Michelle Louise Folts
Citra,FL
Summary
Results-driven, forward-thinking Program Director with a solid record of accomplishment in North Florida / South Georgia VA. Strategic problem solver and change manager. Strives to improve quality and make a positive impact on the lives of others while creating and maintaining a calm environment and flexible workforce. Inspires others to go the extra mile and work with urgency while not losing site of important details.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Program Director Home Based Primary Care (VN3/S11)
VA North Florida/South Georgia
Gainesville , FL
2022.09 - Current
- Oversee Home Based Primary Care Services delivered by 12 PACTs, including 85 employees serving over 500 patients within a catchment spanning across 53 counties of North Florida/South Georgia.
- Develop strategic plans to ensure successful program operations and alignment.
- Organize and facilitate team meetings, leadership workshops, and all staff events.
- Joint Commission Survey preparation and accreditation sustainment.
- Committee Chair for Home Care Functional Team
- Committee Member for Emergency Management
- Provide leadership in developing innovative approaches to meet program goals.
- Review existing programs and identify areas of improvement or expansion.
- Joint Patient Safety Report Investigator.
- Patient Advocate Tracking System Report Investigator.
- Achieved 20% growth in net patient census.
- Monitor performance metrics to evaluate effectiveness of programs.
- Collaborate with external partners to leverage resources for program success.
- Compile reports on program outcomes for internal and external stakeholders.
- Implement quality assurance protocols to ensure high-quality service delivery.
- Maintain communication with clients throughout their involvement in the program.
- Analyze data from surveys, focus groups, interviews to inform decision making.
- Monitor program operations for compliance with policies and procedures, applicable standards and relevant contractual policy.
- Collect key program data and analysis to support continuous improvement.
- Meet regularly with program stakeholders to make adjustments and assess progress.
- Wrote proposals and reports for general and specific program support.
- Supervise program and project managers to provide feedback and resolve complex problems.
- Coordinate with program managers and other stakeholders to create detailed implementation plans, milestones and risk mitigation protocols.
- Benchmark QAPI metrics with surrounding programs within VISN 8.
Supervisory Branch Manager (GS13/S6) 40hrs./week
Indian Health Service
Gallup , NM
2022.01 - 2022.09
- Branch Manager/Hospital Performance Improvement Nurse Supervisor over Staff Development, Infection Prevention and Employee Health Programs for a 99 bed hospital including satellite locations, with over 1400 employees, serving the Navajo Nation community of approximately 250K beneficiaries.
- Coach occupational health nurses to improve employee onboarding process to promote transparency and fast track communication with Human Resource Department and Contracting Liaisons.
- Responsible for policy and procedure creation, review, and modification for staff development, employee health, and infection control programs. Consultant for policy revision for other departments within hospital system.
- Offer guidance and support to Risk Manager to resolve challenging employee conflicts as well as high risk safety events.
- Point of Contact and lead Performance Improvement Nurse Supervisor in response to Joint Commission safety event, correction/sustainability plans.
- Served as Acting Chief Quality Manager in absence of current Quality Program Director.
- Participate in executive leadership meetings, bring new business to the board for consideration and approval, such as adding full time permanent positions to service departments.
- Develop creative strategies to overcome challenges and barriers to bring new employees to the workforce faster, reducing the number of days to convert from pre-hire status to actively working.
- Established a team to create and implement workplace violence prevention and safety training program.
- Oversee process for SF-182 training packet submission/approvals.
- Collaborate with security department to gather, analyze and correct behaviors to improve screening process campus wide.
- Consult with local and state health departments to report infectious disease cases.
- Participate in environment of care rounding with multidisciplinary team to identify life safety, infection control, or environmental concerns. Work with unit leadership on correction planning/execution.
- Track and report COVID positivity rates among employees, offer guidance, support and education on return to work algorithms based on current standard of care operation levels (conventional, contingency, crisis) .
- Create and distribute quarterly newsletters and public service announcements for Infection Control and Employee Health Programs.
- Participate in Joint Commission Survey and Tracer (AMP) activity, collaborate with floor supervisors to ensure standards are maintained and plan of correction are created, communicated and resolved.
- Monthly, quarterly, and yearly reporting to stakeholders on Employee Health, Infection Prevention, and Staff Development activity and trends.
- Annual Infection Control Risk Assessment and Plan in collaboration with Infectious Disease Specialists.
- Coordinate and implement immunization clinics to maintain and improve COVID vaccination compliance.
- Collaborate with Incident Command to monitor, track, report and improve Infection Prevention and Employee Health Program response to pandemic.
- Implement CDC and OSHA driven infection prevention and control policies to guide hospital departments.
- Identify areas for performance improvement projects aimed to protect employees, patients, and visitors from infectious and communicable conditions.
- Investigate clusters and outbreaks to identify source of infection, educate healthcare personnel regarding short and long term control measures.
- Collaborate with interdisciplinary teams to control specific disease entities and support quality initiatives.
- Identify trends for hospital infections, interpret surveillance data to develop risk reduction strategies.
- Communicate trend data and analysis to implement process improvement initiatives, coach departments on development of QAPI tools to improve service.
- Assess patient conditions, monitor behaviors and update supervising physicians with observations and concerns.
- Conduct Environment of Care Rounds in hospital and coach service leaders on improvements and sustainment plan.
- Utilize computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Resolve conflicts between physicians, nurses and administrative staff to maintain optimal workflows.
- Collaborate with Quality Department to develop programs to achieve best patient outcomes.
Vice President of Clinical Service 40Hrs./Wk.
Centria Healthcare
Farmington Hills , MI
2020.11 - 2022.01
- Clinical home care service program development, implementation, and monitoring.
- Supervisory visits during episodes of care.
- Build and maintain strong clinical workforce, coach and support clinical leaders to produce best outcomes while delivering highest quality care.
- Service line expansion focused on multi-state clinical policy development.
- Establish and operate within clinical budget of 1 million dollars.
- Communicate with executive team members to deliver pertinent details related to open/ongoing projects.
- Establish, review, and update skills validation process for over 750 licensed and unlicensed employees.
- Ensure home healthcare division operates within Joint Commission standards, serve as point of contact for TJC related activity and survey.
- As a Certified Brain Injury Specialist, develop and train clinical leaders on best practice when establishing care plans for patients suffering from TBI.
- Collaborate with various departments to identify operational challenges and plan corrective action to meet strategic initiatives.
- Interview, hire, and coach a team of licensed and unlicensed healthcare employees to maximize productivity while training members on best practice and protocol to deliver and maintain highest quality care.
- Lead internal investigative process and disciplinary action following policy violations or misconduct.
- Handle highly sensitive allegations or complaints with discretion, urgency, and professionalism.
- Establish and track clinical KPIs (key performance indicators).
- Assist subordinates stablish personal, professional, and team performance goals, as well as outlining plan for achieving milestones.
- Develop, train, and implement ventilator management program for respiratory failure patients. Consult with subject matter experts within University of Michigan Vent Program to ensure best practice.
- Supervise daily operations of 40 million dollar healthcare operation specializing in care for the medically complex (life support, tracheostomies, gastrostomy) and catastrophically injured (spinal cord injury, traumatic brain injury, multi-amputee)
- Diminish risk of injury through strict adherence to safety protocol and training programs.
- Collaborate with state and local governmental funding agencies regarding program regulation matters for target service population.
- Participate in Corporate Compliance review meetings.
- Member of Corporate Crisis Response Team.
- Use of root cause analysis to drive yearly quality management plan content focused on reduction of adverse events, hospitalization, re-admission, medication error, preventable illness and injury.
- Creation and Implementation of QI program that improved quality of clinical records by 40% in less than 6 months. Figure represents adherence to required items within the documentation policy to reduce risk and/or delay in payment of services provided.
- Establish and execute a communication strategy to improve engagement of transient and remote workforce focused on gaining insight from frontline employees; share company goals; offer training to improve quality and job satisfaction.
- Participate in investigative process led by LARA and provide expert testimony as requested.
- Establish, implement, monitor use and effectiveness of electronic ticketing system for all clinical matters, such as orders, team member conference calls, etc.; for the purpose of increasing accountability and decreasing execution time.
Director of Clinical Services 40Hrs./Wk.
CENTRIA HEALTHCARE
Farmington Hills , MI
2013.06 - 2020.10
- Achieve alignment and results with company goals and objectives through employee training programs and initiatives, establish bonus program to reward teams members exceeding expectation.
- Expert level knowledge of approval and regulatory processes relating to Medicaid funded private duty nursing and rehab programs.
- Develop and maintain incident tracking database, analytics, and process improvement to achieve departmental goals.
- Implement and maintain a successful clinical quality management program that consistently exceeds national quality benchmarking in readmission rates, falls, and adverse events.
- Work in conjunction with the president and other senior leadership to develop departmental strategic business plan to ensure the attainment of strategic objectives by directing program development and implementation and collaboration with stakeholders.
- Manage clinical operations and workflow through effective planning, organization, and delegation.
- Negotiate contracts, services, and fee schedules with varies vendors such as laboratory services, medical supplies and vaccination voucher programs.
- Medical chart, EHR, medication reconciliation auditing to ensure quality and accuracy.
- Work with IT leaders to plan, organize, build, test, and implement a proprietary healthcare software program.
- Emergency management: develop, initiate, implement, monitor and enforce adherence to pandemic protocols.
- Hold annual goal and performance reviews for employees to achieve personal and professional success.
- Navigate strategic and operational challenges within a dynamic industry and balance achieving set accountability with constraints of limited resources.
- Establish and supervise TB clinic to expedite employee onboarding process.
- Plan, organize, and delegate work duties among supervised employees to maximize performance and efficiency.
- Provide day to day support for the organization by fielding questions about clinical data, from both internal and external users.
- Conflict resolution between individuals and teams to achieve results that best reflect company mission, vision, and core values.
- Participate in the investigative process when necessary and provide expert testimony and support to governing bodies, such as LARA.
- Perform patient intake assessments and medication reconciliation.
- Provide specialized in-service training for nurses in the home for tracheostomy and ventilator management, gastrostomy and wound care.
- Provide in home supervisory visits during episodes of care.
Clinical RN Supervisor 40Hrs./Wk.
CENTRIA HEALTHCARE
Novi , MI
2012.10 - 2013.06
- Assist clients and families in establishing immediate, short, and long-term goals, set priorities, and develop the treatment care plan.
- Intake assessment and medication reconciliation.
- Wound care.
- Tracheostomy care and training.
- Mechanical ventilator care and training.
- Assist in the implementation of policies and procedures, as well as strategic goals and objectives.
- Create and support a learning atmosphere, reassures, and encourages improved performance.
- After-hour emergency on call nurse services.
- Provide leadership in developing and implementing solutions for challenges faced by caregivers.
- Responsible for the quality of care delivered, documentation of patient care, triage and managing patient, physician, and staff phone calls and other stakeholders.
- Utilize creativity and innovation to develop quality/performance improvement programs, train staff, and implement new and improved standards to achieve company and patient goals.
- Supervisory visits, provide training, perform skills evaluations, and adherence to company policy and treatment plan.
Registered Nurse, Sub-Acute Rehab 36Hrs./Wk.
Caretel Inns of Brighton
Brighton , MI
2012.06 - 2012.10
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
- Monitored and managed various treatment and care interventions.
- Recorded patient condition, vital signs, recovery progress and medication side effects.
- Performed assessments to determine individual limitations and strengths.
- Managed load of multiple cases on consistent basis.
- Administered medications, tracked dosages and documented patient conditions.
- Advocated for patients by supporting and respecting basic rights, values and beliefs.
- Adhered to infection control procedures to facilitate safe, clean patient environment.
- Conducted intake assessments with patients and relatives to gather case history.
- Updated charts throughout shifts with current, accurate information to maintain strict recordkeeping standards.
- Collaborated with doctors to plan post-treatment home care and prevent return hospitalization.
Registered Nurse 40Hrs./Wk.
CENTRIA HEALTHCARE
Brighton , MI
2012.01 - 2012.06
- Administer medical treatment and interventions as outlined on care plan.
- Assess, record, and report on patient condition, vital signs, recovery progress.
- Administer medications, evaluate for toleration, document patient condition and therapeutic effect.
- Collaborate with medical team treatment challenges and potential solutions.
- Prioritize nursing tasks and assignments, accurately report patient status.
- Chronic respiratory failure management, tracheostomy care.
- Pediatric malnutrition, failure to thrive feeding management, gastrostomy care.
- Monitor medical supply, order, restock.
- Counsel, educate patients and caregivers, provide emotional, psychological and spiritual support.
Education
Bachelor of Science - Business Administration- Healthcare Management
CLEARY UNIVERSITY
Howell, MI05.2021
Associate of Arts - Nursing Registered
LANSING COMMUNITY COLLEGE
Lansing, MI12.2011
Associate of Applied Science - General Studies Pre-Nursing
LANSING COMMUNITY COLLEGE
Howell, MI12.2008
Skills
- Integrity and Transparency
- Program Development
- Effective and Concise Communicator and Public Speaker
- Organizational Development
- Joint Commission Survey Leader
- Succession Planning
- Employee Motivation and Leadership
- Operational and Clinical Analysis
- Judgement and Decision Making
- Strategic Planning and Execution
- Policy and Procedure Development
- Annual Budget Planning
- TB Clinic Experience
- Incident Command Member
- Regulatory Compliance and Audits
- Change and Growth Management
- Adaptable and Flexible
- Results Oriented
- Service Recovery
- Quality Control Planning and Improvement
- Risk Management and RCA
- Health Record Management
- Performance Metrics
- Improving Clinical Quality Outcomes
- Superior Customer Service
- Compliance Management
- Program Leadership
- Six Sigma Certification
Additional Information
*Additional Work History Available Upon Request
Certification
Registered Nurse- Active Licensure
- Michigan Lic. #4704289998 Exp. 02/21/2026
BLS/CPR/AED Certified
Lean Six Sigma
- Yellow Belt Certified
- Green Belt Trained
References
References available upon request.
Timeline
Program Director Home Based Primary Care (VN3/S11)
VA North Florida/South Georgia
2022.09 - Current
Supervisory Branch Manager (GS13/S6) 40hrs./week
Indian Health Service
2022.01 - 2022.09
Vice President of Clinical Service 40Hrs./Wk.
Centria Healthcare
2020.11 - 2022.01
Director of Clinical Services 40Hrs./Wk.
CENTRIA HEALTHCARE
2013.06 - 2020.10
Clinical RN Supervisor 40Hrs./Wk.
CENTRIA HEALTHCARE
2012.10 - 2013.06
Registered Nurse, Sub-Acute Rehab 36Hrs./Wk.
Caretel Inns of Brighton
2012.06 - 2012.10
Registered Nurse 40Hrs./Wk.
CENTRIA HEALTHCARE
2012.01 - 2012.06
Bachelor of Science - Business Administration- Healthcare Management
CLEARY UNIVERSITY
Associate of Arts - Nursing Registered
LANSING COMMUNITY COLLEGE
Associate of Applied Science - General Studies Pre-Nursing
LANSING COMMUNITY COLLEGE
Registered Nurse- Active Licensure
- Michigan Lic. #4704289998 Exp. 02/21/2026
BLS/CPR/AED Certified
Lean Six Sigma
- Yellow Belt Certified
- Green Belt Trained
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