Clinical Quality Program Administrator

• Jun 2021 - Present

Patient Centered Practice Coordinator

• Jan 2016 - Dec 2020

➤ Ensured best practices to meet the quadruple aim of decreased cost, better outcomes, increased clinician experience, and increased patient experience for an integrated system of 13 medical centers across multiple states.➤ Conducted assessments and observations of clinic performance on Patient Centered Specialty Practice or Patient Centered Medical Home concepts at baseline and periodic intervals to increase clinic value and reduce healthcare costs.➤ Assisted and followed 15 clinics on how to meet and maintain National Committee for Quality Assurance PCSP or PCMH standards and completed the recognition application for all locations.➤ Coached clinic teams to interpret data, identify improvement opportunities, prioritize, and develop action plans for improved clinic performance as well as provided support to NCQA recognition programs.➤ Facilitated monthly team meetings on change management and the principles of improvement planning including the Plan Do Study Act process to equip teams with data analysis for timely changes.➤ Guided clinics on improving referral processes and coordinating care to meet health care goals including reducing duplication of tests, improved cost control, and proactive management of patient panels.➤ Served as a consultant to NHMG clinics seeking to transform care of patients and families to a patient-centered model of care with a personal clinician addressing both wellness and illness.➤ Delivered excellent patient experiences by assisting clinics in using data in quality improvement and helped clinics analyze, interpret, and verify improvement trends that were potential best practices.➤ Provided leadership to clinics related to work-flow redesign to optimize tasks and information flow and supported clinic teams in their QI efforts through team-building, process improvement, and change management.

Clinical Analyst (Heart Failure)

• Jan 2013 - Jan 2016

➤ Supported key analytic and business intelligence needs across the hospital by utilizing data from a variety of sources in and outside of the data warehouse and developing insightful conclusions through descriptive analysis.➤ Performed data mining and analyzed data to identify patterns and produce reports to support improving patient care.➤ Performed concurrent reviews, verifications, and validations of electronic health records data with strict adherence to American Heart Association registry standards to provide accurate data for analysis by the best practice team.➤ Provided Go-Live and after-hour end user support for incidents, generic requests, and defects reported through ServiceNow as well as delivered communication through email, Jabber, and telephone.➤ Designed, built, and implemented workflow validation functions in preparation for initial Rev Cycle implementation with retrofits to inpatient sites already live as well as the initial implementation of the Case Management module.➤ Executed test scripts for application, integrated, or mapped records, and conducted charge testing as well as identified and reported discovered issues in testing using the Application Lifecycle Management Console.

Clinical Analyst (Peer Review)

• Jan 2006 - Jan 2013

➤ Facilitated Physician Peer Review Committee meetings and prepared and submitted reports to Peer Review Committees, the Medical Staff Department, Clinical Improvement Committee and the Medical Board.➤ Analyzed clinical data and identified areas of practice deviations to support improvements in the quality of care.

Previous Work History

• 2000 - 2006

Core Measure Abstractor – Community Hospital, New Port Richey, FL – 2002 to 2006Home Care Coordinator – Senior Home Care, Inc., Tarpon Springs, FL – 2000 to 2002 Core Measure Abstractor – Community Hospital, New Port Richey, FL – 2002 to 2006Home Care Coordinator – Senior Home Care, Inc., Tarpon Springs, FL – 2000 to 2002