Summary
Overview
Work History
Education
Skills
Timeline
Generic

Susan Notarfrancesco

Winchendon,MA

Summary

Accomplished Director of Quality Management at the Department of Justice, Federal Bureau of Prisons, adept in Joint Commission Accreditation and risk management. Spearheaded performance improvement programs, enhancing compliance and safety standards. Renowned for exceptional team leadership and quality report preparation, contributing to significant operational improvements.

Overview

25
25
years of professional experience

Work History

Director of Quality Management

Department Of Justice, Federal Bureau Of Prisons
05.2002 - 09.2018
  • Instituted regular safety inspections and hazards management strategies to keep operations compliant.
  • Collected, analyzed, and interpreted medical data/information and formulated responses and recommendations for appropriate action. This information was reported to the Quality Improvement Committee and Governing Body.
  • Responsible for Joint Commission surveys and compliance with standards for Ambulatory Care, Long Term Care and Behavioral Health Care.
  • Provided direction and facilitated several improvements of performance initiatives to include falls prevention, hand-off communication utilizing the Failure Modes and Effects Analysis model, medication reconciliation and interdisciplinary treatment planning ensuring compliance with Health Services Program Review standards.
  • Primary source verified credentials for all staff and contract medical professionals. This included creating and maintaining a credentialing and privileging tracking system.
  • Conducted and facilitated multi-disciplinary after-action reviews of deaths in custody, to include deaths due to both suicide and natural causes preparing detailed and comprehensive written analysis of findings related to those deaths. Completed approximately 15-20 death reviews per year.
  • Trained administrators, health service providers, and line staff regarding quality and risk management.
  • Facilitated several institutional committees, such as the Local Governing Body, Quality Improvement, Leadership Rounds, and the Joint Commission Action Team.

Medical Records and Health Information Technician

Department Of Justice, Federal Bureau Of Prisons
09.2000 - 05.2002
  • Maintained patient records in compliance with security regulations.
  • Processed medical records requests from outside providers according to facility, state, and federal law.
  • Maintained patient confidence by keeping patient records information confidential.
  • Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
  • Reviewed charts and flagged incomplete or inaccurate information.
  • Printed and photocopied documents to provide patients with copies of medical records.

Accounting Technician

Department Of Justice, Federal Bureau Of Prisons
02.1996 - 09.2000
  • Entered figures using 10-key calculator to compute data quickly.
  • Managed inmate accounts to include depositing external funds to their accounts and deducting financial obligations such as fines, restitution, special assessments, and penalties.
  • Organized budget documentation and tracked expenses to maintain tight business controls.
  • Managed and responded to correspondence and inquiries from customers and vendors.
  • Matched purchase orders with invoices and recorded necessary information.
  • Handled day-to-day accounting processes to drive financial accuracy.

Medical Records and Health Information Technician

Department Of Justice, Federal Bureau Of Prisons
09.1993 - 02.1996
  • Maintained patient records in compliance with security regulations.
  • Processed medical records requests from outside providers according to facility, state, and federal law.
  • Maintained patient confidence by keeping patient records information confidential.
  • Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
  • Reviewed charts and flagged incomplete or inaccurate information.
  • Printed and photocopied documents to provide patients with copies of medical records.

Education

Bachelor of Science - Health Policy And Administration

Pennsylvania State University
University Park, PA
05-1993

Associate of Science - Business Administration

Pennsylvania State University
Altoona, PA
08-1990

Skills

  • Quality Management Systems
  • Joint Commission Accreditation in Ambulatory Care, Long Term Care and Behavioral Health Care
  • Performance Improvement Programs
  • QA metric management
  • Team leadership abilities
  • Inspection procedure implementation
  • Quality report preparation
  • Compliance
  • Risk Management

Timeline

Director of Quality Management

Department Of Justice, Federal Bureau Of Prisons
05.2002 - 09.2018

Medical Records and Health Information Technician

Department Of Justice, Federal Bureau Of Prisons
09.2000 - 05.2002

Accounting Technician

Department Of Justice, Federal Bureau Of Prisons
02.1996 - 09.2000

Medical Records and Health Information Technician

Department Of Justice, Federal Bureau Of Prisons
09.1993 - 02.1996

Bachelor of Science - Health Policy And Administration

Pennsylvania State University

Associate of Science - Business Administration

Pennsylvania State University
Susan Notarfrancesco