Healthcare executive with progressive leadership in quality, nursing operations, infection prevention, and regulatory readiness. Led Joint Commission Advanced Disease-Specific Care Certification efforts, strengthened governance and credentialing processes, and translated safety events, audit findings, and outcome trends into corrective actions that improved compliance and lowered organizational risk.
Overview
1
1
Certification
23
23
years of professional experience
Work History
Chief Quality Officer
Lafayette Surgical Specialty Hospital
Lafayette, LA
01.2022 - Current
Executive leader for quality, patient safety, infection prevention, regulatory compliance, performance improvement, provider credentialing oversight, medical staff governance support, clinical outcomes reporting, EHR adoption, and risk reduction initiatives.
Leads the hospital quality program by converting regulatory standards, patient outcome trends, safety events, audit findings, and operational risks into focused improvement plans.
Maintains continuous Joint Commission readiness through tracer activity, standards interpretation, policy review, documentation audits, staff education, and corrective action monitoring.
Led the 2024 initiative to obtain Joint Commission Advanced Disease-Specific Care Certification for Total Hip and Knee Replacement, coordinating multidisciplinary readiness, documentation standards, outcome review, and sustained compliance processes.
Facilitated Medical Executive Committee functions and provided credentialing oversight through agenda preparation, quality reporting, provider file review, meeting documentation, and action-item follow-up to ensure effective governance.
Directed root cause analyses and patient safety event reviews, identifying contributing factors and process vulnerabilities to develop mitigation strategies that reduced recurrence risk.
Tracked patient outcomes, adverse event trends, infection prevention indicators, and compliance metrics to identify performance gaps and prioritize risk reduction efforts.
Oversees implementation, optimization, and adoption of an upgraded EHR platform, partnering with clinical, operational, and IT stakeholders to align workflows, improve documentation accuracy, support reporting needs, and mitigate change-management risk.
Partner with nursing, perioperative, anesthesia, surgical, and ancillary leaders to standardize processes, reduce variation, improve handoff communication, and reinforce evidence-based care practices.
Interim Chief Nursing Officer
Lafayette Surgical Specialty Hospital
Lafayette, LA
01.2020 - 01.2021
Led nursing operations, clinical practice expectations, staffing coordination, patient care delivery, and interdisciplinary communication as the interim executive nursing leader.
Provided operational leadership for nursing services, supporting safe staffing, clinical accountability, patient flow, escalation practices, and continuity of care across departments.
Partnered with executive leadership, medical staff, quality, and infection prevention teams to address clinical priorities, reduce care delivery risks, and sustain regulatory compliance.
Supported nurse leaders and frontline teams by evaluating workflows, resolving issues, interpreting policies, and implementing process improvements to enhance patient care.
Promoted consistent communication between nursing, physicians, ancillary departments, and administration to strengthen coordination, safety, and service reliability.
Quality Manager & Infection Preventionist
Lafayette Surgical Specialty Hospital
Lafayette, LA
01.2012 - 01.2022
Led quality management and infection prevention activities, building the foundation for a comprehensive performance improvement, patient safety, and regulatory readiness program.
Managed infection prevention surveillance and exposure prevention strategies, enhancing staff education and policy review to ensure compliance with evidence-based standards and regulatory expectations.
Developed and monitored quality indicators, clinical audits, compliance reports, and action plans to improve outcomes and reduce patient safety risk.
Prepared departments for accreditation and regulatory review through comprehensive readiness assessments and internal audits, identifying and addressing gaps in documentation and compliance.
Performed event reviews and supported root cause analysis, translating findings into actionable workflow changes and targeted staff education to address identified issues.
Partnered with physicians, nursing leadership, surgical services, and ancillary departments to implement process improvements that strengthened clinical consistency and care delivery.
PACU Manager
Lafayette Surgical Specialty Hospital
Lafayette, LA
01.2004 - 01.2012
Managed PACU operations, optimizing staffing, scheduling, patient flow, post-anesthesia monitoring, handoff processes, discharge readiness, and escalation of changes in patient condition to enhance overall patient care.
Collaborated with anesthesia providers, surgeons, perioperative leaders, and nursing teams to promote efficient throughput, safe recovery, pain management, and consistent care transitions.
Developed PACU policies, competencies, and clinical expectations to ensure regulatory compliance, enhance patient safety, and promote consistent nursing practice.
Led facility transition to electronic health records, facilitating workflow design, staff training, documentation adoption, and integration of electronic clinical documentation into PACU practice for improved efficiency.
Joined the organization when the facility opened and led Post-Anesthesia Care Unit operations, helping establish clinical workflows, staffing structure, documentation practices, and patient safety expectations in a new surgical specialty hospital environment.
Registered Nurse, Clinical Nurse Manager & Case Manager
Our Lady of Lourdes Hospital / Franciscan Missionaries of Our Lady Health System
Lafayette, LA
01.2004 - Current
Advanced nursing career from Our Lady of Lourdes Hospital through multiple clinical, leadership, and case management roles to Lafayette Surgical Specialty Hospital.
Managed a medical-telemetry unit as Clinical Nurse Manager, supporting staff leadership, daily operations, patient flow, quality expectations, and care coordination.
Delivered direct patient care in ICU and cardiac step-down settings, developing expertise in high-acuity assessment, clinical prioritization, interdisciplinary communication, and complex patient management.
Coordinated discharge planning, utilization review, patient advocacy, payer communication, and transitions of care as an experienced Case Manager.
Education
Master of Science - Nursing, Nursing Leadership and Management
Western Governors University
Bachelor of Science - Nursing
Northwestern State University
Natchitoches, LA
Skills
Joint Commission readiness
Regulatory compliance
Performance improvement
Risk prevention
Metrics reporting
Lean management
Stakeholder engagement
Vendor management
Conflict management
Safety protocols
Written proficiency
Professional work ethic
Personal Information
Title: Chief Quality Officer
Certification
Certified in Infection Control (CIC), Lean Six Sigma Green Belt, Basic Life Support (BLS), American Heart Association, Advanced Cardiovascular Life Support (ACLS), American Heart Association, Pediatric Advanced Life Support (PALS), American Heart Association, DAISY Award Nominee
CORE LEADERSHIP COMPETENCIES
Quality Strategy & Performance Improvement
Patient Safety & Risk Mitigation
Root Cause Analysis & Corrective Action
Joint Commission Accreditation & Survey Readiness
Infection Prevention & Control
Provider Credentialing Oversight
Medical Executive Committee Facilitation
Clinical Outcomes Tracking & Reporting
EHR Implementation & Optimization
Policy & Standards Alignment
Lean Six Sigma Process Improvement
Nursing Operations Leadership
Regulatory Compliance
Perioperative/PACU Operations
Case Management & Care Coordination
Timeline
Chief Quality Officer
Lafayette Surgical Specialty Hospital
01.2022 - Current
Interim Chief Nursing Officer
Lafayette Surgical Specialty Hospital
01.2020 - 01.2021
Quality Manager & Infection Preventionist
Lafayette Surgical Specialty Hospital
01.2012 - 01.2022
PACU Manager
Lafayette Surgical Specialty Hospital
01.2004 - 01.2012
Registered Nurse, Clinical Nurse Manager & Case Manager
Our Lady of Lourdes Hospital / Franciscan Missionaries of Our Lady Health System
01.2004 - Current
Master of Science - Nursing, Nursing Leadership and Management
Senior Enlisted Advisor to the Chief, Patient Administration at Defense Health AgencySenior Enlisted Advisor to the Chief, Patient Administration at Defense Health Agency