Your Name
Summary
Quality Manager with 20+ years' experience in healthcare. Skilled in analytical problem solving. Exceptional
interpersonal skills with high value system and strong work ethic. Skilled and confident in startup and organizational
phases of projects. Proven leader with excellent clinical and administrative skills. Exceptional managerial skills.
Overview
32
32
years of professional experience
Work History
Quality Manager
Central DuPage Hospital
10.2001 - Current
- Responsible for all Peer Review activities including implementation of new peer review process, accountable for The Joint Commission Standards related to the medical staff processes and assisted with mock tracer activities, led team in producing OPPE reports for1200 practitioners, which The Joint Commission acknowledged as Best Practice in 2013, Supervise 7 employees.
- Active member of Credentials Committee, Medical Executive Committee, Serious Safety Event Committee, Neurosciences Committee, Trauma Committee, Perinatal M&M Committee.
- Facilitator of OPPE FPPE Committee, Practitioner Peer Review Committee.
- Led team in the development of new Quality database for Peer Review which resulted in 75% more efficient process for FPPE, OPPE and Peer Review.
- Led team in creating and improving medical protocols/guidelines including the Sepsis Protocol Bundle which is now part of our Epic medical record and all patients are screened using this tool.
- Monitored Peer Review budget to ensure financial objectives were met.
- Recommended use of a different external peer review company which resulted in significant savings.
- Facilitated Near Miss Task Force, producing "Good Catch" program for hospital which increased the occurrence reporting by 90%.
- Responsible for data displayed on OPPE reports.
Patient Care Committee Manager
Hinsdale Hospital
10.2000 - 10.2001
- Liaison and education resource to practitioners and other clinical departments.
- Development of system Physician Peer Review Committee.
- Assisted Medical Staff Office in Appointment and Reappointment process.
- Responsible for building Physician Performance Feedback reports.
- Managed and supervised 4 Performance Improvement Coordinators.
- Oversaw the development, implementation, coordination, analysis and evaluation of facility-wide quality improvement activities.
- Responsible for hiring, training and evaluating Quality staff.
- Assisted with The Joint Commission Survey Process for re-accreditation.
- Worked collaboratively with physician groups building and finalizing resource protocols and clinical pathways.
- Facilitator for Performance Improvement teams.
Clinical Process and Outcomes Analyst
Elmhurst Memorial Healthcare
06.1994 - 07.2000
- Responsible for all Physician Peer Review Committees, Supervised and coordinated activities of Utilization Review staff.
- Conducted focus and quality reviews on physicians.
- Facilitated Performance Improvement teams, responsible for cardiovascular and orthopedic performance teams and prepared comprehensive cost analysis reports to decrease cost using the Premier National Benchmarking database which resulted in an orthopedic savings of 1,000,000.00 by using one type of hip prosthesis, and savings of 500,000.00 in CV Services by decreasing the utilization costs.
- Facilitator of implementing new Quality Databases.
- Responsible for oversight of daily clinical activities in the Quality Department.
- Responsible for Illinois Foundation Quality for Healthcare Project-in-a-Box quality indicators.
- Key member of Performance Improvement teams for: CHF, Pneumonia, and Acute MI initiatives.
- Developed Practice Guidelines for PI projects which resulted in a more efficient admission and discharge process.
Staff Nurse - CCU
Elmhurst Memorial Healthcare
04.1993 - 06.1994
- Treated Open Heart Patients Postoperatively.
- Recorded patients' medical history, vital statistics and test results in medical records.
- Monitored post-op vitals, set up PCA, fluids, reviewed post-op orders and orient patients to unit.
- Actively participated in unit-based Quality Assurance Program.
- Charge nurse for nights.
- Disciplined, energetic employee who quickly establishes rapport with patients and colleagues.
- Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments.
- Provided patient diagnosis under strict time constraints.
Manager, Quality
Morris Hospital and Healthcare
07.2016 - 12.2016
Managed team of seven people including Infection Control nurse, Patient Safety nurse, Peer Review nurse, Analysts and Administrative AssistantResponsible for all
Education
Associates Degree - Nursing Science
Purdue Calumet University
Calumet, ILJoliet Junior College
Joliet, ILSkills
- Developed Multidisciplinary Peer Review Committee
- Developed OPPE Reports for Practitioners in different subspecialties
- Practitioner Trainer for Epic
- Personal and professional integrity
- Sound decision making
- Critical thinking proficiency
- Responsible for customization of software products for system
Skills
Premier, Benchmarking, budget, cost analysis, Critical thinking, Databases, database, decision making, diagnosis, financial, focus, hiring, Office, Peer
Review, Peer Review, processes, producing, protocols, Quality, quality improvement, Quality Assurance, rapport, reporting, Safety, Sound, statistics, Trainer, Trauma, type
Additional Information
- Additional Information Licenses Registered Nurse Practitioner in the State of Illinois, License number 041.251104
Timeline
Manager, Quality
Morris Hospital and Healthcare
07.2016 - 12.2016
Quality Manager
Central DuPage Hospital
10.2001 - Current
Patient Care Committee Manager
Hinsdale Hospital
10.2000 - 10.2001
Clinical Process and Outcomes Analyst
Elmhurst Memorial Healthcare
06.1994 - 07.2000
Staff Nurse - CCU
Elmhurst Memorial Healthcare
04.1993 - 06.1994
Associates Degree - Nursing Science
Purdue Calumet University
Joliet Junior College