Director of Medical Quality, Accreditation Consultant, Chief of Medical Education
Bona Dea International Hospital; Bona Dea Construction LLc.
Total years of experience :45 years, 2 Months
Responsibilities
Advised management on Building Code standards, Fire Safety and Disaster Safety Program standards during the construction phase.
Advised on the standards required in the building structure for patient safety, prevention and control of infection, medication management practice, laboratory and radiology department design.
Accomplishments
Prepared and taught operations management systems and processes for:
Strategic Plan, Ethics Program, Medical and Dental By-Laws and Ethics standards; Facilities Management and Environment of Care programs; management of information and medical, nursing standards of care based upon the 6th edition Joint Commission International Accreditation Hospital Standards.
Skills
Created teams and committees to facilitate and the development of protocols, policies and procedures.communication
Served as Team Leader of Mock Surveys for the Pediatric Rehabilitation Hospital, Diagnostic Center and Cardiac Surgery Hospital in Astana, Kazakhstan which were successfully accredited May 2014 by the Joint Commission International.
Provided consultation, education and training in the Joint Commission International accreditation standards in an ambulatory care, a long term care and an acute care hospital.
Provided leadership as the Hospital Administrator at an urgent care hospital and two primary care clinics in the Grand Cayman Islands.
Provided the day to day management of the hospital by establishing communication through a management and committee structure.
Developed and implemented strategic, business and operations plans.
Organized a financial and logistic system.
Developed a facilities management and environment of care program based upon the Joint Commission International Hospital Standards, 5th edition.
Obtained a Cayman Island's government Medical Tourism certificate and implemented urology and breast surgical care for patients from abroad.
Created an environment for improved staff and patient satisfaction.
Increased fiscal recovery demonstrated improvement in services.
Organized a document and form revision of the policy, procedure and protocol system, risk management and development of Key Performance Indicators.
As a member of Project Operations Management contract between Vamed Management and Services, a consultant construction and engineering firm from Vienna, Austria and the National Medical Holding division of the Ministry of Health of Kazakhstan:
Established a management team based upon Western management theory.
Improved patient care and reduced morbidity and mortality.
Established hospital programs, policies and procedures
Developed an organization which met JCI accreditation standards of patient care and patient safety in 2012.
Developed and established an IT/HIS system
I was responsible for the supervision of 825 nursing, allied health and service personnel.
I established policies and procedures, medical record documentation, a continuing education department and taught medical, nursing and allied personnel standards of JCI accreditation.
I developed and taught tracer methodology in preparation for accreditation.
I organized three separate Mock Surveys in preparation for accreditation.
I established and taught at a post- basic nursing technical school.
Prepared and presented to the Medical Division of the Ministry of Health a three year diploma nursing course and a four year baccalaureate nursing degree for implementation at Nazarbeyev University.
I prepared and presented a Nursing/Patient Ratio research paper to the Ministry of Health based upon the California state regulations .
Administered the nursing role and responsibilities in a 775 bed tertiary care hospital in Saudi Arabia.
Developed and implemented a Standardized Care and Clinical Pathway system for 80 diagnoses.
Reseached, wrote documents, organized implementation and prepared data based analysis and outcomes for this system
Participated in the implementation of ICD 10 AM, CPT coding and Chargemaster systems.
Coordinated the accreditation activities for USA Joint Commission International Accreditation, the Aim/Qmentum Canadian Accreditation and Australian Council for Healthcare Accreditation.
Prepared and taught the Employee Health policies and procedures for an organization of 5300 personnel.
Supervised the nursing, clinical services and allied health personnel.
Established organizational structures, protocols and procedures, medical record documentation, patient safety standards, infection control and risk management activities in a regional tertiary care hospital.
Provided recruitment and supervision of new employees, orientation, continuous education program for the above initiatives.
Supervised nursing and allied health personnel.
Establish organizational structures, policies and procedures, CSSD and infection control program, patienty safety and risk management
programs.
Participated in international recruitment and established orientation and on-going education program.
Established Code Blue and BCLS/ACLS training.
Participated on senior management committees.
Supervised the nursing and allied health personnel.
Established organizational structure, hospital wide policies and procedures, fire and disaster policies, training and drills, infection control, patient safety and risk management programs.
Participated in international recruitment.
Established orientation, continuous education, BCLS/ACLS training programs.
Administered the delivery of community health services, home care, placement coordination services, mental health and addictions clinics in eight small cities and two regional Native American territories.
Served on three college health advisory committees.
Provided student clinical affiliation in each center and in North Bay for native American students from Moosonee.
Administered the supervision of nursing and allied health personnel in a tertiary care /forensic/ research psychiatric hospital and mental health clinics.
Participated on senior management teams.
Chairperson for the Canadian accreditation.
Participated on all District Health Council committees.
Organized and participated in student clinical experiences from three community colleges and one university.
Served on three regional college health advisary committees and a university steering committee.
Developed and implemented a Patient Care Management and Discharge Planning system.
Coordinated Critical Care ambulance program.
Coordinated Organ Retrieval teams/services.
Prepared Critical Care budget submission.
Analyzed HMRI/CIHI data for Utilization Review and budget preparation.
Participated on mangement committees and accreditation committee.
Participated on District Health Council committees.
Coordinated the nursing program in Thunder Bay Long Term Care facilities of 500 beds.
Supervised 360 nursing employees.
Established policies and procedures, job descriptions and orientation programs.
Participated in student clinical experience.
Member of a community college health care studies advisary committee.
Established Thunder Bay Gerontology Education commiittee and organized geriatric conferences.
Member of the senior management and accreditation committees.
Coordinated nursing programs in acute psychiatric care, psychogeriatric and developmenttaly handicapped services in a 750 bed psychiatric hospital.
Supervised nursing employees in respective services.
Established Nursing Care plans .
Member of senior management committees and accreditation committee.
Participated on regional District Health Council committees.
Successfully completed master's degree in business administration of universities and colleges, curriculum development and teaching methodology 1989 to 1991.
Completed a diploma in business management practices at the Confederation College of Arts and Technology 1983-1985.
Completed a Bachelor of Science in Nursing Sciences degree major nursing sciences, minor business practices, as a part time student from 1972- 1979.
