Summary
Overview
Work History
Education
Skills
Certification
Success Stories
Qualifications Summary
References
Timeline
Generic

Tracy Follin

Upper Marlboro,Maryland

Summary

Dynamic Quality Improvement Manager with extensive experience at United Medical Center, excelling in performance improvement and patient safety. Proven track record in managing compliance audits and enhancing operational excellence. Skilled in effective communication and financial management, fostering a culture of continuous improvement and achieving high reliability in healthcare standards.

Overview

33
33
years of professional experience
1
1
Certification

Work History

Quality Improvement Coordinator/Manager

United Medical Center
, Washington, DC
06.2008 - Current
  • Perform audits for core measure compliance.
  • Performed audits of operational and financial areas to check compliance.
  • Collaborated with staff members to maintain a culture of safety and continuous improvement.
  • Coach department staff to utilize performance improvement methods.
  • Work closely with leadership, medical staff, administration, and related committees to ensure high reliability in regulatory and accreditation compliance for performance improvement data.
  • Conducts Environment of Care rounds.
  • Provides support to clinical and non-clinical managers and staff in the areas of accreditation and regulatory requirements, performance improvement, patient safety, and policy and procedures.
  • Performed root cause analysis investigations when nonconformances occurred, identifying opportunities for improvement.
  • Established key performance indicators related to overall process effectiveness and efficiency.
  • Provided guidance on best practices for measuring and improving operational excellence throughout the organization.
  • Active participant in the hospital closure. Assisted with closure notification to regulatory bodies, hospital personnel, and patients in the community.
  • Worked with the Patient Advocate to conduct regular meetings with staff members to discuss issues related to patient experience and review performance metrics.
  • Serves as a liaison between hospital administration and external agencies.
  • Monitored changes in quality regulations and standards, updating company practices to maintain compliance.
  • Assisted in the development of policies and procedures that support the goals of healthcare quality management programs.
  • Administrator for Hospital Quality Reporting (HARP) and Press Ganey vendor.

Clinical Nurse

Bowie Health Center
Bowie, MD
07.2002 - 07.2012
  • Perform chart audits for Performance Improvement for the ED.
  • Manage the Emergency Department as a charge nurse.
  • Established nursing service philosophies, goals or procedures.
  • Adhered to ethical standards of practice while providing compassionate care.
  • Evaluated patient care needs, prioritized treatment and maintained patient flow.
  • Collaborated with interdisciplinary healthcare teams to ensure cohesive patient care and treatment plans.
  • Ensured compliance with hospital policies and procedures related to safety, infection control, documentation.

Clinical Nurse

Kaiser Permanente
Temple Hills, MD
11.2004 - 06.2010
  • Provide care in an outpatient setting to all age groups with various disease processes..
  • Preparing critical patient for transport to tertiary facilities.
  • Established nursing service philosophies, goals or procedures.
  • Demonstrated effective communication skills when interacting with patients, family members, physicians, nurses and other healthcare providers.

Clinical Nurse II/Performance Improvement Coordinator

United Medical Center
Washington, DC
10.2002 - 06.2010
  • Perform internal chart audits to ensure compliance with Joint Commission standards and CMS
  • Communicate issues and updates through monthly staff meetings
  • Conduct teaching seminars for new employees
  • Performs Core Measures for the hospital
  • Concurrent monitoring with Physician interaction/education/coaching regarding the Core Measure Documentation

Emergency Department Clinical Manager

Greater Southeast Community Hospital
Washington, DC
07.2000 - 10.2002
  • Facilitated communication between medical personnel, patients and their families.
  • Coordinated weekly work schedules for department employees.
  • Spearheaded clinical training and orientation for newly hired staff.
  • Ensured that staff members adhere to professional standards of practice.
  • Revise policies and procedures to reflect the newest Joint Commission Standards.
  • Provide on-site facilitation for the Joint Commission review.
  • Designate roles and responsibilities for the 50-person nursing staff.
  • Maintain the staff turnover rate below 5%.
  • Assesses employees' educational needs and provides opportunities for professional development.
  • Establish and manage financial budgets.

Assistant Clinical Manager / Clinical Nurse II

Greater Southeast Community Hospital
Washington, DC
06.1992 - 07.2000
  • Facilitate a reduction in reroute and closure time.
  • Implement policies to decrease radiology cycle time.
  • Participate in personnel decisions.
  • Focuses on and anticipates customer service needs to increase satisfaction.

Education

Bachelor of Science - Nursing

University of Maryland, Baltimore
Baltimore, MD
05.1992

Skills

  • Management
  • Interdisciplinary collaboration
  • Effective meeting facilitation
  • New hire orientation
  • Personnel decisions
  • Financial management
  • Nursing
  • Age-specific professional emergency nursing care
  • Quality auditing
  • Triage administration
  • Performance improvement
  • Patient safety
  • Effective communication
  • Process improvement expertise
  • Customer satisfaction
  • Quality improvement

Certification

  • Registered Nursing Licenses – DC and MD
  • Basic Life Support
  • Pediatric Life Support
  • Advanced Cardiac Life Support

Success Stories

  • The Department of Health and The Joint Commission recognized the Quality Department for having no deficiencies when surveyed.
  • All Validation scores for abstracting Core Measure charts are above 90th percentile

Qualifications Summary

  • Experienced nursing manager with five years of management experience in a demanding emergency room environment.
  • Outstanding organizational skills: Responsible for 24x7 scheduling of a 50+ person staff that includes both hospital and contract agency personnel.
  • Exceptional leader responsible for hiring, supervising, and training key emergency room nursing personnel.
  • Quality-driven professional: performs internal chart audits and training seminars.
  • Excellent caregiver and patient advocate with 33 years of hands-on nursing experience.

References

References available upon request.

Timeline

Quality Improvement Coordinator/Manager

United Medical Center
06.2008 - Current

Clinical Nurse

Kaiser Permanente
11.2004 - 06.2010

Clinical Nurse II/Performance Improvement Coordinator

United Medical Center
10.2002 - 06.2010

Clinical Nurse

Bowie Health Center
07.2002 - 07.2012

Emergency Department Clinical Manager

Greater Southeast Community Hospital
07.2000 - 10.2002

Assistant Clinical Manager / Clinical Nurse II

Greater Southeast Community Hospital
06.1992 - 07.2000

Bachelor of Science - Nursing

University of Maryland, Baltimore

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Tracy Follin