As a Interim Director of Quality we collaborated with Leadership team to ensure their hospital was in compliance with policies, procedures, and regulatory compliance. Focused on Risk Management, Quality Improvement, Infection Control, and performance improvement. I am looking for a opportunity to strength my leadership skills and focus on performance improvement of the hospital I serve.
Overview
22
22
years of professional experience
Work History
Interim Corporate Director of Quality Management
Select Speciality Hospital
10.2020 - Current
Has covered over 8 hospital in vacancy of an Director of Quality Management and successfully impacted quality performance at each.
Managed presentation and data for all Medical Executive Committees and Governing Board.
Orientation of new DQM that was hired at facility which included training, orientation, and continued guidance.
Facilitation of new acquisition transitions, hospital relocation, and EPIC Go Live activities.
Recently assisted local hospitals to prepare and complete an successful triennial Joint Commission survey.
Local responsibilities include coordination, development and evaluation of: Risk Management, Quality Improvement, Survey Readiness, Infection Control, Employee Health and Education
Specifically coordinating all survey activities to assure that the facility maintains accreditation, certification, and licensure.
Handled Performance Improvement teams
Education of Staff and Leadership in regards to regulatory and safety measures, general orientation, and developed education around Survey findings.
Championed relationship building, cross-collaboration and mentorship throughout strategic partners to ensure the highest level of quality in all patient services.
Lead Performance Improvement Teams focused on Patient Advocacy Programs resulted in patient satisfaction survey result improvements: overall rating from 69% to 94%, recommendation rate from 45% to 85%, and return rate from 58% to 85%. at the Birmingham, Alabama location.
Lead Performance Improvement Teams focused on Clostridium difficile hospital acquired infection improvement from 5.8 in Q4 2020 to 0.0 in Q4 2021, patient satisfaction survey recommendation improvement from 0.76 in Q4 2020 to 0.93 in Q1 2021, patient satisfaction survey return rate improvement from 0.53 in Q4 2020 to 0.73 in Q1 2021, for Hampton Roads, VA location.
Performance Improvement Teams resulted in central line associated infection improvements from 4.1 Q1 to 2.9 Q2 to 0.0 Q3, catheter associated urinary infection improvement from 1.9 Q1 to 0.0 Q2 tp 0.0 Q3, at the Pontiac, MI location.
Continues to champion quality improvement at all locations I have been too. Is successful in establishing goals, making changes for patient satisfaction, and improving performance at each location.
Senior Director of Quality Management
Select Specialty Hospital
10.2010 - 10.2020
Responsibilities include coordination, development and evaluation of: Risk Management, Quality Improvement, Survey Readiness, Infection Control, Employee Health and Education
DQM duties further the on-boarding process and participation in Leadership Council on Select Medical driven Performance Improvement projects
Specifically coordinating all survey activities to assure that the facility maintains accreditation, certification, and licensure.
In February 2020 duties included helping the Springfield location remotely during a DQM vacancy
Assisting Medical Director and Quality Program Director with development and implementation of medical staff quality improvement activities
Focused on the importance of employee training and education in the work place.
Worked with leadership team to ensure reporting requirements are met.
Duties during November and December 2017 also included assisting the Dallas Downtown location two days a week during a DQM vacancy
Additional Performance Improvement Teams focused on Clostridium difficile hosp18ital acquired infections resulting in a rate reduction from 13.5 in 2017 to 1.3 in 2018, focus on patient satisfaction survey return rates resulting in a rate increase from 0.45 in 2017 to 0.63 in 2018, and a focus on patient fall reductions resulting in a rate decrease from 1.59 in 2017 to 0.26 in 2018.
Managed two Joint Commission Complaints and two state of Kansas complaints resulting in no findings.
Lead a performance improvement team that focused on reducing tube and line dislodgements which resulted in 70% decrease in tracheostomy dislodgements and 90% decrease in feeding tube dislodgements.
Home Health RN Supervisor
Amedisys
07.2009 - 08.2010
Startup home health company
Geriatric field visits including negative pressure wound therapy, IV therapy, phlebotomy, collaboration with medical team using onsite assessment and intervention to communicate patient condition and needs
Successfully worked with the State of South Dakota and Joint Commission resulting in accreditation for new home health company.
RN III
Sanford Oncology Clinic
02.2002 - 05.2009
Clinical duties include: chemotherapy administration and certification, a knowledge of a diverse intravenous drugs and equipment, participating in moderate sedation bone marrow procedures, utilizing NGT tubes for medication administration and replacement, phlebotomy and medication through peripheral, central, and implanted sites; administrative and office duties included working with multiple physicians and support staff, organization of patient schedules with the physicians, obtaining assessment and history of patients
In 2007 began as interim Lung Thoracic Tumor Clinic Coordinator
Duties included participation in the multidisciplinary team with functions that included presentation of patient history, which needed preparation including diagnostic record compilation, review of laboratory results including collaboration with pathology, participation in bi-yearly chart audits and committees for quality improvement.
Floor Nurse/ Charge Nurse
Select Specialty Hospital
09.2001 - 09.2008
Clinical duties included post-acute surgical care, ventilator management, telemetry, nasogastric and gastric feeding tubes, chest tubes, IV maintenance and medication administration, working with patients who have chronic critical illness syndrome, coordination of patient care with physicians and other medical team staff, and administration of chemotherapy and blood products.