Amy Westhoff, Ms, Rn Email & Phone Number

Lake Saint Louis, Mo, Us

Lake Saint Louis, Mo, Us

St Louis, Missouri, United States

United States

Healthcare consultant specializing in Social Determinants/Drivers of Health, NCQA, Managed Care, Clinical Program Design and Implementation, Business Process Improvement, HEDIS, technology automation, Clinical Quality and Compliance, Health Plans, Maternity, CCM.

St Louis, Missouri, United States

Home-based acute care RN with primary responsibility of assessing, planning, coordinating, implementing and evaluating the plan of treatment for adult post-acute patients and chronic disease management.

Oversaw clinical and operational strategy and provided collaborative leadership and strategic direction for clinical programs. Built and led 22 FTE care management team consisting of RN's, LPN's and a social worker in order to improve outcomes for maternity members and support transition of care. Ensured continuous quality, safety and process improvement. Led planning and development of policies, procedures and productivity. Worked with key leadership and executives to identify data and define metrics to improve clinical outcomes and SDOH gaps for members. Additionally, worked to ensure compliance with all regulations required by Missouri Medicaid contract. Key Accomplishments: *Developed the Population Health Strategy with Quality director to address HEDIS and other quality measures, which led to Health Plan Quality Accreditation. *Developed and implemented clinical documentation, clinical pilot programs to improve outcomes and close gaps in Maternity/NICU care management program, leading to 3% decrease in NICU admissions. *Spearheaded the development and implementation of a comprehensive Maternity care management program, resulting in a 20% increase of members outreached. *Served on team to develop and implement Process improvement plan to decrease NICU admissions. *Co-developed high risk Maternity TOC program to be state compliant and increase member outreach to 100% post-partum. *Researched, reviewed, and analyzed evidenced based clinical practice guidelines, HEDIS, NCQA, and CMS quality measures to be compliant with NCQA regulations and assist health plan in receiving accreditation.

Led, developed, and implemented Social Determinants of Health Program for Missouri Medicaid Plan. Provided leadership and developed strategies to address and improve gaps in SDOH and establish key relationships/partnerships with community organizations to bridge gaps for members throughout the state of Missouri. Key partner in establishing vendor relationships.Key Accomplishments: *Grew Community Based Organization database from 0 to over 200 warm connections. *Developed population health leaders to run programs aimed at decreasing the cost of complex patients by decreasing hospitalization, readmissions. *Initiated and oversaw provider outreach pilot to increase member transportation utilization by 5%. *Assisted in development and deployment of Missouri Housing Pilot to address homelessness in Missouri Medicaid members.

Specialized in patient physician ordering and workflow, and led initiatives to promote and educate effective utilization of standardized order sets within the electronic health record. Led/Collaborated pathway implementation and adoption by educating key leaders, physicians and nurses at hospital and practice level on pathway and order set initiatives and updates.Key Accomplishments: *Performed research projects requiring extensive investigation into healthcare related topic, IRB approval and presented at Mercy Research Colloquium. Research showed utilization of standardized order sets reduce readmission by 3%. *Increased pathway order set utilization by more than 25% within first 6 months. *Evaluated local policies and protocols as it relates to pathways and additional clinical documentation by providing clinical input/clinical voice. *Analyzed business and clinical workflows, developing implementation plans focused on end- user clinical impact, usability, and acceptance for clients across hospital system.

Established the strategic direction for the implementation of Health system wide implementation of EPIC electronic health system. Provided oversight of day-to-day deployment and educational assistance of clinical information technologies to support delivery of safe and efficient patient care. Supported technology implementation, education and upgrades for anesthesia, OR surgical services and procedural areas.Key Accomplishments: *Developed and assisted with workflows for physicians, nursing, and other ancillary care members in order to be successful in utilizing and documenting in EHR system. *Established priorities in data collection, analysis, and trending of data for improvement of quality of care. *Drove adoption of EHR and for both new and existing clinicians to improve clinical outcomes. *Successfully implemented health system wide EPIC anesthesia electronic health record system. *Served as Project Manager for implementation of Anesthesia EPIC module. Overseeing day to day operations in multiple clinical spaces.

Olive Surgery Center, Saint Louis

Pacu/Icu

Administer care to critically ill patients in the intensive care unit of Trauma level I hospital. *Evaluated documents, performed assessments/exams, therapies, medications, and patient response to interventions by utilizing strong critical thinking skills. *Skills-Advanced Cardiac Life Support, Diagnostics, Cardiac, Respiratory interventions, ECG. *Work closely with surgeons and anesthesia providers to effectively and safely recover all levels of surgical patients.

Master Of Science (M.S.), Health Informatics

Curriculum required drawing on the best evidence, to develop an in-depth understanding of how health organizations and systems are.

Associate Of Science (As), Registered Nursing/Registered Nurse

Activities and Societies: Women’s soccer

Bachelor Of Science (B.S.), Communication And Media Studies

Activities and Societies: Women’s soccer

General Studies

Activities and Societies: Women’s soccer, Alpha Chi Omega