Quality management professional with strong background in ensuring compliance and driving continuous improvement. Proven ability to implement effective quality assurance and quality processes and ensure compliance with CLIA, TJC, and CAP standards. Collaborative team player with strong focus on achieving results and adapting to changing needs. Skilled in process improvement, regulatory compliance, and effective communication. Known for reliability, professionalism, leadership, and detail-oriented work ethic.
-Improved the laboratory quality assurance program for three regional hospitals by creating the policies and procedures and implementing necessary quality assurance activity required by CLIA.
- Performed Mock inspections prior to the Joint Commission biennial inspection.
-Created and provided the quality tools and initiated corrective actions to ensure inspection readiness.
- Communicated and presented the CLIA rule changes and TJC response according to the CLIA changes to the laboratory managers and medical director.
-Served as a resource regarding laboratory standards and regulations, such as CLIA, TJC, CDPH, CDC, FDA, and TJC.
- Communicated and educated the laboratory leadership regarding the new joint commission inspection rules on reviewing periodical quality assurance documentation,
- Implemented and corrected the proficiency testing policy and process to comply with the joint commission requirement and standard.
- Renewed hospital and clinic CDPH and CMS licenses.
- Planned, organized, and led the corrective action plan regarding the joint commission inspection results.
-Worked with the lab leadership and the hospital quality team to write up and submit the joint commission evidence of compliance.
-Collaborated and worked with the medical director to Implement the policy for true critical result to call during the after office hours.
-Implemented the delegation policies to improve the workflow of the biannual unchanged policy review and proficiency testing evaluation review for the 100% performance-scored event.
- Created and implemented monthly quality assurance reports with Key Quality indicators for the medical director to review.
-Worked with the bench CLS to help the site admin director to complete the periodic Calibration Verification and Correlation studies.
-CAP lab inspector
-Received the outstanding performance review score.
Medical Laboratory Scientist (CDPH)
Medical Laboratory Scientist (CDPH)