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Nurse Practitioner Service

Tampa, Florida, United States
October 03, 2016

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Jennilynn Lash, MSN, CNM, RN

**** **** ***., ***** **. Petersburg, FL 33703


Professional Experience:

Associate Vice President of Women’s & Children’s Services Feb 2015- present

Adventist Healthcare System, Florida Hospital Tampa

Key management and leadership position within the hospital organization. This position assumed responsibility in translating the objectives, policies and procedures of the hospital to the Patient Care Services division and implementing effective actions. Responsibility centralized into five major areas: service line growth, patient care management, personnel management, education and unit management. Direct leadership and authority for the respective patient care units: NICU/Transport, PEDS, PICU, GYN, MBU, and L&D.

Demonstrated results in growth of Women’s and Children’s service lines. Strong leadership skills and experience with an emphasis on change and the ability to develop consensus from independent parties to achieve the goals of the system. Demonstrated knowledge and improvement in patient flow with strong track record in improvement of HCAHPS, quality, and safety for the service lines. Demonstrates knowledge of strategic and financial planning and management, and standards related to the clinical practice.

Responsible for strategic planning and operations to grow Women’s and Pediatric Service Lines

Business and strategic plan development concentrating on growth. Achieved 6% birth volume increase and 10% in Pediatric admissions during first year

Planned and spearheaded $20 million Women’s & Children’s innovative-modern renovation from Women’s only facility to a Women’s & Children’s Hospital

Assisted in planning and opening of Pediatric Emergency Department

Partnered with Family Health Clinic Certified Nurse-Midwives to initiate first CNM deliveries at Florida Hospital

Partnered with John Hopkins-All Children’s Hospital to offer Pediatric specialty physician services including a Pediatric Intensivist/ Hospitalist Program and Pediatric surgery program

Partnered with OB Hospitalist Group (OBHG) for 24/7 laborist and conversion from triage to OBED

Developed and chaired Pediatric Advisory Boards

Expanded neonatal transport to include Pediatric transport

Standardized 5 Emergency Departments at network hospitals for Pediatrics, including medical protocols, staff training and equipment

Developed modern OB service program to include Birth Designer, Birth Advocates, Innovative Meal Service, Hotel-like amenities including concierge and buy-up program, and “the Birth Day Experience” campaign

Initiated quality and safety initiatives to decrease Primary C/S rate, overall C/S rate, and induction to C/S. Improved HCAHPs to the highest scores in the hospital. Zero infection rate and zero elective inductions

Initiated Perinatal Safety Officer

Initiated Nitrous Oxide for alternative labor pain relief

Administrative Director of Women’s Services Sept 2009-Feb 2015

Bayfront Medical Center

Accountability and management of all clinical, operational and fiscal outcomes, business development/strategic planning, and the highest quality patient care. Service-line consists of a Level III High risk Labor/Delivery Unit, Triage Unit, High risk Antepartum Unit, Postpartum Units, Antenatal Testing, Nursery, Social Services, Lactation Center, and Community Education Department. Responsibilities also include a Regional Perinatal Intensive Care Center (RPICC), 1 of 13 in Florida. Performs ~ 4400 deliveries annually.

Perinatal Services:

Responsible for strategic planning and operational objectives for fiscal accountability for budget in excess of $90M and 170 + FTE’s, 5 direct reports.

Business and strategic plan development concentrating on continued growth and development maintaining awareness of current trends, innovations, technology and federal/state standards. Achieved 15% in volume increase during first year.

Re-designed charge capture/audit/reconciliation to enhance revenue 23% in out-patient setting.

Completed $40 million Master Facility Project of a state-of-the-art Level III Perinatal facility. Facilitated move of all Perinatal operations and service’s from Bayfront Medical Center into new The John Hopkins All Children’s’ Hospital. A unique hospital within hospital concept.

Collaborates with physician leaders and senior management to evaluate, improve and enhance departmental clinical performance, quality patient care and customer service. Presently initiated and overseeing 3 research projects.

Implemented strategies including nurse and leader rounding, patient journal, department recognition, etc., to consistently receive top box scores of 80% and higher.

Product line (brand- “hello baby”) development and management.

Foundation liaison for fundraising efforts and philanthropic donor procurement for Women’s Services.

Accountable to the Chair of the Department of OB and Maternal Fetal Medicine Director

Reduced nursing staff turnover to less than 3%.

Initiated quality and safety initiatives in congruence to new Perinatal core measures and improved existing quality and safety standards.

Coordinate OB Physician residency program with Director of OB residency program to encompass complete integration of specialty.

Instituted “hard stop” policy to decrease/eliminate elective deliveries prior to 39 week gestation. 100% success rate.

Decreased Perinatal mortality rate from 3.9% to 1.7% during tenure

Developed/Implemented High-Risk Perinatal International Transport program with All Children’s Hospital/John Hopkins Hospital.

Spearheaded program with the Juvenile Welfare Board and FL Dept. of Health to assist/offer addicted mothers social service support/educations in clinics in Pinellas County, FL.

Developed on-site retail “boutique” to offer products for patients and families.

Implement and coordinate standards of care, best practices and methodology to become Center of Excellence. Awarded 2 Best Practice recognitions by The Joint Commission in November 2011.

Developed new out-patient/community education programs for Women’s Health.

Transformed service line by improving productivity through cross-training; increased revenue by streamlining registration process, improved charge capture, and improved utilization of supplies.

Implemented expanded computerized documentation system for staff and physicians to include CPOE and meaningful use.

Initiated and primary educator of a comprehensive education/orientation program of staff and new employees. Initiated AWHONN perinatal intern program.

Director of Education and Professional Development, Interim & concurrently Nov 2011- Nov 2012

Nursing Education department consists of 10 FTE Nurse-Educators and support staff

Education department:

Administrative responsibility of Department of Professional Practice & Development (previously Nursing Education).

Chair of Patient Satisfaction Team. Working with The Studor Group to change culture and accountability throughout hospital system.

Chair of Hospital Standards and Practice and Process Improvement Committee.

Restructured Nursing Education model to develop and implement optimal Professional Practice Model.

Devised metrics and lead process implementation to measure effectiveness of current and new education programs.

Developed Nurse Residency program to encompass General Practice nursing, Critical Care nursing and Operative nursing.

Developed Nursing Advancement program to offer recognition and career advancement opportunities to nurses who have excelled in clinical practice, leadership and professionalism.

Developed Event Nurse Peer Review program.

Administrative Director of Women’s & Children’s Services Nov 2007-Mar 2010

The Mary Telfair Women’s Hospital

St. Joseph/Candler Health System (a Magnet facility) Savannah, GA

Total responsibility and accountability for all clinical, operational and financial outcomes and the highest quality patient care of Women’s & Children’s Services Line. Service-line consists of Low and High risk Labor/Delivery Unit, Postpartum Unit, Antenatal Testing, Lactation Center and retail boutique. It also includes a 22 bed Pediatric unit with on-site ill children center for employees. Performs ~ 3200 deliveries annually. 155+ FTE’s.

Administrative responsibilities for: The Mary Telfair Women’s Hospital, Children’s Services, and retail operations

Business and strategic plan development concentrating on growth/market share, preferred employer, financial performance, and physician satisfaction

Product line brand- “Telfair Baby” development and management

Comprehensive service line administration including financial management, marketing, human resources, productivity, short and long range planning

Implementing expanded computerized documentation system

Initiated comprehensive education/orientation program of staff and new employees

Mandated advanced credentialing and certifications to advance staff competency

100% retention rate of staff and achieved 0 vacancy in first year.

Complete redevelopment of policies, protocols, procedures, and standards of care to reflect current ACCOG, AWHONN, and AAP guidelines and recommendations.

Improved patient satisfaction scores from 28% to 72 % in 10 months

Transforming service line by improving productivity through cross-training; increased revenue by streamlining registration process, improved charge capture, and improved utilization of supplies

Achieved 100% regulatory compliance with recent Joint Commission, OSHA, state, and Magnet surveys

Utilized effective cost strategies within service line to save one million dollars in first year

Working to increase market share, grow volume of service line, and improve the brand “Telfair Baby” service line

Member of hospital Magnet, Ethics, Infection Control, Peer Review, and Value Analysis committees

Responsible for all aspects of retail boutique, i.e., product development, inventory control, merchandise selection, trade shows, breast pump rental center, accounts payable and receivable.

Administrative Director of Women’s Services Nov 2005-November 2007

St. Mary's Hospital, West Palm Beach, FL

Total responsibility and accountability for all clinical, operational and financial outcomes and the highest quality patient care of Women Services Line. Service-line consists of Low and High risk Labor/Delivery Unit, 2 Postpartum Units, High risk Ante partum Unit, Antenatal Testing, and Lactation Center. It also includes a Level III Regional Perinatal Intensive Care Center/Outpatient Clinic. Performs ~ 4000 deliveries annually. 200+ staff members.

Implementation of Perinatal computerized documentation to become the only

In-patient service to be paperless.

Complete restructure of OB management team with focus on advocating professional growth, staff development, management education and mentoring, and organizational development.

Redesigned staffing guidelines, created alternative staffing, extensive cross-training etc. to capitalize on staff and nursing shortage. Created unit based web net to increase staff satisfaction and retention of gen X staff.

Developed educational program to train novice nurses to become specialized

High risk obstetrical nurses.

Assisted in development of nursing leadership courses with The Florida Atlantic

University for novice nurses.

Complete redevelopment of policies, protocols, procedures, and standards of care to

reflect current ACOG, AWHONN, and AAP guidelines and recommendations.

Developed strong collaborative relationships with OB, Anesthesia and Pediatric Physicians.

Transformed service line by improving productivity through cross-training; increased revenue by streamlining registration process and improved charge capture; achieved 100% regulatory compliance with local, state and federal agencies; and initiated strong Quality Assurance program to improve quality patient care.

Improved OR flow to maximize utilization and increase case volume to enhance physician satisfaction.

Maintain 4 -5 star rating with patient satisfaction scores.

Largest hospital service-line with annual revenue of approximately $40 million.

Transforming environment/culture to support the strategy of becoming the hospital of choice for birth in Palm Beach County as well as the employer of choice to practice obstetrical nursing at the highest level.

Advisory committee member for Tenet’s national PNAT (PeriNatal Advisory) Team.

Director of Women’s Services Jan 2005-Dec 2005

Mercy Hospital, Miami, FL

Total responsibility and accountability of Women Services Line including Labor/Delivery, Postpartum, Ante partum, NICU, Antenatal Testing, Lactation Center, and Education Services. 110+ staff members.

Implemented OB bedside computerized documentation to become the only inpatient

service to be paperless.

Completely restructured OB management team, unit policies and procedures. Complete restructure of OB management team with focus on advocating professional growth, staff development, management education and mentoring, and organizational development

Consulted with perinatologists to create an in-house antenatal testing center that serves multiple hospitals.

Team member and contributor to obtain Magnet Status.

Supervised complete renovation of entire OB services unit.

Completely turned low productive and low moral unit into an efficient high

spirited team. Instituted educational plan to develop present nursing staff skills to meet

expectations of AWHONN standards.

Cross trained staff to enhance function, efficiency, and skill level.

Director/Owner/Certified Nurse-Midwife Sept. 1999-Dec. 2004

The Women's Cottage for Health Care and Midwifery Services, Kittanning, PA

Founded and managed the first independent Nurse-Midwifery practice in Western Pennsylvania. Providing full scope midwifery and comprehensive women's health care as a Primary Care Provider. Preceptor site for numerous colleges/universities.

Developed hospital by-laws, polices/procedures and protocols.

Ascertained credentialing with all major insurance carriers for CNM care.

Supervised, instructed, and evaluated students of midwifery, nursing, and medicine.

Supervised, educated, and evaluated office personnel.

Managed and directed all aspects of private practice.

Developed community programs for adolescents, childbearing women, pre and post

menopausal women.

Community speaker and local author of women’s’ health issues.

Managed retail boutique for breastfeeding pumps, supplies, vitamins, books, women’s

health items, etc. Branded “cottage” line of merchandise for wholesale and retail.

Practiced nurse-midwifery at a local community hospital and Level III Perinatal Center in Pittsburgh, Pa.

Faculty/Preceptor Sept. 1998-Oct. 2004

Indiana University of Pennsylvania,

Department of Graduate Nursing, Indiana, PA

Preceptor/guest lecturer of Obstetrics/Gynecology for nurse practitioner students and advanced practice nursing students.

Faculty/Preceptor Sept. 1998-Oct. 2004

Clarion University of Pennsylvania, Family Nurse Practitioner Graduate Program, Clarion, PA

Preceptor of Obstetrics/Gynecology for nurse practitioner students and advance practice nursing students.

Faculty/Preceptor - Area Health Education Center (AHEC) Oct. 1997-Oct. 2004

Northwest Pennsylvania Region

Instructor of Obstetrics/Gynecology for medical students, nurse practitioner student, and physician assistant students.

Faculty/Clinical Instructor Oct. 1996-Oct .2004

Frontier School of Nurse Midwifery & Family Nursing,

Hyden, KY

Case Western Reserve University,

Cleveland, OH

Clinical Instructor for nurse-midwifery students. Clinical practicum in three offices, community hospital and University of Pittsburgh Medical Centers.

Faculty/Clinical Instructor Oct. 1996-Aug. 2004

Family Medicine and Clinical Epidemiology

University of Pittsburgh School of Medicine, Pittsburgh, PA

Instructor of Obstetrics/Gynecology for medical students, nurse practitioner students, and physician assistant students.

Director of Nurse-Midwifery Oct. 1995-Oct. 1999

University of Pittsburgh Family Practice, Kittanning/Pittsburgh, PA

Provided full scope nurse-midwifery/comprehensive women's health care as a Primary Care Provider to normal and high risk population in a tri-county area with three offices, two-federally designated. Managed RN staff, Nurse-Practitioners, Physician Assistants, and Certified Nurse-Midwives. Co-coordinated all advanced education training for mid-level practitioners, medical students, and residents.

1. Developed hospital by-laws, policies, and protocols for first CNM privileges on hospital medical staff and university faculty.

Certified Nurse-Midwife 1995- 1996

BirthPlace/West Penn Hospital/ Allegheny County Jail, Pittsburgh, PA

Provided full scope nurse-midwifery to existing clientele within a freestanding birth center, a tertiary care hospital, and correctional institution.

Nursing Instructor / Course Coordinator - Shadyside Hospital School of Nursing, Pittsburgh, PA

Theory/Clinical Instructor of Obstetrics/ Gynecology and Management. 10/90 - 8/95

1.Chairperson of the Maternal/Child Division.

2.Supervised and evaluated educational facilities.

3.Oversaw the quality of student education.

4.Participated in department meetings and school of nursing committees.

5. Faculty/Class Advisor.

6. Participated in research development, and implementation of the Transformational Nursing Model initiated at Shadyside Hospital and published in JONA in spring 1994.

Nursing Instructor-Butler Community College, Butler, PA. 1/90-5/93

Clinical Instructor of Obstetrics.

The Western Pennsylvania Hospital, Pittsburgh, PA 2/89 - 7/91

Level III Labor/Delivery Manager,

Managed 15 labor suites, triage, & OB/OR. 70 FTE's. Low and High risk OB.

Developed administrative protocols.

Created and revised service policies and procedures.

Supervised, trained and evaluated nursing staff.

Complied records and statistics for the Division of


Professional Nurse-Magee Women's Hospital, Pittsburgh, PA. 2/86 - 2/89

Level III Labor/Delivery and NICU staff nurse.

Professional Organizations:

ANA-American Nurses Association

ACNM-American College of Nurse Midwives

Florida Perinatal Quality Collaborative

Sigma Theta Tau- Honor Society of Nursing

AWHONN-Association of Women's Health, Obstetrics and Neonatal Nurses, Fellow

FONE- Florida Organization for Nurse Executives

FPA- Florida Perinatal Association

FHA- Florida Hospital Association, Fellow

NPA- National Perinatal Association

Ronald McDonald House-Board Member


1. Indiana University of Pennsylvania, Indiana, Pennsylvania

Bachelor of Science in Nursing, May 1986

2. Frontier School of Midwifery, Hyden, Kentucky

Certification: Nurse-Midwifery, November 1995

3. Case Western Reserve University, Cleveland, Ohio

Master of Science in Nursing, August 1996


1. American College of Nurse Midwives- Board Certified (CNM)

2. American College of Nurse Practitioners- Board Certified (WHNP)

3. American Heart Association- Advanced Cardiac Life Support -Certification

4. American Academy of Pediatrics and American Heart Association

Neonatal Resuscitation-Certification

5. Lactation Consultant Training Program

Georgetown University, Washington, D.C. - Certificate, February 1994

Professional Publications:

1. 'Nursing Care of Women in the Childbearing Years'

Maternal/Neonatal Nursing Curriculum, Mosby September 1993

2. 'Conceptional Images'

Health Education Program for Women, October 1993-present

3. Published numerous articles on women's health and midwifery care.

Licensed in:

PA, FL, NC, and GA


Available Upon Request

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