Esther Gacugi, Mba, Mhsm, Pmp, Lssbb Email & Phone Number

Drive Methodist Health System quality improvement performance outcomes in alignment to CMS, Joint Commission regulatory requirements. Support the execution of strategy through management of activities for multiple stakeholders both internal and external. Provide consistent insights and implement process performance measures to drive outcomes. Presented about Sepsis Performance Improvement journey during Premier Annual Breakthroughs Conference in 2023.• Creates and analyzes system quality metrics that are utilized by quality board of directors, system and facility senior leadership for strategic planning (long-term and short-term)• Reviews organizational performance improvement plans and facility goals by examining system quality improvement metrics for strategic goal setting • Provides the organization with project management related insights to performance improvement based on the system mission, vision and facility goals• Endeared to alignment of performance processes in the six Hospitals to meet quality metrics goals • Delivers pivotal role in Silver Fellowship Program (based on Six Sigma Methodology) by teaching, coaching and mentoring teams• Recommend performance improvement projects based on external/publicly reported performance platforms (Star Rating and Leapfrog) and internal quality measures performance following Joint Commission, Centers for Medicare & Medicaid Services (CMS) standards• Continuous communication on quality updates (Internal and external), hospital process changes and quality monthly reports

Plano

Being a compassionate person, I have helped my clients through their transaction process, by educating, being patient and being there for them to help them achieve their dreams.

Drive quality improvement performance outcomes in accordance to America College of Cardiologist (ACC) regulatory requirements. Support the execution of strategy through management of activities for multiple stakeholders both internal and external. Provide consistent procedures and implement process performance measures • Alignment of performance processes in the five Hospitals to meet quality metrics • Endorse projects according to National Cardiovascular Data Registry (NCDR), Joint Commission and Centers for Medicare & Medicaid Services (CMS) standards• Continuous communication on registry updates, hospital process changes and quality monthly reports • Educating staff on metrics update, new goals that has increased performance goals; example risk score documentation has increased by 40% in 4 months • Evaluate current processes using root cause analysis to advance hospital performance enacting 35% change in 6 months • Reduced communication time to providers on specific metric on individual patient from 72 hours to 24 hours using 5s, plan-do-check-act (PDCA) cycle and EPIC chart instant messaging• Pivotal in project management in forthcoming Joint Commission Chest Pain Accreditation

Define hospital quality improvement strategy and projects in accordance to regulatory requirements. Monitor data integrity for quality and enforce process progression. Use Lean methods for continuous improvement • Performed American Heart Association project that has resulted the Hospital to acquire Silver Plus HF Award in 8 months • Ratify projects according to American Heart, Joint Commission and Centers for Medicare & Medicaid Services (CMS) standards• Conduct Gemba walks that have improved patients discharge follow up appointment with 95% • Conduct daily huddle meeting, audits, submitting data to key stakeholders for follow up, resulting to 25% improvement on quality key performance indicators and 4% reduction in readmissions in 4 months on targeted projects • Revised procedures and checklists resulting in process consistency and reduction of errors by 20% in 2 months

Mckinney

Healthcare Quality Improvement Intern 2017 - 2018Patient care Technician & Unit Secretary (While pursuing Masters Degree) 2015 - 2017Developed plans and procedures, process improvement, clinical and support measures. Dedicated service to patient and family member • Performed CAUTI (catheter-associated urinary tract infections) project that reduced incidences to zero in 1 year, saving $280,000 penalty per incidence using PDCA cycle • Created process improvement procedure that defined hyperglycemic events control at the hospital resulting in a reduction by more than 50% incidence occurrence • Developed lean methods that promoted waste reduction by participating in unit meetings and shared governance• Presented workflow analysis to Orthopedic department describing methods to length of stay for patients from 96 hours to 48 hours• Achieved 5-star recognition from patients and colleagues for excellent customer service and team work.

Mckinney

Supervised 8 bed Assisted Living facility in the daily operations. Enforced policies. Performed Human Resources Management activities. • Lauded member of a team for maintaining high level standards of State compliance and rated as an excellent facility by Texas Department of Aging and Disability Services (DADS) surveyor • Rated 5 stars by clients and family members for exceptional client service• Planned budgets, trained staff and reduced staff turnover rate by 40% in 1 year by improving communication among staff• Enhanced relationships with Physicians, Home Health Agencies, vendors, residents and families• Facilitated new regulations and laws pertaining to healthcare for long-term care facilities

East Africa

Millward Brown East Africa (Research Senior Executive) Synovate East Africa (Research Executive) TNS Research International (Research Assistant)Conducted market research, managed diverse projects, analyzed data using SPSS and Excel. Using interpersonal and communication skills successfully managed multicounty projects. Clients included Coca Cola, P&G, Cadbury’s, Nokia, Unilever, AAR Healthcare, Google, among others • Planned project resources, stayed under budget and contributed 12% revenue growth• Assembled and trained both internal and external teams. Reduced project team turnover by 21%. Improved quality by 32%, cut costs by 45% and achieved 99% customer satisfaction• Increased customer base by 20% by employing marketing strategies derived from quantitative market research• Closely monitored project progress, managed issues and risks by making sure all stakeholders were compliant to the required standards and regulations

East Africa

Executed data outcomes using statistical programs (Mini-TAB, SPSS) for analysis. Proficient in Microsoft Office (Word, Excel, PowerPoint) and Microsoft Project • Developed research questionnaires and data capture templates • Experimented imported eucalyptus seedlings versus local seedlings growth rate in different soils• Developed research reference manual for Biometrics department • Researched Social Economic Impact on the community from by deforestation• Developed community intervention strategies for afforestation by educating and training community empowerment volunteer teams

Master Of Business Administration (M.B.A.)

Capstone Project : How To Break Even on Medicare Reimbursement on Elective Hip & Knee Procedure. Marketing management, Managerial.

Education record

Lean Management

Master’S Degree, Health Services Management (Mhsm)

Capstone Project : How To Break Even on Medicare Reimbursement on Elective Hip & Knee Procedure . Human Resources Management,Financial.

Bachelor’S Degree, Applied Statistics (Bsc.)

Statistics, Mathematics, Actuarial Science, Population Demography , Economics