Interim Director of Quality | BA, CPHQ, RHIT | TJC & DNV Expertise


Last Updated: August 13, 2020 (12 months ago)

Interim Director of Quality | BA, CPHQ, RHIT | TJC & DNV Expertise
Immediately
Leadership & Acute Care Experienced

A “hit the ground running” Interim Director of Quality with over 40 years of healthcare experience; over 20 years at the director level, managing quality and performance improvement. She specializes in providing leadership for quality, infection prevention, peer review, and medical staff services.

References & Reviews

• “She was the best interim Quality Director that I have had the pleasure to work with during my tenure!”
• “She is a true leader, I wish she could have been permanent!”
• “She greatly improved our employee engagement and we were all saddened when she had to leave.”
• “Within her first week, she led the department through an accreditation audit, made action plans and implemented them.”
• “She brought many great ideas to the department and facility.”
• “She was always professional and was well respected by her direct reports, peers and the leadership team.”

• Quality Improvement
• Compliance
• Risk Management
• Accreditation
• Patient Safety
• Performance Improvement
• TJC & CMS Surveys

Resume Content

Title:

Interim Director of Quality | BA, CPHQ, RHIT | TJC & DNV Expertise

Date Available:

Immediately

Summary:

Leadership & Acute Care Experienced

A “hit the ground running” Interim Director of Quality with over 40 years of healthcare experience; over 20 years at the director level, managing quality and performance improvement. She specializes in providing leadership for quality, infection prevention, peer review, and medical staff services.

References & Reviews

• “She was the best interim Quality Director that I have had the pleasure to work with during my tenure!”
• “She is a true leader, I wish she could have been permanent!”
• “She greatly improved our employee engagement and we were all saddened when she had to leave.”
• “Within her first week, she led the department through an accreditation audit, made action plans and implemented them.”
• “She brought many great ideas to the department and facility.”
• “She was always professional and was well respected by her direct reports, peers and the leadership team.”

Qualifications & Achievements:

• Expertise in TJC & DNV rules and regulations, policies and procedures, CMS and survey readiness
• Developed an organizational quality structure, and facilitated quality committees and reporting
• Compiled and analyzed outcome and process data for medical staff reporting, physician credentialing/profiling, and peer review
• Able to improve effectiveness, streamline processes, and increase staff efficiency
• Effective collaborator, particularly with issues involving physicians
• Trained in LEAN Methodology and certified in Six Sigma Green Belt
• Instrumental in hospital strategic planning and establishment of performance indicators and goals
• Provides operational, annual, and long range strategies and making recommendations for improvements
• Energetic, resourceful and self-directed professional who is passionate about quality, accreditation and ensuring compliance

Expertise:

• Quality Improvement
• Compliance
• Risk Management
• Accreditation
• Patient Safety
• Performance Improvement
• TJC & CMS Surveys

Experience:

• Interim Quality & Patient Safety Consultant | 225+ Bed Acute Care Hospital
• Interim Director, Quality & Risk Management | 150+ Bed Acute Care Hospital
• Director of Quality & Performance Improvement | 500+ Bed Acute Care Hospital
• Director of Patient Access Services | 500+ Bed Acute Care Hospital

Education:

• Bachelor of Arts in Healthcare Administration (BA)
• Certified Professional in Healthcare Quality (CPHQ)
• Registered Health Information Technologist (RHIT)

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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."