING STIS INCLUDING HIV PREP, Presenter, 06/01/22, San Diego, California
- BEST PRACTICES FOR SCREENING AND TREATING STIS BASED ON THE 2021 CDC GUIDELINES, Roundtable Presenter, 05/01/22, Nashville, Tennessee
- IMPLEMENTATION OF A NOVEL, NURSING UNIT-FOCUSED VA QUALITY METRICS DASHBOARD, Poster Co-Author, 05/01/22, Nashville, Tennessee
- PRIMARY CARE GRAND ROUNDS: SEXUAL HEALTH ASSESSMENT AND PREP UTILIZATION, Co-Presenter, 03/01/22, Nashville, Tennessee
- VA WHOLE HEALTH: AN EVALUATION OF SITE-LEVEL PROCESSES, Abstract Poster, Co-author, 03/01/22
- SEXUAL HEALTH HISTORY: A VISN-WIDE ASSESSMENT TO IMPROVE PREP UTILIZATION, Presenter, 03/01/22
- INSIGHT ORIENTED LEADSHIP, Course Attendee, 02/01/22
- TNA WEBINAR: FULL PRACTICE AUTHORITY, Panelist, 02/01/22
- IMPLEMENTATION SCIENCE, Course Attendee, 01/01/22, Nashville, Tennessee
- IMPLEMENTING THE QUALITY OF CARE PARTNERSHIP TO REDUCE THE COST OF STI SCREENINGS, Abstract Poster Presenter, 11/01/21, Nashville, Tennessee
- BELMON TRANSITIONS FNP PANEL, Panelist, 09/01/21, Nashville, Tennessee
- SCHOLARS IN PARTNERSHIP (SiP), Leader, Committee Creator, 08/01/21
- FIRST YEAR FELLOWS’ PROJECT: ENGAGING VETERANS IN WHOLE HEALTH, Co-Presenter, 08/01/21
- IMPLEMENTING THE QUALITY OF CARE PARTNERSHIP TO REDUCE THE COST OF STI SCREENINGS, DNP Scholarly Project Presenter, 04/01/21, Nashville, Tennessee
- IMPLEMENTING THE QUALITY OF CARE PARTNERSHIP TO REDUCE THE COST OF STI SCREENINGS, Poster Presenter, 03/01/21, Nashville, Tennessee
- COVID-19 VIRTUAL SUMMIT 2: 344 DAYS AND COUNTING, Presenter, 12/01/20
- QUALITY OF CARE PARTNERSHIP, Partnership, MOA Creator, Health Services Representative, 09/01/20, Nashville, Tennessee
- BELMONT HEALTH SERVICES TRAINING WORKSHOP, Presenter, 07/01/20, Nashville, Tennessee
- BELMONT HEALTH SERVICES POLICIES & PROCEDURES, Co-author, 07/01/20, Nashville, Tennessee
Timeline
TVHS HEALTH PROMOTION & DISEASE PREVENTION MANAGER
Department of Veterans Affairs
08.2023 - 11.2025
POSTDOCTORAL FELLOW/QUALITY SCHOLAR/NURSE PRACTITIONER
Department of Veterans Affairs
07.2021 - 07.2023
NURSE PRACTITIONER
Belmont University Health Services
10.2018 - 11.2022
FAMILY NURSE PRACTITIONER
Community Quick Care, Middle TN Primary Care, Prohealth Rural Health Services
07.2012 - 09.2017
ADJUNCT CLINICAL INSTRUCTOR
Belmont University School of Nursing
08.2010 - 05.2011
CRITICAL CARE REGISTERED NURSE/TEAM LEADER
Vanderbilt University Medical Center
01.2008 - 12.2011
DOCTOR OF NURSING PRACTICE -
Belmont University
MASTER OF SCIENCE IN NURSING -
Belmont University
BACHELOR OF SCIENCE IN NURSING -
Belmont University