Professional Summary Professional Clinical Experience * Professional RN with more than 30 years of nursing management experience in public hospital in and out patient care setting -L&D, Pediatrics, Medical-Surgical, Emergency Department and Ambulatory Care with weekend coverage. * Served as clinical instructor for ICU courses, orientation of new employees and validator of competencies. * Uses Project management and 'breakthrough (LEAN) to trend, analyze and promote improvement. * Served as a QM/PI Associate Director over10 years for NYC public hospitals (In-patient and outpatient), Draft Board reports quarterly. Prepare annual Hospital wide PI plan including the evaluation of the yearly plan. * Led the successful surveys in NCOA, grants, Article 28 survey, HRSA preparation for clinics. Participated in the completion of Leaf Frog. * Co-chaired the PI committee with Medical Directors from various facilities (within the Network), collaborated hospital leadership and staff to improve compliance & ranking to state and federal regulators via surveys (IPRO, CMS, ACO, Press Ganey, e-HIVqual data submission, etc.). * Patient Safety specialist/manager with full clinical risk management experience who facilitated investigation, preparation of root cause analyses with multidisciplinary team. Responsible for reporting adverse event to the state and preparing plan of correction and follow-up. Track and trend cases according to harm scores. * Experienced working with staff and leadership pre-surveys (JCAHO, EMTALA, OMH, CMS, DOH, Article 28, VFC and Federal regulators) and post survey plan of corrections. * Responsible for candidate selection, interviewing, evaluating, training, progressive discipline if necessary of employees assigned to my division and other staff-technology integration issues. * Served as resource person in preparation of PI presentations using PDSA format and TRACER methodology. * Served as a limited Utilization Management manager along with four UR staff.
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