Vice President Performance Management (QAPI)
Hammond, LA | Feb 2016 – Jan 2024
North Oaks Health System, a healthcare leader in the region, bridging New Orleans and Baton Rouge, operates a comprehensive 330-bed acute care hospital and Level II Trauma Center. The system has a robust network of over 380 seasoned physicians across thirty-eight specialties and serves as a cornerstone of healthcare innovation and excellence for the region. With a workforce of over 2,500 committed professionals, North Oaks excels in delivering specialized care, including its Primary Stroke Center and cardiology services. Its healthcare infrastructure encompasses a state-of-the-art 27-bed medical rehabilitation hospital, a freestanding surgical center, two advanced diagnostic centers, and the region's most extensive multispecialty provider clinic.
Responsibilities:
· Led the strategic overhaul of North Oaks Health System's performance improvement program, enhancing healthcare quality, safety, and efficiency.
· Partnered with senior leaders to develop and implement effective quality and performance strategies aligned with national standards and best practices.
· Analyzed healthcare trends and performance data, initiating targeted interventions to improve system efficacy and patient outcomes.
· Led the evaluation of service satisfaction metrics, driving continuous improvement initiatives based on insightful feedback and performance analysis.
· Worked closely with senior executives to strategically plan and manage financial resources, optimizing budget allocation to support departmental and system-wide objectives.
· Routinely presented quality initiative updates to the Board of Commissioners, Senior Leadership, and key stakeholders.
· Fostered a culture of trust and collaboration, establishing solid relationships with medical staff, employees, management, and community stakeholders, reinforcing a united vision for healthcare excellence.
· Championed the development of performance improvement tools and educational programs, enhancing the skill sets and capabilities of health system leaders.
· Conducted in-depth analyses of departmental processes, identifying and implementing workflow improvements that significantly boost operational efficiency.
· Directed the planning and execution of transformative changes within the department, effectively managing cross-system projects and initiatives that garnered national recognition.
· Oversaw the external quality reporting functions, ensuring the utmost data integrity and compliance with stringent reporting standards.
· Strategically aligned clinical informatics with quality initiatives, leveraging technology to enhance patient safety and healthcare quality and streamline clinician workflows.
Accomplishments:
· Strategically optimized provider and hospital value payment programs, leading to a significant financial turnaround from $1 million in penalties to $4.5 million in annual incentives. Programs included Hospital Value-Based Purchasing, Hospital Readmission Reduction Program, Hospital-Acquired Condition Reduction Program, Medicare Access, and CHIP Reauthorization Act - Quality Payment Program (QPP) - Merit-Based Incentive Payment System (MACRA-QPP-MIPS), Managed Care Improvement Program (MCIP), and other quality payment programs.
· Achieved significant clinical outcome improvements, including a 30% reduction in CLABSI, a 15% reduction in CAUTI, a 28% reduction in Pressure Injuries, a 25% reduction in falls, a 33% reduction in serious safety events, a 25% improvement in controlled A1c, and a 30% improvement in blood pressure control, demonstrating a profound impact on patient care and safety.
· Secured multiple Press Ganey Guardian of Excellence Awards® consecutively from 2016 to 2021, reflecting sustained excellence in patient satisfaction and service quality.
· Developed and implemented a comprehensive performance improvement training curriculum for all health system leaders, enhancing organizational leadership capabilities and operational efficiency.
· Achieved designation as a Blue Distinction® Center+ for Maternity Care by Blue Cross and Blue Shield of Louisiana for North Oaks Medical Center Women & Children’s Services. This prestigious recognition reflects our commitment to quality maternity care and meeting rigorous standards, including reducing early elective deliveries.
· Recognized by the Louisiana Department of Health’s Office of Public Health – Bureau of Family Health with the state’s highest breastfeeding quality designation, The GIFT, for North Oaks Medical Center Women & Children’s Services. This honor underscores our dedication to providing exceptional, patient-centered care and robust support for breastfeeding mothers.
· Led successful accreditation efforts for the Primary Stroke Center, Commission on Accreditation of Rehabilitation Facilities (CARF), The Joint Commission (TJC), and American College of Surgeons Trauma Level II Certification, reinforcing the health system's commitment to excellence and quality standards. North Oaks Health System, a healthcare leader in the region, bridging New Orleans and Baton Rouge, operates a comprehensive 330-bed acute care hospital and Level II Trauma Center. The system has a robust network of over 380 seasoned physicians across thirty-eight specialties and serves as a cornerstone of healthcare innovation and excellence for the region. With a workforce of over 2,500 committed professionals, North Oaks excels in delivering specialized care, including its Primary Stroke Center and cardiology services. Its healthcare infrastructure encompasses a state-of-the-art 27-bed medical rehabilitation hospital, a freestanding surgical center, two advanced diagnostic centers, and the region's most extensive multispecialty provider clinic.