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Kimberly Schenck
Chief Quality Officer
Nashville,TN
Summary
Personable and analytical problem-solver with passion for ensuring highest quality standards. Possesses deep understanding of quality management systems and regulatory compliance, coupled with expertise in process improvement and risk management. Committed to driving organizational excellence and fostering culture of continuous improvement.
Experienced with implementing comprehensive quality management systems to align with organizational goals. Utilizes data-driven approaches to identify and resolve quality issues, enhancing operational effectiveness. Track record of leading teams to ensure compliance with industry standards and driving continuous improvement initiatives.
Overview
36
36
years of professional experience
Work History
Chief Quality Officer
Tennova Healthcare Clarksville
07.2023 - Current
- Conducted thorough risk assessments to proactively mitigate potential quality concerns.
- Trained and mentored team members on best practices in quality assurance, fostering a culture of continuous improvement.
- Cultivated an atmosphere of trust within the organization by consistently championing transparency in reporting incidents, successes, and opportunities for improvement.
- Facilitated open communication between departments to foster collaboration in achieving shared quality objectives.
- Established analytical dashboards and proactively communicated to senior management about quality status of releases in development, in release or in maintenance.
- Developed comprehensive quality management systems to maintain compliance with industry standards.
- Motivated team and promoted quality culture across company.
- Monitored internal audit results, identifying trends and areas requiring immediate attention or intervention.
- Promoted a proactive approach to safety, ensuring all employees adhered to established guidelines and protocols within the workplace environment.
- Spearheaded root cause analysis initiatives for effective problem-solving and long-term issue resolution.
- Collaborated with cross-functional teams to identify areas of improvement and implement corrective actions.
- Established and tracked quality department goals and objectives.
- Monitored staff organization and suggested improvements to daily functionality.
- Recorded, analyzed, and distributed statistical information.
- Determined quality department standards, practices, and procedures.
Director of Clinical Risk Management
AmSurg
10.2021 - 01.2023
- Manages the Risk Management Program for over 230 ambulatory surgery centers nationwide
- Develops education and program strategies to enhance patient safety and best practices
- Demonstrated capacity to continually and measurably improve quality and patient safety through Tableau dashboard system
- Develops effective data collection, organization, and evaluation systems for monitoring the quality of patient care using the RLDatix system
- Performing Root Cause Analysis and in-depth Common Cause Analysis based on data-driven evidence
- Assisting in risk-related activities coordinating with the legal and claims departments
- Demonstrated capacity to continually and measurably improve quality and patient safety following NQF standards as well as other nationally recognized regulatory bodies
- Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
- Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
Director of Risk Management/Patient Safety
Logan Memorial Hospital
10.2020 - 10.2021
- Assists in the ongoing development and implementation of the organization's National Quality Program
- Awarded the company’s National Quality Program [NQP] highest Leadership Designation status demonstrating a strong culture of safety processes and having the highest standards of care
- Demonstrated capacity to continually and measurably improve quality and patient safety
- Develops effective data collection, organization, and evaluation systems for monitoring the quality of patient care using the RLDatix system
- Demonstrate measurable action plans in response to CAHPS scores
- Presentation to Board of Directors for all quality/risk/patient safety data analysis and improvement plans/programs
- Completed the data abstraction/analysis for various VBC programs and reporting for mandatory data reporting for state mandatory quality measures and LeapFrog
- Maintained open lines of communication with regulators, ensuring ongoing alignment with evolving compliance requirements.
- Facilitated workshops for employees at various levels, fostering a culture of proactive risk management within the organization.
- Championed process improvements that led to more efficient risk identification, evaluation, and response practices throughout the organization.
- Strengthened the company's risk culture by promoting transparency and accountability across all departments.
Director of Quality Assurance/Process Improvement
Covenant Physician Partners
02.2020 - 08.2020
- Assists in the ongoing development and implementation of the organization's adopted QAPI program
- Maintains and updates organization wide QAPI program, policies, and procedures as required by regulatory changes; communicates those changes throughout the organization
- Develops effective data collection, organization, and evaluation systems for monitoring the quality of patient care
- Summarizes collected data and reports findings and recommendations in a timely manner to centers, Operations and Compliance
- Prepares quarterly quality metrics reports for Covenant Board
- Leads Patient Safety Organization initiative
- Completes Merit-based Incentive Payment System (MIPS) reporting for anesthesia providers at anesthesia entities
- Facilitates MIPS reporting for providers at practices in which CPP has ownership
- Directed quality assurance teams, shortened validation turnaround times and reduced customer complaints.
- Authored documentation for internal use by QA personnel, setting guidelines for review activities and reporting requirements.
- Drafted internal QA policies on factors such as design controls, product realization activities, validation techniques and more.
- Managed vendor relationships to ensure adherence to quality standards in outsourced projects.
- Developed and executed successful quality audits for continuous process improvement and risk mitigation.
Director of Quality/Risk Management
HCA, Inc
09.2009 - 10.2018
- Company Overview: Ambulatory Surgery Division West Florida Division
- Preparation and maintenance for survey readiness for 16 ambulatory surgery centers for regulatory and accreditation surveys
- Facilitate investigations of events, mandatory state reporting requirements, and root cause analysis for sentinel and adverse events
- Develop strategies for standardization and implementation of initiatives and goals from corporate and the region to maintain regulatory standards, continuous process improvement, and maintain a constant state of survey readiness
- Serve as a resource for quality/risk/infection control related matters as pertains to statutory and regulatory requirements and assist in maintaining compliance
- Oversee the quality/risk/infection control programs and ensure continuous quality improvement through quality studies and analysis of data from the Service Quality Index system for data management of quality measures
- Assisted with claims litigation and risk mitigation for the entire market-reduced claims to almost zero for three years
- Served as Patient Safety Organization Officer and Ethics & Compliance Officer for assigned ambulatory surgery centers
- Ambulatory Surgery Division West Florida Division
- Championed lean manufacturing initiatives, driving waste reduction efforts and increasing operational efficiency across the organization.
- Developed training programs that enhanced employees'' understanding of quality standards, leading to improved production accuracy and efficiency.
Quality/Risk Management Coordinator
HCA, Inc
09.2008 - 09.2009
- Coordinated data extraction for standardized quality core measures and SCIP programs
- Served as an interim risk manager for the permanent risk manager during illness or vacation
- Develop strategies for standardization and implementation of initiatives and goals from corporate and the region to maintain regulatory standards, continuous process improvement, and maintain a constant state of survey readiness
- Serve as a resource and developed system for FPPE/OPPE peer review related matters as pertains to statutory and regulatory requirements and assist in maintaining compliance
Director of Risk Management
Central Park Nursing Facility
07.2006 - 09.2008
- Served as the facility Risk Manager charged with maintaining regulatory compliance, facilitating variance reporting and investigation, facilitating root cause analysis, participating in regulatory and licensure surveys and inspections, and served as the Patient Safety Officer, Ethics and Compliance Officer, and Quality Assurance Officer
- Enhanced risk mitigation strategies through continuous monitoring and assessment of potential threats.
- Reduced operational risks by implementing comprehensive risk management frameworks and policies.
- Contributed to overall organizational resilience through active participation in industry forums, staying current on best practices in risk management.
Clinical Staff/Charge Nurse
St. Joseph’s Hospital, BayCare, Inc.
08.2004 - 07.2006
- Served as a nursing technician during nursing school and then worked up to staff and charge nurse in ER, ICU, CCU, Risk Management, and same-day surgery units with direct reports
- Kept work areas clean, organized, and safe to promote efficiency and team safety.
- Established positive relationships with customers and other staff members.
- Trained new employees on company policies and procedures, contributing to a cohesive team atmosphere and improved overall performance.
- Participated in team-building activities to foster teamwork and collaboration.
- Assisted with onboarding new staff members, providing orientation and support.
- Developed and improved time management and organizational skills to maximise personal productivity.
Surgical Nurse Manager
Dr. Gerald Truesdale, MD
09.2000 - 08.2004
- Served as a nurse manager, circulator, and part-time scrub nurse for an office-based plastic surgery practice
- Supervised three medical technologists and receptionist as direct reports
- Performed quality improvement duties as well as preparation for Joint Commission accreditation assistance for physician practice facilities
- Educated patients on proper post-operative care routines, reducing the likelihood of complications or readmissions.
- Maintained accurate documentation of surgical procedures, promoting clear communication among healthcare providers regarding patient progress.
- Improved patient outcomes by consistently providing high-quality care and closely monitoring post-surgical progress.
- Ensured patient safety by adhering to strict infection control measures and maintaining a sterile environment in the operating room.
- Documented procedure plans, surgery notes and progress updates to facilitate communication among healthcare providers.
- Created warm, supportive atmosphere to keep patients feeling safe and comfortable immediately before and after surgery.
Surgical Nurse
HealthSouth, Inc.
01.1997 - 09.2000
- Served as a circulator and part-time scrub nurse for local ambulatory surgery center specializing in plastic surgery and podiatry
- Performed quality improvement studies and infection control nurse duties as well as preparation for Joint Commission accreditation
- Educated patients on proper post-operative care routines, reducing the likelihood of complications or readmissions.
- Maintained accurate documentation of surgical procedures, promoting clear communication among healthcare providers regarding patient progress.
Education
Master of Science Degree - Healthcare Administration/Project Management
Liberty University
Lynchburg, VABachelor of Science - Nursing
California State University
Carson, CAAssociate of Applied Science - Nursing
Hillsborough Community College
Tampa, FLLicensed Healthcare Risk Manager - LHRM
University of South Florida
Tampa, FLSkills
- Verbal and written communication
- Operational risk management
- Auditing expertise
- Project management
- Creativity and innovation
- Project coordination
- Rules and regulations
- Multitasking and organization
- Strong teamwork
- Clinical leadership
- Process mapping
Affiliations And Certifications
- Certified Professional Patient Safety (CPPS)
- Tennessee Hospital Association (THA) Affiliate Member
- Member of American Society for Health Care Risk Management (ASHRM)
- Member of American College of Healthcare Executives (ACHE)
Accomplishments
- Twenty-two years of experience as a licensed healthcare risk manager specializing in healthcare enterprise risk management and legal nurse consulting
- Thirty-six years of nursing experience in various areas of nursing specialties such as ICU, ER, CCU, home health, ambulatory surgery, utilization review, and legal nurse consulting
- Completed a Masters of Science degree in Healthcare Administration/Project Management with GPA 3.85 in 16 months and passed the CPPS certification exam in 2021
Other Nursing Experience
- Tampa, FL, Humana Health Insurance-Utilization Review- 2 years
- Greensboro, NC, CareMark, Inc.- obtained CRNI certification specializing in teaching/training 30-hour course in IV Therapy for LPNs and PICC line insertion-4 years
- Winston-Salem, NC, Owned and operated own Legal Nurse Consulting business for various attorney firm clients specializing in the preparation of executive summaries, medical chart analysis, depositions, and expert testimony for various nursing specialties and class action suits against “big tobacco”-3 years
Timeline
Chief Quality Officer
Tennova Healthcare Clarksville
07.2023 - Current
Director of Clinical Risk Management
AmSurg
10.2021 - 01.2023
Director of Risk Management/Patient Safety
Logan Memorial Hospital
10.2020 - 10.2021
Director of Quality Assurance/Process Improvement
Covenant Physician Partners
02.2020 - 08.2020
Director of Quality/Risk Management
HCA, Inc
09.2009 - 10.2018
Quality/Risk Management Coordinator
HCA, Inc
09.2008 - 09.2009
Director of Risk Management
Central Park Nursing Facility
07.2006 - 09.2008
Clinical Staff/Charge Nurse
St. Joseph’s Hospital, BayCare, Inc.
08.2004 - 07.2006
Surgical Nurse Manager
Dr. Gerald Truesdale, MD
09.2000 - 08.2004
Surgical Nurse
HealthSouth, Inc.
01.1997 - 09.2000
Master of Science Degree - Healthcare Administration/Project Management
Liberty University
Bachelor of Science - Nursing
California State University
Associate of Applied Science - Nursing
Hillsborough Community College
Licensed Healthcare Risk Manager - LHRM
University of South Florida
Certification
Certified Professional Patient Safety (CPPS)
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Affiliations
- American Society for Healthcare Risk Managment (ASHRM)
- American College of Healthcare Executives (AHCE)
- Tennessee Hospital Association (THA) Member
- Institute for Healthcare Improvement (IHI)
Work Preference
Work Type
Full TimeWork Location
On-SiteRemoteHybridImportant To Me
Work-life balanceCareer advancementCompany CultureStock Options / Equity / Profit SharingQuote
Quality means doing it right even when no one is looking
Henry Ford
Interests
Arts & Crafts
Gardening
Dog Breeding
Software
MS Office
Google Suite
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