Motivational leader and organizational problem-solver with advanced supervisory, team building and customer service skills. Experience stepping into roles and quickly making positive changes to drive company success. Focused on using training, monitoring and morale-building techniques to maximize employee engagement and performance. Brings brings strong leadership and planning talents. Proven skills in building and directing strong teams to achieve challenging objectives. Deep understanding of correctional health practices and conditions. Forward-thinking Director, proficient in generating high-quality work. Talented at leveraging tenacious approach and strong attention to detail to drive success. Recognized for initiating positive environments where employees thrive and succeed. Multitasking professional with exceptional composure and poise.
Organization Size- +17,000 inmates and +2000 health care staff
As the Director of Quality and Patient Safety, I work on the development, training, and implementation of Integrated Correctional Health Services (ICHS) Quality Improvement and Patient Safety program across all five correctional facilities. This includes establishing and monitoring ICHS-wide QI Plan with key activities and milestones, developing and implementing training programs in Quality Improvement (QI) methodology, assisting in the development and utilization of QI tools, and assist in the ongoing assessment of the ICHS QI program goals and objectives in order to identify ways to continuously improve the program and all quality improvement and patient safety activities within CHS.
• Supervises and manage the ICHS Quality Improvement, Risk Management and Compliance staff member to ensure medical services follow regulatory standards and are in alignment with those of the Department of Justice and the different provisions set forth.
• Participates and play a leadership role in applicable ICHS executive management team and DHS quality improvement committees. Oversees all quality and patient safety efforts for over 2000 staff from nursing, providers, radiology, pharmacy, laboratory, HIM, and mental health.
• Delegates assignment of quality and measurable goals for nursing, mental health, laboratory, radiology, primary care, specialty care, urgent care, pharmacy, women's health and ancillary services.
• Meets regularly with Quality, Risk and Compliance staff and other project teams to collaborate and provide feedback and recommendations to the ICHS Director on ways to continuously improve the ICHS Quality and Safety program. Participate in other QI events across the Health Agency as appropriate in order to establish relationships and leverage best practices.
• Collaborates with Chief Medical Officer, Director of Correctional Health Services, Chief Nursing Officer, Mental Health Director and Director of Operations to evaluate and initiate ICHS-wide corrective actions regarding clinical operational compliance with regulatory standards and other improvement initiatives.
• Participates with Director of Correctional Health to conduct strategic planning to design the CHS strategic goals for 2020-2023. These goals include access to care, quality of care, patient safety and workforce, which helped aligned key initiatives and drive quality improvement efforts.
• Works to establishes strategic goals and monitor quality and performance metrics of key strategic initiatives in ICHS using project management techniques. Using this data to provide training to CHS staff and leadership on QI tools and methodology to better identify and understand root causes of problems and create effective solutions to improve patient care and safety. Provide technical assistance to ICHS leadership and staff on data analysis and reporting.
• Expanded the monthly Dashboard to cover quality and safety metrics that aligned with strategic goals for correctional health. Worked with CMO and Director of Corrections to develop the quality goals for 2020-2023. To support the next evolution of quality improvement projects, we developed a quality improvement project template. This template serves as a road map to ensure all aspects of quality improvement work are captured and reported. We are in the process of developing a new standardized scorecard for facilities and service lines to better ensure that projects created are aligned with CHS goals. The scorecard will also assist staff in defining and identifying their quality and safety initiatives, target goals, plans of action, and data measures.
• Works on robust incident investigation practices that includes root cause analysis, and critical incident review and Safety Intelligence. Over the last year, facilitated the customization, implementation and monitoring of the Safety Intelligence across all CHS facilities and coordinated all the training efforts.
• Implemented the H3 Program in Correctional Health Services. Establishing the Helping Healers Heal (H3) program has provide a structured peer-support layer to help staff deal with second victimization. Through this program support and staff engagement throughout CHS has been achieved by allowing staff to have a voice.
• Collaborate with DHS Patient Safety in various safety efforts as the Patient Safety Officer for Correctional Health Services.
• Developed QI leads and advisors across all CHS facilities and service lines to increase QI capacity and align strategic improvement through many QI education efforts within CHS such as CHIP program 1 and 2 and continuous mentoring.
• Created and has full oversight of the Correctional Health Improvement Program (CHIP), educational program. The goal of this program is to expand the capacity for improvement by developing effective leaders in quality improvement who can accomplish improvement strategies in their areas. This program has teaching modules on Quality Improvement Basics, Root Cause Analysis, and Morbidity and Mortality inquiry, we are building out new educational modules geared toward the unique correctional environment. The curriculum with the CHIP program prepares health care professionals across all disciplines in quality improvement efforts and provide them with tools to facilitate process improvement projects. In May 2020, the CHIP program won the NaCO award for Los Angeles County.
Organization Size- +600 Beds, +4000 Staff
As an ANDA in the Quality Department at LAC+USC Medical Center, I provided administrative direction and support for the Nursing Department, Ophthalmology, Pediatrics, Emergency Department, ENT providers, as well and the ambulatory care department at LAC+USC Medical Center. As an ANDA. I assisted in establishing the technical guidelines and framework of Quality Improvement within LAC+USC nursing operations and various medical provider disciplines. I utilized knowledge in quality improvement to carry out and support all quality improvement activities for nursing practice and operational management to improve patient care and ensure patient safety.
• In collaboration with department and service lines, work on building, directing, managing and ensuring the implementation of LAC+USC's Quality Improvement Program.
• Established, in collaboration with clinical and administrative leadership, performance goals and metrics consistent with LAC+USC's strategic quality improvement goals and plan for assigned department, committees, services and divisions.
• Used a data driven focus to recommend and establish quality and performance goals for assigned department, committees, series, and divisions.
• Employed performance improvement models such as model for improvement, six sigma, LEAN and tools in facilitating performance improvement projects within assigned department, committees, services and divisions across disciplines. • Increases performance management and quality improvement capacity through participating in relevant self-directed training opportunities.
• Mentors other members of team in performance improvement models and tools, assisting with increasing the capacity for PI projects throughout the organization. Mentees included nurses, doctors and ancillary staff working on performance improvement projects and those who attended the Quality Academy Program.
• In collaboration with Quality Improvement team, coordinated department, committee, service, division quality councils, recommending agenda items, developing analyzing performance improvement data and designing processes and systems to address opportunities to improve.
• Determined methods for data collection and extracts data as required and assist with preparation of reports and statistics for quality councils per department and service needs. Worked with various departments to develop the balanced score card.
• Serves as expert consultant for LAC+USC performance improvement activities throughout the facility and across all nursing and provider service lines such a pediatrics, nursing, ophthalmology, ENT and Emergency Department. • Assisted the Chief Quality Officer in the development, preparation and implementation of LAC+USC Quality Improvement Plan and development of strategic goals.
• Participated in continuous readiness tracer activities and regulatory surveys as requested and conducts or supervise the conduct of audits and compliance activities.
Organization Size- +600 Beds, +4000 Staff
Nurse Manager Overview of Duties As a Nurse Manger, I directed and planned nursing activities for the department of Pediatrics, which includes Pediatrics ward, Adolescent ward and PICU unit. I performed a full range of technical and administrative supervisory functions for 132-150 subordinate nursing supervisors and personnel.
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