Responsible for Patient Safety, Risk Management, Quality Management, Infection Prevention, Quality Data management, performance improvement, and regulatory compliance and accreditation
Member of senior leadership team and chair of committees including: Quality Care and Infection Prevention Committee, Patient Safety Committee, Policy and Procedures Committee, and Co-Chair of Professional Practice Evaluation (Peer Review) Committee
Direct oversight of facility quality performance and patient outcome metrics to analyze, evaluate, and devise performance improvement plans to address opportunities and improve care
Facilitate annual strategic planning of quality goals, tactics, and measurements of success
Oversee a dynamic team of disease specific coordinators, and patient safety and infection prevention leaders with 100% employee engagement (7 employees)
Lead and facilitate root cause analysis, completion of investigations, and implementation of safety initiatives and action plans
Attend medical staff department meetings, Medical Executive Committee meetings, and Board of Trustees meetings to present quality data
Serve as the point person for all survey activities, ensuring a smooth survey process
Successful disease-specific certification surveys including achievement of Comprehensive Stroke Center Certification
Direct Oversight of facility quality performance during which time we achieved Leapfrog Hospital Safety Grade A
DIRECTOR OF INFECTION PREVENTION
Southern Hills Hospital and Medical Center
Las Vegas, NV
07.2019 - 05.2023
Achieved YOY reduction in Hospital Associated Infection (HAIs) utilizing tactics aimed at reducing devices, optimizing device care, and engaging and collaborating with unit champions and leadership
Instituted the Joint Commission’s Targeted Solutions Tool for Hand Hygiene Improvement to improve hospital-wide hand hygiene compliance from 68% to 95%
Facilitated the hospital’s COVID-19 employee vaccine and booster clinic and coordinated efforts to prevent the transmission of COVID-19 within the facility
Conducted multidisciplinary root cause analysis meetings to identify gaps in best practices in order to reduce harm
Led focused hospital-acquired condition (HAC) rounds to identify opportunities and facilitate leadership performance improvement initiatives
Performed environment of care, prevalence, and construction rounds to ensure compliance with policies and regulatory standards
Served as team lead during Joint Commission/Regulatory visits and surveys
Oversaw quality department staff and functions in absence of the Vice President of Quality
MEDICAL TECHNOLOGIST
Southern Hills Hospital and Medical Center
Las Vegas, NV
01.2007 - 07.2019
Performed clinical laboratory tests in the areas of hematology, immunohematology, chemistry, and microbiology
Operated and maintained laboratory instrumentation
Reported results accurately and timely using the Meditech information system
Supervised the activities of other laboratory personnel during shifts
Worked actively and cooperatively with nursing and other hospital staff to ensure quality patient care
INFECTION PREVENTIONIST
University Medical Center
Las Vegas, NV
08.2018 - 07.2019
Integrated clinical findings, lab results, and other diagnostic tests to determine the presence of infections utilizing the criteria established by the Centers for Disease Control and Prevention (CDC)
Applied National Healthcare Safety Network (NHSN) definitions for the purpose of healthcare-associated infection (HAI) surveillance
Provided education to patients, visitors, and staff about isolation precautions and disease transmission
Promoted staff adherence to Infection Control processes and policies via education and training
Served as a clinical resource to improve patient outcomes
Conducted multidisciplinary root cause analysis meetings to identify gaps in best practices in order to reduce HAI
Created and submitted infection control risk assessments for all construction projects
COMMUNITY HEALTH NURSE I/II
Southern Nevada Health District
Las Vegas, NV
04.2017 - 08.2018
Provided community health nursing services and education to patients with HIV/AIDS
Reviewed and monitored lab values of patients with HIV/AIDS
Provided treatment for sexually transmitted infections
Collaborated with physicians, pharmacists, and the HIV care team to provide patient-centered care
Advised patients on available and appropriate medical and social services available
Kept accurate patient records maintaining confidentiality at all times
Provided maternal-child health-related education to clients and their families during home visits
Conducted interviews to determine clients' medical history, background, and health status
Advocated for and empowered patients to obtain needed services
Applied basic time management and patient care coordination skills to effectively provide nursing and health care services to approximately 90 clients
REGISTERED NURSE
St. Rose Siena
Las Vegas, NV
11.2015 - 04.2017
Provided direct quality care including daily monitoring, recording, and evaluating of medical conditions of intermediate-level of care patients
Interacted and communicated with patients of all ages and ethnic backgrounds, providing health promotion, counseling, and education
Administered medications, immunizations, wound care, and numerous other personalized interventions
Interpreted patient information and made critical decisions about needed actions
Coordinated care in collaboration with a wide array of healthcare professionals
Directed and supervised care delivered by other healthcare personnel such as nurse aides
Education
HCA HEALTHCARE QUALITY UNIVERSITY -
Institute For Healthcare Improvement
01-2023
MASTER OF SCIENCE - Nursing with Emphasis in Health Care Informatics
Grand Canyon University
Phoenix, AZ
01-2017
BACHELOR OF SCIENCE - Nursing
Nevada State College
Henderson, NV
01-2015
MASTER OF SCIENCE - Health Science with Emphasis in Public Health
Trident University International
Cypress, CA
01-2012
BACHELOR OF SCIENCE - Biology
Missouri Southern State University
Joplin, MO
01-2006
ASSOCIATE OF SCIENCE - Clinical Laboratory Science
Northeastern A&M College
Miami, OK
01-1999
Skills
Patient safety
Risk management
Quality management
Regulatory compliance
Performance improvement
Data analysis
HEDIS reporting
Power BI
Data visualization
Certification
Registered Nurse, Nevada State Board of Nursing
Certified in Infection Control, Certification Board of Infection Control and Epidemiology, Inc.
Certified Professional in Healthcare Quality, National Association for Healthcare Quality
Medical Laboratory Scientist, American Society of Clinical Pathologists
Basic Life Support, American Heart Association
Volunteer Experience
Medical Reserve Corps of Southern Nevada, member
Timeline
VICE PRESIDENT, QUALITY AND RISK MANAGEMENT
Southern Hills Hospital and Medical Center
05.2023 - Current
DIRECTOR OF INFECTION PREVENTION
Southern Hills Hospital and Medical Center
07.2019 - 05.2023
INFECTION PREVENTIONIST
University Medical Center
08.2018 - 07.2019
COMMUNITY HEALTH NURSE I/II
Southern Nevada Health District
04.2017 - 08.2018
REGISTERED NURSE
St. Rose Siena
11.2015 - 04.2017
MEDICAL TECHNOLOGIST
Southern Hills Hospital and Medical Center
01.2007 - 07.2019
HCA HEALTHCARE QUALITY UNIVERSITY -
Institute For Healthcare Improvement
MASTER OF SCIENCE - Nursing with Emphasis in Health Care Informatics
Grand Canyon University
BACHELOR OF SCIENCE - Nursing
Nevada State College
MASTER OF SCIENCE - Health Science with Emphasis in Public Health
Trident University International
BACHELOR OF SCIENCE - Biology
Missouri Southern State University
ASSOCIATE OF SCIENCE - Clinical Laboratory Science
REGISTERED NURSE-MEDICAL SURGICAL at SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER CENTERREGISTERED NURSE-MEDICAL SURGICAL at SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER CENTER