Hosp Director, Quality, Performance Improvement, Compliance and Risk

Michael F. Busch

**** ******* **** ***** **** City, IA 52240 515-***-**** ***************@*****.*** EXPERIENCE

Eastern Iowa Rehabilitation Hospital, Coralville, IA Director, Quality, Performance Improvement, Compliance, and Risk February 2020- Present

● Ensure alignment of Corporate Model Governance with local practices and processes in order to reduce the likelihood of Model risk occurrence through Risk Management Policy analysis.

● Facilitate annual hospital-wide service line evaluations and risk assessments and identify high-risk and high-cost items to prioritize for performance improvement and Strategic Planning

● Site Resource Champion for Enterprise Business Solutions implementation of business management systems to utilize an integrated system of applications for business operations.

● Responsible for timely and accurate reporting of all hospital-wide data to internal clients, Quarterly Corporate Boards, and National and State-level Inpatient Quality Reporting programs. Mercy Iowa City Hospital, Iowa City, IA

Coordinator, Infection Prevention and Control

July 2015 - February 2020

● Developed and implemented the hospital’s infection prevention and control program through performance improvement activities directed by risk assessments and quantitative data analysis.

● Led surveillance, prevention, and investigations of infections hospital-wide, and oversaw environmental risk mitigation regarding construction and renovation activities.

● Responsible for timely and accurate reporting of all key performance indicators to internal clients through quarterly committee tollgate reports as well as externally to the National Healthcare Safety Network to satisfy Hospital Inpatient Quality Reporting requirements.

● Key Performance Indicators: As a program, the hospital achieved zero catheter-associated urinary tract infections for 18 continuous months, zero central line-associated bloodstream infections for 18 continuous months, and zero ventilator-associated events for 52 continuous months through continuous analysis of process audit data and performance improvement initiatives. EDUCATION

University of Iowa College of Public Health, Iowa City, IA Master of Science, Epidemiology

August 2013-May 2015

University of Iowa, Iowa City, IA

Bachelor of Arts, Anthropology

August 2010-May 2013

CERTIFICATIONS AND PROFESSIONAL DEVELOPMENT

● Lean Six Sigma Black Belt Certified - Council for Six Sigma Certification

● National Incident Management and Hospital Incident Command System Certified - FEMA

● Certification in Infection Prevention and Control (CIC) - CBIC

● Association for Professionals in Infection Control (APIC) – member since 2015

APIC Eastern Iowa Chapter – Leadership 2019-2022

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