Marissa Banda
San Antonio
Summary
Dedicated and detail-oriented Quality Manager with experience in regulatory compliance, quality and process improvement, and physician performance enhancement, seeking the position of Director of Regulatory Compliance and Accreditation at Methodist Healthcare System. With a proven track record in overseeing and ensuring continuous regulatory and accreditation readiness, I possess a strong understanding of the requirements from the Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), and other external regulatory bodies. I am adept at collaborating with quality and safety departments, facility leadership, and department leaders to develop and implement systems that ensure compliance and drive quality excellence and corporate safety. My strategic approach and commitment to process improvement have consistently resulted in enhanced safety measures and operational efficiencies within our organization.
Overview
12
12
years of professional experience
Work History
Quality Manager
METHODIST HOSPITAL
01.2025 - Current
- Supports development and implementation of the Methodist Performance Improvement Plan
- Manages and coordinates peer review processes for assigned medical staff services, oversees physician-specific and aggregate data for reappointment and ongoing evaluations, and prepares comprehensive reports for the Medical Executive Committee (MEC).
- Compares data from various sources to draw conclusions, selects effective strategies for action or solution development, and acts in alignment with the facts, limitations, and likely outcomes.
Quality Manager
METHODIST HOSPITAL
10.2023 - Current
- Manage regulatory compliance activities, ensuring continuous readiness and accreditation
- Provide support and oversight for compliance with CMS, TJC, and other external regulatory agencies.
- Collaborate with department leaders to facilitate the development and implementation of systems ensuring adherence to accrediting and regulatory standards.
- Drive process improvement initiatives across the facility to enhance quality and safety measures
- Provide support and guidance to departments to ensure they achieve quality excellence and maintain high standards of patient care.
Quality Coordinator, Cardiovascular Pediatric
METHODIST HOSPITAL
06.2018 - 10.2023
- Work in partnership with unit leadership to conduct case reviews, develop action plans for identified opportunities and monitor follow up until loop closure is verified.
- Lead Quality Assurance and Performance Improvement (QAPI) meetings and compile data from high priority case reviews, to provide presentations for multidisciplinary analysis of patient cases required for maintaining Neonatal Level IV designation.
- Maintain data integrity and accountability for the Society of Thoracic Surgeons Congenital and NCDR IMPACT database.
- Extract and interpret data from these reports and present to leadership, providers, and care staff for process improvement.
- Oversee, analyze, and trend data related to mortality, morbidity, and safety concerns for the congenital heart, PICU, and NICU population.
- Work in a collegial manner with medical staff, hospital leadership, and vendors to assure improvement of care in quality outcomes.
- Assist in the development and collaboration of education of bedside staff for process improvement projects and track outcome and viability of implemented programs.
Charge Nurse
METHODIST HOSPITAL
07.2015 - 03.2019
- Provide and prioritize patient care in a fast-paced pediatric emergency room through assessment and evaluation of patient acuity level.
- Serve as the primary coordinator for all disciplines in patient care.
- Assist family members with coordination of patient care.
- Orient, mentor, and train new staff.
- Provide staff guidance and support in challenging situations.
- Coordinate administrative duties including scheduling and implementation of policies and procedures.
Registered Nurse
METHODIST HOSPITAL
08.2013 - 03.2019
- Provide and prioritize patient care in a fast-paced pediatric emergency room through assessment and evaluation of patient acuity level.
- Serve as the primary coordinator for all disciplines in patient care.
- Assist family members with coordination of patient care.
- Orient, mentor, and train new staff.
- Provide staff guidance and support in challenging situations.
- Coordinate administrative duties including scheduling and implementation of policies and procedures.
Education
Masters of Health Administration -
Texas Tech University
Lubbock, Tx12-2025
Bachelor of Science - Nursing
University of the Incarnate Word
San Antonio, TX05.2013
Skills
- Internal auditing
- Quality management systems
- Compliance monitoring
- Corrective actions
- Regulatory compliance
- Continuous improvement
Accomplishments
Abstract selected and presented at 8th World Congress Pediatric Cardiology and Cardiac Surgery August 2024
Leadership institute completion March 2025
Timeline
Quality Manager
METHODIST HOSPITAL
01.2025 - Current
Quality Manager
METHODIST HOSPITAL
10.2023 - Current
Quality Coordinator, Cardiovascular Pediatric
METHODIST HOSPITAL
06.2018 - 10.2023
Charge Nurse
METHODIST HOSPITAL
07.2015 - 03.2019
Registered Nurse
METHODIST HOSPITAL
08.2013 - 03.2019
Masters of Health Administration -
Texas Tech University
Bachelor of Science - Nursing
University of the Incarnate Word
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