Tampa Family Health CentersDirector of Continuing Quality Improvement and Risk Management
Sep. 2017 - Jun. 2018Tampa/St. Petersburg, Florida AreaDirected Continuing Quality Improvement and Quality Assurance (CQI/QA), Risk Management program. Responsible for Culture of Patient Safety and Satisfaction for a $60MM, FQHC with 525 staff, 14 full-service medical centers with 9 dental clinics. Serving 103,000 patients annually. Oversight of AAAHC, PCMH and NCQA accreditation preparation; conducted program evaluation, mock survey and site inspections. Integrated best practices, regulatory compliance requirements to policy/practice. Increased CQI/QA Performance Improvement and Infection Prevention and Control programs by 25% through weekly performance data acquisition/analysis of 1500+ patient satisfaction surveys/250+ comment cards. Developed/Implemented Patient Fall and Needle Stick Reduction Programs. Reduced future patient harm by 25% through routine Life-Safety audits; conducted/reported Incident Investigations. Utilized Lean Six Sigma/Root Cause/Failure Mode analysis to effect clinical and operation efficiencies. Collaborated with Chief Medical, Dental and Pharmacy Officers to improve Peer Review/Charting Compliance by 50% Ownership of HEDIS/MACRA/MIPS and Meaningful Use goals and expectations; yielding a significant 50% improvement in patient identification, care and quality outcomes for A1C, Colorectal, Breast Cancer screening rates. Realized a 30% decrease in breaches, serving as HIPAA Privacy Officer. Developed, coached, and trained 14 Center Managers and 500+ staff on regulatory compliance to include AHCA, AAAHC, CMS, HIPAA, and OSHA.