Luis Nava, Mha, Cphq, Cpps, Cic Email & Phone Number

New Mexico, United States

• Develop, implement, and maintain comprehensive quality and patient safety programs in adherence to industry standards and regulatory requirements.• Establish key performance indicators (KPIs) and data-driven metrics, namely Patient Safety Indicators (PSI), Sepsis , Falls, Mortality, and HAIs, to monitor and evaluate patient care outcomes, incident reports, and safety trends. • Lead and collaborate with interdisciplinary teams to identify areas for improvement and develop… Show more • Develop, implement, and maintain comprehensive quality and patient safety programs in adherence to industry standards and regulatory requirements.• Establish key performance indicators (KPIs) and data-driven metrics, namely Patient Safety Indicators (PSI), Sepsis , Falls, Mortality, and HAIs, to monitor and evaluate patient care outcomes, incident reports, and safety trends. • Lead and collaborate with interdisciplinary teams to identify areas for improvement and develop evidence-based strategies to enhance patient safety and clinical quality, through PDSA, FMEA, Lean/Six Sigma methodologies.• Conduct regular audits and inspections to assess compliance with safety protocols and regulations, ensuring a safe and secure environment for patients, visitors, and staff.• Analyze root cause analysis reports through Patient Safety Event Analysis to identify systemic issues and implement corrective actions to prevent recurrence of adverse events.• Provide education and training to staff members on quality improvement methodologies, patient safety practices, and risk reduction strategies.• Foster a culture of continuous improvement by promoting open communication and feedback among healthcare professionals.• Facilitate collaborative efforts with external organizations and stakeholders to share best practices and adopt innovative approaches to enhance patient care and safety.• Lead a team of infection control practitioners to implement best practices, provide education, and conduct surveillance to prevent and control healthcare-associated infections (HAIs).• Collaborate with healthcare staff, administrators, and external agencies to establish and maintain effective infection prevention measures. Show less

United States

Quality Improvement Manager• Oversight of clinical process improvement, project management, regulatory and qualityassurance and patient safety for the Lovelace Medical group’s Pharmacy, InfectionPrevention, CLIA Waived- Point of Care Testing, and Document Control Administrationprograms.• Patient Centered Medical Home (PCMH) program management for the LovelaceMedical Group’s primary care practices and continued PCMH annual recognition throughNCQA.• Leader of… Show more Quality Improvement Manager• Oversight of clinical process improvement, project management, regulatory and qualityassurance and patient safety for the Lovelace Medical group’s Pharmacy, InfectionPrevention, CLIA Waived- Point of Care Testing, and Document Control Administrationprograms.• Patient Centered Medical Home (PCMH) program management for the LovelaceMedical Group’s primary care practices and continued PCMH annual recognition throughNCQA.• Leader of proactive, comprehensive strategic Quality and Patient Safety Plan that inspires clinical and non-clinical engagement, inter-professional collaboration, and the identification and use of evidence-based practices.• Resource manager of support services staff, namely Quality and Patient Safetycoordinators.• Diversity, Equity and Inclusion committee chairperson for the Lovelace Health SystemNew Mexico market.• Quality Clinical Measures subject matter expert for CMS conditions of participation andother Key Performance Indicators that require data driven process improvement.• Implementation of current working knowledge of national, local, and system Show less

Albuquerque, New Mexico Area

Senior Clinical Quality Consultant for the Physician Quality program and former Clinical Quality Manager for the Children’s and Women’s programs.•Senior consultant for the Physician Quality program with the purpose of discovering opportunities for improvement in the quality of care provided to patients, improve clinical outcomes, and reduce the risk of harm by minimizing variation in clinical practice and enhancing physician engagement and satisfaction.• Involved in various aspects of… Show more Senior Clinical Quality Consultant for the Physician Quality program and former Clinical Quality Manager for the Children’s and Women’s programs.•Senior consultant for the Physician Quality program with the purpose of discovering opportunities for improvement in the quality of care provided to patients, improve clinical outcomes, and reduce the risk of harm by minimizing variation in clinical practice and enhancing physician engagement and satisfaction.• Involved in various aspects of process improvement, project development and participation in clinical advisory work groups and various steering committees. • Project management lead and facilitator for improvement projects utilizing Lean/Six Sigma Green Belt, FMEA, Plan-Do-Study-Act (PDSA) methodologies, and other projects aligned with the IHI Model for improvement and other methodologies applicable to High Reliability Organizations.• Patient safety investigation of significant/adverse clinical events. Facilitator for Root-Cause-Analysis (RCA) and comprehensive reviews for the development of improvement action plans and measures of success. • Quality and patient safety data stewardship, KPIs, review of measure changes by CMS and The Joint Commission’ regulation and accreditation standards. Knowledgeable in Hospital Compare, Leapfrog, HAC, NDNQI, NPIC, Tableau, Premier. • Participant of various multidisciplinary process improvement initiatives at the facility, central delivery and enterprise-wide levels. • Mentorship to peers and interdepartmental assistance. Show less

Albuquerque, New Mexico Area

Anatomy and Physiology Adjunct Instructor for ITT Technical College’s General Education and Nursing program, and Human Diseases and Pharmacology Instructor for the Health Information Technology program.

Albuquerque, New Mexico Area

Quality Review Coordinator/Certified Procurement Transplant Coordinator•Donor clinical management, organ allocation and logistics, OR coordination and verification of recovery for organs allocated, post case follow up; as well as responsibilities regarding compliance with OPTN standards and regulations, AOPO standards and policies, HRSA, and DCI and NMDS internal policies, respectively. •Participation with different hospitals within DSA performing clinical rounding, and providing… Show more Quality Review Coordinator/Certified Procurement Transplant Coordinator•Donor clinical management, organ allocation and logistics, OR coordination and verification of recovery for organs allocated, post case follow up; as well as responsibilities regarding compliance with OPTN standards and regulations, AOPO standards and policies, HRSA, and DCI and NMDS internal policies, respectively. •Participation with different hospitals within DSA performing clinical rounding, and providing presentations regarding donation process for competencies needed for new and established nurses, •Responsible for internal auditing process of donor charts, medical record reviews, participation in policy development and everything associated with compliance. Show less

Albuquerque, New Mexico Area

Case Manager Supervisor and Program Director for the D&E Waiver Program.• Responsibilities included the development and implementation of policies and procedures that pertain to all the community-based programs aforementioned. • Monthly training module creation for home care related tasks designed to promote, improve and maintain health and safety for both service recipients and personal care attendants, and training of all staff employees on all areas specific to their job description… Show more Case Manager Supervisor and Program Director for the D&E Waiver Program.• Responsibilities included the development and implementation of policies and procedures that pertain to all the community-based programs aforementioned. • Monthly training module creation for home care related tasks designed to promote, improve and maintain health and safety for both service recipients and personal care attendants, and training of all staff employees on all areas specific to their job description as well as training on current regulations for provision of services. • Active participation in Community Outreach and company networking activities. Show less

Albuquerque, New Mexico Area

District Manager for Options Services, D&E Waiver Case Manager.• Responsibilities included case management as well as case management supervisory tasks for case managers of other districts of Options Services.• Management of the district’s home care service delivery through the Personal Care Option and Disabled and Elderly Waiver programs, Management of consumers and caregivers• Overseeing the personal care portion of the interdisciplinary, medical review and internal review teams… Show more District Manager for Options Services, D&E Waiver Case Manager.• Responsibilities included case management as well as case management supervisory tasks for case managers of other districts of Options Services.• Management of the district’s home care service delivery through the Personal Care Option and Disabled and Elderly Waiver programs, Management of consumers and caregivers• Overseeing the personal care portion of the interdisciplinary, medical review and internal review teams for each consumer.• Establishing care, quality control and continual training for caregivers. Show less

El Paso, Texas Area

Intake and Community Services Coordinator for Outreach Health Services.• In charge of obtaining and processing information for potential new clients, worked closely with the Texas Department of Human Services, as well as management of Medicare referrals for Outreach Health Services Skilled Nursing Division. Program development and care coordination for patients under service contract for home-health services with the Department of Veterans Affairs. PR and Marketing for OHS.

Master Of Science (Ms), Health/Health Care Administration/Management, Gpa 4.0

Alpha Chi-National College Honor Society

M.D, Medicine