Experience

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  Vizient, Inc

  • Associate Vice President Member Connections - Clinical Networks

    • Jan 2022 - Present

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  Vested Medical, Inc.

  • Greater Chicago Area

  • Chief Quality Officer

    • May 2020 - Dec 2021
    • Greater Chicago Area

    Successfully built and deployed an ISO 9001 and ISO 13485 Quality Management System for a startup central sterile processing service center.Collaborated with healthcare leaders, surgeons and implant manufacturers to build a service that would not only meet their needs but also provide a positive impact to SPD staffing and patient care.

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  Vizient, Inc

  • Greater Chicago Area

  • Senior Director, Member Networks

    • Apr 2015 - May 2020
    • Greater Chicago Area

    Facilitation of collaboration, networking and learning between leading healthcare quality and accreditation experts and executives across the nation to provide relevant learning and subject matter expertise to increase leadership knowledge and improve patient care across a broad spectrum of trending healthcare topics. Responsible for development and delivery of over 30 virtual and in-person accreditation and quality educational programs to enable Vizient member organizations to meet the demands of the changing healthcare regulatory environment, maintain continuous patient readiness and enhance improvement efforts within their organizations and communities.

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  HCPro

  • United States

  • Consultant, Advisor, Speaker, Author

    • Jan 1992 - Dec 2015
    • United States

    Participation as speaker in various healthcare accreditation audioconferences, webinars and seminars; consultant for accredited organizations across the United States, editor and author of books related to healthcare accreditation and performance improvement.CONSULTANT:Medical Staff Services - CredentialingAccreditation Process, Preparation, Continuous Survey ReadinessADVISOR:Executive Briefings on The Joint CommissionSPEAKER:Various Accreditation AudioconferencesMedical Staff ServicesPolicy ManagementFaculty to Accreditation Boot Camp - Continuous Survey ReadinessPUBLICATIONS INCLUDE:Co-author Winning Strategies for Performance Improvement (1st - 4th editions)Co-author Survey Coordinator's Handbook (multiple over 13 editions)Co-author The Joint Commission Mock Survey Made Simple; 2010Author How to Complete the JCAHO's Periodic Performance Review; 2004 Co-author The Insider's Guide to JCAHO Survey Success: Field-Tested Tips and Tools Author TJC Chapter Leader's Guide: Leadership 2011

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  UHC

  • Chicago, Illinois

  • Principal Consultant, Accreditation and Compliance Services

    • Dec 2014 - Apr 2015
    • Chicago, Illinois

    Responsible for leading the efforts at UHC to evaluate the current state across the healthcare regulatory environment and make recommendations for effective future state orientation, transformation and process development assisting member organizations in maintaining readiness for patient care. Responsible for the provision of consultation and education to members on hospital regulations and standards interpretation, survey process and related issues as well as the provision of support and consultative services prior to, during and post survey.

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  Northwestern Memorial Hospital

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

  • Manager, Clinical Accreditation & Policy Management

    • Sep 2009 - Nov 2014

    Provision of comprehensive assessment, planning, monitoring and evaluation for compliance with patient-care-related standards and regulations, including but not limited to: TJC, OSHA, FDA, CMS, Illinois Department of Public Health, Illinois Hospital Licensure Act, Chicago Board of Health, Centers for Disease Control and Prevention, ADA, CAP and CLIA. Manage compliance and coordination of the flow of information through the appropriate management, medical staff and board committees and/or departments. Facilitate communication related to regulatory issues between hospital, board, medical staff leadership and hospital departments as required.Design, develop and oversee internal consultation, education and implementation of processes to provide and disseminate definitive interpretations of standards in relationship to NMH functions.Provide programmatic direction for the design, development, and oversight of the hospital and departmental policy and procedure management system.Provide leadership in the assessment, evaluation, and monitoring of all hospital and departmental policies, procedures, and activities for compliance with regulatory, accreditation, licensure and professional standards in collaboration with NMH leadership and staff.

  • Program Coordinator, Accreditation and Clinical Compliance

    • Oct 2004 - Sep 2009

  • Coordinator, Accreditation and Clinical Compliance

    • Oct 1993 - Oct 2004

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  St. Francis Hospital & Health Center

  • Manager, Medical Staff Services

    • Oct 1991 - Oct 1993

    Approximate Bed Complement: 400; Reported to Senior Management; responsibilities included:Directed administrative support in Medical Staff Services Administration. This included the provision of resources, coordination and management of compliance of the flow of information through the appropriate medical staff and board committees and/or departments for necessary action. Facilitated communication between hospital, medical staff leadership and hospital departments to medical staff members as directed.

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  Northwestern Memorial Hospital

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

  • Data Specialist, Quality Management

    • 1989 - 1992

  • Executive Administrative Assistant, Medical Affairs

    • Mar 1989 - Jun 1990

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  Mercy Hospital

  • Medical Staff Coordinator/Office Manager

    • Mar 1986 - Dec 1988

    Approximate Bed Complement: 100; Health Care Accreditation and Quality Consultant Provided up to date information on healthcare quality, accreditation and regulatory issues via speaking engagements, publications, and on-site consultations to a variety of healthcare organizations throughout