Management Safety
Resume:
Elizabeth Ann Gore, MHA, CPHRM
Columbia, New Jersey 07832
*********@*****.***
Senior Manager Risk Management
Cleveland Clinic Abu Dhabi
Abu Dhabi, United Arab Emirates November 2014 to December 2015
While fulfilling a one year contracted agreement with Cleveland Clinic Abu Dhabi responsibilities have included establishing the risk management program for a critical care 360 bed hospital.
Successfully creating the build for an electronic incident reporting system with rL solutions. Managing and responding to critical events reported through the system 24/7. Developing and delivering reporting system training for a multi cultural staff creating a reporting, learning culture.
Writing all policies and procedures related to incident reporting, root cause analysis, critical event review team, Abu Dhabi Health Authority reporting, and critical event response.
Serving on the Medical Legal Committee, Environment of Care Committee and chairing the Critical Event Review Team. Developing and delivering a daily risk report for the leadership morning huddle.
Patient Safety Officer/Manager of Clinical Risk Management, Patient Safety and Patient Advocacy
Geisinger Health Systems
Wilkes Barre, Pennsylvania June 2012 to June 2014
Responsibilities include the role of Patient Safety Officer for a 238 bed acute care level II trauma center hospital, including ambulatory clinics, urgent care and outpatient surgery services.
Developed new staff orientation materials in patient safety, risk management and patient advocacy. Developed a system wide work place violence committee, including representatives from three other hospitals in the Geisinger system. Established service line risk management oversite utilizing risk management coordinator staff. Served as team leader for Root Cause Analysis investigative teams
using TapRooT methodology. Developed and delivered curriculum for Just Culture training using the Outcome Engenuity methodology to hospital department leadership.
Served on system wide infection control committee, quality and performance improvement conference committee, expanded management committee, performance improvement committee and co chaired the patient safety committee. Reported incidents to the Pennsylvania Patient Safety Authority and served as the point person for the Pennsylvania Department of Health on matters related to patient safety and advocacy. Collaborated with nursing leadership, medical staff leadership, security leadership and organization CEO on all matters related to staff and patient safety.
Manager of Quality Resources and Risk Management
Providence Behavioral Health Hospital,
Holyoke, Massachusetts February 2011 to June 2012
Responsibilities include development of performance improvement initiatives aimed at safe care delivery and accreditation for an inpatient psychiatric hospital and two outpatient methadone maintenance treatment programs. Introduction of culture of safety concepts throughout hospital departments to facilitate staff understanding and comfort with the importance of reporting events as a means of driving patient safety related improvements. Developed orientation materials for new employees that explain patient safety concepts, and performance improvement methodologies and how these concepts can improve care delivery at the bedside.
Established a restraint reduction committee that has been instrumental in reducing restraint usage by over 30%. Established an online data collection system for restraint usage that captures patient demographics, time of day, and staff involved to indicate opportunities for improvement. Standardized the data reporting process to improve restraint and seclusion reporting to the Department of Mental Health. Reporting adverse events to the appropriate regulatory agencies in a timely manner.
Established a process for Failure Mode Effects Analysis and Root Cause Analysis including assignment of action items and follow through. Reported to executive management a plan to ensure the safety of patients and staff through upgrading communication capabilities and installing additional badge only access to the building and stairways. The plan included risk analysis, budget and return on investment projections. Participated in the planning of a systems wide exercise for emergency response to an armed intruder. Participate in tracer methodology activities for process evaluation and improvement. Analyzing and reporting data to the Corporate Quality Improvement, Performance Improvement and Patient Safety Committees. Investigate, summarize and submit cases to Peer Review.
Director of Clinical Services
Nueterra Healthcare April 2010 - January 2011
Developed and implemented policy and procedures to meet all areas of regulatory compliance for
a management company that builds, develops and manages 77 ambulatory surgery centers
and surgical hospitals across the United States. The hospitals range in size from 6 inpatient beds to 35 inpatient beds including ICU and ED.
Developed programming and tool kits for Patient Safety, Just Culture, Life Safety, Risk Management, Infection Control, Quality Resources, Utilization Management, Patient Navigation and Accreditation. Developed leadership and staff training materials in all areas of patient care provided. Delivered orientation presentations at multiple hospital sites and departments.
Participated in Meditech and Milliman program building including contract negotiations with Milliman Company. Developed Utilization Management policy, job description, and competency measurement. Interviewed and recommended prospective staff for newly established hospitals in Texas and Pennsylvania.
Collaborated with Growth Initiatives and Marketing to develop new venues to enhance patient centered experiences. Developed training, policy and processes for Root Cause Analysis and Failure Mode Effects Analysis for the surgery centers and surgical hospitals.
Truman Medical Center, Kansas City, Missouri May 2001- April 2010
Serving in multiple roles described below with increasing levels of responsibility.
Patient Safety/Risk Management Coordinator
Developed and served as chairperson for a multidisciplinary team to evaluate high harm patient safety events.The team makes recommendations for departmental follow up including peer review,
process improvements and policy revision. Conducted RCA and FMEA. Conducted weekly
executive leadership rounds. Developed an adverse event response process for events
with potential for immediate jeopardy to the organization. Led abuse and neglect
investigations. Developed staff education on patient safety initiatives and just culture.
Directed proactive risk assessment activities and follow up recommendations.
Patient Navigator
Worked with cancer patients to eliminate barriers to care. Decreased the average time
from suspicious screening exam to treatment from 160 days to an average of 22 days
in the urban core. Developed a quality of life assessment tool to assist patients in
coping with their illness.
Utilization Management
Developed a computerized process to submit retroactive reviews to Medicaid replacing
a hand written form.
Breast Health Education Facilitator
Developed a grant funded program designed to increase mammography screening among
women over 40 years of age in the urban core. This included developing a self breast
exam training curriculum for all of the primary care clinics within the organization.
Director of Health and Safety 1998 - 2001
Kansas Youth Advocacy Program
Oversight of two group homes and life skills training program at multiple sites throughout the community. Training and supervision of 18 staff members. Curriculum development in
employment acquisition and retention for non violent youth offenders.
LPN 1982-1986
Private Pediatric Practice, Prairie Village, Kansas
All clinical assistance and oversight for a suburban solo pediatric practitioner. The staff
consisted of one physician, one LPN and one receptionist.
LPN 1972-1978
Emergency Room/Operating Room
University of Kansas Medical Center, Kansas City, KS
Masters in Healthcare Administration 2009
University of Phoenix, Phoenix, Arizona
Bachelor of Arts Psychology 2004
Ottawa University, Overland Park, Kansas
LPN 1974
Kansas University Medical Center, Kansas City, Kansas
Awards and Volunteer Positions
Emerging Leadership completed a year-long training program at Truman Medical Center.
Selection for the program began with a nomination by a direct supervisor, followed by a
competitive elimination process to select 12 trainees out of a group of 25 original nominees.
Liberty Bell Award for volunteer services awarded by the Johnson County Bar Association as the first non attorney ever awarded by the organization.
Chairperson for The Valentine Gala to benefit Sunflower House (formerly known as Johnson County Coalition for Prevention of Child Abuse).
President of The Johnson County Bar Association Auxiliary for two terms.
Strengths
Outstanding written, verbal and interpersonal communication skills
Extensive public speaking experience, group training, and presentations
Proven change agent skilled at relationship and consensus building
Leadership skills enhanced by cooperative and collaborative style with administrators, executives, and working teams
Extensive familiarity of IHI, TJC, AHRQ, initiatives and regulatory requirements
Demonstrated ability to handle multiple concurrent projects
Professional Memberships
National Patient Safety Foundation
TapRooT Root Cause Analysis Certification
Just Culture Certified Champion
American Society of Healthcare Risk Management
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