Summary
Overview
Work History
Education
Skills
Timeline
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Clare Fox

Summary

Results-oriented Director of Performance Improvement specializing in process optimization and Lean Six Sigma. Led collaboration and standardization initiatives across three critical access hospitals and a home health and hospice agency. Instructed staff on lean tools and guided over sixty individuals in executing performance improvement processes; achieving over $2 million in savings through lean methodology. Dynamic Director of Performance Improvement with proven Lean Six Sigma expertise. Skilled in workflow optimization and cross-functional collaboration, driving initiatives that enhance operational efficiency and improve organizational performance. Results-driven Director with Lean Six Sigma expertise, optimizing workflows and enhancing operational efficiency. Proven leadership in guiding performance improvement projects and fostering cross-functional collaboration.

Overview

33
33
years of professional experience

Work History

Director of Performance Improvement

North Country HealthCare
Whitefield, New Hampshire
10.2021 - Current
  • Delivered one-day Lean Six Sigma training to 50% of NCH employees from October 2022 to September 2023.
  • Expanded training reach to 100% of employees from October 2023 to September 2024.
  • Implemented mandatory one-day Lean Six Sigma class for all new hires starting October 2024.
  • Guided 26 employees in performance improvement project utilizing lean tools from October 2023 to September 2024.
  • In October 2024 hosted NCH First Quality Showcase highlighting projects completed by staff.
  • Guided 40 employees in performance improvement project utilizing lean tools from October 2024 to September 2025.
  • In October 2025 hosted NCH Second Quality Showcase highlighting projects completed by staff.
  • Developed and implemented process improvement initiatives that enhanced operational efficiency across departments.
  • In 2022 joined New Hampshire Lean Network (NHLN) Group comprising lean healthcare practitioners. Joined NHLN leadership team in May 2025, facilitating all sessions with one additional member.
  • Presented findings at AHA Rural Hospital Conference in 2022.
  • Featured in AHA Rural Hospital Podcast in 2022.
  • Posters of work exhibited at North East Lean Conference in 2023 and 2024.
  • Mapped workflows across various clinical areas, including emergency room departments for three different hospitals, behavioral health departments, and pain management.
  • Spearheaded non-clinical performance improvement projects encompassing grant and philanthropy initiatives.
  • Reduced turnaround time for patients presenting positive mammogram studies and needing further investigation.
  • Enhanced bar code medication scanning accuracy to reduce errors.
  • Implemented best practices for medication management to optimize workflow efficiency.

Physical Therapist- Senior PT- Director of ST/PT

Androscoggin Valley Hospital
Berlin, NH
03.1996 - 10.2021
  • Joined AVH in 1996 as inpatient staff physical therapist, quickly promoted to senior therapist and then to director of physical and speech therapy.
  • Diverse clinical experience in inpatient, outpatient, pediatrics, geriatrics, and home health settings.
  • Managed $3 million budget effectively to ensure resource allocation.
  • Achieved McKenzie certification to enhance treatment methods.
  • Served as certified physical therapy student instructor to mentor future therapists.
  • Presented concussion education programs to local schools and pediatricians, promoting athlete impact testing.
  • Engaged in the NH rehab directors group to share best practices.
  • Contributed to readmission prevention team at AVH, improving patient outcomes.
  • Established QLUE, a team focused on enhancing Quality of Life Until the End.
    Recruited local healthcare workers from diverse organizations to form a collaborative team.
    Established collaborations with multiple local organizations to encourage end of life conversations.
  • Recognized as AVH Employee of the Year in 2013.
  • Led Rewards and Recognition Team and participated on the AVH Steering Team to enhance organizational culture in collaboration with the Studer Group.
  • Achieved lean yellow and green belt certifications.
  • Organized one-day lean training for managers at AVH.
  • Coordinated eight-week 'Lean in Healthcare' certification program for 24 healthcare workers across four hospitals, enhancing skills and collaboration.
  • In 2020 solicited local organizations, including schools, colleges, and DIY stores, to provide equipment and resources for hospital staff, ensuring availability of personal protective equipment and essential tools.
  • Managed limited equipment during the pandemic and developed creative solutions for obtaining resources from unconventional sources.
  • Facilitated trials in 2020 to prepare for influx of COVID-19 patients.
  • Designed workflows for initial COVID-19 vaccinations while ensuring social distancing protocols.
  • Spearheaded performance improvement team, streamlining provider onboarding processes to enhance efficiency.

Staff Physiotherapist

South Tyneside District Hospital
South Shields, England
06.1993 - 02.1996
  • Developed personalized rehabilitation plans through comprehensive evaluations of patient conditions, improving recovery outcomes.
  • Contributed to outpatient orthopedics by applying new treatment approaches, positively impacting patient care.
  • Completed three-month rotations across inpatient orthopedics, ICU, general surgery, and neurology.
  • Rotated through inpatient geriatrics and outpatient hand therapy to gain specialized experience.
  • Advanced clinical skills by completing targeted educational courses, enhancing therapeutic techniques.
  • Actively engaged in professional development to expand knowledge base.

Education

Bachelor of Science - Physiotherapy

Northumbria University
Newcastle Upon Tyne
05-1993

Skills

  • Project management
  • Lean Six Sigma expertise
  • Workflow optimization
  • Cross-functional collaboration
  • Coaching and mentoring
  • Engagement and empowerment initiatives
  • Leading with humility
  • Clinical physical therapist

Timeline

Director of Performance Improvement

North Country HealthCare
10.2021 - Current

Physical Therapist- Senior PT- Director of ST/PT

Androscoggin Valley Hospital
03.1996 - 10.2021

Staff Physiotherapist

South Tyneside District Hospital
06.1993 - 02.1996

Bachelor of Science - Physiotherapy

Northumbria University

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Clare Fox