Rebecca Lefebvre Email & Phone Number

Denver, Colorado, United States

• Conducts regulatory audits for all PACE programs, CMS, State Administering Agencies and State licensing agencies.• Provides support to InnovAge PACE/LIFE operations to ensure compliance with partnership agreement.• Proactively gathers information and monitors survey results for contracted housing facilities to identify adverse results.• In a collaborative and partnership-like style, performs audits of documentation, departments, and functions of contracted facility providers to ensure adherence to regulatory guidance. Presents findings and recommendations to leadership.• Recommends the suspension of admissions and termination of contract to management and leadership as necessary based on observed results to audit.• Proactively works with operations staff and leadership to ensure effective partnership with contracted facility providers and in identifying new partnership needs.• Builds and maintains relationships with community agencies such as the PACE Ombudsman Program, Long Term Care Ombudsman Programs and Health Department to proactively manage emerging risk issues in InnovAge contracted facilities.• Assists with mock audits.

• Manage continuous quality improvement (CQI) programs and initiatives including the development, revision and enforcement of organizational policies and procedures• Principal contact for all regulatory bodies including The Centers for Medicare & Medicaid Services, the Joint Commission, and the Colorado Department of Health Care Policy & Financing• Maintain extensive knowledge and understanding of Federal and State regulations, Joint Commission Standards, OIG compliance risk areas, HIPAA, and other regulatory requirements• Compile data and provide statistical information and reports as requested by management and contract agencies. Train and audit patient documentation and ensure release of information in accordance with federal/state regulations, Health Insurance Portability and Accountability Act (HIPAA) and agency policy• Revamp and create a new on-boarding, orientation and annual compliance program for all staff and disciplines within the organization• Prepare and deliver weekly, monthly and quarterly quality, compliance and education reports to the board of directors, executive leadership and regulatory bodies as needed• Serve as the organization’s primary legal and compliance subject matter expert in collaboration with consulting legal counsel• Supervise a geographically disperse and remote mix of full and part-time employees responsible for volunteer and staff training, organizational compliance across all disciplines specific to federal and state hospice care regulations, and quality performance metrics• Manage and provide directional leadership to Health Information Team members, ensuring current skills training, staff development, daily operations, budget adherence, staff assignment of duties, and performance improvementHighly fluent in Microsoft 365 products including Word, Excel and PowerPoint as well as Google Docs, Google Sheets and Google Slides.

• Conduct research and suggest strategic brand recommendations based on both quantitative and qualitative data• Supervise junior designers as well as contracted teams• Audit the quality and consistency of brand standards across multiple platforms (e.g., print, social media, video, in-store experience and displays as well as customer service experience)• Assist with product development (including supply chain research and procurement) and process improvement efforts using LEAN methodology• Serve as consulting Creative / Artistic Director to a variety of business industries including but not limited to healthcare, food and beverage, manufacturing, automotive, finance and lending, contracted services, health and beauty, non-profit, education and small businessHighly fluent in the Adobe Suite (InDesign, Illustrator and Photoshop) as well as the Microsoft Suite including Excel and PowerPoint

• Manage continuous quality improvement (CQI) programs and initiatives including the development, revision and enforcement of organizational policies and procedures• Principal contact for all regulatory bodies including The Centers for Medicare & Medicaid Services, the Joint Commission, and the Colorado Department of Health Care Policy & Financing• Maintain extensive knowledge and understanding of Federal and State regulations, Joint Commission Standards, OIG compliance risk areas, HIPAA, and other regulatory requirements• Compile data and provide statistical information and reports as requested by management and contract agencies. Train and audit patient documentation and ensure release of information in accordance with federal/state regulations, Health Insurance Portability and Accountability Act (HIPAA) and agency policy• Revamp and create a new on-boarding, orientation and annual compliance program for all staff and disciplines within the organization• Prepare and deliver weekly, monthly and quarterly quality, compliance and education reports to the board of directors, executive leadership and regulatory bodies as needed• Serve as the organization’s primary legal and compliance subject matter expert in collaboration with consulting legal counsel• Supervise a geographically disperse and remote mix of full and part-time employees responsible for volunteer and staff training, organizational compliance across all disciplines specific to federal and state hospice care regulations, and quality performance metrics• Manage and provide directional leadership to Health Information Team members, ensuring current skills training, staff development, daily operations, budget adherence, staff assignment of duties, and performance improvementHighly fluent in Microsoft 365 products including Word, Excel and PowerPoint as well as Google Docs, Google Sheets and Google Slides.

• Local, state and national spokesperson and advocate for patient and family-centered care promoting maximum involvement of the consumer in clinical decision-making to improve healthcare outcomes • Utilize existing standards of and incorporate new approaches to complex care management to coordinate the care and support improved quality of life for individuals living with chronic, progressive diseases, facing end-of-life decisions and in need of an array of support services to remain at home or transition to an appropriate care environment• Collaborate with community organizations (acute care hospitals, long-term care facilities, home health care companies, hospice organizations, discharge planners and attorneys) to support and advance the continuum of care, reduce recidivism and improve patient outcomes• Manage day-to-day business operations including customer prospecting, intake and management as well as employee on-boarding and home healthcare activities• Prepare budgets, quality metrics and financial reports to the leadership team in compliance with federal and state requirements • Provide medical chart reviews, pre-litigation consultations, and expert witness testimony

Areas of Clinical Expertise: Pediatrics, Labor & Delivery, Mom & Baby, Medical-Surgical, Telemetry, Simulation Lab, and Bioethics• Develop a comprehensive clinical instruction program promoting a holistic-approach to healthcare• Provide direct supervision, training, coaching, and evaluation of student performance during their clinical rotation • Train and supervise students to each facility’s EHR system to ensure data and documentation accuracy and timeliness• Model multidisciplinary teamwork through the profession of nursing• Uphold college/university curriculum goals and objectives while adhering to the hospital’s policies and procedures• Arrange complementary learning opportunities to reinforce applied learning and theory-based lectures • Serve as liaison during clinical rotations fostering positive clinical experiences for students to ensure future placement opportunities• Provide workshops related to conflict resolution, bioethics, patient safety, and provider self-care to reduce burn-out

Lakewood, Colorado, United States

Responsible for the investigation and resolution of inpatient and outpatient complaints using advanced mediation and conflict resolution skills. Researched, reported, and managed organizational risk in collaboration with the Vice President of Corporate Compliance as well as federal and state regulatory offices to reduce near-miss/sentinel events and improve patient outcomes. Responsible for tracking and reporting patient-care data and complex data sets as a means to improve quality outcomes. Co-managed a hospital-wide cultural renewal effort and provided all-staff trainings to improve patient outcomes and stakeholder communication.

Areas of Clinical Expertise: Pediatrics, Labor & Delivery, Mom & Baby, Medical-Surgical, Telemetry, Simulation Lab, and Bioethics• Develop a comprehensive clinical instruction program promoting a holistic-approach to healthcare• Provide direct supervision, training, coaching, and evaluation of student performance during their clinical rotation • Train and supervise students to each facility’s EHR system to ensure data and documentation accuracy and timeliness• Model multidisciplinary teamwork through the profession of nursing• Uphold college/university curriculum goals and objectives while adhering to the hospital’s policies and procedures• Arrange complementary learning opportunities to reinforce applied learning and theory-based lectures • Serve as liaison during clinical rotations fostering positive clinical experiences for students to ensure future placement opportunities• Provide workshops related to conflict resolution, bioethics, patient safety, and provider self-care to reduce burn-out

Areas of Clinical Expertise: Pediatrics, Labor & Delivery, Mom & Baby, Medical-Surgical, Telemetry, Simulation Lab, and Bioethics• Develop a comprehensive clinical instruction program promoting a holistic-approach to healthcare• Provide direct supervision, training, coaching, and evaluation of student performance during their clinical rotation • Train and supervise students to each facility’s EHR system to ensure data and documentation accuracy and timeliness• Model multidisciplinary teamwork through the profession of nursing• Uphold college/university curriculum goals and objectives while adhering to the hospital’s policies and procedures• Arrange complementary learning opportunities to reinforce applied learning and theory-based lectures • Serve as liaison during clinical rotations fostering positive clinical experiences for students to ensure future placement opportunities• Provide workshops related to conflict resolution, bioethics, patient safety, and provider self-care to reduce burn-out

• Serve as a pediatric subject matter expert and presented chronologies of healthcare events to theColorado Attorney General’s office with the support of corporate compliance and legal counsel toreduce or eliminate CMS back-payment claims• Provide utilization review to insurance companies in accordance with the healthcare team's plan of care• Coordinate care with the multidisciplinary team to meet discharge criteria and goals• Arrange home care and therapies for patients being discharged locally and out-of-state• Train new hires to the RN case manager role• Serve as EPIC superuser and provided training on EPIC to ensure accuracy of documentation in the electronic medical record

M.Ed. | Organizational Learning, Performance And Change (On Hold)

Bachelor Of Science In Nursing – Bsn

Bachelor Of Arts In Social Work – Basw