Bethany Gemma, DPT, COS-C
RI
Summary
High achieving and tenacious Area Vice President bringing expertise in clinical quality, operational excellence and change management. Driven and dedicated with a Doctorate in physical therapy, offering 10 years of experience in management in the Home Health realm. Working with individuals and teams to accomplish clinical quality and operational excellence. Efficient, autonomous and forward thinking leader, leading by example and building trust within the team. Providing strong communication and presentation skills, empowering clinicians and teams to rise to the challenge of clinical and operational excellence. Reviews and drives improvement of clinical quality and patient satisfaction including but not limited to, medical necessity, episode management, skilled services and homebound status requirements by CMS regulations.
Overview
17
17
years of professional experience
1
1
Certification
Work History
AVP Care Management & Quality
Amedisys Home Health
08.2020 - Current
- Responsible for development, implementation, coordination, evaluation and execution of ongoing care management and quality assurance in a remote position
- Ensured processes and initiatives are in place to achieve superior clinical outcomes and operational efficiency.
- Collaborated with corporate clinical teams and VP Regional leadership to drive consistency and standardization of best practices as it relates to care management processes including appropriate utilization of interdisciplinary care services and OASIS accuracy
- Oversight of education for therapy services as related to care plan development adhering to PDGM standards and CMS regulations.
- Used data analytics and BI reports to isolate issues and gaps, dives into RCA and provided actionable information to regional teams to drive performance goals as related to improved delivery of care, process management and clinical / operational excellence.
- Monitored compliance and accreditation, recommended clinical process improvements and implemented education and training to improve quality outcomes.
- Collaborated with VPs to grow business partners through prospecting, clinical quality excellence and follow-up education.
- Promoted and led performance enhancement culture by actively coaching and mentoring care center leadership.
- Distinguished best, average and potential referral partners to build increased referrals from surgical and hospital sources
- Enabled revenue generation by pursuing partnerships, sourcing funding, and capitalizing on market opportunities.
- Established and directed successful programs focused on improving ACH to 3 Stars, clinical quality improvement to 4.5 Stars, patient satisfaction to 90% and episode management decreasing LUPA/LBPs for improved financial success.
- Observed each employee's individual strengths and initiated mentoring program to improve areas of weakness.
- Tracked trends and suggested enhancements to both challenge and improve clinical groupings for recertification opportunity.
Director of Operations
Amedisys Home Health
01.2019 - 01.2020
- Oversight of all operational and clinical metrics in a fast paced home health care center of 80 staff including RN/PT/OT/HHA's
- Defined, implemented, and revised operational policies and guidelines.
- Educated and trained new clinical managers and therapists
- Provided documentation training nursing and therapists
- Responsible for QAPI, PI, maintaining CMS regulations with skilled documentation and providing skilled, necessary and appropriate treatment for all patients
- Enhancement of business development to work in conjunction with operational excellence to ensure financial success
- Accomplishments: increased census growth by 10% in 1 year, 4.5 Star CC, 90% HHCAHPs, achieved and exceeded NIFO month over month.
- Worked collaboratively with functional leaders to implement new procedures and corrective actions to improve quality.
- Oversaw day-to-day production activities in accordance with business objectives.
- Monitored budget and utilized operational resources.
- Achieved team goals through formalized training plans, coaching, and performance management.
- Monitored office workflow and administrative processes to keep operations running smoothly.
- Mentored and coached team members to foster productive and engaging work environment.
Clinical Manager
Amedisys Home Health
01.2014 - 01.2019
- Responsible for all aspects of daily clinical operations, supervision and clinical collaboration of 70 field clinicians, including RN/PT/OT/ST/HHA
- Provide ongoing case management to patients to implement appropriate treatment plan, adhere to quality models and maximize utilization of services needed to achieve optimal outcomes.
- Promoted high morale and staff retention through dynamic communication, prompt problem resolution, proactive supervisory practices and facilitation of positive work environment.
- Identified nurses' and staff training needs and devised training programs to close gaps.
- Present clinical staff with training and educational opportunities.
- Able to diffuse patient / clinician issues as they arise.
- Root cause analysis dive to decrease ACH.
Physical Therapist
Amedisys Home Health
Warwick, RI
08.2009 - 03.2014
- Clinical Preceptor 2011, Balance for Life Champion 2014
- Educated patients and family members regarding diagnosis, injury prevention, and therapeutic treatments.
- Observed and recorded patients' responses to therapies and exercises to report to practitioners and recommend adjustments to treatment plans.
- Managed acute and chronic conditions with full understanding regarding complex therapy needs.
- Conducted clinical assessment and evaluation to determine patient needs.
- Planned individually-designed treatment programs to restore, maintain and improve physical functioning, alleviate pain, and prevent disability.
- Supervised clinical students, certified and licensed assistants, technicians, and volunteers.
Director of Rehabilitative Services
Eleanor Slater Hospital / Zambarano Hospital
01.2007 - 08.2009
- Director of Operations for physical rehabilitative services, overseeing team of 40 PT/OT/ST's at two hospital campuses and four group homes.
- Hiring and professional development of staff / Clinical Instructor
- Preparation for JCAHO survey, update and revision of all policy and procedure manuals achieving deficiency free survey
- Responsible for budget and supplies, statistical analysis of employee productivity
- Oversaw operations and provided corrective feedback to achieve daily and long-term goals.
- Monitored office workflow and administrative processes to keep operations running smoothly.
- Managed daily operations while overseeing multiple locations to foster increased productivity.
- Established departmental performance goals and provided feedback for underperforming areas.
- Worked closely with organizational leadership and board of directors to guide operational strategy.
Physical Therapist
Roger Williams Medical Center
01.2007 - 01.2009
- Responsible for acute care inpatient physical therapy evaluation, treatment plans and discharge planning for orthopedic, neurological and general medical patients.
Education
Doctorate of Physical Therapy -
University of Rhode Island
Rhode Island01.2007
Massage Therapy -
Bancroft School of Massage Therapy
Worcester, MA01.1997
B.S. Degree, Biology -
Salve Regina University
Rhode Island01.1995
Skills
- Data analysis
- Power BI Dashboards (Quality, Referrals, Operational)
- Microsoft Office
- OASIS Certified
- Strategic Health Programs (Quality Management Tool)
- LBP/LUPA Management
- Episode Management
- TPE / Risk Mitigation audits
- Program implementation
- Root Cause Analysis
- Health Information Technology
- Quality Assurance
- Change Management
- Program Oversight
- Operations Oversight
- Performance Improvement
- Procedure Implementation
- Revenue Generation
- Administrative Support
- Staff Management
- Project Management
- Policy Development
- Operational Leadership
- Report Preparation
Certification
COS-C – Certified Oasis Specialist certification, 03/18/2021, present
Timeline
AVP Care Management & Quality
Amedisys Home Health
08.2020 - Current
Director of Operations
Amedisys Home Health
01.2019 - 01.2020
Clinical Manager
Amedisys Home Health
01.2014 - 01.2019
Physical Therapist
Amedisys Home Health
08.2009 - 03.2014
Director of Rehabilitative Services
Eleanor Slater Hospital / Zambarano Hospital
01.2007 - 08.2009
Physical Therapist
Roger Williams Medical Center
01.2007 - 01.2009
Doctorate of Physical Therapy -
University of Rhode Island
Massage Therapy -
Bancroft School of Massage Therapy
B.S. Degree, Biology -
Salve Regina University
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