Susan Michele Sommers
Hemet,CA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
44
44
years of professional experience
1
1
Certification
Work History
HIPAA Privacy Officer
- Responsible for all Infection Control activities including surveillance and education activities to all
- Involved entities
- Responsible for all Risk Management activities including chart reviews, court appearances, mentoring of staff, surveys
- HIPAA Privacy Officer as contact for all privacy issues, contacts, and reporting.
Director of Infection Control/Risk
SAN GORGONIO MEMORIAL HOSPITAL
03.2017 - 12.2022
- Investigated outbreaks and revamped control measures to prevent future incidents.
- Set clear policies to improve success of infection control measures in departments.
- Continuously maintained proper safety and took precautionary measures to avoid spread of disease and infection.
- Coordinated successfully and with full compliance to prevent infections according to facility and CIHQ/Joint Commission standards.
Accreditation and Regulatory Manager
DESERT REGIONAL MEDICAL CENTER
05.2016 - 03.2017
- Responsible for all survey activities (TJC, CMS, CDPH) including survey readiness, formulating responses, monitoring measures of success
- Responsible for Core Measure activities including staff/physician education, development of process to improve compliance, retrospective review.
Performance Improvement Specialist
DESERT REGIONAL MEDICAL CENTER
11.2014 - 05.2016
- Coordinated and conducted PI teams especially Readmission, Falls, Pressure Ulcer Prevention and Sepsis
- Achievements: Aligned results with the quality metrics expected by Tenet
- Escorted surveyors
- Participated in accreditation and regulatory activities as needed.
Performance Improvement Coordinator
SAN GORGONIO MEMORIAL HOSPITAL
01.2009 - 11.2014
- Performance Improvement/Quality Improvement Responsible for all survey activities (TJC, CMS, CDPH) including survey readiness, formulating responses, monitoring measures of success
- Responsible for Core Measure activities including staff/physician education, development of process to improve compliance, concurrent review
- Achievements: In 18 months brought 14 of 16 Core measures into compliance
- ORYX composite score to 96.1% Chair 3 PDCA committees and 4 PI Committees.
Director
REDLANDS COMMUNITY HOSPITAL
07.2006 - 12.2008
- Medicine
- Responsible for all operations of both 17 bed locked inpatient unit and 50 plus patients in outpatient unit
- Working knowledge of all Title 22, JCAHO, CMS, CDPH and county Dept of Behavioral Med requirements
- Oversight of LPS designated facility performance improvement activities
- Achievements: Increased programs offered to better serve the patients while keeping expenses down
- Successfully brought department into compliance after a Sentinel Event.
Director, Education Department
JOHN F. KENNEDY MEMORIAL HOSPITAL
10.2001 - 07.2006
- Responsible for staff development including assessment of needs, planning, coordinating, and presenting educational offerings to meet regulatory agencies, JCAHO, and CEU requirements for all staff.
Director
Emergency Services
07.2000 - 01.2001
- Full responsibility for the entire department, both fiscally and operationally; over 80 employees, 34 beds, 37,000 annual volume
- Forecasting needs to include renovation and remodel projects
- Implementation of new systems such as computerized tracking systems, "T" systems
- Liaison with physicians, board members, and all entities
- Member of Quality Council
- Achievements: Implemented Healthcare Advisory Boards Patient Flow process
- Established computerized charting for nursing staff.
Manager
EISENHOWER MEDICAL CENTER
05.1998 - 07.2000
- Endoscopy Center and Pain Management Program
- Overviewed, coordinated and directed operations for both departments
- Projected and managed operational and capital budgets
- Forecast procedures and staffing needs
- Directed 24 employees with a coordinator level in between
- Liaison with physicians and hospital board members
- Expectation to develop the business while controlling cost, maximizing resources, working within standards and directed by regulatory agencies
- Achievements: Both departments functioned within budgetary resources
- Implemented new services involving swallowing and pH studies.
Supervisor
EISENHOWER MEDICAL CENTER, Endoscopy Center
08.1994 - 05.1998
- Coordinated staffing, scheduling needs within GI Lab, Radiology to include both inpatient and outpatient populations
- Supervised six employees
- Patient census of 1900/year
- Acted as a resource with the ability to work in any job position
- Fiscal responsibility to maintain cost unit of service below budget
- Achievements: Involved in the design and construction of a new Endoscopy Center.
RN
EISENHOWER MEDICAL CENTER
10.1993 - 08.1994
- Cancer Center, Cancer Outpatient Treatment Administered chemotherapy and blood transfusions
- Assisted with bone marrow biopsies
- Performed implanted venous access device care, participated in clinical research trials
- Achievements: Participated in the design and operation of a new outpatient center
- PICC certified.
RN
EISENHOWER MEDICAL CENTER, Amb Health Care Services
05.1989 - 10.1993
Staff Nurse
EISENHOWER MEDICAL CENTER
05.1986 - 05.1989
- In Pre Op
- PACU, Special Procedures, and GI Lab
- Department representative to hospital Professional Development Council
- Achievements: Assisted with the development of the Clinical Ladder for RNs.
Diabetes Nurse Educator, Diabetes
EISENHOWER MEDICAL CENTER
01.1984 - 05.1986
- Program
- Educated patients, staff and students on self-management of diabetes mellitus including insulin injections, self-blood glucose monitoring and exercise
- Developed and facilitated support groups, Weigh to live group facilitator.
RN
EISENHOWER MEDICAL CENTER
01.1979 - 12.1983
- Emergency Room Total patient care, MICN
- Conducted continuing education classes
- Assisted head nurse with procurement of supplies, scheduling and timecards.
Education
MBA Redlands -
University of Redlands
BA - undefined
California State
San Bernardino, CAundefined
College of the Desert
Palm Desert, CAundefined
Grossmont Adult Education Vocational - LVN
La Mesa, CASkills
- Facility Management
- Security Coordination
- PowerPoint Presentations
- Facility Inspections
- Compliance Reporting
- Continuous Improvement Process
Additional Information
- ACHIEVEMENTS , LVNL Student of the Year 1972 MICN of the Month-December 1983, Certified Emergency Nurse Health Fitness Instructor Oncology Certified Nurse Certified Gastroenterology Registered Nurse, 1997 Healthcare Accreditation Certified Professional 2012 Certified Professional in Healthcare Quality 2013
Certification
- [Area of certification], [Company Name] - [Timeframe]
Timeline
Director of Infection Control/Risk
SAN GORGONIO MEMORIAL HOSPITAL
03.2017 - 12.2022
Accreditation and Regulatory Manager
DESERT REGIONAL MEDICAL CENTER
05.2016 - 03.2017
Performance Improvement Specialist
DESERT REGIONAL MEDICAL CENTER
11.2014 - 05.2016
Performance Improvement Coordinator
SAN GORGONIO MEMORIAL HOSPITAL
01.2009 - 11.2014
Director
REDLANDS COMMUNITY HOSPITAL
07.2006 - 12.2008
Director, Education Department
JOHN F. KENNEDY MEMORIAL HOSPITAL
10.2001 - 07.2006
Director
Emergency Services
07.2000 - 01.2001
Manager
EISENHOWER MEDICAL CENTER
05.1998 - 07.2000
Supervisor
EISENHOWER MEDICAL CENTER, Endoscopy Center
08.1994 - 05.1998
RN
EISENHOWER MEDICAL CENTER
10.1993 - 08.1994
RN
EISENHOWER MEDICAL CENTER, Amb Health Care Services
05.1989 - 10.1993
Staff Nurse
EISENHOWER MEDICAL CENTER
05.1986 - 05.1989
Diabetes Nurse Educator, Diabetes
EISENHOWER MEDICAL CENTER
01.1984 - 05.1986
RN
EISENHOWER MEDICAL CENTER
01.1979 - 12.1983
HIPAA Privacy Officer
MBA Redlands -
University of Redlands
BA - undefined
California State
undefined
College of the Desert
undefined
Grossmont Adult Education Vocational - LVN
- [Area of certification], [Company Name] - [Timeframe]
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