DIRECTOR, QUALITY IMPROVEMENT NETWORK FACILITATION Professional Background Highly accomplished registered- nurse 20 years experience clinical nursing, management, statistics, quality management, process improvement. Years experience hospital, clinic, public health, academic operation comprehensive understanding healthcare; proven ability build effective relationships develop maintain highly reliable teams; skilled coach, mentor, facilitator, teacher; accomplished project manager curriculum developer; detailed outcome oriented. Skill Highlights Areas expertise include: Nursing Management Process Improvement Statistics data Analysis Operationalizing best practices Teaching/ Facilitating/ Coaching/ Mentoring Team Building Marketing Public Relations Accomplishments California Hospital Engagement Network Improvement Adviser Data Analysis, 2014 Shining Star Champion", Best Organ Donation Liaison: GSDS/SETDS, 2011 Recipient member Alpha Eta Society Scholarship Recipient Mary Greeley Scholarship Professional Experience Director, Quality Improvement Network Facilitation January 2014 Current Company Name Manage analyze state level data identify California's existing performance identify gaps opportunities improvement. Provide oversight, alignment coordination data management, measurement reporting fuctions discover patterns trends, generate reports senior leadership mutliple board directors regarding state performance. Act primary liaison contract relationships data repositories advanced analytics CALNOC, CMQCC, NHSN, HRET, HSAG UC Davis Population Health. Develope manage data entry strategies hospitals based need assessments. Consult hospitals develop data entry strategies reporting process contiously improve data flow management create information knowledge assist senior leadership identify gaps develop improvement startegies. Collaborate learning Dissmination provide training basic statistics/ analytics data management. Provide consultation member hospitals review understand performance, data analysis various public reports. Provide consultation programs CalHEN, Patient Safety First, Patient Family engagaement. Establish criteria evaluate prioritize opportunities consult requests studies reports. Particiapte grant writing, studies publications. Accomplishments Developed content designed page HQI public website 11 common public reports. This format provides relevant information simple standardized enables hospitals compare reports side sides understand different scoring hospital report. http://www.hqinstitute.org/public-reports Developed Infographics communicate data data analysis board directors, public, hospitals media effective way Generated data validation process provide valid reliable data Redesigned standardized Board Directors report Ongoing analysis California performance publically reported measures provided better insight state performance resulted effective strategies improve Developed standardized report stakeholders media based performance improvement methodology track trend performance CMS Grant- funded position ensure California hospitals achieve success patient safety including reducing hospital acquired conditions, obstetrical harm, readmissions. This position involved developing detailed individual hospital improvement plan identify gaps opportunities; tracking trending outcome/ results, consultation, training education; providing clinical improvement guidance resources. Other activities included, limited to, close collaboration Quality Improvement Organizations (QIN) Institute Healthcare Improvement (IHI) maintaining compliance federal contracting requirements. Managed assisted 28 hospitals throughout state California performance improvement efforts. Accomplishments Assisted hospitals improve outcomes 40% sustain gain Assisted leadership identify gaps meet goal state level Developed standard format hospital site visit increase meetings efficiency effectiveness RN Quality Coordinator April 2012 September 2012 Company Name － City State Data management analysis, reporting fuctions; discover patterns trends; generate reports senior leadership; contiously improve data flow management create information knowledge assist senior leadership identify gaps develop improvement startegies; collaborate units imrpov performance Assist, maintain revise Quality Improvement programs; Coordinate evaluate activities committees; perform studies/ identify challenges barriers/ develop plan based data analysis, data management/ validation/ reporting, improve sustain performance Consults Service Line Leaders, Chiefs Service, Medical Staff Committee Chairpersons, Physicians, Department Administrators assist developing ongoing evaluation programs identify, resolve, report opportunities improve patient care Act facilitator identified service-line performance improvement initiatives Performs oversees ongoing Quality Improvement activities across medical center assure timeliness, accuracy, compliance licensing regulation requirements Use educate end users understanding data develop action plan improve performance Develop conduct presentations including statistical process control methods quality improvement standards Medical Center Quality Improvement Plan insure compliance Joint Commission regulatory agency standards Accomplishments Developed data collection process inpatient outpatient code blues, provided opportunity gap analysis improvement real time Improved performance compliance organ/ tissue/ cornea donation increased referral. South Sacramento achieved first place cornea donation North California region 2010. Developed referral process ED, increased referral 60% 100% timely referral two years. South Sacramento Kaiser hospital received four regional awards Best Coordinator, Best Emergency Department, Best Committee Best performer 2011. Received recognition "Joint Commission Best practice" Organ Donation data collection reporting Assisted standardized reporting Quality Council; recognized "best practice" Regional Kaiser Joint Commission Healthcare Management Chair January 2005 January 2011 Company Name － City State CHI), Des Moines, IA 2005- 2011 Adjunct Faculty, Assistant Professor Responsible planning, coordinating, implementing evaluating various Healthcare Administration courses Accomplishments: Developed instructional tools, resources course content four high level courses Developed curriculum piloted first online course Developed online curriculum four different high level healthcare administration courses Managing children health coverage chronic disabling diseases including limited operation, human resource management, financial management including budget development, strategic planning, marketing, contract management, compliance state federal reporting Accomplishments Initiated data analysis; identify gaps opportunities process improvements Developed new budget process reporting Redesigned annual employee evaluation based performance Developed job descriptions 12 employees Developed patient/ family Orientation Programs Developed employee orientation program Assistant Professor Managing bachelorette healthcare management program including limited operation, teaching, financial management including budget development maintenance, marketing, strategic planning, contract management compliance Accomplishments: Developed curriculum two new courses Developed piloted distant management program (online) Collaborated Des Moines Osteopathic Medical Center initiate unique program provide opportunity smooth transition students Master's degree Increased enrollment 50% Clinic Director January 2004 January 2005 Company Name － City State Managed healthcare clinic including 25 physicians, Nurse Practitioners (NP), nurses (RNs) support staff. Clinic census approximately 100 patients per day. Services offered included Primary Care, Obstetrics/ Gynecology, Pediatrics. Management included, limited to, operation, human resource management, financial management including budget development, strategic planning, marketing state federal reporting. Accomplishments: Completed first Joint commission (JC) survey resulted clinic's initial JC accreditation Started new dental service including renovation, purchasing equipment, hiring dentist dental staff Renovation expansion clinic successfully Education Training Master Public Health; Des Public Health Moines University Osteopathic Medical center, College Health Sciences － City State US Master Public Health; Des Moines University Osteopathic Medical center, College Health Sciences. Des Moines, IA ADN Nursing Des Moines Area Community College － City State US ADN Nursing: Registered Nurse, Des Moines Area Community College, Boone, IA Master Health Care Administration; Des Health Care Administration Moines University Osteopathic Medical center, College Health Sciences － City State US Master Health Care Administration; Des Moines University Osteopathic Medical center, College Health Sciences. Des Moines, IA B.S. Psychology Pars College － City State US B.S. Psychology: Pars College, Tehran, Iran ACCREDITAION Black Belt Six Sigma Methodology. In progress IHI Certified Improvement Advisor (IA), Sacramento, CA Certified Public Health Nurse, Sacramento, CA Certified Green Belt Six Sigma Methodology, Des Moines, IA Certified Medical Office Manager, Des Moines, IA Board Certified Registered Nurse Iowa California Certified Advanced Cardiac Life Support (ACLS), Des Moines, IA Certified Basic Cardiac Life Support (BCLS), Des Moines, IA Certifications Board Certified Registered Nurse, Board Certified Registered Public Health Nurse, IHI Certified Improvement Adviser Certified Green Belt Six Sigma Methodology, Certified Medical Office Manager Affiliations Association Critical Care Nurses (ACCN) Languages Fluent English, Farsi, Dari Presentations Develop conduct presentations including statistical process control methods quality improvement standards Medical Center Quality Improvement Plan insure compliance Joint Commission regulatory agency standards Skills Lean/ Six Sigma Improvement methodology, Advanced Analytics, Data Management, process performance Improvement Planning, Financial Management, Marketing, Strategic Planning, Gap Analysis, Process Control, Statistical Process Control, Contract Management, Human Resource Management, Training, Data Entry, Data Validation, Liaison, Statistics, Management, Teaching, Coaching, mentoring. Computer Literate: Microsoft word, Excel, Power Point, Access, PhotoShop, Microsoft Picture, Visio, Smart Draw VP, SPSS Statit statistical programs, Other programs as: MIDAS, InfoView/Business Object, KPHC, Lotus Note, EPIC