Jennifer St. John
Las Vegas,NV
Summary
Goal-oriented manager with more than 5 years distinguished experience in quality management, process improvement, and proven leadership abilities in both quality and patient safety. Committed to patient safety and improving patient outcomes.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Nevada Market Manager of Performance Improvement and Patient Safety
Dignity Health
08.2022 - Current
- Responsible for leading QA team on the management of clinical quality improvements and supporting patient safety programs
- Ensure regulatory compliance in accordance to accrediting bodies and the state, reporting of sentinel events, hospital policy and procedures, and survey readiness
- Report to Market Director of Quality and Patient Safety
- Quality PI lead on Common Spirit Health Fiscal Year Board Goal Performance Target for Surgical complications, HAPI, Early Elective delivery with annual goals met
- FY 23 exceeded target performance baseline goal 39%, closing cumulative performance at 81%
- FY 24 on track to exceed baseline goal of 81% on track to hit target cumulative performance at 83%
- Initiated a process change that created a new infrastructure in reviewing PSIs and HACs through fostering a collaborative environment with external CDIs, Coders, and quality department contributing to decreased rates with Target met
- Developed/managed quality assurance teams engaging department leader led of continuous performance improvement monitoring/tracking cross platform issues related to performance and quality using PDSA to align with annual QAPI plan
- Implemented a reporting schedule for hospital wide engagement of all quality improvement initiatives Integrated DSP programs and implement service line reporting into Quality Council and Regulatory monthly meetings Conduct Leadership rounding to improve patient experience, promote Just Culture, staff engagement, and service recovery
- Facilitated intentional rounding and collaborated with Patient Experience Coordinator to improve patient experience with focus on monthly topic based on one of the 26 improvement opportunities identified on HCAHPS survey responses
- Collaborated with Patient X Coordinator monthly tools and education based on patient perception of their care to improve patient experience
- Facilitate RCA for sentinel events and refer cases to Patient Safety Officer for Red Cap reporting
- Facilaitor and command center lead for regulatory events Quality Lead for Physician contract renewal adding quality metrics to boost performance, provider buy-in and improve patient outcomes Lead QA team in identify additional case referrals for Peer Review Committee
- Facilitating peer review process change from Greeley standard for review to adopting Just Culture Review Process
- Facilitator for Peer Review committee, Surgical Complications, Quality Council, HAPI committee, Perinatal measures
Manager of Clinical Process Improvement
Spring Valley Hospital
12.2020 - 08.2022
- Responsible for management of the Clinical Quality Improvement program and providing direction and support for the department and/or unit based clinical process improvement activities
- Promotes awareness of quality plan activities throughout the facility
- Ensures that processes needed to achieve quality plan initiatives are established, implemented, and maintained
- Directly report to the Director of Quality
- Collaborate with the Director for the development of tools and resources for performance improvement / quality management based on evidence-based practice
- Applies keen knowledge of AHRQ PSIs and CMS / TJC Specifications to driving performance in CMS value-based programs Targets UHS annual goal of 10 % reduction of the top four focused PSIs/HACs cases
- Goal for 2021 reached with 30% HAC reversal rate
- Collaborative work with CDIS/Coders/HIM/Provider on documentation improvement opportunities, query opportunities, missed coding and coding corrections for clinical accuracy to present TRUE quality issues and improve delivery of care
- Revamped new Sepsis Program for CODE Sepsis to include Sepsis Care Team (Lab, Pharmacy, Clinical Supervisor, Primary nurse, Quality/Sepsis Coordinator) for ED and IP to increase SEP1 bundle compliance with focus on top four trends on ‘what is driving up our sepsis rate.’ In collaboration with the Director of Quality, assists in the development of the annual Performance Improvement (PI) Plan to align with a target goal of VHS, Spring Valley, and UHS QI Plan for 2022
- Resource to nurse leadership and staff on all Patient Safety Indicators, Hospital Acquired Complications, Sepsis, and Core Measure Program
- Participates in hospital and system – wide meetings / committees as directed (Sepsis Program Chair, Admission/Discharge Committee member, Wound Committee, Service Excellence Chair, Employee Engagement Committee member, Medication Safety Committee Member, Safety of Care Domain workgroup, Timely and Effectiveness Co- Chair of Domain, and Patient Safety Council Member)
Lead Supervisor, System Quality Performance Improvement Analyst
Valley Health System
03.2019 - 12.2020
- Responsible for providing support in leading and organizing all administrative activities of the Consolidated Quality Team
- Ensures compliance with local, state, federal, and private agencies as relates to performance improvement
- Leads the Consolidated Quality staff members in performance projects, initiatives and ensures requested documentation and reporting is completely accurate and timely
- Assists VHS CQI improvement teams with data collection and presentation for the purpose of performance improvement as needed
- Performs CMS Core Measure data abstraction and adjunct data abstraction for additional quality studies
- Coordinate chart submission for CDAC Validation with HIM, Harvest, and IRRs
- Assist in TJC survey preparation for the organization
- Resource for hospital nursing leadership and staff with education and in-services needed
- Competent use of PI resources such as Midas, Quality Net, Quintiles/Outcome, AHA/GWTG, STS
Field Case Manager RN
Genex Services, LLC
04.2014 - 10.2014
- Managed 25-40 medical cases related to worker's compensation claims for insurer: treatment modalities of vocational injury (injuries) of claimant within the registered nursing scope of practice
- Review, implement, collaborate with physician (s) and team on treatment plan, medication, diagnostics, medical equipment use for effectiveness, efficiency, and its necessities in accordance with ICD codes, medical guidelines, and worker compensation law
- Report findings and recommendations to insurer
Intermediate Care Registered Nurse
St. Rose Dominican Hospital
03.2012 - 04.2014
- Preceptor of New Grad/ New Hire Orientation and Training to include disciplinary and corrective actions for successful transition into clinical roles as well as improve performance according to department standards and hospital culture/policy
- Assisted on Interview Panel for new hire of new RN graduates into New Grad Residency Program for dept
- Unit Team Council for Improvements Weekly Discharge Follow up Calls Responsible for department policy & procedure compliance by conducting weekly audits Wound Warrior role to reduce and prevent hospital acquired pressure ulcers
Intermediate Care Registered Nurse
Summerlin Hospital
08.2011 - 03.2012
- Completion of Critical Care Training Completion of all RN skills Competencies
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Managed care from admission to discharge.
Registered Nurse
Hoag Memorial Presbyterian Hospital
11.2010 - 08.2011
- Women’s Health Pavilion, East Tower Unit 4E Gynecology, Oncology, and Urology Hoag Memorial Presbyterian Hospital Patient Satisfaction Committee, RN Representative for 4E for Hospital safety committees Clinical Ladder Committee to improve patient care among RNs and mentorship
Registered Nurse
Kaiser Permanente
05.2009 - 10.2009
- BSN Interim permit -nurse intern, completion 12 week new grad didactic-clinical traineeship for transition into the role of new RN
Student Nurse
Azusa Pacific University
01.2008 - 05.2009
Education
Bachelor of Science in Nursing -
Azusa Pacific University
Bachelor of Science in Health Science -
La Sierra University
MBA -
University of AZ
09.2026
Skills
- MS Excel
- MS Word
- MS PowerPoint
- MIDAS
- GE
- SMS
- DMS
- 3M 360
- IRIS
- RTM
- Registry Databases (STS, NCDR, IQVIA, Quintiles)
- Cerner Powerchart
- Epic
- HCAHPs (Press Ganey)
Performance reporting
Certification
- CPHQ
- Nevada Board of Nursing, RN License 67249
- California Board of Registered Nurse, RN License 782078
- Public Health Nursing License, 78424
Awards
- Kaiser $25,000 Forgiveness Loan Recipient
- Sigma Theta Tau International Honors Society of Nursing Science
- Participant in Azusa Pacific University CCNE Accreditation
Timeline
Nevada Market Manager of Performance Improvement and Patient Safety
Dignity Health
08.2022 - Current
Manager of Clinical Process Improvement
Spring Valley Hospital
12.2020 - 08.2022
Lead Supervisor, System Quality Performance Improvement Analyst
Valley Health System
03.2019 - 12.2020
Field Case Manager RN
Genex Services, LLC
04.2014 - 10.2014
Intermediate Care Registered Nurse
St. Rose Dominican Hospital
03.2012 - 04.2014
Intermediate Care Registered Nurse
Summerlin Hospital
08.2011 - 03.2012
Registered Nurse
Hoag Memorial Presbyterian Hospital
11.2010 - 08.2011
Registered Nurse
Kaiser Permanente
05.2009 - 10.2009
Student Nurse
Azusa Pacific University
01.2008 - 05.2009
Bachelor of Science in Nursing -
Azusa Pacific University
Bachelor of Science in Health Science -
La Sierra University
MBA -
University of AZ
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