Amber Carroll, Lpn Email and Phone Number

•MIPS/MACRA program lead•Use project management skills to develop project plan and timeline for quality improvement activities; and establishing metrics and milestones effectively track deliverables•Developed and Implemented telehealth technology solutions, trains/supports patients, families and team members, and provides technical assistance.•Identify the opportunity in various pay for quality or pay for performance program and manage the operational roll out and track the program’s success throughout the year.•Conducts audits to ensure compliance with organizational policies and procedures as they relate to patient safety, risk management and clinical best practices•Engage with outside 3rd party entities to develop and integrate project deliverables.•Engage the collaborating providers and their office staff in care delivery redesign. Facilitate focus groups, meetings, designed to plan and prepare for, and ultimately implement recommended solutions.•Assist the practice in enhancing existing technologies or adopting new technologies to achieve desired outcomes.•Reviews essential and non-essential documents from sites to ensure all required documents are accurate and complete.•Acts as primary in-house contact for Virtua Preferred Partner Program, CareSense.•Clinical and clerical practice workflow optimization and development.•Assists project teams with selective aspects of trial management from startup to close-out on one or more projects.•Develop training programs, facilitate implementation of appropriate change management initiatives, and review existing and evolving development programs to ensure adherence.

• Developed/ created touch points for our BPCI pts throughout the care continuum to engage the patient and prevent avoidable readmissions.• Engage the collaborating providers, their office staff in care delivery redesign. Facilitate focus groups, meetings, designed to plan and prepare for, and ultimately implement recommended solutions.• Designated individual to follow the patient throughout the episode and be the point person for communications with all providers included in the patients care team.• Clinical Interventions/Discharge and Care Planning Management: Responsible for functioning as the liaison among all parties involved with the patient both within the hospital and in the community as it relates to the development and implementation of a safe and appropriate discharge plan.• Team-based care, patient/physician co-development of care plans, enhanced access and referral management.• Proactively schedules each procedure to ensure all available time is used appropriately by scheduling sequentially and utilizing the wait list and cancellation list when able.• Instructs and explains preparations, the nature of the examinations, reporting procedures, and all other pertinent issue to the patient.• Coordinates required testing prior to admission and ensures all information and consents are on site for patient’s admission/procedure.

•Support the development and maintenance of the Patient Centered Medical Homes, and/or the Patient Centered Specialty Practices, CPC+, and Quality dashboards•Engage the collaborating providers, their office staff in care delivery redesign. Facilitate focus groups, meetings, designed to plan and prepare for, and ultimately implement recommended solutions.•Interacted with senior leadership to assist in re-launch of lab, image, and referral tracking workflows to increase patient outcomes and meet quality metrics and MIPS requirements in 38 internal medicine•Utilized and manipulated data to lead and achieve NCQA DRP recognition for 3 Internal medicine providers.•Accountable for facilitating the implementation of practice transformation including baseline assessment of current environment, and ongoing facilitation of practice improvement methodologies to ensure compliance with regulatory and NCQA standards. •Team-based care, patient/physician co-development of care plans, enhanced access and referral management.•Manage practice transformation project details to ensure that project deliverables are met within the outlined time frame.•Assist with PCMH/ PCSP accreditation and maintenance, provider quality incentive program, Value based contracts, wellness campaigns and roster management coordination.•Assist the practices in enhancing existing technologies or adopting new technologies to achieve desired outcomes. EPIC EMR implementation in the ambulatory setting.•Develop training programs, facilitate implementation of appropriate change management initiatives, and review existing and evolving development programs to ensure adherence.

•Provided post-hospitalization follow-up education and transition of care coordination to patients from across 7 primary care practices•Quality improvement methodology, including workflow assessment and workflow redesign•Quality reporting based on gaps in care, attribution and value-based contract metrics.•Assist in the Design and implementation of EPIC- Healthy Planet.•Utilization of disease registry database including data entry, identifying pts not meeting clinical goals while using risk satisfaction tools.•Assisting physicians with compliance of HEDIS measures per NCQA standard. Knowledge of CPC+, PCMH and ACO.•Lead and possess deep understanding of the ACO-Quality Metrics Reporting (GPRO) along with other State and CMS led quality initiative, i.e. CPC+, Primary Care First, etc.•Medication reconciliation, Discharging education

•Stock, clean, sterilize rooms, Return patient phone calls •Order patient prescriptions & assist with patient assistant programs•Performed hearing and vision tests, wound care and injections.•Responsible for managing vaccines, drawing up vaccinations and documentation of such.

•Charge Nurse on sub-acute, long-term, and Alzheimer’s units•Proven ability to teach, direct and assess Nursing Assistants and new nursing staff.•Able to systematize and organize activities of a nursing care team•Assess wounds and administer care, Wound Vac placement•IV placement & motoring, PICC line experience, MID line removal•Admission & Discharging education, TPN, Phlebotomy, medication dispense •EKG’s, Injections, Drug screening, Trach care, port access/de-access•Participated in inter-disciplinary nursing team meetings to improve policies/procedures and to ensure adherence to safety procedures.

•Interviewed patients to determine reason for visit, obtain medical histories.•Assisted Physicians with in-office surgical procedures and routine examinations.•Phlebotomy•Record patient vital signs•Collected laboratory specimens and preform testing•Administer medications, vaccines and treatments.•EKG’s, Monitoring during procedures.•Assisted physician during venous surgical and in office surgical procedures.•Cleaned, restocked and organized examination rooms.•Properly calibrated and adjusted malfunctioning laboratory equipment.

•Assist patients with daily activities including eating, dressing, ambulating, etc.•Provided preventative care to residents to manage skin-related conditions such as pressure ulcers.•Administered therapeutic treatments, non-sterile dressings, ice packs and baths.•Patient and environmental safety.•Monitored patient stability by checking vital signs and weight, and recording intake information.•Knowledgeable in medical terminology•Helped maintain a high standard of care for residents by answering call lights and monitoring behavior for signs of progress or regress. •HIPAA and patient privacy. Use of proper documentation standards.•Excellent communication skills.