Director of Accreditation, Regulation, & Licensing and Risk Management & Patient Safety

• Compliance, Ethics, and Privacy & Security Program Manager committed to ensuring Kaiser Permanente healthcare teams adhere to the highest levels of ethics and regulatory compliance as outlined by the KP Compliance Framework.• Responsibilities include project management for local and Regional initiatives; managing work and audit plans across the facility; development of annual risk assessments; aligning local initiatives with Regional strategy; collaborating with multi-functional teams including committee oversight and synchronization with internal and external organizations to ensure regulatory compliance; administration of sensitive investigations and analysis of business impacts of non-compliance; manages and leads audits on scope of practice, licensing and other areas at risk for compliance violations; implementing corrective action plans and assess completion rate and operational stability; determine impacts of implementation of new regulations on operations and required training and implementation strategies and communication.

• Performance Improvement and Quality Regulatory Services Senior Consultant and Junior Military Officer Associate responsible for providing critical analysis and problem solving to streamline processes and systems to increase efficiency, decrease waste, improve patient outcomes, and save money in an effort to provide world class healthcare to Kaiser Permanente patients.• Established new and standardized Portfolio Management Office infrastructure to triage, assign, and manage the portfolio of projects to ensure alignment with hospital and regional goals; optimizing the portfolio to meet performance targets and ensure financial value• Lead program manager for Total Joints Same Day Discharge program; improved same day discharge of patients undergoing joint replacement surgery from 7% to 88% and from 19th to 2nd in the region. Saved an estimated $1.4 million a year.• Lead project manager for the replacement of all hospital beds in the facility; worked with a multi-functional team from Nursing, Environmental Services, Engineering, Supply Chain, and external vendors to replace 217 beds without a single break in patient care.• Trained 50+ staff in Lean Six Sigma, Project Management, and Change Management to inspire a culture focused on change and sustained excellence.• Responsible for an in depth analysis and crosswalk of seven Hospital Acquired Injuries (Falls, HAPI, SSI, CAUTI, C-DIFF, HAP, CLABSI) for executive leadership to identify the current state, gaps in performance, and opportunities. The analysis indicated that the primary drivers of total harm events were HAPI, CAUTI, and SSI rates which became strategic focus areas in the following year• Conducted a business case to stratify the financial, care experience, and quality of care risks associated with CAUTI's. The analysis identified significant opportunities to improve practices surrounding foley catheter removal. The proposed case identified an opportunity to reduce costs by up to $5.3M a year

• Oversight and development of a healthcare planning and support department of 12 personnel supporting a large healthcare organization. Responsible for the management of the medical supply requirements, medical readiness, and medical training and skills requirements and certifications of thirteen Army medical specialties, and regulatory compliance for an organization consisting of over 650 personnel in 10 subordinate departments• Conducted long term and short term analysis of medical missions and planning for ten medical functional areas including preventive medicine, veterinary support, lab and blood support, dental care, hospitalization, medical evacuation and general healthcare.• Responsible for the Organizational Inspection Program; improved oversight structure and tracking of over 60 regulatory inspections ensuring all subordinate departments were in compliance and implemented change strategy to fill critical gaps found during inspections. Increased compliance readiness from 60% to 95% for the entire organization• Responsible for the planning and execution of medical support for a major joint training exercise for over 800 personnel; flawlessly integrated health care support including surgical services, patient care, medical transport, laboratory, dental, X-Ray, behavioral health, medical maintenance, and preventive medicine

• Formal professional development course dedicated to the enhancement of institutional knowledge in health service and support, force health protection operations, and advanced project management and performance improvement (Military Decision Making Process) in an intensive classroom environment• Earned superior ratings for leadership ability, written communication, and oral communication. Rated as the number one Officer out of a group of 20

• Leader of a patient care department of 119 staff over five subordinate sections; responsible for the critical care and transport of trauma patients; responsible for this lifesaving critical medical coverage moving patients from the point of injury to emergency departments through Northern, Western, and Southern Afghanistan.• Responsible for successful certification through an intense survey process to meet all regulatory requirements set by the Department of Defense for deployment readiness.• Lead Project Manager for the major retrograde and repositioning of these critical medical assets four times without ever dropping coverage to the thousands of supported personnel and acute care facilities we supported• Collaborated with subordinate leaders to improve operational processes to mitigate operational risks to staff and patients multiple medical sites while synchronizing numerous competing requirements and regulatory compliance with multiple ambulatory and acute care facilities we supported• Upon redeployment from Afghanistan was the lead project manager for the successful transfer and turn in of over 2100 items worth over $135 million and movement of over 100 staff in preparation for organizational deactivation• Rated as the top Officer in the organization and received an exceptional on my performance rating

• Leader of a medical department of 20 staff responsible for providing critical patient transport from the point of injury to various emergency departments in throughout Europe. Selected above 10 peers to serve as the organizations Operations Officer; responsible for the scheduling, execution, risk assessment process, and flight and regulatory medical training requirements for over 90 staff resulting in over 1700 hours flown in support of 840 missions to include 30 high visibility no fail medical missions in support of thousands of North Atlantic Treaty Organization (NATO) allies.• Rated in the top 10% of all Officers in the organization and received and received excellent on my performance rating.

• Primary advisor to the CEO of a large organization consisting of over 10 subordinate departments; responsible for the integration of operational assets in support of thousands of personnel; direct liaison to four NATO nations. Instrumental in handling sensitive political situations, cultural differences, and differences in regulatory requirements for high visibility no fail operations.• Collaborated to standardize and streamline the organizations planning processes resulting in a 40% reduction in the planning cycle• Rated in the top 5% of all Officers in the organization and received exceptional on my performance ratings.

• Project Manager and Performance Improvement Consultant for a medical organization that supported ambulatory patient care services and transport of critically ill/ injured patients• Accomplishments include the reset of mission essential maintenance and medical equipment in excess of $100M and development and re-establishment of the daily management systems, the regulatory change management program, and the risk assessment and mitigation process to ensure safe and efficient operations and the ability to forecast and plan future medical operations.• Responsible for the successful survey readiness for the Aviation Resource Management Survey. This intensive credentialing survey is designed to ensure complete operational readiness and alignment with Department of Defense regulations and local policies and procedures. The organization passed this certification with zero corrective action plans required.• I was hand selected from 12 peers to serve as the US Army's representative to the Community Noise Abatement Committee with the partnership of US Army Europe, US Air Force Europe, the German Ministry of Interior, and local community leaders to not just ensure regulatory compliance with applicable internal and local regulations but to improve relations with local communities

• Responsible for a 14-person medical department responsible for providing critical patient transport. • Duties included ongoing management of staff and patient safety risks, organizational readiness, regulatory compliance, and integration with acute care and ambulatory care facilities in alignment with the organizations patient care operations• Rated in the top 10% of all Officers in the organization

• Selected as one of only 24 MEDEVAC pilot candidates from a pool of over 100 Medical Service Corps Officer applicants• Earned superior ratings for leadership ability