Independent Consultant Division Chief

Jeffrey D. Hayes

**** * ******** *** ***********, IL 62704 admwyf@r.postjobfree.com 217-***-****

Professional Experience

Quality Improvement Coordinator, Illinois Department of Public Health – Springfield, IL (December 2020 - Present)

Quality improvement Coordinator for the Office of Performance Management. Lead the quality improvement council and responsible for quality improvement initiatives across the entire agency. Works on defining and measuring performance improvement metrics across each division in cooperation with leaders and staff from each division. Responsible for leading the accreditation initiatives for the agency.

Assistant Division Chief, Illinois Department of Public Health – Springfield, IL (March 2020 –December 2020)

Assistant Division Chief for the Office of Healthcare Regulation. Oversaw operations for the healthcare facilities and programs division with guidance and assistance regarding COVID related questions, issues, and operations. Assisted with guidance for field hospital requirements across the state. Oversaw licensure division for the state.

Project Manager, Illinois State Board of Education – Springfield, IL (July 2019 – March 2020)

Project manager at the Illinois State Board of Education. Projects cover all aspects of support services to each division of the agency. Project management experience with Agile, Waterfall, and Lean/Six Sigma methodologies.

Principal Consultant, J. Hayes Consulting – Springfield, IL (September 2018 – current)

Independent consultant with quality and performance improvement specialties, focused on improving outcomes in healthcare through training and education. Specific areas include Lean, Six Sigma, quality, safety, and performance improvement training. Contracted to Hopedale Hospital through the Aureus Group from March 2019 through June 2019.

Executive Director, Quality Improvement, Hospital Sisters Health System – Central Illinois Division – Springfield, IL (May 2015 – July 2018)

Lead the Quality Improvement and Assurance for the four Central Illinois Division hospitals for HSHS. Responsible for the QI programs at each facility and ensuring compliance and regulatory guidelines are met regarding QI. Work with the Quality leads at each facility to plan and implement changes and goals around opportunities that exist. Help identify and implement best practices across the division and system and work to standardize approaches to quality and safety goals and initiatives. Plan, prepare and execute plans associated with Joint Commission and DNV Accreditation for four hospitals. Plan, Assess and Analyze current VBP incentives at each facility and work to ensure processes and strategic plans align with metrics to avoid penalties.

Key Achievements:

·IHA Innovation Challenge Award: Multidisciplinary Approach to Reducing C. difficile infection in a Tertiary Care Hospital

·IHA Quality Award: Outstanding Achievement Reducing Surgical Scope Repair Costs by 54% Using Lean Improvements

·Improved Value Based Purchasing Performance across the division to zero penalty in 3 years

·Joint Commission Re-Accreditation achieved at 3 of 4 hospitals, the 4th achieved DNV accreditation.

·Surgical Site Infection reduction at St. John’s Hospital 0f 70% in a 2-year period

·Clostridium difficile reduction of 78% in 2-year period at St. John’s Hospital; 60% reduction at St. Mary’s Hospital

·2 years free of infections at 2 of the 4 Central Illinois Division Hospitals

Director, Quality and Accreditation, Southern Illinois University Healthcare – Springfield, IL (July 2013 – May 2015)

Lead the Quality and Accreditation efforts for the Southern Illinois University Healthcare (SIUHC) practice. Work with each of the seven divisions of SIUHC to address quality related issues in their scope of practice and address them through process improvement. Assist division leaders with strategic plans associated with quality measures that are best practice related to their specialty. Address quality education within healthcare through classes and workgroups. Work with divisions who are targeting specialty specific accreditation and certification related to their scope of practice – SCOPE, QOPI, etc. Work with the practice to attain Joint Commission accreditation. Write and direct the strategic plan for the practice regarding Quality – special emphasis on measurement systems within quality to ensure progress is tracked and measured throughout the system. Plan, develop, and implement Quality training on Lean Six Sigma methodologies for process improvement within SIUHC.

Presentations/Awards:

·Speaking Faculty at the Medical Group Management Association (MGMA) Annual Conference – Thirty Quality Benchmarking Tips - 2014

Project Leader, Operations Improvement, Memorial Health System – Springfield, IL (August 2010 – June 2012)

Internal Lean Six Sigma expert dedicated to leading and supporting Lean Six Sigma projects across the organization, as well as ensuring alignment of projects to system goals and objectives. Perform high level analysis on projects and potential projects to understand risk, cost, and impact of those projects on the health system. Lead assigned projects and project teams through the Lean Six Sigma methodology related to improving processes through decreasing variation, cost and cycle times; enhancing safety and identifying and promoting evidenced based operation and clinical performance. Assist organizational leaders with the prioritization of opportunities to achieve performance excellence through the reduction or elimination of process and outcome variation. Seeks opportunities to utilize and coach individuals in the use of quality improvement methodologies and safety tools and techniques. Define competitive repositioning opportunities at the system-wide, core-process level and redesign operations to deliver new and improved services. Designed, implemented and facilitates Lean Six Sigma White Belt education throughout the Health System. Serve as a member of the PACE team for MHS performing duties related to monthly audits of various units to verify compliance with regulatory standards.

Key Projects:

·Implementation of Rapid Clinical Exam structure to reduce Non-Admit LOS in the Emergency Department

·Improved throughput and decreased delays for Special Procedures Area

·Reduction in Medicaid Eligible Self Pay patients in the Emergency Department

·Improved Direct Admit process for outside transfers

Presentations/Awards:

·Speaking Faculty Speaking Faculty at the 6th Annual Leadership Summit on Process Improvement in Health Care - 2012

·Speaking Faculty at The World Congress 11th Annual Leadership Summit on Patient Flow Optimization Conference - 2012

Manager - Patient Access Services (PAS), Memorial Medical Center – Springfield, IL (January 2007 – August 2010)

Manager of registration for all inpatient and outpatient areas of Memorial Medical Center, overseeing an average of 65 employees working all shifts. Responsibilities include hiring, education, training, retention, and mentoring employees. In addition, this position requires effective partnering with all business units within the hospital to provide the best care and service for every patient.

·Cut department turnover rate in half, from over 50% to approximately 25%, within first year

·Spearheaded the implementation of bedside registration direct admit procedures to improve throughput and patient satisfaction for admittance via ambulance

·Improved Point of Service collections for the ER and KMEC in first year to account for nearly 64% of overall PAS collections

·Overall PAS collections increased by 27% in two years

·Chair of career development team within PAS – implemented newly developed career ladder for all employees to increase engagement and accountability

Adjunct Faculty, Benedictine University – Springfield, IL (June 2010 – November 2018)

Serves as adjunct faculty for undergraduate and graduate level programs at Benedictine University. Classes taught include Computer Science, Operations Management, Business Management, and Organization Development. Primary focus is on Operations Management and integrating students’ current work into class materials while using application of idea and principles into the curriculum.

Educational Background

·Master of Business Administration – Benedictine University, Springfield, IL

Healthcare Administration Concentration 11/2008

Organizational Leadership Concentration 11/2007

·Bachelor of Science – Mac Murray College, Jacksonville, IL

Biology Major 05/2002

Certifications

Lean Six Sigma Black Belt - Certified - February 2012

Lean Six Sigma Green Belt - Certified - July 2010

Professional Organizations

American Society for Quality, Member

Medical Group Management Association, Member

American College of Healthcare Executives, Member

National Association of Healthcare Quality, Member

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