Interim Quality & Patient Safety Leadership Consultant | RN (Multi-State), MSN, CPHQ | TJC and DNV Experience


Last Updated: September 22, 2020 (11 months ago)

Interim Quality & Patient Safety Leadership Consultant | RN (Multi-State), MSN, CPHQ | TJC and DNV Experience
Immediately
A patient-focused, highly-experienced quality and patient safety leader with proven expertise in directing cross-functional teams, determining regulatory and patient safety opportunities, and improving safety culture and patient outcomes. She is skilled at fostering productive relationships with all levels of the Healthcare team to improve process efficiencies while executing a safe and effective strategy. With a solid history of formulating and implementing innovative ideas and techniques to ensure attainment of Key Performance Indicators and continued progress, our candidate possesses demonstrated strengths in conducting quality control activities and ensuring compliance with TJC, CMS, and state accrediting bodies.

References & Reviews

• “She really knows her subject matter; her expertise allows her to provide spontaneous contributions to the discussion. She has a passion for what she does and sees the purpose in driving quality outcomes. She's able to communicate inspiration and guidance.”
• “She communicates the importance of actions or change well and is able to outline exactly why something needs to be done and always brings the focus back to patient care. She's a mentor, a collaborator, and she's excellent in change management.”
• “She was able to take a broken quality council and quality department, identify the changes that needed to be made, she developed and implemented updated policies and procedures, she built an effective team, and she really did a lot of heavy lifting to get the quality department straightened out, and she did an amazing job of it!”
• “She took over a team that was quite fractured; she was able to build them back into a cohesive unit through communication, mentoring, education, providing clear expectations and providing support to the team, she really turned them around in an amazing way!”
• “She is a combination of several different styles, she is able to pull people together and invites input to work through issues, she is a mentor and educator, she builds excellent teams, and really she is able to identify the best style to fit any particular situation.”

• Cost Containment & Material Management
• Risk Identification & Mitigation
• Organizational Re-Engineering
• Program Administration
• Project Coordination
• Productivity Improvement
• Strategic Planning & Analysis
• Staff Training & Leadership
• Health & Safety Standards
• Clinical Excellence

Resume Content

Title:

Interim Quality & Patient Safety Leadership Consultant | RN (Multi-State), MSN, CPHQ | TJC and DNV Experience

Date Available:

Currently Available

Summary:

A patient-focused, highly-experienced quality and patient safety leader with proven expertise in directing cross-functional teams, determining regulatory and patient safety opportunities, and improving safety culture and patient outcomes. She is skilled at fostering productive relationships with all levels of the Healthcare team to improve process efficiencies while executing a safe and effective strategy. With a solid history of formulating and implementing innovative ideas and techniques to ensure attainment of Key Performance Indicators and continued progress, our candidate possesses demonstrated strengths in conducting quality control activities and ensuring compliance with TJC, CMS, and state accrediting bodies.

References & Reviews

• “She really knows her subject matter; her expertise allows her to provide spontaneous contributions to the discussion. She has a passion for what she does and sees the purpose in driving quality outcomes. She's able to communicate inspiration and guidance.”
• “She communicates the importance of actions or change well and is able to outline exactly why something needs to be done and always brings the focus back to patient care. She's a mentor, a collaborator, and she's excellent in change management.”
• “She was able to take a broken quality council and quality department, identify the changes that needed to be made, she developed and implemented updated policies and procedures, she built an effective team, and she really did a lot of heavy lifting to get the quality department straightened out, and she did an amazing job of it!”
• “She took over a team that was quite fractured; she was able to build them back into a cohesive unit through communication, mentoring, education, providing clear expectations and providing support to the team, she really turned them around in an amazing way!”
• “She is a combination of several different styles, she is able to pull people together and invites input to work through issues, she is a mentor and educator, she builds excellent teams, and really she is able to identify the best style to fit any particular situation.”

Qualifications & Achievements:

• Exceeds TJC and DNV regulatory, state, and federal requirements by steering the best facility efforts. Leads complete policy and procedure overhaul
• Conducted primary stroke reaccreditation and lab surveys, managing medical staff peer review, OPPE, and FPPE procedures
• Accomplished bottom-line results by administrating infection control program for surveillance prevention, data analysis, and reporting, control of infections within the hospital. Strengthened organizational integrity through reduction of Hospital-acquired CAUTI, CLABSI, and C-diff and falls with and without injury
• Employed targeted solutions tool (TJC) for hand hygiene compliance. Attained set targets by delivering leadership education series regarding culture, change management and RCA2
• Guided and mentored leaders on regulatory rules and regulations for safe outcomes and compliance
• Directed clinical teams to deliver evidence-based care and promote improved outcomes
• Identified and capitalized improvement opportunities as well as used Lean methodologies including Kaizen, process mapping, and Root Cause Analysis
• Attained clinical outcomes of all surgical and procedural related areas such as CVOR, OR, Cath lab, endoscopy, interventional radiology, sterile processing, and ambulatory surgical center
• Creative problem solver and leader, adept at managing projects and people while effectively providing support and promoting a cohesive team environment
• A hands-on contributor who leads by influence and inspiration; achieves targets and is devoted to the cause of developing others and leading change

Expertise:

• Cost Containment & Material Management
• Risk Identification & Mitigation
• Organizational Re-Engineering
• Program Administration
• Project Coordination
• Productivity Improvement
• Strategic Planning & Analysis
• Staff Training & Leadership
• Health & Safety Standards
• Clinical Excellence

Experience:

• Interim Director of Quality | 400 Bed Acute Care Hospital | TJC Accredited
• Director of Quality / Chief Quality Officer | 400 Bed Acute Care Hospital | TJC Accredited
• Director of Nursing, Quality Outcomes | 300 Bed Level III Trauma Center / Teaching Hospital | DNV Accredited
• Director of Clinical Outcomes | 700+ Bed Level II Trauma Center / Teaching Hospital | TJC Accredited

Education:

• Master of Science in Nursing (MSN)
• Registered Nurse (RN) – Multi-State
• 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."