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patient safety quality improvement coordinator resume example with 20+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Professional Background

Gloria Claire, RN, is currently a Patient Safety Quality Improvement Coordinator and is a dynamic team member of the Coordinator Coordination of Care and Medication Safety and Adverse Drug Event Prevention task under the direction of Centers of Medicare and Medicaid Services' (CMS)11th Scope of Work.

She provides knowledge of rapid cycle Plan-Do-Study-Act (PDSA) and other continuous quality improvement (QI) techniques, and she assists in developing educational tools for a broad range of improvement projects.

She served as lead for the Centers for Medicare & Medicaid Services (CMS) 10th Scope of Work (10SOW) Adverse Drug Event initiative collaborating with multiple health settings and multidisciplinary teams focusing on process improvement for medication management and reduction of adverse drug events related to anticoagulants and antipsychotic medications.

Her previous QI tasks in the 9SOW focused on pressure ulcer reduction, systems improvement, and organizational culture change. She achieved deliverable goals and objectives by instituting new processes and standards for coordination of patient care across the continuum. She developed, evaluated, and disseminated information relating to collaborative QI activities for Medicare beneficiaries.

Ms. Claire also served as a Nurse Review Coordinator for Medicare Beneficiary and Family Centered Care conducting the appeal process and consultation for beneficiaries and/or their representatives and providers in all settings. She applied InterQual® criteria and her clinical knowledge to screen cases for medical necessity of admission, appropriate use of services, and readiness for discharge. In her other positions at MPRO, Ms. Claire developed project plans and identified goals, strategies, and mitigated barriers and risks.


Skill Highlights

Microsoft Office, Excel, Case Review Information System (CRIS), Sharepoint, Prezi.



Accomplishments
  • Presented at 2013 Annual National conference for The America Health Quality Association (AQHA) represents Quality Improvement Organizations (QIOs) and professionals working to improve the quality of health care in Baltimore, MD.
  • Presented for the American Medical Directors Association LTC Medicine 2014 annual conference in Nashville, TN.
  • Presented for the Michigan HIMSS 2014 Fall Conference in Plymouth, Michigan.
  • Patient Education
  • Established and coordinated quarterly BE SAFE on Coumadin/warfarin educational classes for Michigan Heart and Vascular Institute patients on Coumadin/warfarin utilizing instructional services of SJMHS clinical pharmacist.
  • Developed and marketed Coumadin/warfarin calendar for promoting patient self-management, monitoring dosing and blood work, and as medication safety educational tool.
  • Developed a medication safety assessment tool for geriatric patients for interdisciplinary teams to implement and guide clinical decision supports for the medication safety of elderly patients in long term care .
  • Created a comprehensive medication therapy management assessment form tor assessing health care setting medication safety/management programs, activities, processes or tools that have been implemented.
  • Worked with nondisciplinary teams in process improvement successfully reducing antipsychotic prescribing medication rates in five LTC facilities by RIR
Professional Experience
Patient Safety Quality Improvement Coordinator, 2010 to Current
Stanford UniversityStanford, CA,
  • Designs, develops, evaluates, and disseminates information relating to collaborative QI activities for Medicare beneficiaries; acts as a resource and liaison to providers in the hospital setting Provides knowledge of rapid cycle PDSA and other continuous QI techniques; assists in developing educational tools for a broad range of improvement projects Develops data abstraction training components and multimedia presentations; conducts research Served as lead for 9SOW tasks: pressure ulcer reduction, systems improvement, and organizational culture change.
Nurse Review Coordinator , 2008 to 2010
Spectrum HealthBenton Harbor, MI,
  • Coordinated timely, professional interactions with beneficiaries and/or their representatives and providers in all settings; provides all parties with accurate and pertinent information Applied clinical knowledge and experience to ensure quality and accuracy of case review outcomes Applied InterQual criteria and clinical knowledge/experience to screen cases for medical necessity of admission, appropriate use of services, and readiness for discharge Documented all case review activities according to CMS/federal policies, procedures, and guidelines Met Medicare contract requirements for timely, accurate entry of all relevant case review data Acts on opportunities to educate providers regarding the appeals process and fosters effective working relationships with providers and stakeholders.
Underserved Project Coordinator, 2007 to 2008
MPROCity, STATE,
  • Assisted in the development, implementation, and evaluation of QI efforts Served as project lead for the health disparities initiatives Developed projects, tools, and initiatives to reduce health disparities Was responsible for maintaining internal/external reporting for QI measures Assisted in preparation of project status reports and related issues Served as a liaison between MPRO and physicians Provided technical and strategic assistance to physicians in meeting 8SOW deliverables Provided educational resources and tool kits to facilitate awareness of cultural competency, health literacy, and ethnic disparities; participated in physician Website training to promote federal cultural competency standards Coordinated/implemented Blue Cross Blue Shield of Michigan computer lab training for physicians Developed the Pillar Award to promote exceptional physician performance.
Research and Project Assistant, 2007 to 2008
MPROCity, STATE,
  • Provided researching, editing, and writing assistance for CMS' 8SOW proposals Reported participating practices and barriers/solutions for the Physician Quality Reporting Initiative Researched and established contacts for CMS-approved Diabetes Self-Management Education programs Provided proposal information and edits Assisted MPRO project leader with duties and organized project conference calls.
Registered Nurse, 1985 to 1994
William Beaumont HospitalCity, STATE,
  • Provided management of a wide range of cardiac patients from admission until transfer or discharge, including arrhythmia interpretation and treatment and stent/pacemaker placement, among others Conducted admissions, assessments, laboratory interpretations, consultations, and discharge planning Collaborated with other health care team members and coordinated patient care Completed pre-procedure evaluation and teaching Was responsible for immediate post-procedure care of cardiac patients Served as charge nurse; duties included allocating staff, assigning patient beds, identifying patient needs and acuity, prioritizing care, resolving conflicts, responding to code team.
Education and Training
Bachelor of Science: Nursing, Expected in
Eastern Michigan University - Ypsilanti,
GPA:
Associate of Arts: , Expected in
University of Michigan - Dearborn,
GPA:
Certifications

BLS - Basic Life Support

Affiliations

American Nurses Association

Additional Information
  • CURRENT CERTIFICATIONS
  • Michigan Registered Nurse License # 4704155490
Skills

CMS, editing, interpretation, Microsoft Office, multimedia presentations, organizational, policies, process improvement, project lead, project leader, project plans, proposals, proposal, Quality, Quality Improvement, reporting, researching, research, Safety, strategic, supervision, teaching, TECHNICAL TRAINING, Website

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Resume Overview

School Attended

  • Eastern Michigan University
  • University of Michigan

Job Titles Held:

  • Patient Safety Quality Improvement Coordinator
  • Nurse Review Coordinator
  • Underserved Project Coordinator
  • Research and Project Assistant
  • Registered Nurse

Degrees

  • Bachelor of Science
  • Associate of Arts

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