Provides strategic leadership with operational/fiscal oversight for all nursing services (600 FTEs/7 direct reports) at a157- bed, not for profit, acute care hospital with 40,000 emergency department visits annually. Notable Contributions:Developed innovative initiatives to address COVID 19 surges and critical staffing crisis.Fostered interprofessional collaboration to improve safety, quality, patient experience, and cost containment: Reduced traveler usage by 60%, decreased RN turnover from 38% to < 15% Implemented a surgical hub model for urgent/emergent general surgeries in the South Charlotte Market  Improved Vizient quality score from 51 (3 stars) to 71 (4 stars); Leapfrog A; CMS 5-star rating Improved patient experience HCAHPS >50th percentile (RN Communication and Overall Rating) Meet or exceed productivity targets for all acute care nursing areas. Support building new bed tower (ICU, Medical Surgical, Observation) opening in December 2024

Directed critical care division at a 317-bed, not for profit, acute care teaching hospital with 50,000 emergency department visits annually.Direct responsibility for 225 FTEs and 5 direct reports (critical care, stepdown, telemetry, emergency department, respiratory therapy, stroke program, sleep lab, and neurodiagnostics).Notable Contributions: As chair of hospital throughput committee, improved LWBS (3.7% to 1.2%) in conjunction with ED physical restructuring; decreased average time from discharge order to actual discharge for inpatients (>120 minutes to < 60 minutes and decrease ED length of stay for admitted patients). Implemented DNP project, for early recognition and treatment of patients at risk for complicated alcohol withdrawal syndrome, in medical/surgical/telemetry units to decrease median length of stay from 4.0 to 2.5 days resulting in $320K reduction in annual expense. Stroke program recognized annually by American Heart Association, received Gold Plus Award in 2019. Hospital achieved patient fall rates less than NDNQI 50th percentile (2.50) for 9 out of 12 months (2019 – 2020). Implemented organization-wide, multidepartment daily safety huddle to improve situational awareness, communication, efficiency, and safety. Coach and mentor staff for successful regulatory surveys with Healthcare Facilities Accreditation Program (HFAP) resulting in high functioning teams and organizational readiness. Contributed to the data collection and writing of Swedish’s application for Magnet re-designation. Co-lead Hospital Incident Command during the pandemic, expanded ICU from 14 to 39 beds, implemented team nursing.

Directed critical care services at a 263-bed, not for profit, acute care hospital with 45,000 emergency department visits, annually.Direct responsibility for 206 FTEs and 5 direct reports (critical care, emergency department, telemetry, stroke program, and Magnet program).Notable Contributions: As the chair of critical care committee, implemented nurse-led multidisciplinary rounds, sepsis protocol, hyperthermia protocol and other tactics contributing to outperforming other hospitals in Advocate Health System for improved patient outcomes:o Ventilator length of stay index decreased by 60% from 1.8 to 0.96 and decreasing critical care expense.o ICU APACHE Mortality Index decreased from 0.6 to 0.35 and hospital sepsis mortality rate decreased from0.8 to 0.4 resulting from improvements in quality and safety. Coached staff using evidenced based approach for nurse leader rounding to improve overall HCAHPS scores in stepdown unit (77.9 in 2012; 91.4 in 2013). Overall rating (81.8) exceeded organizational goal (75). Improved culture of safety scores to the 90th percentile in critical care through effective employee rounding; consistent, timely feedback; and facilitating performance improvement.

Directed critical care services at a 582-bed, not for profit, acute care hospital.Direct responsibility for 60 FTEs and 2 assistant mangers (critical care and inpatient dialysis unit)Notable Contributions: Insourced and managed new inpatient dialysis unit to improve efficiency and quality of care. Coached and mentored staff for optimal patient outcomes and regulatory survey readiness. Collaborated with interdisciplinary teams, promoted evidenced based practice to improve patient outcomes. Responsible for Code Blue/Rapid Response team. Implemented hypothermia protocol to improve neurological outcomes for cardiac arrest and stroke patients.

Directed critical care services at a 237-bed, not for profit, acute care hospital. Direct responsibility for 24-65 FTEsNotable Contributions: Interim Unit Director:o Telemetry (2008)o Skilled Care and Rehab (2008)o Medical-Surgical/Ortho Unit (2009) Implemented nurse leader rounding and other tactics resulting in 80% new graduate nurse retention > 2 years. Implemented nurse-led, daily multidisciplinary rounds and other tactics to achieve improved patient outcomes:o Ventilator associated pneumonia rate reduced by 80%o Restraint use decreased by 82%o CAUTI reduced by 75%o CLABSI reduced by 49% Interim Quality Manager (2006) Co-chair the Patient Care Council to collaborate and strategize on improvement opportunities impacting patient safety and clinical outcomes. Data collection and analysis: core measures, patient safety goals, peer review, patient experience, code blue/rapid response, and other quality metrics.

Responsible for coordination and facilitation of evidence-based practice teams to improve quality and performance metrics (i.e., door to ECG in < 15 minutes, door to balloon < 120 minutes, and other CMS core measures).Responsible for facilitating interdisciplinary team collaboration for process improvement, root cause analysis, and FMEA. Responsible for organ donor evaluation, consent process, clinical management, coordination of organ recovery, follow up with family, and organ recovery training for hospitals within the service area.

Review home health cases for CMS and JCAHO compliance. Supervise home health RN/LPNs. Provide admission assessment on all new cases and verify insurance coverage.

Direct patient care Respiratory ICU (charge duties and preceptor)

Direct patient care Services Provided at Loyola Medical Center, Bethany Hospital, and Trinity Hospital

Direct patient care Services provided at Our Lady of Resurrection Hospital and Resurrection Hospital

Direct patient care Critical Care Internship