Michelle Skinner
New Braunfels,TX
Summary
Performance-driven Vice President with 20 years of experience aligning systems with business requirements, policies and regulatory requirements. Passionate about applying excellent organization and communication skills to manage and lead teams. Results-oriented individual well-versed in interfacing and consulting on business processes to drive results based on sound overall business judgment.
Overview
20
20
years of professional experience
Work History
Vice President Quality & Patient Experience
TeamHealth Anesthesia
Knoxville, TN
10.2021 - Current
- Mitigate downside penalty for over 100 nationwide facilities with established processes supporting Quality Payment Program MIPS, with 98% compliance rate
- Develop, implement, and oversee corporate quality, safety and patient experience strategies for over 100 nationwide facilities
- Provide new start up support to all new contracts
- Develop clinical pathway guidance such as reducing opioid use, implementation and evaluation support
- Advisor to internal corporate teams responsible for contract outcomes
- Collaborative, Effective participation in team projects, facility site assessments and recommendations
- Maintain C-suite, hospital partner relations
- Developed and Established inaugural Patient Experience Program
- Leading foundational advancement in dashboard development, electronic solutions in data capture and analytics
- Direct, monitor and evaluate department of 6 employees
Performance & Innovations Consultant
TeamHealth Anesthesia
01.2021 - 10.2021
- Effective team collaboration with operational leadership for optimal contract performance
- Conduct operational assessments and make recommendations, as requested by priority contract sites
- Facilitation of Lean Kaizen Events, flow modeling, demand to capacity analysis, team development, patient experience coaching, and virtual tool development
- Advisory to facility stakeholders
- Participate and lead Service Line work on Integrated initiatives such as Opioid Sparing Care Pathways, Rapid Hip Protocols and Patient Blood Management and Bloodless Surgery Programs
- Enhanced existing Enterprise Opioid Sparing Care Pathway program including sequenced project plans, resources, tools, sample protocols and clinician education
- Participate in and execute strategy for Patient Experience, Clinical Quality and Patient Safety, Leadership and Management, and Clinical Operations
- Developed CME accredited clinician training for Patient Experience and Operational Triad training resources and tools to standardize and optimize client retention and performance
ASC Administrator-Clinical Program Director
Ascension Wisconsin Surgery Center
03.2020 - 12.2020
- De novo ASC Launch
- Eight-Specialty facility including 6 operating rooms and 3 procedure rooms
- Tactical planning for all processes needed to support patient care
- Business Development and Provider engagement
- Operational shift of surgical candidates from hospital to ASC to support value based care initiatives and payer practices
- Offering ambulatory pricing structure to the community
Manager of Business Development and Physician Partnerships
Froedtert Health & The Medical College of Wisconsin- ASC Division Milwaukee
08.2018 - 03.2020
- Multi-Facility Business Development and Strategic Partnerships for 4 Ambulatory Surgery Centers, large academic medical center
- Value based care initiatives and payer reimbursement evaluation
- Data Analysis support, volume shifts from hospital to ASC freed up OR availability to allow hospital to expand cardiac and inpatient orthopedic surgical volumes
- Analyze procedure coding, coverage, and reimbursement practices for existing and new CPTs, including associated implants or medications, in ASC environment
- Use analytic tools to identify trends and develop strategies to maximize case volumes
- Participated in development of newly designed analytic tool that has widespread Enterprise capabilities
- Tool provided newfound ease in identifying ASC appropriate volumes to shift from hospital to ASC
- Optimize surgical case volumes through process improvement and project management
- Leading ASC with 21% increase in volume from prior year
- Integrated New service lines, including Ophthalmology, and optimized provider volumes at collective ASCs
- Strategy design including creation of Roadmaps and timelines for strategic efforts
- Collaborate and routinely meet with stakeholders including ASC leadership, Providers, Provider office staff and Executive Hospital Leaders
ASC Administrator and Quality Education Coordinator
Lake Country Surgery Center
01.2018 - 12.2018
- Directed, monitored and evaluated ASC day-to-day operations, payroll, supply chain, AP, AR and HR for two room ASC with 15 staff including professional and support staff
- Oversight of compliance with AAAHC accreditation
- Analysis of payer coverage and reimbursement practices
- Utilized technology, electronic medical records (EPIC), and various data analytics to perform audits and reported findings
- Achieved operational goals for surgical site infections and hospital transfers
- Change management incorporated to support staff through incremental changes to operations
- Effective communication with physicians and stakeholders during operational changes, up through closing
- Managed decommission of ASC
Quality Management Coordinator Sr
Aurora St. Luke's Medical Center
07.2016 - 01.2018
- Managed Heart Failure, AMI, Medical Surgical and Urology Service Lines
- Project management Leadership
- Pressure Injury Workgroup established innovative best practices that addressed growing pressure injury rates
- Successfully decreased overall pressure injury rates month over month
- Nursing Quality Review Committee is used to review nursing practice events, pressure injuries and falls
- Committee tracks trends in these events, provides streamlined best practices including auditing for compliance with best practices
- Quality Review Committees for Cardiology, Heart Failure, Echo and Electrophysiology, Urology meet and review areas of opportunity to improve care for patient or physician practice
- Physicians documenting inaccurate information in echo reports received education
- Managed 4 inpatient unit's progress towards achieving strategic priorities
- AMI patient population was consistently discharged on time
- Influenced process improvement/change management
- Designed and reported results and outcomes of 11 separate A3 efforts
- Achieved decrease in patient mortality on Heart Failure unit
- Performed Root Cause Analysis (RCA) for sentinel events and other patient safety concerns in collaboration with Risk Management
- Actively assisted departments in Regulatory Accreditation Readiness
- Utilized technology, electronic medical records (EPIC,) and various data analytics to perform audits and reported findings
- Identified hospital acquired conditions and coordinated review of these cases at Quality Review Committee.
Public Health Nurse
Waukesha County Public Health Division
08.2009 - 07.2016
- Prior member of Communicable Disease Team and Coordinator for Perinatal Hepatitis B Prevention Program, Refugee Program, HIV Partner Services, WIC, International Travel Clinic, Nurse Call Center and Strategy Team
- Process improvement/change management Leadership
- Membership strategy team
- Department expert in Lean methodology
- Accreditation Coordinator- PHD seeking accreditation for first time
- Shared drive process improvement A3
- Developed folder management structure to categorize existing department files, in preparation for accreditation
- Submitted formal proposal of new program, for consideration
Endoscopy RN
Wheaton Franciscan Health Care, Center for Digestive Health
03.2009 - 08.2009
- Provided Nursing care to GI patient population
Operating Room Nurse/ Supervisor
Wisconsin Surgery Center
08.2006 - 03.2009
- Supervisor RN
- Managed over thirty staff members, under direction of Manager, including OR, PACU, Pre-Op, and receptionists
- Managed day to day operations such as staff and surgery scheduling, facility maintenance, equipment maintenance, purchasing, Provider and Rep coordination of surgical instruments, as well as demonstrated financial responsibility
- Performed cost analysis, utilizing technology tools, and evaluated payer reimbursement, for profit facility
- Provided direct patient care to adult and pediatric patients
- Procedures performed included: podiatry, gynecological, orthopedic, general, vascular, spine and extremity pain management injections and colonoscopies
- Performed circulating nurse duties, operating room
Clinic Nurse
Children's Hospital Of Wisconsin - Milwaukee Campus
05.2006 - 09.2006
- Performed History and Physical exams for all patients, including pre-operative patients
- Performed follow up assessments on post-procedural and post-operative patients
- Performed assessments for long term care patients and collaborated with their primary physician to provide appropriate care
- Answered Nurse Hotline calls
- Provided patients and parents with information on support groups, social workers, community events, and numerous types of assistance for patients with all types of illnesses and injuries
- Performed dressing changes, wound assessments, burn cares and stitch removals
- Wrote prescriptions under supervision of clinic's Physician Assistant
- Performed chart reviews and prepared patient charts for appointments each day
- Collaborated with many disciplines to coordinate care such as: PT, OT, Social Work, Physicians, Wound Care Team, Residents, Medical Students and Specialty Physicians
Operating Room Nurse
Aurora St. Luke's Medical Center
07.2003 - 05.2006
- Provided direct patient care for individuals undergoing surgical procedures
- Specializing in orthopedic surgery, trained in all specialties including general, vascular, cardiovascular, gynecology, neurology, urology, plastics, and ENT
- Primary peer preceptor, trained over 12 employees.
Education
Master of Healthcare Administration -
Purdue University
09.2019
Bachelor of Science - Nursing
Carroll Columbia College of Nursing
5.2003
Lean Six Sigma Certification- Yellow Belt -
Waukesha Community Technical College
Waukesha, WI01.2016
Skills
- Strategic planning advice
- Process optimization, LEAN
- Patient Experience
- MIPS Quality Payment Program oversight
- Develop, maintain effective relationships
- Clinical education development
- Quality Patient Care Delivery
- Startup Experience
- Experience Optimization
- Consulting Experience
- Patient Safety
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Vice President Quality & Patient Experience
TeamHealth Anesthesia
10.2021 - Current
Performance & Innovations Consultant
TeamHealth Anesthesia
01.2021 - 10.2021
ASC Administrator-Clinical Program Director
Ascension Wisconsin Surgery Center
03.2020 - 12.2020
Manager of Business Development and Physician Partnerships
Froedtert Health & The Medical College of Wisconsin- ASC Division Milwaukee
08.2018 - 03.2020
ASC Administrator and Quality Education Coordinator
Lake Country Surgery Center
01.2018 - 12.2018
Quality Management Coordinator Sr
Aurora St. Luke's Medical Center
07.2016 - 01.2018
Public Health Nurse
Waukesha County Public Health Division
08.2009 - 07.2016
Endoscopy RN
Wheaton Franciscan Health Care, Center for Digestive Health
03.2009 - 08.2009
Operating Room Nurse/ Supervisor
Wisconsin Surgery Center
08.2006 - 03.2009
Clinic Nurse
Children's Hospital Of Wisconsin - Milwaukee Campus
05.2006 - 09.2006
Operating Room Nurse
Aurora St. Luke's Medical Center
07.2003 - 05.2006
Master of Healthcare Administration -
Purdue University
Bachelor of Science - Nursing
Carroll Columbia College of Nursing
Lean Six Sigma Certification- Yellow Belt -
Waukesha Community Technical College