Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

CHRISTINA W. GILES

Healthcare Administrative Consultant
Nashua,NH

Summary

Excellent organizational, facilitative, writing, project management and communication skills Excellent presentation/teaching skills; development of educational curriculum/training programs Proven aptitude for problem recognition, definition and development of expeditious solutions; enhancement of relationships amongst key customer groups Ability to interpret and apply organizational and regulatory agency rules, regulations, policies and standards to organizational structure, processes and documents.

Forward-thinking Healthcare Consultant bringing 40+ years of successful history identifying process breakdowns in medical staff structure, credentialing and privileging processes. Dedicated to implementing innovative solutions to address issues. Expertise in evaluating and analyzing operational performance. Analytical and responsive professional committed to supporting Medical Staff Service departments in decreasing unnecessary expenses and improving efficiency, thus improving types of professionals accepted to provide quality patient care.

Overview

85
85
years of professional experience
1
1
Certification

Work History

Independent Healthcare Consultant – Principal

C. Giles & Associates
Nashua, NH
07.2014 - Current
  • Provide educational and/or consultant services concerning medical staff administration, credentialing and privileging to hospitals, managed care organizations, physician/hospital organizations, credentialing verification organizations and physician groups.
  • Expert Witness in negligent credentialing cases
  • Handled confidential customer business and operational information.
  • Leveraged on-site observation and personal interviews to identify team and individual strengths.
  • Conducted thorough reviews of operations to devise and deploy improvement strategies.
  • Analyzed problematic areas to provide recommendations and solutions.

Original Partner, Current Faculty and Administrative Manager

Edge-U, , LLC, Speakers’ Bureau
Cate
01.2002 - Current
  • Promoted new business and expanded firm's professional network through attendance and participation in community and industry events.
  • Spoke with peers to verify task completion, meeting tight deadlines and schedules.
  • Developed new programs and projects for consideration by colleagues
  • Oversaw the operation of providing virtual education via various modalities
  • Developed and presented educational sessions (in person and virtual) for individuals working in the field of Medical Staff Services/Credentialing

Senior Consultant & Director

Greeley Institute For Medical Services Professionals, The Greeley Company
Waltham, MA
10.2012 - 06.2014
  • Delivered and maintained client relationships by engaging new and existing clients.
  • Directed and developed the educational curriculum for The Greeley Institute for Medical Services Professionals (MSP) Development and for the Credence Business Unit
  • Faculty for The Greeley Institute for MSP Development educational programs
  • Evaluate credentialing and privileging processes as applicable to the facility and provide solutions based on The Greeley Company's principles and solution sets.

Faculty

National Association of Medical Staff Services
Washington, DC
01.1989 - 01.2013
  • Development and presentation of educational seminars and college accredited programs in Medical Staff Services, credentialing and management

Independent Consultant, Principal

Medical Staff Solutions
Nashua, NH
01.1996 - 01.2012
  • Established consulting firm, developed necessary resources, policies and procedures to initiate small business
  • Provided educational and/or consultant services concerning medical staff administration, credentialing and privileging to hospitals, managed care organizations, physician/hospital organizations, credentialing verification organizations and physician groups
  • Founding member of Edge-u-Cate, an educational resource and speakers’ bureau. Developed and presented educational resources for medical staff leaders and related MSS, Risk and Quality professionals.

Director of Medical Staff Services

St. Vincent Hospital & Fallon Healthcare
Worcester, MA
01.1991 - 01.1996
  • Responsible for credentialing, medical staff structure and support, graduate and continuing medical education programs and accreditation compliance and the medical library. Development and maintenance of relationships amongst Risk Management and Quality Improvement departments and enhancing the interface amongst those two departments with the credentialing process;
  • Special projects for Vice President of Medical Affairs and President/CEO;
  • Continuous Quality Improvement Instructor providing training and facilitative support to staff and medical staff for the Quality Improvement process.

Director of Medical Staff Services

The Medical Center of Central Mass
Worcester, MA
01.1987 - 01.1991
  • Directed the centralization and development of a Medical Staff Services Department for a three medical staff-3 hospital merger

Associate Consultant

InterQual, Inc
Marlboro, MA
11.1986 - 07.1987
  • Provided consulting services to hospitals, development and revision of Medical Staff Bylaws, credentialing policies and procedures, developed and presented national seminars

Assistant for Professional Affairs

Univ. of Mass. Medical Center
Worcester, MA
01.1981 - 01.1986
  • Provided administrative support to Chief of Staff and organized Medical Staff by overseeing the credentialing & privileging process and accreditation compliance for the Medical Staff organization.

Education

MS - Human Service Management

Worcester State College

BA - French/Education

Davis & Elkins College

Skills

Client Engagement

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Accomplishments

  • Induction into the National Association Medical Staff Services Hall of Fame, October, 2017
  • Development and presentation of national seminars and in-house training programs for credentialing professionals, risk managers and medical staff leaders; Faculty member of National Association Medical Staff Services,
  • PRESENTATIONS AND PUBLICATIONS 1989-2013
  • Re-structuring of medical staffs and medical staff service departments, development of policies and procedures for healthcare system to centralize medical staff services, inclusive of credentialing, provider recruitment and provider enrollment
  • Assessment of medical staff organizations from a risk perspective, assessment and pre-survey preparation for Joint Commission, CMS and NCQA accreditation
  • Provision of expert witness services for legal counsels nationwide
  • Development of orientation/training programs for new physicians and their office staff; and medical staff leaders in the hospital setting;
  • Re-engineering/restructuring medical staff organizations for better efficiency and efficacy;
  • Revision of Medical Staff Bylaws; credentialing policies and procedures, organization manuals and rules and regulations “Marketing a Physician Referral Service”, Journal of Hospital Marketing, Vol
  • 2, No
  • 2, 1988
  • Credentialing Responsibility: Yours, Mine or Ours?” Healthcare Review, Issue 1, 1997 and NAMSS Overview, November, 1997
  • Contributing writer and editor to: Handbook of Credentialing, Aspen Publishers, and Medical Staff Management, Aspen Publishers
  • Contributing author and editor to: The Medical Staff Services Handbook: Fundamentals and Beyond, Jones & Bartlett Publishers, Inc., 2007, 2010
  • Contributing author and editor of: Health Care Credentialing: A Guide to Practical Innovations, Wolters Kluwer, Law & Business, 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016
  • Contributing author and editor of: Overcoming Contemporary Credentialing Challenges, HcPro, 2017
  • Presentations to state and national audiences on: Effective Credentialing & Privileging, Credentialing as a Risk
  • Management Function, Performance Improvement, Delegation, Management of Medical Staff Services, Physician Profiling, Healthcare Organization and Law, Medical Staff and Governing Body Responsibilities, relevant legal cases and federal and state legislation and its effect on the credentialing process, General Management, Bylaws and Policies and Procedures; competency, telemedicine and other timely topics
  • Page 2 of 4 Christina W
  • Giles

Certification

Inducted into the National Association of Medical Staff Services Hall of Fame

Timeline

Inducted into the National Association of Medical Staff Services Hall of Fame

10-2017

Independent Healthcare Consultant – Principal

C. Giles & Associates
07.2014 - Current

Senior Consultant & Director

Greeley Institute For Medical Services Professionals, The Greeley Company
10.2012 - 06.2014

Original Partner, Current Faculty and Administrative Manager

Edge-U, , LLC, Speakers’ Bureau
01.2002 - Current

Independent Consultant, Principal

Medical Staff Solutions
01.1996 - 01.2012

Director of Medical Staff Services

St. Vincent Hospital & Fallon Healthcare
01.1991 - 01.1996

Faculty

National Association of Medical Staff Services
01.1989 - 01.2013

Director of Medical Staff Services

The Medical Center of Central Mass
01.1987 - 01.1991

Associate Consultant

InterQual, Inc
11.1986 - 07.1987

Assistant for Professional Affairs

Univ. of Mass. Medical Center
01.1981 - 01.1986

MS - Human Service Management

Worcester State College

BA - French/Education

Davis & Elkins College
CHRISTINA W. GILESHealthcare Administrative Consultant