Manager Management

CHRISTOPHER T. ROCK

**** **** ***** ***** *****:

801-***-****

South Jordan, UT, 84095

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

Education:

? University of Utah, SLC, UT

MBA, health services emphasis

*/**-**/**

? Brigham Young University (BYU), Provo, UT

BSN, College of Nursing

1/95-4/97

? Ricks College, Rexburg, Idaho

A.A.S., general studies

8/93-4/94

Employment History:

09/08-present

Iasis Healthcare (09/08 to present)

Jordan Valley Medical Center/Pioneer Valley Hospital (07/10 to

present)

Director of Risk Management

. Duties similar to those listed in the position below; promotion

within Iasis Healthcare to Director of Risk Management for two

hospitals

. Participate in administrative on-call for the whole hospital

system, resolving and troubleshooting events as they arise.

. Participate and report risk management data and consideration to

Board of Directors.

Salt Lake Regional Medical Center (9/08 t0 7/10)

Risk Manager/Accreditation Specialist

. Review all occurrence reports (UORs), including trending of

data, recommending corrective action, and monitoring the

effectiveness of actions taken.

. Coordinate the ongoing risk management training for employees,

volunteers, and students as dictated at their initial

orientation and at least annually thereafter. This training

includes at a minimum the UOR reporting system and reporting,

falls Program, NPSGs, arm bands, and medication administration

and test/treatment/procedure safety.

. In conjunction with the Patient Advocate, receive, investigate,

resolve, and log all patient/visitor complaints/grievances

consistent with CMS and Policy requirements. Track and trend

complaints and grievances, with report to Quality Steering and

other hospital committees as appropriate.

. Screen and complete ongoing peer review provider profile for the

credentialing/re-appointment process.

. Coordinate physician Peer Review activities.

. Ensure that research initiatives are reviewed and approved

through proper channels, including the IRB and consistent with

corporate protocols.

. Participate in Ethics Review Committee.

. Act in an advisory capacity to all Salt Lake Regional Medical

Center departments in identifying and correcting unsafe

conditions and practices.

. Report specific occurrences in accordance with all federal,

state, and other regulatory requirements, and report trended

data to the governing body and appropriate facility committees,

departments, and individuals.

. Serve in an advisory capacity regarding current regulatory

standards, including TJC, DNV, and CMS.

. Accompany and facilitate inspectors during visits or surveys.

. Submit agency investigation reports to Corporate, as requested

by Director.

. Assist the hospital with the annual PPR and compliance standards

required for Joint Commission Accreditation with ongoing switch

to DNV.

. Investigate and Report sentinel events to the state.

. Monitor Salt Lake Regional Medical Center's risk financing

program and report unprotected/under protected assets and new

exposures.

. Report potential claims and Investigative Reports to corporate

Risk Management (including but not limited to professional

liability, general liability, property and auto damage).

. Participate in the management of claims and other risk

management activity in accordance with current corporate Risk

Management guidelines and/or as requested by ongoing defense

counsel.

. As requested, assist Administration in the review of contracts

and/or outside healthcare activities to ensure that the language

and insurance coverage protects Salt Lake Regional Medical

Center from liability.

. Gather Risk Management data for monthly QM dashboards.

. Coordinate annual Insurance Update.

. Assist Director and departments with data collection (audit

tools) surrounding National Patient Safety Goals and

Accreditation.

. On-call 24-7 / beeper. Respond by phone to assist with issues

as they arise while offsite.

. Manage and report all Sentinel Events consistent with state

statues.

. Lead / facilitate adhoc QI / Performance Improvement Teams as

needed, including RCA and FMEA Processes.

. Assist Security with the EOC / Safety Dashboard, as requested.

. Revise and approve RM policies as they come due for review or as

changes are needed. Participant in Policy Committee.

. Investigate regulatory matters as requested.

01/06-09/08

RxAmerica (PBM), SLC UT

MMA Manager of Compliance

. Act as a MMA Part D compliance regulatory expert for the

corporation;

. Work with operational leadership to ensure that they and their

employees have the requisite information and knowledge of

regulatory requirements to carry out their responsibilities in a

lawful and ethical manner;

. Assure completeness and accuracy of PDP Medicare Part D

applications;

. Coordinate the filing of regulatory forms, MMA reporting;

. Monitor the performance of the Compliance Program on a

continuing basis, taking appropriate steps to improve its

effectiveness;

. Support MMA compliance across the organization, including those

impacting the Prescription Drug Plans (PDPs) and MA-PD

customers;

. Develop, initiate, maintain, and revise Policies and Procedures

for the general operation of the Compliance Program and its

related activities to promote ethical and proper conduct,

including the company's Code of Conduct;

. Oversee the development of MMA P&Ps with responsible operational

management to demonstrate and promote compliance with Medicare

Part D regulations;

. Monitor, and as necessary, coordinate compliance activities of

other departments to remain abreast of the status of all

compliance activities and to identify trends;

. Schedule, coordinate, and prepare agenda for RxAmerica's

Compliance Committee;

. Identify potential areas of compliance vulnerability and risk,

develop/implement corrective action plans for resolution of

problematic issues, and provide general recommendations to the

Compliance Officer on how to avoid or deal with similar

situations in the future;

. In conjunction with RxAmerica's internal audit functionality,

coordinate audit and monitoring activities, including any

corrective action initiatives that result from such;

. Investigate and track Fraud, Waste, and Abuse events referred to

the compliance department up to and including resolution,

including reporting to federal and state agencies as

appropriate. Develop and oversee a system for uniform handling

of such violations;

. Monitor and assist with implementation of Internal metrics

helpful in support of Medicare Part D internal oversight

activities;

. Develop and coordinate an compliance training program that

focuses on the elements of the Compliance Program, and seeks to

ensure that all appropriate employees are knowledgeable of, and

comply with, pertinent federal and state standards;

. Promote employee (a) use of the Compliance Hotlines; (b)

heightened awareness of Standards of Conduct, FWA, and

applicable regulations, and (c) understanding of new and

existing compliance issues and related policies and procedures;

. Develop policies and programs that encourage managers and

employees to report suspected fraud and other improprieties,

without fear of retaliation;

. Oversee compliance review of independent subcontractors and

agents who furnish services to RxAmerica and ensure that they

are aware of the requirements of the Compliance Program and

maintain compliance with contracted Medicare Part D regulations;

and

. Provide support to the MMA Program Director, his/her designee,

and Account Services on MA-PD customer's regulatory and Policy

related inquiries (operational customer support), including

traveling as needed on presentations.

10/99-12/05

CompHealth (physician and allied health staffing company), SLC,

UT

Associate Risk Manager (10/99-10/02)

. Risk management: assist with the management of the

corporation's medical malpractice incidents, claims, lawsuits,

and other corporate loss prevention programs. Participate in

weekly legal meetings. Correspond on open cases with the

insurance company, TPA, and legal counsel, where required.

. Quality Improvement: management of clinical and quality issues

from

locums assignments; and

. Credentialing: assist with the management of credentialing

reviews and determination of locums workability where concerns

are identified.

Quality Improvement Manager (10/02-12/05)

. Manage company's corporate QI/QA processes and QI Team composed of 4

individuals;

. Manage the credentialing review process: assessing healthcare

practitioner's qualifications/competency for all temporary staffing

divisions;

. Participate in the development and revisions of credentialing policies

and procedures that minimized and prevented legal risk for all

temporary staffing divisions;

. Participate in monthly Credentialing Committee meetings;

. Facilitate auditing activities to document compliance with established

credentialing policies and procedures;

. Conduct research of pertinent clinical issues related to healthcare

practice and medical specialties;

. Develop clinical practice descriptions and clinical skills checklists,

reference forms, performance evaluations, etc. for all medical

specialties;

. Monitor regulatory standards related to quality and patient safety

(e.g. HIPAA, OSHA, JCAHO, National Patient Safety Goals) with

associated education of staff.

. Assist company with preparedness efforts aimed at meeting new Total

Joint Commission healthcare staffing standard;

. Manage clinical events that occur on staffing assignments by

conducting investigations and preparing findings, and efficiently

communicated results to appropriate staff;

. Participate in Fair Hearings, as appropriate;

. Participate in the development of performance measures, identified

improvement opportunities (focused on loss prevention), and

implemented corrective actions that demonstrate improvement;

. Responsible for providing data collection, data analysis and data

management support to PI Council.

. Input into the development of QI Database, implemented to improve

tracking and analysis;

. Participate in the development and implementation of programs and

procedures to monitor and evaluate high risk areas;

. Develop, manage, and as assigned, implement special projects related

to quality improvement;

. Management of in-service for on-site sales and credentialing staff

regarding quality improvement and credentialing policies and

procedures; and

. Yearly audit of satellite office's credentialing files.

5/00-5/02

IHC, LDS Hospital, SLC, UT

RN, Per Diem Pool (Part-Time approx 300 Hours/Year)

. Patient care, primarily ICU (CCU, TICU, Med/Surge ICU)

4/99-10/99

IHC, LDS Hospital, SLC, UT

RN, TICU

. Patient care, Thoracic Intensive Care Unit

6/97-4/99

IHC, SLC, UT

RN, Salt Lake Valley Float Pool (40-50 hours a week)

. Worked fulltime plus at different hospitals within the IHC system,

including LDS Hospital, Cottonwood Hospital, and Altaview

Hospital. Floated to medical/surgical, orthopedic, oncology, rehab,

and telemetry floors

10/96-6/97

IHC, SLC, UT

LPN, Salt Lake Valley Float Pool

. Worked as an LPN while finishing RN degree. Floated to different

hospitals within IHC system. Worked approx 2 shifts a

week.

6/95-10/96

IHC, SLC UT

CNA, Cottonwood Hospital, Special Care Floor

Additional Information:

? Spanish speaking skills

? Current UT RN license

? Word/Excel/PowerPoint/Internet/Data analysis skills

? Excellent verbal and written communication skills

? Eagle scout

? Outside interests: twin boys (age five), sports, outdoors, guitar,

and good movies

References:

Joseph Lapine, VP of Compliance & Development, RxA (report) 714-***-****

Michael Paul Amos, Patient Advocate/Risk Manager (Iasis) 801-***-****

Susan Collier, VP of Risk and Quality, CompHealth (report) 801-***-****

Dr. John Vinton, Medical Advisor, CompHealth 207-***-****

Contact this candidate