Lisa Monk Email and Phone Number

The RAndomized Cluster Evaluation of Cardiac ARrest Systems (RACE-CARS) trial is a pragmatic cluster-randomized trial that will test the implementation of community interventions to improve survival for people with cardiac arrest, one of the main causes of death in North Carolina (NC) and in the United States (US). The primary goal of the trial is to improve survival with good neurological outcome by 33%. Secondary goals are to improve bystander CPR rates by 33% and AED defibrillation prior to EMS arrival rates by 50%. My role is the Implementation Director for the Clinical Coordinating Center. In this role, I engage with leading health systems and counties to implement strategies to meet RACE-CARS trial goals. I oversee the day-to-day operations and focus on systems implementation for the enrolled counties. I travel to and communicate with participating counties, build and maintain relationships with the administration of medical dispatch, first responders, paramedics, emergency departments and community training resources. I am designing and leading training, tracking implementation of processes, working with the Data Coordinating Center (DCC) to ensure data collection, reviewing these data on a regular basis, and giving feedback on pertinent process measures to intervention counties to incent improvement. I plan and execute yearly site visits, yearly state meetings, and yearly regional meetings in coordination with RACE CARS leadership and the CCC, and hold weekly calls with each specialty group (911 and EMS) with intervention counties to help mentor on the 4 trial interventions. Sharing of best practices and successful QI tracker dashboard strategies are highlighted during study calls, and important documents and communications are maintained.

I am directing The IMPROVE Stroke Care project which is an implementation science study in the southeastern United State initiated by the DCRI. The goal of the IMPROVE Stroke program is to develop a regional integrated stroke care system that identifies, classifies, and treats acute ischemic stroke patients more rapidly and effectively with reperfusion therapy. The project will include identifying gaps and barriers to implementation of stroke systems of care, leverage existing resources within the regions, aid in designing strategies to improve care processes, bring regional representatives together to agree on and implement best practices/protocols/plans based on guidelines, and establish methods to monitor quality of care. The impact of implementation of stroke systems of care on clinical outcomes will also be evaluated. These improvements in acute stroke care delivery are expected to result in lower mortality and improved long-term functional outcomes.

Personal Consulting for clinical data abstraction, customer service data abstraction, and data entry into registriesData Registry ExperienceCath/PCI Action Registry Get with The Guidelines STEMILumedx data entry platformM2S Carotid Endarterectomy, Carotid Artery Stenting, and Peripheral Vascular InterventionM2S data entry platformNRC Patient Satisfaction Compliant with HIPAAWork remotely with computer access to hospital electronic medical recordsEPIC expert navigation skillsFrequent communication with team to resolve issues

Worked with leaders corporate wide to evaluate physician, patient, and employee satisfaction data and clinical data outcomes. Mentored leaders to implement quality improvement plans to address low scoring areas. Led leadership courses with the following topics including; improving communication skills, conflict resolution, giving and receiving feedback, team building, facilitating and leading process improvement teams, and diversity. Worked regionally to engage hospitals, 911, Fire, and EMS in implementing a systems approach and quality improvement plan for acute heart attack. Applied and received grant funding to train regional EMS and hospital staff to interpret EKG’s. Provided feedback on each acute heart attack patient to all team members who participated in the patient’s care. Provided cumulative data on performance in timed metrics for acute heart attack to all team members who cared for patients, administration, regional EMS and medical directors, and hospital ED and cardiology physicians. Served as the Training Center Coordinator for the American Heart Association Life Support Classes and as American Heart Association Training Center Faculty. I am a BLS and ACLS instructor and instructor trainer. I taught and coordinated all the critical care classes and participated in the leadership and Information Technology tracks. I launched the SMS Invision clinical application in the triad region and developed the training materials system wide (12,000 employees). I taught Word, nursing applications (order entry, vital signed, and lab results), and navigation of the corporate web site.