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Accomplished Chief with extensive experience directing regulatory compliance programs, carrying out a system-wide compliance risk assessment, and maintaining a confidential/anonymous reporting system within the health care field. Substantial background in preparing annual budgets, managing organization-wide patient safety, and infection prevention and control programs through a variety of activities. Adept at delivering administrative direction and leadership in accreditation and emergency preparedness along with orchestrating the performance improvement process. Skilled in reviewing and taking appropriate corrective actions on reports and recommendations from regulatory and inspection agencies. Instrumental in maintaining records of all reports of suspected occurrences of noncompliance or fraud and abuse. Deft at developing corporate strategy, goals, policies, and short/long term objectives for consideration, adoption, and implementation by the Military Healthcare System.
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- Followed quality standards and procedures to minimize errors and maximize customer satisfaction.
- Adhered to all legal, safety and health standards.
- Profound understanding of statistical methodologies and regulatory agencies
- Excellent knowledge of quality assessment and strong case management
- Supported a work environment that promoted learning fostered teamwork and recognized the customer.
- Introduced collaboration to ensure quality improvement disease prevention and health promotion.
- Represented Quality Program in public venues.
- Profound understanding of statistical methodologies and regulatory agencies
- Supervised over 30 employees
- WOMACK, FORT BRAGG NC,, Responsible for overall coordination and implementation of MEDCEN Joint Commission sustainment.
- Utilizes professional knowledge of healthcare practices and procedures to provide guidance on policy and procedures to meet TJC standards.
- At least monthly, delivers informational briefings and educational classes covering TJC standards to hospital staff.
- Develops tracer tools within the electronic Joint Commission Resources, Inc.
- AMP Database and ensures WAMC TJC tracers are conducted in all clinical areas annually.
- Directs the ongoing preparation of the MEDCEN for TJC surveys and collaboratively implements a plan for correcting survey findings.
- Coordinates all activities involved in TJC mock and actual surveys.
- Coordinates the development of Evidence of Standards Compliance (ESC) and tracks Measures of Success (MOS) to ensure they are completed on-time and accurately.
- Ensures that appropriate Joint Commission manuals and updates are purchased through contract, and communicates changes in standards to appropriate MEDCEN staff members.
- Completes and updates TJC annual application and coordinates with the MEDCEN Standards Champions to ensure that the Inter Cycle Monitoring Review (ICM) is completed as required.
- Developed short-term goals and long-term strategic plans to improve risk control and mitigation.
- Advised senior managers on policy strategies for reducing liability and preventing losses.
- Performed in-depth research and investigations and recommended strategies to resolve problems and prevent further concerns.
- Direct supervision of four and indirect 13
- Proactive and Reactive to prevent minimize harm events
- CHIEF OF RISK MANGEMENT WOMACK, FORT BRAGG NC, 2018- CUR.
- Developed risk management program within Womack.
- Direct supervision of four and indirect 13.
- Worked side by side with CMO.
- Proactive and Reactive to prevent minimize harm events, Assessing patients prior to surgery and alleviating their concerns.
- Gathering all supplies needed for operations.
- Ensured OR readiness by maintaining stringent quality standards and safety precautions.
- Participated in ongoing assurance program that met or surpassed hospital/TJC standards and staff safety.
- Department representative to accompany TJC surveyor while in department.
Nova Southeastern University - Davie, FL
Nova Southeastern University - Davie, FL
Polk State College Collegiate High School - Lakeland, FL
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School Attended
- Nova Southeastern University
- Nova Southeastern University
- Polk State College Collegiate High School
Job Titles Held:
- Chief of Quality Services ( Acting)
- Cheif of Joint Commission
- Risk Management Supervisor
- Operating Room Registered Nurse
Degrees
- Master
- Bachelors Health Science
- Associate of Science
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