Trischa M. Turner, R.N. B.S.N., M.S.N

**** ***** **** ****

Greenfield, In 46140

317-***-****

ad1xzh@r.postjobfree.com

CAREER SUMMARY

Extensive clinical and management experience in peri-operative nursing. Successful change agent in Perioperative re-designs and implementation of process improvements in various surgical targeted areas of turnover and case delays. Demonstrated ability in collaborating with physicians on implementation of revenue generating healthcare programs.

EDUCATION

2017 MSN Grand Canyon University Pheonix, AZ

1992 BSN Indiana University-Purdue University Indianapolis Indianapolis, IN

April 2023 - current Broward Health Medical Center North Deerfield Beach, Florida

Sr. Regional Director

Broward Health Medical Center North is a 409 private single-patient room hospital accredited by The Joint Commission which includes a 716 bed system facility and 3,100 medical professionals with more than 800 physicians dedicated to delivering compassionate and quality care. Broward provides services through advanced certifications in Comprehensive Stroke, Robotic center of Excellence (SRC), TAVR center of Excellence through ACC, ICAEL Accreditation EP, Stress Echo, TEE, QOPI certified through ASCO, Transplant UNOS Liver and Kidney, Level I Trauma Center and Level I Pediatric Trauma Center. Broward is one of only 11 regional perinatal Intensive care centers in the state of Florida. Involvement in recent FAU (Florida Atlantic University) integration working to create policies and procedures related to resident onboarding and partnership.

Inpatient and outpatient responsibility within operating room suites to include 28 OR surgical suites, 7 EP, IR, Cath Lab rooms, PACU bays; 20 pre-admission testing beds, GI clinic, clinical education, anesthesia, clinical informatics, billing and performance improvement department. Management of strategic operational initiatives of building one potential ambulatory surgery center. This position in-directly supervises over 300 FTE’s; including 3 Directors, 4 Assistant Nurse Managers, RN’s, surgical techs, and unlicensed assistants along with other support personnel. Responsible for director partner operational oversight for the health system operating rooms and cath lab platform within the four-hospital system.

PROFESSIONAL EXPERIENCE/ACHIEVEMENTS

2022 – April 2023 Shriners Hospital for Children Philadelphia, PA

Interim Director Perioperative Services

Shriners Children’s Philadelphia is located near the Health Science campus of Temple University. Shriner’s experienced care brings hope and healing to children all over the world from the tri-state area and beyond. Shriners Children’s offers care for a range of orthopedic issues, as well as care for burn injuries, craniofacial conditions, spine care and spinal cord injuries, colorectal and gastrointestinal care, and sports medicine. Shriners is a 49-bed pediatric specialty hospital, research and teaching center accredited by The Joint Commission. Responsible for operational oversight of 4 operating rooms within the system as well as collaborating with the corporate team developing standardization across the Shriner system. Responsibilities included:

Education and preparation for Joint Commission visit in April 2023.

Successfully passing Joint Commission survey with zero deficiencies

Management of financial and strategic planning

Increased percentage of first case on time starts by ensuring preop readiness decreasing deficiencies.

Increasing efficiencies in sterile processing departments

Educating periop teams during 1:1 weekly meetings

Facilitating and increasing overall periop team conversations

Establishing full-time supply chain support within the operating room

Assisted IT and finance to create CDM implementation within Lawson to ensure proper charges within the chargemaster.

2022 – November 2022 – Interim Physician Partners of America

Sr. Regional Administrator

Oversight of ten Ambulatory Surgery Centers in the state of Florida with more than 32 years of nursing experience incorporating diverse leadership and significant accomplishments. Excellent leadership, communication and interpersonal skills committed to all team teaching along with cost-effective management and quality performance. Joint Commission accredited with a focus of pain management, Ortho and Spine continuing to grow in the Florida, California, and Texas markets. PPOA are currently the largest pain focused centers in the United States.

Oversight of daily operations and administration of multi-specialty surgery centers

Successfully lead teams to achieve AAAHC accreditation.

Direct oversight for the development of the surgical center’s policies and procedures for employee and provider staff

Management of financial and strategic planning of the surgical centers

Oversight for Quality Assurance and Quality Improvement Programs and serves as liaison to Regional Quality Program

Development and Co-chair of Key Performance Indicators of Ambulatory Surgery Center community practice group to enhance collaboration and best practices among regions and development of national benchmarks to include all ambulatory surgery centers. KPI’s included but not limited to: Medical Equipment Utilization, Patient Drug cost per stay, treatment cost, Operating cash flow, net profit margin, patient follow up rate, hospital readmission rates, patient wait time.

Facilitates implementation of systems and programs to improve and enhance anesthesia/surgical services and infection control.

Implemented new physician privileging process including redesign and implementation of new privileging forms to comply with all national quality and peer review standards.

Oversight of compliance with all regulatory agencies including State, Federal and Accreditation standards

Oversight of processes including planning, design, licensure, and QI program for new start up ASC’s.

2020-2022 Palomar Medical Center San Diego, CA

VP of Perioperative Services, IR, Cath Lab, and EP Services

Palomar Medical Center Escondido is a 288 private single-patient room hospital accredited by The Joint Commission along with the Poway campus being a 107-bed acute care facility featuring an adjacent 129- bed Villa Pomerado Care Center. Palomar is the largest Level II Trauma Center district in San Diego County. Inpatient and outpatient responsibility within operating room suites at two locations which include 34 OR surgical suites, 7 EP, IR, Cath Lab rooms, PACU bays; one with 30-beds, the second with 25-beds; 20 pre-admission testing beds, GI clinic, clinical education, anesthesia, clinical informatics, billing and performance improvement department. Management of strategic operational initiatives of building 2 ambulatory surgery centers at each campus. This position in-directly supervises over 300 FTE’s; including RN’s, surgical techs, and unlicensed assistants along with other support personnel. Responsible for operational oversight for the health system operating rooms and cath lab platform within the two-hospital system.

Collaborate with VAT for the health system to standardize procedures, policies, capital equipment, practices and patient safety initiatives.

Revenue impact of over $8.4 Million found the first 3 months of my onboarding related to supply charges.

Reduction of trauma implants related to spine with cost savings of $5 Million.

Robotic program performing 200 plus cases each year.

Implemented Endovascular suite services.

Implementing and designing two surgery centers for the organization

Established new procedure levels and increase of CDM revenue cycle.

Initiatives to track manufacturer representatives and tie implants to the surgical EMR and Lawson

Active member of Trauma PI council

Actively participated in all surgeon Performance Improvement committees, Surgical Services Chairs Committee and sub committees of every specialty group

Oversight of all contracts for supplies, implants, physician services, Anesthesia / CRNA services and purchased services contracts for Perioperative Services

Actively involved in Leap Frog reporting recognizing opportunities for the organization related to OR deaths and retained objects.

Actively involved in CHEU and CNA union negotiations.

2017 – 2020 Methodist Hospitals Indianapolis, IN

VP of Perioperative Services

Magnet accredited, 400-bed health system, level III trauma center, affiliated with Indiana University School of Medicine. Inpatient and outpatient responsibility within operating room suites at two locations which include 30 surgical suites with two PACU units; one with 16-beds, the second with 24-beds; 18 pre-admission testing beds, GI clinic, clinical education, anesthesia, clinical informatics, billing and performance improvement department. Management of strategic operational initiatives of the 30 suites operating room, performing over 20,000 cases annually. This position in-directly supervises over 250 FTE’s; including RN’s, surgical techs, and unlicensed assistants along with other support personnel. Responsible for operational oversight for the health system operating rooms within the two-hospital system.

Collaborated in design of VAT for the health system to standardize procedures, policies, capital equipment, practices and patient safety initiatives.

Savings of over $1 Million in one year in collaboration with materials management and surgeons

Reduction of trauma implants with savings of $1 Million

Successful implementation of robotic program with over 200 cases increases in one year and establishment of first thoracic case robotically at Methodist.

Implemented Endovascular suite service with vascular and cardiology services.

Decreased turnover to below SG2 levels of over 15 minutes.

Participated in Magnet councils and Unit Based councils.

Established new procedure levels and increase of CDM revenue cycle.

Initiatives to track manufacturer representatives and tie implants to the surgical EMR and Lawson

Active member of Trauma PI council

Actively participated in all surgeon Performance Improvement committees, Surgical Services Chairs Committee and sub committees of every specialty group

Oversight of all contracts for supplies, implants, physician services, Anesthesia / CRNA services and purchased services contracts for Perioperative Services

Magnet accredited, 400 bed health system, level three trauma center, affiliated with Indiana University School of Medicine)

2015 – 2017 Aurora Medical Center Grafton, WI

Director of Perioperative Services

900+ bed hospital, Affiliation with University of Wisconsin School of Medicine. Inpatient and Outpatient Services included for both operating room campuses: Main operating rooms, PACU, Pre-operative and post discharge units, pre-admission testing, holding rooms, Ophthalmology clinic, materials management, clinical education, Anesthesia, clinical informatics, performance improvement department, billing department, clinical education, intraoperative MRI, brain suite, and sterile processing departments. Strategic operational initiatives of the 29-suite operating room, performing over 20,000 cases annually. This position in-directly supervised over 200 fte’s, including RNs, Surgical Techs, and unlicensed assistants along with other support personnel.

Collaborated with THR on Perioperative nurse and surgical technician training programs.

Participated with hospital clinical practice council for Magnet and established shared governance councils within Perioperative services.

Evaluated efficiencies within Perioperative services through a multidisciplinary team to flow chart the operations and establish new guidelines in collaboration with physicians to improve overall efficiencies resulting in a reduction of turnover time from 37 minutes to 15 minutes meeting national guidelines.

Collaborated with physicians, informatics, with EPIC computerization with mandatory CPOE in the electronic medical record.

Actively participated in all surgeon Performance Improvement committees, Surgical Services Chairs Committee and sub committees of every specialty group

Spearheaded oversight of all contracts for supplies, implants, physician services, Pinnacle CRNA services and purchased services contracts for Perioperative Services

Active participant on the THR council of Perioperative services for the system 13 hospitals

Active participant in nursing council to achieve Magnet re-designation status.

2014 - 2015 Premier Health Care – Atrium Hospital Middletown, OH

Director of Perioperative Services

325+ bed hospital, Affiliation with University of Cincinnati. Inpatient and Outpatient Services included for operating room campuses: Main operating rooms, Cath Lab and EP, PACU, Pre-operative and post discharge units, pre-admission testing, holding rooms, materials management, clinical education, Anesthesia, clinical informatics, performance improvement department, billing department, clinical education, intraoperative MRI, brain suite, and sterile processing departments. Strategic operational initiatives of the 17-suite operating room, performing over 20,000 cases annually. This position in-directly supervised over 200 FTEs, including RNs, Surgical Techs, and unlicensed assistants along with other support personnel.

Promoting the mission, vision, and values of the organization.

Responsible and accountable for the delivery of safe, effective, direct and indirect, patient-family centered care through the continuum of perioperative care to include outpatient surgery unit, preoperative unit, Operating Room, post-anesthesia care unit, sterile processing department, cath lab and anesthesia services.

Aligning financial incentives within the hospitals ultimately making them productive. Developing cultures that can have strong appeal to professionals, such as clinicians and managers, and to patients who use the health system.

2012 – 2014 Indiana University Health Saxony/IU North Hospitals Fishers, IN

Director of Surgical Services

(700+ bed hospital, Affiliation with Indiana and Purdue School of Medicine) Designing, planning and opening a new state-of-the art acute care hospital with a pioneering design that is centered on extraordinary patient/family care and exceptional service delivery. I assumed responsibility for a second hospital after one year of opening IU Saxony.

Develop effective operational systems to enhance quality of clinical outcomes, augment patient safety, and improve operational efficiency in Perioperative service lines.

Created strong team building and interpersonal skills with the ability to relate well to people at all levels of the organization.

Strong leadership skills with the ability to hold others accountable, mentor future leaders and build cross-functional teams.

Establish credibility, gain respect, demonstrate confidence and collaborate well with physicians, nurses, ancillary staff, and administration to facilitate a synergistic team and a preeminent Perioperative service line.

Worked alongside the Studer team to create teams and staff to promote patient satisfaction.

2010 - 2012 Major Hospital and Medical Center Shelbyville, IN

Director of Surgical Services

300+ bed hospital, Affiliation with Indiana University School of Medicine. Responsible for the clinical practice and the overall operational management of Perioperative Services, which includes for the O.R., Pre- and Post- Anesthesia Care Units, Outpatient Surgery, GI Lab and Sterile Processing Departments.

Developing efficient and effective use of clinical resources.

Served as an education facilitator, consultant, researcher and program/product evaluator.

Assists in assigned clinical area(s) as necessary.

Participates in the development and implementation of hospital policies and procedures.

Demonstrated expertise as a clinician, educator, and manager/director.

Strong analytical, problem solving and communication skills.

Solid foundation in fiscal management.

Directs and participates in orientation and training of personnel.

Set standards based on National recommendations, enhance surgical service lines, supervise personnel, and integrate services to achieve the mission and goals of the hospital.

Collaborates with physicians to achieve National quality measures.

Responsible for the establishment and maintenance of processes to assure compliance with legal and regulatory standards.

Consults with internal and external legal counsel to ensure compliance with procedures due process requirements applicable to Federal/State laws, Medical Staff Bylaws, Rules and Regulations, and other applicable policies and procedures.

Monitors and reports SCIP measures in which we have achieved 100% in the last 4 quarters.

Sep 2008 – 2010 Anthem Blue Cross/Blue Shield IN

Medical Review

Fortune 500 Health Insurance provider with approximately 40 million members Ensures medically appropriate, high-quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately interpreting benefits and managed care products.

Works with medical directors in interpreting appropriateness of care and accurate claims payment.

Manage appeals for services denied.

Conducts pre-certification, concurrent, and retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.

Ensures member access to medical necessary, quality healthcare in a cost-effective setting according to contract.

Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process.

Collaborates with providers to assess member needs for early identification of and proactive planning for discharge planning.

Facilitates member care transition through the healthcare continuum and refers treatment plans/plan of care to clinical reviewers as required.

Facilitates accreditation by knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory requirements and standards.

2006 – 2008 Morgan Hospital and Medical Center Martinsville, IN

Director of Surgical Services

250+ bed hospital, Affiliation with Indiana University School of Medicine. Assist in improving a complex task where numerous resources must be synchronized in order to achieve efficiency. Report directly to C.N.E. /C.E.O. and oversee 100 plus FTE’s. Assess key components of the current operations of the facility and attempt to reverse negative trends.

Direct involvement in surgeon recruitment.

Identify areas of improvement and measure outcomes via statistical information, streamlining procedures and improving operational efficiency allowing for a more profitable operating room.

Assessed and reorganized staffing in all areas of responsibility.

Implemented department leadership team.

Addressed concerns related to environment of care, infection control.

Provided structure to the minimally invasive surgery initiative.

Coaching and mentoring managers and clinical coordinators.

Creation of teams to re-evaluate aspects of patient readiness, start times, block times and turnaround times.

Implemented patient satisfaction survey.

Participated in successful JCAHO and Department of Health Survey review in 2006.

Maintain nursing vacancies at a consistently low level and staff turnover well below national average, no agency and OT below 3%.

Manage operational and capital budget processes, increased case volume by 4% with the direct involvement of hiring a new vascular and orthopedic surgeon.

Communicate directly with vendors and retrieve different quotes and ultimately the best price for the operating room.

Direct involvement with the start of a pain program with our anesthesiology department.

Participation in system wide Information Technology System evaluation of Meditech and its process improvement

1992 - 2006 Community Hospitals of Indianapolis Indianapolis, IN

Operating Room Manager

700+ bed hospital system, Affiliation with Indiana University School of Medicine. Oversaw daily operation of 20 operating rooms, sterile processing and recovery room for inpatient and outpatient services. Liaison to physicians, hospital departments and staff.

Conducted needs assessments for improving daily operations.

Revised staffing utilization to improve turnover time and staff usage.

Strong collaboration of Anesthesia Department with Surgical Services Initiatives.

Involved in opening of Indiana Surgery Center

Recovered patients in a 23-hour stay surgery center.

Cared for the peri-operative patient and closely monitored their care throughout their stay including admitting patients, starting IV’s and maintaining their lines post-op.

2004 - 2012 Wishard Memorial Hospital Indianapolis, IN

Charge Nurse, OR

CERTIFICATIONS

Nationally recognized Healthcare Specific Certifications and Licenses with expiration dates. If expired, don’t list unless eligibility for re-certification and pertinent for job applying for.

BLS

PROFESSIONAL AFFILIATIONS, HONORS, PUBLICATIONS

Sigma Theta Tau

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