Experience

TriStar Skyline Medical Center

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Vice President of Quality

  • Jan 2023 - Present



Regent Surgical Health

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Vice President of Clinical Operations and Quality

  • Oct 2021 - Jan 2023



Baylor Scott & White Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Director of Quality Management

  • Jul 2014 - Oct 2021

  Leader for quality management for the Hill Country Region. Oversee the infection prevention, patient safety and regulatory programs for hospitals and clinics. • Initial startup team responsible for opening new 46 bed hospital in Marble Falls, TX. Prepared team for successful Joint Commission deemed survey and obtained Medicare certificate within 6 weeks from opening. • Oversite for credentialing over 90 physicians to open hospital one time. • Responsible for data collection for the region to include analysis, trending and action plans for improvement. • Facilitates the patient safety program and advocate safe, timely, effective, efficient, equitable, patient centered care (STEEEP).



National Surgical Hospitals

• Senior Director of Clinical Operations

  • Feb 2011 - Jul 2014

  Provides leadership, resources, analysis of quality data, and direction of all clinical operations for the facilities. Mentors nurse leaders and other nursing professionals’ to improve clinical performance in the interdisciplinary clinical areas. ● Supervised the clinical operations for a start-up ambulatory surgery center in North Carolina. Delivered all clinical policies and procedures. Attained licensing to operate on schedule and certification within 90 days of opening. ● Spearhead the annual physician satisfaction survey for 19 facilities in the company. Aggregate and analysis the data and instruct leaders on top areas to improve. Achieved a five year company satisfaction average for physicians at 94%. ● Analyzed the company patient safety survey. Implemented initiatives to maintain zero sentinel events. Attained zero sentinel events with the six surgery centers in 2013. ● Corporate expert for survey readiness. Coach and direct leaders through the survey process. Obtained accreditation with no findings in 2013 at one of four hospitals surveyed that year.

• Director of Quality and Risk

  • Aug 2009 - Feb 2011

  Prepared hospital and surgery center for licensing and accreditation. Served as risk management resource for all facilities within the system. Assisted facilities with complaint investigations, sentinel events investigations, and conducting root cause analysis. ● Supervised the clinical team in a start-up hospital in Corpus Christi, Texas. Achieved licensing requirements 4 months ahead of schedule. Attained Joint Commission accreditation within 6 weeks of opening.

• Regulatory Consultant

  • Dec 2008 - Aug 2009

  Consulted with hospital on regulatory compliance and benchmarking. Assisted with Emergency management, Life, Safety, and Environment of care policies for a new hospital start up in California.



Carolinas HealthCare System

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Performance Manager

  • Dec 2008 - Aug 2009

  Oversaw data collection for performance outcomes measures for 170 bed hospital . Directed the performance improvement committee and teams. Patient safety officer and lead the patient safety champions. • Directed the performance improvement committee and teams using Lean and Robust Process Improvement techniques. Engaged leaders in the overall improvement of quality initiatives. Improved antibiotic prior to cut to achieve top percentile. Oversaw data collection for performance outcomes measures for 170 bed hospital . Directed the performance improvement committee and teams. Patient safety officer and lead the patient safety champions. • Directed the performance improvement committee and teams using Lean and Robust Process Improvement techniques. Engaged leaders in the overall improvement of quality initiatives. Improved antibiotic prior to cut to achieve top percentile.



National Surgical Hospitals

• Greater Chicago Area

• Quality and Risk Coordinator

  • Oct 2007 - Oct 2008

  Developed, implemented, and oversaw corporate benchmarking program. Analyzed data and assisted facilities with action plans for improvement. Assisted with hospital start up for licensing. Managed the risk program by educating and ensuring compliance with root cause analysis. Developed, implemented, and oversaw corporate benchmarking program. Analyzed data and assisted facilities with action plans for improvement. Assisted with hospital start up for licensing. Managed the risk program by educating and ensuring compliance with root cause analysis.



Walgreens

• United States
• Retail
• 700 & Above Employee

• General Manager

  • Sep 2005 - Oct 2007

  Managed operations for home infusion/durable medical equipment (DME) office. Wrote strategic business plans, contracts, and managed budget. Supervised 22 employees on day to day operations. • Improved operating income. Succeeded in keeping office open and profitable within 9 months of hire. • Aligned the organized along functional lines to simplify and improve operations. This lead to improved communication, decreased duplication, and improved sales. Managed operations for home infusion/durable medical equipment (DME) office. Wrote strategic business plans, contracts, and managed budget. Supervised 22 employees on day to day operations. • Improved operating income. Succeeded in keeping office open and profitable within 9 months of hire. • Aligned the organized along functional lines to simplify and improve operations. This lead to improved communication, decreased duplication, and improved sales.



Ernest Health

• Las Cruces, New Mexico Area

• Director of Quality and Risk

  • Nov 2004 - Sep 2005

  Responsible for the Performance Improvement program, Infection control program and Risk management. ● Opened first rehabilitation hospital for a start-up company. Obtained license to operate and obtained JCAHO accreditation within 3 months of opening. ● Re-negotiated lab contract for rehabilitation hospital. Cut costs by 75%. Improved customer service by improving reporting time. Responsible for the Performance Improvement program, Infection control program and Risk management. ● Opened first rehabilitation hospital for a start-up company. Obtained license to operate and obtained JCAHO accreditation within 3 months of opening. ● Re-negotiated lab contract for rehabilitation hospital. Cut costs by 75%. Improved customer service by improving reporting time.



El Paso Specialty Hospital

• El Paso, Texas Area

• Manager of Clinical Services

  • Dec 2000 - Dec 2004

  Managed performance improvement program, infection control program, case management program, nursing orientation and education and risk management program. Managed the medical record department and had responsibility for the coders and the unbilled claims. ● Applied and assisted with moving ASC license to hospital license. Wrote all clinical policies and procedures to open as a new surgical hospital. Achieved JCAHO accreditation within 6 months of opening. ● Overhauled the medical records department. Expedited the coder review process. Attained a decrease in unbilled medical fees of $700,000 within first year as manager.