Steven C. Thayer, Mhsa Email & Phone Number

United States

National healthcare quality and patient safety consultant, innovative program developer, complex project manager, trainer and coach.Conducts strategic and operational assessments with analysis of verticals, horizontals, quality, patient safety, regulatory compliance and leverages performance, facilitates improvement and achieves top decile outcomes.Develops, collaborates and implements value propositions that achieve ROI and VOI (value on investment).Systematically leads, facilitates planning, implementation, project management, measurement, monitoring and compliance.Expertise in dynamic, credible relationship building, conceptualization, redesign, governance, executive, stakeholder, patient engagement, team building, meeting facilitation, metrics, analysis, performance optimization. Articulate writer, trainer, presenter that systematically and reliably implements evidence based best practice business solutions. Adroit leader and navigator of complex healthcare organizations, communiry coalitions and trade associations. Energetic, nimble, values guided, healthcare quality, patient safety, culture improvement, change agent.Recently secured clients include: Aurora Health System, Veterans Health Administration, Clinical Research Organization, Healthcare payor.Proposals in flight: Clinical Research Organization, Healthcare System, Hospital, Healthcare Association, Hospice and medical devices to optimize safety.

West Bend, Wisconsin

Executive Quality, Safety, Training and Regulation functions for the Organization. Designing, implementing, nurturing, measuring and continuously improving the systems, structures, processes, outcomes and Organizations culture. Business owner for becoming a highly reliable, top decile Clinical Research Organization (CRO). Spaulding Clinical Research, LLC (SCR) is a full-service CRO providing Phase I Drug Development and Core ECG Laboratory Services in support of studies throughout all phases of development. SCR operates a 200-bed, fully paperless, Clinical Pharmacology Unit featuring 96, full 12-lead telemetry beds and a 12-bed unit for First-in-Human /SAD/MAD trials.

Sheboygan, Wisconsin Area

Served as interim Administrator of Quality and Medical Staff Services (medical staff office, infection prevention, case management and social work). Supervision of (40) staff, responsible for budget and department management. Leadership team business owner for training and habituating safety behaviors that characterize organizational culture and progression toward becoming a highly reliable organization. .In 2017 the medical center achieved a CMS (5) Star rating, (2) Healthgrade Awards and recognized as a JC Center of Excellence for (Perinatal) - first in Wisconsin. Focus: Sepsis, Mortality, ED throughput, early stage work on developing high reliability orientation and culture of safety, emergency preparedness and life safety. Senior design team member for replacement hospital.Supported Interventional Radiology Registry (SIR, ACR). Provided support for physician's and care givers to develop and implement interventions to reduce variation, optimize performance and achieve Top 100 Hospital. Oversight and responsibility for (5) JC centers of excellence and systematically led and supported interdisciplinary teams striving for best practice standardization, lean processes and top decile outcomes. Managed and staffed Joint Commission continuous compliance infrastructure, systems, teams, medical center committees and performance improvment initiatives.

Englewood, Colorado

Nation’s 3rd largest non-profit health system $16 billion in revenues in 2016, (17) states, (100) hospitals including (4) academic medical centers, (30) critical-access facilities, home-health agencies, accredited medical and nursing schools, (12) clinically integrated networks with ACO's, (94k) employees, (4k) providers (37% advanced practice). Reported to Vice President of Clinical Analytics & Transformation. Developed analytic solutions: Quality, Safety, Patient Experience, Value based purchasing, CMS at risk reimbursement incentives.Established and managed corporate analytic center of excellence. Directed national department (8 FTE’s, $2.5 million budget) that designed, trained and deployed national best practice clinical analytic for CHI Board of Stewards & Trustees, National Office (medicine, nursing, pharmacy, quality, safety, infection prevention and human resources).Leveraged strategic, operational, consulting and business development skills to contribute to the progressive transformation of CHI organizational culture and statistically significantly improve company’s acute care hospitals performance. Reduced (FY 2016) pneumonia mortality for (64) hospitals by (21%), CAUTI by (27%), infection post colon surgery by (34%), infection following hysterectomy by (45%).Facilitated and vetted national consensus for single source of truth, risk adjusted data, standardized metrics, validation processes. Created delivery and archive system that distributed (1600) reports monthly.Designed CHI web page single sign (90k employee access). Deployed analytic solutions for CMS value based payment incentives, national executive incentive compensation, AHA equity of care commitment, Orthopedic (TKA/THA) and CVSL.Advanced data transparency with use of national vendor bench marking: transforming performance improvement of hospital operations and payer reimbursement (ROI $3-10 million annual).

Englewood Colorado

Reported to Vice President, Chief Quality Officer. Launched and sustained nationally recognized CHI patient safety program “Safety First” leveraging high reliability science for (16) acute care hospitals. Served as national quality and safety consultant, national and divisional project manager. Conducted patient culture of safety assessments, facilitated hospital C-Suite executive planning, developed and presented high reliability training curriculum. Trained and facilitated failure mode effects analysis, root cause analysis. Coordinated CMS and JC core measure data reporting for (60 hospitals). Served as corporate quality vendor steward (Truven, Premier) and responsible for optimizing performance for risk adjusted quality data.Recognized presenter and performance improvement trainer achieving annualized customer satisfaction mean 4.7 of 5.0). Served on CHI national safety steering team and planning committee for annual CHI national quality conference(s). Served as quality, patient safety, performance improvement, lean, evidence based practice trainer and content expert on national quality conference calls.Achieved 50% decrease in CHI national serious safety event rate across (64) hospitalsAchieved 60% increase in CHI national incident reporting Achieved 20% reduction in patient re-admissionsPromoted to inaugural position of National Director of Clinical Analytics

Greater Grand Rapids, Michigan Area

Spectrum Health System is a $6.5 billion-dollar enterprise including (14) hospitals, (74,000) annual admissions, (230) ambulatory sites, (4,200) physicians and Priority Health Plan (754,000). In 2010 Truven Analytics ranked Spectrum Health System one of the Top 10 U.S. large systems. Top 50 Best Hospital 2020.Reported to Quality Director & served in matrix reporting relationships to physician and nurse executive. Led multi-hospital and multi-discipline quality team(s): anesthesia, sedation, critical care, sepsis, orthopedics, diabetes, hospital induced hyperglycemia.Responsible for presenting evidence used to restructure, standardize and optimize the effectiveness, efficiency and satisfaction of surgery, medical treatment, nursing care and allied health services. Led and supported orthopedic team in achieving JC disease specific certificationFacilitated development of a nationally recognized Total Joint Center of ExcellenceTeam recognized as Top (2%) in U.S. Total Knee Arthroplasty (quality, satisfaction, cost)Managed procedural sedation improvement project from JC type (1) noncompliance to JC national best practice (30,000 sedations).Reduced sedation variation (31%) and decreased patient complications by (40%) annually. Facilitated and Project Managed Spectrum Health System Diabetes multi-discipline team Led team in developing standards and securing JC Diabetes disease specific certification Decreased annual “all hospital patient” hypoglycemic rate from (4%) to (.05%)Trainer for lean process improvement, quality, statistics, high reliability, patient satisfactionAuthored (3) articles on quality and safety (TKA, sedation & computerized insulin delivery)Chaired West Michigan Hospital Diabetes Collaborative Conference 2009 ADA Healthcare Champion Award West Michigan Glycemic Collaborative 2009Spectrum Health Synergy Award - Team with greatest quality improvement 2010Michigan Legislature award for Spectrum Health Hospital Diabetes Team 2010

Brighton, Michigan

Michigan Health Professional Recovery Corporation - Non-Profit 501c3 Corporation established by Michigan’s Medical Society, Osteopathic, Nursing, Pharmacy and Psychology Associations. This company was sole contractor for Michigan and Indiana State departments responsible via public health code for 1) assessing and 2) monitoring (1200) impaired health professionals. Patient population achieved (80%) recovery rates. Reported to Governing Board of Directors. Served as chief executive and operations officer responsible for governance, strategy, operations, finance, human resources, provider panel, contracts and business development. Led strategic planning by supporting governing board chair. Leadership and management of department directors, responsible for (40 FTE’s 2.4 million budget)• Negotiated new sole source contracts increasing revenues from ($1.4) to ($2.4) million• Developed healthcare provider networks in Michigan and Indiana• Negotiated, managed and ensured compliance of national laboratory vendors• Established research department, developing multi-state healthcare professional registry • Chaired and substantively expanded national behavioral health provider network• Leadership, consultant, trainer for (100) behavioral health provider panel network• Leader and member of National Association of Healthcare Impairment Programs• MHPR nationally recognized best practice for impaired health professional monitoring

United States

Established very successful solo consulting practice focusing upon behavioral health accreditation, quality, performance improvement and data monitoring. Clients included federal government (HHS), state and county health departments, hospitals, clinicians and associations.• Conducted organizational assessments of structure, process and outcomes• Developed and measured standard policy and best practice and compliance• Managed licensing, accreditation and payor compliance for clients• Standardized, optimized and integrated medical records and continuoums • Developed and presented provider continuing education• Regionally recognized trainer: Society of Addiction Medicine patient placement criteria

Flint, Michigan

Nonprofit behavioral health treatment provider; Michigan’s largest with $10 million annual revenues and 225 staff. The company operated residential facilities, day treatment and Outpatient clinics; providing services to (7000) patients annually. Reported to CEO and served as staff to the governing board of trustees. Directed accreditation, quality, staff development, peer review and medical records. • Responsible for leading (12) professional staff organization committees.• Led transformation from “JC type 1 noncompliance” to “JC compliance with commendation”.• Managed (10) JC, (35) BCBS and (30) state public health department licensing audits • Project manager for transition from JC to CARF accreditation; saving ($100,000) annually.• Designed and implemented comprehensive quality measurement system and corresponding software, database and organizational reporting system. • Developed and maintained best practice performance improvement system• Served as Insight corporate quality vendor and data steward.• Appointed by governing board of trustees as clinical risk management officer• Chaired and presented at annual staff development and quality conferences

Masters

Bachelors Of Science