Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Maura Naddy

La Grange,IL

Summary

Driven and motivated clinical leader delivering innovation, education, support, and team leadership to healthcare operations. Dependable and detail-oriented to manage multiple tasks and priorities. Broad experience includes: direct patient care; managing large clinical teams; elaboration, implementation and education of software applications; managing large budgets; facilitation of educational events; quality assurance review; and strong communication skills. Recognized for exemplary customer service and team collaboration.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Director, Field Staff Development, Education & Innovation

The Joint Commission
01.2023 - Current
  • Directs and oversees all education for domestic ACO field staff, both virtual and face-to-face including the design, development, implementation, technical set-up and logistical arrangements for the annual field staff annual conference
  • Responsible for the educational processes for ACO to support the achievement of established goals/metrics of field staff knowledge and satisfaction and ensures that all programs are based on program & surveyor needs, while utilizing innovation and technology, state-of-the-art curriculum and content development, and adult learning principles
  • Directs and oversees the new field representative onboarding process which consists of 2.5 days of virtual education for new field staff hired within the accreditation or certification programs
  • Supports the field directors in the design, development, and delivery of education curriculums
  • Directs the education evaluation program and measurement system and ensures it is utilized to continuously improve surveyor education and field outcomes
  • Responsible for preparing and managing the multi-million-dollar education budget encompassing the following categories: Field Staff Education, New Surveyor Education, Distance Learning, and Cross Training
  • Ensures ongoing budget performance oversight and completion of monthly variance reporting for identified cost centers
  • Serves as an ACO representative for the ongoing review, evaluation, and/or enhancements to the onsite survey and review process
  • Actively participates in enterprise-wide initiatives that impact survey processes and ensures ACO representation and appropriate follow up
  • Leads the ACO collaboration with IT on the development of new innovative tools to improve efficiency and effectiveness for field staff and survey process, such as the Survey Technology platforms, Machine Learning, CITe, Artificial Intelligence, and Digital Transformation
  • Oversees the testing, training, and implementation of devices within the survey and review process
  • Coordinates feedback from field staff related to on-going improvements, maintenance and enhancements to the Survey Technology platforms including MST, WST, MSTm
  • Surveyor of Record within the Hospital Accreditation Program.

Senior Associate Director, SIG Operations & Quality Assurance

The Joint Commission
07.2021 - 12.2022
  • Directs SIG Operations in absence of the Director
  • Implement and manage large complex projects within SIG and serve as SIG Director delegate in cross division/department operations projects
  • Manage the operational components of the SIG Quality Assurance Program and ensure the integrity of the program is upheld
  • Assist in oversight of daily operations to support the Director of SIG with tasks as assigned in collaboration with SIG Team Leaders
  • Resolve potentially difficult, moderate to complex internal and external operations issues
  • Evaluate on-site survey issues to determine level of risk and need for Immediate Threat to Health & Safety declaration
  • Provides guidance on and expert interpretation of Joint Commission standards and Medicare requirements, professional standards of practice, and law and regulation to internal and external customers including but not limited to: field representatives, service teams, Office of Quality and Patient Safety (OQPS), other divisions, Joint Commission Resources (JCR) field staff, accredited organizations, those seeking accreditation or certification, professional associations, governmental agencies, consultants, educators and students
  • Conducts performance evaluations with direct reports, and also assists SIG Director in completion of evaluations for SIG Team Leaders
  • Coordinates education and training for internal software applications
  • Business Lead for Information Technology projects
  • Prepare and present key information to organizations via in person or web conferences
  • Serve as Maternal Newborn Subject Matter Expert for questions and topics related to Perinatal standards.

Associate Director, Standards Interpretation

The Joint Commission
06.2018 - 06.2021
  • Provide interpretation of Joint Commission standards related to specific settings, professional disciplines, or accreditation programs
  • Perform review of accreditation reports for accuracy of scoring, standard cited and clarity of finding
  • Respond to customer questions regarding standards to ensure consistency of interpretation
  • Coordinate education and training for internal software applications
  • Manage and coordinate multi-division enterprise projects
  • Business Lead for Information Technology projects utilizing Artificial Intelligence
  • Prepare and present key information to organizations via in person or web conferences
  • Serve as Maternal Newborn Subject Matter Expert for questions and topics related to Perinatal standards
  • Assist in development and implementation of standards related to maternal health
  • Lead and manage quality assurance review initiative within the Standards Interpretation Group to ensure internal and external customer inquiries are answered consistently and timely.

OB Manager

AMITA Adventist Hinsdale & La Grange Hospitals
03.2017 - 06.2018
  • Acted as Interim OB Director during transition period from October 2016 through December 2016
  • Maintain daily nursing operations by coordinating care amongst units to ensure safe and quality patient care is provided
  • Assures quality of care by adhering to nursing standards, applying evidence-based research to direct patient care, and measuring health outcomes
  • Review daily staffing schedules to ensure that units are staffed safely, and productivity goals are met
  • Resolve both staff and patient concerns by continuing to maintain open lines of communication and performing nurse leader rounding and coaching sessions as needed
  • Continue to promote staff retention and assess need for further recruitment based on the demands of each unit.

Labor and Delivery Clinical Coordinator

AMITA Adventist Hinsdale Hospital
06.2016 - 02.2017
  • Supervise and lead clinical staff in providing safe and quality care during the antepartum, intrapartum and postpartum stages of pregnancy
  • Delegate activities and assignments based on patient care needs and competency of available staff
  • Assess needs of the staff and assist in implementation of development programs to improve overall growth of the Labor and Delivery unit
  • Maintain effective lines of communication with nursing staff and director to ensure the Chain of Command is followed appropriately.

Labor and Delivery Nurse

AMITA Adventist Hinsdale Hospital
07.2015 - 06.2016
  • Provide superior care to women during the antepartum, intrapartum and postpartum stages of pregnancy
  • Proficient in speculum exams, sterile vaginal exams, care of low and high-risk patients, interpretation of fetal heart rate tracings, IV insertion, lab draws, assisting as a scrub technician for procedures, and supporting mothers with breastfeeding
  • Charge Nurse responsibilities include: floor operations; staffing justification; delegation of tasks; communication and collaboration with supervisors, physicians, staff and other services; and patient/visitor relations.

Clinical Adjunct Professor

Saint Xavier University
08.2015 - 05.2016
  • Educate undergraduate nursing students at the senior level on the Labor & Delivery and Mother Baby Unit at Silver Cross Hospital
  • Plan and create PowerPoint presentations and other education materials to assist in the knowledge development of students within the area of obstetrical nursing
  • Assist faculty and students during simulation exercises for the mother and newborn during the intrapartum and postpartum stages of pregnancy
  • Assess grades for students based on participation, performance, communication with students and staff, and weekly assignments
  • Advise and prepare students on how to be successful in both clinical and lecture.

Clinical Nurse Supervisor

Advocate Medical Group Maternal Fetal Medicine
01.2013 - 06.2015
  • Manage and lead clinical staff comprised of Registered Nurses and Certified Medical Assistants
  • Management responsibilities include: create policies and procedures to promote quality and safe patient care; perform daily rounding with clinical staff and patients; prepare and lead team huddles; collaborate with physicians, management and directors; perform yearly reviews with clinical staff; lead and assist with initiatives to increase patient satisfaction; apply evidence-based research into clinical practice; implement initiatives to improve office flow and efficiency; and manage clinical staff schedules
  • Clinical skills include: phone triage, patient education, and direct clinical care to high-risk obstetrical patients.

Labor and Delivery Nurse

Northwestern Memorial Prentice Women's Hospital
12.2007 - 12.2012
  • Provide superior care to women during the antepartum, intrapartum and postpartum stages of pregnancy
  • Proficient in speculum exams, sterile vaginal exams, care of low and high-risk patients, interpretation of fetal heart rate tracings, IV insertion, lab draws and assisting mothers with breastfeeding
  • Leadership roles include: Circulator Nurse, OBE Triage Nurse, HROB Nurse, Mentor Nurse, Team Leader, and Charge Nurse
  • Charge Nurse responsibilities include: floor operations; delegation of tasks; patient assignments; communication with supervisors, physicians, staff and other services; and patient/visitor relations.

Education

Master of Science Degree in Nursing -

Saint Xavier University
01.2013

Bachelor of Science Degree in Nursing -

University of Illinois at Chicago
01.2007

Skills

  • Machine Learning
  • Budget Management
  • Charismatic Leader
  • Staff Development
  • Cross-functional team leadership
  • Information Technology Management
  • Project Coordination
  • Employee Training
  • System Development
  • Software Testing
  • Proficient in Microsoft Word, Excel, and Power Point

Certification

  • RPI Certified Yellow Belt
  • Inpatient Obstetrics Certification
  • Certified Joint Commission Professional

Timeline

Director, Field Staff Development, Education & Innovation

The Joint Commission
01.2023 - Current

Senior Associate Director, SIG Operations & Quality Assurance

The Joint Commission
07.2021 - 12.2022

Associate Director, Standards Interpretation

The Joint Commission
06.2018 - 06.2021

OB Manager

AMITA Adventist Hinsdale & La Grange Hospitals
03.2017 - 06.2018

Labor and Delivery Clinical Coordinator

AMITA Adventist Hinsdale Hospital
06.2016 - 02.2017

Clinical Adjunct Professor

Saint Xavier University
08.2015 - 05.2016

Labor and Delivery Nurse

AMITA Adventist Hinsdale Hospital
07.2015 - 06.2016

Clinical Nurse Supervisor

Advocate Medical Group Maternal Fetal Medicine
01.2013 - 06.2015

Labor and Delivery Nurse

Northwestern Memorial Prentice Women's Hospital
12.2007 - 12.2012

Master of Science Degree in Nursing -

Saint Xavier University

Bachelor of Science Degree in Nursing -

University of Illinois at Chicago
  • RPI Certified Yellow Belt
  • Inpatient Obstetrics Certification
  • Certified Joint Commission Professional
Maura Naddy