Michelle Wilson
Summary
Dedicated registered nurse (RN) with expertise in medical staff peer review, ongoing professional practice evaluation (OPPE), clinical quality measures (CQM), and clinical registry data abstractions. Proven ability to revitalize complex hospital programs and drive quality improvement initiatives. Showcases exceptional organizational skills and a dedicated commitment to enhancing patient outcomes and overall care quality. Recognized for meticulous attention to detail and quick learning abilities. Successfully in both independent and collaborative cross-departmental settings.
Overview
34
34
years of professional experience
Work History
Physician Peer Review Coordinator
Saint Agnes Medical Center
01.2023 - Current
- Contributed to formulating a detailed plan for enhancing medical staff peer review, quality, and patient safety.
- Collaborated with senior medical leaders to create physician patient care summary reports
- Execute detailed evaluations of medical documentation within peer review process
- Executed and sustained peer review data entry in Greeley and MIDAS databases
- Compile and analyze data for use in performing, The Joint Commission mandated, Ongoing Professional Practice Evaluation (OPPE) scorecards.
- Drafted comprehensive peer review feedback letters for physician cases
RN Clinical Value Analysis Coordinator
Saint Agnes Medical Center
10.2021 - 01.2023
- Revitalized dormant (3 years) Value Analysis Program
- Utilized clinical expertise to guide product conversions
- Participated as Saint Agnes' representative on Trinity Health Value Analysis Council
- Acted as a resource to ensure products achieve top clinical performance at minimal cost
- Ensured contract and vendor compliance, standardization, and alignment with strategic initiatives
- Monitored and maintained supply spending, savings, and contract compliance
- Benchmarked financial metrics against other divisions within Trinity Organization
RN Clinical Abstractor – STS, CCORP, LAAO (NCDR) Registries
Community Medical Centers
04.2019 - 10.2021
- Conducted cardiovascular surgical chart reviews for multiple facilities
- Managed data collection and submission to three cardiovascular registries (STS, CCORP, LAAO)
- Generated and presented monthly data summaries to Cardiovascular Surgery Committee
ACS National Surgical Quality Improvement Program (NSQIP) Coordinator
Community Medical Centers
07.2017 - 04.2019
- Apply registry inclusion/exclusion criteria to identify surgical cases for abstraction.
- Utilized hospital record systems to gather data for registry submission
- Identified process improvement opportunities within the data collection process
- Partnered with the Surgeon Champion implementing quality improvement initiatives
- Established effective working relationships with members of the hospital community
Peer Review Coordinator
Saint Agnes Medical Center
02.2017 - 07.2017
- Contributed to creating a detailed plan enhancing medical staff peer review
- Facilitated collaboration with top medical officers in the development of patient care summary reports
- Carry out detailed audits on medical records for peer review cases
- Examine referrals based on peer review guidelines
- Facilitated case presentation and committee-agreed follow-up actions
- Maintained and analyzed performance data using various databases
- Monitor and report monthly physician trends and peer review indicator outliers for members of Ongoing Professional Practice Evaluation (OPPE)
Cardiovascular Clinical Database Specialist
Saint Agnes Medical Center
09.2013 - 02.2017
- Performed in-depth chart abstraction and timely data submissions to The Society of Thoracic Surgeons (STS) and California CABG Outcome Reporting Program (CCORP) registries
- Maintained compliance with STS and CCORP abstraction guidelines for cardiac surgical data
- Generated comprehensive data findings for presentation to the multidisciplinary cardiovascular surgery committee
- Database administrator for Axis PATS
- ShareFile administrator for collaboration with third-party abstraction company (ACC & NCDR Registries)
Quality Analyst II
Saint Agnes Medical Center
01.2012 - 09.2013
- Conducted chart abstraction assessing compliance with core measure standards across multiple domains (Pneumonia, Perinatal, Emergency, Immunization, VTE and Stroke)
- Conducted detailed Code Blue analysis
- Participated in core measure performance enhancement projects
RN, Emergency Department
Saint Agnes Medical Center
01.2009 - 01.2012
- Direct patient care and education, specializing in emergency room patients
- Demonstrated excellence in verbal and written communication
- Demonstrated strong organizational skills
- Gathered data on emergency department key performance metrics
ED Room Registrar, Clerk, Tech
Saint Agnes Medical Center
08.2005 - 01.2009
Laboratory Technician
Madera Hospital
01.2005 - 08.2005
Claims Processor
Cigna Healthcare
04.1999 - 06.2005
Lab Supervisor/Technician
Bio-Cypher Laboratory
12.1990 - 04.1999
Education
Bachelor of Science - Nursing
Western Governors University
Salt Lake City, UT01.2013
Associate of Science - Nursing
Fresno City College
Fresno, CA12-2007
Skills
- Advanced Excel knowledge
- Microsoft office suite proficiency
- Quick learner
- Detail-oriented
- Reliability and Integrity
- Electronic health records (Epic & Cerner)
- Database management (IQVIA, Midas, Lumedx)
- Strong analytical and communication skills
- Performance metrics analysis
- Confidentiality and discretion
- Multitasking and organization
- Extremely quick learner
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
“Your talent determines what you can do.
Your motivation determines what you do.
Your attitude determines how well you do it”
Lou Holt - Football coach
Timeline
Physician Peer Review Coordinator
Saint Agnes Medical Center
01.2023 - Current
RN Clinical Value Analysis Coordinator
Saint Agnes Medical Center
10.2021 - 01.2023
RN Clinical Abstractor – STS, CCORP, LAAO (NCDR) Registries
Community Medical Centers
04.2019 - 10.2021
ACS National Surgical Quality Improvement Program (NSQIP) Coordinator
Community Medical Centers
07.2017 - 04.2019
Peer Review Coordinator
Saint Agnes Medical Center
02.2017 - 07.2017
Cardiovascular Clinical Database Specialist
Saint Agnes Medical Center
09.2013 - 02.2017
Quality Analyst II
Saint Agnes Medical Center
01.2012 - 09.2013
RN, Emergency Department
Saint Agnes Medical Center
01.2009 - 01.2012
ED Room Registrar, Clerk, Tech
Saint Agnes Medical Center
08.2005 - 01.2009
Laboratory Technician
Madera Hospital
01.2005 - 08.2005
Claims Processor
Cigna Healthcare
04.1999 - 06.2005
Lab Supervisor/Technician
Bio-Cypher Laboratory
12.1990 - 04.1999
Associate of Science - Nursing
Fresno City College
Bachelor of Science - Nursing
Western Governors University
License / Certification
- California Board of Registered Nursing License, 745919, 11/30/26
- BLS Provider, American Heart Association, 06/30/25
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