Company NameCity, StateDirector of Quality/Risk Management and Corporate Compliance Officer07/2009 to 04/2013Facilitated organizational wide quality improvement and patient safety initiatives as well as development of strategic plan related to quality.
Responsible to ensure effective compliance program to meet all regulatory requirements to maintain accreditation and certification for all hospital entities.
Serves as a liaison with the community for customer service, customer recovery and retention program.
Advocate for the facility,staff and providers to decrease the risk in the healthcare environment.
Oversight responsibility for multiple staff as well as Infection Prevention Specialist, ClinicalEducation, Hospice Homecare, and Hospice Residence.
Member of the Leadership team which set the strategy and vision for the hospital.
Key projects: Implemented system wide quality scorecard and dashboard to measure quality and identifyopportunities for improvement in the organization. Decreased budget by over 10% to assist the organization in the financial improvement plan.· Completed Risk Management Mentor program to increase knowledge and save theorganization 10% on insurance premiums. Assisted Medical Staff to implemented physician peer review process including developing the review tools, policies, and procedures. Successfully lead the organization through Joint Commission Survey, multiple state survey and sentinel event complaint investigations.· Effectively implemented system wide change to include: wristband standardization, fallreduction program, latex safe environment and bee ready surveys for continuous survey readiness. Designed and taught program to develop managers skills in problem solving, customer relations and accountability within their departments.
Company NameCity, StateInfection Control/Employee Health Coordinator, Patient Safety Officer01/2006 to 07/2009Conducts infection control risk assessment to direct prevention and control strategies· Researched and maintained knowledge of current issues, regulations, and initiatives for infection control, employee health, and patient safety.· Played key role in implementation of patient safety initiatives.· Developed collaborative relationships with multidisciplinary teams and staff.· Educated and facilitated training for staff to maintain knowledge of current practices in infection control and patient safety.· Coordinate audit with Michigan Hospital Association for Health and Safety Managementplan to set goals for facility over the next year· Key contact and coordinator for MIOSHA program· Manages occupation health program and worker's compensation program for facility· Responsible for strategic planning and budgeting for department· Participates in quality initiatives such as PDSA, RCA, and FEMAs· Orientation and education for all new hospital and physician staff· Administer wellness program in conjunction with wellness team· Play key role in the planning, coordination, implementation, evaluation, and authorization of construction projects for hospital system· Offer expert advice to physicians and staff as needed regarding infection controlissues or concerns· Assist in managing patient with infectious diseases· Participates in process improvement initiativesLead coordinator for multiple teams and committees within the hospital to include:Patient Safety, Employee Health, Infection Control, Pressure Ulcer Prevention,Anticoagulant Therapy, Rapid Response Team
