LAURIE-ANNE SILVA, DNP, RN

• Developed and maintained trusting relationships with each member of the team by learning and optimizing individual strengths, observations, and mentoring. The team earned an approximate 50% to 100% engagement performance survey exceeding overall team performance.
• Ambulatory Care Physician Clinic Operations Survey engagement improved and exceeded mean score expectations in Coordination of Care and Population Health, Digitally Driven, Patient Orientation and Ecosystem of Care, Practice Environment and Stewardship of Resources.
• Identified operational improvements per The Joint Commission regulatory guidelines and partnered with three ambulatory teams with positive outcomes including the Point of Care Testing (POCT) 2018 ambulatory care survey and 2019 organization wide-survey.
• Initiated best practice for medication verification within the primary care clinics advocating for the scope of practice of the medical assistant, reducing medication error, improving patient safety and health.
• A quality improvement initiative in partnership with various stakeholders with the development and implementation of improving depression screening and triage in primary care. A team approach leading a 50% quality improvement in population health.
• Generated in partnership with Human Resources and direct report, a review of employee skills, work experiences, resumes, and present clinical ladder resulted in senior leadership refining a new clinical ladder. Employee wellness and satisfaction increased with new title recognitions, step promotions, and increased level of clinical responsibility.
• Organized and facilitated the Internal Medicine team reducing an average of 150 daily MyHealth patient messages resolution time from 22 hour to 8 hours turnaround time. In turn, proactively, reduced clinic and provider messages, prevented delay of care and wait time, increased sensitivity to patient needs, improved the overall patient experience and clinic target goal.
• In partnership, implemented Primary Care 2.0 with backfill support increasing patient access and room utilization.
• Population Health FY19 nine initiative goals met at or above the 90th percentile. Population Health ten initiatives on target to meet organizational goals.
• Active partner with the medical specialties new hire orientation and competency training.
• Active nurse providing direct patient care in the ambulatory setting. Currently, partnering with primary care stakeholders to support and align clinic nurse competencies to meet an evolving healthcare system supporting a higher acuity of patient care.
• ACLS and BLS certified.

• Collaborates and assists Clinic Manager in directing and supervising staff to meet needs of patients, families, and colleagues in Medical Specialties, Infectious Disease, and Positive Care clinics.
• Facilitate in collaboration with Clinic Manager, Supervisor, and Human Resources with interviewing, hiring, orienting, training, and evaluating competency of Medical Assistants and Registered Nurses.
• Collaborates with Clinic Manager in directing nursing care, coordinating resources, performing administrative activities, and providing leadership to staff in Nephrology, Infectious Disease, Chronic Fatigue, Travel, Hypertensive, and Positive Care Clinics.
• Develops and contributes to department goals; identifies and resolves conflicts related to clinic and comprehensive patient care, and recommends, initiates, and collaborates with multidisciplinary team members and Patient Relations actions as appropriate facilitating positive and safe workplace environment.
• Models' leadership by coaching staff about their roles in fulfilling organizations mission to Care, Discover, and Educate.
• Engages in management rounds and recognizes strong work within multidisciplinary teams.
• LEAN problem-solving quality project to improve morale and teamwork within medical specialty clinics.
• Develops and participates in planning, implementing, and evaluating clinic performance, process and quality improvement activities with the support of C-I CARE, SHC mission & vision, observation, demonstration/return demonstration, weekly department meetings, and support of SHC multidisciplinary experts within the organization.
• Provides leadership in RN and MA procedures including the Captopril Suppression Test, Epogen/Aranesp injections and patient education standardizing coordinated tertiary patient care.
• Monitor infection control, critical incidents, and risk management maintaining safe care culture for all of SHC employees and patients.
• Supports professional growth of clinical staff through identification of learning needs and clinical opportunities modeled after Adult Learning Theory and LEAN model.
• Ability to contribute to health care policy formulation when working in partnership with multidisciplinary team of health care providers.
• Ability to delegate to team members, activities according to ability, level of preparation, standards of practice and regulatory guidelines.
• Lead process improvement projects in collaboration with Clinical Manager
  establishing clinic strategic direction and business plans to increase clinical volume, revenue, and reduce waste.
• Ability to initiate and implement change conducive to improvement of the quality and safety of patient care delivery.
• Ability to supervise, coach, mentor, train, and evaluate staff workflow and clinical excellence.
• Knowledge of rules and regulations; standards and guidelines of the Joint Commission and Institute for Medical Quality; hospital and ambulatory clinics, MA and RN scope of practice including unit standards, protocols, and policies and procedures.
• Assess need for, ordered, obtained and interpret appropriate lab tests.
• Counseled and educated patients about Nephrology, Chronic Fatigue, Infectious Disease, and Positive Care health issues and wellness. Expertise in MA and RN Scope of Practice and skills while effectively managing safe care culture.
  

• Accountable to lead, standardize, and analyze clinical training and department performance supporting healthcare culture that continues to meet and exceed high-quality, patient satisfaction, and cost effective care.
• Responsible to lead and oversee operations management, compliance, and regulations of Medical Assistant Residency Program (MARP) including assessment interviews, standardized training, coaching, mentoring, and severing working relationships to carry the vision and goals of the organization.
• Established operational objectives, work plans, and delegated department assignments to Service Line Directors and Department Managers employing a rolling average of 30 Medical Assistants per month and 360 Medical Assistants annually.
• Direct Reports of rolling average of 360 employees annually in ambulatory departments geographically ranging from Santa Cruz, Bay Area, East Bay, and Burlingame, CA while monitoring, analyzing, and coaching employee performance in clinics.
• LEAN Six Sigma in partnership with executive leadership to improve employee staffing from approximate 75 open medical assistant positions to 45 open medical assistant positions, year 2015.
• Manage Medical Assistant payroll and new hires with department affiliates reducing employee overtime by developing a financial tracking system and reporting cost centers to optimize budget management.
• Collaborative in partnership with service line leadership teams and executive leadership utilizing LEAN management principles implementing organization wide vision of MARP recruitment retention bolus; quality initiative to empower and support excellence tertiary patient care.
• Establishes and builds partnerships with Sutter Shared Services, Human Resources, Disability Services, and payroll optimizing proficient structure for new employees during onboarding policies procedures.
• Key member in Root Cause Analysis (RCA), Plan, Do, Check, and Act (PDCA), and LEAN analysis with dedicated focus of providing patient-centered care and MA retention.
• Inspiring leader, educator, coach, and observer of medical assistants in developing/reinforcing knowledge in best practices and demonstrating clinical competency to which promotes safe care culture that is high in quality and consistent with clinical operations.
• Role model and advocate for MARP and translating business vision and program strategy into clear operational goals holding MA residents and new employees accountable to organizations mission, vision, safe care culture and best practices to achieve high patient satisfaction, excellence in quality, and value.
• Oversees MARP performance improvement plans and disciplinary actions in partnership with HR, while maintaining dignity of employee.
• Demonstrates financial understanding and reporting structure within MARP's programs budget optimizing MA training.
• Advance training, understanding, and collaborative team member of developing employee education in Safe Care Culture in order to align with strategic planning in support of IMQ quality and patient safety.
• Key member and partnership in exploring and auditing departments in ambulatory environments developing and implementing educational principles, practices, and techniques guided by best practice and IMQ accrediting standards to continually improve high- quality patient care.
• Acts as liaison between departments by communicating department issues, encourage flow of ideas, and educate why of change to engage, empower, and help staff champion clinical excellence and meaningful work.

• Registered Nurse with Neonatal Intensive Care, Maternal/Child, Pediatrics, Perianesthesia, Outpatient General Surgery, Gastroenterology, Medical/Surgical, and Women's Health experience demonstrating proficient knowledge in assessment, planning, implementation, and evaluation of patient care needs, safety, cost efficiency, and high-quality care.
• Accountable to lead, train, and mentor new staff on quality control compliance, procedures, and GI conscious sedation.
• Responsible to oversee compliance of regulations and standards for the surgical in-patient and ambulatory clinic by auditing Joint Commission Performance Core Measures and implementing Perinatal Core Measures in partnership with the Quality Care Coordinator. Partnered in organizing the data, presenting, and collaborating with physicians to ensure quality and patient safety.
• Integral stakeholder and liaison for the acute care hospital- Medical/Surgical floor, outpatient surgery center, and community college. Partnered with two organizations in educating, coaching, and mentoring of the implementation of bar-code medication administration, bedside shift report, and hourly rounding in support of CMS Meaningful Use incentives, patient safety, and standardizing work flow.
• Researched, initiated, coordinated, trained, mentor, and evaluated, a hospital-wide study to identify areas for quality improvement to patient safety and practice patterns for 3 regional healthcare organizations.
• Champion of the development and implementation of Teach-back for three healthcare organizations. Accountable in leading a 5% quality improvement in patient satisfaction scores per the HCAHPS Expanded III Survey.
• Active stakeholder serving on the HCAHPS quality committee 2012- 2014. Published Teach-back Effects on Self-Reported Understanding of Medication Management After Discharge.
• Daily inventory audits for medication narcotic counts.
• 24 hour on-call care for critical patients providing GI conscious sedation.
• Cared for and treated patients with chronic and acute health problems such as MI, arrhythmias, asthma, COPD, pneumonia, sepsis, and stroke in both the inpatient and outpatient healthcare environment.
• Coached staff and nursing students in partnering organizations education, training and competency check-offs on Teach-back, CMS-Meaningful Use, HCAHPS, and The Joint Commission compliance and regulations.
• Self-directed with astute judgment skills in airway and cardiac management and GI conscious sedation.
• Primary care, assessment and evaluation of neonatal and pediatric patients such as artificial advance airway, intubation, central line placement, management of vasoactive mediations, ventilator management, critical care neonatal, needle thoracentesis and care of patient with pneumothoraces, resuscitative codes.
• Participated in clinical agency strategic planning for fiscal year 2014.
• Contributed substantially in quality improvement, audits, and National Patient Safety Goals in collaboration with executive leadership by performing mock audits compliant with JCAHO accreditation regulations and The Center of Medicare and Medicaid.
• Pharmacological and non-pharmacological management and treatment of various disorders and diseases.
• Coach and mentor for patients and family members on proper discharge care.
• Advance Cardiac Life Support (ACLS) certified 2018.
• Pediatric Advanced Life Support (PALS) certified, 2018.
• Neonatal Resuscitation Program (NRP) certified 2008 through 2012.
• Sugar & Safe Care, Temperature, Airway, Blood Pressure, Lab Work, and Emotional Support (S.T.A.B.L.E.) certified 2008 through 2012.

• Clinical supervisor and course coordinator for Acute Medical/Surgical and Professional Leadership in Nursing.
• Certified Nurse Educator with in-depth knowledge of Adult Principles Theory, active learning, and simulation.
• Advised and coached students on academic plan and course selection.
• Identified trends, deficiencies, and system problems developing evidence-based curriculum for medical/surgical and Professional Leadership in Nursing.
• Designed and executed hybrid online course for Professional Leadership in Nursing.
• Demonstrated professional leadership working in collaboration with community stakeholders researching, developing, and implementing 12 hour clinical shifts, a quality improvement initiative to improve student outcomes, retention, and high-quality patient care.
• Led well-received management and leadership discussion on Teach-back Effects on Self-Reported Understanding of Medication Management After Discharge.
• Implemented, organized, trained, and designed curriculum changes for Teach-back in ADN program.
• Implemented, organized, and trained Bedside Medication Verification and AIDET; quality improvement initiative in ADN program.
• Hired, trained, mentor, supervised, & peer reviewed nursing associates and nursing students in the theoretical and clinical environment.
• Implemented new floor assignments based on patient safety evaluation, department staffing, and appropriate roles and functions.
• Integral stakeholder of following committee's: Interview, Nursing Governance, Best Practice, Curriculum, HCAHPS, Re-admission, Simulation, and Idaho State Nursing Association.