KHIN AUNGTHEIN
Wapato,WA
Overview
38
38
years of professional experience
Work History
Nurse Surveyor
The Joint Commission
Oakbrook, IL
01.2018 - Current
- Field surveyor in all ambulatory accreditation programs, across all settings
- Applied sophisticated analysis skills and inductive reasoning skills to determine a health care organization’s degree of compliance with applicable standards and functionally of care delivery systems
- Acts as team leader for cadre of field surveyors
- Serves as preceptor for new field representatives as well as military fellows
- Participates in special projects, assists in developing, writing, and testing standards, scoring guidelines and the survey and review process, and provides recommendations for improvement
- Certified Yellow Belt.
Accreditation Compliance and Patient Safety Officer
Office of Chief Medical Officer (OCMO), Navy Medicine East (NME)
Portsmouth, VA
01.2014 - 01.2018
- Responsible for oversight of 17 military treatment facilities (MTF’s) within NME
- Leads coordination and attendance at 17 triennial Joint Commission surveys and Office of Quality and Safety (OPQS) surveys within NME
- Leads continuous mock surveys for 17 MTF’s and joint VA Health Care facility
- Provides consultation on Joint Commission compliance on all applicable standards related to hospital, ambulatory, behavioral health, and home care programs across NME
- Serves as a principal advisor and consultant to NME senior leadership on the development, implementation, and management of Joint Commission accreditation related compliance
- Responsible for researching, analyzing, evaluating, and implementing all NME MTF practices, procedures, and processes in accordance with current Joint Commission accreditation standards
- Provides consultation and recommends policy and system changes that encourage the consistent provision of high-quality care and continual improvement of processes across NME
- Collaborated on all Joint Commission related matters with the NME Chief Medical Officer (CMO), performance improvement staff, master black belts, patient safety, risk manager, senior medical staff, senior nurse executive, and facility engineers
- Provides comprehensive review and recommendations related to complaints associated with quality and safety, Sentinel Events, and HFMEA work products
- In addition, is quality lead for 17 different NME facilities and facilitates process improvement in ORYX, HEDIS, National Perinatal Information Center (NPIC), and National Surgical Quality Improvement Process (NSQIP)
- Key facilitator on Navy Medicine’s High Reliability Organization (HRO) principles and concepts to NME MTFs leaders, Quality Management staff and the Performance Improvement staff
- Collaborated and coordinated with BUMED and Navy Medicine West Joint Commission Fellow to ensure alignment of Navy Medicine enterprise mission
- Primary stake holder for Joint Commission accreditation and related functions associated with the ongoing compliance activities and future accreditation programs throughout NME.
Assistant Deputy Commander for Healthcare Operations and Strategic Planning
Walter Reed National Military Medical Center (WRNMMC)
Bethesda, MD
01.2009 - 01.2013
- Provided leadership for daily operations of Quality Management Department: Patient Safety, Risk Management, Performance Improvement, Joint Commission Accreditation Compliance, Medical Staff Credentialing & Privileging Services, Patient Relations, Organization Development, HIPAA/FOIA/Privacy Act, Case Management, Utilization Management, and Data Quality
- Provided mentorship, guidance, and support to over 80 staff
- Served as the subject matter expert for the Joint Commission accreditation standards and compliance to the Admiral (CEO) and the C-Suite
- Primary coordinator for scheduling and executing numerous mock Joint Commission surveys in the U.S and overseas facilities
- Led coordination of invitation and speaking engagement of Dr
- Mark Chassin; President of Joint Commission to speak and inspire senior leadership team and all staff on the principles on the journey of becoming a Highly Reliable Organization.
Military Fellow
Joint Commission Fellowship
Oakbrook Terrace, IL
01.2008 - 01.2009
- One-year in-residence fellowship at the Joint Commission Headquarters
- Direct on-site observations of 11 medical facilities including tertiary, medium medical centers, and community hospitals, stand-alone ambulatory facilities, and behavioral health facilities
- Obtained knowledge and perspective of civilian, military, and veteran’s affairs health care systems by observing and participating in Executive Leadership board meetings including Board of Commissioners and Standards Development Advisory Committee
- Received orientation in Standards Interpretation Group in Hospitals, Ambulatory Care, Behavioral Health, Engineering, Department of Standards and Survey Methods, Government Programs, and Office of Patient Safety and Quality
- Attended and participated in NFRO with new staff field surveyors and Field Directors
- Observed and received orientation and cross-training on the interaction between Joint Commission and the organization staff on follow up measures of compliance with survey findings and event reports.
Director for Office of Women’s Health, Specialty Leader to Surgeon General for Maternal-Child and Neonatal Intensive Care
Bureau of Medicine and Surgery (BUMED)
Bethesda, MD
01.2005 - 01.2008
- Developed and updated Navy policies to improve work life balance issues, readiness for deployment, and health care needs in the deployed environment for Navy active-duty servicewomen
- Liaison with the office of Operational Navy Women’s policy to maximize health, wellness and readiness of 51,000 servicewomen by proposing to extend postpartum maternity leave and creating designated spaces for servicewomen who are breastfeeding
- Assisted Department of Defense Family Advocacy Program to procure funding for the Shaken Baby Syndrome education program for entire military health system
- Assisted with BUMED guidance related to Restricted Reporting policy for Domestic Abuse
- Collaborated with Commander, Navy Installation Command in updating new Sexual Assault Victim Intervention and Family Advocacy program instruction
- Associate investigator for Navy Medicine funded study to research pregnancy related issues among women sailors who were deployed or scheduled to deploy and the impact on operational commands
- Provided consultative services and mentoring to 240 Maternal-Child and Neonatal Intensive Care nurses that are assigned to 23 different Navy military treatment facilities throughout United States, Asia and Europe
- Navy Perinatal Advisory Board leader; collaborated with Army and Air Force on perinatal policies and patient safety issues
- Coordinated implementation of perinatal pipeline training in 2007 by utilizing Association of Women’s Health Obstetric Neonatal Nursing perinatal education curriculum for novice Navy nurses who work in perinatal clinical settings.
Department Head, Mother, and Infant Care Center (MICC)
National Naval Medical Center (NNMC)
Bethesda, MD
01.2003 - 01.2005
- Facilitated delivery of safe optimal care for pregnant mothers and newborn babies through leading and mentoring of over 110 professional and para-professional staff with annual delivery volume of 2100
- Managed annual budget of $850,000 with 3 million in equipment and supported 10 LDR, 12 couplet- care, 5 ante-natal care beds, 3 operating rooms, and 2 post-anesthesia care beds
- Lead coordination of advancing the Practice and Family-Centered Care concept and practices
- NNMC MICC staff were recognized as the Best Nursing Team in Advance for Nurses publication.
Division Officer, Multi-Service Ward (MSW)
Naval Hospital Puerto Rico
Ceiba, Puerto Rico
01.2000 - 01.2003
- Provided leadership and managed patient care on 15 bed multi-service ward (MSW) including labor and delivery suites with 700 admissions and 175 deliveries annually
- Mentored and supervised 35 staff and managed the annual budget of $70,000 and $500K in equipment
- Key member of team that developed $700K LDRP construction proposal and business case analysis
- Proponent of continuous education for perinatal nurses; coordinated with AWHONN and 3 local hospitals receiving very first fetal heart monitoring course in the Puerto Rican Community.
Duty Under Instruction, Full-time student
Old Dominion University
Norfolk, VA
01.1998 - 01.2000
- Master of Science in Nursing (perinatal clinical nurse) Degree Graduate Education completion
Staff Nurse, Command Breast Cancer Case Manager
Naval Medical Center
Portsmouth, Virginia
01.1993 - 01.1998
- Provided coordination and case managed multidisciplinary care of newly diagnosed patients with breast cancer while maintaining a caseload of 60
- Developed and implemented a process for tracking critical data for the surgery department; improving data collection for tumor board patients by 100%.
Ambulatory Care Relief Nurse for 5 Specialty Clinics
Naval Medical Center
Portsmouth, Virginia
01.1993 - 01.1998
- Provided conscious sedation and patient education services to 5 ambulatory specialty clinics.
Assistant Division Officer, Neonatal Intensive Care Unit (NICU)
Naval Medical Center
Portsmouth, Virginia
01.1993 - 01.1998
- Lead daily operations of 12 NICU beds and 11 step-down beds with 50 professional and paraprofessional staff
- Revised and updated the Neonatal Intensive Care Unit’s orientation program.
Staff Nurse, High-risk Labor & Delivery, Operating and Recovery Room
Naval Medical Center
Portsmouth, Virginia
01.1993 - 01.1998
- Provided direct patient care for 10 L&D, 3 OR and 2 post anesthesia care beds
- Served as Maternal-Child Nursing Department Quality Improvement coordinator for five nursing units and oversaw the process improvement projects to streamline care delivery services to enhance staff and patients’ satisfaction.
Staff Nurse, Labor and Delivery/Postpartum/Nursery
United States Naval Hospital
Yokosuka, Japan
01.1991 - 01.1993
- Provided direct patient care for 3 LDR, 2 OR, 3 newborn transitional beds, and 20 couplet-care beds
- Provided services as relief Division Officer
- Chair of Quality Management sub-committee and reviewed hospital wide nursing service occurrences and provided findings and recommendations to the senior leadership
- Updated the nursing Quality Management manual.
Staff Nurse, Multi-Surgical ward and Inpatient Obstetric ward
Naval Hospital
Orlando, FL
01.1988 - 01.1991
- Provided direct patient care for 20 MSW, 3 L&D, 2 OR and 2 newborn transitional beds
- Served as a ward Quality Assurance Officer; participated in peer review, and chart audits
- Findings were reported to senior leadership for process improvement
- Volunteered as Victim Advocate watch team member for sexual assault and domestic abuse victims.
Staff Nurse, Multi-Surgical Ward
Parkland Hospital
Dallas, TX
01.1987 - 01.1988
- Provided team nursing care to post-surgical patients including multiple types of trauma patients.
Timeline
Nurse Surveyor
The Joint Commission
01.2018 - Current
Accreditation Compliance and Patient Safety Officer
Office of Chief Medical Officer (OCMO), Navy Medicine East (NME)
01.2014 - 01.2018
Assistant Deputy Commander for Healthcare Operations and Strategic Planning
Walter Reed National Military Medical Center (WRNMMC)
01.2009 - 01.2013
Military Fellow
Joint Commission Fellowship
01.2008 - 01.2009
Director for Office of Women’s Health, Specialty Leader to Surgeon General for Maternal-Child and Neonatal Intensive Care
Bureau of Medicine and Surgery (BUMED)
01.2005 - 01.2008
Department Head, Mother, and Infant Care Center (MICC)
National Naval Medical Center (NNMC)
01.2003 - 01.2005
Division Officer, Multi-Service Ward (MSW)
Naval Hospital Puerto Rico
01.2000 - 01.2003
Duty Under Instruction, Full-time student
Old Dominion University
01.1998 - 01.2000
Staff Nurse, Command Breast Cancer Case Manager
Naval Medical Center
01.1993 - 01.1998
Ambulatory Care Relief Nurse for 5 Specialty Clinics
Naval Medical Center
01.1993 - 01.1998
Assistant Division Officer, Neonatal Intensive Care Unit (NICU)
Naval Medical Center
01.1993 - 01.1998
Staff Nurse, High-risk Labor & Delivery, Operating and Recovery Room
Naval Medical Center
01.1993 - 01.1998
Staff Nurse, Labor and Delivery/Postpartum/Nursery
United States Naval Hospital
01.1991 - 01.1993
Staff Nurse, Multi-Surgical ward and Inpatient Obstetric ward
Naval Hospital
01.1988 - 01.1991
Staff Nurse, Multi-Surgical Ward
Parkland Hospital
01.1987 - 01.1988
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