Thomas J Keese
Registered Nurse Informaticist/Clinical Applications Coordinator
Oklahoma City,OK
Summary
Tech-savvy innovator with hands-on experience in emerging technologies and passion for continuous improvement. Skilled in identifying opportunities for technological enhancements and implementing effective solutions. Adept at leveraging new tools and methods to solve problems and enhance productivity.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
15
15
years of professional experience
1
1
Certificate
Work History
Nursing Informatics Specialist/Clinical Applications Coordinator/HIM
Department of Veterans Affairs Medical Center
07.2019 - Current
- Serves as a facility Subject Matter Expert (SME) on Veterans Affairs Medical Record applications and other information systems while optimizing functionality and maintaining information security.
- Developed training curriculums for my service and other service clinicians.
- Actively engaging in a Lean Six Sigma Yellow-Belt project to establish a Standard Workflow and Operating Procedure for the surgical service. (workload and RVUs)
- Current member of a multidisciplinary team, supporting a Root Cause Analysis (RCA) relating to PSA screening, by being directly involved with and knowledgeable about the clinical applications used in patient care, such as the VistA/CPRS system.
- Serves as an interactive member of a National (VISN 19) collaborative to standardize new provider training in VA medical facilities.
- Facility consultant to clinical personnel and Information Technology staff, by bridging the gap between the two services.
- Navigate between current local and national clinical policies, procedures, and suggested clinic workflow.
- Utilize multiple data platforms to mine and report quality clinical data for the use of enhancing the continuity of patient care and clinic efficiency.
- Provides Informatics consultation to clinical services, administration and leadership within the facility and surrounding outpatient clinics.
- Identified computer hardware and network system issues, performing troubleshooting techniques for remediation.
Registered Nurse/Sub-Specialty Clinics & RN, Med-Surg Float (OT)
Department of Veterans Affairs Medical Center
05.2018 - 07.2019
- Cross-trained as Med-Surg Floor Nurse and assisted on multiple floors and in multiple disciplines. (Cross-trained as LPN in 2013, re-trained as RN in 2018)
- Efficiently and effectively provides nursing care such as assessment, education, and medication administration, for patients, as well as completes mandatory annual training.
- Demonstrates proficient knowledge and experience in all software platforms utilized in patient care.
- Assists and educates other medical professionals in clinic regarding information systems and clinical applications such as, CPRS, VISTA, BCMA, Microsoft Office, and VA Intranet.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Registered Nurse/Primary Care/Float RN/Care Manager/Triage Call Center RN
Department of Veterans Affairs
03.2017 - 05.2018
- Care manager for panel of 800-1200 Veterans.
- Cross-trained for the RN Triage Call Center – Triaged phone calls, based on patient’s symptoms and utilizing TRM package.
- Early adopter of the Electronic Quality Measure (eQM) software - implemented in my care team and educated other clinicians regarding it's use and functionality.
- Monitored all performance measures, high-risk Veterans, (CAN scores) and facility discharge contact.
- Demonstrated adaptability and flexibility in working effectively with all PACT personnel in the clinic. (6 Teamlets)
- Managed a team consisting of two LPNs, and a panel of 800+ patients.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
Licensed Practical Nurse/Telehealth Clinical Technician
Department of Veterans Affairs
11.2012 - 03.2017
- Established and maintained multiple remote Telehealth clinics within a VA Community-Based Outpatient Clinic.
- Began with one Telehealth clinic and expanded to 16 Telehealth clinics at promotion.
- Received VA Gold coin from two providers for going above and beyond during TEACH training sessions.
- Support Telehealth clinical programs from the patient location (Community-Based Outpatient Clinic) as the Tele-presenter and digital imager utilizing store and forward applications.
- Clinic manager for Telehealth specialty services such as: tele-retinal imaging, pulmonary function testing, tele-wound care, tele-dermatology, tele-mental health and tele-genomics.
- Organized education classes for Veterans such as: MOVE! weight management, smoking cessation, pain management, and diabetic education – all provided via telecommunications.
Licensed Practical Nurse
HealthBack Home Health
10.2010 - 10.2012
- LPN field nurse – assessing, evaluating, treating, and teaching patients in their homes based on plan of care created by RN Case Manager and physician.
- Catheter maintenance, wound care, lab draws, CVC and PICC line maintenance, IV therapy, assisted patients with medication administration and education.
- Cared for wounds, provided treatments, and assisted with procedures.
- Performed routine evaluations of each patient's status, needs, and preferences.
- Maintained a schedule of 5 visits a day for a total of 25 minimum visits per week.
- Gathered lab specimens, ordered testing, and interpreted results to diagnose patients.
- Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
Education
MS - Healthcare Informatics and Information Management
SWOSU
Weatherford, OK12.2022
LPN-BSN - undefined
University of Central Oklahoma
Edmond, OK12.2016
LPN License - Practical Nursing
Pioneer Technology Center
Ponca City, OK10.2009
Some College (No Degree) - E-Commerce/Computer Science
Northwestern Oklahoma State University
Alva, OKAssociate of Science - General Education
Northern Oklahoma College
Tonkawa, OK12.2011
Skills
- Clinical process expertise
- Health information systems
- Process improvement
- HIPAA compliance
- Attention to detail
- Problem-solving abilities
- Metrics analysis
- Information system analysis
- Analytical skills
- Data security
- Data warehousing
- Informatics research
- SQL programming
- Workflow efficiency
Certification
- BLS Healthcare Provider (expires March, 2026)
- Multistate (Registered Nurse, License #124657) (expires Sept., 2026)
Affiliations
- SAIL
- MRC
- AHIMA
- AMIA
- ACDIS
Timeline
Nursing Informatics Specialist/Clinical Applications Coordinator/HIM
Department of Veterans Affairs Medical Center
07.2019 - Current
Registered Nurse/Sub-Specialty Clinics & RN, Med-Surg Float (OT)
Department of Veterans Affairs Medical Center
05.2018 - 07.2019
Registered Nurse/Primary Care/Float RN/Care Manager/Triage Call Center RN
Department of Veterans Affairs
03.2017 - 05.2018
Licensed Practical Nurse/Telehealth Clinical Technician
Department of Veterans Affairs
11.2012 - 03.2017
Licensed Practical Nurse
HealthBack Home Health
10.2010 - 10.2012
LPN-BSN - undefined
University of Central Oklahoma
MS - Healthcare Informatics and Information Management
SWOSU
LPN License - Practical Nursing
Pioneer Technology Center
Some College (No Degree) - E-Commerce/Computer Science
Northwestern Oklahoma State University
Associate of Science - General Education
Northern Oklahoma College
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