TERRI MILAZZO Birmingham, AL ***** 205-***-**** adl2ou@r.postjobfree.com www.linkedin.com/in/terri-t-milazzo

Quality, Data Management

Experienced Director, Clinical Quality Improvement with a wealth of experience in the hospital industry. A leader with proven expertise in: Clinical and hospital operations, quality improvement initiatives resulting in positive patient outcomes, continuous regulatory compliance, physician and employee engagement, staff development and retention,

Collaborated with Stroke team in the development of Stroke program with successful TJC Accreditation of Primary Stroke Center in 2012. Princeton was the first hospital in the Birmingham area that obtained this recognition. 2019 GWTG Gold Level Plus recognition of stroke program. Target Elite Stroke recognition by AHA/GWTG. By conducting Failure Mode and Effects Analysis, reduced door to needle time for Alteplase by 24%; increased percent of patients receiving Alteplase 60 minutes by 31% and 45 minutes by 46%.

Fall 2019 LeapFrog Hospital Safety Score A

2019 - Princeton recognized by US News and World Report as second best hospital in Birmingham and third best in Alabama

Realized a 50% reduction in Catheter Associated Urinary Tract Infections, and 61% reduction in Clostridrium Difficile infections.

Consistently received 5/5 on employee satisfaction surveys in regarding leadership, fairness, and engagement.

Based on success as Quality Director, my role was expanded to include responsibility for Infection Prevention and Medical Staff Services in 2014.

SKILLS

Clinical Quality Improvement Accreditation & Regulatory Compliance Patient Safety Initiatives

TJC & CMS Quality Metrics High-Quality Customer Service Reporting & Analysis Productivity Improvements

Process Improvement Techniques Microsoft Office Databases & Registries

PROFESSIONAL EXPERIENCE

Princeton Baptist Medical Center – Birmingham, AL Director Clinical Quality Improvement, 12/2007 to 12/2019

»Provided leadership and oversight of ten employees in Quality Management, Infection Prevention and Medical Staff Credentialing departments. Developed and maintained expense budget.

»Liaison to administration, medical staff, hospital staff and external agencies relative to Quality Management, Infection Prevention and Medical Staff Credentialing departments.

»Developed and coordinated systems (computerized and non-computerized) for monitoring quality of care and identified opportunities for improvement

»Facilitated establishment, design and implementation of performance improvement activities ensuring compliance with evidenced based practices

»Developed the appropriate infrastructure to support continual readiness for TJC survey. Facilitated, organization, physician and employee education to promote knowledge of clinical standards

»Facilitated development and implementation of policies and procedures for the Primary Stroke Center. Collaborated with the Medical Director and Nursing Directors in carrying out the educational, clinical, administrative and outreach activities of the stroke program

»Performed gap analysis of key performance best practices to identify strengths and opportunities and reported to Brookwood Baptist Health System Board, hospital and medical staff leaders. Participate in Alabama Hospital Association Quality Task Force.

»Consistently worked with frontline staff to improve patient outcomes and other improvement opportunities

»Established and maintained productive working relationships with hospital and medical staff to resolve operational difficulties and to promote interdisciplinary, collaborative approach to customer service

Princeton Baptist Medical Center – Birmingham, AL Director, Quality/Case Management, 06/2002 to 12/2007

»Dual role as Quality and Case Management department leader; including utilization management, clinical documentation, care facilitation, discharge planning and social work functions

»Reviewed and analyzed length of staff patterns by physician and/or payer to identify opportunities and decreased length of stay by .5 day.

»Implemented electronic referral program for post-acute care organizations to facilitate timely transition through the continuum of care.

Other: Princeton Baptist Medical Center Director, Quality Management, (1994-2002) Assistant Director, Medical Records, (1988-1994)

EDUCATION & CERTIFICATIONS

Bachelor of Science: Medical Record Science University of Alabama in Birmingham - Birmingham, AL

Certified Professional in Healthcare Quality – 1997

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