Purushottam Neupane
Tampa,USA
Summary
Dynamic Quality Management Specialist at James A. Haley Veterans’ Hospital with expertise in regulatory compliance and patient safety. Proven track record in leading interdisciplinary teams to enhance care quality and implementing data-driven performance improvements. Skilled in effective communication and stakeholder collaboration, driving initiatives that significantly reduce fall incidents and improve patient outcomes.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Quality Management Specialist
James A. Haley Veterans’ Hospital
Tampa, FL
09.2023 - Current
- Leads the Interdisciplinary team including Infection Control, Quality Management, Environmental Management Service, and Nursing to conduct Environment of Care rounding to the facility survey readiness.
- Conducts patients’ chart tracer to identify drift in practice and provide education to nursing staff on delivering proper care and documentation.
- Partners with Nursing Quality Improvement to address opportunities timely to deliver Veteran Center Care.
- As a facility Falls Coordinator since 2023 September to 2025 February, reviewed 100% inpatient fall, analyzed each fall, monitored trends and provided education to staff on fall prevention and management.
- Participated in Root Cause Analysis (RCA) and reviewed RCA Outcome measures they were related to fall.
- Conducted chart audit to ensure the facility remains in compliance with outcome measures and action items.
- Collaborated with stakeholders in implementing RCA Action items and reported to Patient Safety until required benchmark was met.
- Functioned as a Chair of the Hospital Fall Prevention and Management Committee to develop, plan and implement fall prevention intervention throughout the facility.
- Collaborated with Nursing Leaders, unit champions and frontline staff to develop service specific fall prevention intervention to ensure patient safety.
Lieutenant Junior Grade (LTJG)
US Navy Reserve
Tampa, FL
09.2023 - Current
- Assigned to Navy Operation Support Center, Tampa and Navy Medical Readiness Training Center Jacksonville, develops, plans and implements medical screening to 900 plus Navy Sailors.
- To promote health and wellness of Sailors, conducts research on a healthy topic, collaborates with subject matter experts from James A Haley VA Hospital and facilitates monthly training to over 150 sailors monthly.
- Provides leadership support to Enlisted Sailors, guides them and provides operational instructions as needed.
- Assigned to Navy Medical Readiness Training Center, Great Lakes, develop training plan for 150 plus Officers and Enlisted service members. Track training record for Sailors and updates Individual Training Plan to ensure mobilization readiness.
Evaluator, Health and Human Service
Western Governors University
03.2025 - Current
- Assess students’ competency in their course assessments, ensuring alignment with predefined rubrics and provides constructive feedback to help students improve.
- Plays a crucial role in validating students’ knowledge and skills.
- Collaborates with senior evaluators, course instructors, mentors and supervisor to ensure students receive proper course materials, feedback and recommendations for success into the program.
- Participates in faculty development opportunities and provides constructive feedback to update master rubric to align it with the course syllabus.
Quality Safety and Value Intern
James A. Haley Veterans’ Hospital
Tampa, FL
09.2022 - 09.2023
- The Quality Safety Value (QSV) Intern Registered Nurse is responsible and accountable for assessing the appropriateness of care provided and program/service compliance with accreditation and regulatory standards.
- The QSV Intern RN is accountable for accurate and complete data collection as it relates to these responsibilities.
- The QSV Intern RN possesses intimate knowledge of accreditation standards, clinical documentation requirements, clinical standards, and compliance guidelines.
- The QSV Intern RN is accountable for exercising critical thinking skills and sound judgement to ensure positive outcomes, maximizing resource utilization and use of best practices.
- The QSV Intern RN provides consultative services such as chart audits/reviews, tracer activities, staff education, recommendations on accreditation standards, systems redesign, root cause analysis, and identification of problematic trends.
- The QSV Intern RN provides support at the unit level, the service level, and the organizational level.
- The QSV Intern RN is the resource person and serves as consultant for problem solving PI and organizational issues.
- The QSV Intern RN demonstrates knowledge and ability to apply principles of evidence-based practice and high reliability.
- The QSV Intern RN may serve as a representative on medical center and service committees.
Adjunct Nursing Faculty
Aspen University
02.2022 - 06.2023
- Facilitates teaching to BSN prelicensure students online via D2L using a virtual platform Zoom, face – to – face and in a clinical setting.
- Assess students’ strengths and weakness and provide evidenced based practice examples to improve their critical thinking ability.
- Assists students in the integration of theory and practice, specific to the course’s learning activities and at the level of the learner.
- Evaluates students’ development and provide feedback on assignment via D2L and Project Concert.
- Continuously follow up with students and acts as a bridge between students’ and faculty to ensure student success in an academic setting.
- Ensures and encourage students to participate in an online discussions per University policy for attendance and evaluate academic progress and comprehension of course via assigning and grading quizzes, exams and writing assessments.
Quality Improvement Specialist (SCI/D)
James A. Haley Veterans’ Hospital
Tampa, FL
10.2021 - 09.2022
- Develops quality improvement processes and actions to ensure that all required information is procured and acted upon to meet the expectations of the organization, including but not limited to; TJC, CARF, VHA Headquarters, Office of Medical Inspector (OMI), Office of Inspector General (OIG) or other external and internal organizations.
- Conducts inquires and/or complaints while maintaining strict confidentiality.
- Coordinates with service line leadership to maintain a comprehensive, organized, continuous readiness program to review and identify opportunities for improvement to achieve excellence in the delivery of healthcare.
- Performs data collection, evaluation of processes, critically analyzes data and creates improvement interventions to meet the requirements of the organization’s strategic plan and mission to include, but not inclusive of; Mission Act Quality Standards, Facility Performance Plan, Strategic Analytic for Improvement and Learning (SAIL) and externally reported patient outcome metrics such as the External Peer Review Program (EPRP).
- Obtains and reviews data through audits, and/or Tracer activities to evaluate compliance with the facility Quality programs, regulatory mandates, accreditation requirements and policies and procedures.
- Led a work group to improve in current practice of Autonomic Dysreflexia within the hospital, developed a TMS training and updated the AD order set and documentation system in CPRS.
- Presentation at the 2021 VISN 8 Innovation Quality Improvement forum on November 2021 to demonstrate the JAHVAH showcase in Music Therapy and patient improvement in function.
- Trainer to the annual nursing skills fair to the SCI/Poly/Rehab in FY 2022.
- Trainer to the SCI 101 class to VISN 8 employees.
- Facilitated the HAPPEN VA national initiative in collaboration with the Nursing QI team to all SCI units.
Clinical Care Coordinator (Nursing, SCI-F)
James A. Haley Veterans’ Hospital
Tampa, FL
03.2021 - 10.2021
- Collaborates with interdisciplinary team and assists in meeting, demonstrates high level of clinical expertise, applies evidence-based practice in patient care, assumes charge nurse responsibilities.
- Knowledgeable in and facilitate in compliance with governing bodies i.e. TJC, LTCI, OIG, OMI, CARF.
- Completes interviews and documents Minimum Data Set (MDS) as required.
- Assists in care planning process to meet the needs and requests of the residents.
- In collaboration with the Nurse Manager, develops and maintains unit quality improvement programs, applies concepts and findings to practice.
- Collaborate with the nursing staff to collect and analyze performance improvement data.
- Completes audits and reports findings routinely.
- As a change agent, applies the Plan-Do-Study-Act (PDSA) process to implement change and improve patient care.
- Attended the Florida State Association of Rehabilitation Nurses yearly educational conference and presented an educational poster ‘Music Therapy Improves Quality of Life of Stroke Survivors’ to participants in 2021.
- Led QI team in implementing the Unit Data Sharing Board (UDB) to all in-patient units to include quality measure and improve care to veterans.
- Led nursing staffs in improving quality measures (CAUTI, CLABSI, Falls, PRN effectiveness etc).
- Improvement in 24 hours report system.
Registered Nurse (Polytrauma-2)
James A Haley Veterans’ Hospital
Tampa, FL
03.2018 - 03.2021
- Functioned as Charge Nurse and provided direct care to primary diagnosis include Polytrauma, TBI (Traumatic Brain Injury), strokes, neurological disorders, amputees and orthopedic patients.
- Assess and provides leadership to nursing staff, and manages complex patient care and coordinated care within other services such as Medicine, Nursing, Occupational, Physical and Kinesiotherapy & Social services.
- Collaborates with physicians with patient’s progress and discharge needs and goals.
- Leads and participates in the interdisciplinary team as Clinical Care Coordinator in team conferences and other team meetings and offers input into team decision making.
- Contributes to a safe and therapeutic environment and supports activities that promote the clients’ return of function and prevent complications or chronic illness.
- Assumes the responsibility of patient safety and submits patient safety issues to the Executive Leadership Team to use them as an educational opportunities.
- Charge nurse role after hour and weekend; collaborate with nurse manager and nursing supervisor to manage appropriate number of staff in a cost-effective way.
- Hospital Fall Committee member and unit champion: Contacts patient safety chief if discrepancy in fall data is obvious.
- Collaborates with patient safety office to resolve and discrepancy in fall data.
- Carry out HRO principle in daily practice.
- Initiation and active participation to replace 1000 ml sterile water bottle with smaller size to improve quality of care to veterans and save hospital resources.
- Led a work group to develop a hospital approved seizures protocol.
- Led a unit fall committee and collaborated with Nursing Template Committee along with Hospital Fall Committee to insert Morse Fall Scale in Nursing Rehab Bedside Assessment in improving care to veterans.
- Led multiple yellow belts and 5S projects within the hospital to improve current process in providing patient care.
- Led a Goals of Care Conversation project team while serving as a green belt to collaborate with specialist clinics and the core team.
- Led team to successfully evacuate 10 patients from PTRP during hurricane season; facilitated bed placement for all 10 patients throughout PM&RS based on patient needs, prioritizing care.
Licensed Practical Nurse (Rehab-3)
James A Haley Veterans’ Hospital
Tampa, FL
04.2016 - 03.2018
- Managed for 4-5 patient’s assignment, working as an integral part of the multidisciplinary healthcare team.
- Collaborate with physicians, registered nurse, patient and patient’s family regarding patient treatment plans, advocating for patient, providing veteran centered care.
- Responsible for patients by monitoring vital signs, completing wound care, administering necessary medications, assessing overall recovery, and educating patients and their families of procedures and discharge teaching.
- Developed a patient education template on influenza vaccine for Engineered Discharged Care Plan.
- Collaborating with the Facility Management Services, nursing leadership and nursing staff, replaced rolling walker with a 5 inch wheel from a 3 inch that was causing increase number of fall in the Rehab floor.
- Also applied anti-coating skid in a bathroom to prevent veterans to fall during the shower or bathroom use.
- Application of anti-coating into the bathroom was adopted by other units where fall rate was high.
Licensed Practical Nurse
Baldomero Lopez State VA Nursing Home
06.2013 - 06.2016
- Provided care for 15-20 patients assignment working as an integral part of the multidisciplinary team.
- Medication administration as per physician order, wound care, admission/re-admission body assessment, insert/change indwelling/suprapubic catheter, enteral feeding, collaboration with other discipline of the facility as needed i.e. pharmacy, PT, OT, lab and radiology services.
Nursing Assistant
Baldomero Lopez State VA Nursing Home
10.2012 - 06.2013
- Cared for elder adults who needed assistance.
- Provided care for adults who were disabled, chronically ill, or cognitively impaired who were recovering from illness.
- Provided personal care such as bathing, assisting with grooming, and dressing.
- Basic nursing care including, transferring from bed to chair, extremities exercises, and assisted with medication and nutrition as well.
Education
Doctor in Nursing Practice - Emphasis in Nurse Executive
University of Central Florida
12.2026
Master of Science in Nursing - Emphasis in Leadership in Healthcare System
Grand Canyon University
12.2021
Bachelor of Science in Nursing -
University of South Florida
12.2019
Associate of Science in Nursing -
Pasco Hernando State College
12.2017
Associate in arts -
Pasco Hernando State College
12.2017
Master in public administration -
Tribhuvan University
Kathmandu, Nepal12.2004
Skills
- Quality management and regulatory compliance
- Patient safety and performance improvement
- Data analysis and business intelligence
- Team collaboration and stakeholder relations
- Clinical education and leadership development
- Effective communication and client relationship management
- Organizational skills and professionalism
Certification
- Certified Rehabilitation Registered Nurse (CRRN), 2020
- Certified Professional in Healthcare Quality (CPHQ), 2022
- Lean Six Sigma Green Belt, 2019
- Lean Six Sigma Yellow Belt, 2018
- Compact RN License from the State of Florida
purushottam_neupane@yahoo.com, Purushottam.neupane@va.gov
Performance Improvement Highlight
- HFMEA to improve Spinal Cord Injury Veterans transportation from and to the outpatient clinics appointment
- Chair, Falls Prevention and Management Committee 09/23 – 02/25
- HRO Steering Committee
- Nursing Shared Governance Consolidated Nursing Council (CNC)
- Chair, Nursing Shared Governance PI Committee 01/20 – 12/20
- Sunny Solution
- Ethics Consultation Service Committee
Timeline
Evaluator, Health and Human Service
Western Governors University
03.2025 - Current
Quality Management Specialist
James A. Haley Veterans’ Hospital
09.2023 - Current
Lieutenant Junior Grade (LTJG)
US Navy Reserve
09.2023 - Current
Quality Safety and Value Intern
James A. Haley Veterans’ Hospital
09.2022 - 09.2023
Adjunct Nursing Faculty
Aspen University
02.2022 - 06.2023
Quality Improvement Specialist (SCI/D)
James A. Haley Veterans’ Hospital
10.2021 - 09.2022
Clinical Care Coordinator (Nursing, SCI-F)
James A. Haley Veterans’ Hospital
03.2021 - 10.2021
Registered Nurse (Polytrauma-2)
James A Haley Veterans’ Hospital
03.2018 - 03.2021
Licensed Practical Nurse (Rehab-3)
James A Haley Veterans’ Hospital
04.2016 - 03.2018
Licensed Practical Nurse
Baldomero Lopez State VA Nursing Home
06.2013 - 06.2016
Nursing Assistant
Baldomero Lopez State VA Nursing Home
10.2012 - 06.2013
Doctor in Nursing Practice - Emphasis in Nurse Executive
University of Central Florida
Master of Science in Nursing - Emphasis in Leadership in Healthcare System
Grand Canyon University
Bachelor of Science in Nursing -
University of South Florida
Associate of Science in Nursing -
Pasco Hernando State College
Associate in arts -
Pasco Hernando State College
Master in public administration -
Tribhuvan University
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