Terri Nakasone

Experience

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  Kaiser Permanente

  Jun 2005 - Dec 2014

  Registered Nurse

  TELEMETRY INPATIENT STAFF NURSE (2013-2014)Direct hands-on nursing care of complex cardiac care patients.CHARGE NURSE AMBULATORY PRIMARY CARE CLINIC (2005-2013)Responsible for day-to-day operations for a large clinic and directly supervised 18 primary care providers and 29 nurses.Scheduling, billing, coding, quality, and safety management in alignment with organizational goals and objectives. Coordinated staffing, orientation, and new initiatives. Multiple process improvement projects resulting in improved clinical outcomes, staff efficiency and satisfaction, and reduction in adverse risk events.Handled customer complaints, managed resolution, or escalation to management as appropriated.On-call for operations 24/7.Provided hands-on RN care - telephone advice, acute care, and chronic disease case management. Show less

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  Hawaii Permanente Medical Group

  Aug 2015 - Dec 2019

  RN Informatics and Quality Improvement Consultant

  Nursing informaticist with recognized skills and promoted to a specialized team with the purpose of focusing on high priority risk and cost projects. Successful completion of multiple small to large scale projects utilizing nursing, informatics, IT, and Epic skills which resulted in improved efficiency, decreased health care costs, improved patient quality and outcomes, and lowered organizational risk. Received multiple year and end of project bonuses in recognition of project work.SOCIETY OF THORACIC SURGEONS (STS) PROGRAM MANAGEMENTHelped lead the successful move from health plan to HPMG services. Created workflow and clinical documentation standardization in alignment with STS national standards.Developed innovative Clarity extraction report by mapping STS data points and development of smartphrase data markers. Worked collaborativey with surgical group to create standardized pre and post surgical smartphrases to improve efficiency and data abstraction accuracy.Efforts led to an improvement in reporting consistency, centralized abstraction responsibility, and innovative tools to track and submit STS outcomes.SOCIAL WELLBEINGS’ IMPACT TO CARE & HEALTH PROGRAMDevelopment of an innovative Clarity report and web-based tool that extracted Epic data and displayed a patient’s demographic information, health data, and care plan in a web-based platform which was linked through Hyperspace. Worked with SQL and web developers to define report specs, mapped data, validated, and coordinated UAT.PRESCRIPTION DRUG MONITORING PROGRAMWorked with IT, Epic vendor, physician, and clinicians to meet Hawaii State PDMP controlled drug monitoring and reporting requirements.Led project work, provided leadership updates, led team meetings, identified needs and provided solutions, and assisted with training information. Served as post-go live triage and resource. Successfully implemented and met state mandated requirements. Show less

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  Kupuna Care Connection

  Dec 2019 - now

  Healthcare Navigator and Health Informatics Specialist

  Nursing navigator, per diem work, assisting with triage, evaluation, coordination, and long-term placement for patients. Informatics consultant working to create software solutions to improve efficiency, communication, and decrease costs.CARE HOME, FOSTER HOME, REFERRAL TRACKER APPLICATIONCreated Care Home and Foster Home AppSheet and Google Sheets database of over 1,000 caregivers. Created Referral Tracker AppSheets application that allowed supervisors to create new cases, auto-text staff information, confirm assignments, document information, and close/bill cases. CAREGIVER APPLICATION WEBSITEUtilizing Squarespace, G-Suite, and Google Sheets – created a web page that allowed caregivers to submit facility details, review contract, and sign electronically. Show less

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  Pali Momi Medical Ctr

  Jul 2020 - Jan 2022

  Clinical Systems Trainer RN

  Nurse informaticist recognized proficiency in health informatics and clinical education. Assisted with multiple high profile inpatient projects and regulatory and risk support needs. Received Most Valuable Team Player awarded 2022 in recognition of the Covid response and daily team contributions.COVID RESPONSE EFFORTCo-led the large-scale effort to create a Covid Vaccination clinic.Responsible for implementation of the Vaccine Administration Management System and creation of supporting Reporting Workbench Reports.Assisted in validation, adoption, and maintenance of Covid Executive and Hospital Dashboard.Informatics Liaison between IT and executive leadership providing IT status updates and communicating needs.Covid Testing Center Workflow Improvement: led the effort which implemented creative Epic documentation tools, improved patient throughput, faxed order confirmation, and overall staff satisfaction and reduced overtime hour costs.NIHON KHODEN CARDIAC MONITOR REPLACEMENTWorked collaboratively with Nihon Khoden, educators, hospital leadership, and IT to deploy monitoring devices and central monitoring station for 5 nursing units.Assisted in testing device integration, Wi-Fi mapping, and staff training. Also provided go-live support for clinical staff and IT teams to ensure data integration. As well as post-implementation on-site support for integration issues and follow-up training needs.EDUCATION and TRAININGAll new IT implementation and Epic upgrade: responsible for clinical support, preparing educational documents, pre-go-live communication, rounding at go-lives, and follow-up education.REGULATORY, QUALITY, and RISK ANALYSIS ACTIVITIESParticipation in inspection, root cause analysis, proposed IT solutions, assisted in translating clinical needs to IT staff. Show less

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  Hawaii Pacific Health

  Jan 2022 - now

  Epic analyst with strong technical skills, creative problem-solving, demonstrates inclusive leadership, proficient in investigation, implementation, and maintenance of Epic software systems for ASAP, IP ClinDoc, Stork, Beacon, and Order inpatient applications. Part of a small analyst team servicing four hospitals: Pali Momi Medical Center, Straub Hospital and Clinic, Kapiolani Medical Center for Women and Children, and Wilcox Memorial Hospital.EPIC ANALYST and PROJECT MANAGEMENTSocial Determinants of Health 2023Supply Sticker to Barcode ConversionPediatric Cardiac Cath Lab OrdersetOB Manager Dashboard and Delivery Summary Report RefreshPhase of Care OB OrdersetCHANGE REQUESTS and ON CALL 24/7 ROTATIONResponsible for large volume of inpatient change requests – intake, clinical to technical translation and collaboration, investigation, provides evidenced based research and recommendation, build, stakeholder communication, documentation, and composing education material focusing on improving efficiency and standardization.Inpatient issues—high volume triage, assignment to or collaboration with other teams or outside vendors, problem investigation, resolution, and documentation.All access requests—responsible for review and assignment of linkable and subtemplates, security classes, inbasket assignments, user roles, and coding and billing assignments.MAINTENANCE, REFUEL, and UPDATESRotating lead responsibility for upgrades, including Hyperdrive migration. Epic support for IT security upgrades and downtime events by validating applications and immediate troubleshooting.3rd party vendor updates and support.Epic maintenance and refuel responsibilities. REPORTING and ANALYTICSExpertise in Reporting Workbench, SlicerDicer, and Radar.Proficient in data analysis, validation, and summary.Clinical consultant and validator for clarity reports. Show less

  • ACS Pediatric NSQIP Quality and Clinical Data Abstractor

    Mar 2024 - now

  • Certified Epic ClinDoc/ASAP/Stork/Cogito Business Systems Analyst

    Jan 2022 - Mar 2024