Stacie Marie Gibson
Lorton,US
Summary
Adept at spearheading quality improvement and compliance initiatives, I leveraged my expertise in team leadership and complex problem-solving at AT Augusta Military Medical Center to enhance operational efficiency and patient care standards. My strategic approach resulted in significant process optimizations, underpinned by robust team collaboration and effective time management skills.
Overview
10
10
years of professional experience
Work History
Trauma Quality Process Improvement Nurse
AT Augusta Military Medical Center
10.2023 - Current
- Provided expertise, strategic oversight and operational excellence in trauma care, clinical services, and quality management.
- Primary lead in the development of quality improvement plans, policies and operational guidelines.
- Established and tracked quality department goals and objectives.
- Monitored staff organization and suggested improvements to daily functionality.
- Tracked quality issues and reported deviations with corrective actions plans to organizational leaders.
- Determined quality department standards, practices, and procedures.
- Documented and reported issues with compliance, standards of care, and quality assurance requirements.
- Applied coaching techniques and tools to support managers and team members in improving performance.
- Collaborated with audit clients and action owners to apply root cause analysis guidance and establish effective corrective action plans.
- Inspected products and worker progress throughout production in reviewing the daily repot logs of organizational leadership and Emergency Department records.
- Assured consistent quality of production by implementing and enforcing automated practice systems.
- Scheduled and chaired quality review meetings to review effectiveness of performance mitigating risk, improving throughput.
- Developed quality planning for multiple new product launches by verifying regulatory requirements from the American College of Surgeons (ACS) and The Joint Commission (TJC).
- Contributed to the successful implementation of new processes and systems, leading to a significant reduction in overall defect rates and optimizing performance.
- Improved quality processes by implementing effective monitoring and evaluation techniques.
- Evaluated competency of clinical staff, documenting performance, and recommending improvements.
- Improved quality processes by conducting thorough audits and identifying areas for enhancement.
- Collaborated closely with multidisciplinary teams to identify root causes of defects and implement corrective actions.
- Successfully managed multiple projects simultaneously, achieving timely completion while maintaining high-quality standards.
- Developed and maintained comprehensive documentation of quality procedures, ensuring compliance with external standards such as National Surgical Quality Improvement Program (NSQIP), and the Trauma System Quality Improvement Program (TSQIP).
- Applied knowledge of the Emergency Department to make insightful observations of deviations and successes.
- Design and mange organizational-wide participation in internal Defense Health Network (DHN) and Defense Health Agency (DHA) as well as external quality network programs including NSQIP, TSQIP, Leapfrog, and the ACS.
- Recorded, analyzed, and distributed statistical information.
FBCH Nursing Supervisor
US Army, Fort Belvoir Community Hospital
09.2022 - 10.2023
- Coordinates the delivery of patient care in the hospital
- Provides administrative supervision and support on evenings, nights, weekends, and holidays in order to provide high quality care according to hospital standards, and regulatory requirements
- Maintains effective relationship with all hospital departments providing support services
- Manages patient flow and assists with the disposition of patients needing mental health, critical care, medical surgical health care and pediatrics
- Analyzes and evaluates future staffing needs for the shift in order to anticipate and provide for changes in unit operations as they occur
- Responds to emergency situations-assist at hospital codes and assist for any in-house and/or external disaster
- Serve as a resource for staff throughout the hospital
- Identify operational problems and take corrective action
- Mediate problems involving patient/families, hospital personnel and public
- Support and assist with implementation of administrative decisions and process changes
- Evaluate quality of patient care based upon established standards
- Manages the assignment of patients to the appropriate level of care
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Promoted interdisciplinary collaboration by fostering strong relationships with physicians, therapists, and other healthcare professionals.
- Developed and implemented new nursing protocols to improve patient outcomes while minimizing medical errors.
- Maintained a safe environment for patients, visitors, and staff by enforcing infection control measures and risk management strategies consistently across the unit.
- Delegated tasks and provided leadership for 162 nurses and support personnel.
- Organized department in accordance with administrative guidelines established by DHA in order to provide specified nursing services to meet legal, organizational and medical staff guidelines.
- Ensured compliance with regulatory standards of the TJC and DHA through regular audits of documentation, policies, and procedures.
- Followed all HIPAA rules and regulations regarding patient confidentiality.
- Investigated and independently resolved complaints from staff, physicians, and patients by leveraging clinical judgment and unit management expertise.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Promoted a culture of safety within the department, conducting regular risk assessments and addressing potential hazards promptly.
Deputy, Quality Management
US Army, Fort Belvoir Community Hospital
03.2022 - 10.2022
- Oversee the day-to-day operations of the Quality Management staff and lead quality improvement and risk management efforts across the organization
- Accountable for hospital issues of quality including risk management, utilization management, regulatory compliance, and accreditation standards
- Interpret and analyze current legislation, directives, and literature to suggest new programs and initiatives based on the current environment of a wide range of direct and/or indirect patient care services
- Utilized communication skills one-on-one and in front of large groups, lead and monitored quality improvement efforts, while supporting the mission, vision, and values of the organization
- Shared gain knowledge with others to improve understanding of regulatory compliance and accreditation standards of the organization
- Participated in clinical research and developed policy based on outcomes
- Directly supervised Patient Advocacy and ensured action plans pertaining to patient and staff concerns were in compliance with current practice, standards, and guidance
- Trended compliance and safety data throughout all involved healthcare agencies, medical providers, and resource programs to suggest new programs and initiatives to improve patient and staff safety
- Developed comprehensive quality control plans for new products, ensuring successful launches.
- Inspected inbound and outbound products for compliance with established DHA, DHN, TJC, Leapfrog, NSQIP, TSQIP, CQM, organizational policies, and standard operating procedures.
- Established and tracked quality department goals and objectives.
- Facilitated cross-functional team collaboration, ensuring seamless communication between departments regarding quality matters.
- Provided training to employees on best practices in quality management, fostering a culture of excellence within the organization.
- Managed and archived quality documentation and participated in internal and external quality audits.
- Monitored staff organization and suggested improvements to daily functionality.
- Coordinated and oversaw periodic audits to evaluate product quality and safety and address non-conformances.
- Recorded, analyzed, and distributed statistical information.
- Evaluated quality problems and performed assessments to identify and resolve issues.
- Led continuous improvement initiatives by actively seeking opportunities for process optimization and cost reduction.
- Drove process standardization by creating and implementing SOPs, resulting in increased efficiency and reduced deviations.
- Scheduled and chaired quality review meetings to review effectiveness of performance mitigating risk, improving throughput and achieving customer satisfaction.
- Reported production malfunctions to managers and production supervisors.
- Championed data-driven decision making by conducting regular reviews of performance metrics and adjusting strategies accordingly.
- Reviewed technical documentation, identifying discrepancies and ensuring accuracy before submission to regulatory bodies.
- Implemented risk management strategies for potential product failures, mitigating negative impacts on the organization.
- Conducted regular audits to identify areas of non-compliance and initiate corrective actions.
- Conducted regular training sessions for staff on quality standards and compliance requirements, bolstering overall quality awareness.
The Joint Commission Compliance Officer, FBCH
US Army, Fort Belvoir Community Hospital
03.2022 - 10.2022
- Led the organization's TJC compliance program and applied for and obtained certifications and healthcare accreditations
- Researched applicable literature, current standards, criteria, and methodologies for specific healthcare accreditation standards compliance, accreditation processes, and aggregation/trending of facility-wide accreditation data
- Ensured all healthcare accreditation reports and action plans were in compliance with current practice, standards, guidance, and law
- Put in place compliance policies, processes, and codes of conduct to prevent legal liability
- Supported management of the healthcare accreditation assist visit programs
- Served as the clinical nurse liaison between the organization and the Defense Health Agency regarding TJC policies/procedures and compliance pertaining to clinical nursing, ambulatory clinics, and behavioral health programs for Fort Belvoir Community Hospital and its outlying entities
- Interpret and analyze current legislation, directives, and literature to suggest new programs and initiatives based on the current environment of a wide range of direct and/or indirect patient care services and provided compliance training to raise staff awareness
- Evaluated all phases of patient care from trauma or emergency thru discharge and developed improvement plans or policies as needed
- Through the use of Function Management Team worked to identify offenses, respond promptly and appropriately, and recommend the required corrective actions
- Spearheaded investigations into potential violations, promptly addressing issues to maintain company reputation and avoid sanctions.
- Designed risk assessment frameworks to evaluate organizational vulnerabilities and prioritize areas requiring attention.
- Streamlined reporting processes for improved efficiency in submitting data to regulatory agencies.
- Promoted a culture of continuous improvement through ongoing evaluation and refinement of compliance program elements.
- Collaborated with cross-functional teams to address compliance concerns, fostering a culture of shared responsibility.
- Assisted with internal and external audits to confirm compliance with applicable laws and regulations.
- Advised senior leadership on strategic planning initiatives, incorporating compliance considerations into decision-making processes.
- Implemented successful remediation efforts following audit findings, minimizing adverse consequences for the organization.
- Provided expert guidance on complex regulatory matters, enabling informed decision-making within the organization.
- Enhanced regulatory compliance by developing and implementing comprehensive policies and procedures.
- Conducted periodic compliance audits and reviews to identify areas of improvement.
- Took notes on field examinations and specific case details, updated databases and produced reports outlining results of investigations.
- Maintained up-to-date knowledge of applicable laws and regulations.
- Created and maintained compliant work environment.
- Directed activities of workers searching records and provided technical guidance as necessary.
- Developed and implemented corrective action plans for non-compliance issues.
- Identified gaps in existing compliance processes and recommended updates.
- Maintained composure in stressful situations, confrontations, interviews and records searches.
- Ensured timely identification of potential issues by establishing robust monitoring systems and controls.
- Conducted thorough risk assessments for identifying potential compliance vulnerabilities and formulated mitigation strategies.
- Ensured continuous improvement in compliance practices by setting up feedback loop with key stakeholders.
- Reduced incident rates by implementing robust compliance monitoring and enforcement mechanism.
- Improved operational efficiency by streamlining compliance processes and reducing redundancies.
- Led cross-departmental collaboration to ensure seamless adherence to new regulatory requirements.
- Achieved significant improvements in compliance metrics by leading targeted internal review and action plan.
- Facilitated communication between departments, ensuring timely updates on compliance changes and their impact on operations.
- Oversaw implementation of compliance software solution, enhancing tracking and reporting of compliance data.
- Worked well in a team setting, providing support and guidance.
- Passionate about learning and committed to continual improvement.
Directorate of Nursing Joint Commission Compliance Officer
US Army, Fort Belvoir Community Hospital
09.2020 - 03.2022
- Directorate of Nursing Joint Commission Compliance Officer for Fort Belvoir Community Hospital
- Aggressively pursued and maintained The Joint Commission (TJC) Accreditation standards and compliance throughout the Command
- Provided the Director for Nursing Services administrative support and recommended performance improvement and action plans according to evidence-based practice and current DOD, DHA, and TJC compliance standards
- Participated in professional development activities, served as the directorate representative for eight functional management teams (FMT)
- Implemented policies/procedures and initiates liaisons between the Defense Health Agency and outside agencies to interpret and clarify regulatory guidance and healthcare accreditation requirements with a focused specialization on clinical nursing
- Utilized new data programs to implement compliance tracer activities across all inpatient units and trained leaders, unit representatives, and staff nurses on software to track compliance standards
- Developed checks and balances across all inpatient units regarding environment of care safety standards, nursing documentation, training records, and process improvement practices
- Evaluated new regulations for potential impact on the organization, taking proactive measures to ensure readiness for implementation.
- Enhanced regulatory compliance by developing and implementing comprehensive policies and procedures.
- Advised senior management on strategic planning initiatives, incorporating compliance considerations into decision-making processes.
- Directed activities of workers searching records and provided technical guidance as necessary.
- Collected detailed notes on investigations and other communication to adhere to legal requirements and enhance recordkeeping.
- Identified gaps in existing compliance processes and recommended updates.
- Assisted with development of compliance objectives and strategies.
- Conducted periodic compliance audits and reviews to identify areas of improvement.
- Maintained up-to-date knowledge of applicable laws and regulations.
- Maintained composure in stressful situations, confrontations, interviews and records searches.
- Developed and implemented corrective action plans for non-compliance issues.
- Developed comprehensive training programs to increase employee awareness of compliance requirements and expectations.
- Reduced incident rates by implementing robust compliance monitoring and enforcement mechanism.
- Developed comprehensive compliance manual, significantly improving staff understanding of regulatory requirements.
- Led cross-departmental collaboration to ensure seamless adherence to new regulatory requirements.
- Facilitated communication between departments, ensuring timely updates on compliance changes and their impact on operations.
- Oversaw implementation of compliance software solution, enhancing tracking and reporting of compliance data.
- Worked well in a team setting, providing support and guidance.
- Collaborated with multidisciplinary teams to address compliance concerns, fostering a culture of shared responsibility.
Deputy Department Chief, Med/Surg/Peds/ICU
US Army, Fort Belvoir Community Hospital
09.2018 - 09.2020
- Deputy Department Chief responsible for providing executive leadership, direct supervision, administrative, and clinical oversight to Nurse Managers and 182 joint service personnel on the Medical-Telemetry, Medical-Surgical, Executive Medicine, Pediatric, and Intensive Care Unit, and an average daily patient census of 32
- Contributed ideas and recommendations to establish standards of care, policies, and objectives of nursing
- Collaborated with other health care staff to establish and maintain programs that cross service and/or discipline lines
- Planned, organized, directed, controlled, and evaluated programs and outcomes through all phases of care
- Monitored and evaluated performance objectives and goals while also overseeing personnel management concerns and assisted in problem-solving strategies
- Interpret and analyze current directives and literature to suggest and implement new programs and initiatives based on the current environment of a wide range of direct and indirect patient care services
Director, Clinical Nurse Transition Program (CNTP)
US Army, Fort Belvoir Community Hospital
02.2017 - 09.2018
- Maintained responsibility for the comprehensive integration of the Clinical Nurse Transition Program into daily operations within the DoD Military Healthcare System
- Functioned as the key advisor to the Director of Nursing Services, FBCH, and the CNTP Program Director, Army Medical Department Center and School (AMEDDC&S), regarding programmatic changes in existing objectives, and operations, with emphasis that supported TriService integration
- Recommended adjustments in program objectives to correct or prevent critical deficiencies
- Examined and evaluated progress toward soundness of established objectives and achievement of goals and milestones
- Served as a subject matter expert for medical-surgical nursing, simulation training, medical ethics training, trauma care, and wound care training, and was responsible for the professional development and evaluation of all phases of novice professional nursing care
- Provided direction to CNTP nurse preceptors and collaborated with Department Chiefs and Clinical Leaders ensuring optimal outcomes for program participants
- Assisted in problem-solving strategies for program success and completion
- Conducted performance evaluations and corrective training as needed
- Integrated Navy objectives and standards into the program in order to collaborate and train multiservice nurse corps officers
- Participated in community education and volunteer activities
- Collaborated with the Department of Education and Training to reinstate and instruct nursing preceptor courses for the organization
- Participated in staff-assisted visits ensuring program compliance and standards were met according to current guidelines and goals
- Collaborated with the leadership from Uniformed Services University Health Sciences, Walter Reed National Medical Center, and regional ROTC Commands to establish preceptorships for nurse practitioners, LPN students, and ROTC cadets
Clinical Nurse Officer in Charge, Inpatient Pediatrics
US Army, Fort Belvoir Community Hospital
06.2015 - 02.2017
- Responsible for providing clinical and administrative oversight to a joint service staff of 16 on a 6-bed pediatric unit
- Planned, directed and lead the delivery of quality care, and implementation of standards of care and health care practice through education, orientation, and the establishment of policies and procedures to promote a safe, efficient working environment
- Managed an annual budget of $585K
- Monitored and evaluated clinical development measures and productivity and ensured care was provided in accordance with regulatory requirements, departmental policies, the Joint Commission, and FBCH Command's mission, vision and values
- Utilized Performance Improvement to implement action plans and support evidence-based practice
- Organized training seminars and courses to educate new staff and introduce new procedures and protocols
- Communicated and briefed senior leaders regarding staff performance, staffing issues, unit utilization and budgeting, and changes to treatment protocols and capabilities
Battalion Executive Officer
US Army, Madigan Army Medical Center
10.2014 - 06.2016
- Exercised command in the absence of the battalion commander, served as chief of the battalion's staff and coordinated logistics the battalion
- Led the battalion command structure, served as the Commander's chief adviser on all matters affecting the unit
- Responsible for ensuring the Commander was in possession of all the information available necessary to make decisions and issuing orders
- Directly supervised components of the battalion staff: the command section and the coordination of special staffs
- Supervised the activities of personnel assigned to the command section and integrated and coordinated the activities and assignments of the company commanders and special staffs
- Coordinated activities of staff consisting of civilians, officers, and enlisted personnel specially trained in particular jobs, such as personnel management, logistics, communication, operations, and intelligence and served as a liaison and provided functional or technical expertise in specific areas as needed
- Responsible for the timely synchronization and delivery of the battalion's information that was relevant information to the appropriate personnel in a form that contributed to a more accurate understanding of a particular situation and enhanced decision making
- Directed financial management activities within the battalion, ensuring budgetary compliance while maximizing available resources effectively.
- Fostered a climate of professionalism, respect, and inclusiveness within the battalion, promoting esprit de corps among personnel.
- Maintained strict adherence to military standards by enforcing discipline and accountability among subordinates consistently.
- Provided critical input during mission planning sessions, ensuring the successful execution of complex operations in challenging environments.
- Collaborated closely with higher headquarters to address complex issues impacting the overall functioning of the battalion effectively.
- Enhanced unit readiness by implementing efficient training programs and resource allocation strategies.
- Streamlined administrative processes for improved workflow efficiency within the battalion command team.
- Evaluated personnel performance with regular assessments, providing constructive feedback for individual growth and career progression.
- Championed safety initiatives designed to mitigate risks associated with daily military operations both at garrison locations or remote training sites.
- Served as a mentor for junior officers to develop their leadership skills, preparing them for future command positions.
- Prepared and delivered investigative reports and briefings.
- Led team in developing strategic plans to meet operational objectives.
- Monitored and assessed mission progress and provided updates to command.
- Handled administrative requirements, maintained records and submitted operational reports.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Worked flexible hours across night, weekend, and holiday shifts.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Coordinated logistics support for both training events and real-world missions, ensuring timely delivery of vital resources.
Education
Technical or occupational certificate - Post MSN Nursing Education Certificate
Grand Canyon University
Phoenix, AZ02.2021
Master's degree - Master of Science in Nursing, Leadership in Healthcare Systems
Grand Canyon University
Phoenix, AZ11.2011
Bachelor's degree - Baccalaureate in Science of Nursing
Troy University
Troy, AL12.2007
Skills
- Team Leadership
- Time Management
- Verbal and written communication
- Complex Problem-Solving
References
- COL Clausyl Plummer, US Army, Chief, Army Nurse Corps Branch, (706) 951-3582, clausyl.j.plummer.mil@health.mil
- Ellizabeth Jauregui, US Army, Director Nursing Services, Tuttle Army Health Clinic, (931) 338-1817, elizabeth.b.jauregui.mil@health.mil
- Allegra Halyard, US Army, Clinical Nurse Officer in Charge Med/Surg, (757) 620-5905, allegra.t.halyard.civ@health.mil
- Dr April Rochelle, Defense Health Agency, Consultant, DHA Clin Spt, (703) 582-9808, april.r.rochelle.civ@health.mil
- Robert Lane, Trauma Program Director, AT Augusta Military Medical Center (703) 819- 4967, robert.w.lane54.civ@health.mil
Availability
Permanent, Multiple Appointment Types, Telework, Full-time
Timeline
Trauma Quality Process Improvement Nurse
AT Augusta Military Medical Center
10.2023 - Current
FBCH Nursing Supervisor
US Army, Fort Belvoir Community Hospital
09.2022 - 10.2023
Deputy, Quality Management
US Army, Fort Belvoir Community Hospital
03.2022 - 10.2022
The Joint Commission Compliance Officer, FBCH
US Army, Fort Belvoir Community Hospital
03.2022 - 10.2022
Directorate of Nursing Joint Commission Compliance Officer
US Army, Fort Belvoir Community Hospital
09.2020 - 03.2022
Deputy Department Chief, Med/Surg/Peds/ICU
US Army, Fort Belvoir Community Hospital
09.2018 - 09.2020
Director, Clinical Nurse Transition Program (CNTP)
US Army, Fort Belvoir Community Hospital
02.2017 - 09.2018
Clinical Nurse Officer in Charge, Inpatient Pediatrics
US Army, Fort Belvoir Community Hospital
06.2015 - 02.2017
Battalion Executive Officer
US Army, Madigan Army Medical Center
10.2014 - 06.2016
Master's degree - Master of Science in Nursing, Leadership in Healthcare Systems
Grand Canyon University
Bachelor's degree - Baccalaureate in Science of Nursing
Troy University
Technical or occupational certificate - Post MSN Nursing Education Certificate
Grand Canyon University
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