Annette Wenzler

• Direct a clinical team of 9 clinical staff for support of clinical and operational services in 6 states to ensure facilities are following all state and federal regulations as well as to promote services in accordance with standards of practice.
• Delivered exceptional customer service by implementing best practices and fostering a culture of accountability within the organization.
• Developed an effective policy committee
• Implemented and recruited Chief Medical Officer role
• Improved STAR rating Health Inspection form a 1.6 to a 2.0 from September to present.
• Proposed and assited with implementation of a Strategic Plan that is now being using for all of Corporate Departments
• Developed clinical educational yearly calendar with monthly educational micro-learning sessions.
• Establish, implemented a risk mitigation procedure for high risk events
• Implemented a new formate, procedure, and tools for QAPI
• Reduction is agency use by 25 %
• Established benchmarking along with tracking for clinical outcomes
• RTH reduction from 21 % to presently 15% with goal of 10% by end of 4th quarter
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• Provision of clinical and operational services within standards of practice to clients to assist with ensuring success with State, Federal regulations and operation success.
• Developed key operational initiatives to drive and maintain substantial business growth.
• Successfully implemented systems and processes for prevention of 2 SNF closures
• Developed plans, polices, and educational sessions for an Assisted Living Facility for passage of survey
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• Responsible for overall clinical management for 13 facilities in three states to include strategy, policies and procedures, oversight of 5 clinical consultants to ensure standards of practice and adherence to all state and Federal regulations.

• Responsible for leading the company for regulatory strategies for 101 facilities in 10 states to provide services to assist facilities to lead in our FIVE Star rating in accordance with standards of practice of all state and federal regulations.
• Streamlined and Improved present mock survey process
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• Responsible for the overall clinical and regulatory strategy for Signatures 116 facilities in 10 states to provide services in accordance with standards of practice to include state and federal regulations
• Return to hospital decrease by 4%.
• increase in Health Inspection rating and well as an overall decrease in deficiencies,
• directed the company and overall leadership through the Pandemic by developing policies and procedures, clinical care, implementation of COVID units, tacking trending. developed a call line for facility questions and assistance
• Assisted with development of a dashboard which provided information regarding COVID cases, COVID recoveries , COVID Deaths , COVID Immunizations for staff and residents of the organization
• Post COVID agency reduction by 25%
• Received the highest Quality Incentives in the 28 Tennessee Homes
• Increased the Kentucky CMI average to 1.48 for 40 homes
• Led the team in replacing the corporate EMR to Matrix Care for all facilities in 9 months successfully in preparation of PDPM
• Assisted Matrixcare with developments of clinical analytics for a dashboard within their system to include falls, antipsychotics and infections
• Developed a survey tracking tool
• Led the company in improvement of all STAR rating components. Health Inspections rating improved from 2.0 to 3.2
• Mitigated and reversed regulatory citations resulting in over 2 million dollars in savings
• Member of the operations team and assisted

with overall strategies and goals as well to include clinical strategic initiatives

• Eden registry completed for over 55 homes

• Responsible for leading a team of 13 nurse consultants and 2 Behavioral Specialist to provide services for 54 skilled nursing facilities in 5 states ensuring the clinical operations and delivery of clinical services are in accordance with standards of practice as well as state and federal regulations; mentor and direct the Regional Clinical Compliance Specialist to assist in plans of actions and survey preparedness
• ; Direct and mentor the Director of Policy and Procedures/QAPI for the entire clinical team of Signature Healthcare which consist of 115 facilities in 10 states
• Develops programs of distinction; promotes company mission and vision
• Developed and Implemented Director of Nursing School for the 115 facilities in 10 states
• Developed a C.N.A. career path ladder
• Began the system and process of clinical white board meeting for improved quality
• Successful elimination of agency usage
• Led the way for a new restorative nursing program called "Restore Me", which was presented to members of AHCA during convention
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• Participated in creation, implementation of: facility visit reports, Antipsychotic tracking, Route 66, Back in Time, Open Medication pass times, Quality Assurance and Performance Improvement Policies and procedures, Agile team Coach, Pinnacle Career Ladder, clinical white board, SRQA process with Abaqis, During this time ability with team to reduce Pressure ulcers by 6%, restraints 3% with data revealing below benchmark, Long Stay Antipsychotics 2.8%, Nursing Stability increased by 6.8%, RTH decreased by 3%.

• Responsible for the clinical operations and delivery of clinical services for thirty-three facilities in Kentucky, West Tennessee, Maryland and Pennsylvania in accordance with company policies, standards of practice, state and federal regulations
• ; mentor and supervise the Regional Clinical Compliance Specialists to assist facilities in developing plans of action and corrections; promote clinical regulatory programs and initiatives, extend company mission and follow budget data points
• Created and implemented the white board process.

• Develop, implement and evaluate a comprehensive plan for meeting educational needs of Home Office Division and 54 Facilities;
• Act as liaison within the Home Office structure to provide multi-layered educational environment
• ; Accounts for effects, strategic planning, operational and financial management of clinical programs and support to Home Office divisional programs to ensure quality, cost and service outcomes
• Created and implemented the Nurse of the Year and C.N.A of the Year Programs
• Created Charge Nurse Training,
• initiated the beginnings of a C.N.A Career ladder.

• Responsible for the clinical operations and delivery of clinical services for fifty-four facilities in accordance with company policies, standards of practice, state and federal regulations; mentor and supervise the Regional Clinical Compliance Specialists to assist facilities in developing plans of action and corrections; promote clinical regulatory programs and initiatives, extend company mission and follow budget data points.

• Responsible for the clinical operations and delivery of clinical services for fifty-four facilities in accordance with company policies, standards of practice, state and federal regulations; mentor and supervise the Regional Clinical Compliance Specialists to assist facilities in developing plans of action and corrections; promote clinical regulatory programs and initiatives, extend company mission and follow budget data points
• Promoted from Special Projects Nurse.

• Manage overall operations in the delivery of Clinical Services at the facility level in accordance with company policies, standards of nursing practices and government regulations to maintain consistent quality care
• Facilitate the development and implementation of facility staff skills through training
• Knowledge of specific conditions of participation for payor sources and systems of clinical delivery and documentation to ensure appropriate payment and compliance to Federal and State regulations
• Assist facilities in preparing budget and operating within, Responsible for the State of Kentucky’s eight buildings, later to 4 with implementation of new role to include servicing Dietary, Social Services and Activities
• Performance of Medicare reviews to assure accuracy, to prevent default days, as well as assurance of program under guidelines.

• Assurance of the provision of nursing care of a 125 bed skilled and private pay facility in accordance with state and federal guidelines
• Accomplished reorganization of the nursing department and revitalization of programs, committees and policies
• Maintain and participate with developing and implementing budget of facility.

• Assured optimal quality nursing care of a 153 bed skilled, sub acute, JCAHO accredited facility with a 31 bed ventilator unite in accordance with state and federal guidelines
• Accomplished two annual surveys with positive outcomes decreasing citations by 50% each year in a facility previously know as a poor performer
• Responsible for Nursing QA/QI process, member of the Safety Committee, responsible for the Central Supply Department, Medical Records Department and the Respiratory Therapy Department
• Responsible to operate with budget guidelines and to actively participate with developing budget.

• Promoted from the Assistant Director of Nursing of this 120 bed skilled facility to activate the 32 bed Sub acute unit
• Assured quality of care in accordance with state and federal guidelines
• Actively participate with budget process
• Accomplished two annual surveys with 0 to 1 citations
• Assisted in writing the policy and procedure manual for the Sub Acute Unit
• Provided marketing and lecturing to the physicians, social workers, case managers as well as community and church organizations
• Directed Quality Improvement activities
• Chair of the Utilization Review Committee, participated in the Sub Acute meetings, Chair of the Medicare Meeting and participated in the Infection Control and Safety Committee meetings.

• Provided assurance of adequate coverage and needs to medical care for the inmate 1000 inmates on the afternoon shift
• Revised the 14 day medication distribution, instituted quality control checks and actively participated in the ACA accreditation.

• Part time clinical instructor for the BSN program
• Instructed students in their last clinical rotation before graduation.

• Began as CCU nurse and promoted to Director of Cardiac Progressive Care Unit
• In 1993 promoted to Director of Financial Affairs in accordance with the Team Management Concept written by two other Directors and myself
• Responsible to assure that 5 nursing units were within budget
• Actively participated in JCAHO, wrote and implemented Team Management concept, organized an in-house agency, chosen to instruct new employees on the Quality Plus Concept, and chosen by the CEO to hold a position on the Cost Control Committee
• Instructed staff in Advanced Cardiac Life Support for certification
• Preceptor for students at Union University, School of Nursing, for the Leadership and Management course
• Attended numerous seminars and educational courses including completion of Intensive Quality Management and PRIDE course.

• Began as staff nurse and promoted to 7-3 House Supervisor in 1983
• In 1986 promoted to Special Care Area Supervisor in which I was responsible for the management of the Critical Care Unit and the Emergency Department
• Organized and set up the Emergency Department in our newly built facility
• Substituted in the operation room
• Responsible for in-service and on-going training of nurses in the E.R
• And C.C.U
• Help organize and participated in the county emergency disaster drills
• Organized activities for EMS week
• Helped with instruction of the Baby Sitter Class
• Substituted for the Occupational Health Nurse in a local factory, which was provide by BMH
• Responsible to chair the Special Care Area committee along with QA for both departments
• Instructed staff in Advanced Cardiac Life Support.

• Taught students academic and clinical skills to complete requirements for the P
• N E
• Course.

• Supervised employees on the afternoon shift, wrote policies and procedures, IV instructor.