Nurse Practitioner, DNP, Nursing Leadership

Curriculum Vitae

Tanya Williams Brasher DNP, MSN, FNP-C, RN, LNHA

***** ** *** ** *

Hamilton, Alabama 35570

256-***-**** (cell)

**********@*****.***

National Provider Identifier: 163*******

Multi-State, compact RN License, Alabama

Education:

Post Master’s Family Nurse Practitioner Certificate; May 2019

Troy University; Montgomery, Alabama

American Academy of Nurse Practitioners Family Nurse Practitioner Board Certification; July 2019

Doctor of Nursing Practice, Health Care Administration Track; August 2016

Scholarly project: Exploring Reasons for Utilizing a Rural Emergency Department for Nonurgent Conditions; University of Alabama at Birmingham; Birmingham, AL

Master of Science in Nursing, Healthcare Administration; May 2002

University of Alabama at Huntsville; Huntsville, AL

Thesis: Determining appropriate admission criteria for the intensive care unit

Senior project: Development of a plan of care and discharge for the home ventilator patient

Bachelor of Science in Nursing; May 1997

University of North Alabama; Florence, AL

Senior project: The CHF patient’s perception and quality of life

Professional Experience:

September 2019 to Current

Family Nurse Practitioner; OUCH Urgent Care Clinic, PRN

Provides care that is patient and family centered, compassionate, appropriate, and effective for the promotion of health, prevention of illness and treatment of disease throughout the lifespan.

Facilitates consistent, coordinated care and clear communication among all members of the healthcare team.

Incorporates the patient and family in care planning and treatment across settings.

Serves as an advocate for patients and families in navigating the health care system.

Demonstrates knowledge of etiologies, risk factors, pathophysiology, presentation and epidemiology of medical conditions.

Performs history and physical assessments of patients that are accurate, complete, concise, relevant, and appropriate for age, gender and clinical problem.

Orders appropriate diagnostic studies and correctly interprets the results.

Utilizes critical thinking to synthesize and analyze collected data.

Develops, implements, evaluates and alters the plan of care as needed.

Manages general medical and surgical conditions based on knowledge of the indications, contraindications, side effects, interactions and adverse reactions of pharmacologic agents and other relevant treatment modalities.

Counsels and educates patients and families.

Demonstrates proficiency in procedural skills pertinent to practice area.

Maintains accurate, complete, concise, and timely documentation in the electronic medical record.

December 2019 to Current

Family Nurse Practitioner; MED PLUS Urgent Care Clinic, PRN

Provides care that is patient and family centered, compassionate, appropriate, and effective for the promotion of health, prevention of illness and treatment of disease throughout the lifespan.

Facilitates consistent, coordinated care and clear communication among all members of the healthcare team.

Incorporates the patient and family in care planning and treatment across settings.

Serves as an advocate for patients and families in navigating the health care system.

Demonstrates knowledge of etiologies, risk factors, pathophysiology, presentation and epidemiology of medical conditions.

Performs history and physical assessments of patients that are accurate, complete, concise, relevant, and appropriate for age, gender and clinical problem.

Orders appropriate diagnostic studies and correctly interprets the results.

Utilizes critical thinking to synthesize and analyze collected data.

Develops, implements, evaluates and alters the plan of care as needed.

Manages general medical and surgical conditions based on knowledge of the indications, contraindications, side effects, interactions and adverse reactions of pharmacologic agents and other relevant treatment modalities.

Counsels and educates patients and families.

Demonstrates proficiency in procedural skills pertinent to practice area.

Maintains accurate, complete, concise, and timely documentation in the electronic medical record.

May 2017 to Current

Program Manager, Nursing Faculty, Undergraduate Nursing; Western Governor’s University

Responsible for 22 Nurse Faculty daily operations, Program Mentors

Responsible for student success for approximately 3000 students and on-time-progress through BSNU program

Responsible for training of new Program Managers assigned to Senior Manager team

Responsible for Program Mentor interviews, recommendations for hiring, and annual evaluations

Develop and facilitate team initiatives that enhance student success in program

Responsible for student guidance in program enrollment and registration

Responsible for student satisfaction, and student academic progression

Aggregate and analyze team data to identify opportunities to improve student success

Disseminate Program Mentor individual and team data to identify and facilitate creation of individual development or team development actions.

Coaching Program Mentors and team to achieve team and individual team member goals

January 2017 to May 2017

Nursing Supervision, PRN, Registered Nurse; Russellville Hospital, Alabama

Responsible for daily staffing and patient care related to hospital operations

Responsible for chart review audits for CMS and Accreditation compliance

Responsible for fiscal management of hospital and corporate resources

Responsible for mock code staff training for ACLS and BLS protocol compliance

May 2016 to December 20, 2016

Nursing Faculty, Contract, Northwest Shoals Community College, Alabama

Responsible for clinical rotations for Registered Nurse or Licensed Practical Nurse curriculum

Assisted in development of new state plan of instruction curriculum

Facilitated clinical opportunities for assigned students twice a week

Responsible for student evaluation of clinical performance

Develop and disseminate teaching of nursing core competencies

Developed and administered content lectures in classroom setting for Psychiatric Nursing and Fundamental courses

March 2016 to May 2016:

The Joint Commission, Field Survey Accreditation Trainee; Chicago, Illinois

Hospital Survey Team for Deemed Status Accreditation

Responsible for competence of TJC compliance standards

Assessed clinical facilities with Team Leader to determine clinical standard compliance

December 2014 to March 2016:

Hospital and Nursing Home Administrator of 49 bed acute care hospital and 79 bed long term care and rehab facility. Licensed Nursing Home Administrator, Alabama.

Marion Regional Medical Center, Hamilton, Alabama

Responsible for financial, quality performance and operations for all 3 facilities including Rural Health Clinic (RHC), Hospital and Nursing Home.

Licensed Nursing Home Administrator in Alabama, License # 2047.

Responsible for approximately 300 employees, and approximately 30 direct reports

Responsible for ensuring an effective employee relations program.

Responsible for ensuring financial viability of Marion Regional Hospital and Nursing Home.

Responsible for general orientation opening session day monthly.

Responsible for ensuring the maintenance of high quality, effective and efficient operations of the facility.

Effectively reduced facility acquired wounds by 25% in 12-months in Nursing Home through implementation of Certified Wound Care Nurse and restorative wound care program.

Effectively achieved first ever- zero deficiency in nursing home as of September 2015 via ADPH state survey.

Effectively facilitate Continuous Readiness Program for Rural Health Clinic, Hospital, and Nursing Home Joint Commission and CMS surveys.

Facilitated numerous quality improvement projects resulting in numerous facility performance awards for both state and national facility recognition.

Effectively reduced facility financial loss by $3.5 million in first 8 months in Administrator role.

Facilitated hospital and nursing home publically reported data to at or above state and national averages for patient experience, quality, and reduction of harm indicators in 12 months in role.

Reduced worker’s compensation claims/cases for hospital and nursing home by 50% since 2014 by implementation of staff safety initiatives and improvement/replacement of safety medical devices in all facilities.

Facility achieved 100% on Infection Control NHSN compliance audit in Alabama in 2015, per ADPH.

Administrator second in facility to ICP with access to NHSN data entry program.

Achieved 99% compliance in 2014 with flu vaccination for 200 employees, an increase by 10% since 2014.

Reduced surgical site infections by 0.5% since fall, 2013 by increased infection control surveillance program and staff education.

Successfully achieved Joint Commission survey with zero findings for infection control, and employee health in triannual year 2013 (last survey). Survey resulted in 2 indirect findings in credentialing.

Completed APIC Epidemiology 101 course in Nashville, Tennessee in 2010

Increased surgical volumes with recruitment of specialty physicians to hospital by 25% since 2014.

Increased patient experience for all departments by 20% since 2014 by refocusing team on patient and family first initiative and strategies.

Med Mind University, Infection Control Surveillance Program; completed in fall of 2010 & 2012

Completed APIC Annual Education Conference in 2012, San Antonino, Texas

January 2012 to December 2014:

Director of Nursing for 49 bed Acute Care Hospital

Marion Regional Medical Center, Hamilton, Alabama.

Responsible for Surgery, Anesthesia, Outpatient Services, Acute Inpatient Care, Swing Bed, Case Management, Medical Staff Hospitalist Services, Joint Commission Accreditation, Quality, Infection Control/Employee Health, Risk, 5-bed Emergency Department, Nursing Home DON-interim for 2 months, Medical Records & Coding, 5 Physician & 3 Nurse Practitioner Provider Based- Rural Health Clinic inside hospital, and Medical Staff Services.

Facilitated and developed application and survey to achieve Malcolm Baldridge Award Winner for Hospital & System, 2012-2013.

Effectively developed and executes all quality core measure scores from 75% upon hire in 2012 to 100% compliance rate 2013.

Interim Director of Nursing at Marion Regional Nursing Home and Rehab, 79 Beds with 150 direct reporting staff, quarter 1& 2, 2013.

Sustained Patient Satisfaction for Inpatient Services to 90% median rate and rank of 90th percentile, as of April 2013 ranked 99th percentile in Press Ganey Inpatient System.

Actively recruited and hired 4 new PRN Hospitalist for 24/7 Hospitalist program, 2012- current.

Decreased Hospital Acquired Infections from 1.0% to less than 0.5%.

Achieved and Sustained Employee Satisfaction Survey to above 90% for all assigned departments above the National Norm for all survey indicators.

Responsible for resident care and oversight of 78 bed nursing home facility adjacent to hospital in 2012-summer 2013.

Improved nursing home care related to reducing falls, and other quality indicators on Casper report.

Achieved and sustained continued readiness and Joint Commission Accreditation, survey compliance achieved winter 2013.

Responsible for allocating and sustaining departmental budgets within company goals.

Responsible for direct report of 80 employees including performance evaluations.

Administers nursing program in hospital to maintain standards of patient care, and advises medical staff, department heads, and administrators in matters related to nursing service.

Recommends establishment or revision of policies and develops organizational structure and standards of performance.

Interprets policies and objectives of nursing service to staff and community groups.

Promotes working relationships with community agencies and with other establishment departments. Establishes personnel qualification requirements, drafts procedure manuals, initiates in-service programs, installs record and reporting system, and performs other personnel management tasks.

Evaluates effectiveness of nursing services in relation to their objectives and costs.

Assists nursing schools with curricular problems by providing in-services to students.

Assists to assess and determine needs of Medical Staff related to clinical support and clinic system.

Actively assists NMMS Clinic System with quality reporting and data mining.

Effectively implemented a computerized physician order entry (CPOE) informatics system, 2012.

December 2010 to January 2012:

Infection Control and Wound Care Nurse

Russellville Hospital, Russellville, Alabama.

Apply epidemiologic principles and statistical methods, including risk stratification to identify target population, analyze trends and risk factors and design and evaluate prevention and control strategies.

Conduct on-going surveillance using Center of Disease Control (CDC) infection criteria, documentation, and investigation of nosocomial infections through review of admission diagnoses, microbiology culture results, isolation orders, patient records, consultation requests, post-discharge surveillance, and autopsy findings.

Assess environmental control through surveillance of facility staff processes for infection prevention.

Conduct environmental rounds in all inpatient and outpatient care areas.

Participate in investigations of unusual outbreaks utilizing lab, CDC, and health department.

Accurately and appropriately complete hospital reporting to National Health and Surveillance Database (NHSN).

Evaluate the effectiveness of the surveillance plan and modify plan as necessary.

Report all in-house patients with communicable disease to the county and or state health department. Compile and interpret surveillance reports to the Infection Control Committee, specialty areas, and Executive Medical Committee on a regular basis.

Maintain regulatory compliance with national and regulatory bodies such as JCAHO, CDC, OSHA, and FDA.

Plan, organize, develop, and implement educational programs for all hospital employees including administrative and ancillary services which convey specialized knowledge and skills to increase employee awareness of existence of nosocomial infections; techniques for avoidance and preventative measures to provide a safe environment for hospital employees and staff.

Support current organization wide Patient Safety Program to ensure the safety of our patients and employees.

Educate staff to wound care best practices and evaluate effectiveness of wound care program.

November 2010, Fall Semester as needed:

Bevill State Adjunct Nursing Faculty, Contract; Hamilton & Fayette Campus, Alabama

Provides clinical instruction and demonstration of nursing skills and procedures to LPN and RN students.

Observes, evaluates and provides feedback to students’ return demonstration and skills and procedures.

Coordinates work with facility nurses and Education Department in the clinical setting.

Assigns patients to student care based on the clinical objectives of that particular session.

Evaluates and assesses student competencies.

Online teaching experience for Moodle and Blackboard/Canvas

Plans, reviews and corrects students’ clinical assignments

Plans and conducts students conferences, including mid-term and final grade reviews

January 2004 to December 2010:

Director of Performance Improvement, Infection Control, Case Management/Social Services, Best Start, Medical Staff Credentialing, Infection Control, Clinical Joint Commission Coordinator & CMS Survey Coordinator; Administration at Eliza Coffee Memorial Hospital; Florence, Alabama.

Actively worked with VHA Southeast survey team surveying VHA hospitals in Florida and Alabama with 30 surveys completed

Responsible for Ongoing Physician Performance Evaluation for over 300 active and affiliate medical staff members.

Independent consultant to Mobile Infirmary and Barbour Medical Center related to Joint Commission preparedness and clinical quality processes.

Responsible for the sustained compliance of all Board of Trustees and Administrative annual clinical and quality goals along with all Joint Commission and CMS regulations

Responsible for all performance improvement concurrent review and analysis of 4 core measure sets

Led organization to Top 10% in performance related to core measures

Led organization to Thompson Reuters Top 100 Hospital for three consecutive years

Responsible for hospital Case Management Department and appropriate medical necessity/status, achieved CURP score of >95% during tenure

Direct oversight of Case Management, Credentialing, Patient Safety, Best Start, Infection Control and Performance Improvement Employees

Direct oversight of all regulatory surveys, compliance with regulations, and improvement plans

Responsible for hospital Medicare Best Start Maternity Care Program.

Direct oversight of 4 counties contracted Best Start Program and 5 employees

Direct oversight report of 9 staff members including Department of Credentials and Performance Improvement

Direct oversight of Infection Control Practitioners including assisting with infection control at outpatient clinic facility

Led organization to “Excellence in Infection Control Rating” by Blue Cross Blue Shield of Alabama

Facilitator of organizational root cause analysis teams

Research and lead the development of clinical best practices with nursing and medical staff

Serve as member of Physician Performance Improvement Committee, Credentials Committee and Medical Executive Committee

Leader of Measurement Team responsible for the analysis and display of patient satisfaction data for organization and unit specific data

Leader of Anticoagulation Committee responsible for the safe medication maintenance and education of all anticoagulant drugs

Leader of Pneumonia Team responsible for the implementation and compliance of pneumonia care best practices and core measures

Management oversight of Performance Improvement Department with 8 employees who are responsible for collection, aggregation, analysis and public reporting of all Centers for Medicare and Medicaid, Joint Commission, and Blue Cross Blue Shield required data

Monitor, aggregate, analyze and lead organization to full compliance with safety and regulation requirements

Responsible for maintaining continued compliance with CMS and Joint Commission regulations

Responsible for the hospitals Emergency Transfer and Active Labor Act (EMTALA) quality review process

Resigned to accept another position.

December 2002 to December 2004:

Nurse Manager of Pulmonary Care Unit (38 Bed Unit)

Eliza Coffee Memorial Hospital, Florence, Alabama

Analyzed and managed patient care needs and staffing productivity

Managed capital and expenditure budget for 38 bed unit

Analyzed and formulated budget variance analysis reports

Delegated staffing, ordering of unit supplies, and patient safety monitoring tools

Interviewed and hired new employees

Instituted unit interview committees, allowing staff to interview and choose their co-workers

Developed tool to measure and monitor core measure indicators

Lead unit to 100% compliance in Pneumonia Core Measures for 24 months

Facilitated staff brainstorming sessions to develop and implement practices to improve unit core measures

Monitored, coached, and counseled staff related to inappropriate behavior, positive behavior, and attendance behaviors

Acknowledged and rewarded individual staff and team for improvements

November 2000 to December 2002:

RN Case Manager/Patient Care Coordinator; North Alabama and North Mississippi

Hospice South; Russellville and Hamilton, Alabama

Performed patient care case load of 30 end stage disease patients per week

Coordinated patient care needs and visits related to staff skill mix

Measured patient care acuities and productivity for 100 patient census hospice

Negotiated in-patient hospice care contracts with organization leaders

Proposed and developed hospice community education project for North Alabama division of Hospice South

Educated numerous community in-services in North Alabama and North Mississippi

November 2000 to December 2002:

RN Staff Nurse; Emergency Department

Marion Regional Medical Center; Hamilton, Alabama

Triaged patients related to care needs and acuity

Preceptor; trained and evaluated new employees

Performed patient care in 5 room emergency department

Delegated patient care assignments to on coming shift

Coordinated staffing related to productivity and patient acuity

August 1997 to November 2000:

RN Staff/Charge Nurse; Acute Cardiac Care Unit

Druid City Hospital; Tuscaloosa, Alabama

Performed patient care in 20 bed, cardiac critical care unit

Coordinated staffing related to productivity and patient acuity

Coordinated bed placement for cardiac patients

Delegated patient care needs to appropriate skill mix staff

Preceptor; trained and evaluated new RN employees and nursing graduates

Computer Skills

MS Excel

Provider Modules, Athena Net

Canvas & Blackboard Learning Modules

Sales Force

MS Access

Mentor Force, Cognos, ADP & Taskstream

MS Word

NHSN

Net-Learning Administrator

Meditech Patient Client Server

MS PowerPoint

MS Publisher

Med Mined Database for Infection Control and NHSN

Awards, Certifications, and Continuing Education

Sigma Theta Tau Nursing Honor Society member, Western Governor’s University, 2017.

Registered Nurse Multi-State/Compact License, renewal: December 2021.

Active Licensed Nursing Home Administrator, State of Alabama; September 2015- current (Renewal: September 2022).

Recipient of University of Alabama in Birmingham, DNP Student Excellence Award, summer 2017.

Contact this candidate