Medical Quality Assurance

Alice L. Willis

817-***-**** **** John King Blvd., #803 Rockwall, TX 75032

************@*****.***

Summary: My most recent experience includes management of all medical

staff office functions in a 50 bed hospital setting with over 450 active

credentialed practitioners. Prior experience includes management and

coordination of the fifth largest pediatric residency program in the US,

underwriting medical providers for professional liability coverage and

enterprise risk management. I am a current Notary Public for the State of

Texas. I possess strong oral and written communication skills, have good

decision making and conflict resolution skills; maintain strong work ethic

and carry a high level of integrity. I am service driven, detail oriented,

organized, dependable, a self-starter, a team player, natural leader,

assertive, thorough, open-minded, and adaptable.

Experience

Texas Health Presbyterian Hospital Rockwall - Rockwall, TX

Medical Staff Coordinator

December 2009 - February 2013

o Management and performance of all medical staff office functions in

accordance with The Joint Commission standards, Medical Staff Bylaws,

and Rules and Regulations

o Research area needs for business development and physician recruiting

o Ongoing maintenance and annual evaluation of physician service contracts

o Developed processes and brought all credentialing and privileging of

practitioner files in house from Central Verification Office within

first three months of employment; saving the organization $40,000.00 in

processing fees.

o Coordination of CME (Continuing Medical Education) Events for Medical

Staff

o Development, implementation and maintenance of Focused and Ongoing

Professional Practice Evaluations (OPPE and FPPE)

o Primary source verification of medical and allied health practitioner's

credentials, education, work history, peer reviews and background

information ensuring qualification and competency for initial

appointment and/or reappointment to medical staff as set forth in the

Delineation of Privileges, Medical Staff Bylaws and Rules and

Regulations

o Monthly management of all expiring documentation (medical license, DEA,

DPS, insurance, ACLS, Board Certification, Professional Liability

Insurance)

o Organize, facilitate and record medical staff committee meetings to

include: Department of Medicine, Department of Surgery, Department of

Women's Services, Department of Pediatrics, Emergency Department,

Credentials, Quality Improvement Council, Patient Safety, Environment of

Care, Infection Control, as well as ad hoc committees as appointed.

o Working knowledge of CACTUS Software

o Assist VP of Quality and Regulatory Compliance with response to and

maintenance of patient complaints/grievances

o Preparation of patient medical records for Medical Director's review

Children's Medical Center - Dallas, Texas

Medical Staff Coordinator December 2008 - December 2009

o Prime source verification of all medical, dental, and allied health

provider credentials, qualifications, education, work history and

background information

o Review malpractice claims - including loss/run reports, all negative

feedback from surveys/references, National Practitioner Data Bank

reports, and legal/court documents

o Avoid negligent credentialing by ensuring all providers are qualified

for initial appointment and/or reappointment to medical staff as set

forth in the credentialing guidelines and delineation of privileges

o Assign Ongoing and Focused Professional Practitioner Evaluations as

required by the Credentials Committee

o Coordinate monthly Operating Room Committee Meeting to include recording

and maintaining meeting minutes

Children's Medical Center - Dallas, Texas

Pediatric Residency Program Coordinator September 2007 - December 2008

o Direct and focus on the varied duties, responsibilities and growth of

three staff members

o Provide administrative support to Pediatric Residency Program Director,

including scheduling of meetings, preparation of agendas, recording and

maintaining meeting minutes, development of reports and provision of

data to the Pediatric Residency Program Committee. Prepare written

reports and correspondence for the Program Director relative to the

residency program. Implementation of policies developed by the committee

o Use knowledge of ERAS (Electronic Residency Application Service)

software to manage residency applications and compile reports as

necessary

o Administration and coordination of all house staff interviews,

communication with applicants as necessary

o Plan, organize and schedule new house staff orientation

o Responsible for the receipt of application, verification of

credentials, and preparation of all contracts and necessary paperwork

for new residents and annually for existing residents

o Coordination of American Board of Pediatrics in-training examination

o Maintain web-based ACGME accreditation surveys for Pediatric Residency

Program, collecting and collating appropriate information from various

sources

o Compile and submit reports to ACGME, American Board of Pediatrics,

American Academy of Pediatrics, American Association of Medical

Colleges, AMA, and other professional organizations as required

o Documentation and credentialing for all graduate medical education

training conducted within the department, including initiation and

writing credentialing documents as required by house staff and

completion of credentialing forms for signature by appropriate medical

staff

o Maintenance of all house staff personnel records, including confidential

evaluation and counseling records

o Distribute, collect, review, and prepare reports for all evaluations

completed on residents, teaching faculty, resident rotations, and

program using www.myevaluations.com

Staff Care, Inc. - Irving, Texas

Manager, Risk Management Analysts March 2006 -

August 2007

o Promotion from previous position

o Direct and focus on the varied duties, responsibilities and growth of

five staff members

o Develop compliance and departmental Policy and Procedures to effectively

mitigate risk and liability and establish internal controls

o Develop and perform audits of work processes to ensure that policies,

especially related to compliance, are systematically followed

o Develop and revise (as needed) medical malpractice guidelines used to

evaluate providers for coverage under organization's self insured

professional liability insurance policy

o Develop and train staff through corrective coaching sessions,

motivational events, one on one time, goal setting, and other

professional development techniques

o Interviewed, analyzed, and hired candidates - creating a new team within

the department

o Perform monthly and annual evaluations for employees

o Increase retention rates through effective hiring and coaching

o Develop and lead trainings for management staff and sales force (ex:

"Business Writing," "Preparing and Facilitating Effective Meetings," and

"Bridging the Gap: Risk Management")

o Facilitate the development of Service Level Agreements by collaborating

with company leaders

o Member of Manager in Training Program Committee, Business Continuity

Committee, and Safety Committee

o Responsible for processing monthly malpractice report and provider

invoices

o Work with company legal counsel regarding company contracts, ensuring

proper protocol and language use is followed to decrease liability to

the company

Staff Care, Inc. - Irving, Texas

Senior Risk Management Analyst

November 2005 - March 2006

o Promotion from previous position

o Supervise and mentor department personnel

o Developed criteria for and created new applications for all providers

including physicians, physician assistants, allied health professionals,

certified nurse anesthetists, etc.

o Reduce risk and liability and avoid negligent credentialing by utilizing

analytical skills to evaluate providers' backgrounds

o Review malpractice claims - including loss/run reports, all negative

feedback from surveys/references, National Practitioner Data Bank

reports, and legal/court documents

o Supervise and mentor department personnel

Staff Care, Inc. - Irving, Texas

Risk Management Analyst

October 2004 - November 2005

o Promotion from previous position

o Reduce risk and liability and avoid negligent credentialing by utilizing

analytical skills to evaluate providers' backgrounds

o Review malpractice claims - including loss/run reports, all negative

feedback from surveys/references, National Practitioner Data Bank

reports, and legal/court documents

o Generate claims history/loss run reports for third party requestors

Staff Care, Inc. - Irving, Texas

Senior Quality Assurance Analyst

March 2002 - October 2004

o Promotion from previous position

o Supervise and mentor department personnel

o Confirm credentials/qualifications of medical providers to work at

specific facilities spanning the entire USA; this included working with

medical, nursing, and allied health boards for each of the 50 states

o Prime source verification of all provider credentials, qualifications,

and background information ensuring that providers met guidelines set

forth by the medical malpractice insurance carrier

Staff Care, Inc. - Irving, Texas

Quality Assurance Analyst

January 2001 - March 2002

o Confirm credentials/qualifications of medical providers to work at

specific facilities spanning the entire USA; this included working with

medical, nursing, and allied health boards for each of the 50 states

o Prime source verification of all provider credentials, qualifications,

and background information ensuring that providers met guidelines set

forth by the medical malpractice insurance carrier

Education

Trinity High School - Euless, TX

High School Diploma

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