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Tahoe Pacific Hospitals - Director Of Quality Management Resume Example

Charlotte Murphy
Professional Summary

Seasoned professional in Quality, Regulatory, and Risk Management, including Safety Officer and Environment of Care duties.

Able to adapt to the rapidly changing healthcare standards, and quickly comprehend  rationale and develop solutions to be compliant.

Experience in gathering data, developing reports, and presenting information in a manner which is understood by all.

Motivated to support the leadership team in compliance of polices/procedures/standards/laws.

Able to meet the time tables involved in reporting to and facilitating teams to develop plans and meet goals.

Reliable, and willing to represent the company in community organizations (i.e., IHCC).

Strong interest and experience in Emergency Preparedness and Disaster Recovery.

  • Proven leader in healthcare
  • Past President of the Nevada Association for Healthcare Quality
  • Experienced public speaker and presenter
  • Detail oriented
  • Ability to develop plans of action and engage others to be part of the implementation team
  • Able to adapt quickly to address urgent issues as they arise
  • Able to use technology to present information and data
  • Experience in dealing with Regulatory Agencies
  • Experience as Safety Officer in hospital setting
  • Active Listening
  • Clinical Experience in the Healthcare Setting
Director of Quality Management 12/2014 to Present
Tahoe Pacific Hospitals Sparks, NV

The Director of Quality is responsible for all Quality, Risk, Regulatory, Safety, and Environment of Care areas for the LTAC hospital.  Responsible for the Joint Commission Survey Readiness for this hospital in a hospital setting, including undergoing the triennial accreditation survey for two campuses, development of the MOS and ESC plans addressing and correcting findings, and continued monitoring to ensure the meeting of standards.  Collects data for assurance of meeting Quality Standards as directed by the company and regulatory entities.  As Safety Officer, responsible for ensuring a safe environment, as well as dealing with complaints, grievances, and events in which safety of the patients and staff may be affected.  Key contact person dealing with state complaint surveys, and contact person for the hospital with the State Department of Health, Nevada Hospital Association, and the American Hospital Association.

Proponent for Environment of Care rounding, ensuring compliance with standards and regulations.  Leader and facilitator of Environment of Care Committee and Quality/Patient Safety Committee, as well as participant in Policy Committee.  Facilitator and organizer for MEC and Governing Board meetings.  Investigator of physician issues (OPPE, FPPE, and Peer Review).  Skilled in Word, Excel, PowerPoint.  Also member of the hospital Ethics Committee.  Representative for the hospital in the Washoe County Inter Hospital Coordinating Council.  Developed the growing Emergency Preparedness Plan for Tahoe Pacific Hospitals, following the LifeCare policy, and the Mutual Aid Agreement for the Washoe County Health District.  Preceptor for hospital administration practicum for pharmacy students from California North State University, providing exposure to regulatory aspects in healthcare, as well as qualitative analysis, planning, and improving of pharmacy issues.

Director of Ethics and Compliance 12/2013 to 08/2014
Sunrise Hospitals and Medical Center Las Vegas, NV
Worked in a 550 bed STAC facility, including ED, Pediatric, OB/GYN, Neonate, Air Ambulance, Open Heart Program, Orthopedics programs. Responsible for orientation of all employees in general orientation and annually regarding ethics, compliance, and the Stark Law.  Conducted investigations on complaints called by employees to the internal confidential line, working with HR and the labor union to ensure satisfactory resolution and meet the union contract and standards of the hospital and healthcare.  Responsible for oversight of the transition of policies into a new web based vendor program, training all staff on usage, access, and implemented new process for approval.   Preceptor for UNLV business students (bachelor and graduate levels) in practicum for hospital administration.  Part of the team for regulatory body preparedness, working with Regulatory and Quality Departments and participated in triennial Joint Commission Survey.  Worked with the plant services and other departments in EOC preparation through rounding and inspections.  Responsible for the physician Business Courtesy Log, and ensuring compliance with all transactions with physicians dealing with the annual expenditures per physician.  Leader in process for approval for visiting foreign physicians to be able to rounding with medical staff at the hospitals.
Regulatory Coordinator 11/2012 to 12/2013
Sunrise and Sunrise Children's Hospitals Las Vegas, NV

Primary responsibilities included overhauling existing 2,200 policies to be compliant, revised, retired, or combined, to last review being within 3 years.  Also revised the process for policy approval to be  more timely and efficient.  Within 1 year decreased the total number of policies to 1,300, with the formation of a new policy committee comprised of leadership of the hospitals.

Also responsible for EOC rounding in preparations for survey readiness, working with the Director of Regulatory Services and the VP of Quality Management.  Dealt with identification of areas for improvement, development of action plans, implementation of process changes, and ultimately maintenance of compliance with standards for CMS and the Joint Commission.  (Left this position when the opportunity arose to be promoted to the Director of Ethics and Compliance, still working with Regulatory in this role.)

Quality Management Coordinator 04/2007 to 11/2012
St. Rose Dominican Hospitals Henderson, NV

This position worked directly for the Director of Quality Management and the CMO of a three hospital STAC system.  Initially hired to develop the Quality Program as it pertained to the newly built 125 bed San Martin Campus in 2007, working with the hospital leadership in compliance with the standards of the Joint Commission, CMS, and also identification of opportunities for improvement in CMS CORE standards (AMI, CHF, Pneumonia, SCIP) and other areas for continuous monitoring.

Part of the team in EOC rounding, and ensuring compliance with JC/CMS standards as well as those of OSHA, State and City Department of Health.  Facilitator in all Quality meetings, including EOC, Medical Staff Meetings (Surgery, Cardiology, Medical, OB/GYN/Neonatal), as well as facilitator for all medical staff departments peer review, utilizing Crimson and MIDAS.  Direct interaction with JC/CMS/State surveyors during survey activity, and assisted with development of plans for improvement and monitoring with all leadership.

Charge Nurse IMC 08/2004 to 04/2007
St. Rose Dominican Hospitals Henderson , NV
Direct management of day shift nursing staff in a 22 bed unit at the Rose de Lima Campus, and later participated in opening and running the 31 bed IMC unit at the newly built San Martin Campus.  Directly responsible for developing schedules for the unit, staffing to meet the needs of the patients, monitoring for quality compliance, EOC rounding on the unit, supervision of nursing and CNA cares, assisting physicians, investigating complaints, and working with case management in the discharge plan of care.
RN Intensive Care Unit 04/1994 to 11/1998
Regional West Medical Center Scottsbluff, NE
Working in a 125 bed STAC, in the 22 bed ICU.  Direct care of the ICU patient (Cardiac, Medical, Surgical, Trauma, and Pediatric).  Participant in the department schedule development team.
Flight Nurse, Staff RN in Emergency Department 04/1989 to 03/1994
Midland Memorial Hospital and Medical Center Midland , TX
Staff RN and Relief Charge in an 8 bed, later expanding to 24 bed, county Level III Emergency Department.  Flight Nurse working in collaboration with Areovesta Air Ambulance Service, flying fixed wing to transport medical/surgical/pediatric/trauma/OB/neonatal patients locally and internationally between hospitals.  Worked with the Education Department as an instructor trainer in TNCC, BLS, and ACLS.  Preceptor to nursing, EMT, EMT-P, and medical students as well as working with medical residents in the Emergency Department rotations.  In charge of Department Quality Improvement plans.
Staff RN Emergency Department 04/1988 to 04/1989
Medical Center Hospital Conroe, TX
Staff RN in a 120 bed STAC, caring for all patients in the county Emergency Department of 24 beds.
Staff RN, later Charge RN High Risk Labor and Delivery 06/1984 to 03/1988
Medical Center Hospital Odessa, TX
Staff RN in a growing 125 bed hospital, and a growing high risk labor and delivery department.  Trained along with the first year of medical residents, later advanced to Charge Nurse responsible for preceptor and oversight of all nursing and medical residents in the High Risk Labor and Delivery Department.  As well as responsible for the scheduling of staff, and the day to day business activities of the unit.  Supervision of staff included assignments, evaluations, identification of educational opportunities, and communication of all involved.  Responsible for the unit based Quality Improvement for the unit.  Involved in the hiring and rare separation of staff for the unit.
Bachelor of Arts: Business-Accounting Emphasis May 2004 Chadron State College - Alliance, NE Business Administration Program with an emphasis on accounting.  Part of the team development of web based program for education of elementary and middle school students for ethics in the world wide work place, which was presented to the US Senate as a project with the backing of Walgreen's Pharmacy. 
Associate of Arts: General Studies-Business May 2002 Western Nebraska Community College - Scottsbluff, NE Member of Phi Beta Kappa.
Diploma : Nursing May 1984 Western Nebraska General Hospital School of Nursing - Scottsbluff, NE
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Resume Details

This is a real resume for a Director of Quality Management in Sparks, Nevada with experience working for such companies as Tahoe Pacific Hospitals, Sunrise Hospitals And Medical Center, Sunrise And Sunrise Childrens Hospitals. This is one of the hundreds of Director of Quality Management resumes available on our site for free. Use these resumes as templates to get help creating the best Director of Quality Management resume.

Previous Companies:

  • Tahoe Pacific Hospitals
  • Sunrise Hospitals and Medical Center
  • Sunrise and Sunrise Childrens Hospitals

Previous Job Positions:

  • Director of Quality Management
  • Director of Ethics and Compliance
  • Regulatory Coordinator
  • Quality Management Coordinator
  • Charge Nurse IMC


  • Chadron State College
  • Western Nebraska Community College
  • Western Nebraska General Hospital School of Nursing

Level of Education:

  • Bachelor of Arts
  • Associate of Arts
  • Diploma

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