Emily Greene
Durham,NC
Summary
Forward-thinking team leader skilled at operating departments efficiently to meet goals. Successful background matching employees with roles for maximum performance. Adept in directing clinical operations in the ambulatory care setting at Duke Health Integrated Practices with over 80,000 visits per year. An expert leader with twenty-four years of experience in nursing and 18 years in operations administration, organizational development, and health care management. Accomplished in improving quality outcomes, optimizing care delivery, improving access with telemedicine, advanced health care leadership, leading diverse teams in multiple settings, and driving change across the enterprise from ICU to ambulatory care across the country. Additionally, lead the American College of Healthcare Executives' local organization with over 750 healthcare executives across the state of North Carolina.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Regional Director of Operations
Duke Health Integrated Practices
01.2021 - Current
- Increased operational efficiency with access by 20% through implementation of innovative solutions tele-derm, e-visits, fast-pass
- Reduced medical supply expenditures by 10% for department through cost analysis and effective budget management
- Expanded services, development, and strategic planning
- Budget forecasting, business model development, and financial planning
- Defined, implemented, and revised operational policies and guidelines.
- Managed procurement, inventory, and capital planning
- Evaluated performance, adjusted strategies, and maintained agile, sustainable operations.
- Continuous quality improvement and total quality management
- Expanded service lines, site planning/facility development, clinic design, migration, and transformation
- Improved revenue through cash collection, coding, and billing
Health Center Administrator
Duke Dermatology
01.2014 - 01.2021
- Private Diagnostic Clinics HCA for three Dermatology sites with 5 direct reports, 23 indirect reports, and 45 providers.
- Oversaw all financial transactions and management functions, strategically managing $3.9 million operating budget and combined patient visits of 36,000/yr.
- Lead Dermatology Quality and Safety committee reviews to share A3 learnings and develop new policies for standardization in ambulatory.
- Maestro Care/Epic super user and optimized templates 45+ providers.
- Analyze quality and safety data to identify system defects and utilize DMAIC to improve workflow and streamline processes.
- Implemented double clinician verification for specimen labeling as break-fix intervention with uptick in lost specimens and safety events.
- Improved Work Culture Score from Tier 3 to Tier 1 for 3 consecutive years.
- Clinics meeting/exceeding BSC targets in 14/17 domains.
- Plan and coordinate Dermatology all staff retreat for team development.
- Oversee planning and logistics for clinic renovation and expansion, including capital equipment purchases.
- Maintain greater than 95% compliance on EOC and Joint Commission Surveys.
- Ensure greater than 100% template utilization for all providers.
- Effectively use Just Culture and LFDT to coach, mentor, and develop staff.
- Sustained clinic's volume growth by >20% each year with increased schedule utilization and urgent access initiatives.
- Conducted Go and See, identifying safety threats, hazards, inefficiency, and eliminating waste for workflow optimization and increased patient satisfaction and improved outcomes.
Nurse Manager
Duke Private Diagnostic Clinics
09.2012 - 12.2013
- Nurse manager overseeing operations, patient care, and clinical practice in ambulatory care setting
- Supervised, directed, and motivated high-quality performance from nursing staff.
- Coordinated staffing for 12 attendings, 9 residents, and 2 APPs.
- Managed operating budget of 1.2M and 20,000 patient visits.
- Coached, mentored, and developed staff.
- Conduct performed reviews, managed payroll, time and attendance, and corrective action.
- Coordinated procurement of supplies, equipment, and materials, maintaining just-in-time inventory to generate overall cost savings of 70K in FY14.
- Monitor safety reports and develop action plans where indicated.
- Launched ROCK STEDI campaign to roll out Living of Values and effectively managed expectations through human resource protocols when appropriate.
Charge Nurse/Interim Assistant Manager
UCLA Medical Center
09.2001 - 06.2012
- PACU/ICU float nurse floating to all critical care specialties including: PACU, CCU, NSICU, Liver ICU, MICU, PICU, and CTICU.
- Adaptability and skill to perform procedures and operate equipment unique to each specialty i.e ventriculostomy and continuous EEG monitoring, continuous cardiac output monitoring and titration if multiple vasoactive drips simultaneously, LVAD and BI VAD bypass devices, CRRT dialysis and implement Code Blue Emergency Pathway and administer ACLS drugs per algorithm.
- Functioned as charge nurse role, and interim assistant manager in PACU.
- Attended bed control meetings, managed patient flow, managed schedules and assignments for 28-bed PACU, educated staff about policy and procedures, and provided conflict management for family and staff.
Critical Care Registered Nurse
St Joseph's Hospital
05.2009 - 03.2010
- Managed two critical care patients.
- Effectively care for intubated patients and assess readiness for Spontaneous Breathing Trials (SBT's) Keep patient stable for weaning every 2 hours.
- Titrating diprivan off for rapid weaning and early extubation, while keeping thepatient calm.
- Performance of daily sedation vacation and pulmonary toilet while patient intubated and encouraging cough and deep breathing when extubated.
- Frequent titration of vasopressors.
BICU-RN
Grossman Burn Center
01.2006 - 04.2009
- Burn ICU RN for three years responsible for management of Burn victims.
- Use of Parkland formula to calculate fluid requirements and hourly bolus of fluid to maintain optimal urine output.
- Serial labs to monitor for electrolyte shifts and increased CK levels.
- Offset impending rhabdomyolysis by aggressive fluid resuscitation.
- Assist with placement of Swan Ganz to monitor wedge pressures and PA pressure with active fluid resuscitation.
- Accompany burn patient to OR for debridement under anesthesia, recover patient or keep paralyzed and sedated for desired Train of Four.
PACU RN
Long Beach Memorial Medical Center
01.2004 - 01.2006
- Recovery nurse for 2 years in a busy PACU with approx 85-100 cases/day.
- Responsible for floating to all recovery services, including pediatric and women's recovery.
- Managed patient's pain post-operatively after receiving general, MAC, spinal/epidural anesthesia, or conscious sedation.
- Responsible for monitoring vitals frequently and airway management of patients still exhibiting effects of anesthesia and notifying MD of potential adverse effects of anesthesia.
- Established readiness for discharge once Aldrete criteria met.
- Also responsible for recovering ICU patients in PACU.
Critical Care Registered Nurse
UNC Hospitals
08.2000 - 09.2001
- Oversaw various aspects of telemetry by administering PA catheters and arterials, vasoactive drugs, titration, thrombolytic therapy, dysrhythmia interpretation, and chest tubes.
- Assessed and managed various patient treatments for numerous patient diagnoses from sepsis to acute respiratory distress.
- Trained and coached new employees on protocols and best practices to promote ideal patient outcomes.
- Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.
Education
Masters of Science - Nursing Administration and Occupational/Environmental Health
University of California
Los Angeles, CA06.2012
Bachelor of Science - Nursing
University of North Carolina At Chapel Hill
Chapel Hill, NC05.2000
Associate of Science - Pre Med Biology
North Carolina State University
Raleigh, NC06.1998
Green Belt, Lean Six Sigma Training -
Duke University Health System
Durham, North Carolina2016
Skills
- Transformational Leadership
- Lean, Six Sigma, Data-driven decision-making
- Budget planning, Capital Spending, Cost Benefit Analysis
- Strategic Planning, Workforce Planning
- Business plan development for growth and expansion
- Coach, Mentor, Servant-Leader, Advocate
- Conflict management and crucial conversations
- Performance management with balance scorecard
- Systems thinking /visionary thinking
- TeamSTEPPS coach
- Maestro Care Super User
- RL6, Axiom, DeFacto, Epic Signal, Slicer Dicer
- Policy and Procedure development
- Relationship management and interdisciplinary collaboration
- Speaker/presenter
- Diversity, Equity and Inclusion Leadership
Accomplishments
- President Triangle Healthcare Executives (2021)
- Winner of the 2021 Board of Governor's Award
- I have a total of 20 years of experience in nursing and health care management, working multiple settings from ICU to ambulatory care.
- Manage a team of 33 employees through direct and indirect reporting relationship and an operating budget of 3.9 million.
- Converted Dermatology from Tier 3 to Tier 1 Work Culture and spearheaded initiative to reduce specimen labeling events in Dermatology, which was adopted PDC wide.
- Fellow of the American College of Health Care Executives.
- I have served on several professional practice committees and participated in Green Belt projects to improve clinic efficiency and to improve care delivery to patients in ambulatory and in patient settings.
- In my effort to be a transformational leader I practice inspirational motivation and idealized influence with my team, to improve our work environment, and enhance professional practice.
- TEAM STEPPS Master Trainer
- Basic Life Support
- Advanced Care Life Support
- Pediatric Advanced Life Support
Affiliations
American College of Health Care Executives
American Nurses Association
North Carolina Nurses Association
Dermatology Nurses Association
Certification
Fellow of the American College of Healthcare Executives , 2019
Duke Quality Systems Coach, 2019
TeamSTEPPS Master Trainer, 2017
Six Sigma Green Belt , 2016
UCLA Executive Residency Jan 2011- June 2012
UCLA Masters in Nursing Administration/Healthcare Administration 18 month Executive Residency with Chief Nursing Officer Heidi Crooks (CV available upon request)
Timeline
Regional Director of Operations
Duke Health Integrated Practices
01.2021 - Current
Health Center Administrator
Duke Dermatology
01.2014 - 01.2021
Nurse Manager
Duke Private Diagnostic Clinics
09.2012 - 12.2013
Critical Care Registered Nurse
St Joseph's Hospital
05.2009 - 03.2010
BICU-RN
Grossman Burn Center
01.2006 - 04.2009
PACU RN
Long Beach Memorial Medical Center
01.2004 - 01.2006
Charge Nurse/Interim Assistant Manager
UCLA Medical Center
09.2001 - 06.2012
Critical Care Registered Nurse
UNC Hospitals
08.2000 - 09.2001
Masters of Science - Nursing Administration and Occupational/Environmental Health
University of California
Bachelor of Science - Nursing
University of North Carolina At Chapel Hill
Associate of Science - Pre Med Biology
North Carolina State University
Green Belt, Lean Six Sigma Training -
Duke University Health System
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