Cindy Dickerson
Las Vegas,NV
Overview
41
41
years of professional experience
Work History
Corporate Regional Quality Director
Universal Health Services
King Of Prussia, Pennsylvania
03.2024 - Current
- Responsible for six Acute Hospitals, one Critical Access, two psychiatric units, one Acute Rehabilitation and five FEDS in Las Vegas, Nevada
- Collaborated with UHS corporate team to create a Quality Scorecard to align with CMS Star Rating and Leapfrog Survey
- Improved CMS Star ratings and Leapfrog scores using Rapid Cycle Improvement tools
- Mentored Quality Directors at the seven facilities
- Worked closely with Patient Experience Regional Director to improve HCAHP scores
- Strategically planned with Regional Quality/Safety and HRO team to improve patient safety
- Collaborated with Regional Infection Prevention team to reduce HAIs with focus on CLABSIs, CAUTIs, MRSA, and SSIs
- Presented educational ZOOM calls to UHS Quality Directors for Performance Improvement, CMS and TJC
System Director Quality Director
Valley Health System
Las Vegas, NV
07.2012 - 01.2024
- Administrative role and oversight of 14 employees with high employee satisfaction surveys
- Administrator for Qnet and CDAC reviews for CMS
- Responsible for the Valley Health System 6 hospitals
- Oversight of data submission to CMS (Core Measures, CDAC, HOP Measures, AHRQ) and Registries for TJC Stroke Programs, Society of Chest Pain, STS, NCDR, Action Registry, AHA/GWTG Recognition Awards, Leapfrog Data and March of Dimes along with insurer databases
- Responsible for responses to insurance companies’ quality grievances
- Hospital and Medical Staff Performance Improvement programs and reporting
- Oversight and redesign of the VHS HPIC meeting
- Oversight of Quality Plan and coordination of implementation with hospitals
- Designed the Performance Improvement initiatives and metrics presentation reported to the Board of Governing
- Worked closely with hospitalist groups and insurers developing metrics
- Oversight of redesign of the monthly operational reporting templates
- Worked closely with Medical Staff, Infection Prevention, and Regulatory System directors with performance improvement measures
- Assisted the C-suites and Quality Directors with Zero Harm Dashboard, patient safety indicators, mortalities, readmissions, and other chart reviews
- Submitted Leapfrog surveys along with analyzing and providing recommendations for improvement
- Educated Quality Directors to their role and CMS requirements for performance improvement
- Worked closely with corporate representatives for sepsis initiatives, perinatal, zero harm dashboard, Cerner implementation, and Meaningful Use
- Participated in HAC reduction program, sepsis, and readmission programs
- Participated in Clinical Integration programs
- Participated in TJC Certification programs: Stroke, HF, Diabetes, Perinatal, and Stroke Rehab
- Led the Society of Chest Pain Program re-accreditation
Administrative Director of Quality, Patient Safety and Regulatory Compliance
Summerlin Hospital
Las Vegas, NV
01.2010 - 12.2012
- Managed 2 risk managers, 2 infection prevention nurses, 3 performance improvement nurses, two medical staff employees and one administrative assistant.
- Responsible for Performance Improvement, Risk Management, Infection Control and Medical Staffing activities which included: peer review, regulatory compliance, performance improvement, hospital litigation, and risk management, and infection prevention
- Responsible for reporting performance improvement initiatives, plans of corrections, and metrics to the medical executive committee, governing board, and physician department meetings
- Patient Safety Officer, conducted RCAs and FMEAs
- Worked closely with the QIO and infection prevention manager with the CLABSI CUSP initiative
- Responsible for TJC accreditation, TERM surveys, and state surveys along with reporting of events
- Led the initial TJC Stroke Certification
- Conducted Leapfrog surveys and reported results
Director of Quality Resource Management and Risk Management
Fountain Valley Regional Hospital
Fountain Valley, CA
01.2006 - 12.2010
- Patient Safety Officer for the hospital
- Responsible for the Quality and Risk Management Dept.
- Managed: Risk Analyst, Data System Analyst, Risk Manager, and 6 Quality Review Nurses
- Directly oversee the Risk Management, including litigation involving the regional counsel and or hospital legal counsel
- Responsible for reporting to regulatory agencies: California Dept. of Health Services, FDA, OIG and CMS
- Responsible for Root Cause Analysis and Failure Mode Effect Analysis
- Oversight of abstraction, validation and reporting to required agencies: CMS/CDAC/TJC/STS, NSQIP, and CCORP data for Core Measures: AMI, Pneumonia, SCIP, CHF, CABG, HOPS, STS, and PCIs
- Responsible for Performance Improvement for the hospital: coordinating the data collection, validating and reporting the data to the Medical Staff, Medical Executive Committee and the Governing Board
- Responsible for The Joint Commission accreditation and Stroke Certification program
- Assist with applications for Center of Excellence, Accreditation and certification programs such as the Chest Pain Center, Bariatric, diabetic and Stroke programs
- Worked closely with Medical Staff department with the peer review process: oversight with: Peer Review Quality Committees for Medical., Maternal Childhood, Surgical, Cardiology and CV, and Transfusion Committee
- Oversight with infection control committee and NHSN
Manager of Quality Resource Management
Fountain Valley Regional Hospital
Fountain Valley, CA
01.2002 - 12.2006
- Risk Manager in charge of coordinating and completing all hospital wide Root Cause Analysis
- Managed three Quality Review RNs, one Secretary and one Data Analyst
- Responsible for the Physician’s Cardiovascular Quality Peer Review Committee
- Responsible for Commitment to Quality – CABG and AMI Quality Teams
- In charge of data abstraction, analysis and reporting the Commitment to Quality—PCI data
- Responsible in maintaining the Administrative Complaint Log
- Responsible for maintaining the Electronic Occurrence System
- Involved with various meetings: Bioethics, Cardiac Cath Conference, Clinical Practice, IIPP and EOC
- Involved with preparation of hospital for the Joint Commission
- Team member for unannounced visits from Department of Health Services, The Joint Commission, CMS and FDA
- Involved with formulating action plans required by Department of Health Services, The Joint Commission, CMS and FDA
Coordinator, Orthopedic, Surgical and SCU
Fountain Valley Regional Hospital
Fountain Valley, CA
01.2001 - 12.2002
- Coordinator of 95 employees; including RNs, LVNs, CNAs, and unit secretaries
- Assisted with opening a Bariatric Program
- Oversee: Orthopedic, Surgical and Specialty Care Unit for Bariatric patients
- Position includes responsibility for: daily productivity, staffing the units, competencies, hiring; discipline actions and annual evaluations
- Responsible for complaints and quality assurance issues
- Participated in various committees: Ortho Task Force; Pain Management, Target 100 Teams and Bed Utilization Team
Manager, Case Management Department
Fountain Valley Regional Hospital
Fountain Valley, CA
01.1998 - 12.2001
- Manager of three secretaries, 12 Case Managers including a High Risk and Admitting Case Manager
- Maintained a clean non-billed report for 2 years; working closely with Review Companies and payers to decrease the denials; implemented a denial process.
- Worked closely with IPAs and medical directors.
- Identified High Risk Cases and utilized the High Risk Case Manager along with the Utilization Physician to overcome and avoid complications.
- Administrative duties included: productivity hours, evaluations, hiring and disciplinary actions
- Preceptor to new Case Managers
- Maintain and reported metrics to Utilization Committee
Case Manager
Fountain Valley Regional Hospital
Fountain Valley, CA
01.1994 - 12.1998
- Created and implemented discharge plans for patients to appropriate level of care
- Worked with Physicians, multidisciplinary teams, patients and families to coordinate care
- Worked in conjunction with administration regarding complex and high risk cases.
- Participated and conducted Outlier weekly meeting, case conferences and rehab rounds.
- Recognized for excellence in utilization review and discharge planning in ICU
- Maintained Quarterly Reports for Utilization Committee
- Developed and updated department policy and procedures
- Preceptor to new nurses, taught new computer programs for SI/IS criteria
Staff RN/ Relief Charge Nurse
Fountain Valley Regional Hospital
Fountain Valley, CA
01.1986 - 12.1994
- Participated in care of trauma patients such as head injury and spinal cord injuries, cardiac and post CABG patients on a Telemetry/Sub-ICU unit
- Relief Charge for the 55 bed Telemetry/Sub-ICU Unit
- Preceptor for new nurses
- Conducted daily priority rounds with physicians and staff
- Floated to the ICU/CCU and Emergency Department
Staff RN/Relief Charge Nurse
Presbyterian Hospital
Whittier
01.1985 - 12.1986
- Staff RN and preceptor for 35 bed Sub-ICU/Telemetry Unit
- Cared for post-op CABG, PCI and Post-AMI Patients
- Relief Charge within 6 months as a new Graduate
Timeline
Corporate Regional Quality Director
Universal Health Services
03.2024 - Current
System Director Quality Director
Valley Health System
07.2012 - 01.2024
Administrative Director of Quality, Patient Safety and Regulatory Compliance
Summerlin Hospital
01.2010 - 12.2012
Director of Quality Resource Management and Risk Management
Fountain Valley Regional Hospital
01.2006 - 12.2010
Manager of Quality Resource Management
Fountain Valley Regional Hospital
01.2002 - 12.2006
Coordinator, Orthopedic, Surgical and SCU
Fountain Valley Regional Hospital
01.2001 - 12.2002
Manager, Case Management Department
Fountain Valley Regional Hospital
01.1998 - 12.2001
Case Manager
Fountain Valley Regional Hospital
01.1994 - 12.1998
Staff RN/ Relief Charge Nurse
Fountain Valley Regional Hospital
01.1986 - 12.1994
Staff RN/Relief Charge Nurse
Presbyterian Hospital
01.1985 - 12.1986
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