Chief Nurse Executive

Chief Nursing Officer

Qualifications Profile

Compassionate, goal-driven, and accomplished healthcare professional, offering wide-ranging experience in overseeing all aspects of nursing operations. Skilled at developing and implementing patient-care plans to provide excellent service to all patients. Recognized for outstanding abilities to lead people to improve performance and establish policies and procedures to ensure operational productivity. Highly effective at interacting and building relationships with physicians, leaders, and other stakeholders utilizing outstanding communication, interpersonal, and organizational aptitudes.

Core Competencies

Patient Safety and Satisfaction Employee Engagement Continuous Process Improvement

Cross-functional Collaboration Staff Recruitment and Training Problem Resolution and Decision Making

Professional Experience

Saint Charles Madras Hospital, Madras, OR, USA

Chief Nursing Officer Jan 2017–Present

Directly report to the vice president of hospital administration while serving as clinical member of the Executive Team

Manage all aspects of critical access hospital and communicate with ancillary leaders, physicians, and system services and departments to focus on safety, quality, and cost-containment measures

Render assistance with the expansion and development of the Emergency Department, perioperative services, radiology, laboratory, and patient access and registration areas through close coordination with lean facilitators and managers

Act as incident commander during critical planned events which include the solar eclipse in 2017 and Epic implementation in 2018

Coordinate with system chief nurse executive to select nursing supervisor for Epic nurse champion role to lead and facilitate the implementation

Modify the nursing leadership through creation of additional role that partners with the community to grow population health program

Hold responsibility in organizing nurse staffing for shared staffing pool

Notable Achievements

Steered efforts in transforming the resistant culture of a newly acquired small community hospital and aligning caregivers with goals of the healthcare system, thus attaining 76 caregiver satisfaction survey e-sat score in 2019

Improved the skills of nursing leaders in utilizing audits and process observations that resulted in 250 days without patient fall

Established succession planning in nursing leadership by mentoring one nurse manager and the system director of clinical practice and professional development

Pioneered a steering council for the introduction of Pathway to Excellence designation

Played an integral role in the successful operation of transcultural care toward the Native American Indian (NAI) population through the following initiatives:

Empowerment of patient, families, and communities by building the first Patient Family Advisory Council (PFAC) consisted of tribal leaders and hospital caregivers;

Facilitation of staff training; and

Development of culturally competent organization

Saint Charles Madras Hospital, Madras, OR, USA

Saint Charles Prineville Hospital, Prineville, OR, USA

Chief Nursing Officer Oct 2014–Jan 2017

Provided strategic management for the two critical access hospitals and collaboratively worked with board of directors, physicians, and system services and departments

Maintained communication with lean facilitators for the movement of newly constructed hospital at St. Charles Prineville Hospital

Assumed accountability in recruiting and mentoring international nurses from Jamaica and the Philippines

Enhanced the abilities of non-registered nurse leader to prepare for operations manager position at the Emergency Department

Attended collective bargaining unit meetings which involved adjustment of registered nurse compensation at both two critical access hospitals to be within the 97th percentile of the average base salary in the urban areas

Notable Achievements

Earned selection as executive champion for safety and successfully completed the Institute for Health Improvement (IHI) safety training in Boston, Massachusetts

Revamped the nursing division of two critical access hospitals, promoting consistent leadership visibility, communication, and follow-through

Reorganized the Family Birthing Center (FBC) after a 7-month closure due to minimal staffing therefore, obtaining additional staffing including new nurse manager and 17 registered nurses within two years as well as achieving the highest TeamSTEPPS score throughout the healthcare system

Strategically conceptualized and started the two-year nursing leadership development program between the two hospitals

Sutter Tracy Community Hospital (STCH), Tracy, CA, USA

Chief Nurse Executive Dec 2010–Oct 2014

Redesigned the nursing division by working closely with peers, human resources, Office of the General Counsel, workforce labor relations, consultants, and outside legal counsel

Took part in and directed the physician, quality, and other local and regional standing committees

Spearheaded various system implementations including RN Forums in alignment with the organization’s pillar goals and Epic Electronic Health Record through regular Superuser Meetings

Actively participated in more than 60 collective bargaining sessions, National Labor Relations Board (NLRB), and grievance hearings

Functioned as executive sponsor for cultural diversity efforts while providing insights to leadership on culturally aligned patient care and employee engagement

Served as sponsor for charge nurses, assistant managers, and nurse managers for completion of 8-week management of clinical excellence (MCE) rapid improvement class aimed at leadership development

Trained and promoted two charge nurses to assistant nurse manager role

Received a P94 favorable employee satisfaction rating in the area of credible leadership using Hay Group’s experience of work survey

Notable Achievements

Brought substantial contributions as one of the two chief nurse executive members of Sutter Health’s Patient Advisory Board for patient care experience

Coordinated with other divisions for continuous improvement of patient care that involved:

Establishment of standardized practice for the hospital's drug concentration when receiving patients from other hospitals;

Modification of infection control and employee health function which achieved 100% staff compliance in flu immunization;

Management of blood transfusion process flow analysis and advanced process to the system level; and

Collaboration with staff that obtained Joint Commission and Medication Error Reduction Program (MERP) surveys

Improved physician satisfaction of the quality of nursing from P44 to P88 by building nurse leader-physician partnership

Drove efforts in the decrease of the following:

Acquired pressure ulcers (HAPUs) from 45 to 12 through execution of strategy for staff retraining on pressure ulcer prevention and redirection of all mattresses house-wide to standard;

Sepsis mortality rate from 38.5% to 13.2% through establishment and successful leadership to a multidisciplinary team which developed a sepsis management protocol house-wide; and

Nursing employee injuries by 39% from 62 injuries to 38 within one year through creation of mandatory 6-hour safety skills laboratory training to align with AB 1136 on safe patient mobility and handling

Built the policies and procedures coordinator position and led the roll out of PolicyStat software as a pilot program for Sutter System that optimized 3,300 policies and procedures to 1, 500

Collaboratively worked with business decisions support to benchmark Nursing Department using Action OI and ClairVia staffing and productivity system thus, achieving favorable to budget financial results

Sutter Memorial Medical Center (SMMC), Modesto, CA, USA (1995–2010)

Manager, Surgical Unit, Nursing Office, Traveler and Registry Jan 2005– Nov 2010

Oversaw the launch of Bariatric Center of Excellence that attained nationwide recognition as a top performing Surgical Unit

Notable Achievements

Obtained 8th place ranking nationwide in patient satisfaction by Press-Ganey and generated hundreds of dollars revenue that averaged 780 bariatric procedures annually

Strategically formulated and introduced new plans for seamless movement into new hospital building which led in reaching 100% employee satisfaction and 0% patient care downtime during the process

Boosted the quality performance of team as evidenced by being error-free in Surgical Care Improvement Project (SCIP) core measures

Earlier Positions Held:

Department Manager, Surgical Unit

Department Manager, Skilled Nursing Facility (SNF)

Department Manager Clinical Leader and Assistant Department Manager, Skilled Nursing Facility (SNF)

Charge Nurse, Skilled Nursing Facility (SNF)

Earlier Career

Stanislaus County Hospital, Modesto, CA, USA

Staff Registered Nurse

San Luis Convalescent Hospital, Newman, CA, USA

Staff Registered Nurse, Long-term Care Facility

Guardian Rehabilitation Center, Modesto, CA

Charge Registered Nurse, Sub-Acute Unit

Cebu Doctors Hospital, Cebu, Philippines

Nursing Preceptee, Intensive Care Unit (ICU)

Velez College – College of Nursing, Cebu, Philippines

Clinical Nurse Instructor, Academic College

Cebu Velez General Hospital, Cebu, Philippines

Nursing Preceptee Staff Registered Nurse

Education

Doctor of Nursing Practice, 2019 Capella University, Minneapolis, MN, USA

Master of Business Administration, 2002 University of Phoenix, Tempe, AZ, USA

Bachelor of Science in Nursing, 1991 Velez College, Cebu, Philippines

Graduated cum laude

Received Awards for Leadership and Clinical Excellence

Received the Claude Mark Wilson Scholarship Award

Professional Development

Certification

Lean Certification – Catalysis Daily Management System (DMS)

Fellow of the American College of Healthcare Executives (FACHE)

Nurse Executive Advanced Board – American Nurses Credentialing Center (ANCC)

Certified Coach, Four Disciplines of Execution – Franklin-Covey

Clinical Excellence Certificate – Sutter Health Management

Gerontological Nursing – American Nurses Credentialing Center (ANCC)

Training

Executive Safety – Institute for Health Improvement (IHI)

The Leader Within – St. Charles Health System Cultural Revolution

Lean Leadership – RONA Consulting Firm

Hardwiring Excellence – Quint Studer

Awards

Transformational Pioneer Award in Nursing Leadership – Northwest Organization of Nurse Executive (NWONE): 2019

Nurse Week Excellence Award – Management Category, California: 2009

Activities

Elected Board Member – Living Hope Christian Center in Madras, OR

Elected City Official – City of Metolius

Member – Faith-Based Network, Jefferson County, Central OR

Prayer Coordinator – Aglow International, Madras, OR

Sunday School Teacher – Children at Living Hope Christian Center, Madras, OR

Founder– Beauty for Ashes Ministry, Modesto, CA

Chairperson – United Way Campaign

Chairperson, Emergency Response Team – Calvary Temple, Modesto, CA

Board Member – Without Permission

Board Member – Knowing the Word

Hostess and Co-leader – Care Group Ministries – Calvary Temple, Modesto, CA

Hostess and Co-leader – Women of the Word

Speaker, Oregon State University Bend Cascades Convocation, Change Begins with Me, Cultural Summit, and Nursing Theories Guiding Practice

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