Beth Gualtieri Email & Phone Number

United States

Provides project oversight for the Health Outcomes Survey contract for data analysis and reports in support of the CMS Medicare Advantage Organization quality reporting program.Oversees project design, initiation, recruitment, selection, orientation and training.Supervises staff and client relations.Plans and manages completion of field work, including report preparation, finalization and distribution.Develops project time and task schedules.Ensures completion of contract tasks and deliverables according to contract specifications and budget requirements.Oversees data abstraction, data collection, monitoring and report preparation.Directs design and maintenance of project web site with web development team.Senior Quality Measurement Manager: Applied lean principles in assisting CMS to develop and streamline processes related to quality measure development.Prioritized and planned measure activities and quality initiatives.Performed research and analysis related to various aspects of quality measurement.Provided expertise and a crosscutting perspective to CMS regarding measurement methods and strategies.Assisted CMS in developing policies addressing emerging quality measurement issues.Wrote technical and analytic documents and reports assisting CMS in its liaison and harmonization work with multiple internal CMS divisions and external key organizations.Quality Measurement Manager: Supported CMS in its work of prioritizing and planning measure activities and quality initiatives.

Member of senior leadership team reporting directly to CEO.Directed overall hospital quality performance on patient outcomes: Analyzed data for trends and opportunities to redesign processes to meet and exceed target benchmarks. Compiled diverse data into concise metrics used by clinician managers to measure progress towards target benchmarks. Created reports with simple drill down to several levels of data detail on key patient outcome metrics such as FIM change, length of stay efficiency and discharge destination.Directed continuous performance improvement: Identified projects, led teams, conducted initiatives, measured and reported successes.Managed regulatory compliance: Led project that achieved Joint Commission accreditation hospital-wide and for Stroke, Hip Fracture, and Spinal Cord Injury disease-specific care programs. Directed CMS conditions of participation compliance. Managed transition to 2010 CMS IRF rule compliance.Policy review and revision: Conducted annual review of all policies, working with subject matter experts, functioning as regulatory compliance resource and technical writer. Ensured policies and procedures were compliant with applicable regulations.Utilization review: Compared patient outcomes and resource utilization to target benchmarks, recommending strategies to improve patient outcomes and optimize asset allocations.Facilitated meetings and maintained records of quarterly hospital Quality Committee, Medical Executive Committee, and Governing Body.Risk Management: Investigated, tracked, aggregated and trended hospital incidents and adverse events. Conducted Root Cause Analyses and Failure Mode Effects Analyses. Worked with legal counsel on cases in litigation. Responsible for staff Risk Reduction orientation and education as required by Florida Law.

Designed, implemented and evaluated staff development for a long term care management company with facilities in three states.Developed standard curriculum to meet federal and state regulations.Developed education tracking database using MS Access.Ensured that needs-based, outcome oriented education was implemented effectively.Designed CEU-granting courses to meet company needs.Trained and evaluated staff development educators in all company facilities.

Also did Quality, Risk manager designee, Infection control

As the first Director of the RNBS Completion Program, initiated a new distance learning program, guiding collaboration between two major divisions within the university, taking traditional curriculum and transforming it into an innovative accessible format for the adult learner. Taught Nursing Fundamentals, clinical practicums, and managed clinical skills lab. Taught Research and Statistics courses.

Education record

Bs

Education record