Daleisha Goins

• Successfully guided the facility through its first CMS and State regulatory surveys as Facility Administrator with a deficiency-free outcome through proactive compliance monitoring, survey preparation, and continuous improvement practices.
• Lead quality, compliance, and operational performance for a 42-station outpatient dialysis facility serving 104 patients while overseeing a multidisciplinary healthcare team of 20 professionals.
• Led quality assessment and performance improvement (QAPI) activities by reviewing quality indicators, identifying performance gaps, developing action plans, and monitoring outcomes to enhance patient care.
• Developed and implemented corrective action plans from audit findings to target performance opportunities and elevate quality outcomes.
• Improved catheter-related infection performance metrics from 34 to 23.2 through targeted quality initiatives, staff accountability, infection prevention monitoring, and documentation review.
• Implemented workflow improvements that increased on-time treatment starts from 35–45% to a sustained 74–82% average over three months through process redesign and operational standardization.
• Supported reduction of missed treatments through QAPI initiatives, interdisciplinary collaboration, and workflow improvement strategies.
• Partnered with clinical leadership, physicians, and interdisciplinary teams to identify risks, improve care processes, and maintain regulatory compliance.
• Maintained emergency preparedness processes and supported compliance with CMS, state, OSHA, and organizational requirements.
• Educated and coached staff on compliance expectations, clinical standards, infection prevention practices, and quality improvement initiatives to foster a culture of accountability.

• Coordinated dialysis patient transitions across hospitals, outpatient clinics, and VA healthcare facilities throughout North Carolina and South Carolina.
• Managed 5–8 patient placements weekly, ensuring timely communication, accurate documentation, and compliance during transitions of care.
• Created and implemented admission, discharge, and documentation workflows, enhancing communication between inpatient teams, dialysis providers, and social work departments.
• Educated social work teams on dialysis-specific discharge requirements, contributing to improved transition planning, decreased dialysis-related length of stay, and reduced readmission risk.
• Partnered with Infection Prevention teams to ensure dialysis unit survey readiness and compliance with regulatory standards.
• Reviewed documentation practices to promote accuracy, completeness, and continuity of care.

• Ensured clinical quality and compliance through precise documentation, infection prevention practices, equipment safety monitoring, and adherence to healthcare standards.
• Delivered safe hemodialysis care while maintaining accurate documentation and compliance with clinical standards.
• Created and delivered water treatment system education for 30+ dialysis employees, enhancing understanding of regulatory and safety requirements.
• Supported clinical quality and compliance through accurate documentation, infection prevention practices, equipment safety monitoring, and adherence to healthcare standards.
• Engaged in quality improvement initiatives aimed at enhancing patient safety and operational reliability.
• Participated in quality improvement activities focused on patient safety and operational reliability.
• Developed and provided water treatment system education for 30+ dialysis employees, reinforcing regulatory and safety requirements.
• Supported infection prevention practices and equipment safety requirements.
• Assisted with patient education and interdisciplinary care coordination.

Provided hemodialysis care to patients, maintaining compliance with clinical standards and accurate documentation practices.

Oversaw patient condition monitoring, identified concerns, and communicated changes to nursing leadership.

Promoted compliance with infection control measures and ensured safety of medical equipment.

Supported patient education programs to enhance understanding and engagement in care plans.