Summary
Overview
Work History
Education
Skills
Certification
Projects/Committees/QAPI
Leadershipcourses
Committeememberships
References
Accomplishments
Work Availability
Timeline
Generic
Maria Capretta

Maria Capretta

AURORA,OH

Summary

Accomplished Director of Quality Management with an extensive history at Cleveland Clinic, specializing in strategic planning and building strong teams. Expertise in healthcare operations, leading to significant improvements in quality outcomes, regulations and standards compliance. Renowned for empowering teams and driving continuous improvement with a proactive, solution-oriented approach. Specialize in regulatory compliance, process improvement, and risk management, ensuring high-quality standards are consistently met. Excel in communication, leadership, and problem-solving, leveraging these skills to foster team collaboration and drive organizational success.

Overview

25
25
years of professional experience
3
3
Certification

Work History

Director of Quality Management

Cleveland Clinic Homecare Services
Independence
  • Lead and direct the Quality Department.
  • Ensure all service lines at the Center for Connected Care (Homecare, Hospice (JTR Care Center), Respiratory Therapy, and Home Infusion Pharmacy) comply with CMS and JC regulations.
  • Prepare all service lines for survey readiness and standards compliance.
  • Liaison for Service Line Operations and Strategic Planning
  • Process Improvement Facilitator.
  • Fielded customer complaints and rectified service issues.
  • Investigated events to conduct root cause analysis and suggest responsive action to administrators.
  • Monitored processes and identified areas of improvement, leading to increased efficiency and productivity.
  • Ensured timely completion of projects according to customer specifications.
  • Worked with cross-functional teams to achieve goals.
  • Completed day-to-day duties accurately and efficiently.
  • Provided support and guidance to colleagues to maintain a collaborative work environment.
  • Established goals for performance improvement initiatives in collaboration with team members.
  • Led professionals and other staff through implementation process to achieve goals and meet regulatory standards.
  • Created comprehensive reports on quality assurance activities for senior management review.
  • Reported quality program updates and metrics to professionals and worked collaboratively to propel organization's quality overall.
  • Discovered opportunities for performance improvement through data analysis and report assessment.

Director of Quality Management

Cleveland Clinic Euclid Hospital
06.2019 - 06.2022
  • Lead and manage six direct reports in the Quality Department. Developed metrics dashboards to track progress against established goals.
  • Established a risk assessment program designed to monitor risks associated with each stage of the production process, and implement necessary controls and mitigations when required.
  • Investigated potential new technologies that could be utilized within the organization's Quality Management System.
  • Collaborated cross-functionally with stakeholders to define key performance indicators for measuring quality.
  • Led process improvement initiatives using Lean Six Sigma methodology.
    Identified quality problems, areas for improvement, and recommended solutions.
  • Oversaw and implemented comprehensive quality management plan.

Assistant Director of Quality Management

Euclid Hospital
10.2018 - 06.2019
  • Established and maintained open, collaborative relationships with employees.
  • Recruited, interviewed, hired, and trained new staff members in accordance with company policies.
  • Coordinated meetings between senior leadership team members to discuss strategic objectives.
  • Proposed or approved modifications to project plans.
  • Implemented process improvements to increase efficiency and effectiveness.

Cleveland Clinic Infection Preventionist

Hillcrest Hospital, Main Campus
03.2007 - 03.2018
  • Collaborated with other departments, such as Environmental Services and Clinical Engineering, to improve safety protocols related to preventing HAIs.
  • Conducted on-site investigations of outbreaks or clusters of infections to identify sources of transmission and develop interventions.
    Ensured adherence to isolation precautions by educating patients and families about appropriate handwashing techniques.
  • Participated in public health education campaigns to raise awareness of preventive measures against the spread of infectious diseases.
  • Educate healthcare workers, patients, and the public about infectious and communicable diseases, including disease transmission and prevention.
  • Conducted surveillance of infections, outbreaks, and antibiotic resistance patterns.

Education

Master's - Nursing / Leadership and Management

Walden University
MN
02.2015 - 02.2018

Bachelor of Science - Nursing

Ursuline College
OH

Skills

  • Strategic Planning
  • Healthcare, Medical Operations
  • Accreditation processes
  • Auditing and compliance
  • Performance improvement programs
  • Change management proficiency
  • Quality improvement prioritization
  • Continuous improvement techniques

Certification

  • RN (Registered Nurse)
  • CIC (Certified Infection Control)
  • CPHQ (Certified Professional in Healthcare Quality)
  • HACP (Healthcare Accreditation Certification Program)
  • Ohio Major Lines Life and Health Insurance License
  • AHIP Certification 2024

Projects/Committees/QAPI

Medication Reconciliation Kaizen Implementation Missed Visits Plan of Care Project Joy EPIC Optimization Readmission Reduction My Learning Module Development Meds to Beds Improving transitions of care in Heart Failure patients Patient Safety EPIC alerts Supply Reduction/Waste Project Enterprise Readmission Subgroup Workplace Violence Hospice Fall Reduction 

Leadershipcourses

  • Harnessing Potential-Cleveland Clinic classes for new leaders (nomination required)
  • Strength's Finders
  • Myers Briggs
  • What is your leadership style?
  • Human Resources-FMLA, Short term disability, crucial conversations, performance review process
  • Empowering Others –Cleveland Clinic classes for emerging leaders (nomination required)
  • Diversity Training
  • Situational Leadership
  • Productivity/Budget Analysis
  • Emotional Intelligence

Committeememberships

  • Quality Committee
  • Medical Executive Committee
  • Safety Committee
  • Workplace Violence
  • Diversity and Inclusion
  • Community Partners
  • Credentialing/Privileging
  • Readmissions (Enterprise and Local)
  • Sepsis (Enterprise and Euclid Hospital)
  • Infection Prevention (Enterprise)
  • Cleveland Clinic Volunteer Program

References

References available upon request.

Accomplishments

  • Collaborated with team of 18 Infection Preventionist (IP) in the development of a IP surveillance system
  • Lead 5 Service Lines through a Joint Commission survey while simutaneously leading our Hospice Care Center through an Ohio Department of Health Complaint survey
  • Implemented a manual tracking system for Homecare clinicians signing out supplies to better manage and control supply efficiencies
  • Implemented and lead a Work Place Violence (WPV) Committee and developed a WPV toolkit for our field clinicians.
  • Rewrote the Center for Connected Care (5 Service Line) Emergency Management Plan according to the 2025 Joint Commission Standards EM Chapter

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Director of Quality Management

Cleveland Clinic Euclid Hospital
06.2019 - 06.2022

Assistant Director of Quality Management

Euclid Hospital
10.2018 - 06.2019

Master's - Nursing / Leadership and Management

Walden University
02.2015 - 02.2018

Cleveland Clinic Infection Preventionist

Hillcrest Hospital, Main Campus
03.2007 - 03.2018

Director of Quality Management

Cleveland Clinic Homecare Services

Bachelor of Science - Nursing

Ursuline College

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Maria Capretta