Interim Director of Quality/Risk Management | BSN, RN, CPHQ


Last Updated: February 19, 2021 (11 months ago)

Interim Director of Quality/Risk Management | BSN, RN, CPHQ
Immediately
Leadership & Acute Care Experienced

An accomplished, certified Director of Healthcare Quality with over 20 years of senior leadership experience in quality/risk performance management and regulatory issue resolution. Specialties include state and federal conditions of participation and TJC in acute care, long-term care, and home hospice. She focuses on accreditation and quality improvement, identification of areas of risk and vulnerability, improving quality processes to ensure continued regulatory compliance.

REFERENCES & REVIEWS

• “She is able to break through the clutter, when people are in crisis, and things need to be changed, she maintains a calm manner, and knows what steps to take in any situation.”
• “She took over a department that was in absolute chaos, started at ground zero, and took it to readiness for TJC inspection.”
• “She is able to articulate the organization’s needs, educate staff and remain calm in a crisis, providing needed direction to the entire team.”
• “Her depth of quality knowledge is amazing; she was able to manage compliance to make sure that the hospital successfully completed the TJC survey.”
• “Her knowledge base and skills in regulatory compliance were essential to complete this project and her attention to detail ensured success.”

SUMMARY OF QUALIFICATIONS & EXPERIENCE

• Excels in prepping, coordinating and leading teams through very successful TJC and State surveys
• Expertise in conducting mock surveys, providing feedback and reviewing, investigating and auditing patient care as well as making recommendations to ensure compliance
• Risk management experience to include knowledge of root cause analysis, Failure Mode & Effects Analysis (FMEA) and fosters internal risk identification procedures and incident and adverse event reporting
• Experience with streamlining hospital-wide Performance Improvement activities and identifying the areas of risk to improve processes
• Strong leadership presence supervising up to 8 FTEs and developing congruent and cohesive departments
• An excellent communicator who is articulate and professional with an ability to work collaboratively to achieve desired results

• Quality Improvement
• Accreditation
• TJC / CMS
• Mock Surveys
• Risk Management
• Patient Safety
• Performance Improvement

Resume Content

Title:

Interim Director of Quality/Risk Management | BSN, RN, CPHQ

Date Available:

Currently Available

Summary:

Leadership & Acute Care Experienced

An accomplished, certified Director of Healthcare Quality with over 20 years of senior leadership experience in quality/risk performance management and regulatory issue resolution. Specialties include state and federal conditions of participation and TJC in acute care, long-term care, and home hospice. She focuses on accreditation and quality improvement, identification of areas of risk and vulnerability, improving quality processes to ensure continued regulatory compliance.

REFERENCES & REVIEWS

• “She is able to break through the clutter, when people are in crisis, and things need to be changed, she maintains a calm manner, and knows what steps to take in any situation.”
• “She took over a department that was in absolute chaos, started at ground zero, and took it to readiness for TJC inspection.”
• “She is able to articulate the organization’s needs, educate staff and remain calm in a crisis, providing needed direction to the entire team.”
• “Her depth of quality knowledge is amazing; she was able to manage compliance to make sure that the hospital successfully completed the TJC survey.”
• “Her knowledge base and skills in regulatory compliance were essential to complete this project and her attention to detail ensured success.”

SUMMARY OF QUALIFICATIONS & EXPERIENCE

• Excels in prepping, coordinating and leading teams through very successful TJC and State surveys
• Expertise in conducting mock surveys, providing feedback and reviewing, investigating and auditing patient care as well as making recommendations to ensure compliance
• Risk management experience to include knowledge of root cause analysis, Failure Mode & Effects Analysis (FMEA) and fosters internal risk identification procedures and incident and adverse event reporting
• Experience with streamlining hospital-wide Performance Improvement activities and identifying the areas of risk to improve processes
• Strong leadership presence supervising up to 8 FTEs and developing congruent and cohesive departments
• An excellent communicator who is articulate and professional with an ability to work collaboratively to achieve desired results

Qualifications & Achievements:

Could a candidate of this caliber add value to your team? If so, let’s connect.

Expertise:

• Quality Improvement
• Accreditation
• TJC / CMS
• Mock Surveys
• Risk Management
• Patient Safety
• Performance Improvement

Experience:

• Interim TJC Readiness Consultant | 175+ Bed Acute Care Hospital
• Interim Senior Risk Manager | 500+ Bed Acute Care Hospital
• Interim Quality & Patient Safety Specialist | 100+ Bed Acute Care Hospital
• Interim Chief Quality Officer | 140 Bed Acute Care Hospital
• Director of Quality | 300+ Bed Acute Care Hospital

Education:

• Bachelors of Science in Nursing (BSN)
• Registered Nurse (RN)
• Certified Professional in Healthcare Quality (CPHQ)

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Testimonials

"She has been perfect for us particularly since we are in our Joint Commission survey window for both our Disease Specific Care certification reviews and our triennial accreditation.  I also believe she is the one that’s helped us identify the root cause of some of our SSI’s.

Thank you for connecting us with [her]."

"[She] is an excellent addition to our team. She was able to hit the ground running, and I am very excited to be working with her. I believe with her positive attitude, we are really going to be able to turn our little home health ship around, and get it running well."

"[She] walked into a very challenging position - technically, politically, and operationally. She inherited a disorganized and unreliable credentialing history, records, and dysfunctional staff. She has a terrific work ethic, very pleasant interpersonal and leadership style, and great fund of knowledge. She has been incredibly reliable, dedicated, focused, and industrious. Thank you for sending her to us."

"[The Galileo Interim] was well received by our hospital staff members. She built relationships and was always in an "appreciative inquiry" mode. She quickly came up to speed on the transition of the retiring Quality Manager, and effectively transferred the necessary information to the new Quality Manager.

Many among our team have said they would like her to stay? We would like to have her come back for specific projects as needed."

"[He] spent an extended time at our hospital and lay the foundation of a strong infection prevention program. He assisted with program development (including training a new IP) and with policy development. He was well-received by everybody. Very adaptable to different audiences, always professional, and approached circumstances with a goal of providing support and guidance. In my experience, he was one of the strongest infection prevention professionals I've worked with, and he has my strongest recommendation."