Lynn Bailey, Mba, Msw, Lcsw, Cphq Email & Phone Number

Indianapolis, Indiana

Oversee Quality, Risk and Social Services Departments for behavioral health hospitals• Started a new hospital and chaired the Quality and Risk Committees and submitted metrics to Joint Commission, audited charts to ensure compliance, supervised Social Workers and completed hundreds of psychosocial assessments • Coordinated survey readiness resulting in three tags while the state average is 15 per Joint Commission survey exceeding expectations • Generated root cause analysis as a follow up to incident reports and started failure mode effects analysis to proactively address potential safety issues as a prevention measure • Exceeded quality improvement project goals utilizing best practices and collaborating with the Indiana Patient Safety Center• Established the Hospital Balanced Scorecard, Hospital Survey on Patient Safety, patient/caregiver satisfaction survey, quality management program, department budget, policies and quality and safety training for hundreds of hospital staff and providers

Redesigned Quality Management department from a reactive to proactive approach• Achieved 2012 Spirit Award for Performance Excellence for completing the first step toward the National Baldrige Quality Award• Improved CMS Hospital Quality Core measures from 73% to 98% surpassing the target of 95% between 2009 and 2013• Scored 104 out of 107 on 2011 Anthem Hospital Quality Program Scorecard and continued to be the Quality Leader in Central Indiana• Reported 60% of Hospital Balanced Scorecard measures improved and established 13 new clinical pathways• Wrote survey readiness pocket guide and coordinated HFAP mock survey reducing the number of citations by 40%• Facilitated patient fall rate reduction from 3.5 per month to 1 per month and completed 2011-2013 serious patient safety event report• Trained 190 staff on patient safety/team building techniques and customer service training for 100 Nurses• Presented new Physician Bonus Program to Medical Executive Committee and Quality Report results to Hospital Foundation Board• Became a State Baldrige Examiner through the Partnership for Excellence, Certified Lean Healthcare Black Belt through Purdue University and Certified Change Agent through Community Health Network

Oversaw a national provider profile program serving 80,000 professionals, chaired the Core Team and Metrics committees.• Assisted with the facility quality program and created the competitive intelligence report Established operations of Quality Management (QM) department at Fortune 500 managed care company with a network of 2,000 physicians serving 650,000 members annually. • Designed and implemented QM work plan including QM projects and internal audits using NCQA standards• Volunteered and assisted with NYC state audit preparations for National Quality Management Director • Maintained NCQA accreditation for chronic disease management program• Trained over 300 staff in quality management, innovation and communication that resulted in positive evaluations• Became an Institute of Healthcare Improvement (IHI) scholarship winner

Developed Quality Management course for the Masters of Management Program.• Taught quality management courses that included ISO 9000 and Six Sigma concepts resulting in positive evaluations

Oversaw Quality and Risk Management Departments. • Completed nine performance improvement projects that exceeded performance goals and presented the corresponding results• Generated the annual Quality Improvement Plan and reported trends in quality and risk management datasets• Submitted risk management data in run charts and pareto charts to Safety Committee based on incident reports• Wrote a survey guide for hospital staff and coordinated the Joint Commission mock survey• Presented the Claims Report to the Board of Directors and was the liaison between the hospital and Defense Council

Established Quality and Utilization Management Departments and published new homepages for these departments.• Designed and facilitated quality improvement initiatives which exceeded performance goals through data analysis and the use of quality tools to streamline operations; utilized Statistical Process Control software, Microsoft Visio• Implemented new process to send relevant client specific, clinical outcome data to clinical staff in timely manner• Chaired Quality and Utilization Management Committee and generated annual reports and annual plans• Created new clinical report card and conducted qualitative clinical chart audits to identify best practice and areas for improvement

Master Of Business Administration (Mba)

Master Of Social Work (Msw)

Bachelor Of Arts (B.A.), Double Major In Psychology And English