Interim Quality & Accreditation Consultant | BSN, MBA, RN


Last Updated: August 31, 2020 (12 months ago)

Interim Quality & Accreditation Consultant | BSN, MBA, RN
Immediately
Galileo Search is representing a seasoned healthcare Consultant / Leader with expertise in Quality, Accreditation and Patient Safety. With 20+ years of hospital experience she holds an RN, BSN, and an MBA. She has a solid history of formulating and implementing innovative ideas and techniques to ensure attainment of Key Performance Indicators and continued progress for acute care hospital Quality programs.

Reference & Reviews

"[She] helped me implement environment of care rounding. She came in to us when we were in the process of addressing 85 action plans to meet survey readiness, it was a huge amount of work, and [she] was able to develop plans for improvement and work with all staff to implement improvements that brought us into compliance in all categories."

"[She] is a communicator and great at connecting with people. She is an active listener and invites opinions from the team, she is able to see the big picture and really focus the team on quality patient care. She's an educator and supports the team in implementing change. She is able to pull together teams from across the continuum to work together to get things done."

• Healthcare Quality
• Medical Staff
• Education
• Leapfrog and California QHIP
• Regulatory Survey

Resume Content

Title:

Interim Quality & Accreditation Consultant | BSN, MBA, RN

Date Available:

Currently Available

Summary:

Galileo Search is representing a seasoned healthcare Consultant / Leader with expertise in Quality, Accreditation and Patient Safety. With 20+ years of hospital experience she holds an RN, BSN, and an MBA. She has a solid history of formulating and implementing innovative ideas and techniques to ensure attainment of Key Performance Indicators and continued progress for acute care hospital Quality programs.

Reference & Reviews

"[She] helped me implement environment of care rounding. She came in to us when we were in the process of addressing 85 action plans to meet survey readiness, it was a huge amount of work, and [she] was able to develop plans for improvement and work with all staff to implement improvements that brought us into compliance in all categories."

"[She] is a communicator and great at connecting with people. She is an active listener and invites opinions from the team, she is able to see the big picture and really focus the team on quality patient care. She's an educator and supports the team in implementing change. She is able to pull together teams from across the continuum to work together to get things done."

Qualifications & Achievements:

• Interim Quality Manager for a CA acute care facility; 300+ beds
• Administered Patient Safety, Patient Satisfaction, Patient Flow, and Readmission Programs
• Successfully passed regulatory reviews from TJC, CMS, CDPH
• Presented reports to Corporate Quality Committee with improvements in all areas
• Prepared evidence for Leapfrog and California QHIP
• Prepared Safety Culture Survey for Hospital
• Revised policies for Risk and Quality department
• Additional CA experience as an Interim Quality Project Manager for a 450+ bed acute care facility
• Administered Emergency Management drills, facility, and community
• RCA, FMEA, A3, Magnet Presentations, Board/Committee Reports
• Quality Review meetings, peer review facilitation, and documentation
• Administered Risk Management reports and Falls Program
• Revitalized Infection Prevention Program for Survey Review
• Transformed Infection Prevention data management to spreadsheets
• Experienced in the oversight & coordination of compliance efforts with regulatory bodies, licensing agencies, & accreditation organizations such as The Joint Commission, Centers for Medicare & Medicaid Services (CMS), and State licensing authorities (CDPH)

Expertise:

• Healthcare Quality
• Medical Staff
• Education
• Leapfrog and California QHIP
• Regulatory Survey

Experience:

Quality Manager with a CA acute care facility

Education:

• BSN
• MBA
• RN (Compact)

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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."