Medical Service
Resume:
STEVE F. COLLINS, RN, MSN
COLLIERVILLE, TN 38017-1638
************@***.***
SUMMARY:
More than 25 years of progressive leadership roles: Charge Nurse, Head
Nurse, Clinical Coordinator, Nursing Education, Administrative Director,
Facility Administrator, Nursing Director, and Chief Nursing Officer.
Skill sets include:
. Human resource management
. Strategic and business planning
. Budget planning and management
. Implementing Revenue Cycle Principles throughout Service Line
. Patient care quality performance improvement
. Regulatory standards implementation
. Development and implementation of Trauma Program strategies
. Policy making and implementation
. Coaching and mentoring
. Leadership development
. Problem solving
. Counseling and disciplining
. Verbal and written communication
. Public speaking and powerpoint presentations
. Interdisciplinary collaboration/ teamwork
. Customer and Physician relations
. Change implementation and management
. Organization development
. Project Management for Implementation of Empower EDIS system
. Benchmarking metrics for performance improvement in ED
. Established unit-based shared governance council
. Shared Governance Implementation
. Process Improvement using LEAN/Six Sigma strategies
. Performance Improvement Initiatives
. Patient Flow Changes in Emergency Department
. Implementation of Concepts in "Just Culture" & "Teambuilding"
. Development and implementation of Harm Reduction Teams in Medi-
cation Administration and Readmission to ED within 72 hours
EMPLOYMENT HISTORY:
09/11 - 06/12 Interim Director Alameda County Medical Center
Nursing 1411 E. 31st Street
Oakland, CA 94602
Areas of Responsibility: Day-to-day operations of a 236-bed medical center
including Medical/Surgical, Telemetry, Dialysis, Intensive Care Service,
Trauma Service, Obstetrics, Gynecology, Labor and Delivery, and Neonatal
Intensive Care.
Major Accomplishments:
. Engage and collaborate with physician and nursing leadership in
performance improvement activities for effective care delivery to
achieve metrics of clinical appropriateness, patient centeredness,
outcomes optimization, and value analysis
. Identified opportunities for improvement based on evidence-based
practice, regulatory, and accrediting agency requirements, and
monitoring of high risk, high volume and/or problem-prone processes
. Facilitated the strategic planning, development, implementation and
operational assessment of patient safety, clinical outcomes, and
quality improvement activities for assigned services and departments
. Provide clear leadership for creating a culture of patient safety and
work with various constituencies to ensure compliance to the National
Patient Safety Goals by building a sense of ownership and alignment.
. Prepared Trauma Service for ACS Trauma Level 2 certification survey in
May 2012
. Using strategic decisions and actions to improve responsiveness and
relations with all customers
. Developed dashboards for monitoring compliance with HCAHPS and Core
Measures
. Directed patient flow activities between the ED and medical units.
. Decreased laboratory results waiting times by 25%
. Decreased unit-based medical supply expenses by 12%
. Represented Nursing Division on Harm Reduction Teams for Prevention of
medication errors and readmissions; collectively reduced overall
patient harm by 43% in 2011
. Worked with ATC Engineers (project management team) during new Acute
Care Tower construction - Phase II completed during tenure
. Represented Nursing Service during implementation of Sorian IT System
including nursing assessment software
. Planned and implemented improved triage workflow for the Emergency
Room; decreasing waiting times by 10 minute
. Developed monitoring system and dashboard for patients awaiting
admission and improved waiting time by 30 minutes
10/09 - 09/11 Chief Nursing Haywood Park Community Hospital
Officer 2545 Washington Ave.
Brownsville, TN 38012
Areas of Responsibility: Day-to-day operations of a 62-bed community
hospital including Radiology, Materials Management, Nutritional Services,
Emergency Nursing Services, Medical/Surgical Nursing Services, Physical
Therapy and Pharmacy.
Major Accomplishments:
. Successfully completed triennial Joint Commission survey with a score
of 88. All necessary corrective action plans have been submitted to
the Joint Commission
. Successfully completed TN State Patient Care Complaint survey with no
recommendations
. Successfully completed regulatory survey of the Laboratory Blood Bank
Services by the West TN Regional Blood Center as required by the
American Association of Blood Banks with no deficiencies
. Successfully gained full certification for the Mammography Imaging
Services from the American College of Radiology
. Raised the level of frequency of hourly patient rounding from 56% to
74% on the Medical/Surgical unit
. Raised hourly rounding scores in ED from 48% to 70%
. Consistently scored #1 for ED DCA call-back program with 98.72%
compliance
. Reduced par level supply spending by $1,000 per month on both the
Medical/Surgical and ED units utilizing Revenue Cycle Principles
. Planned and implemented a Service Recovery program
. Implemented revised fall reduction plan and reduced fall rate by 3
falls per quarter
. Improved biomedical services and reduced instrumentation downtime by
17.3%
. Successfully implemented the Horizon Physician Portal system
throughout the hospital. 100% of the medical staff has been trained
and 75% of ancillary staff has been properly trained using the syste
. Successfully transitioned staff from Webmedex to Spheris Transcription
Services
. 3.9% reduction in food cost - bigger vendor discount
. Implemented weekly meetings with Hospitalist and Case Manager to
discuss patient care issues
. Monitored productivity with phone monitoring, reviewed daily reports
and handled customer/patient complaints
. Kept Medicare case mix index at 2.7 days
. Kept self pay admits at 2.0 days
. Scored #1 in the employee satisfaction survey with a mean score of
3.48 of 4.00 and 48% TB
. Scored #1 in the physician satisfaction survey with a mean of 3.73 of
4.00 and % POS - 91%
. Implemented a 2-bed sleep study lab
. Developed a RAC multidisciplinary committee to monitor medical records
for DRG compliance
10/08 - 10/09 Interim Kittitas Valley Community Hospital
09/07 - 03/08 ED Director 603 S. Chestnut St
Ellensburg, WA 98926
Areas of Responsibility: Day-to-day operations of the Emergency Department
with 9 treatment rooms plus a triage area. Emergency Department was a
designated Trauma Level 4 center located in a 25 bed Critical Access
Hospital with approximately 13,500 annual visits.
Major Accomplishments:
. Asked to return for a second interim contract
. Directed 21 FTEs including clinical and administrative positions
. Responsible $300 K monthly operating budget; consistently remained
within budget
. Responsible for $500K capital budget; stayed within budget
. Improved patient satisfaction scores to >85% for 3 consecutive
quarters
. Implemented ESI Levels of triage for all RN staff
. Successfully completed certification survey for Trauma Level 4
designation
. Decreased throughput time from >160 minutes to <80 minutes for STEMI
patients door to artery opening for >90% of this type of patient
. Decreased patient waiting times by 20%
. Successfully passed Department of Health Survey
. Improved employee satisfaction by 28% to an annual satisfaction rating
of 4.1
. Successfully implemented a physician/nurse collaborative practice
model for patient care delivery
. Implemented Empower EDIS system
. Established shared governance council
. Reduced unit materials inventory by 35 % using LEAN process
. Implemented hourly patient and staff rounding according to Studer
philosophy
. Worked with Case Management regarding compliance with state and
federal collection regulations
. Worked with multidisciplinary construction team to complete and move
patients to renovated ED area
. Worked with Engineering Department and IT to establish and implement
wi-fi capabilities throughout the ED
04/08 - 09/08 Interim St. Joseph Medical Center
ED Director 2901 Squalicum Parkway
Bellingham, WA 98225
Areas of Responsibility: Day-to-day operations of the Emergency Care
Center with 55 treatment rooms including 8 bed fast track area, 6 bed
psychiatric service, and 3 station triage area; designated Trauma Level
2center; Approximately 65,000 annual visits
Major Accomplishments:
Directed 85 FTEs including clinical and administrative positions
. Responsible for the clinical and financial operations
. Implemented 14-hour daily fast track for ESI Level IV and V patients
. Coordinated psychiatric service including social service and outside
referral services
. Successfully completed recertification requirement for Trauma Level 2
designation
. Establish scope of service for Nurse Team Leader Group
. Defined nursing standards and strategic direction of the Emergency
Care Center
. Coach and mentor direct reports
. Promote individual professional growth and development through meeting
requirements for mandatory and continuing education and skills
competency
. Collaborate with physicians in clinical management of medical, post
operative general surgical, pediatric, and bariatric patients
. Provide safe patient care through hiring, scheduling and staffing
using appropriate skill mix and numbers of staff
. Monitor and maintain high quality of patient care through performance
improvement program and regulatory standards implementation
05/06 - 09/07 Re-established clinical skills while working travel
assignments in ED and PACU
01/03 - 05/06 Facility Baptist Germantown Surgery Center
Administrator 2100 Exeter Road, # 101
Germantown, TN 38138
Areas of Responsibility: Day-to-day operations of ambulatory surgery center
with 6 preoperative beds, 6 OR suites, and a 6-8 bed post-anesthesia
care unit. Performed 500 cases monthly in the following discipline areas:
Orthopedics, OB/GYN, ENT, Podiatry, and General Surgery
Major Accomplishments:
. Directed 46 FTEs including clinical and administrative positions
. Responsible for $1.2 million monthly operating budget ; kept center
within budget
. Responsible for $2.0 million annual capital budget; kept center within
budget
. Increased surgical caseload by 6% through marketing efforts
. Delegated select management responsibilities to Nursing Council
. Conducted council meetings to improve physician and employee
interpersonal relationships
. Instituted the Joint Commission for Accreditation of Healthcare
Organization's (JCAHO) Universal Protocol for Wrong Site Surgery
. Developed strategies to integrate the JCAHO's National Patient Safety
Indicators into the surgery center's safety program
. Formed the Nursing Performance Improvement Committee
. Decreased the equipment inventory by 12-20% over 3 quarters using six
sigma methodologies
. Developed unit-specific falls reduction program
. Measured clinical outcomes using patient satisfaction survey results
which allowed for assessing satisfaction with specific aspects of
patient care; improved patient satisfaction scores by 2.5% and 2.3 %
for two years respectively.
. Member of the Center Disaster Preparedness Team
. Formed a leadership council made up of department heads to address
patient issues and concerns
. Prepared facility for first survey by the JCAHO, accreditation
achieved
08/91 - 01/03 Nursing Education Director Civista Medical Center,
LaPlata, MD 20646
Areas of Responsibility: Responsible for the initial education of all
nursing staff during hospital orientation; Responsible for In-service
education for all nursing staff; Provided on-going continuing orientation
nursing education for all staff; Held adjunct faculty position at local
community college
Major Accomplishments:
. Chaired the team that established a clinical ladder for nursing
. Developed an interdisciplinary team to purchase new IV pumps using six
sigma methodologies
. Managed the operations and capital budgets, consistently remained
within budget
. Consulted with county leaders in the development and implementation of
advanced cardiac education for the Emergency Medical Services
. Chaired the Nursing Procedure and Nurse Practice Committee
. Member, Medication Review Committee
. Participated with multidisciplinary team in revision of "Do Not Use"
list
. Facilitated the professional growth of nursing staff giving nursing in-
service education to other staff on a unit basis
. Planned and compiled the in-service manual for accreditation by the
American Nurses Credentialing Association (ANCC), obtained 3 year in-
service accreditation
. Obtained accreditation for critical care nurse training from the
American Association of Critical-Care Nurses
. Appointed by Nurse Practice Council to represent the Hospital in the
Association of Nurse Executives (AONE) at the state level
. Taught American Heart Association coursework to all levels of provider
throughout Charles County
. Developed the Indicator Measurement Systems for participation in the
ORYX initiative.
. Worked with six sigma methodology in product and problem resolution
. Participated in JCAHO triennial survey - Hospital scored a 95
. Conducted staff training programs in patient satisfaction with a focus
on successful outcomes and sensitivity issues; patient satisfaction
scores improved by 65%.
10/85 - 8/91 Director, Howard University Hospital
Emergency Service 2041 Georgia Ave, NW
Washington, DC 20060
Areas of Responsibilities: Responsible for the administrative/clinical
operations of the Emergency Department with ACS Trauma Level 1 center.
The Emergency Service also consisted of a Chest Pain Center, 12 treatment
rooms, 6-8 asthma treatment stations, 1 OB/GYN treatment room, 2
Psychiatric Seclusion Rooms, and a 6 bed Pediatric Care Center; total
patient visits: 70,000 annually.
Major Accomplishments:
. Managed 81 FTEs including Head Nurse, 3 Assistant Head Nurses and
Clinical Educator
. Facilitated the institution of shared governance for the Emergency
Department using the "councilor" model designed to use department
level councils to coordinate clinical and administrative activities
. Decreased radiology results turnaround by 6% over a 12 month period;
afterwards PACS computer system was installed
. Decreased lab results turnaround time by 12 % over a 12 month period
. Decreased time of triage to first seen by physician from 30 minutes to
21 minutes in a 5 month period
. Prepared for and participated in ACS Trauma Level 1 recertification
survey - Hospital scored a 92; ED had one minor recommendation
concerning Chest Pain Center
. Assisted in planning a 3-day Trauma Symposium of the District of
Columbia, Maryland, and Virginia - attended by 88 physicians and 45
nurses
. Coordinated the movement of staff and supplies to the newly renovated
Chest Pain Center
. Reduced length of stay in the Chest Pain Center 36 hours to 23 hours
saving the Hospital approximately $1.1 million per year
. Collaborated with Laboratory Services in in-servicing new technology
for point of care testing - I-Stat and Biosite Drug Screening
. Marketed the focus-pdca methodology to problem resolution
. Implemented a process improvement program in Patient Satisfaction
using strategies presented by The Advisory Group; satisfaction scores
improved by 21%.
. Prepared for and participated in JCAHO triennial survey - passed with
grade of 93; ED had no recommendations
. Worked with Medical Director to improve physician and employee
interpersonal relationships
. Coordinated continued ED services during DCNA nursing strike
10/82 - 10/85 Head Nurse, Veterans Administration Medical
Center
MICU/CCU/PCCU 50 Irving St., NW
Washington, DC 20010
Areas of Responsibility: Day-to-day operations of 12 bed Medical Intensive
Care Unit. Unit admitted 120-180 critically-ill respiratory, cardiac,
metabolic, neurologic, and infectious disease patients monthly. In
addition, 30-50 patients with advanced cardiac arrhythmias were admitted to
the PCCU monthly. On-going drug research was one of the criteria of
admission to this unit.
07/76 - 10/82 Clinical Supervisor, Washington Hospital Center
Intensive Care Services 110 Irving St., NW
Washington, DC 20010 202-***-****
Areas of Responsibility: Responsible for the administrative decision-
making on the 2nd shift for Medical Intensive Care, Coronary Care,
Hemodialysis/Renal, Surgical Intensive Care and Burn Intensive Care Units;
Supervised the MedStar Trauma/Air Ambulance Service during its first
inaugural year
01/74 - 07/76 1st Lieutenant Malcolm Grow Medical Center
USAF, NC Andrews Air Force Base
Staff Nurse, ICU Camp Springs, MD
EDUCATION:
MSN - Marymount University, Arlington, Virginia, 1987
BSN - The American University, Washington, DC, 1982
AAS - Memphis State University, Memphis, TN, 1973
PROFESSIONAL ORGANIZATIONS/ACTIVITIES;
Member, Sigma Theta Tau International
Member, Chesapeake Chapter American Association of Critical-Care Nurses
Past President, District of Columbia National League for Nursing Chapter
Member, American Heart Association
Member, American Society of Post Anesthesia Nurses
Member, Emergency Nurses Association
Member, American Organization of Nurse Executives
REFERENCES:
Provided up on request
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