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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
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Professional Summary

Dedicated Registered Nurse and accomplished Chief Quality/Risk/Infection Control Officer with 11 years experience in quality assurance programs and initiatives in acute hospital care. Solid credentials and diversely experienced with comprehensive background in clinical nursing. Progressive leadership responsibilities and in depth knowledge of CMS Core Measures, Meaningful Use, e-CQM, Medicare Conditions of Participation, State Licensing requirements and standards of care.

Certifications and Licenses

Registered Nurse State of California

Certified Professional Healthcare Quality (CPHQ)

Certified Professional Healthcare Risk Management (CPHRM)

Certificate Patient Safety, ASHRM

Hospital Accreditation Certified Professional (HACP)

Skill Highlights
  • Thorough knowledge of Medicare clinical quality measures.
  • Extensive experience in medical record analysis.
  • Strong critical thinking and analytic skills
  • In depth knowledge and experience in effective application of patient centered quality and patient safety concepts.
  • Experienced presenting quality initiative and process improvement analysis reports.
  • Facilitate Physician Peer Review; Management of complex standard of care variances in hospital and clinic medical practice.
  • Ability to maintain confidentiality and remain objective.
  • Strong communication and cognitive interview skills.
  • Trusted resource to Administration, Medical Staff and clinical staff.
  • Proficient with WORD, EXCEL, POWER POINT
Accomplishments
  • Oversight of organization-wide quality assurance, risk management, patient safety programs including pressure ulcer prevention, Sepsis committee, Core Measure collaborative teams, TeamSTEPPS, Culture of Safety program & Just Culture 2012 to present.
  • Guest presenter at BETA Healthcare Group Patient Safety Conference 02/2020 for achievements in process improvement in Culture of Safety.
  • Oversight of successful implementation of evidence based strategies for managing patient harm events; Use of identified opportunities for improvement and organizational learning.
  • Planning and development of Sepsis multidisciplinary quality initiative team with focus on clinical performance outcomes. Sepsis outcomes sustained at better than State and National benchmarks.
  • Prepared teams for successful Federal hospital accreditation and state Licensing surveys 2010 to present.
  • Organized a multidisciplinary COVID-19 Task Force March 2020 to present.
  • Organized the "Healing for the Healers Committee" (HFH) to address clinical staff and providers emotional, spiritual and mental health needs related to ongoing stressors from COVID -19 impact.
  • Guest presenter CalHIIN webinar (2013) for sustained improvement in hospital acquired pressure ulcer reduction.
Professional Experience
Chief Quality/Risk/Infection Control Officer, 03/2018 - Current
Lompoc Valley Medical Center City, STATE,

Oversight of accurate data collection, analysis and reporting of CMS Core Measures, NHSN, Meaningful Use, eCQMs, and other national and state quality improvement measures.

Oversee facilitation of Medical Staff peer review processes and reporting.

Participate in Medical Staff education for clinical documentation improvement to meet regulatory, legal and CMS requirements.

Direct or participate in process improvement teams which support organizational goals for CMS, NHSN, state and federal quality and safety initiatives.

Oversight of preparation and coordination of State Relicensing and Federal accreditation surveys.

Director Quality/Risk Management/Infection Control, 03/2013 - 03/2018
Lompoc Valley Medical Center City, STATE,
  • Implemented operational vision for data analytics and reporting, including identification of key requirements and continuous improvement opportunities.
  • Directed or participated in quality improvement, educational and risk management team initiatives.
  • Ensure accurate analysis of reporting data.
  • Directed or participated in programs and initiatives to ensure organization-wide compliance with State and Federal guidelines.
  • Presented performance improvement outcomes reports to Medical Staff committees and Board of Directors.
Quality Analyst/Wound Care RN, 09/2009 - 04/2013
Lompoc Valley Medical Center City, STATE,

Interim Quality Department Director 09/2012-03/2013

Data abstraction for CMS Quality Measures

Medical record analysis

Wound Management program development and oversight

Education and Training
Master of Science: Nursing Administration & Leadership, Expected in 2016
-
Western Governors University - Salt Lake City, UT
GPA:
Honors Graduate
Bachelor of Science: Nursing Science, Expected in 2015
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Western Governors University - Salt Lake City, UT
GPA:
Associate of Science: Registered Nursing, Expected in 1990
-
Cuesta College - San Luis Obispo, CA
GPA:
Affiliations

American Society for Healthcare Risk Management (ASHRM)

National Association of Healthcare Quality (NAHQ)

Sigma Theta Tau International Honor Society of Nursing

Honors graduate, Western Governor University

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Resume Overview

School Attended

  • Western Governors University
  • Western Governors University
  • Cuesta College

Job Titles Held:

  • Chief Quality/Risk/Infection Control Officer
  • Director Quality/Risk Management/Infection Control
  • Quality Analyst/Wound Care RN

Degrees

  • Master of Science
  • Bachelor of Science
  • Associate of Science

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