Bettina Cotton-Gibson

Healthcare Consultant Registered Nurse

Winfield, IL 630-***-**** adyrq3@r.postjobfree.com LinkedIn Profile

PROFILE

Accomplished Healthcare Consultant with 20+ years’ experience in population health management, data analytics, clinical transformation and C-level relationships. Drives teams toward top level corporate objectives for clinical outcomes through the application of IT, capably managing change, and delivering within budgets and deadlines. Led Case Management, Utilization Review, Discharge Planning & PHO development for 2 healthcare systems. Secures customer satisfaction and references for clinical and technical staff, leveraging core strengths and relationships to gain market share.

CORE COMPETENCIES

Healthcare Operations Health Information Systems (HIS) Data Analysis & Informatics

Policy Development Electronic Records (EMR/EHR) Quality Management

Business Analysis Case Management Team Leadership & Development

Managed Care Healthcare Management Strategy Development

Budget Management Stakeholder Management Vendor Management

Regulatory Compliance (HIPAA) Veterans Affairs Process Optimization

IT: MS Office & Visio; Siemens Invision, Sorian and Med Series 4; Meditech; Oasis; McKesson Midas CPRS; VistaWeb; Real Time Location System (RTLS); Application Lifecycle Management (ALM); Health Information Exchange (HIE); Accountable Care Organization (ACO); Clinical Data Repositories; Computerized Provider Order Entry (CPOE)

EXPERIENCE

THE CHRONICLES GROUP LTD - Winfield, IL: CEO/President 09/2020 - present

Leveraged 7+ years’ experience working with Veteran’s Health Administration to launch a consultancy, developing business strategy, providing staffing for projects to expand client bandwidth

Assisted clients with development of IT plans with Electronic Medical Records

Advised clients with Process Improvement initiatives to improve efficiency

PERSPECTA (US PUBLIC SECTOR DIVISION) - Remote/WFH

Senior Healthcare Business Analyst - Health Concourse Design Team 09/2013 - 09/2020

SME for digital prototype development for clinical dashboards to connect multiple clinical vendors and systems, aggregate data, and present care across the continuum including home devices, all in one place

Developed dashboards for C-Suite, Physicians and Case Managers, and use-case scenarios for chronic diseases to be tracked; made presentations at trade shows and developed disease management protocols

Senior Business Analyst - Program Management Office - Real Time Location System (RTLS)

SME for the Sterile Processing module and back-up SME for Temperature Monitoring and Cath Lab; delegated workgroups to perform gap analysis at all VAMCs nationally to develop current/future state workflows

Reviewed and standardized processes to improve efficiency and facilitated cross-disciplinary meetings for task implementation, training and national schedule roll-out

Defined contract requirements and Statements of Work (SOW) nationally, funnelling to regional level.

Implemented process to decrease data approval turn-around from 6 months to 4 weeks

Tracked, maintained and base-lined data and users in the Application Lifecycle Management System

Reviewed and followed up testing defects and communicated to national committees on resolutions

Facilitated a bi-weekly national committee meeting and other ad-hoc meetings for Sterile Processing

Developed and uploaded a data collection template based on internal and external customer feedback

Senior Business Analyst - Virtual Lifetime Electronic Medical Record (VLER)

Headed implementation of VLER for Department of Defense and Veterans Affairs Medical Centers (VAMC) in Veterans Integrated Service Networks (VISNs) 11 & 12

Developed process and tools documents to be utilized at client sites to facilitate a smooth implementation

Met with VISN and VAMC Leadership Teams monthly to report on progress in each region and facility

Wrote proposals for new projects, presenting to HP team on services offered and needed at client sites, and presenting to the Senate Veterans Affairs Committee in 2014

Developed a presentation on Population Health Management and the Importance of a Robust HIE” for HP

Made numerous presentations on the importance of clinical data in managing outcomes for HP, DOD & VA

Championed predictive analytics and presented on the definition of an Accountable Care OrganiZation

Received MHVA “Rock Star” and “Leading the Way” Awards in 2015 for passionate customer advocacy

PRESENCE HEALTH CARE - Des Plaines, IL: Clinical Informatics Consultant (Contract) Medix IT 09/2012 - 09/2013

Facilitated build out of Health Information Exchange (HIE) for Accountable Care Organization (ACO) with 12 hospitals, 1 long-term acute care unit, 7 nursing homes and 2 physician groups, totalling 900+

Mapped data from McKesson, Meditech and Epic to Mirth results, testing quality and developing use case, managing eMPI resolution and Clinical Informatics team

Developed dashboard metrics for KPI definition for Member Services, Case Management, Quality, Claims & IT

Worked with all vendors affected by the clinical data repository (CDR)

Monitored and reported daily on census, and summarised patients per physician and speciality monthly

Key Contact for Medicare/Medicaid for PHP, responsible for writing RFPs and selecting vendors

Worked with multiple vendors and departments on build out of HIE and negotiated file development formats

Mapped eMPI data from Epic, Medtech, McKesson & Physician EMRs to the Clinical Data Repository

VANGUARD HEALTH SYSTEMS - Chicago, IL

Director of Case Management, Chicago Market 12/2011 - 08/2012

Oversaw Case Management at the 4 hospitals and participated in all utilization management committees; gathered and disseminated data to senior hospital management and market office, developed physician report cards, and trained Case Managers and Physician Advisors on InterQual criteria and Midas

Addressed market changes, bundled payment initiatives and full risk capitation contracts for 2013 market

Managed RAC compliance, CMS requirements and denial management, developing and tracking QA metrics related to clinical outcomes and day to day operations

Standardized policies and procedures across the market and realigned resources to improve efficiency

Developed multi-disciplinary huddles on all clinical units and headed UM Committee at all hospitals

Delivered an 8% increase in discharges, and a 0.5% decrease in length of stay

Clinical Informatics Specialist, Chicago Market 12/2009 - 12/2011

Worked with physicians to develop order sets for CPOE for Inpatient (HEO) and the ED (HEC); served on Informatics Committees for all market hospitals to identify and discuss key processes needing refinement/change to enhance EMR efficiency, improve adoption of order sets, and minimize change requests

Trained super users and worked with an analyst to ensure correct translation of orders during build

Documented current state vs future state of IT and related business processes

Developed policies and formed committees for order set development and change management

Provided current/future state gap analysis and built orders in Zynx for conversion to McKesson

MANAGED CARE STAFFERS - Park Ridge, IL: Case Manager (Contract) 09/2008 - 12/2009

Delivered utilisation reviews, case management and discharge planning services for clients with staffing needs

Liaised with payors on admission/continued stay criteria and contracted vendor data for discharge

Communicated with physicians and other disciplines on rounds, regarding patient stay and discharge needs

LYNX MEDICAL SYSTEMS - Chicago, IL: Sales Manager - Midwest Region 01/2006 - 08/2007

Cultivated critical relationships with senior healthcare providers across 10 states

Met and exceeded goals through pitches, presentations, client visits and trade show demonstrations

Championed utilization of a Case Manager to drive projects, leveraging healthcare and product knowledge

EARLIER ROLES

CEO: Cotton Group; Senior Consultant/Sales Exec: Siemens; Case Management Director: Columbia HCA; Director of PHO/Care Continuity: Advocate Health Care; Senior Claims Specialist: MetLife Property & Liability; Case Mgr: Blue Cross/Shield; Staff Nurse: Rush Presbyterian St Luke’s, Cook County Hospital, Children’s Memorial Hospital

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