Results-oriented Operations Executive with wide experience handling business operations, personnel and financials. Great expertise in auditing. In-depth knowledge of business planning and forecasting.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Community Clinical Assistant Professor
Frist College of Medicine
11.2024 - Current
Championed interdisciplinary collaboration within the institution, fostering a cohesive learning environment that benefited all academic programs.
Incorporated simulation-based training scenarios into the curriculum to enhance practical skills development in a safe setting.
Adjunct Professor of Public Health and Health Administration
University of North Carolina Chapel Hill, Gillings School of Public Health
08.2023 - Current
Taught Public Health Leadership courses, providing instruction to up to 12 Graduate students per semester.
Built relationships with students, mentoring on personal, professional and academic goals while providing coaching on effective study habits.
Managed student performance using automated reporting system, leveraging data to identify student learning needs and create action plans to overcome learning deficiencies.
Increased student retention by providing individualized support and tailored feedback on assignments.
Vice President of Quality
HCA TriStar Horizon Medical Center
07.2023 - Current
Cultivated strong relationships with key stakeholders, including customers, vendors, regulators, and community leaders to promote collaboration and long-term success.
Incorporated throughput and length of stay into Quality work
Initiated and maintain community alignment focused projects
Maintain financial resiliency during high volume peaks through cross training team members
Demonstrated proficient leadership skills to motivate employees and build competent teams.
Collaborated with senior management to develop strategic initiatives and long term goals.
Accomplishments:
Zero Harm to patients for more than 1 year
Maintain high employee engagement score >90% with 100% participation
Achieve and maintain 100% productivity target year-round
Ethics and Compliance Officer
HCA Healthcare, TriStar Horizon Medical Center
07.2023 - Current
Ensures EMTALA, ADA, DEA, and Clinical Ethics federal standards are adhered to with routine audits and policy implementation
Oversight to compliance for physician referral source contracting agreements
Achievements include:
Successful board education on Compliance Program
Establish Internal Compliance Reporting Process at the Facility level
Re-establish Compliance Committee within 1 month of ECO role
Managed relationships with regulators, maintaining open lines of communication to ensure transparent operations.
Assisted with internal and external audits to confirm compliance with applicable laws and regulations.
Doctoral Program Onsite Preceptor
Georgetown University, School of Nursing
11.2021 - Current
Practicum preceptor affiliated with Georgetown University School of Nursing Doctoral students to oversee their Thesis project from project design to final DNP Defense in Quality and Patient Safety
Collaborated with other preceptors and instructors to enhance student experience.
Volunteered personal instruction and training to Doctoral students through job shadowing and professional development.
Executive Director of Quality
Providence Saint Joseph Medical Center
11.2022 - 03.2023
This role provides strategic clinical leadership and form a strong linkage between ministry clinical and operational leadership with direct oversight for quality, performance improvement, analytics, clinical risk, patient safety and regulatory compliance, peer review, infection prevention, care experience and patient grievances and complaints
Worked closely with organizational leadership and board of directors to guide operational strategy.
Forge strong relationships with board members, providing regular updates on organizational progress and soliciting their expertise when needed.
Promoted a culture of continuous improvement by encouraging professional development opportunities for staff members.
Vice President of Quality & Utilization Management
HCA Healthcare, West Hills Hospital (HCA)
04.2021 - 10.2022
Leveraged technology to automate workflows and streamline processes, resulting in increased productivity and cost savings across the organization.
Built high-performance teams through effective recruitment practices focused on competency alignment coupled with ongoing performance management processes.
Accomplishments include:
Cultivated strong relationships with key stakeholders, including customers, vendors, regulators, and community leaders to promote collaboration and long-term success.
Led cross-functional teams for the successful completion of major projects, resulting in increased efficiency and client satisfaction.
80% reduction of HAIs house-wide
Restructured Quality Initiatives to include improved Medical Staff and front-line staff Engagement
Collaborating with Advanced Wound Center to build and expand the service-line's focus on Quality
Director of Quality Management
Kindred Hospital Brea
04.2018 - 03.2021
Facilitates and leads Performance Improvement initiatives utilizing Lean Six Sigma processes
Responsible for education and implementing risk mitigation for adverse patient events
Implemented best practice policies for patient education and patient and staff safety.
Directs and manages the clinical Peer Review process, including record selection, results tracking and trending, and performing OPPE and FPPE reviews for all contracted medical staff
Streamlined Quality Management department operations for improved efficiency and cost savings.
Conducts ongoing Mortality review and return-to-acute reviews
Facilitates Peer Review cases with Medical Staff appointed committee
Accomplishments included:
Improved HCAHPS Patient Satisfaction measures from30% to >85% in2019
Implemented four Quality Improvement initiatives for Pressure Wounds, Return-to-Acute, CAUTI, and Patient Satisfaction measures to meet benchmarks in2019
Oversaw successful 2019 Cal-OSHA survey inspection with timely abatement Achieved
89% Employee Engagement Survey participation in 2019
Director of Quality & Risk Management
Avanti Hospitals
07.2016 - 12.2017
System-level role, responsible for developing, implementing, monitoring, and evaluation of the hospital Performance Improvement Plan and ongoing Quality Management Program, as well as HCAHPS
Responsible for The Joint Commission, HFAP, and CMS preparations, as well as maintaining compliance with CMS Conditions of Participation, The Joint Commission standards, HFAP standards, COLA/CLIA standards, and HIPPA Rules and Regulations
Championed lean manufacturing initiatives, driving waste reduction efforts and increasing operational efficiency across the organization.
Responsible for overseeing and tracking Risk Management issues related to Risk Mitigation, Patient Safety, Health Plan grievances, patient complaints, Case Management, and Claims, and regularly communicating with the Corporate Compliance Officer
Accomplishments included:
Restructured Quality Assurance Plan for Community Hospital Huntington Park after a Conditional Reaccreditation Finding in the QAPI program and the Conditional Participation finding was found to be resolved and removed in the refocused survey60 days after initial survey (2016)
Submitted and passed HFAP General and ABG Laboratory relicensing survey in2017 with86 deficiencies
Passed two Sub-Acute CDPH re-licensing surveys (2016,2017)
Passed two General Acute Care Hospital surveys (2016)
Initiated Performance Improvement teams focusing on Emergency Department Throughput which yielded significant improvement in ED throughput core measures and times (ED-I, ED-2, OP-18, and OP-21) to meeting TJC Benchmark
Initiated Performance Improvement team in Sepsis Management to increase in Sep-I core measure from0% to50% compliance
Created process to improve Outpatient Colonoscopy Follow-up Core Measure OP-29 from0% to100% compliance
Created Quality Dashboard for System-wide Quality departments to report to Governing Board Created and implemented formal Root Cause Analysis and Failure-Mode Effect Analysis process and forms system-wide
Created and initiated Performance Improvement team for readmissions and collaboration with CalHIIN in Southern California region
Created and initiated wound care awareness and education for three hospitals
Completed HFAP comprehensive stroke certification
Operations Specialist, Hospital Administration
Common Spirit Healthcare, St. Mary's Medical Center
01.2015 - 04.2016
Responsible for initiating programs with C-suite executives and the facility president for cost-cutting and volume growth to manage and refine hospital operations using LEAN methodologies and financial analysis
Gathered and processed analytical data for program evaluation and maintenance
Participated in a focus group to improve HCAHPS overall rating score to the 86th percentile
Involved in strategic planning for sales initiatives to grow multiple service lines
Strategically planned and implemented programs impacting Patient Experience
Worked with Senior Directors to ensure Quality of Care
Worked with the Chair of APAC as the APAC Liaison to strategize the direction of the committee in meeting the initiatives and growing outreach to the Bay Area community
Education
MD, Doctor of Medicine -
American University of the Caribbean School of Medicine
Coral Gables, FL
MPH, Masters in Public Health - undefined
Westminster College
Salt Lake City, UT
BA, Bachelor of Arts - Molecular and Cell Biology
University of California, Berkeley
Berkeley, CA
Skills
Patient care
Teaching excellence
Clinical expertise
Mentoring
Quality assurance
Curriculum development
Operations management
Team leadership
Operational excellence
Accomplishments
Achieved 50% increased service line growth through LEAN methodology and key community partnerships.
Inspired students to pursue careers in specialties like Risk management and Quality.
Achieved Zero patient harm for 1 year through effectively helping with team building.
Certification
CPHQ Certified Professional in Healthcare Quality
LEAN SIX SIGMA - GREEN BELT
ACHE, American College of Healthcare Executives
LANGUAGES
English: fluent speaking, writing, reading
French: fluent speaking, writing, reading
Chinese: fluent speaking, reading, some writing
Affiliations
ACHE, NAHQ
Timeline
Community Clinical Assistant Professor
Frist College of Medicine
11.2024 - Current
Adjunct Professor of Public Health and Health Administration
University of North Carolina Chapel Hill, Gillings School of Public Health
08.2023 - Current
Vice President of Quality
HCA TriStar Horizon Medical Center
07.2023 - Current
Ethics and Compliance Officer
HCA Healthcare, TriStar Horizon Medical Center
07.2023 - Current
Executive Director of Quality
Providence Saint Joseph Medical Center
11.2022 - 03.2023
Doctoral Program Onsite Preceptor
Georgetown University, School of Nursing
11.2021 - Current
Vice President of Quality & Utilization Management
HCA Healthcare, West Hills Hospital (HCA)
04.2021 - 10.2022
Director of Quality Management
Kindred Hospital Brea
04.2018 - 03.2021
Director of Quality & Risk Management
Avanti Hospitals
07.2016 - 12.2017
Operations Specialist, Hospital Administration
Common Spirit Healthcare, St. Mary's Medical Center
01.2015 - 04.2016
MPH, Masters in Public Health - undefined
Westminster College
BA, Bachelor of Arts - Molecular and Cell Biology
University of California, Berkeley
MD, Doctor of Medicine -
American University of the Caribbean School of Medicine
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