Nicki Sullivan Email & Phone Number

• Provide leadership and management to a professional staff of project leads, healthcare quality improvement facilitators and health informatics coordinators• Oversight of electronic medical record reviews validating measures and data registry information for approximately 60 practices participating in the Oncology Care Model• Co-facilitated the design and implementation of the eCQM validation program for the Hospital Inpatient Quality Reporting Program • Work directly with CMS, and other stakeholders in the development of business requirements needed for the implementation of the eCQM validation program•Subject Matter Expert in chart-abstraction and validation of quality measures, including eCQM, chart-based, registry reported and HAI• Experience in beta-testing eCQM measures for the measure development process•Collaboration with electronic clinical quality measure (eCQM) development team to provide education related to eCQM’s•Experienced in the bids and proposals process, including leading the proposal process and business case• Provide technical assistance and clinical subject matter expertise for the development and maintenance of quality measures• Provide oversight of environmental scans and literature reviews • Oversight of the delivery of operational support related to data collection, analysis and reporting for national projects

• Provide leadership and management to a professional staff of project leads, healthcare quality improvement facilitators and health informatics coordinators• Oversight of electronic medical record reviews validating measures and data registry information for approximately 60 practices participating in the Oncology Care Model• Co-facilitated the design and implementation of the eCQM validation program for the Hospital Inpatient Quality Reporting Program • Work directly with CMS, and other stakeholders in the development of business requirements needed for the implementation of the eCQM validation program• Subject Matter Expert in chart-abstraction and validation of quality measures, including eCQM, chart-based, registry reported and HAI• Experience in beta-testing eCQM measures for the measure development process• Collaboration with electronic clinical quality measure (eCQM) development team to provide education related to eCQM’s• Experienced in the bids and proposals process, including leading the proposal process and business case• Provide technical assistance and clinical subject matter expertise for the development and maintenance of quality measures• Provide oversight of environmental scans and literature reviews • Oversight of the delivery of operational support related to data collection, analysis and reporting for national projects

• Supervised a staff of 21 consisting of RN’s, LPN’s and RA’s to ensure both internal and external customer satisfaction• Provided staff education regarding creating care plans consistent with URAC standards. • Performed reviews for care plans, member cases and audits• Call monitoring of nurses and RA’s to ensure quality customer service and consistency with URAC and Telligen standards• Oversight of daily activities for staff including but not limited to: caseloads, ensuring case percentages, keeping daily stats

• Supervised a staff of 22 consisting of RN’s, physical/occupational/speech therapists, patient care technicians and financial advocates to ensure quality and cost-effective care is provided to all patients• Coordinated care for patients using an interdisciplinary approach• Provided disease and condition management to SNF patients for conditions such as diabetes, heart failure, post-joint replacement care• Helped to maintain 5-star Medicare rating for SNF facilities by monitoring internal quality measures and completing individual case reviews• Responsible for writing and implementing policies and procedures that aligned with Medicare and state regulations• Provided staff and patient education regarding new clinical procedures, policies & regulations• Ensured accurate and timely submission of MDS assessments to the state according to the Medicare guidelines• Participated on committees developed to improve the quality of care and decrease cost • Trained as a super user for the new EHR system (Epic) and helped train physicians and staff on use during implementation

• Screened new residents to ensure that all State and Medicare guidelines were followed while balancing the population between private pay and other funding sources• Coordinated MDS assessments for all 150 residents according to Medicare and OBRA guidelines; routinely submitted patient assessments for billing and reporting • Responsible for tracking infection rates and developing new protocols for facility • Created new infection control manual for facility• Served as a back-up for all other resident care coordinators, managing unit staff during vacations and absences • Managed staff of RN’s, LPN’s & CNA’s to ensure that quality care was provided to all residents• Directed patient care which included assessments, treatments & medication administration for skilled and long-term patients• Managed team of CNA’s to ensure high level of safety and quality standards were met• Collaborated with physicians, therapists, dieticians to provide holistic patient care