Interim Director of Quality, Risk & Patient Safety | BSN, RN (Multi-State), CPHQ


Last Updated: October 8, 2020 (11 months ago)

Interim Director of Quality, Risk & Patient Safety | BSN, RN (Multi-State), CPHQ
Immediately
Leadership & Acute Care Experienced

A high-performing patient-focused healthcare leader with expertise in Quality, Risk, Patient Safety, Accreditation, and Regulatory Standards. She excels in implementing all phases of effective performance improvement programs with a proven ability to identify potential risks while ensuring compliance with TJC, CMS, and other regulatory agencies. She provides ongoing analysis and evaluation for risk management programs, creating and implementing processes for organization-wide reporting for quality/patient safety metrics. Specializing in redesigning policy and procedure work processes, she establishes plans to improve overall patient safety and quality of care.

References & Reviews

• “She is just phenomenal! She has very good organizational skills; she’s able to identify issues and the best resolutions quickly.”
• “She supports the entire team, and everyone looks to her as a resource they can trust.”
• “She did an amazing job on our grievance process. She reformulated the structure, implemented new processes, and then communicated the updates throughout the organization.”
• “She has a great knowledge base, solid skillset and an excellent ability to lead teams to improve quality and reduce risks.”
• “She led the hospital through successful surveys; she just has an excellent ability to lead and effect change.”
• “She is one of the best people and directors I have ever worked with!”

• Performance Improvement
• Process & Root Cause Analysis
• Problem Solving
• Cross-Functional Team Leadership
• Program/Project Management
• Regulatory Compliance
• Revenue Integrity
• Advanced Primary Stroke, Total Joint and Chest Pain Certifications
• TJC & CMS

Resume Content

Title:

Interim Director of Quality, Risk & Patient Safety | BSN, RN (Multi-State), CPHQ

Date Available:

Currently Available

Summary:

Leadership & Acute Care Experienced

A high-performing patient-focused healthcare leader with expertise in Quality, Risk, Patient Safety, Accreditation, and Regulatory Standards. She excels in implementing all phases of effective performance improvement programs with a proven ability to identify potential risks while ensuring compliance with TJC, CMS, and other regulatory agencies. She provides ongoing analysis and evaluation for risk management programs, creating and implementing processes for organization-wide reporting for quality/patient safety metrics. Specializing in redesigning policy and procedure work processes, she establishes plans to improve overall patient safety and quality of care.

References & Reviews

• “She is just phenomenal! She has very good organizational skills; she’s able to identify issues and the best resolutions quickly.”
• “She supports the entire team, and everyone looks to her as a resource they can trust.”
• “She did an amazing job on our grievance process. She reformulated the structure, implemented new processes, and then communicated the updates throughout the organization.”
• “She has a great knowledge base, solid skillset and an excellent ability to lead teams to improve quality and reduce risks.”
• “She led the hospital through successful surveys; she just has an excellent ability to lead and effect change.”
• “She is one of the best people and directors I have ever worked with!”

Qualifications & Achievements:

• Extensive experience in quality initiatives to include organizational reporting of quality/patient safety metrics
• Reformulated and implemented new processes for a grievance program
• Conducts ongoing analysis and evaluation of risk management programs
• Conducts patient safety round weekly, reporting finding to leadership
• Promotes Just Culture and educates staff on principles to ensure a culture of safety
• Provides leadership and oversight for accreditation and regulatory compliance
• Facilities certification and accreditation programs for Advanced Primary Stroke, Total Joint and Chest Pain
• Trains leaders on quality/patient safety dashboard, data analysis, and reporting
• Leads and promotes PI initiatives to reduce sepsis mortality, stroke door-to-needle time, overall mortality and complication rates
• Expertise in Root Cause Analysis, Failure Mode & Effects Analysis (FMEA)
• Thoroughly knowledgeable in TJC and CMS standards
• Oversees Medical Staff Services, Infection Prevention, and Employee Health Programs
• Skilled in the delivery of formal presentations to hospital committees, state, and community organizations

Expertise:

• Performance Improvement
• Process & Root Cause Analysis
• Problem Solving
• Cross-Functional Team Leadership
• Program/Project Management
• Regulatory Compliance
• Revenue Integrity
• Advanced Primary Stroke, Total Joint and Chest Pain Certifications
• TJC & CMS

Experience:

• Interim Risk and Patient Safety Leader | Cancer Care Center
• Director, Quality Services | 200+ Bed Acute Care Hospital
• Director, Quality, Risk, Patient Safety Officer | 50+ Bed Acute Care Hospital
• Senior Director, Quality & Risk Management | 100 Bed Acute Care Hospital

Education:

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

Contact Candidate

  • Featured Candidate Information Request Form







QUESTIONS?

Tap into our expansive national network of candidates. Contact one of our team to start your search, or use the ‘launch a custom search’ button below to give us details and we’ll reach out to you.

DIRECT HIRE OR INTERIM SERVICES

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."