Carol J. Simpson

Director of Nursing for PICU (5 beds), Inpatient Pediatrics/ Bone Marrow Transplant (33 beds) and Pediatric Ambulatory Care Center (PACC- contains Urgent Care, Procedure Room, Infusion, Clinic, Study Drug Infusion Area- over 100 visits per day), Pediatric Ophthalmology Clinic and Procedure Room.

Provides strategic direction and supervision all nursing staff- practice, operations, performance

Financial oversight of operational budget for 4 distinct pediatric units

Strategy and Support for all Pediatric Care provided in MSK Regional Sites

Leader/ Facilitator of Quality Improvement Projects to streamline flow and increase capacity in outpatient areas in order to meet diverse patient needs.

Regulatory compliance oversight of 4 Units

Development of Daily Management System/safety huddles to support staff, make quality metrics transparent and drive process changes.

Participation in American College of Surgeons Children’s Surgical Site Verification process and survey where MSK was awarded the first certification in a Specialty Hospital

Collaboration with Clinical Trials Nursing to provide optimal study participation and compliance.

· Co-lead in organizational effort to transform culture and to improve processes, efficiencies, and retention in the Operating Room (OR).

· Leadership Team Structure creation and solidification via internal promotion, training and coaching of existing Operating Room team members.

· Level 1 Trauma Center and Tertiary Care Center, internationally known for research, innovation, and family centered care.

· Transformational Leadership provision to 150 employees- nurses, surgical technicians, anesthesia technicians and core technicians.

· Nurse Manager Lead for Financial Stewardship Hospital-Wide Committee.

· Responsible for regulatory requirements including High Level Disinfection, Environment of Care, Life Safety, Perioperative Policies and Procedures.

· Fiscal accountability to OR performing approximately 18000 cases per year.

· Documented improvement of Safety Culture according to AHRQ trended data.

· Increase in PEAK Nurses (professional advancement program) by 300% from

FY 18 to FY 20-22.

· Development and solidification of OR Service Coordinator role.

· Leadership Representative of Perioperative Services for:

o New Patient Tower (2027 completion)

o Off-site Services and Logistics Center/ CPD (2022 completion)

o Preference Card process restructure

o High Level Disinfection Steering Committee

· Huddle development to create visibility around quality and safety metrics, recognition, recruitment, operational information.

· Regulatory Preparation/ Clinical Standards Integration committee lead.

· Ongoing partnership with Surgi-Center Staff, Anesthesia, Surgery to drive system-oriented approach and changes.

· Data Utilization to form department goals and strategy.

· Operational and strategic leadership of a large dynamic department at multiple sites, serving radiologic, procedural, sedation needs of inpatients and outpatients.

· Oversight of 80 associates, partnering with Radiology, Anesthesia and Sedation services.

· Created department wide huddle and escalation process inclusive of nursing, anesthesia, radiology, sedation, interventional radiology and others in order to raise and solve issues using Lean methodology and Visual Management.

· Developed Daily Management System to maintain environment of care.

· Oversight and collaboration in multiple quality and safety initiatives.

· 5S phase 1 and 2 performed in Interventional Radiology.

· Creation of night shift based on data/ organizational need.

· Led creation of flexible staffing model among sedation/radiology sites in prep for new hospital and to allow for staffing needs to be met per site.

Participated in vision and strategy for community-based satellite hospital

· Provided vision, guidance, and leadership development to 140 Emergency Department (ED) Associates including the Nurse Manager, Flow Supervisors, Value Stream Manager, RNs, EMTs/Technicians, Liaisons and Clerks in a Level 1 Pediatric Emergency Department/ Pediatric Trauma Center, with 60,000 visits per year.

· Oversight of daily management system and act as coach and mentor for Continuous Improvement (CI) activities, including huddles, A3s, RPI’s, STPs.

· Drove and maintained change and innovation.

· Aligned department goals and Continuous Improvement efforts with enterprise strategies.

· Collaborate with emergency department physician leaders and hospital leaders to maintain strong foundation in clinical excellence and to optimize patient flow.

· Built and maintained relationships with multiple hospital departments.

· Guided vision and strategy for a growing department.

· Led transition of department to new space in November 2014.

· Created a seasonal staffing model, allowing for elasticity in staffing numbers during peak and low volume seasons; cost saving analysis in progress.

· Created “ED Flow Supervisor Scorecard” to provide an objective measure of performance.

· Developed robust Critical Saturation Plan in order to provide guide for team response to surges in Emergency Department Volume.

· Implemented over 20 Clinical Pathways and robust daily management system for compliance and quality monitoring.

· ED Certification rate and BSN rate rose by greater than 20% in 2.5 years.

· Developed ED Phone Nurse role to assist providers in follow up phone calls, referrals, and other daily Fast Track morning tasks.

Oversight provided of efforts to improve pain management for pediatric emergency patients,· decrease length of stay for emergency department patients, standardize use of PPE, etc.

· Member of Management Guidance Team for ED Value Stream.

· Spearheaded revision of blood retrieval process for trauma codes.

· Led ED transition to non-disposable blood pressure cuffs; savings projected at $100K per year in medical supply cost; created plan to roll out hospital wide.

· Preceptor to Drexel Nursing Leadership student for summer 2015, 2016, 2017 semesters.

· Mentor to MSN student for duration of program.

· Tour Guide for several Major Donor Tours as requested by leaders of the Fund Office.

· Development partner for electronic application, which allows patients and families real time feedback opportunities during stay in ED.

· Hospital/Enterprise Committee Membership and Leadership:

o Member of Nurse Executive Council.

o Member of Clinical Technology Oversight Committee.

o Member of Infection Prevention Committee.

o High Alert Medication Task Force -revised high alert medication policy in order to ensure safer medication administration enterprise wide (Nursing Lead on project).

o Formulated Ebola Response plan in collaboration with hospital leaders.

o Magnet writer - 3 sections written for 2017 re-designation document.

o Member of Steering Committee for Autism Friendly Hospital- champion for creation of autism-friendly emergency department space and workflow.

o Revised Nurse Executive Competency Checklist (Operational Nursing Lead).

o Formed and led work group to create Flow Supervisor Job Description and Competency Checklist (Operational Nursing Lead).

· Managed Pre-Surgical Care areas, including Pre-Operative Holding and Pre-Admission Testing Clinic; daily volume is approximately 80 patients per day between areas.

· Responsible for 45 direct reports, including 37 RNs and 8 non-clinical Associates.

· Participation in extensive Continuous Improvement/ Lean training (North American Study Tour, Lean Leader Training, Daily Management Systems, Situation-Target-Proposal or STP).

· Hospital wide Continuous Improvement teacher (CI Basics, STP, CILT Moderator).

· Daily collaboration with managers in OR, PACU and other surgical specialties areas.

· Guidance and leadership provided to Associates throughout Continuous Improvement efforts.

· Development of on-line surgical services “virtual tour” for families and patients coming to surgical services.

· Day of surgery cancelation rate reduced following phone screen rapid process improvement (RPI).

· Developed reliable method and process confirmation for pre-operative holding bay cleaning, chlorhexidine scrub compliance and pre-operative phone screen.

Provided Primary Nursing care to pediatric oncology patients in a variety of oncology settings

Bone Marrow Transplant Team

Charge Nurse

Clinical Supervisor

Programmatic and clinical leader in design of Proton Center

Quality and Safety Committee leader for oncology