Ryan Fraleigh Email & Phone Number

Fort Wayne, Indiana, United States

Healthcare Quality and Safety LeaderI am dedicated to advancing high-quality patient care, enhancing safety, and minimizing medical errors while spearheading quality and performance improvement initiatives across our hospital. My role involves analyzing patient care events and hospital-acquired conditions to identify patterns and areas for improvement, ensuring optimal outcomes and regulatory compliance with local, state, and federal standards.Key Responsibilities:Develop and implement comprehensive quality, risk, and patient safety strategies for a 400-bed, Level II trauma center, achieving notable reductions in RAMI and HAI rates, and improving Stroke DTN and Sepsis antibiotic administration times.Oversee and manage the Quality, Risk, Regulatory, Patient Safety, Infection Prevention, and Accreditation teams.Conduct Root Cause Analyses and facilitate SMART action plans to drive performance improvement.Monitor and analyze safety trends through the Event Reporting System.Lead the Continuous Survey Readiness Program, including mock surveys and TJC AMP Tracers.Manage regulatory communications with the Indiana State Department of Health and other agencies.Oversee re-accreditation processes for American College of Cardiology Programs.Chair multiple committees, including Patient Safety, Workplace Violence, Heart Failure, Cardiac Cath Lab, Transcatheter Aortic Valve Replacement, Chest Pain, Complaints and Grievances, and Cardiology Performance Improvement.Provide consultative oversight for the Environment of Care, Life Safety, and Emergency Management Programs.Orient and train staff on Risk, Regulatory Quality, and Principles of High Reliability.My role as Patient Safety Officer enables me to drive significant improvements in patient care and safety, fostering a culture of excellence throughout the organization.

New York City Metropolitan Area

New York City Metropolitan Area

Directs the overall day-to-day operations of Quality Management’s activities following evidence-based guidelines and regulatory requirements. Routinely assesses quality management staff’s learning needs and implements a competency assessment program to identify gaps and evaluates the quality and effectiveness of programs. Implements necessary changes in trainings to maximize productivity, effectiveness, and efficiency of staff. Responsible for the ensuring the Quality Reporting Program requirements are met for two hospitals (NYC H+H| Jacobi and North Central Bronx). Implement a hospital wide quality program which integrates department level initiatives into alignment with the system level strategic pillars and mission. Provide coaching to employees on Lean/PI/ Data analytics to aid in individual growth and the creation of quality projects and programs. Co-lead the hospital wide Quality Assurance and Performance Improvement Committee. Oversee chart abstraction activities for the Joint Commission, CMS Inpatient Quality Reporting, CMS Outpatient Quality Reporting, CMS Inpatient Psychiatric Facility Quality Reporting, CMS Promoting Interoperability, Get with the Guidelines Heart Failure, Get with the Guidelines Stroke, Accountable Care Organization, HEDIS QARR, Leapfrog, and Private Insurance based Quality programs.Develop the Annual Hospital-Wide Performance Improvement plan. Create and implement annual departmental level Quality Plan templates and partner with departmental chairs to complete and execute.Performs Administrator on Duty or Hospital Incident Command System Leadership assignments as specified by the executive team.

New York City Metropolitan Area

Supported the Senior Associate Director of Quality Management in running the QAPI Committee meetings and Quality Programs.Coached the clinical departments on Performance Improvement techniques and tools.Abstracted various measures for The Joint Commission and Centers for Medicare Medicaid Services Quality Reporting Programs including: IP ED, IMM, IPFQR, OP ED, and PC.Serve as the Administrator on Duty for the hospital multiple weekends per year.

Bronx New York

Led hospital to a 0 EM citation survey (5/18) and assisted with the EOC, IC, LS, and LD chapters of TJC. Coach Senior Leadership on Emergency Operations and Hospital Incident Command System Principles. Chair the Emergency Management Committee and Member of the Hospital-Wide Quality Assurance and Performance Improvement Committee and Environment of Care Committee. Serve as the Incident Commander during activations of the Hospital Incident Command System (HICS). Update the Hospital Emergency Operation Plan, Hazardous Vulnerability Assessment, various hospital and departmental response plans, and policies and procedures. Compliant with NFPA 2012 and TJC 2018. Develop, track and implement hospital improvement plans based on exercise and real event after action reviews. Design and conduct tabletop and full-scale exercises to prepare for events, such as active shooter, medical surge, CBRNE, coastal storm, inclement weather, and external evacuation. Train and coordinate continuing EM education for 3K+ hospital employees. Complete and submit DOH grant and deliverables for $60K+ in emergency preparedness funds for the hospital and community coalitions.

Lincoln Hospital Bronx, New York

Responsible for Regulatory Compliance, Leading Hospital-wide Process Improvement Initiatives, Project Management, Daily Operations Activity, Conducting Proactive Risk Assessments, Developing Standard Work, Writing Policies, Data Tracking/Mining/Analysis, Creating Management Tools, Budget tracking, Managing Special Events, Supporting Emergency Operations(24/7).

Lincoln Hospital Bronx, New York

Supervised 6 Fire Safety Directors/Safety Officers across 3 Tours, ensuring 24/7 building coverage.Maintained up-to-date fire and life safety records, including fire alarm system testing and inspection, Tier I and II elevator testing, Regulated Medical Waste Manifests, and weekly inspection logs to meet CMS, FDNY, OSHA and other regulatory requirements. Performed Interim Life Safety Measure assessments and monitoring of construction projects. Conducted ongoing Joint Commission readiness activities, including tracers, rounding, policy review, and records auditing. Managed contract relationships with various vendors for hazardous waste, the fire alarm system, and fire safety equipment.

Greater New York City Area

Increased the PressGaney Scores by 3% in the Medicine Clinic over 3 month period, by working with the Ambulatory Care Executive Leader to design and implement a rigorous Patient Experience Training Program for the Service Excellence Cultural Redesign Team. First cohort trained 100+ staff members. Led the Lincoln Leadership and Patient Experience Simulation Center design team, integrating situational role playing and process improvement coaching. Reduced roll-out/return time to 47minutes/day, a $726,432 savings in labor, by redesigning the EVS shift change. Increased revenue by $392,000/year in the Radiology Department by identifying and recommending billing improvements. Improved medication syringe labeling and transformed the Lab Specimen transportation and handling process by assisting teams with proactive risk assessments and quality and safety initiatives. Reduced wait time for the third next available appointment by over 100 days in the dental department by conducting capacity and demand analysis and numerous improvement projects, resulting in long-term strategies for growth and accurate resource/staffing models.

Mahopac, New York

Provide quality customer service and brand marketing.Process and Deliver; standard, first-class, certified, registered and express mail and parcels.Handle time sensitive and confidential items in a professional manner.Maintained a courteous and professional attitude with customers and colleagues.

Greater Memphis Area

Responsibilities:Audits and Reporting: GMP, SKU Integrity, Outbound Accuracy, and OTD Reports; SOX Compliance Audit.Manage Special Commodities Relationships: $600k Annual Expenditure on Pallets.Project Manager Process Improvement Initiative: Count back Analysis-Root Cause and Corrective Action.Achievements:Exceeded expectations, Led a Cross Functional, Multi-Shift Project Team of 8 Supervisors & Leads, contributing to 43.69% process efficiency improvement and identified a Cost Reduction of at least $142,350 annually.Improved my project and people management skills by executed a team project using Six Sigma & DMAIC process.Exceeded expectations and implemented a Vendor Managed, Lean pallet process.Piloted first returns product revenue recovery project at the CLS site in Olive Branch, MS. (Approx. Value $40k)

Skillman, Nj

Responsibilities:Reported daily business dashboard metrics in a format that enabled the team to be proactive in driving improvement. Simplified, Standardized, and documented critical business processes for the team. Managed a promotional program for the consumer healthcare GBU.Achievements:Managed a promotion project from inception to delivery and achieved 100% Case Fill Rate.Instituted significant improvements to the Open Order Report by integrating more data and leveraging SAP, which saved 40+ planners approximately 30 minutes/day. (Resulted in the creation of a new SAP report)Standardized and Implement a root-cause coding process to collect data for corrective action, during which time we went from 50% to 90% compliance.Developed professionalism, demonstrated leadership in a matrix organization, and improved business data analysis.

Master Of Business Administration - Mba, Health/Health Care Administration/Management

Executive MBA Program

Bachelor'S Degree, Logistics, Materials, And Supply Chain Management