*

Cynthia A. Cadwell RN ANP-BC CNS CPHQ

adhxqh@r.postjobfree.com

Cell 858-***-****

MODIFIED CV

Education

MS San Diego State University Adult/Geriatric NP & CNS acute/critical care 1998 BSN Regents College/ University of the State of New York 1995 ADN San Diego Community College

LPN Sacred Heart Hospital School of Practical Nursing in PA Specialized Clinical Internships

• Critical Care – 16 bed general ICU in 200 bed city hospital in Norristown, PA

• Psychiatric care – largest VA hospital in USA, San Diego, CA

• Maternity care – 2

nd

largest birthing center & high risk level nursery in USA, San Diego, CA

• Pediatric medical/surgical care – Children’s hospital in San Diego, CA

• Adult Surgical ICU – 16 bed general SICU in 400 bed hospital in San Diego, CA

• NP run extended care ward – excessively ill interim care unit, San Diego VAMC, 1996

• NP run CHF/chronic disease clinic – Scripps Clinic, San Diego, CA 1996

• NP @ indigent/homeless free clinic, St Vincent de Paul’s, downtown San Diego, CA 1997

• NP @ hospital based cardiology clinic (inpatients included) Scripps, San Diego, CA 1997

• CNS @ 10 bed SICU (CV and Trauma care) UCSD medical center, San Diego, CA 1998 Certifications Professional Membership

Adult Nurse Practitioner 1998 – 2003, current ANCC since 1998 Dept. of Trans. Medical Examiner current ACC Associate since 2003 NP Furnishing & DEA number current ENA since 2001

DOT UDS/BAT collector current AACN since 1980

BCLS & ACLS current Hawaii Assn Prof Nurses: since 2012 Acute Care Nurse Practitioner 1998 – 2003 ANA since 1984 Certified Professional in Healthcare Quality current SHSMD 2002 Lean Project Certified 2013

CCRN by AACN, 1985 - 1990

BCLS instructor by AHA, 1985 - 1988

ACLS instructor by AHA, 1985 – 1990

TNTL/ATLS, 1985-1990

Adjunctive Training and Development Programs Attended:

*Multiple Clinical Subject Matter Training programs attended routinely regarding current Evidenced Based Medicine & Quality: Focus Adult/Elderly - emphasis on CVD, chronic disease, Advanced Skin/Wound care Adv. Practice Pharmacology 2016 DOT Medical Examiner 2016 DOT UDS & BAT 2016 Suturing/Special Procedures 2016

CPHQ certification program 2008 PDCA cycles 2008 Scripps Quality Program 2008 Coaching Techniques 2003 Presentation Skills 2000 Training Techniques 1999 Social Styles 1997; 1999 North Carolina State and Premier Inc. Lean Certification program 2012–2013 Group/Team Development 2005 Lean-Six Sigma for Healthcare 2005 Team Success 2005 Strategic Selling 2001, 2005 Presentation Skills for Biotech 2005 Power Speaking 2000 DISC 1987, 1998; 2000, 2004 Seven Habits of Successful People/Managers 1998 Gung-Ho Customer Service 1998 Consultative Selling 2000 Targeted Selection Interviews 1999 E-commerce program tools 2007 Internet Sales and Marketing Strategies 2007 2

Recent Independent Contractor & Employment History: ENSIGN – MARCH 2020- PRESENT, SO. CA

• Provider of urgent, clinical care & direct case management of post-acute, elderly and custodial skilled nursing facility clients in Covid positive facilities, to improve clinical outcomes & reduce acute hosp. admissions during pandemic.

ALWAYS BEST CARE - DEC 2019 – MARCH 2020, SAN DIEGO, CA

• Director of Patient Care Services for small Home Health Services Agency. Oversight for all medical/clinical services, staff performance/care quality & assuring optimal performance metrics. CONCENTRA - SEPT TO OCT 2019, SAN DIEGO COUNTY, CA

• Provider of urgent care and occupational healthcare at various Concentra clinics throughout San Diego County. Certified Provider for DOT ME, Urine & BA testing. MDA – AUG 2016 TO PRESENT SAN DIEGO, CA

• Per diem provider of occupational health clinics at private employer worksites to ensure optimal health & economic outcomes for all staff. Certified DOT ME, Urine & BA testing. LHI – SEPT 2016 - PRESENT. SAN DIEGO, CA

• Provider of periodic health assessments, immunization & health education to military personnel & families; Mass clinics deliver on site care at military bases in CA & HI, to support optimal health

& disease prevention.

INTEGRATED HEALTHCARE ALLIANCE – AUG 2017-FEB 2018. SAN DIEGO, CA

• Provider of urgent, clinical care & direct case management of post-acute, elderly and custodial skilled nursing facility clients to improve clinical outcomes & reduce acute hosp. admissions.

• Primary medical care provider and resident nursing care consultant for staff to apply best practices and ensure current clinical guidelines are followed. WOUNDTECH - JAN-AUG 2017. SAN DIEGO, CA

• Provider of direct clinical skin care & case management to patients with extensive or chronic wounds to optimize clinical outcomes via use of specialized products & advanced techniques.

• Complete skin/wound management oversight with care coordination facilitated alongside PCP’s. ADVANCE HEALTH – NOV 2016 – JUN 2017. SAN DIEGO, CA

• Provider of comprehensive, annual H&P’s for homebound & extreme elderly to meet needs of both insurer and PCP’s from the field. Field application of primary care best practices & clinical guidelines education & recommendations.

YOH - JHU HEALTH/WELLNESS CENTER – MAY-AUG/2016. SAN DIEGO, CA

• Provider of urgent, clinical care & direct case management of injured and/or sick workers to improve clinical & economic outcomes. Facilitator of care coordination to ensure best practices & clinical guidelines application for occupational health.

• Coordinator and care delivery provider for pre-employment testing to meet all federal, state and corporate requirements associated with PepsiCo employment.

• Healthcare educator and co-collaborator for improving the overall health & wellness of the PepsiCo employees. Collaborating and communicating best practices to prevent both illnesses and injuries among employees, their families and the PepsiCo community at large. 3

Principal Consultant - Cadwell Consulting; Dec/2005 – PRESENT; San Diego, CA

*Specialized case management, Quality Leadership Roles, Business Development. NP Locum Tenens (Nov-2015 to Present)

PROTEUS DIGITAL HEALTH – MAR/2014 - NOV/2015. REDWOOD CITY, CA Regional Business Development/Customer Partnering Liaison – Southern CA Develop key regional partners for initial high-profile integration of disruptive, novel digital technology to improve cost effective outcomes through new insights from digitized medication taking behaviors

• Facilitating relationships with select CA Healthcare system executives to develop partnerships, integration strategies and care delivery models for the at risk, peri-acute population. Clinical goal

– reduced care confusion for patients and cost of care

• Collaborating on integration strategies to demonstrate clinical and economic outcomes, using Proteus mobile health technology, for improving patient engagement & medication taking behaviors. Clinical goal – reduced CVD mortality and morbidity in adults. PREMIER INC. & HMSA - MAY/2011 – DEC/2013. CHARLOTTE NC/HONOLULU HI Director of Performance Improvement for Advanced Hospital Care Program in Hawaii. Help lead state’s hospitals to top performance, via a commercial payer P4P program, using the Premier quality data products and QUEST cohort as a means of sharing methods for improvement.

• Facilitating culture change to performance improvement among hospital executive and board of director teams to impact employee engagement and patient care clinical outcomes.

• Organizing regional collaboration among quality leaders, for rapid adoption of best clinical practices in high care/high cost populations/diagnoses and to maximize impact on outcomes.

• Develop relationships and membership among all statewide acute care Quality Improvement teams to help usher in facility level initiatives to improve care. Promoting teamwork. HOSPITAL ASSN OF SAN DIEGO & IMPERIAL COUNTIES May/2010 – May/2011 VP of Quality and Performance Improvement

Lead Patient Safety initiatives throughout region in conjunction with the 38 hospitals’ executive and quality leadership.

• Facilitating Patient Safety Council’s reduction projects on sepsis mortality, hospital acquired infections and < 39 week elective deliveries. Marked, measured reductions occurred in each focus area.

• Hospital association liaison for county/community wide Health Information Exchange project. Initiator and project director for the Preventable Readmissions Network.

• Clinical quality representative and communication conduit for regional affiliates on state of California’s patient safety, clinical quality measures and regulatory committees and boards. Director of Quality, Sharp Metro Medical Campus, SAN DIEGO CA May/2009 - May/2010 Patient Safety Officer for 4 acute care hospitals: Sharp Memorial, Mary Birch women & neonates, Mesa Vista psych and Vista Pacifica drug rehab. Improvement facilitation included: Core Measures to top decile in all categories from below average, CA hospital ICU compliance improvement to over 91%. Increased quality variance follow-up dissemination to integration of new processes/methods throughout organization for sustained improvement. Modified physician peer review to more precise and meaningful specifications with significant physician leadership satisfaction and value acclaimed. Active clinical participatory ‘hands-on’ approach.

4

Quality Improvement Project Manager, Scripps Memorial Hosp. SAN DIEGO CA Dec/07–May/09. Areas of responsibility included: Emergency, Trauma, Critical Care and Cardiovascular programs. Identified clinical opportunities to improve care quality and program efficiency, ultimately reducing costs and improving resource utilization. Initiated and facilitated process improvement teams, including medical staff and other disciplines to research, develop, and monitor strategies and tactics to improve clinical care processes to a minimum of best practices. Awarded 1st place for Quality Improvement teams: Achieved 100% STEMI in < 90 minutes within 1 month (from 0%) and sustained for 1year.

Principal Consultant, Cadwell Consulting, Dec/2005 – Dec/2007; *Intermittent contracts (2008-2016) Providing Hospital and Medical Device Industry clients with results driven development plans for multiple business services including: service and product offerings, quality improvement, improved clinical & economic outcomes, measurable outcomes design and metric components, clinical research and process improvement protocols, improved patient flow, and advanced technology marketing plans. All service plans designed to maximize the effectiveness of professional and ancillary staff, and to reduce costs through process management and use of advanced technology. Business Partner- Senior Healthcare Management- Jun/2006 – Nov/2007; Board Member 2008 -2011 Privately owned and operated business providing seniors with top quality individualized clinical healthcare consultation, care management and coordination. Services include individual care planning across the continuum, from independent home care assistance to inpatient care collaboration, and direct consultation with all patient physicians. Customized patient care consultation and services are organized, provided, recommended and/or coordinated to optimize the adult’s health and independence to the most appropriate level. Substantially reduced costs through advocacy for and acquisition of appropriate technology.

Director, Healthcare Solutions, Biosite, Inc. (now Alere) May/2003 – Nov/2005 SAN DIEGO CA Designing, developing and implementing new and innovative strategies for health care administration customers to achieve improved clinical, operational and economic outcomes associated with high volume, high risk and high liability, ED populations. Also providing consultative expertise and services to internal customers, including Biosite’s consulting services, sales and marketing management, business development, R&D, discovery and national accounts management; External customers included VIP’s, Hospital Executives and Healthcare affiliated associations interested in methods and measures of quality of care and process improvement.

Managing Director of Sales Training, Biosite, Inc. (now Alere) May/2000 – May/2003: Designed, developed and implemented a clinically based sales training program with a special focus on consultative selling into the Cardiovascular disease management arena in accord with corporate initiatives and long term strategic plan. Facilitated comprehensive education plan for launch of first diagnostic blood test for HF (BNP) and first urine drug screen designed for use in the Emergency Department. Incorporated FDA, OSHA, JCAHO and GCP regulatory requirements into training programs designed for all field, research and corporate personnel. Designed and implemented multiple educational offerings for ongoing clinical education via webcasts, teleconferencing and other electronic media to facilitate understanding of product utility and the clinical and economic impact on healthcare systems. Clinical Savvy Program Director/Sr. Clinical Research Coordinator, Dec/1998-Jun/2000 SANTA CLARA CA Guidant Corporation (now Boston Scientific): Vascular Intervention Division (now Abbott) Dec/98–May/2000 Re-designed, then developed and implemented a CV disease focused clinical education curriculum for the Vascular Intervention division from its research and development facility and extended it throughout the organization to multiple sites worldwide. Established company-wide policies and competencies to achieve a ‘clinically savvy’ organization (100% compliance), which could optimally contribute to the treatment of CVD via clinically driven innovation and technology. Involved in clinical curriculum development for Clinical Research department, delivery of training, facilitation of sales training program, and national sales meeting speaker preparations. Clinical Nurse Specialist Sharp Chula Vista Medical Center May-Dec/1998 CHULA VISTA CA Providing leadership to ensure quality care; coordination and facilitation of optimal patient care in the critical care department of the leading heart center in the South Bay. Responsibilities included activities related to clinical expert/resource, educator, consultant/liaison and research/evaluator of practice, emphasizing incorporation of interdisciplinary approach for JCAHO standards. As the healthcare system’s Critical Care Policy and Procedure Committee chair, my charge was quality patient outcomes in a cost effective manner via developing, implementing, and evaluating best practices and standards of patient care. 5

Clinical Applications Specialist CardioDynamics International Corporation May/1997-May/1998 Multiple responsibilities in this start-up company included clinical assistance with research, research protocol development, sales support, product development, and customer and sales education. Assisted in clinical research design, data collection and analysis, and production of unregulated clinical studies for marketing purposes. Wrote and submitted multiple abstracts for scientific journal publications. Designed educational program for utilization of new, noninvasive hemodynamic monitoring technology for sales team. * Conducted Masters Thesis on the cardiac electrical impedance product, BioZ.

Clinical Applications Manager, Boston Scientific Corporation, (BSC) Boston, MA 1987-1997 Responsibilities included worldwide management and updates on current sales related clinical issues; development, production and coordination of all educational programs for users, clinical specialists, user-trainers, sales representatives, R&D and service personnel; Designed CME and CE approved programs for MD’s and RN’s. Primary Clinical Consultant to Product Management, Research and Development and Sales and Marketing teams. Established revenue stream for value added services and their competitive positioning. Designed customer acquisition strategy for disposable sales when capital equipment line discontinued for business divestiture. Invited guest speaker to multiple AACN NTI’s and to ASAIO’s national conference. Authored multiple peer reviewed publications, several by special request/invitation.

• Regional Sales Manager, BSC 1989-1992. In the Western Regional Manager’s role, responsibilities included managing the territory and sales activities of 7 distributor groups with 21 sales representatives and 4 part-time Clinical Specialists. Also designed and conducted global clinical sales training. Successfully grew the disposable business by 15% and capital equipment market share by 5%.

• Clinical Specialist to CV Sales Specialist BSC 1987-89. Originally hired to educate users and sales representatives on equipment. In six months, promoted to Sales Specialist, responsible for all capital equipment sales, clinical trials, and product evaluations west of the Mississippi. Worked with a direct sales force of 10 who had responsibilities for multiple Cardiac Cath Lab products. Increased market share from 3 – 10% in a mature market place with major competitor holding an 80% national market share and a very large one product dedicated sales force with dedicated clinical and service sales support team. Critical Care Clinical Educator

1985 – 1987 Sharp Memorial Hospital, San Diego, CA Assessed need for, developed, coordinated and implemented all educational programs for a six unit 500 nurse acute/critical care department with a cardiovascular and trauma care focus. Patient care units spanned ED and ICU to medical/surgical stepdown care and included the post anesthesia and cardiac cath lab areas. Responsibilities included case management, teaching plan development and implementation of departmental orientation program. Courses included computerized order entry and clinical information charting systems utilization, preceptor/internship program, CCRN review courses, ACLS and BCLS courses. Charged with development of research based policies and procedures, and evaluation of staff performance for maintenance and/or modifications of standards to reflect new research. Liaison to management. Chaired multiple committees. Clinical Nurse III

First CN III (clinical ladder) in facility. Extensive critical care practice in SICU, which utilized multiple cardiac assist devices for the high risk cardiovascular and transplant patients. Patient population also included level II trauma victims, pediatric cardiac surgical cases, and all general surgical ICU patients. Responsibilities included direct patient care, clinical resource activities, charge duties, trauma and transport nurse assignment, and educational activities. Early emphasis was on care of the critically ill, including pediatric and neonatal patients. Consultant

Educational consultant for program development, presentation in regional seminars for continuing education of health care professionals. Representative to multiple interdepartmental committees concerned with quality care and standardization. Assisted with start up of trauma, transport, MRI imaging and transplant programs. 6

Healthcare Associations and Hospital Committees

Cardiac Assist Device Code Blue Committee Critical Care Transport New Products Critical Care Symposia Trauma Team Leader Transplant Team BCLS ACLS Process Improvement

Critical Care Education Nursing Research Team New Employee Orientation Advanced Practice Nsg Qual/Perf Improvement Statewide Quality metrics Program Operation and Project Management Involvement:

• Organized and coordinated regional performance improvement forum for Hawaii hospitals involved in Premier Inc.’s QUEST (Clin. Qual. Impr.) cohort. Facilitated regular collaborative sessions for executive level strategy and director/manager level tactics on patient safety and best care quality. Transparent results along 5 dimensions of care, included mortality, readmission and harm reduction, increased evidence based care, patient satisfaction, and top to bottom staff engagement in quality care.

• Successfully led region in perinatal harm and early elective delivery reduction, sepsis mortality and hospital acquired infection reduction via Anthem Blue Cross grant. Established regional preventable readmissions reduction forum, aligning with the Health Information Exchange ‘Beacon’ grant (from ONC) to improve provider’s immediate access to critical patient information for optimal care.

• Designed and facilitated operation of a clinical and economical outcomes improvement process for Healthcare Administrators’ use in multiple high volume, high risk, high liability, and high cost CV patient populations, in accord with JCAHO’s new tracer methodology for quality improvement evaluation. (2004). Chest pain center accreditation resulted from successful application in 2 centers.

• Provided critical insight and assistance to business development and operation of ‘new to marketplace’ clinical products and services, including initial marketing and commercialization of real time IABP (1990’s), BNP testing (2000-05), digital medicines (2014) and clinical customer training programs, and associated clinical and economic outcomes measurement services for impact and sustainability.

• Designed and implemented a five phase, competency based, clinical sales training program (2000) for a small diagnostic medical device company, ultimately causing sales increase from $50 to $200 million dollars (US) over 3 years. Company ultimately sold with significant shareholder profit (Biosite/Alere).

• Re-designed, orchestrated and implemented a ‘clinical savvy’ program for the Guidant Vascular Intervention

(now Abbott) research and development facility in Santa Clara. Impact significant for innovation, customer loyalty, quality and regulatory processes and sales training. Compliance was 100% at all levels of training and development for this program.

• Facilitated implementation and training for the 1st CPOE to Sharp Healthcare, and 1st electronic clinical charting/EMR system, starting in the ICU’s. Facilitated the comprehensive e-charting/ordering educational program design and delivery. Collaborator to software design engineer (Clinicomp 1985) Clinical Research and Trials Project Involvement

• Primary Investigator and Publication Author: IABP - Investigation of various timing modalities and IABP equipment performance. 1996

• VAD - Investigation of the role of the IABP in combination with non-pulsatile ventricular assist devices in the ICU setting. 1996

• PI and Author for Master’s Thesis: Thoracic fluid contents correlation to pulmonary capillary wedge pressure. 1998

• Clinical Research Associate responsibilities for data collection, site monitoring and data management of the non-invasive monitoring comparison COST study 1998

• Clinical Trial Manager, second author for non-invasive monitoring reliability and reproducibility study on elderly CV rehabilitation patients 1998

• Sr. Clinical Research Coordinator: Angiogenesis, brachytherapy, peripheral and drug eluting stent efficacy 2000

• Internal Clinician Liaison for Clinical Affairs and Project Management Teams: Review, write and design protocols, CRF’s, Directions For Use and results analyses for product studies re: Biomarkers of disease states, and operational utility of products and associated processes. Designed, developed and insured proper training 7

for new product launch for user safety and regulatory compliance purposes 2005, including on B-Type Natriuretic Peptide.

National Association Conference Speaking Engagements: Premier Inc. Breakthroughs – Novel HC Improvement Leadership Strategy with Insurers 2013 AACN – American Association of Critical Care Nurses’ National Teaching Institute 1985-2005 AACN – American Association of Critical Care Nurses’ Advanced Practice Institute 2000-2003 ASAIO - American Society of Artificial Internal Organs Scientific Sessions 1990 ENA – Emergency Nurses Association Scientific Sessions 2000-2005 ENA – Emergency Association’s Leadership Conferences 2000-2005 Critical Care Management – Clinical Updates 1995-1999 AHRQ – Agency for Healthcare Research and Quality’s Translating Research into Practice 2003

• Multiple Hospital and Healthcare based training courses and speaking engagements - list extensive; focus CVD across the continuum, advances in technology and improving community health Publications

• "Management of the Patient on the IABP" 1988, 1990, 1992. Published by Boston Scientific Corporation

• Real Timing, chapter in Quaal "Comprehensive Intraaortic Balloon Counterpulsation" 2nd ed. Published 1993 by Mosby-Yearbook of St. Louis, MO.

• Letters to the Editor of Critical Care Nurse, 1994. Published by AACN.

• "Intraaortic Balloon Counterpulsation Timing: A Synthesis". July 1996 AJCC by AACN.

• "Clinical Observations with Real Timing" published Dec., 1996 in Crit Care Nurs Clinics of No Am by W. B. Saunders Company of Philadelphia, PA.

• Letters to the Editor of American Journal of Critical Care, Jan.., 1997. Pub. by AACN.

• “Correlation of Thoracic Fluid Index and Pulmonary Capillary Wedge Pressures” May, 1998. Master’s Thesis, San Diego State University Library

• “Triage BNP Test, Sales Training Manual”. Published by Biosite Inc. for internal sales training. Dec. 2000.

• Triage Drugs of Abuse, TOX Sales training manual. Published by Biosite Inc. for internal sales training Dec 2001

• Triage Cardio ProfilER Sales Training Manual. Published by Biosite Inc. for internal sales training, April 2003.

• Hospital Case Exemplar. San Diego Veterans Administration Hospital. Published by Biosite Inc. for marketing purposes. Nov 2004

• MPO (myeloperoxidase) use for clinical diagnostic testing. Research review editorial for informative advertisement use. Provided to Biosite Inc. for pre-approval marketing use in medical journals. May 2006

• Editor for all publications from the Patient Safety Council.org (2010-2011), a regional network associated with HASD&IC for patient safety in San Diego county.

• Author of quarterly executive summaries for the Advanced Hospital Care program, a statewide network of all hospitals in Hawaii providing care to non-military residents. (2011-2013) Volunteer Positions:

AACN: Practice Research Think Tank 1996

AACN: CE Article Review Panel 1996-1997

SDSU: Member of Board of Directors for Preschool Education 1996-1997 AACN: Grass Roots Advisory Team 1997- 1998

Educator for Children’s Liturgy, St Catherine LaBoure, San Diego, CA. 1997 through 2011 Weekly Religious Education, St Catherine LaBoure, San Diego, CA; 9th graders; 2006-2007 Language Academy Elementary School: Board of Directors/ VP Ways and Means 1998-1999 Amer. Heart Assn. Silicon Valley Walk Team Leader at Guidant 1999 Castro Elementary School: Parliamentarian, PTA Board 1999 - 2000 Assistant Director for Christmas Pageant, St Catherine LaBoure, San Diego, CA. 2000, 2001 Chair for Girl Scout Troop 3071 Cookie Sales 2002

Amer. Heart Assn. San Diego Walk Team Leader at Biosite 2002 Tecolote Bronco Division Padres Team Parent 2004 -2005 8

Volunteer Positions (continued):

Annual Community Health Fair: St. Mary Madeleine 2002 – 2005 Francis Parker Cheer Squad Team Parent 2006 -2007

Francis Parker Parent’s Association After Prom Chair and Annual Gala Volunteer 2006-2007 Border Safety Corridor Coalition – San Diego, CA 2006 -2007 Hawaii Assn of Professional Nurses: 1st Annual conference committee 2013; President 2013 Licensed for Advanced Practice Nursing in both California and Hawaii Additional Language proficiency in Spanish; Can read French, and limited conversational French References will be provided upon request

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