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Nurse Registered Home Health Expert Witness

Provides Opinion & Testimony In:

Registered Nurse, Home Care, Geriatrics, Decubitus Ulcers, Pressure Ulcers, Home Health, Regulatory Specialist, Reimbursement Home health issues,

Expert No. 1319


SUMMARY OF QUALIFICATIONS

  • Successful professional record with proven ability to analyze organizational needs with the changing health care environment
  • Exceptionally high standards of quality care
  • Nurturing leadership style with focus on continuous quality improvement
  • Issue-focused problem solving skills
  • Solid verbal and written communication skills
  • Excellent organizational skills
  • Ability to turn around organizations that are survey deficient

PROFESSIONAL EXPERIENCE  

  • A PRIVATE COMPANY- 2004-present Quality Management and Improvement Coordinator for Utah.  Covering six branches involves teaching, monitoring, data analysis, implementation of quality improvement projects. Certified in OASIS.
  • Daywest Health Care-2004-present Nurse Consultant. Monthly and as needed visits to monitor compliance and resident care.  Teaching regarding QA, fall prevention, pressure sore prevention, MDS accuracy, medication management, restraint reduction.
  • A PRIVATE CONSULTING COMPANY  2002-present Owner.  This company primarily does pro-active consulting for nursing homes, home health and hospice agencies.  Also does legal nurse consulting regarding nursing home cases.
  • A PRIVATE COMPANY –  Owner.  This company goes into nursing homes at the request of the facility, the state, or the federal government.  Consulting, educational and management services.

CONSULTANT (1996-2002)

  • Correcting of substandard care deficiencies
  • Education of staff and administration regarding key indicators of care
  • Interim DON
  • Interim Administrator
  • Development of Policies and Procedures
  •  Assistance with financial reorganization
  • Systems analysis

Washington Terrace Nursing Center, Ogden UT.  This facility was privately owned and under the management of Aegis Corporation.  It is a 120 bed for profit facility.

ADMINISTRATOR

  • Development of a Hospice Room and pain management focus
  • Implementation of customer-oriented service program
  • Implementation of employee-oriented service program
  • Focus on team building and team strengthening
  • Intensive marketing analysis and efforts to increase census
  • Negotiated managed care contract
  • Accepted ventilator-dependent residents and negotiated higher reimbursement

Emmet County Medical Care Facility, Harbor Spring, MI.  The Emmet County Medical Care Facility is a county-owned 110 bed skilled non-profit nursing home.  The facility provides long term and rehabilitative short-term care to county residents. It has a 98% occupancy rate and is highly regarded in the community.  It includes a 22 bed Special Needs Unit (primarily Alzheimer’s)

ADMINISTRATOR (1986-1995)

  • Successful implementation of OBRA guidelines resulting in repeatedly excellent Department of Health surveys
  • Restructured maintenance and housekeeping departments resulting a reduction in FTEs and improved efficiency
  • Designed and implemented a preceptor program that reduced certified nurse aid turnover by 50%
  • Initiated early return to work policies resulting $58,000 return on worker’s compensation premiums
  • Identified the need to contain employee health care costs and implemented the cafeteria benefit plan
  • Analyzed the current retirement plan and made recommendations for cost containment
  • Coordinated long-range planning with Social Service Board, manger and others
  • Maintained non-union status in union territory
  • Developed 22 bed Alzheimer’s unit resulting greater resident and employee satisfaction
  • Implemented creative programming to meet resident changing need, such as, massage therapy, enhanced restorative program, optometry and dental services
  • Supervised redecorating of entire facility
  • Created volunteer coordinator position to enhance activity programming and community involvement
  • Created resident advocate position to insure resident needs met with satisfaction

Grayling Health Care Center, Grayling MI.  The Grayling Health Care Center was opened in 1984.  It is a 120 bed skilled for profit nursing home.  Ownership changed in 1985 and it became part of the Hillhaven Corporation.

ADMINISTRATOR/DON (1984-1986)

  • Developed all nursing policies and procedures
  • Trained all nursing staff
  • Marketed facility strengths resulting in a 20% growth in census
  • Facilitated transition during change of ownership
  • Educated five other facility administrators to budgeting process
  • Developed strong physical and speech therapy programs

PROFESSIONAL AFFILIATIONS

  • Sigma Theta Tau
  • American College of Health Care Administrators

OTHER ACCOMPLISHMENTS

  • Nursing publications
  • Nursing Home Administrator Pre-Licensure Seminar-Taught
  • Chaired-Emmet County Advisory Committee on Aging
  • Member of Advisory Board of Living Room Adult Day Care

EDUCATION

  • Master of Science in Health Care Administration
    Central Michigan University, Mt. Pleasant Michigan
  • Bachelors of Science in Nursing
    University of Michigan, Ann Arbor, Michigan

LICENSED

  • RN-Utah, Michigan, Hawaii
  • NHA-Utah, Michigan

OTHER

  • JCAHO Intermittent Surveyor (1997-2001)
  • Independent Legal Nurse Consultant  (1999-present)
  • Latte Da Coffee House Owner ((2001-2002)
  • Dogon Sirius Art Owner (2003-present)
  • Arizona Site Steward for BLM (2003-present)
  • St. George Art Museum Volunteer (2006-present)
Groups