Curriculum Vitae Date: January, **** Terry Lynn Stafford Home Address:

Office Address:

(Phone (email)

Education:

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

**** ******* ******, ***** ******* Center School of Nursing 1986 Bachelor’s degree in nursing, Alverno College

1990 Master of science in Health Administration, Cardinal Stritch College 1996 Associate degree, National Institute of Paralegal Arts and science

2000 Doctor of Philosophy in Health administration, Kennedy Western University 2007 Executive Juris Doctor, Concord University School of Law.

Postgraduate Training and Fellowship Appointments

1994 Certificate in Gerontology, University of Wisconsin Oshkosh

2014 Certification Population Health Coordinator, Duke University Raleigh

Faculty Appointments:

1996 Adjunct Faculty Alverno College 2022 Adjunct Faculty

Indiana Wesleyan University 2008 Adjunct Faculty

University of Louisville School of Epidemiology and Public Health 2018 Adjunct Faculty

Thomas Jefferson University

Administrative Appointments:

2015 President of Kentucky Association for Healthcare Quality

2018 National Association for Healthcare Quality, Competencies Committee 2020 National Association for Healthcare Quality, Research Committee 2022 Peer Reviewer, Journal of Healthcare Quality

Professional / Industry Roles:

1981 Staff nurse

1982 Head Nurse

1984 RN Supervisor

1996 Home Health/ Hospice Administrator

2001 Senior Legal Nurse Consultant/Documentation Manager/Clinical Operations Manager/Director of Home Health/Compliance and Performance Improvement 2002 National Director of Health Services

2007 Legal Nurse Consultant, Director of Clinical Outcomes/ Operations Improvement/ Palliative care

2008 Deputy Nurse Executive/Corporate Compliance Officer

2010 Director of Performance Improvement

2018 Executive Director of Quality and Performance Improvement 2019 Vice President of Quality and Safety

2020 Quality Consultant

2021 Regional Operations Manager

Licensure:

1979 to present RN – WI/KY 2008 to present CPHQ

2014 to present Population Care Coordinator 2016 to present Lean SSGB

2018 to present CHCQM

Awards, Honors and Membership in Honorary Societies

2011 Paula Fritz Patient Education Award, Lexington Kentucky

2018 Claire Glover Award, highest award presented by the National Association of Healthcare Quality (NAHQ)

2024 Fellowship status achieved with the American Board of Quality Assurance and Utilization Review Physicians

Memberships in Professional and Scientific Societies:

National Association for Healthcare Quality (2008 – present) Kentucky Association for Healthcare Quality (2008 – present)

Professional and Scientific Committees

National Association of Healthcare Quality (NAHQ) – Served on Competency Committee (2 years) and Research Committee Currently (2 years).

Editorial Positions:

2020 – Present Invited Reviewer, Journal of Healthcare Quality

Course/ Program Development:

2022 December Health System Science – Jefferson College of Health Professionals

Academic Committees at the Thomas Jefferson University/Jefferson Medical College and Affiliated Hospitals:

2023 – Present Admission Committee

Non-Institutional Committees

Concord Law School Alumni

Kennedy Western University (Warren University) alumni Alverno College Alumni

Cardinal Stritch Alumni

President of the Kentucky Association for Healthcare Quality 2014-2015

Metro Association for Health Care Quality (MAHQ) Kentucky Association for Health Care Quality (KAHQ)

National Association of Healthcare Quality (NAHQ) – Served on Competency Committee (2 years) and Research Committee (2 years).

Past board member of Oldham County Kentucky emergency medical services (EMS) Louisville Bar Association past member

California Bar Association past member National Transitions of Care Coalition (NTOCC)

Bluegrass Area Development District Human Services Council past member

Major Teaching and Clinical Responsibilities at the Thomas Jefferson University and Affiliated Hospitals

1.2017 to present Jefferson University HQS.515.70B, HQS 505, Jefferson College of Health Professions HPS 603

2.University of Louisville School of Epidemiology and Public Health, Louisville, KY Adjunct Faculty 2002 to 2008 University of Louisville School of Epidemiology and Public Health CREST Program Louisville, KY teaching Quality Assurance to MD and PhD candidates.

3.2008 Spalding University Nursing Program Louisville, KY teaching Legal Issues in nursing to local and international students in Bachelor and Master of Science in

Nursing programs.

4.Indiana Wesleyan University Adjunct Faculty 2001 to 2002 Responsible for teaching Nursing Assessment and Nursing Informatics in the Bachelor of Science in Nursing program

5.Adjunct Faculty 1987 to 1996 Alverno College Milwaukee, Wisconsin teaching Nursing Assessment in the Bachelor of Science in the nursing program

Bibliography:

Publications, peer reviewed:

1.Milner, R. Pesch. L. Stafford T., Hunter, J., Stewart, G. “Utilization of Improvement Methodologies by Healthcare Quality Professionals During the COVID – 19 Pandemic” Journal of Healthcare Quality Vol.44, Number 3, May/June 2022

2.Milner, R. Pesch. L. Mercado, S., Dammrich, T., Stafford T., Hunter, J., Stewart, G. Why Competency Standardization Matters for Improvement: An Assessment of the Healthcare Quality Workforce.” Journal of Healthcare Quality Vol. 43, Number 5, September/October 2021

3.APIC Textbook of Infection Control and Epidemiology 2nd Ed. (2005, and 2009) Chapter 35 Legal Issues 35-1 – 35-17; and Quality Chapter, Association for Professionals in Infection Control and Epidemiology, Washington DC.

4.Terry Altpeter, Kitty Luckhardt, John N Lewis, Alden H Harken, Hiram C Polk Jr Expanded Time Out: A Key to Real Time Data Collection and Quality Improvement; Journal of American College of Surgeons; doi: 10.1016 (2007)

5.Roser, Lynn P. MSN, RN, CIC; Piercy, Emily C. MSN, RN, CNE; Altpeter, Terry PhD, EJD, RN, CPHQ Targeting zero One hospital's journey to reduce CAUTI. Nursing Management (Springhouse) 45(12):p 18-20, December

2014. DOI: 10.1097/01.NUMA.0000456652.02404.b5

Podium Presentations::

1.American Health Care Association ("AHCA") (2001) "Practical Tips for preparing for Successful Informal Dispute Resolution."

2.International Speaker – Pacific Rim Conference on Disabilities – 2002 "A Clinically Sensitive Approach to Preventing Abuse, Neglect, and Mistreatment"

3.International Speaker – Improving Antibiotic Timing in the Emergency Department (2006) over 100 attendees in 41 states including Puerto Rico

4.Kentucky Association for Health Care Quality (2006) SBAR – A Technique for Communication (2006)

5.Kentucky Association of Medical Staff Services "Quality Improvement Using Physician Champions" (2007)

6.Kentucky Association for Health Care Quality (2007) "Sentinel Events Involving Health Care Associated Infections: A Methodology for Root Cause Analysis Using Failure Modes and Effects Analysis and Best Practice Fishbone Diagrams."

7.Systematic Problem Solving – Metro Association of Health Care Quality (01/2012)

8. Kentucky Home Health Association – Quality improvement through Community Based Care Transitional Care (2014)

Consulting:

1.September 2018 – May 2019 Interim Associate Vice President of Quality and Safety Well star Health System/ Atlanta Medical Center, Marietta, GA

2.May 2019 – April 2020 – State Appointed Quality Monitor and Executive Quality Subject Matter Expert Clear View Behavioral Health, Johnstown, CO

3.October 2020 – August 2021 Quality Consultant Thayer County Health Services, Hebron NE

Practice-based Critical Work projects

2000 A program for Reporting Incidents of Suspected Abuse, Neglect, and Mistreatment in Long term Care Facilities 2000

2001 Practical Tips for preparing for Successful Informal Dispute Resolution.” - Vencor 2002 A Clinically Sensitive Approach to Preventing Abuse, Neglect, and Mistreatment" – Vencor

2002 Reducing Bloodstream Infection and Improving Patient Outcomes" – University of Louisville

2006 Improving Antibiotic Timing in the Emergency Department – University of Louisville 2007 Quality Improvement Using Physician Champions” - Baptist Health

2007 “Sentinel Events Involving Health Care Associated Infections: A Methodology for Root Cause Analysis Using Failure Modes and Effects Analysis and Best Practice Fishbone Diagrams." Baptist Health

2014 Quality improvement through Community Based Care Transitional Care Baptist Health

2015- 2016 NAHQ Competency Framework for Healthcare Quality Professionals: Population Health &Care Transitions Model Body of Knowledge

2016 Improving emergency department turnaround times (TJC/Baptist Health)

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