Tabita Delisca
Union,NJ
Summary
Accomplished Senior Quality Improvement Specialist with a proven track record at Summit Medical Group, enhancing clinical outcomes through data analytics and performance improvement. Skilled in EMR optimization and regulatory compliance, adept at leading cross-functional teams and developing training programs. Demonstrated success in driving quality initiatives, evidenced by measurable performance gains in ambulatory care settings.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Senior Quality Improvement Specialist
Summit Medical Group
New Providence, NJ
02.2021 - Current
- Lead quality and process improvement initiatives for ambulatory and physician enterprise programs, ensuring alignment with value-based care (VBC), HEDIS, and MIPS performance metrics
- Manage and oversee data-driven quality transformation projects, applying high-reliability science, Agile methodology, and patient safety principles to enhance ambulatory clinical outcomes
- Collaborate with EMR and data analytics teams to develop and implement workflows and reporting tools for quality monitoring and compliance tracking
- Conduct performance analysis and data validation, identifying trends to drive evidence-based improvement strategies for assigned ambulatory clinical subgroups
- Facilitate provider and staff education programs, developing training materials, presentations, and process mapping tools to enhance clinical workflow efficiency
- Coordinate regulatory compliance efforts, ensuring adherence to CMS, NCQA, The Joint Commission, and state regulatory standards through ongoing audits and process evaluations
- Support patient safety initiatives by promoting transparency, encouraging event reporting, and implementing corrective action plans
- Prepare and present performance data to physician leadership, quality councils, and senior executives to inform decision-making and strategic planning
- Successfully developed and led quality improvement projects that resulted in measurable performance gains across ambulatory care settings
- Spearheaded data validation initiatives, improving the accuracy of quality reporting and regulatory compliance submissions
- Designed workflow enhancements that streamlined clinical processes, improving patient care efficiency and closing care gaps
- Developed and facilitated training programs on quality and patient safety, increasing staff engagement and competency
Quality Improvement Coordinator
Summit Medical Group
New Providence, NJ
05.2017 - 02.2021
- Conducted clinical data analysis and process improvement projects, ensuring compliance with CMS, HEDIS, and NCQA standards
- Led provider engagement initiatives, offering coaching and training on performance metrics, EMR utilization, and regulatory compliance
- Assisted in workflow development and process optimization, partnering with IT and clinical leaders to improve EMR documentation and reporting
- Provided audit support, ensuring regulatory compliance through meticulous chart reviews and quality reporting oversight
- Developed educational materials to support physician and staff training in population health management and quality initiatives
- Led data-driven interventions that improved quality scores and provider engagement in value-based care models
- Implemented structured training programs to enhance compliance with clinical quality measures and regulatory standards
RN PPS Coordinator/FIM Educator
Kessler Institute for Rehabilitation Inc.
West Orange, NJ
05.2015 - 05.2017
- Collected and reviewed Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) data, ensuring accuracy in medical coding and documentation corrections.
- Managed all aspects of Functional Independence Measure (FIM) score capture, including documentation review to ensure the completion of the IRF-PAI.
- Provided FIM and Prospective Payment System (PPS) training to new employees during orientation to enhance competency.
- Assessed staff educational needs, and conducted targeted in-service training sessions to address knowledge gaps.
- Audited medical records to verify clinical documentation accuracy, ensuring alignment with FIM scores, and regulatory requirements.
- Worked closely with clinical team members to resolve documentation inconsistencies, and ensure proper comorbidity identification.
- Participated in performance improvement initiatives, delivering staff education, and process enhancements based on identified trends.
- Collaborated with the PPS Manager to conduct compliance audits, providing guidance and support to staff to maintain adherence to CMS standards and guidelines.
Education
Master of Science - Nursing Education
Fairleigh Dickinson University
Teaneck, NJ01.2016
Skills
- Quality and Safety Leadership
- Data Analytics and Performance Improvement
- Clinical Workflow Optimization
- Program and Project Management
- Training and Education
- EMR Optimization
- Population health management
- Presentations and public speaking
- Regulatory compliance and audit management
Websites
Certification
- Registered Nurse (RN), New Jersey, Unencumbered
- Certified Professional in Healthcare Quality (CPHQ)
- Certified Rehabilitation Registered Nurse (CRRN)
- NCLEX-RN Certification
Personal Information
Title: RN, MSN, CPHQ
Professional Development And Achievements
- Speaker at CMS 'Fireside Chats' Webinar – presented on quality improvement methodologies and provider engagement.
- Recipient of the NAACOS 2022 Leaders in Quality Excellence Award – recognized for advancing ambulatory care quality initiatives.
- Developed innovative quality training tools to enhance clinical workflow efficiency and compliance.
Accomplishments
- Speaker at CMS “Fireside Chats” Webinar – presented on quality improvement methodologies and provider engagement.
- Recipient of the NAACOS 2022 Leaders in Quality Excellence Award – recognized for advancing ambulatory care quality initiatives.
- Developed innovative quality training tools to enhance clinical workflow efficiency and compliance.
Timeline
Senior Quality Improvement Specialist
Summit Medical Group
02.2021 - Current
Quality Improvement Coordinator
Summit Medical Group
05.2017 - 02.2021
RN PPS Coordinator/FIM Educator
Kessler Institute for Rehabilitation Inc.
05.2015 - 05.2017
- Registered Nurse (RN), New Jersey, Unencumbered
- Certified Professional in Healthcare Quality (CPHQ)
- Certified Rehabilitation Registered Nurse (CRRN)
- NCLEX-RN Certification
Master of Science - Nursing Education
Fairleigh Dickinson University
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