Quality Improvement Specialist Resume Example
A highly organized, resourceful and focused Clinical Nurse with 16 years of experience in health care quality who works effectively and collaboratively with various levels of leadership, professional and support staff to achieve organizational goals. Forward thinking and innovative in approaches to problems while effectively utilizing data to drive initiatives towards successful outcomes. Excellent communication and team building skills promote collegial and supportive working environment.
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Responsible for ensuring that the Hospital met CMS value-based metrics and all pay-for-performance program requirements, as well as standardization of evidence-based practices to ensure high quality, high value and safe patient care. Along with assisting with monitoring of all quality, safety management, and regulatory requirements, as well as all quality improvement initiatives in the hospital.
- Educated department chairs, administrators and board members on how to become more data driven and outcome focused. Revised key metrics for each department to guide improvement in performance and outcomes.
- Directed team that developed processes for hard-wiring strategies to improve Core Measure performance resulting in sustained improvement to 100% in multiple measures
- Educated staff regarding documentation necessary to ensure meeting regulatory requirements under value-based purchasing programs, as well as for billing requirements; using data to identify operational and quality priorities, as well as incorporating evidence-based best practices.
- Leader of workgroups that developed evidence-based guidelines and clinical decision support electronic order sets and best practice advisor alerts Sepsis Bundle and Pressure Injury prevention. As a result, Sepsis Bundle improved 46% overall and decreased 38% overall across the network in the first six months and sustained improvement thereafter.
- Determined quality of care provided to patients through careful assessment of medical documentation.
- Collected, recorded and analyzed data related to nursing care of patients.
- Analyzed information systems and applications to identify specifications for implementation projects.
- Led root cause analysis process to ensure comprehensive multi-disciplinary case reviews and effective corrective action strategies.
- Checked skill, compliance and competency of healthcare staff, tracking performance indicators and suggesting improvements.
Responsible for ensuring the organization met regulatory requirements, as well as being survey ready and delivering quality care.
- Educated staff regarding documentation necessary to ensure meeting regulatory requirements
- Provided guidance for addressing regulatory issues; accreditation preparation; implementation of high reliability strategies promoting patient safety and effective performance improvement initiatives; developing useful metrics for monitoring performance and outcomes;
- Identified weakness in documentation and developed metrics for monitoring compliance with regulatory standards and patient safety elements.
- Reported documentation compliance to department chairs, administrators and board members on regulatory issues find during chart reviews.
- Juggled multiple projects and tasks to ensure high quality and timely delivery.
- Set up patient charts and documented information in various company software.
- Evaluated students with health concerns or injuries to develop plan of care or provide reference to appropriate healthcare providers.
- Assessed healthcare needs of patients by conducting health evaluations.
- Licensed Practical Nurse - 1991
- Lean Sigma Prescription for Healthcare Green Belt
- Design Thinking for Innovative Problem Solving
- Comprehensive Unit-bases Safety Program
- TeamSTEPPS Master Training
- Root Cause Analysis, Safety Culture Assessment Resource
- Microsoft Office: Outlook, Excel, PowerPoint, Publisher, Visio
- EPIC Workbench report writer, EPIC EHR Super User, Patient Safety Network Super User
- System Administrator Quality Net, The Joint Commission Direct Data Submission Platform, Medisolv, Press Ganey Quality Performer, Truven Care Discovery, Vizient
- John Hopkins HIPAA Compliance
- 3M 360 Encompass Professional System– Quality Management
- National Association for Healthcare Quality (NAHQ)
- Institute for Healthcare Improvement
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Resume Overview
School Attended
- Fairfax Co. School of Practical Nursing
Job Titles Held:
- Quality Improvement Specialist
- Clinical Documentation Specialist
- School Nurse
- Clinical Nurse
Degrees
- Associate of Applied Science : Practical Nursing 05/1991
