Carole Evans Email and Phone Number

Key responsibility is to collect and submit accurate, complete, and timely data to the MBSAQIP Data Registry Platform. Accomplished through high-quality data compilation, documentation, and entry of 100 percent of metabolic and bariatric procedures performed at the Center into the MBSAQIP Data Registry Platform. Obtain and maintain the quality standards of the MBSAQIP in caring for metabolic and bariatric surgical patients. Data collection and identification of areas for quality improvement. Triage incoming phone calls, provide clinical direction as appropriate, assist with obtaining surgery authorizations

Optimized and supported Epic, Cadence and Registration software modules and the 70+ clinicians and 400+ support staff users. Kept order and documentation sets up-to-date and kept functionality in compliance with all regulatory requirements, HIPAA and MU attestation included. Worked with operations and clinicians to optimize workflows and to maximize the quality of patient care, patient and clinician satisfaction, productivity and reimbursement.• Conducted local end user Epic meetings with 10-20 attendees, provided one-on-one optimization with clinicians. Participated in project meetings and worked collaboratively with clinicians, operations, and Application Development, Business Intelligence as well as other ancillary teams to gather the necessary data to define the scope of projects and assign work.• Tested system upgrades and interfaces to ensure clinical and revenue workflows were supported prior to and during implementation. Ensured HIE and patient portals remained secure and in compliance for MU and other technology use requirements.• Developed local training plans to ensure project timeline dates were met. Managed two trainers.• Participated in the transition to a “Lean” culture including the alignment of True North metrics using VSA, RIE, MDI board methodologies and A3 problem solving to eliminate waste and increase efficiency.

Under the direction of the EOHHS, employed in the Prior Authorization Department of Mass Health. Received and processed electronic and paper prior approval requests for durable medical equipment. Followed Mass Health regulations when approving, denying or representing Mass Health at hearings. Ensured proper documentation for medical necessity was received from Providers in order to process requests.

Project Manager for the implementation of the EpicCare Ambulatory application. Clinical Operations Manager of 20 + Primary Care and Behavioral Health Providers and staff members.• Built documentation templates that incorporated HEDIS and other quality care measures ensuring efficient provider workflows, improved patient care and safety. Developed and managed the training plan.• Interviewed and assisted in the credentialing process for new clinicians. Interviewed, hired, trained, coached and discharged staff appropriately. Developed, implemented and oversaw the success of clinical workflows as well as ensuring physician and patient satisfaction. Supported business operations during process change.

Support and assist in clinical operations of a multi-physician practice. Triage telephone calls. Assist in the development and implementation of policies and procedures. Participate in health fair promotions.

Staff nurse on medical/telemetry floor