Executive leader serving CEO and Board as cross functional change agent to strengthen organizational just culture of process improvement, quality outcomes, patient safety, patient experience, risk mitigation and value. Operational responsibility for QAPI annual organizational scan and work plan, Patient Experience, Patient Safety/Risk Management, Accreditation review process and Quality public data reporting, Compliance annual work plan, Medical Records (4 EMRs and 14 electronic interfaces), Clinical Practice/Education, Infection Prevention, and Quality chart abstraction.Leader of organizational strategic improvement efforts for Patient Care Quality, Regulatory Compliance, Accreditation & Licensure, and Patient/Family Safety and Experience of care measures Responsible for quality data analytics to determine consistency of practice, high reliability of processes, and opportunities for improvement. Responsible for high risk root cause analyses, required publicly reported quality metrics for all business units including CMS and physician quality reporting (MIPS). Serve as organizational Compliance and Privacy Officer.CPHQ- Certified Professional in Healthcare Quality. Trained in Lean, CQI (Continuous Quality Improvement), IHI High Reliability, and the GE CAP (Change acceleration process) methodology as a "change agent" by using facilitation techniques and improvement science to lead cross functional teams and achieve operational or performance improvement goals.Licensed Physical Therapist with progressive leadership experience including new site business plans, licensure and referral development in both inpatient and outpatient venues.
Listed skills include Healthcare, Healthcare Management, Hospitals, Jcaho, and 17 others.