Interim Director of Quality & Risk | BSN, RN, CPHRM, CPSO


Last Updated: October 10, 2019 (12 months ago)

Interim Director of Quality & Risk | BSN, RN, CPHRM, CPSO
Immediately
Leadership & Acute Care Experienced

A highly qualified healthcare leader with over 30 years of experience in achieving targeted outcomes in patient care operations, quality improvement, patient safety, and risk. A proven collaborator who believes in fostering positive relationships and celebrating the accomplishments of the team, while promoting the mission, vision, and values of the organization.

References & Reviews

• “If you have an issue and aren't meeting standards, she is the person to come in and resolve the situation.”
• “She led the hospital to become a top performer with TJC and that relied mainly on her ability to engage the staff.”
• “She has a vast knowledge of regulatory requirements and quality.”
• “She brings solid experience and is very calm in situations involving risk and regulatory change.”
• “Possessing top notch knowledge, she knows how to get along well with physicians and other providers and how to deal with controversial, and touchy subjects.”
• “I would say that I could always count on her to handle difficult situations in the most professional way you could ever expect.”
• “She is the one professional who can stand her ground and get the results needed!”

• Policy Development & Implementation
• Strategic Planning
• Fostering Teamwork / Employee Engagement
• Quality Improvement
• Compliance
• Core Measures
• Risk Management
• Accreditation
• Patient Safety
• Performance Improvement
• TJC, CMS, & State Regulatory Compliance

Resume Content

Title:

Interim Director of Quality & Risk | BSN, RN, CPHRM, CPSO

Date Available:

Immediately

Summary:

Leadership & Acute Care Experienced

A highly qualified healthcare leader with over 30 years of experience in achieving targeted outcomes in patient care operations, quality improvement, patient safety, and risk. A proven collaborator who believes in fostering positive relationships and celebrating the accomplishments of the team, while promoting the mission, vision, and values of the organization.

References & Reviews

• “If you have an issue and aren't meeting standards, she is the person to come in and resolve the situation.”
• “She led the hospital to become a top performer with TJC and that relied mainly on her ability to engage the staff.”
• “She has a vast knowledge of regulatory requirements and quality.”
• “She brings solid experience and is very calm in situations involving risk and regulatory change.”
• “Possessing top notch knowledge, she knows how to get along well with physicians and other providers and how to deal with controversial, and touchy subjects.”
• “I would say that I could always count on her to handle difficult situations in the most professional way you could ever expect.”
• “She is the one professional who can stand her ground and get the results needed!”

Qualifications & Achievements:

• Conducted organizational gap assessment of performance and compliance with accreditation and regulatory agencies, to include revisions and/or development of action plan as indicated
• Serves as a Change Agent using quality tools, including RCA, to engage all levels of the organization to achieve the desired outcome
• Manages functions within the department, including Quality/ Risk / Infection Control / Medical Staff / MEC / Board of Trustees / Regulatory/Employee Health
• Facilitated redesign of Physician Peer Review and Core Privileging with Physician Champions
• Completes investigation and resolution of claims with timely entry, prioritization of events, and documenting final resolution / mitigation / action taken
• Establishes and maintains claim files for potential / actual claims including discovery documents
• Investigates and prepares responses for all complaints and grievances, including state and regulatory investigations
• Developed a risk assessment tool that was implemented System – wide
• Provides education to staff, medical staff, and Board of Trustees on regulatory and quality policies, standard, and initiatives
• Collaborates with senior leadership to identify and set organizational goals, communication of risks, quality, compliance issues, and strategies for setting/meeting goals

Expertise:

• Policy Development & Implementation
• Strategic Planning
• Fostering Teamwork / Employee Engagement
• Quality Improvement
• Compliance
• Core Measures
• Risk Management
• Accreditation
• Patient Safety
• Performance Improvement
• TJC, CMS, & State Regulatory Compliance

Experience:

• Interim Quality Manager | 25 Bed Critical Access Hospital
• Consultant, Quality and Regulatory Associate | Large Multi-Site Healthcare System
• Chief Quality Officer / Risk Manager | 125+ Bed Acute Care Hospital
• Manager of Care Management: Quality/Risk/Compliance/Infection Control / Case Management / Interim CNO | 50+ Bed Acute Care Hospital

Education:

• Bachelor of Science in Nursing (BSN)
• Registered Nurse (RN)
• Certified Professional in Healthcare Risk Management (CPHRM)
• Certified Patient Safety Officer (CPSO)

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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."