Quality assurance professional equipped to lead and enhance quality initiatives. Known for driving process improvements and ensuring compliance to standards. Strong focus on team collaboration and achieving results, adaptable to changing needs. Expertise includes quality management systems, regulatory compliance, and continuous improvement methodologies. Trusted for reliability and leadership in delivering high-impact outcomes.
Overview
23
23
years of professional experience
Work History
Director of Quality Assurance & Performance Improvement
North Tampa Behavioral Health
12.2021 - Current
Develop processes for identification, collection and analysis of performance measurement data
Utilize collected data regarding the outcome of activities for delivering continuously improving services
Develop written plans to improve and/or correct quality, safety and appropriateness of patient care
Conducts routine evaluations of the effectiveness of services
Develop and implement systems, policies, and procedures for the identification, collection and analysis of performance measurement data and related information
Determine if services meet pre-determined quality improvement expectations and outcomes
Conduct timely and regular evaluation of serious incidents, complaints, grievances and related investigations
Identification of problems or potential problems to prevent risks to patients
Proposes corrective steps that may include, Additional education, staffing assignments, Changes in policies/procedures
Other functions and tasks as assigned
Quality/Performance Improvement Manager
North Tampa Behavioral Health
10.2020 - 12.2021
Develop processes for identification, collection and analysis of performance measurement data
Determine if services meet pre-determined quality improvement expectations and outcomes
Ensure correction of any observed deficiencies identified through the quality improvement process
Identification of problems or potential problems to prevent risks to patients
Proposes corrective steps that may include, but are not limited to: Changes in policies/procedures, Staffing and assignment changes, Additional education or training for staff
Manage Press Ganey Patient Satisfaction Surveys filled out and collected to boost Hospital scores
Maintaining hospital compliance with The Joint Commission
Chart abstraction for Data into Press Ganey for Hospital HBIPS (Hospital Based Inpatient Psychiatric Services) to improve quality, safety, and performance
Manage the coordination of the multiple processes in my organizations that will be utilized in the production, collection, transmission and receipt of Patient Safety Work Product (PSWP)
Facilitate education and changes in organizational terminology, policies and staff practices that incorporate PSWP into the PSES culture
Provides support as a member of the Quality and Patient Safety team to maximize quality of care to all patients within the organization
Support both the clinical staff and the medical staff in the review, collection and reporting of quality and performance improvement data throughout the organization
Assist the Director of Risk Management with other duties as indicated; relative to corporate and regulatory and statutory requirements
Quality and Patient Safety Coordinator Analyst
AdventHealth Zephyrhills
01.2011 - 01.2019
Core measure chart abstraction through eQuality
Overseeing the trauma registry by collaborating with county health department and other government agencies
Prepares daily/weekly/monthly reports for Leadership, Management and Nursing staff
Managing all policies and procedures for the hospital ensuring they remain up to date and available on the hospitals intranet
Managing and training (Gate Keeper) on PowerInsight for each department of the hospital
Supervising non employed office staff and hospital vendors access to hospital records in house and remotely
Team lead in the preparedness of polices for state surveys
IView Super User for training of nursing staff
CPOE Super User for training of all physicians
Staffing Coordinator/Clinical Informatics
AdventHealth Zephyrhills
01.2009 - 01.2011
Managed the schedule for the nursing staff
Oversaw the pool and agency nurse utilization
Acted as a super user during CPOE go-live
Assisted the nursing supervisor with all day to day needs
Assisted in assuring a smooth and positive Joint Commission Survey
Unit Secretary
AdventHealth Zephyrhills
01.2008 - 12.2008
Provided administrative support to the nursing staff
Implemented process improvement initiatives
Assisted patients and their families through the complex health system
Medical Transcriptionist
01.2002 - 12.2007
Preformed digital transcription for multiple healthcare organizations including: Sarasota Memorial, UAB, VA Hospital
Education
Associate of Science -
St. Petersburg College
01.2016
Skills
Microsoft Office Suite
Cerner Millennium Suit
AS400 scheduling software
Database Management
Cerner
PowerInsight
Quality Assurance
Risk Master
Press Ganey Improvement Portal
Press Ganey Quality Performer
PSO – Patient Safety Organization
Chart Reviews
Joint Commission Connect
Quality Analytics
De-escalation and Restraint Training
SmartForce
Auditing Expertise
Customer Focus
Quality Management
Corrective Action Planning
Strong Work Ethic
Teamwork and Collaboration
Customer Service
Problem-Solving
Time Management
Timeline
Director of Quality Assurance & Performance Improvement
Director of Quality Assurance & Performance Improvement at North Tampa Behavioral HealthDirector of Quality Assurance & Performance Improvement at North Tampa Behavioral Health