Sony Abraham

Experience

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  Northwell Health

  Jul 2015 - Sept 2022

  •Achieved accreditation from the National Committee of Quality Assurance (NCQA) Patient Centered Medical Home (PCMH) for regulatory compliance across a multispecialty ambulatory group for 2021- 2022.•Achieved Diabetes Recognition Program (DRP) accreditation from NCQA for a multispecialty ambulatory site for 2022-2025.•Oversee abstraction and analysis of ASCO Quality Oncology Practice Initiative (QOPI®) Certified Practices requirements for oral chemo consent to meet compliance standards for the Monter Cancer Center. Workflow changes have been implemented and education provided. Preliminary results demonstrate a 10% improvement in accurate documentation of informed/signed consent.•Led a Falls Taskforce across the entirety of the ambulatory division of Northwell Health. Created a charter for fall risk events, Falls Tableau Dashboard, falls rate methodology, and presented findings and risk mitigation strategies to executive leadership. •Created and presented reports of near miss and occurrence data for the entirety of the ambulatory division of Northwell Health (e.g. trends, severity, location, type of event, etc.).•Collaborating with the executive and service line stakeholders to achieve Antibiotic Stewardship across the Pediatric and Medicine service lines.•Format and compile regulatory annual and quarterly reports for executive leadership review, including quality assurance findings.•Serve as a facilitator and educator for performance/process improvement (PI) to ensure best practice of care. Utilizing lean practices (i.e. FMEA, Process Mapping, Swimlane, Gantt Chart).•Assessed and provided recommendations for quality assurance (layout design, screening protocol) at Northwell Health’s Stars Rehabilitation and Medicine sites for proper Covid-19 practices. •Selected as an Emerging Leader in Northwell Health and inducted into a Diversity & Inclusion Mentorship Program under the supervision of executive leadership. Show less •In collaboration with the Institute for Healthcare Improvement (IHI) and Northwell Health’s strategic plan to become a High Reliability Organization, actively working on a pilot initiative to implement a safety culture across the medical oncology service line to be disseminated across 500+ ambulatory sites. Utilizing lean and six sigma methodologies.•Under Mather Hospital, alongside the Director of Chemical Dependency Clinic, working to increase rate of treatment goals achieved at discharge for patients affected by chemical dependency utilizing OASAS data.•Collaborating with the Diversity and Health Equity Center to identify population health gaps across the ambulatory system and future expansion into hospitals for LGBTQIA+ patients.•Achieved certification for Patient Centered Medical Home (PCMH) accreditation for regulatory compliance across a multispecialty ambulatory group for 2019-2020.•Achieved Diabetes Recognition Program (DRP) accreditation from the National Committee of Quality Assurance (NCQA) for a multispecialty ambulatory site for 2018-2021.•Assessed and provided recommendations for quality assurance (layout design, screening protocol) at Northwell Health’s Cohen’s Pediatric site due to increase in highly infectious exposures. Show less • Led Northwell Health’s strategic plan to increase resource room utilization across Long Island Jewish Medical Center (main operating rooms), North Shore University Hospital (main operating rooms) and each of their respected ambulatory sites. In order to maximize clinician utilization and increase patient access. • Developing a revised compensation model for clinician base due to unsustainable reimbursement rates of Medicare as a strategic plan to move from fee-for-service model to a value based model. • Reduced bottlenecks by 37% in process cycle time when admitting patients, which has decreased delays and increased satisfaction scores.• Applying forecasting measures/time studies, developed new provider templates to optimize utilization and increase patient access. Thus increasing patient volume by 10% and revenue base by 11% accounting to over $1,770,000.00.• Reduced eligibility/coordination of benefits denial rate from 2.62% to 1.58% from 2015- 2017 which is equivalent to a projected savings of $955,474.00 through the use of reporting, training, and creation of centralized insurance grid integrated across nineteen locations. This was achieved regardless of a volume (of charges billed) increase equivalent to 31.5% from 2015-2017. • Create project work plans, outlining scope, milestones, implementation issues, risks and budgets.• Evaluate processes for operational efficiency, financial reimbursement and compliance with financial regulations, as appropriate.• Identify workflow breakdowns; develops and implements corrective action.• Communicates with department and project teams regarding implementation activities and system changes to ensure feasibility.• Co-managed a team of ten individuals to maintain best practice of care for patients. Show less • Created and completed operational projects that perform cost-saving improvements, reduction in insurance denials (through implementation of centralized insurance grid), and efficiency in provider schedules (maximized provider schedules and volume output through template revisions using forecasting measures).• Implemented projects that reduce patient wait times (through the use of time studies), increased capacity, improved processes, optimized staff/clinicians and increased both patient and employee satisfaction.• Created workshops, process instruction handbooks, and electronic guides for eleven locations including a patient scheduling call center to maximize efficiency and standardization.• Served as a facilitator and educator for quality improvement to ensure best practice of care for patients.• Established working relationships with physician leaders, senior administrator, administrative/practice managers, and administrative staff in order to implement all necessary improvements and modifications.• Managed the continuous improvement of, The Smith Institute for Urology. 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  • Senior Quality Improvement Specialist

    Nov 2020 - Sept 2022

  • Senior Coordinator, Performance Improvement

    Oct 2018 - Nov 2020

  • Project Manager

    Jul 2017 - Oct 2018

  • Research Scholar

    Jul 2015 - Jun 2017
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  BetMGM

  Sept 2022 - now

  Process Improvement Manager, Technology Ops USA