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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,

SUMMARY OF QUALIFICATIONS

  • Registered Nurse with Healthcare Administration and Management experience
  • Successful professional record with proven ability to improve organizational performance within the changing health care environment.
  • Implemented exceptionally high standards of quality care.
  • A nurturing leadership style with focus on continuous quality improvement
  • Issue-focused problem solving skills
  • Solid verbal and written communication skills
  • Excellent organizational skills
  • The ability to turn around organizations that are survey deficient

PROFESSIONAL EXPERIENCE

Covenant Care / Elevate Home Health / Rehab Focus – November 2015 thru present – Regulatory Specialist

Responsible for all Medicare ADR requests and appeals for all 5 California branches; private insurance appeals; CERT requests; medical record requests.
Monthly clinical record auditing for 5 branches.
Assist with QAPI program for 5 branches.
Assist with clinical education of staff and compliance training.

Kindred At Home – September 2011 thru May 2014,
Area Vice President of Clinical Operations, West Region.

Responsibility for Utah, Nevada, Arizona, California and Colorado. Duties included all areas of clinical operations including survey readiness, survey responses, oversight of 39 branches, compliance, coding, and ADR’s. Responsible for all clinical aspects of Home Care and Hospice.
Developed the implementation plan for ICD-10 for the national Kindred At Home Division.
Worked with other clinical team members to develop policies, programs, and direction for the entire division.
Professional Health Care at Home – January 2010 thru September 2011, Associate Vice President of Clinical for Utah, Nevada, Arizona and California Home Health and Hospice Agencies.

Responsible for quality activities as well as clinical guidance to all states.
This agency was purchased by Kindred Healthcare in September of 2011.
Home Health Services, Inc. – 2007-2010,
Associate Vice President of Quality Management and Improvement.

Managed all quality activities for three states. Included policy and guideline development, implementation of a new PPS system, and new hospice COP’s.
Became certified in OASIS and ICD-9 coding.
This company was purchased by Professional Health Care at Home in January of 2010.

Southern Utah Home Care & Hospice – 2004-2007,
Quality Management and Improvement Coordinator for Utah.

Responsible for six branches including teaching, monitoring, data analysis, and implementation of quality improvement projects.
Certified in OASIS.
This company was a subsidiary of Home Health Services, Inc.

Daywest Health Care – 2004-2009,
Nurse Consultant.

Monthly and as needed visits to monitor compliance and resident care. Duties included teaching regarding QA, fall prevention, pressure sore prevention, MDS accuracy, medication management, restraint reduction.

Dogon Sirius Consulting – 2002-present,
Owner.

This company primarily does pro-active consulting for nursing homes, home health and hospice agencies. Also did legal nurse consulting regarding nursing home cases until 2012.

Advantage Plus Inc, Consultation Plus Education – 1996-2002,
Owner.

This company went into nursing homes at the request of the facility, the state, or the federal government to offer consulting, educational and management services.
Correcting of substandard care deficiencies
Education of staff and administration regarding key indicators of care
Interim Director of Nursing
Interim Administrator
Development of Policies and Procedures
Assistance with financial reorganization
Systems analysis

Washington Terrace Nursing Center, Ogden UT, – 1995-1996,
Administrator.

This facility was privately owned and under the management of Aegis Corporation. It is a 120 bed for profit facility.
Development of “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. – 1986-1995,
Administrator.
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)
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. – 1984-1986
Administrator / Director of Nursing.

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.

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

LICENSESURE/CERTIFICATIONS

RN – Arizona, Michigan, Hawaii
NHA-Utah, Michigan
HCS-O 2014
COS-C 2007-2017
HCS-D 2007-2018

OTHER

Cross Cultural Volunteer (2007) Guatemala in a HIV/TB Hospital
Cross Cultural Volunteer (2018) Greece working with refugees
Intermediate Spanish speaker
JCAHO Intermittent Surveyor (1997-2001)
Independent Legal Nurse Consultant (1999-2012)
Latte Da Coffee House Owner ((2001-2002)
Dogon Sirius Art Owner (2003-present)
Arizona Site Steward for BLM (2003-2013)
St. George Art Museum Volunteer (2006-2013)
Laughter Yoga Teacher (2012-present)

Groups