Experience

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  Marion community (st. joseph) hospital

  Jan 1986 - Jan 1989

  Perinatal staff nurse

   Provided direct patient care to labor and delivery, postpartum, and nursery patients.

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  Mercy hospital

  Jan 1986 - Jan 1986

  Float team staff nurse

   Provided direct patient care to a variety of medical and surgical patients.

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  Barrett hospital & healthcare

  Jan 1989 - Jan 1998

   Responsible for patient care services in Medical/Cardiac Intensive Care Unit, Emergency Department, and Perinatal Units. Developed and implemented policies and procedures and competency validation programs for all areas; redesigned ED for renovation. Provided clinical information support during start up and implementation of an electronic medical record, building templates, creating training manuals, and troubleshooting issues. Advanced Cardiac Life Support Instructor (1991-2008); Pediatric Advanced Life Support Instructor (1995-2001); Neonatal Resuscitation Program Instructor (1989-1999); Basic Life Support Instructor (1997-2008); Emergency Nursing Pediatric Course, Trauma Education for Rural Nurses, and Advanced Trauma Life Support course completion. Managed 20 FTE RNs. Show less  Responsible for day to day operations in the OB/Nursery Units while providing house supervision and direct patient care in all areas of acute care including Emergency, Critical Care, Medical, Surgical, and Perinatal. Designed and implemented Childbirth Education Classes, Postpartum Home Visit Program, and Lactation Education Program resulting in decreased c-section rate, improved patient satisfaction, and dramatically improved breastfeeding rates. Redesigned labor and delivery rooms and nursery for renovation into family-centered LDRPs. Recipient of 1990 Employee of the Year Award Show less

  • Director of Specialty Nursing Units

    Jan 1996 - Jan 1998

  • Obstetrics/Nursery Supervisor and Charge Nurse

    Jan 1989 - Jan 1996
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  Barrett hospital & healthcare

  Apr 1998 - now

  Member of the Senior Leadership Team, work in collaboration with the CEO, CFO, CCO, COO, CMO, and Governing Board. Responsible for organization-wide quality improvement including data analytics and LEAN program, customer experience, risk management, corporate compliance, HIPAA compliance, medical staff services, infection prevention, marketing, and health informatics. Oversee a comprehensive, organization-wide patient safety/ quality/ performance improvement/ customer experience program using data analytics, LEAN healthcare methodologies, and just culture principles to achieve a culture of safety, optimize performance and patient experience, and eliminate waste. Maintain a risk management program designed to identify, assess, prevent, and control risk and losses arising from clinical and business operations including quality and safety of patient care; medical record documentation; policy, procedure, and contract management; professional credentialing; employment practices; worker safety; Critical Access Hospital (including Provider-based Clinic), Hospice, and Home Health licensure and certification; regulatory compliance; business ventures; advertising; risk financing; and claims and litigation management.  Maintain a corporate compliance program centered on high professional and ethical standards in concert with federal, state, and local regulations. Maintain the medical staff services infrastructure for the hospital medical staff including bylaws, rules & regulations, professional practice evaluation process, and credentialing and privileging process. Oversee the hospital infection prevention, marketing, and healthcare informatics functions. Manage 7 direct reports. Show less  Member of the Senior Leadership Team, work in collaboration with the CEO, CFO, CCO, HR Director, Provider Services Director, Chief of Staff, and Governing Board. Responsible for organization-wide quality improvement, risk management, corporate compliance, medical staff services, infection prevention, utilization review, and discharge planning. Developed and implemented a comprehensive, organization-wide patient safety/ quality/ performance improvement program; continuing to evolve from a PI program to a culture of safety. Established and implemented a risk management program designed to identify, assess, prevent, and control risk and losses arising from clinical and business operations including quality and safety of patient care; medical record documentation; policy, procedure, and contract management; professional credentialing; employment practices; worker safety; Critical Access Hospital, Hospice, and Home Health licensure and certification; regulatory compliance; business ventures; advertising; risk financing; and claims and litigation management.  Established and implemented a corporate compliance program centered on high professional and ethical standards in concert with federal, state, and local regulations. Developed and implemented the medical staff services infrastructure for the hospital medical staff, professional practice evaluation process, and credentialing and privileging process. Revised/ rewrote the medical staff bylaws and rules and regulations. Developed and provide oversight for the hospital infection prevention, utilization review, and discharge planning functions. Manage 6 direct reports. Played a key role in the design and building of a new hospital facility, move completed 6/21/12; Played a key role in the research, decision-making, and preparation for transition to a new hospital information system and electronic medical record; “go-live” 3/8/14. Show less

  • Chief Quality & Compliance Officer

    Jul 2018 - now

  • Quality-Risk Director/ Compliance-Privacy Officer

    Apr 1998 - now