MARY-ANN BROWN RN MSN

LEADERSHIP IN HOSPICE & PALLIATIVE CARE, BIO-ETHICS, HEALTHCARE ORGANIZATIONS AND NURSING

ad08hy@r.postjobfree.com

775-***-****

April, 2023

Profile

Over 30 years of progressive leadership in public and private health care and human services, most recently with hospice and palliative care.

Areas of Expertise Professional Skills

Clinical Ethics

Palliative care

Hospice

Acute Care Hospital

Critical Care Nursing

Long Term Acute Care (LTAC)

Public Health

Nursing Regulation

Legislation

Medical Legal

Community, Regional National Initiatives

Communication

Consensus Building

Team Work

Program Development

Quality Assurance and Performance Improvement

Organizational Operational Knowledge

Finance

Passion and Engagement

Experienced Presenter/Trainer

Education

Certifications/

Training

University of Nevada, Reno

Masters of Science in Nursing (Critical Care Clinical Nurse Specialist) - 1996

Bachelor of Science in Nursing-1985

Creighton University, Omaha

Graduate Certificate in Health Care Ethics 2018

University of Washington, Seattle

Graduate Certificate in Palliative Care June, 2021

End of Life Nursing Education Consortium (ELNEC)

Attended and completed and National ELNEC Train the Trainer Core Course

Certified Healthcare Ethics Consultant (HEC-C)

Certified Hospice and Palliative Care Administrator (CHPCA)

Council on Licensure, Enforcement and Regulation (CLEAR) Training

Board Member Training: Introduction to Regulatory Governance

Board Member Training: Advanced Concepts in Regulatory Governance

Great Basin Public Health Leadership Institute

2008 Graduate

Experience

Experience

Experience

Wellstar Health System (Atlanta Georgia)

Interim Clinical Ethicist June 2023-Current

Provide Clinical Ethics Consultations at the request of patient’s, families, physicians, or treatment team members. Clinical Ethicists work with individuals or teams to think through ethical questions, dilemmas and issues in a thoughtful and precise manner. Clinical Ethicists offer council, mediation and recommendations. This position also provides formal and informal education and the role of Attending Clinical Ethicist for Fellows.

Renown Health System

Director Palliative Care & Clinical Ethics March 2019-April 2023

Director Palliative Care October 2016 – March 2019

Director of Hospice and Palliative Care June 2012 - October 2016

As a change agent and transformational health care leader, established a new Hospice and developed an inpatient Palliative Care program for a large health system. Created a shared vision within a growing staff to provide care that meets the highest quality standards. Forged positive and collaborative relationships between physicians, the community, all Renown entities and community health agencies. Marshalled resources to establish cost effective patient care and provided education on policy, procedure, regulatory compliance and programmatic changes.

Established a multidisciplinary Palliative Care program that provides consultations to 7-10% of all acute admissions

Opened a new Hospice in May, 2015; the initial Joint Commission survey of Renown Hospice Care identified 5 leading practices. Full accreditation achieved.

Provided leadership to the Clinical Ethics Committee and provided Clinical Ethics Consultations.

Washoe County Health District September 2006 – June 2012

Division Director –Community and Clinical Health Services

Directed development and implementation of plans to address and improve community health needs. Led the development, implementation, and evaluation of public health nursing services and other Division programs. Worked with the District health leaders to develop impactful policies, programs and services. Collaborated with federal, state, and county agencies, professional groups, and other organizations concerned with the improvement of nursing and health services for Washoe County.

Participated as a leader in the Washoe County Health District response to the H1N1 Flu epidemic as the Director over the immunization and nursing resources of the County

Significantly restructured the Public Health Visiting Nursing Program during the loss of funding in 2008, preserving critical needs for the community's most vulnerable mothers and children

Interim Chief Health Officer

Planned, organized, directed, and managed Public Health programs with an annual budget of $18 million for the regional Washoe County Health District while representing the District’s activities, programs and services with community organizations and other governmental agencies. Ensured enforcement of Federal, State and local health laws and regulations. Directed staff in providing Public Health Education programs.

Active Board member of the Multi-Stakeholder Emergency Medical Services Task Force which developed performance measures for the Pre-Hospital EMS delivery system

As a member of the Washoe County’s Fundamental Review team, used the Baldrige Quality Initiative process to improve services to all community citizens

Assistant Division Director- Community and Clinical Health Services

Organized and supported the direction and administration of public health and public health nursing activities for Washoe County programs. Led the public health staff, including nurses, nurse practitioners, and program managers engaged in community, home visiting and clinical nursing services. Assisted the formulation of public health and public health nursing policies and practices, procedures and protocols; budget preparation, program planning and evaluation.

The Children’s Cabinet 2002 – December 2006

Executive Director

Spearheaded the accomplishments of The Children’s Cabinet, a non-profit agency serving children and families. Oversaw the judicious allocation of a $14 million annual budget. Worked closely with the Board of Trustees to develop and implement the agency’s strategic plan. Served as the agency’s spokesperson and conducted an active and ongoing public relations campaign to increase visibility and viability of the agency in public and private sectors ensuring the organization and its mission were properly presented.

Founding member of the Juvenile Detention Alternative Initiative (JDAI) mirroring national best practices that significantly decreased the rate of juvenile incarceration

Life Care Management Services, LLC 1999 – December 2001

Corporate Director of Clinical Services

Member of the corporate staff of Life Care Management Services, L.L.C., which owned and operates thirteen hospitals situated throughout the United States. Supported and provided consulting services to all clinical areas and developed clinical programs including: Wound Care, Pain Management, Case Management, Utilization Review, Patient/Family Education and Clinical Pathways. Served on all hospital boards, edited the company journal, and served on multiple committees including outcomes and corporate compliance.

Helped Life Care grow from three facilities to thirteen, establishing consistent clinical standards at facilities across the country

Tahoe Pacific Hospital (A Life Care facility) 1996 – 1999

Clinical Operations Officer (COO)

Led overall operations of clinical functions in a long-term acute care facility providing care to medically complex patients, including Nursing, Rehabilitation, Cardiopulmonary, Dietary, Laboratory, Radiology, Pharmacy, Case Management, Education and Social Services. Created and managed clinical area budgets totaling $8 million.

Saint Mary’s Regional Medical Center 1991 – 1996

Critical Care Manager (ICU and Cardiac ICU and Surgical Unit)

Planned, developed, oversaw general operations of a 90 person staff, and performed marketing and medical interface for the critical care areas. Served on multiple hospital committees including Research, Infection Control and Ethics Committee. Developed and managed an operating budget of greater than $3.5 million annually.

Registered Nurse, Various Positions 1985 – 1991

Provided primary nursing care as a member of the Nursing staff at the following organizations:

Intensive Care Unit, Saint Mary’s Regional Medical Center Reno, Nevada

Telemetry, Washoe Medical Center Reno, Nevada

Surgical Unit, University of California, Davis Medical Center, Sacramento, California

Traveling nurse assignments in Queensland Australia

Professional Activities

Professional Activities

Current Board and Committee Memberships:

State of Nevada Palliative Care and Quality of Life Council

Appointed Council Member

Access to Health Care Network

Board Member

Carson Tahoe Regional Medical Center

Member Ethics Committee

University of Nevada Reno, Orvis School of Nursing

Adjunct Faculty and Preceptor

Nevada POLST Coalition

Board Member

The Children’s Cabinet

Board Chair

Examples of Previous Board and Committee Memberships:

Governors Workforce Board for the State of Nevada

Member Healthcare and Medical Services Sector Council

The Community Foundation of Western Nevada Caregiver Support Initiative

Steering Committee Member

Nevada State-Wide Advance Care Planning Coalition

Coalition Member

Nevada State Board of Nursing

Board Member (2 terms)

Positions held : President, Vice President and secretary

University of Nevada Reno Alumni Council

Past President

Institute for HealthCare Improvement

Member for the Conversation Ready Community Project

Saint Mary Regional Medical Center Ethics Committee

Committee Member from1989-2016 (Committee Chair 2003-2006)

Washoe County Child Death Review Committee

Past Member

Nevada Safe Injection Practices Committee

Washoe County Representative

Economic Impact of Early Education and Care in Nevada Advisory Committee

Member (Completed Report released by Governor Sandoval, February 2011)

Human Services Network

Former Board Member

Continue Care Hospital (LTACH)

Former Board Member

State of Nevada Department of Business and Industry Division of Insurance

Panelist Medical/Dental Legal Screening Panel 1998-2002

Nevada Nurses Association

Past District President of the Nevada Nurses Association

Past Chair Nevada Nurses Association Practice Committee

American Nurses Association

Former Nevada Representative for the Practice Institute of the American Nurses Association

Samples of Lectures / Presentations

Ethics in Palliative Care Nevada Palliative Care Awareness Day November 2022 Reno and web based

Ethical Concerns about the Practice and Theory of Partial Codes, UNR Project ECHO June 2022 web based

Facts Not Fear Confronting Health Care Decisions, ZOOM, May 2020

Providers Orders for Life Sustaining Treatment (POLST) Palliative Care ECHO Project, University of Nevada Reno, Webinar, February, 2020

Ethics Committees and Consultations: Everything You Need to Know, University of Nevada Reno, Grand Rounds, September, 2019

Join it the Discussion of “Being Mortal”. Film screening of Atual Gawande MD PBS Frontline Program followed by a panel of experts. November 17, 2015. University of Nevada Reno

Bioethics in Geriatrics: Difficult Patient Choices Who Decides and How Do We Help? The Nevada Geriatric Education Center in partnership with the State of Nevada Aging and Disabilities Services Division, Elko, Reno and Las Vegas Nevada, May, 2012

Ethical Conflicts in Patient Care, Renown Regional Medical Center, January 2011

Non-Beneficial Treatment: Do We Have to Provide Care to Patients When Family Demands It? Carson Tahoe Regional Healthcare, Carson City, Nevada, November 2010

Public Health and Clinical Ethics, University of Nevada, Reno, April 2010

Best Practices in Highly Ethical Organizations, Association of Fundraising Professionals, February, 2010

Organizational Ethics: Is Your Institution Good and Virtuous? Northern Nevada Medical Practices Association, December, 2009

Ethics Surrounding Healthcare Associated Infections, Nevada Hospital Association Annual Meeting, Lake Tahoe, Nevada, September, 2009

Awards Received

1992 March of Dimes Nurse of the Year

2016 Northern Nevada Nurse of the Year (Innovation & Advocacy)

Authored Publications

Hospital Ethics Committees: What are they? Nevada Public Affairs Review, published by the Senator Alan Bible for Applied Research University of Nevada Reno 2002.

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