Clinical Quality Part-Time
Resume:
Martha Aggazio
Allison Park, PA 15101
H: 412-***-****
o C: 412-***-****
Professional Objectives Served
Licensed RN in the State of Pennsylvania
Facilitator of Patient Centric Services and Clinical Quality Improvements Advocate of Highmark /AHN Core Behaviors
Served Leadership Role in Healthcare Education and Manager of Clinical Quality Metrics/ HCAPHS Scores/NDNQI
Effectively Monitored and Guided Process Improvements for all Phases of Patient Satisfaction and Healthcare Advocacy Programs
Core Measures and Team Leader for Clinical Care Initiatives for Complex Medical Management Organizational Leadership Graduate Capstone Project for Prominent Community Hospital: Topic: Motivational Interviewing and Patient Satisfaction HCAPHS Scores Professional Contributions
● Strong commitment to organizational mission and values through daily communications with team members, patient and family, insurance providers
● Organizational standards and department compliances.
● Provides services as a key role model and servant in the development and implementation of strategic health plans and promotions for department.
● Clinical Lead improved Patient Safety Measures by Hospital Wide Service Review and improvement methods pilots and New Process Implementation (Patient Safety and Patient Education methods and Scores increased monthly from 15 to 30% monthly)
Nursing Leadership Healthcare Administration Staff Development Member Relations Quality Assurance Compliance Measures and Audit Team Membership Clinical Operations Program Management PROFESSIONAL WORK HISTORY
July 2019 to December 29th 2023
Quality Improvement Coordinator
PA Health and Wellness
State report review for waiver program recipients
Investigation of State reports of members health care coordination. Investigation and collaboration of MCO provider of member care services and supplies. Investigation of Protective Services for member safety, medical and psychological and social care.
August 2018 –February 2019
Manager of Clinical Quality and Patient Experience Allegheny General Hospital Pittsburgh, Pa. Manager of 5 Quality Lean Coaches: Inpatient Unit Based Process Improvement Teams supportive to delivery of Nursing Care and Equipment Improvements. Survey Nurse Sensitive Indicators/Metrics for HCAPH Scores/Purposeful Hourly Rounding Schedule Routine Communications Methods with Unit Directors and Nurse Educators the Department Metrics and Identify Gaps and Barriers to Patient Satisfaction Scores and Nurse Sensitive Metrics
Applaud Success of Nursing Unit Patient Care Services and Educate the Successful Methods to other Nursing Units
Monitor and Communicate All Metric Values and plans for improvements to Senior Leadership Present Clinical Quality and Safety Education to Nurse Residency Program Gateway Health Plan: RN Utilizations Management
Pittsburgh, Pa. 2015- August 2018
● Daily reviewer of Homecare service requests for Medicare and Medicare Commercial product deliverable
● Review and Approve Clinical Documentation for authorized homecare services
● Primary communicator of process deliverables in a team collaboration in support of processing of insured deliverables and best practices.
Maxim Staffing/GI Clinic RN : Allegheny Center for Digestive Health Pittsburgh, Pa. 2015
● Review all patient EPIC system documentations, medications, treatment plans and patient education directives. Follow up all client care needs and education.
● Lead Weekly Scheduled Patient Clinic with Gastrointestinal Specialist Physician for follow up plan of care and treatment plans for Digestive specialty drug and diagnosis treatments.
● Medication management and diagnostic testing education and scheduling, test results review and all communications
● Patient office call management/education/test results review/testing programs/reorder of medications/medication symptom evaluation and communications with physician
● Physician and Nurse communications coordination
● Department communicator of plan of care and team focus for all clinical care
● Flexible coordinator for all department scheduling of all customer services and professional department needs
Director of Resident Care Services Operations and Staff Development Staff Education: Integracare Corporation
Wexford, Pa. 2014
● Leader in Staff Education and Monitoring Licensing of Community Compliances for Resident Elder Care with Quality
● Follow DPW regulations and Quality Initiative for PCH Licensing Renewal and Corporate Resident Care Policy Management
Sr. Clinical Care Coordinator St. Margaret Hospital Pittsburgh, Pa. 2013-2005
● Supervised and direct daily staff schedule
● Supervised Patient Care management functions and Secured Primary Health Insurance utilization management.
● Communicator and Liaison and Coordinator for of inpatient/ outpatient care DME, Home care Hospice care, Medication Cost coverage, transitions of care scheduling of health care equipment and supportive staff care //DME and Home care
● Leader CM Initiatives to Identify all stakeholders in Care Directives and Design Agenda and Timeline Accomplishments effectively
● Health Plan Policy review, Interpretation and management for reimbursement approvals, coding, denials, appeals, retro-review.
● Policy and procedure development within care management program and new piloted programs educator and guide for physicians and healthcare staff.
● Appointed Leader as Mentor to Educate and Evaluate New Care Management Team throughout Orientation.
● Management of Customer Complaints and/or Grievances and Succeeded to improve and afford Quality Management Department Goals.
● Member in Monthly Case Management and Audits and Gap Identification for Resolve.
● Nurse Team Lead for the Information Systems Documentation Development
● Team Facilitator, Liaison and Educator for Inpatient Care UPMC St. Margaret Hospital Staff RN and Patient Educator for Diagnostic and Interventional Radiological Procedures. (2000-2005 Staff Registered Nurse ICCU St. Margaret Hospital 1980-2000 Assistant Unit Manager ICCU / Charge Nurse, Intensive Coronary Care Unit – St. Margaret Hospital (1986-1989)
Staff Registered Nurse, 48 Bed Medical Surgical Oncology: West Penn Hospital (1979-1980) CONCURRENT WORK
UPMC St. Margaret Hospital Staff Nurse Post Operative Care in Phase one and two Surgical patient care and patient education and staff supervision and scheduling (1995-2013) Provided Patient Procedural Preparation /Education Accountable for Pre and Post Procedure Management, Critical Care Monitoring and interventional care.
Staff Nurse, Post Open Heart and Stepdown Unit: Nursing Pool West Penn Hospital (1987-1993)
EHR: Liaison education and development of the Electronic Care Record for large inpatient hospital setting and document development. Product utilized across entire UPMC St. Margaret Hospital healthcare system. (Cerner) 2004-2006 EDUCATION & CREDENTIALS
Master of Organizational Leadership Robert Morris University 2015 Bachelor of Science in Nursing – Duquesne University 1979 Certification in Intravenous Therapies in Oncology Medicine – UPMC Hospital of Pittsburgh
Sales and Clinical Development Nurse for Independent Owner of Physician Office Electronic Record 2000-2004
LEADERSHIP & ACHIEVEMENTS
Director of Resident Care Service Operations and Staff Development Interventional Radiology Lead Nurse
Assistant Manager of ICCU and Development of ICCU Nursing Education Program and IV Team Leader
Department Champion EHR Chart e-Record Development and Staff Education and Launch System Wide
UPMC SMMH COPD Project Implementation/Received Fine Award Co-Recipient UPMC SMMH Health Care Management and Educator
Piloted Program Initiative &Coordination: Project Red for Congestive Heart Failure
(CHF), COPD, Pneumonia, MI and Stroke Patient and Staff Education Quality Management Council Committee Department Lead Monitor of HCAPHS Scores for Patient Satisfaction
Monitor for the Implant and Communication of NDNQI results
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