Consultant to legal counsel regarding cases involving nurse and/or provider malpractice in the acute or ambulatory environment. Collaborate with attorney partners to evaluate legal cases to determine if appropriate nursing care was delivered, documented and can be defended in potential litigation cases. Proficient in standards of practice, policies and procedures, and regulatory requirements including federal, state and local agency compliance standards applicable to acute & ambulatory healthcare facilities. Efficiently and professionally, reviews and provides critical analyzes of medical records. Specifically trained to collaborate with attorneys in reviewing and developing cases up to and through litigation, connecting medicine and law.Areas of Expertise in the Acute, Procedural & Ambulatory Settings:• Cardiology (Medical & Interventional)• Advanced Heart Failure (including VAD & ECMO)• Cardiothoracic Surgery• Vascular Surgery• Neurology & Neurosurgery• Cardiac Invasive & Non-invasive Procedures• Trauma & Emergency Medicine• Critical & Intensive Care• General Medicine / Surgical Care• Hyperbaric & Wound Care• Nursing & Healthcare Administration • Risk Management• Patient Safety & Quality Improvement• Medical Record Auditing

Responsible for leading a team of five Senior Directors and four system service line Dyads. Oversaw all operations to include clinical performance, financial outcomes, strategy, growth, and new service development for Emergency & Trauma Services, Perioperative & Surgical Services, Cardiac, Electrophysiology & Endoscopy Labs, Hospice & Palliative Care Services, multiple hospital outpatient departments & ambulatory surgical sites, ancillary services across multiple locations in 2 states – acute and outpatient to include imaging, pharmacy, laboratory / pathology, respiratory, rehabilitation, and system service lines. Served on Board of Directors of three facilities, reported to System Chief Operating Officer.

Formulated the operational and business strategy with a team of eight directors leading over 350 clinicians at multiple locations within the acute, home care and long-term care environments.

Responsible for setting operational & strategic direction for cardiovascular services across the Greater Winston-Salem Market covering a 29 county region inclusive of 7 hospitals, to grow market share & improve quality outcomes.Served as senior administrator of the following departments & programs (675 staff FTEs & 70 physician / advanced practice provider FTEs): Acute Nursing Units - Cardiovascular Surgical Intensive Care Unit - Cardiac Intensive Care Unit- Diabetes Care Unit - Cardiac Telemetry- Cardiac Step-Down- Medical Telemetry- Vascular / Limb Preservation- Telemetry Monitoring Unit- Cardiac Pre & Post Unit- Cardiovascular Post-ProcedureInvasive & Non-Invasive Labs- Cardiac Catheterization- Electrophysiology- Echocardiogram, Electrocardiography, Peripheral Vascular DiagnosticsCardiac & Pulmonary Rehabilitation (3 locations)Ambulatory Care Clinics (23 locations)- Cardiology- Electrophysiology- Cardiothoracic Surgery- Heart Failure- Coumadin Clinic- Vascular Specialist & Diagnostics- Limb Preservation- Wound Care & Hyperbarics HVI Operating Rooms- Cardiac Surgery OR- Thoracic OR- Vascular ORPrograms- Mechanical Circulatory Support Program (LVAD & ECMO)- Structural Heart Program (TAVR & WATCHMAN)- Thoracic Program- Respicardia Program- Limb Preservation Program- Women’s Heart & Vascular ProgramHi-Lighted Accomplishments- Directed process to receive Destination Therapy LVAD DNV-GL accreditation- Spearheaded development of innovative health care services & programs including1) Cardiac MRI / CTA with 42% increase in testing capacity 2) Respicardia generating $375K revenue with first 14 cases3) ECMO, 68 cases with 78% survival rate- Executed multiple process improvements resulting in expense reduction & revenue growth- Implemented physician recruitment plan fueling growth in acute discharges & ambulatory encounters- Provided oversight of multi-million dollar construction projects generating market expansion

Senior Administrator responsible for nursing services, programmatic development, geographic growth and multi-site clinic operations for urgent care services that included occupational health and all population health programs for the healthcare system. Promoted unity and cohesion by overseeing more than 300 clinical & non-clinical staff FTEs, 22 physicians and 6 advance practice providers to meet patient care, regulatory and efficiency goals by developing strategic improvement plans and quality programs. High-Lighted Accomplishments- Redefined nursing care delivery model and associated processes increasing overall competency and staff confidence - Created management infrastructure for nursing leadership including succession planning, mentoring and progressive leadership responsibilities- Established departmental policies, standards of care and protocols to guide patient care practice Developed collegial relationship with physicians and APPs resulting in improved satisfaction and decrease in turnover- Implemented process improvements of care delivery resulting in shorter LOS, increased volume capacity, and improved patient satisfaction- Instituted operational changes to eliminate loss to profitability- Reduced overall expenses by streamlining staff resources without compromising quality care, patient & team satisfaction- Increased market share through execution of capital growth projects, renovations and new site development - Expanded and created new programs resulting in extended community access

Provided nursing leadership for 141 outpatient clinics and 650+ clinical and non-clinical staff FTEs. Responsible for the overall management of nursing practice, education, professional development, quality, regulatory compliance & risk management. Partnered with the Chief Nursing Officer for Ambulatory Services to plan, direct, supervise, and evaluate projects and activities for outpatient services. High-Lighted Accomplishments- Implemented multidisciplinary Shared Leadership & Relationship Based Care to coincide with hospital acute care cultural model resulting in improved patient satisfaction scores- Developed and directly managed an Ambulatory Float Pool - Provided nursing and clinical leadership during the start-up of numerous new outpatient multi-service clinics ensuring regulatory compliance in all clinical settings- Co-Chaired committee to write policies and procedures to define and implement Just Culture throughout ambulatory setting- Developed departmental policies, standards of care and protocols to guide patient care practice- Co-Creator and principal trainer of Promise Academy (service excellence training) & manager orientation for ambulatory clinics and skills fair specific to Ambulatory Clinics- Led departments of responsibility to achieve multiple successful TJC surveys with minimal recommendations or citations

Provided clinical and administrative leadership for 70+ clinical and non-clinical staff FTEs, 60 provider FTEs and a community medicine residency program with 30 fellows during a time of organizational change and restructuring with a focus on process improvement, budget adjustments and efficiency of resources. Responsible for clinical and programatic performance, financial and quality outcomes.High-Lighted Accomplishments- Redesigned nursing staff model to facilitate patient throughput and staff / provider relationships - Led multi-disciplinary team to develop and implement Patient Centered Medical Home care model- Led clinical team through cultural change and team building processes improving staff satisfaction and provider satisfaction- Developed departmental policies, standards of care, protocols & order sets to guide performance of patient care decreasing acute LOS- Implemented patient care standards improving patient satisfaction scores- Created job description and implemented multiple new positions- Introduced Shared Governance model to staff / providers and implemented concept into clinical environment improving staff morale and satisfaction- Co-creator and principle trainer for Ambulatory Care Orientation program

Coordinated, facilitated and managed patent care for a large internal medicine team, utilizing clinical nursing skills and knowledge of resource management and clinical care requirements for disease specific patient population. Selected Accomplishments - Worked collaboratively with physicians and multidisciplinary team to eliminate barriers to efficient delivery of care resulting in a 94% compliance rate with discharges before 12pm. - Coordinated with post-acute services to ensure appropriate level of care met at discharge resulting in 27% reduction in readmissions over 9-month period.

Provided administrative and clinical leadership for 275+ FTEs to include Critical Care, Cardiac Intensive & Progressive Care, Fast Tracking Unit in the Emergency Department, Respiratory Therapy Department, and Nursing Administration - including Float Pool, Patient Placement and House Supervisors with a focus on the correction of key financial and operational processes. High-Lighted Accomplishments - Developed departmental policies, standards of care, protocols & order sets to guide performance of patient care- Successfully lead multidisciplinary team during nursing unit renovation project – organized and managed move of all services and patients- Implemented Unit Based Shared Governance Model and self-scheduling process improving staff morale and satisfaction- Led multidisciplinary team through implementation of Just Culture

Responsible for delivery of key operational and managerial support overseeing all aspects of nursing care for 300+ FTEs and annual operating budgets totaling over $28 million on various acute / critical care units with a specific concentration on recruitment and retention, team building, unit involvement and creating a management infrastructure within the units with minimal traditional resources, while maintaining budgetary requirements.High-Lighted Accomplishments - Built high performing units known for superior quality care in a patient focused environment utilizing Relationship Based Care concepts- Achieved and maintained staff satisfaction in the 94% ranking (NDNQI) and patient satisfaction in the 95-98% ranking (Press Ganey) for 4 consecutive years- Implemented staff sharing and on-call process that decreased salary expenditure through appropriate use of staff- Led departments of responsibility to achieve multiple successful TJC & Magnet re-designation surveys with no recommendations or citations- Developed and implemented evidence based policies, standards of care and protocols to guide patient care leading to TJC accreditations for Congestive Heart Failure and Acute Myocardial Infarction, Chest Pain accreditation through CP Society, and Heart Transplant Program certification through CMS- Developed and implemented new positions resulting in decreased LOS - Reduced process inefficiencies via LEAN Six Sigma Principles, serving as Process Owner on all projects

Promoted to Assistant Nurse Manager as a result of exemplary leadership performance. Provided clinical and managerial leadership to staff on various specialty nursing units. Delivered direct patient care and maintained clinical expert knowledge in the areas of emergency, trauma, cardiovascular, oncology, and ICU care settings, mentored and trained current and new nurses to achieve the highest level of care for patients. High-Lighted Accomplishments- Developed and implemented self-scheduling process improving staff morale and satisfaction, stabilizing & decreasing staff turn- Created, implemented and coordinated ongoing staff education programs- Collaborated with Patient Relations leaders to develop and implement patient satisfaction recovery initiatives