Project Manager Quality Assurance

Rohini A. Mehta

209-***-**** Modesto, CA ***** ************@*****.***

Objective

Distinguished, diverse experience gained through more than thirty-five years in various progressive clinical and healthcare administration leadership roles, with a focus on quality assurance and hospital and health plan operations. Demonstrated strength in planning, staffing, technology, and operations. Performance improvement leadership skills in a large, integrated healthcare delivery setting. Professional Experience

San Joaquin County Health Clinics May 2019 - present Special Quality Project Manager

Responsible for overseeing the provision of quality performance, safety, and the care of patients’ outcomes. Responsible for meeting regulatory compliance within the clinics, health plan, and speciality care areas. Develop and implement quality programs. Monitor variation from clinical practice standards and any impacts on patient outcomes. Together with the area manager, accountable for health plan oversight. Castle Family Health Centers September 2016 - March 2019 Quality and Performance Improvement Director

Assisted in implementing changes to improve quality of care given to patients; drafted quality improvement policies; reported relevant incidents to Medicare and Medicaid; drafted UDS report; drafted FQHC report; drafted monthly incident report and presented it to board members; initiated peer review and coaching; used root cause analysis to handle patient complaints and grievances; prepared monthly report for meaningful use review; collected and analyzed data for core measure improvement; drafted policy for OSHA review; facilitated mock audits of facilities; assisted clinical team with CHDP audits; implemented new HIPPA regulations with clinical team leaders. Medcore OMNI IP August 2013- August 2016

Provider Relations Consultant

Helped providers improve HEDI and Star scores; reviewed member charts; taught providers how to capture RAF score and P4P gap report; taught providers how to improve quality of healthcare and comply with relevant regulations; taught providers how to improve profits with the lean methodology; taught providers how to prevent fraud, waste, and abuse; educated medical office staff regarding compliance, regulations, ethics, etc.; taught medical office staff how to improve the process flow of physician offices to make them safer and more functional for staff and patients; taught medical staff how to apply correct billing codes in a timely manner. Kaiser Permanente/Quality Department August 2009 – August 2013 Senior Quality Specialist

Managed ongoing quality performance improvement projects for the Central Valley Service Area; managed professional staff, peer review, and planning committees for hospital operations; coordinated survey readiness; participated in command center operations; provided support in preparation for regulatory audits; oversaw safety attitude questionnaire action-planning; conducted needs assessment to plan projects; analyzed, interpreted, and presented findings of quality data; produced graphs and charts to assist in the statistical analysis of data and to develop control charts; facilitated the tracking, dissemination, and utilization of regional quality data; supervised, coached, and trained staff to ensure their competency; maintained audits and conducted chart review for quality, utilization, service monitoring, and outcomes; consistently supported compliance by maintaining the privacy and confidentiality of information; protected the assets of the organization; acted with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation and licenser requirements, and Kaiser Permanente’s policies and procedures. Memorial Medical Hospital October 1989-June 2007

Information Analyst; Certified Nursing Assistant; OB Tech; ED Tech Implemented, supported, and trained users on Meditech clinical applications (NUR, OE, PCI); assisted with HIPPA regulation implementation; created a HIPPA storyboard for staff training; directed patient care as a CAN, OB Tech, and ED tech. Technical Summary

EPIC, Health Connect, MIDAS, CHART MAX, Windows 98/00/NT/XP, DOS, MAC OS 8.6/9.8, Microsoft Publisher, PowerPoint, Excel, Access, FORTRAN WEB related HTML/DHTML CSS and JavaScript, Application Meditech, Logicare, Polycom, WebEx, NextGN

Education

Vocational Nursing (2007)

Modesto Junior College, Modesto, CA

Bachelor of Science (BS), Information Systems (2005) University of Phoenix, Sacramento, CA

Associate in Science (2003)

Modesto Junior College, Modesto, CA

Other Training

• Lean Six Sigma Certified, Villanova University

• Certified Lactation Educator, Evergreen Hospital

• Certified Medical Assistant, Galen College of Medical Assistants Awards

• Care Giver of the Season Award, 2002

• PACE Superstar Award, 2001

Presentations

• Opal National Events (quality and culture)

• International Quality Conference (how to improve healthcare quality and how to capture HIDAS measures)

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