Mia M Pannell, MSN, RN

Reporting directly to the Clinical Adult Services Director, direct oversight of daily department operations, staffing, quality metrics, patient/customer satisfaction, fiscal accountability and overall efficiency. Total FTE 104.9 (Assistant Nurse Managers, Registered Nurses, Patient Care Technicians, Department Secretary, and Unit Assistants) with an operational budget for 2024 of $29.6m.

• Participated in strategic planning initiatives designed to improve overall operations.
• Monitored quality assurance activities for compliance with standards of care.
• Collaborated with other departments to ensure quality patient outcomes.
• Coordinated interdisciplinary team meetings to review patient progress and plan care strategies.
• Reviewed patient charts for accuracy and completeness of documentation.
• Evaluated performance of individual nurses against established standards.
• Provided guidance to staff on patient care, clinical practice, and professional development.
• Participated in the recruitment, interviewing, selection, and orientation of new employees.
• Promoted a positive work environment through effective communication with staff members.
• Investigated incidents or complaints from patients or their families.
• Monitored quality assurance activities for compliance with standards of care.
• Participated in strategic planning initiatives designed to improve overall operations.

Accomplishments:

• Inpatient Fall Reduction: Developed A3 with department stakeholders and frontline staff to reduce the incidence of falls and improve safety priority index. 2023 year end: 9 falls with injury; 2024 YTD 3 falls with injury.
• ED to Bed Inpatient Admissions: Collaborative project with Nursing House Supervisors, front line staff from inpatient departments and the Emergency Department and Assistant Nurse Managers. March - May: 11% increase of inpatient admits within 60 minutes of admission order timestamp.
• Medical-Surgical Care Experience: HCHAPS Scorecard "Likelihood to Recommend" department performance Jan 2024: 55.8 against target of 67. April 2024 department performance was 72.7 against a target of 67.
• 2023 Safety Priority Index (SPI) end of year performance 0.91 against target 0.88 - performance needing improvement. 2024 end of year performance 0.86 against target of 0.88 - successful performance. NCAL 2024 SPI performance leader.

The department nurse manager is responsible for the planning, organizing and supervision of operational and clinical duties with the departments that support adult patient care services. Assist the Hospital Operations Director with developing and implementing strategies to generate new revenues, drive productivity, efficiency, quality, service, and cost-effective resource management. Total FTE 31.9.

• Authorized operational guidelines and practices while assessing staff to meet performance objectives.
• Approved operational policies, procedures and standards while continuously evaluating staff to measure performance benchmarks.

Included departments:

• Facility-based Float Pool (RNs, PCTs, and UAs)
• Wound, Ostomy, and Continence Care
• PICC Services
• Patient Transportation
• Epic Acuity Management

Accomplishments:

• Bed Surface Selection and Rental Returns Project - Implemented a process of proper bed surface selection and increased timely return of rented frames by 90%. 2024 end of year savings: $205K
• Hospital Acquired Pressure Injury (HAPI) Prevention Program - Reassessed current wound care program with the assistance of the certified wound/ostomy nurses. Standardized workflow, treatments, and updated local policy. In 2023, facility was HAPI-free for 318 calendar days.
• Local Vacancy Hiring Initiative - Assist department managers with interviewing and hiring additional FTEs for operational need. Overall increased hired workforce and saw a 10% reduction of contracted travel nurse utilization. Patient Care Services 2023 year end vacancy rate 23.8%. Vacancy rate YTD 10.3%.
• Increased the number of Staff Nurses pursing clinical ladder classification (Staff Nurse III, Staff Nurse IV, PCCCM III) by 25% in 2023.

Outpatient Clinic Manager of Adult Family Medicine, Nephrology, Infectious Disease, Primary Care at Home, and the Covid Home Care Team. Total FTE 24.9 (Registered Nurses, Licensed Vocational Nurses, and Medical Assistants). Supported 19 physicians and 1 nurse practitioner.

• Improved customer satisfaction ratings by listening to complaints and finding appropriate solutions to problems.
• Prioritized and delegated daily work tasks to meet anticipated project goals.
• Motivated and supported employees to maintain low turnover.
• Created employee work schedules to keep shifts properly staffed.
• Pitched in to complete various duties during peak periods or employee absences.
• Upheld team productivity and quality objectives by setting and maintaining clear benchmarks for service.
• Reviewed inventory levels and ordered supplies to keep products in stock.
• Monitored employee performance through key metrics analysis.
• Hired and trained service department staff to drive performance.
• Forecasted department goals and objectives and enforced deadlines for quality service and speedy task completion.
• Delegated work to staff, setting priorities and goals.
• Remained calm and professional in stressful circumstances and effectively diffused tense situations.
• Mediated conflicts between employees and facilitated effective to disputes.
• Planned and led team meetings to review business results and communicate new and ongoing priorities.

Accomplishments:

• Increased service reimbursement for Medicaid and Medi-cal patients by leveraging annual appointment requirements of patients. Facility completion rate target: 90%; Facility completion rate of 87%; Improvement of 23% from baseline.
• Improved local facility appointment availability by 12% in 2021 and 14% in 2022.

• Patient Care Improvement System (PCIS) Certification completed 2017
• STAR Leadership Course completed 2017
• Caritas Coach Education Program (CCEP) - Enrolled Cohort 20
• Post Anesthesia Care Unit Discharge Medication Project - Richmond Team Leader
• Post Anesthesia Care Unit Additional Workup Algorithm - Richmond Team Leader
• Waste Disposal Management Team - Richmond Team Member
• Enhanced Recovery After Surgery (ERAS) - Richmond Team Leader
• Surgical Site Infection Prevention - Richmond Team Leader
• Team Stepps Master Training Course - October 2019
• Joint Commission Survey Readiness Team Member - KP Richmond
• Workflow and protocol development in Ambulatory Surgery Unit
• Workflow and protocol development in the Post Anesthesia Care Unit
• Stretched oversight over KP Richmond Operating Room Department
• Daily collaboration with Anesthesia, Operating Room and Patient Care Services Teams

Nursing leader in the Perioperative Services department. Direct liaison between multiple disciplines and front line staff. Overseer of 36 direct reports (registered nurses, certified nursing assistants and department clerks). Coordinator of day to day work flow and business operations in the ASU and PACU.

• Work experience available on request.