Quality Manager with 20+ years' experience in healthcare. Skilled in analytical problem solving. Exceptional
interpersonal skills with high value system and strong work ethic. Skilled and confident in startup and organizational
phases of projects. Proven leader with excellent clinical and administrative skills. Exceptional managerial skills.
Developed Multidisciplinary Peer Review Committee
Developed OPPE Reports for Practitioners in different subspecialties
Practitioner Trainer for Epic
Personal and professional integrity
Sound decision making
Critical thinking proficiency
Responsible for customization of software products for system
Quality ManagerOct 2001 to Current Central DuPage Hospital － Winfield, IL
Responsible for all Peer Review activities including implementation of new peer review process, accountable for The
Joint Commission Standards related to the medical staff processes and assisted with mock tracer activities, led team in
producing OPPE reports for1200 practitioners, which The Joint Commission acknowledged as Best Practice in 2013,
Supervise 7 employees.
Active member of Credentials Committee, Medical Executive Committee, Serious Safety Event
Committee, Neurosciences Committee, Trauma Committee, Perinatal M&M Committee.
Facilitator of OPPE FPPE
Committee, Practitioner Peer Review Committee.
Led team in the development of new Quality database for Peer Review
which resulted in 75% more efficient process for FPPE, OPPE and Peer Review.
Led team in creating and improving
medical protocols/guidelines including the Sepsis Protocol Bundle which is now part of our Epic medical record and all
patients are screened using this tool.
Monitored Peer Review budget to ensure financial objectives were met.
Recommended use of a different external peer review company which resulted in significant savings.
Miss Task Force, producing "Good Catch" program for hospital which increased the occurrence reporting by 90%.
Responsible for data displayed on OPPE reports.
Patient Care Committee ManagerOct 2000 to Oct 2001 Hinsdale Hospital － Hinsdale, IL
Liaison and education resource to practitioners and other clinical departments.
Development of system Physician Peer
Assisted Medical Staff Office in Appointment and Reappointment process.
Responsible for building Physician Performance Feedback reports.
Managed and supervised 4 Performance Improvement Coordinators.
Oversaw the development, implementation, coordination, analysis and evaluation of facility-wide quality improvement activities.
Responsible for hiring, training and evaluating Quality staff.
Assisted with The Joint Commission Survey Process for re-accreditation.
Worked collaboratively with physician groups building and finalizing resource protocols and clinical pathways.
Facilitator for Performance Improvement teams.
Clinical Process and Outcomes AnalystJun 1994 to Jul 2000 Elmhurst Memorial Healthcare － Elmhurst, IL
Responsible for all Physician Peer Review Committees, Supervised and coordinated activities of Utilization Review staff.
Conducted focus and quality reviews on physicians.
Facilitated Performance Improvement teams, responsible for
cardiovascular and orthopedic performance teams and prepared comprehensive cost analysis reports to decrease cost
using the Premier National Benchmarking database which resulted in an orthopedic savings of 1,000,000.00 by using
one type of hip prosthesis, and savings of 500,000.00 in CV Services by decreasing the utilization costs.
implementing new Quality Databases.
Responsible for oversight of daily clinical activities in the Quality Department.
Responsible for Illinois Foundation Quality for Healthcare Project-in-a-Box quality indicators.
Key member of
Performance Improvement teams for: CHF, Pneumonia, and Acute MI initiatives.
Developed Practice Guidelines for PI
projects which resulted in a more efficient admission and discharge process.
Staff Nurse - CCUApr 1993 to Jun 1994 Elmhurst Memorial Healthcare － Elmhurst, IL
Treated Open Heart Patients Postoperatively.
Recorded patients' medical history, vital statistics and test results in
Monitored post-op vitals, set up PCA, fluids, reviewed post-op orders and orient patients to unit.
Actively participated in unit-based Quality Assurance Program.
Charge nurse for nights.
Disciplined, energetic employee who quickly establishes rapport with patients and colleagues.
Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments.
Provided patient diagnosis under strict time constraints.
Manager, QualityJul 2016 to Dec 2016 Morris Hospital and Healthcare － Morris, IL
Managed team of seven people including Infection Control nurse, Patient Safety nurse, Peer Review nurse, Analysts and Administrative Assistant
Responsible for all
Education and Training
Associates Degree, Nursing SciencePurdue Calumet University － Calumet, IL, USANursing Science