Quality Global Consulting &Quality Data & Analytics-Enterprise Advanced Analysis

Quality Data & Analytics-Reporting & Analytics

-Identified and assessed areas of significant business risk and conduct ad hoc investigations into identified or reported risks-Managed and reported compliance breaches and exposures;-Developed, implemented and maintain internal audit policies and procedures in accordance with localprotocols and national best practice;-Collected and coordinated internal compliance data with auditors and various managers;-Ensured complete, accurate and timely audit information is reported to Management;-Regular duties and responsibilities as an AEMT in Clark County-Responded to emergency medical calls/immobilization of patients during transport and extrication -Evaluated patient's condition and/or injuries and accident scenes and/or medical emergencies andadministers aid as per protocol-Performed pharyngeal and nasopharyngeal airway placement, supraglottic airway placement-Performed advanced level emergency medical procedures such as blood drawing, subcutaneousinjections, intravenous injections, adult intraosseous procedures, nebulized inhalations, administers various advanced level of medications, as per protocol-Monitoring of patient's vital signs and provides advanced life support until transported to hospital; o Operates resuscitation and suction devices during cardiopulmonary resuscitation-Applied bandages and dressing on soft tissue injuries as needed to stop bleeding-Performed basic lifesaving procedures such as blood glucometry, oxygen administration, semi-automatic defibrillation, oral glucose administration, and approved chemical/medicationadministrations, etc.-Assisted with emergency child birth-Member of the FEMA Disaster Response Team with deployments to major disasters in the US.

-Provided professional analytical and programmatic work on various hospital quality metrics, Core measures, PSIs, and HACs-Conducted PSI and HAC investigations;-In-depth knowledge of complex algorithms for various quality measures and metrics-Data analysis/aggregation, validation, and submission of various quality metrics to CMS, IQR/OQR programs and TJC, Core Measure data, Hospital Compare data, CHIA, PI and MIPS, eCQMs, HCAHPS, and Leapfrog-Maintain Data Quality Reports, correspond with departments for data quality and integrity;-Safety Intelligence (Datix) administrator, Core measure database/Resource managercoordinator/administrator, Vizient administrator, Medisolv administrator, QNET administrator, QPPadministrator, Press Ganey Administrator, EPIC inpatient administrator, and EPIC quality administrator-Produced professional presentations with various statistical analysis, dashboards, and graphs for Quality and Patient Safety committee, Nursing Counsels, administrative leaders and board members-Experienced in chart abstraction, data collection, and auditing for various quality metrics, providerpreventable conditions, risk and compliance, and other patient safety concerns-Experienced in building SQL codes to query EPIC EHR databases to produce various data needs, including hospital quality data, internal review board (IRB requests), etc-Lead data driven performance improvement projects and spearhead needed EHR and system changes-Reported 7 day a week COVID data to NV Hospital Association meeting state and federal HHSrequirements – correspond pertinent hospital wide status to regulating agencies-Ensure facility is up to date and in compliance with CMS final rules, measure specification changes,TJC, and all other regulatory requirements-Adherence to strict data submission deadlines with regulatory agencies-Sat on data governance committee, EHR governance, quality counsel, informatics counsel, EPIC change control board (quality approver).

-Shared between 2 departments - Infection Control & Quality;-Called hospital departments to check for airborne isolations - added multi drug resistant (MDRO)infections to daily isolation list;-Sent reportable diseases to the Southern Nevada Health District;-Entered infectious disease data into departmental built database;-Knowledge of infectious diseases and the need for isolation precautions;-Produced daily Infection Prevention patient list under the direction of Infection Prevention Practitioners;-Surveyed nursing units for patients requiring special transmission-based precautions and conducted handhygiene compliance audits;-Corresponded with local Health Department regarding communicable disease reporting;-Assisted with policy review and editing;-Scribed Infection Control Committee Meeting and other departmental meeting minutes;-Developed meaningful unit-specific database and graph presentations for hand hygiene compliance;-Sent out quarterly physician letters to assist with Surgical Site surveillance, track responses and compile data that is put in the Infection Control dashboard and presented at various committees;-Input complex Employee Health data, including tuberculosis screenings, vaccinations, and fit-testing;-Organized materials in preparation for surveys by The Joint Commission, CMS, State Department.

-Conducted tracers/audits to maintain compliance with standard procedures, policies, and certifications-Aggregated data from hospital-wide tracers for The Joint Commission and internal reporting;-Designed and coded Excel workbooks for patient tracking, incident reporting, and quality controlstatistics; as well as created/used gap analyses to form and implement action plans;-Conducted chart audits for the Quality department on the post-op/inpatient units, PACU, and radiology;-Researched and selected appropriate coding information to complete billing process for surgerydepartment, assisted with OR charges, charge audits, coding, and error resolution while utilizingelectronic medical records systems such as ChartMax, Star, PHS, and McKesson;-Relieved operating room surgery scheduler, surgery specialist, radiology admissions specialist -answered heavy phones, registered patients for surgery/radiology, ordered radiological andmammography studies, communicated and worked alongside doctors, medical offices, nurses, and staff;-Sat on Joint Commission Readiness Committee, Patient Safety Committee, and the Policy Committee.

-Scanned files and pertinent supervision/court documents into computer and programs PACTS/PDIM;-Conducted criminal record checks/searches/background checks utilizing National programs such as CMECF, Tiburon, NCJIS, NCIC, and NLETS for the supervision and investigation units;-Entered data, helped develop a software program/work alongside George Mason University, for national data tracking - aggregated statistics/graphs, created policy for the newly implemented Federal Drug Court (CLEAR Court) with Federal Magistrate Judge Valerie Cooke, AUSA’s office, and FPD office.