
Timeline
About me
Healthcare Quality, Compliance & Risk Management Executive | Certified in Healthcare Compliance | Accreditation Leader
Education

New england college
-Masters of science in management healthcare administration
University of new england
-Bachelors of arts psychology and social relations. minor in business administration
Experience

Nexus inc.
Aug 1995 - Aug 1997Case manager/counselor
Tri-county mental health services
Jan 1996 - Jan 2004Program Coordinator (Housing Unit)
Jan 1999 - Jan 2004Program Coordinator - Acting Manager (Crisis Unit)
Jan 1998 - Jan 1999Children's Crisis Worker (Children's Services)
Jan 1996 - Jan 1998

Elderly housing development & operations corporation
Jan 2004 - Jan 2006ManagerAbout the company: Nationwide provider of safe, secure, and affordable housing for senior citizens with 56 affordable senior housing communities.I joined EHDOC to manage all aspects of operations for two housing properties in South Boston and Charlestown, MA. This work included overseeing $25 million in physical plan assets and leading the program team in addition to renovation projects and program leadership. I also managed all financial transactions related to leasing, operations, contract administration, and budget development.DELIVERED RESULTS:► Improved the level of service for tenants by bringing in translators for underserved populations for the first time in 10+ years to better meet individual needs. Show less

Mainehealth
Apr 2006 - nowAbout the company: Statewide mental health organization providing care for 300K inpatient and ambulatory visits annually across 38 locations. Maine Behavioral Healthcare was acquired by MaineHealth in late 2019. Today, I lead a four-person team driving excellence across risk management, patient safety, quality improvement, regulatory compliance, accreditation, litigation support, and public data reporting on patient safety and patient experience.I also serve as the:► Corporate compliance officer (CCO) for MBH► Risk manager for Spring Harbor Hospital► Patient safety officer for Spring Harbor HospitalFor nearly two years of my tenure in this role, I have acted as the functional VP for the Quality Department by assuming additional responsibilities and reporting directly to C-level leadership including the CMO and CNO. KEY ACHIEVEMENTS:► Elevating quality management team engagement and experiencing near-zero employee turnover. ► Driving licensing and accreditation for the hospital, nine residential facilities, 20+ community-based mental health locations, and several substance use treatment locations by liaising with The Joint Commission (TJC) and DHHS.► Achieving 41.5% lower citations (RFIs) by TJC than the national average and zero conditional-level findings during our 2018 accreditation visit. ► Launching the first-ever AHRQ Culture of Safety Survey for ambulatory services to measure quality and foster continuous improvement for our community-focused services.► Leading all MBH-related functions to launch an electronic incident reporting system across MaineHealth. ► Decreased the time to complete conflict of interest reporting from eight months to just 30 days.Committee Memberships Include:►Chair of the MBH Corporate Compliance Committee►Member of the MBH Board of Trustees Behavioral Health Advisory Board►Member of the MBH Board of Trustees Quality Excellence Committee►Member of the MaineHealth Quality and Safety Operations Team Show less I initially joined MBH to serve as the primary contact for patients and families with grievances and concerns related to Spring Harbor Hospital (SHH) and the Department of Psychiatry for Maine Medical Center (MMC). In this role, I maintained compliance with regulatory and accreditation requirements for The Joint Commission and collaborated with DHHS for on-site investigations. I also:► Led investigations and prepared formal responses regarding patient and family grievances.► Served as the subject matter expert for senior leaders and the Legal Department and delivered presentations and training for community groups and clinical/non-clinical hospital staff on patient’s rights, regulations, and laws related to behavioral health.► Mitigated the hospital’s risk exposure by researching risk-related incidents to identify opportunities for improvement and compliance across operations and policies.During this time, I earned recognition by the legal department / corporate counsel for decreasing the number of grievances that escalated to Level III appeal or litigation through excellence in proactive service delivery. Committee Memberships:► Patient Rights Committee chair► MBH Board of Trustees Behavioral Health Advisory board member► SHH Ethics Committee member► SHH Safety Committee member► MMC Grievance Committee member ► MMC Emergency Department Clinical Services Committee member Show less
Director of Risk Management & Compliance - Maine Behavioral Healthcare
Jul 2017 - nowPatient Rights Liaison, Spring Harbor Hospital (Now part of MaineHealth System)
Apr 2006 - Jul 2017
Licenses & Certifications
%C2%AE.webp)
Certified in healthcare compliance (chc)
Compliance certification board (ccb)®
Volunteer Experience
President, Board of Directors
Issued by Amistad, Inc. on Aug 2015
Associated with Russell Thayer, MSM, CHCMember, Protection & Advocacy for Individuals with Mental Illness Advisory Council
Issued by Disability Rights Maine on Jan 2007
Associated with Russell Thayer, MSM, CHC
Recommendations

Rie sterregaard-feltsen
Senior Director, Head of External Innovation Contracting, Global Business DevelopmentDenmark
Lisa huang
Sales Director at Shenzhen China Kyle Special Steel.Co.,LtdChina
Sriram yerra
Machine Learning Intern @ ITSPE | Ex-SWE Intern @Sansid Technology | AWS CPP | Oracle Java SE | IEEE...Bhimavaram, Andhra Pradesh, India
William zurita yong
Gastropediatra Grupo Hospitalario KennedyGuayaquil, Guayas, Ecuador
Aswini r.
Lead Cloud Engineer in Customer Digital Experience Tribe at ANZMelbourne, Victoria, Australia
Ankit kumar sinha
PhD | Mass Communication | Content Creator | WeebJharkhand, India
Brittany grant-rice
Certified Medical Assistant at True You MedicalLos Angeles Metropolitan Area
Petter bru
Senior Project Manager at Arribatec Business ServicesBrumunddal, Innlandet, Norway
Wilmar john paul de leon, rce
Licensed Civil Engineer | Resident Engineer | Technical SpeakerMetro Manila, National Capital Region, Philippines
Gábor száraz
Verification Engineer at EricssonBudapest, Budapest, Hungary
Cpa osman hassan ibrahim, ogw,hsc
Director Finance-Independent Electoral and Boundaries CommissionNairobi County, Kenya
Denis vinicius tavares
Automation Engineer | Project Engineer | Project Manager | Painting line maintenance supervisorJoão Pessoa, Paraíba, Brazil
Beau brilhante
Construction Project Manager IWilmington, North Carolina, United States
Starlet strother
Corporate Travel & Event Architect | Empowering Organizations & Communities with Flawless Event Exec...Tucson, Arizona, United States
Oluwagbenga ati
M.Sc Human Resource Management at University of Central Lancashire Business School PrestonLiverpool, England, United Kingdom
Swapnil survase
Serving NP | DevOps/SRE |3x RedHat Certification | Kubernetes | OpenShift | AWS | Docker | Ansible |...India
Plamen petkov
Assistant Lecturer at Technological University DublinDublin, County Dublin, Ireland
Geoffrey shun
Senior Business Development Executive at Iskandar Malaysia StudiosSkudai, Johore, Malaysia
Steven keen
Regional Training Manager Danforth CareGreater Preston Area
Rashid abbasi
HR at Drake&Scull Oil&gas DivisionIraq
...