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Registered Nurse Quality

Buffalo, NY
October 17, 2019

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Patricia Kaczmarek, BHSc., MSHL, PhD(C), RN


Top Healthcare Operations and Policy Strategy Leader

Expertise in Federal Affairs / Leader Healthcare Quality Advocacy / Policy Analysis / Health Risk Mitigation

–Top performing, rapport building, and results-driven Healthcare Operations, Risk Mitigation and Clinical Compliance and Quality Improvement Leader with broad based expertise, fostering collaborative relationships and leading effective strategies for clinical and operational review, medicolegal risk compliance, change management, and process improvement in the Hospital, Acute Care, ESRD, and Hospice industry.

–Experienced in diverse and inclusive environments, engaging in a series of assignments throughout the state of Florida in facilities spanning rural medical centers and major metropolitan hospitals; gained exposure to a variety of cultures, faiths, and international citizens.

–Expertise in identifying, quantifying, and implementing strategies to mitigate risk within Healthcare environments; as a Nurse Consultant, advises Centers for Medicare and Medicaid Services (CMS) providers regarding state and federal policy/regulatory, quality and compliance matters throughout the State of Florida.

–A demonstrated record of success establishing medical and government leadership relationships cultivating operational initiatives. A consummate professional with business approach and character accomplishes long-lasting and desired liaisons.

–A poised and effective communicator, leveraging true passion and an unwavering commitment to integrity in Healthcare to launch, build, and lead highly effective quality improvement, policy agenda strategies, consistently producing positive quality outcomes in Healthcare and Fiscal Stewardship.

Core Competencies

Seasoned Policy Communicator

Focused Healthcare Service Appraiser

Capital and Fiscal Analysis

Research Data Mining, Synthesis, and Analysis

Policy Author and Procedure Development

Expertise Strategic Development Planning

Leading Change Management Initiatives

Key Stratagem, Risk and Quality Advisor to Leadership

Experienced Educator, Healthcare EMR Software Trainer

Foster & Leads Quality and Utilization Improvement

Professional History

2008 to 2018: Agency for Health Care Administration, Tallahassee, FL

–Registered Nurse Consultant, Subject Matter Expert for Acute Care (2013 to Present)

A demonstrated record of success and achievement at this agency, administering the federal certification and Florida state licensure. This success, marked by a promotion transitioned to a position of increased influence, authority, high level visibility and accountability. Accomplished Certified Centers of Medicare and Medicaid Services Instructor/investigator/Trainer.

As Registered Nurse Consultant and Subject Matter Expert (SME), serves as a trusted advisor, providing guidance and direction to acute and post-acute care CMS provider administration. Focused on state and federal regulatory, quality and compliance matters throughout the State of Florida. Serves as the primary point of contact at the Agency as the SME for Hospital, Outpatient, Ambulatory Surgical Centers, ESRD, Hospice: Patient Safety Initiatives, Quality Assurance Performance Improvement (QAPI), Infection Control, Discharge Planning, Hospital Utilization Review and Quality Measures, Transparency, Clinical investigations.

Leads the review of state regulations impacting hospitals and post-acute provider operations, authoring interpretive guidelines governing the actions of state and federal investigations, implementing proactive policy advocacy with legislative stakeholders, professional organizations, and healthcare state and national associations. Developed and maintained bilateral, respectful relationships resulting in productive and sustainable policy goals.

Facilitates key information and communications flow with identified under my SME purview, providers regarding patient safety, quality assurance issues, and regulatory requirements across a variety of legislative environments, impacting rural facilities to major metropolitan medical centers.

Multiple Committee leader and team member with the focused discipline to achieve expectations, deadlines and goals independently.

Reviews regulatory documents prior to federal submission, administering the Agency’s Quality Assurance process for appropriate regulatory integrity ensuring legal reliability.

Author Orientation and Standard Operating Procedure Manuals, with correlating Investigative Process Guides, Protocol and Policy for centralized digital repositories housing Agency process toolbox instruments essential for statewide operations.

Lead Lecturer for state and nationwide presentations, webinars, symposia centered on federal regulatory affairs.

Contributing Participant of the nationwide CMS Patient Safety Initiative (PSI) serving as Hospital Liaison and Initial Consultant/Trainer, and Patient Safety expert; evaluated and impressed valuable repairs to the digital Quality Assurance Performance Improvement, Infection Control, and Discharge Planning Worksheets.

Pioneered and established the State of Florida Hospital Risk Management Program (RMP), developed interpretative guidelines aligned with federal and state requirements; supplied educational advisement to hospital providers on rules and regulations. The RMP consolidated complaint issues increasing Agency fiscal and staffing stewardship.

Orchestrated and administered state and federal surveys of medical facilities throughout Florida, including hospitals, psychiatric/behavioral health facilities, hospices, and ambulatory surgical center. Led investigations for licensure, federal certifications and patient complaints as required.

Leveraged expertise in Federally approved software platforms and extensive knowledge in multiple hospital software and electronic medical records.

Bolstered effectiveness of Agency operations mentoring goal direction and meeting performance expectations, authored case study coaching, highlighting real-world details of deficient practices and the measures taken to resolve them.

2005 to 2008: Avow Hospice, Naples, Florida

–Director of Hospice Education Management

Directed a team of interdisciplinary professionals, overseeing the development and administration of human resource development, education, and in-service programs for over 300 employees.

Engaged in extensive research into patient data to identify underperforming areas of client satisfaction, influencing the development of focused training materials.

Improved the onboarding process for new employees by implementing an evidence-based Quality Indicator Positive Project, yielding highly prepared personnel ready to accept the challenges of hospice operations with positive impacts on employee retention.

Served as an integral Education Director-member of the Quality Assurance Performance Improvement Committee, and Risk Management Committee formed to innovate and introduce quality improvement strategies that included clinical pathways to excellence. Point of Contact: Clinical Compliance.

Administered the organization’s Infection Control Program, Chair of the Infection Control Committee.

Created a digital platform and report system for infection categories, antibiotic reporting, interventions, isolation, trends, and liaison to the Department of Health.

Early Career

-Hospice Educator, Hope Hospice, Fort Myers, FL

-Director of Operations, Quality and Risk Management-Medicare Part B- Physician Practice Group Management, Holy Cross Hospital, Fort Lauderdale, FL

-Vice President Risk/Quality Management, Physician Management Practice, Right Choice, Physician Practice Management Group, Mount Sinai Hospital, Miami, FL

Education & Professional Development

Walden University College of Health Services 2018

Candidate for Doctor of Philosophy,

Doctorate in Public Health Policy

Nova Southeastern University 2008-2010

Master of Science Degree in Health Law

Certified Healthcare Compliance

Nova Southeastern University 2006-2008

Bachelor of Science Degree in Health Science

Risk Management Institute 1993

Health Care Risk Manager

Erie Community College 1978

Associate of Nursing Degree

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