KATHRYN FERGUSON

Joint Commission (TJC) Survey Coordinator

• Orchestrated the evaluation of all TJC Standards by using a Chapter Champion program.
• Managed Clinical Tracer processes, including data evaluation and reporting to leadership.
• Planned and organized all aspects of surveys in advance to ensure thorough preparation.
• Oversaw surveyor activities from arrival to departure, ensuring smooth operations.
• Collaborated with program coordinators to achieve advanced TJC certifications in Total Hip and Knee Replacement, Primary Heart Attack Center (PHAC), and Primary Stroke Center.
• Conducted retrospective reviews to identify opportunities for improvement in patient safety and KPI performance related to overall mortality, readmissions, HAC/PSI and SSI
• Assisted in investigations of serious safety events to identify improvement opportunities and ensure compliance with regulatory standards.

• Developed advanced treatment programs for Pulmonary and Gastroenterology, including EBUS, Superdimension Navigation, Bronchial Thermoplasty, and ERCP with SpyGlass.
• Assisted in planning a $4 million Endoscopy unit expansion.
• Certified Gastroenterology Registered Nurse (CGRN).
• Reviewed and audited procedural coding and charges.

Charge Nurse in Pre-op, teamwork focused with OR & Anesthesia

Staff nurse in Level II Trauma center. Trained in Triage and provided care in all areas of the Emergency Department.

Supported one Physician in a large, multi-provider Family Practice group.

All areas of a decentralized, Level II Trauma Center in a busy teaching hospital.

Temporary agency work in several DFW Metroplex Hospital Emergency Departments, Specialty and Procedural areas.

Team Nursing care model to provide quality care to diverse acute and chronic conditions.