Patrick Spears Email & Phone Number

United States

Louisville, Kentucky Area

(part 1 of 2) Ensure agency-wide operational compliance with applicable regulations related to the Supports for Community Living and Michelle P Medicaid waiver programs, and with agency vision and values. Provide information technology support including administering, training, and providing technical assistance related to the agency's electronic medical record (EMR) to ensure effective, efficient, waiver- and HIPAA-compliant operations. Conduct routine program integrity audits and reviews to prevent, detect, and investigate misuse of program funds. As certified level-1 investigator with over 18 years of investigative experience, prevent and respond to the abuse, neglect, and exploitation of vulnerable adults and children by conducting incident investigations and implementing corrective actions in coordination with internal and external personnel. Design, implement, and maintain custom-built tools to undertake analyses of program and claims data. Act as primary point of contact for regulatory agencies and facilitate regulatory reviews including certification audits and post-payment reviews. Create custom systems for aggregating and analyzing claims data from multiple systems, facilitating detection of denied claims and automating the weekly production of payroll data. Led agency implementation of Electronic Visit Verification (EVV) system, including data system integration with agency claims and payroll data systems. Serve as agency's point of contact with EVV vendor to address software issues and provide quality improvement recommendations.

Louisville, Kentucky Area

(part 2 of 2) Administer agency-wide human resource operations to ensure compliance with federal and state regulations related to employment law and waiver program personnel and training requirements. Develop strategic quality metrics and coordinate the collection and analysis of data related to the agency's overall quality improvement objectives. Serve, together with agency administrative team and external agencies, to facilitate regional Human Rights and Behavior Intervention committees, providing both regulatory and behavior analytic best-practice technical assistance. Utilize Excel and other software to create tracking and data analytic tools to collect and analyze data as it relates to compliance operations, quality improvement activities, and claims data, Analyze and improve operational processes and workflows to minimize redundancy and error while maximizing reliability, quality, and efficiency.

Louisville, Kentucky Area

Ensured regulatory compliance with applicable federal regulations, Cabinet and facility policy with respect to incident management and incident investigation across 4 separately-licensed ICF/ID facilities. Conducted, and supervised a team of level-one certified investigators who conducted, incident investigations of client and staff-related harms ranging from minor accidental injuries to unexpected deaths. Coordinated root cause analyses of adverse outcomes utilizing cause-mapping and Failure Mode and Effects Analysis (FMEA) methodologies. Worked closely with Performance Improvement managers and other personnel to collect, measure, and analyze data related to progress towards key strategic goals. Participated in the design and implementation of performance improvement initiatives across multiple facilities. Designed and implemented staff development and training programs. In coordination with facility administrative team, created and trained policies and procedures across multiple facilities. Worked with Human Rights, Facility Review, and Mortality Review teams to ensure regulatory compliance and promote continuous quality improvement. Coordinated with external agencies including the Department of Community Based Services, the Office of Inspector General, the Office of Ombudsman, the Department of Protection and Advocacy, the Office of Attorney General, and the Office of Human Resource Management in relation to incident investigations and employee disciplinary action. Created and implemented staff development and training initiatives. Supervised a fantastic team of employees and continuously supported them in the development and recognition of their job-related knowledge, skills and abilities.

Louisville, Kentucky Area

Conducted, and supervised a team of level-one certified investigators who conducted, incident investigations of client and staff-related incidents including abuse, neglect, and exploitation, minor injuries, peer-to-peer aggression, falls, injuries of unknown source, elopement, client deaths, and other harms. Maintained facility CCTV systems and utilized CCTV evidence to resolve investigatory questions. Worked together with facility administrative and interdisciplinary teams to conduct reviews and analyses of incidents and incident investigations, created and facilitated the completion of corrective action plans. Ensured that investigations were conducted with speed, thoroughness, and objectivity and were compliant with relevant CMS/CFR regulations and standards. Coordinated with external agencies including the Department of Community Based Services, the Office of Inspector General, the Office of Ombudsman, the Department of Protection and Advocacy, the Office of Attorney General, and the Office of Human Resource Management, in relation to incident investigations, employee disciplinary actions, and criminal investigations. Served as crisis program leader, providing routine direct support to individuals in crisis as well as facility-wide staff training related to Safe Crisis Management and the application of applied behavior analysis principles to prevent and intervene in behavioral crises. Served as lead CPR trainer, providing facility-wide training in the American heart Association's Basic Life Safety for Healthcare Providers (BLS) and Heartsaver CPR curricula.