Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Affiliations
Languages
Timeline
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JULIE B. MILLAR

Plantation,FL

Summary

Dynamic and results-oriented nurse leader with extensive experience in managing emergency department operations. Expertise in streamlining processes to improve department throughput, enhance patient care quality and foster the development of high-performing teams. Strong knowledge of regulatory compliance and a commitment to quality improvement initiatives, ensuring optimal healthcare delivery.

Overview

23
23
years of professional experience
1
1
Certification

Work History

Nurse Manager, Emergency Department

Cleveland Clinic Florida
07.2019 - Current
  • Improved overall efficiency by conducting regular evaluations of clinical workflows and implementing necessary changes as needed.
  • Contributed to hospital-wide initiatives focused on enhancing patient safety, such as fall prevention efforts or infection control measures.
  • Streamlined triage processes for improved patient flow and reduced wait times in the Emergency Department.
  • Mentored new nurse leaders in department management functions, fostering a culture of continuous learning and professional growth.
  • Evaluated patient outcomes data to identify trends or areas of improvement, leading to targeted interventions aimed at enhancing quality of care.
  • Implemented strategies to improve patient satisfaction scores, leading to higher rankings in hospital performance metrics.

Assistant Director of Nursing

The Court at Palm Aire
12.2018 - 07.2019
  • Direct day-to-day administrative and operational functions for 60 bed facility, providing leadership, guidance and education to over 50 employees
  • Responsible for facility Antibiotic Stewardship Program, Infection Control, staff orientation, education and competency
  • Work closely with the Medical Director on conducting patient rounds, monitoring clinical data, coordinating admission/discharge process, reducing re-admissions and value based purchasing program
  • Responsible for ensuring staff and facility compliance with state regulations in order to have successful annual surveys through AHCA
  • Continuously working on improving quality measures such as reducing/eliminating nosocomial infections, pressure ulcers and falls
  • Collaborate with the Director of Admissions/Marketing to grow volume by becoming preferred providers and increasing our referral network

Director of Emergency Services

Aventura Hospital & Medical Center
09.2007 - 09.2017
  • Assigned staff to meet patient care needs and address productivity standards, while adjusting for census, skill mix and sick calls.
  • Actively maintained up-to-date knowledge of applicable state and Federal laws and regulations
  • Created annual goals, objectives and budget with recommendations to reduce costs.
  • Regularly evaluated employee performance, provided feedback and assisted, coached and disciplined staff as needed
  • Filled all open core nursing vacancies eliminating the need for contract labor through effective retention strategies
  • Increased employee engagement to 85%, one of the highest engagement scores in the organization
  • Implemented complete front end process re-design in order to reduce patient arrival to medical screening exam (MSE)
  • Reduced left prior to triage (LPT) percentage from 1.5% to 0% Reduced left prior to medical screening exam (LPMSE) percentage from 4% to 0.1%
  • Increased ED volume, both walk-in and EMS, from 35,000 annual visits to 73,000
  • Increased patient satisfaction from 3.07 to 3.53 based on Gallup and to the 75th percentile based on HCAHPS
  • Obtained Level II Trauma designation (1 of 3 in Miami-Dade County)
  • Obtained Joint Commission Stroke accreditation
  • Obtained AHA Chest Pain accreditation
  • Selected to be the HCAHPS champion responsible for being the liaison between the facility and corporate office to implement strategies aimed at increasing scores in all HCAHPS domains
  • Selected by HCA East Florida Division, for having best practice with open bed policy and EMS patient offloading
  • Traveled across the company to present best practice strategies to other organizations.

Associate Chief Nursing Officer

Aventura Hospital & Medical Center
01.2009 - 01.2011
  • Direct reports included the Emergency Department, Critical Care units, Stroke Coordinator and program, Administrative Nursing Supervisors and Staffing Coordinators
  • Responsible for oversight of hospital wide bed management program
  • Worked closely with Agency for Healthcare Administration (AHCA), Department of Children (DCF), and The Joint Commission (TJC) whenever necessary
  • Developed and managed budget and revenue expectations while actively seeking ways to eliminate or reduce expenses
  • Eliminated contract service for PICC line placement and implemented an in-house program
  • Worked with all department directors to implement best practices for patient satisfaction and HCAHPS.

Interim Director of Emergency Services

Westside Regional Medical Center
01.2006 - 05.2007
  • Staffing and staff assignments Recruitment and retention Payroll and scheduling Productivity Patient flow Employee evaluations Staff development and continuous education Physician relations Improvement of all corporate driven metrics Joint Commission preparation and successful inspection Implementation of any corporate driven projects such as ED Holding and qualified medical practitioner (QMP).

Administrative Supervisor

Westside Regional Medical Center
09.2005 - 12.2006

Registered Nurse

Westside Regional Medical Center
08.2002 - 09.2006

Education

Master of Science - Nursing Administration (MSN)

Barry University
Miami Shores, FL
12-2004

Bachelor of Science - Nursing (BSN)

Barry University
Miami Shores, FL

Skills

  • Process, performance and quality improvement
  • Marketing and Volume Growth
  • Fiscal responsibility
  • Workforce development and engagement
  • Shared governance
  • Relationship building
  • Customer and employee engagement
  • Strategic planning
  • Strong Communication Skills
  • Accreditation and compliance coordination
  • Interdisciplinary collaboration
  • Emergency management

Accomplishments

  • Achieved 90th percentile ranking, Press Ganey ED Patient Experience
  • Tier 1 Press Ganey Employee Engagement
  • Leading the Cleveland Clinic enterprise with sepsis bundle compliance and decreased sepsis mortality.
  • Implemented and sustained DNV Comprehensive Stroke Program with door to needle metrics below 30 min.
  • Worked with interdisciplinary team to decrease ED boarding by greater than 50%.
  • Left without being seen (LWBS) rate consistently below the national average of 2%.
  • Featured in ENA Connections article, "From Start to Finish." - Aug. 2024
  • Three time ENA Lantern Award Recipient

Certification

  • BLS
  • ACLS
  • PALS
  • FEMA IS-100.C, IS-200.c, IS-200.b

Affiliations

Emergency Nurses Association (ENA)

Languages

English
Spanish
Russian

Timeline

Nurse Manager, Emergency Department

Cleveland Clinic Florida
07.2019 - Current

Assistant Director of Nursing

The Court at Palm Aire
12.2018 - 07.2019

Associate Chief Nursing Officer

Aventura Hospital & Medical Center
01.2009 - 01.2011

Director of Emergency Services

Aventura Hospital & Medical Center
09.2007 - 09.2017

Interim Director of Emergency Services

Westside Regional Medical Center
01.2006 - 05.2007

Administrative Supervisor

Westside Regional Medical Center
09.2005 - 12.2006

Registered Nurse

Westside Regional Medical Center
08.2002 - 09.2006

Master of Science - Nursing Administration (MSN)

Barry University

Bachelor of Science - Nursing (BSN)

Barry University

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