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.
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)
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.
Interim Quality Department Director 09/2012-03/2013
Data abstraction for CMS Quality Measures
Medical record analysis
Wound Management program development and oversight
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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