Dena Clayton
CDI Supervisor - Clinical Documentation Educator at BIRMINGHAM VA MEDICAL CENTER- Claim this Profile
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Bio
Credentials
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CHPN, ELNEC Trainer, HPNA Approved Educator, BLS Instructor
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Experience
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BIRMINGHAM VA MEDICAL CENTER
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United States
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Medical Practices
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1 - 100 Employee
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CDI Supervisor - Clinical Documentation Educator
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Feb 2017 - Present
Direct/manage the Inpatient and Outpatient CDI program for a level 1A acute care facility. Beta test and implement Outpatient CDI program software, which led to software availability across all facilities within VHA.Provide physician and interdisciplinary team education on documentation guidelines to accurately capture the severity of illness (SOI)/risk of mortality (ROM), support the length of stay, and support quality patient care initiatives. Developed an Outpatient CDI program focused on risk stratification to capture SOI.Develop educational programs for documentation, coding, reimbursement, severity of illness, and risk of mortality classifications.Developing clinical documentation improvement dashboards that identify the quality, financial, and compliance impact of patient careChair Clinical Practice Council; former Co-Chair Clinical Practice Council in developing standards of practice, documentation guidelines, and auditing protocols Chair VISN-7 CDI Team to enhance resource utilization with each facility and implementation of CDI programs across the VISNServe on the SMR –Mortality Team and Complications Team: The SMR and SMR-30 and hospital associated complications have improved over the past year resulting in the Birmingham VA Medical Center moving from a 3-Star facility to a 4-Star facility (highest ranking is 5 star)CDI Program recognized as a 2019-2020 Best Practice ProgramServe as a consultant for the development of unit specific competencies and treatment modalities for the Palliative Care Unit. Co-directed the development of the Lidocaine Infusion for Pain Management Protocol and nursing competencyDeveloped of the PleurX policy and nursing competencyCo-directed the nurse-driven Risk for Cognitive Impairment and Delirium Screening policy/processes which led to BVAMC recognition as an Age Friendly Health Care Facility Show less
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Nurse Educator-Staff Development
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Mar 2015 - Feb 2017
Provide new employee orientation for the Patient Care Services Department; manage and develop educational programs for a hospitalist managed medical-surgical unit and palliative care unit; serve as educator for the student nurse technician program:• Update and maintain skills competency and validation program according to evidence-based practice standards for nurses and nursing assistances• Assist in developing standards of practice, documentation guidelines, and auditing protocols and forms/templates: Examples: CHF to Heart Healthy Discharge Education, PCA Pump Handoff Form, Post Cardiac Catheterization Flow Sheet, Argatroban MAR, Unit Specific Chart Audit Forms for Safe Harbor and 6B Hospitalist Unit; Currently working on Lidocaine Infusion Protocol for Safe Harbor• Participate in Root Cause Analysis Team in addressing medication errors• Develop educational material for hospital-wide quality improvement projects: Examples: Aspiration Pneumonia Prevention Bundle, CLABSI Bundle Team, CAUTI Bundle Team, Veterans Advisory Board Workgroup- Assist in the development of the Power of Storytelling educational module• Co-direct the Preceptor Academy program • Serve on the BCMA Team for implementation of new/changed services for medication administration• Serve on the SAIL Complications Team to address aspiration pneumonia prevention and the correct identification of complications • Serve on the Essentris for Medical Surgical Units team for developing/improving efficacy in clinical point-of-care documentation Show less
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The University of Alabama at Birmingham - School of Nursing
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Higher Education
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Adjunct Clinical Instructor
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Jan 2015 - Dec 2016
1/2015 - 4/2015 (N514L) Accelerated Master’s in Nursing Pathway Health Assessment for the Advanced Generalist Provide clinical instruction/demonstration of nursing skills in a lab setting, including taking a patient history and a holist patient health assessment. Observe, evaluate, and provide feedback on nursing skills and meeting class objectives. Assess and evaluate student competencies. 1/2015 - 4/2015 (N514L) Accelerated Master’s in Nursing Pathway Health Assessment for the Advanced Generalist Provide clinical instruction/demonstration of nursing skills in a lab setting, including taking a patient history and a holist patient health assessment. Observe, evaluate, and provide feedback on nursing skills and meeting class objectives. Assess and evaluate student competencies.
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Comfort Care Hospice
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United States
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Hospitals and Health Care
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100 - 200 Employee
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Director of Staff Development
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Dec 2008 - Feb 2015
Provide leadership in development and training for educational programs including nursing skills validation and competency programs for hospice providers serving adults and pediatrics. • Develop education programs, skills competency programs, and an online orientation programs for 13 hospice branches serving adult and pediatric populations. • Co-led team in the implementation of change from ICD-9 to ICD-10 by developing/teaching initial training and documentation material for clinical staff and arranging level two training classes with ICD-10 experts for clinical leadership staff • Manage a state-wide community education program while presenting courses across the state. • Initiate quality improvement projects and educational material for the new Hospice Quality Reporting Program (HQRP). Example: Led team in initiation of new Medicare quality data including training staff and the re-development of documentation material for all disciplines to meet new guidelines. • Coordinate mock survey processes; provide education and post-survey follow-up. • Serve as a resource for the interprofessional team for care coordination and regulatory compliance including serving as the infection control resource officer Show less
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Shelby Baptist Medical Center
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Performance Improvement Analyst
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Apr 2003 - Dec 2008
6/2006 to 12/2008 Performance Improvement Analysts/ Core Measures Nurse Developed policies and procedures, education material for all disciplines, and order sets for Core Measures, Code Team and Rapid Response Teams which led to improvement in quality indicator scoring by CMS. As the only concurrent reviewer during this period, queried physicians for accurate clinical documentation. Assisted with implementation of case managers addressing core measures within utilization review/management: Provided disease and procedure specific education and core measure algorithms. Led annual competencies for the Intensive Care Unit, Cardiovascular Intensive Care Unit, and Intermediate Care Unit. Resource person and trainer for implementation of electronic health record. Substitute New Employee Orientation Educator. 9/2004 to 6/2006 Charge Nurse CVICU Precepted and trained employees to provide pre and post-operative care for adult patients undergoing cardiothoracic surgery or cardiac intervention and total care for the critically care ill. ACLS & BCLS Instructor; IABP Preceptor. Led competency validation for all the Intensive Care Unit, Cardiovascular Intensive Care Unit, and Intermediate Care Unit. 4/2003 to 9/2004 Staff Nurse ICU Provided total care for adult patients in the intensive care unit including post-operative recovery care for emergency procedures after routine surgery hours, IABP, and CRRT. ACLS & BCLS Instructor; IABP Preceptor. Show less
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Staff Nurse CCU
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May 2000 - Apr 2003
Provided patient and family centered care in a cardiac intensive care unit; participated in orientation of new employees to the unit. Served on the Code Team and as a BCLS Instructor; participated in unit level quality initiatives. Provided patient and family centered care in a cardiac intensive care unit; participated in orientation of new employees to the unit. Served on the Code Team and as a BCLS Instructor; participated in unit level quality initiatives.
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Education
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2012 - 2014
Chamberlain College of Nursing
Master's Degree, Nursing Education -
George C Wallace State Community College-Selma
Associate's degree, Registered Nursing/Registered Nurse
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