Interim Director of Quality & Accreditation | DNP, RN, CPHQ


Last Updated: December 3, 2019 (12 months ago)

Interim Director of Quality & Accreditation | DNP, RN, CPHQ
Immediately
Leadership & Acute Care Experienced

A highly accomplished healthcare leader with over 30 years of clinical experience;16 years of Director level quality experience. Specialties include designing quality & patient safety initiatives, reducing risk exposure, evaluating & improving regulatory compliance, and implementing policy & reform initiatives. Strengths include implementing patient safety initiatives to reduce occurrences, improving core measure performance, and initiating continuous readiness activities.

References & Reviews

• “She is great at minimizing risk for the organization; There were times when the organization could have been vulnerable, and she helped mitigate the vulnerability, saving substantial money for the organization.”
• “She is very good at relationship development and that helps her to obtain buy-in from all levels”
• “She put together an entire department dealing with hospital quality measurements that spanned over 267 hospitals; She created requirements, set goals, developed measurement techniques and managed implementation system wide, all without having to hire additional staff.”
• “She has an amazing knowledge base as far as quality is concerned, she is very good at providing explanations, the hardest part of quality is getting buy in, and she is able to get much better levels of cooperation due to her ability to explain the 'why'.”

• Risk Forecasting & Assessment
• Core Measure Improvement
• Cost Benefit Analysis
• Medicare Deficiency Surveys
• Quality Compliant Investigations
• Extension of Service Surveys
• Intra Cycle Monitoring Reviews

Resume Content

Title:

Interim Director of Quality & Accreditation | DNP, RN, CPHQ

Date Available:

Currently Available

Summary:

Leadership & Acute Care Experienced

A highly accomplished healthcare leader with over 30 years of clinical experience;16 years of Director level quality experience. Specialties include designing quality & patient safety initiatives, reducing risk exposure, evaluating & improving regulatory compliance, and implementing policy & reform initiatives. Strengths include implementing patient safety initiatives to reduce occurrences, improving core measure performance, and initiating continuous readiness activities.

References & Reviews

• “She is great at minimizing risk for the organization; There were times when the organization could have been vulnerable, and she helped mitigate the vulnerability, saving substantial money for the organization.”
• “She is very good at relationship development and that helps her to obtain buy-in from all levels”
• “She put together an entire department dealing with hospital quality measurements that spanned over 267 hospitals; She created requirements, set goals, developed measurement techniques and managed implementation system wide, all without having to hire additional staff.”
• “She has an amazing knowledge base as far as quality is concerned, she is very good at providing explanations, the hardest part of quality is getting buy in, and she is able to get much better levels of cooperation due to her ability to explain the 'why'.”

Qualifications & Achievements:

• Ensures the progression of plan of corrections submitted to CMS following the self-reporting of a sentinel event in the ED
• Subject matter expert for psychiatric and emergency department service lines
• Provides leadership and expertise in the areas of regulatory compliance, accreditation readiness, operations, and emergency management
• Organized, trained, and directed corporate-based survey readiness teams in mock surveys of hospitals, ASCs, free standing EDs, and imaging centers
• Formulated standards of care and position of control system to improve quality of nursing services
• Instructed, coordinated, and oversaw the implementation of corrective action in one facility during the absence of its Quality Director, resulting in the best survey results since the hospital opened over 40 years ago
• Performed root cause analysis and failure mode effect analysis for all sentinel and near-sentinel events
• Brings a strong combination of accreditation and quality management experience with the ability to perform patient and policy reviews, and auditing
• Exceptional communication skills with the ability to be interact and collaborate successfully with senior leadership, physicians, clinical teams and department managers
• Self-driven, detail oriented and energetic professional who is committed to the quality and patient care

Expertise:

• Risk Forecasting & Assessment
• Core Measure Improvement
• Cost Benefit Analysis
• Medicare Deficiency Surveys
• Quality Compliant Investigations
• Extension of Service Surveys
• Intra Cycle Monitoring Reviews

Experience:

• Interim Director of Quality, Safety & Reliability | 100+ Bed Acute Care Hospital | 6 FTEs
• Interim Quality, Risk and Regulatory Director | 200+ Bed Acute Care Hospital | 5 FTEs
• Interim Policies and Procedures Review Consultant | 100+ Bed Acute Care Hospital
• Interim Director of Quality | 300+ Bed Acute Care Hospital | 10 FTEs

Education:

• Doctor of Nursing Practice (DNP)
• Registered Nurse (RN)
• Certified Professional in Infection Control (CIC)

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."