Leslie Nahigyan Email & Phone Number

Cincinnati, Ohio

Responsible for the development, implementation, and maintenance of a primary care performance improvement program for 30+ practices, including ongoing monitoring of outcome measures, clinical standardization, and outcomes improvement initiatives. Coordinate clinical data collection, with special emphasis on leveraging electronic health record applications. Act as a change agent to promote the development and integration of systems thinking and the use of improvement tools and methods in interdisciplinary and departmental teams. Collaborate with medical staff, clinical staff, and operations to achieve improvement in all domains of patient care. Manage payor-sponsored payment-for-value programs, local health reporting initiatives, and regulatory/government programs, such as Meaningful Use, PQRS, and D5 public reporting. Support NCQA Patient Centered Medical Home (PCMH) recognition program. Serve as quality lead for sixteen practices participating in the Comprehensive Primary Care initiative (CPCi), a CMS Centers for Medicare and Medicaid Innovation (CMMI) project. Provide patient safety leadership for primary care and specialty offices.

Dayton, Ohio

Responsible for directing enterprise-wide activities to improve quality performance across organizational lines of business for managed Medicaid, dual-eligible, and marketplace products. Facilitate quality and performance improvement projects (QIPs and PIPs). Coordinate development of the annual quality improvement program description, work plan and evaluation. Responsible for enterprise member wellness and disease management programs. Led initiative to automate the identification, stratification and disposition of members eligible for disease management programs. Created curriculum based member education program. Business owner for new health risk assessment (HRA) implementation, designing automated referrals into case and disease management programs. Implemented self-management tools for compliance with new NCQA standards.Co-led creation of improvement education curriculum for the organization.

Cincinnati, Ohio

Facilitated performance improvement and patient safety initiatives focused on care transitions and reducing avoidable rehospitalizations, working with over twenty acute care facilities and a variety of post acute services; met corporate goals for readmissions and length of stayProvided analysis and consultation to member facilities and agencies in the areas of case management, end of life care, chronic disease initiatives, and infection control. Drove Medicare Breakeven initiatives related to level of care.Implemented and chaired the Quality Informatics Committee to leverage electronic medical record (EPIC) projectEnsured a platform for compliance with Joint Commission, state and federal regulatory bodies. Performed patient safety tracers in hospital, home care, hospice, provider office, and DME settings. Guided multiple facilities and organizations through successful Joint Commission and state surveys.

Mercy Western Hills Hospital, Cincinnati, Ohio

Provided oversight for following hospital-wide functions: infection prevention and control, performance improvement, regulatory compliance (Joint Commission, CMS, Ohio Department of Health), utilization review, social services, discharge planning, and medical staff peer review activities.Facilitated successful Joint Commission triennial survey in April 2008 and CMS/ODH survey in fall of 2009. Led monthly accreditation readiness meetings. Conducted regular patient safety tracers.Exceeded clinical documentation program reimbursement impact goal in 2008 – over $1.1 million in revenue impact achieved – and 2009.Achieved top quartile performance in four publicly reported core measure sets (heart attack, heart failure, community acquired pneumonia, and surgical care) in 2008 and 2009.

Wilmington, Ohio

Project leader for larger scale, cross-functional initiatives intended to drive performance improvement: Facilitated redesign of medical staff peer review process. Implemented physician feedback reports. Developed and delivered curriculum for performance improvement facilitator training. Co-led post implementation information system optimization team (McKesson)Established mechanisms for monitoring, evaluating, and resolving issues that impact the quality of patient care and service. Established key result area dashboards. Held lead responsibility for coordination of the Joint Commission survey process and related accreditation activities. Facilitated successful triennial surveys March 2003 and May 2006. Provided oversight of infection control and surveillance, employee health, patient relations, occurrence reporting, emergency preparedness, care management functions (1/2005- 9/2007), and the medical staff quality program.

Cincinnati, Ohio

Served as a clinical and technical resource in a variety of capacities, including analytics, training, troubleshooting, administrative/maintenance tasks, and system configuration Conducted pre-implementation tasks associated with developing new clinical information systemDelivered online policies and procedures project via hospital Intranet. Developed and implemented curriculum for hospital-wide computer education

Cincinnati, Ohio

Collaborated in the development of an online credentialing application, developed and implemented the test plan, provided demonstrations to potential clients, and was responsible for implementation of new accountsDeveloped policies and procedures related to provider office reviews, risk management, patient safety and HIPAA

Springdale, Ohio

Supervisor, Disease Prevention and Health Promotion: 4/1999-10/2000Quality Improvement Coordinator - Accreditation: 6/1997 - 4/1999Utilization Analyst: 9/1996 - 6/1997Managed disease management and wellness program development, implementation and evaluation Ensured compliance with accreditation standards (NCQA, URAC, AAAHC) and legal requirements Responsible for HEDIS process in Cincinnati region. Responsible for HEDIS rate achievement Developed provider profiles for primary and specialty careDesigned and implemented company-wide data and performance improvement education course

Education record

Activities and Societies: Sigma Theta Tau

Bachelor’S Degree, Registered Nursing/Registered Nurse, 3.96

Activities and Societies: Sigma Theta TauSumma cum laude

Bachelor'S Degree, Anthropology And Political Science