Medical Staff Quality Assurance

R I CHARD HACKETT

410-***-**** ************@*****.***

DIRECTOR, MEDICAL AFFAIRS

University of Maryland Medical System (June 2006 - February 2025) Responsible for the credentialing and recredentialing of over 1,450 medical staff members Coordinated the clinical rotations of residents, fellows, and medical students from various medical schools

Responsible for all issues / complaints regarding entire medical staff, from both staff and patients Responsible for Joint Commission / CMS regulations involving the medical staff Prepared agendas for monthly Credentials Committee, Medical Executive Committee, and Board Quality Committee meetings

Responsible for the entire Continuing Education Committee, which included weekly conferences and certification through MedChi

Responsible for all FPPE and OPPEs of entire medical staff, including all affiliate staff, CRNPs, PAs, CNAs, RNFAs, Clinical Pharmacists, and CRNAs

Responsible for overseeing and administering an annual budget of over $2 million P R O F E S S I O N A L S U M M A R Y

Experienced Director of Medical Affairs with a successful track record at two major community hospitals in the Washington, D.C. and Baltimore areas. Expertise in strategic planning, partnership development, and operational management, with a proven ability to build high-performance teams and foster cross- functional collaboration. Adept at driving continuous improvement initiatives across various departments, leading to increased staff retention, operational efficiency, and overall medical staff satisfaction. An experienced critical care registered nurse, who therefore possesses the unique ability to discuss detailed clinical concerns with medical staff members. Strong communicator and dynamic leader, skilled in motivating diverse teams to achieve institutional goals. Committed to promoting a culture of excellence, financial stability, and care within healthcare organizations. K E Y S K I L L S

W O R K H I S T O R Y

Partnership Development

Verbal and Written Communication

Strong Interpersonal Skills

Conflict Resolution

Operations Management

Large-Scale GME Program Coordination

Strategic Planning & Execution

High-Stakes Decision Making

Regulatory Compliance & Policy Adherence

Highly experienced critical care RN

P A G E 1 O F 3

QUALITY ASSURANCE COORDINATOR

Washington Adventist Hospital (September 1994 - September 2006) Responsible for all Quality Activities in the Departments of Surgery and Anesthesiology Evaluated accuracy of existing quality assurance measurement techniques, implementing improvements to increase efficacy and reduce errors.

Conducted regular audits to identify areas of improvement, and designed and executed strategic initiatives to make those improvements

Served as a trusted advisor to senior management on matters related to quality assurance, contributing valuable insights that informed strategic decision-making processes NURSE MANAGER, CRITICAL CARE / CARDIAC CATH LAB REGISTERED NURSE Washington Adventist Hospital (June 1988 - June 1994) Responsible for running the evening shift of a 25 bed post cardiac catheterization lab, with an average of 40 procedures per day

Led staff meetings to keep team informed of departmental changes and provide opportunities for nurses to share ideas and concerns

Conducted performance evaluations and provided constructive feedback to support professional growth of nursing staff members

Trained new nurses in proper technique, care standards, operational procedures, and safety protocols Managed budgets and controlled costs, achieving financial targets without compromising patient care quality

Collaborating with interdisciplinary teams to develop individualized care plans for patients with complex needs

P A G E 2 O F 3

DIRECTOR, MEDICAL AFFAIRS

Washington Adventist Hospital (September 1995 - June 2006) Responsible for the credentialing and recredentialing of over 1,200 medical staff members Acted as liaison between the CEO and Medical Staff leadership Responsible for the Health Information Management program Responsible for the Institutional Review Board, which included all research being done at the facility Responsible for all regulatory inspections involving the Medical Staff, HIM, and hospital research Educated and trained all new medical staff leadership across various positions Responsible for all risk management issues pertaining to any member of the Medical Staff Responsible for monthly Credentials, Medical Executive, and Board Meetings MEDICAL TECHNOLOGIST

U.S. Naval Hospital, Bethesda & U.S. Naval Hospital, Rota, Spain

(September 1984 - September 1989)

Responsible for United States Naval Hospitals' blood bank, working as the night supervisor Followed laboratory protocols for specimen processing, analysis, and results reporting Contributed to the overall success of the laboratory by maintaining a positive attitude and demonstrating strong teamwork skills

Analyzed laboratory findings to check accuracy of results Enhanced patient care by accurately performing and interpreting laboratory tests in hematology, chemistry, microbiology, and blood bank departments Assisted in the training and mentorship of new medical technologists Reduced turnaround time for test results by efficiently processing specimens and maintaining optimal instrument performance

E D U C A T I O N

Bachelor of Science, George Washington University

Medical Technology (graduated May 1985)

Associate of Science, Montgomery College

Nursing (graduated May 1988)

C E R T I F I C A T I O N S

CPMSM

CPCS

RN

M I L I T A R Y S E R V I C E

Hospital Corpsman, United States Navy

Bethesda, MD and Rota, Spain

September 1 st, 1979 - September 1 st, 1989

P A G E 3 O F 3

U.S. NAVAL HOSPITAL CORPSMAN

U.S. Naval Hospital, Bethesda (September 1979 - September 1984) Trained as a hospital corpsman in the neurosurgical critical care unit at the largest military hospital in the world

Maintained detailed records of patients’ medical histories, exam findings, and treatment plans to facilitate efficient communication among healthcare team members Monitored and documented vital signs, including temperature, pulse, and blood pressure, to assess patient condition

Assisted in medical examinations, treatments, and procedures for diverse conditions and patient populations

Rendered emergency medical treatment and administered immunization programs Conducted physical exams and interviews in a caring and professional manner, in order to gain medical history and relevant health data

Contact this candidate