Lynn Poole Email and Phone Number

Coordination of care for people with complex clinical conditions with functional and intellectual disabilities to enable them to continue to live safely in their preferred location. Knowledge of Home and Community Based Services (HCBS) and delivery of services. SME for CKD/ESRD/nephrology related conditions and complications. Motivational Interviewing and Health Coaching. Developing a respectful and supportive relationship to facilitate the care coordination process. In-person home based assessments. Identifying/planning/coordinating/implementation of services. Assisting individual/family in development and implementation of care plan (ICP). Locating/developing/obtaining needed services and resources. Coordinating with agencies/providers/family/individuals involved in care. Monitoring to assess ongoing progress.

Highly motivated/experienced health care professional working with thought leaders, clinicians, policy makers and consumers to improve the quality of care to individuals and populations with chronic diseases. Includes those with Chronic Kidney Disease (CKD), End Stage renal Disease (ESRD) and co-morbid conditions. Experienced in disease/care management, coordination of services across sites of care and management of co-morbid conditions. Actively involved in healthcare, nurse practitioner/nursing coalitions and forums shaping public policy. A leader able to adapt to changing health care environments. • Critical Thinking & Problem Solving • Program Development & Implementation• Care Transition and Coordination • IT System Design • Data Analysis & Interpretation• Project Management • Motivational Interviewing & Health Coaching• Quality Assessment & Improvement• Staff and Team Leadership/Mentoring Focus areas: Clinical PracticeProgram Development/Project ManagementStrategic Planning/Public PolicyQuality Assurance/ImprovementProfessional AffiliationsAmerican Association of Nurse Practitioners Virginia Council of Nurse Practitioners American Nurses Association Virginia Nurses Association American Nephrology Nurses Association Vascular Access Society of the AmericasNational Kidney Foundation National Capital Area Medical Advisory Committee National Kidney Foundation Council of Advanced PractitionersCMS Fistula First Catheter Last Workgroup CoalitionLegislative Coalition of Virginia NursesVirginia Action Coalition, Campaign for Nursing

Project Lead and Subject Matter Expert Fistula First Catheter Last (Fistula First Breakthrough Initiative) Healthcare associated infections Patient engagement Data analysis Dissemination, promotion and spread of clinical tools and resources Member of CMS ESRD Vascular Access Technical Expert Panel Member of ESRD Forum Care Transitions Workgroup

Highly motivated/experienced health care professional with expertise working with industry leaders in the provision of healthcare and development of processes and strategies for implementation for delivery of Disease/Case Management services to individuals with chronic diseases. As Family Nurse Practitioner, provided clinical services to individuals across the life span. Actively involved in healthcare, nurse practitioner/nursing coalitions and forums shaping public policy. A leader able to adapt to changing health care environments. • Critical Thinking & Problem Solving • Program Development & Implementation• IT System Design • Data Analysis & Interpretation• Project Management • Motivational Interviewing & Health Coaching• Quality Assessment & Improvement• Clinical Operations • Staff and Team SupervisionFocus areas: Clinical PracticeProgram Development/Project ManagementStrategic Planning/Public PolicyQuality Assurance/Improvement

DaVita acquired Gambro

Focus on multi-disciplinary team management of patients with chronic onditions