Laboratory DIrector

Lynette Hallmark

*** *. **** ******

Quincy, Illinois 62301

(217) 641- 2863

(217) 257- 8391 cell

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

Experience

June 2007 to March 2009

Blessing Health System

Broadway at 11th Street

Quincy, Illinois.

Director Quality Management

Quality Management included the Clinical Documentation Management Team (CDMT) staff, the Medical Staff Office and Quality Management. The CDMT team consisted of RN's that reviewed charts on the floor in real time, Their focus was to ensure that clinical documentation was adequate for coding and to evaluate additional severity coding could be assigned to increase reimbursement. The Medical Staff office included oversight of the credentialing process of physicians as well as the physician performance reporting per Joint Commission requirements.

Oversight of the Quality Management-team. They audited and abstracted charts per CMS requirements for entry into the QI project software. They also abstracted charts for Cardiac Cath and ICD procedures. The department also reported Core Measure and National Patient Safety Goal (NPSG) quality initiatives. Quality Management also performed chart analysis for hospital initiatives. This position also was involved with regulatory compliance with CMS (QI Project and the Illinois Foundation for Quality Healthcare (IFQHC). Responsibilities included operational, salary and capital budgets for two cost centers.

Projects

Point of Origin: Project to ensure the Point of Origin was correctly coded on admission. (Project Leader)

Pneumonia Mortality Study: Project to review and analyze pneumonia mortality statistics for the hospital (Project Leader)

Cost of Poor Quality: Develop a Cost of Poor Quality model for the hospital to be able to track the revenue lost on Hospital Acquired Conditions that CMS would not pay for starting Oct. 1, 2008. The goal of the model was to be able to assign a basic cost set to these non-reimbursed events.

The Joint Commission: Chapter responsibilities include the Performance Improvement and Medical Staff chapters.

WakeMed Health and Hospitals

Pathology Laboratory

3000 New Bern Avenue

Raleigh, NC

Administrative Supervisor Core Laboratory July 2005 to May 2007

Core Lab Supervisor with a primary focus on administrative duties. These duties include assisting in the preparation of the annual supply budget, making recommendations for the FTE budget and preparation of a justification for any increases or decreases. This position also required working with procurement and contract vendors to obtain the best pricing. It also assisted in the projection of capital and operating expenses. This position also included the preparation of schedules, verifying timecards and maintaining employment records. This position was also directly involved in preparing employee evaluations, interview and selection process. The administrative supervisor also maintained all employment training and competency records as required by regulatory agencies.

Projects and Committees

The Joint Commission: Designed the process for the hospital during the first two hours of a Joint Commission unannounced survey. Created the scrip for the staff to follow regarding the notification of key personnel. Designed the command center, used by the hospital staff for tracking the-surveyors during the on-site inspection. Included were training guides, job descriptions and procedures.

Coordinator of the Pathology Laboratories Quality Management program. This includes training pathology staff in the quality processes, coordinating monthly meetings and preparing the monthly and annual reports.

Created and prepared the monthly pathology TQM reports for the emergency department. This report analyzes the pathology turnaround times, contamination rates and specimen quality.

Coordinator of the Document Control program for the three Core Labs. This program included the unification of procedures from multiple versions and locations into a single universal procedure. The manual tracking and signature processes were converted into an electronic monitoring and tracking process. Program implementation included training staff in the new procedure writing processes, document control processes and the use of Word 2003™.

Chemical Safety Officer for the Pathology Laboratory system. Pathology Safety committee. Coordinator for fire drills, Environment of Care officer. Developed the Chemical Hygiene program.

2000-2005 WakeMed Raleigh NC

Pathology Clinical Resource Specialist

This position was designed to apply project management skills for certain departmental projects. This position relied on developing, coordinating and the subsequent implementation of the projects. Included was developing Blood Gas lab equipment for Point of Care testing and interfaces.

Projects and Committees

Re-structured the Quality Assurance program to meet new criteria as established by regulatory agencies for the laboratory. This included designing new report formats, re-structuring the reporting process. and creating new quality report cards.

Y2K Hospital Trainer: Conducted Y2K training classes for hospital staff in Y2K procedures and data gathering. Y2K Coordinator for the Pathology Laboratory program and contingency procedures.

Developed the Radiometer/ Radiance Interface to the Misys LIS. Developed the Radiance training program for technologists. Trained the Blood Gas Lab staff on the use of the ABL700/720 blood gas analyzer. Advised the Blood Gas Lab staff on the operations of the analyzer. Oversee the operations of the Radiance to Misys interface and the Radiance Server.

Designed and coordinated the construction projects for the installation of the Abbott Work-Cell (Hematology) and Beckman automated track systems, Serology Laboratory, Point of Care office, Walk-in refrigerators and dry storage spaces.

Conducted workflow analysis of phlebotomy activities. Compiled a review of phlebotomy collection-and operational patterns. Created a proposal for suggested changes including workflow,computer and organizational changes.

Lead a laboratory committee to update the design of the pathology internal and external web sites. This project included designing and incorporating a five step process for implementation. This project included: identification of customers and needs, web architecture, content development, validation process and production. Learned to use the MedSeek Web product as well as Microsoft's Front Page.

College of American Pathologists site inspector. I have been involved in the inspection of Blood Gas Labs, Point of Care Labs, General Laboratory, LIS information systems, Molecular Biology Labs and Toxicology Labs.

1985-2000 WakeMed Raleigh, N.C.

Supervisor Chemistry

The focus of this position was technical supervisor for the chemistry laboratory. I was involved in all phases of the chemistry laboratory. This included a strong emphasis on analyzer installation, interfacing and method validation.

Project coordination instrument installation, verification, training, quality checking and procedure writing.

Coordinated construction projects including fire sprinkler installation and room renovations (electrical, HVAC, pluming and networks).

Workflow planning including Specimen Handling, data acceptance processes and special testing.

1977-1985 WakeMed Raleigh, N.C.

Medical Technologist

This position combined two different jobs. The first was to develop specialized assays for the toxicology laboratory. Included HPLC, Gas Chromatograph and Thin Layer Chromatography as well as wet chemistries). Later I rotated into all general chemistry benches.

Education

1969-1971 College of DuPage Glen Ellyn, Illinois

A.A. Degree

!972-1973, 1982 Southern Illinois University Carbondale, Illinois

B.S., Food and Nutrition Science

2005-2006 Pfeiffer University Misenheimer, N.C.

Masters in Health Administration

Accreditations

American Society of Clinical Pathologists, Technologist in Chemistry C-002398

American Society of Clinical Pathologists, Specialist in Chemistry SC-001108

College of American Pathologists Initial Inspector Training 1997

Emergency Medical Technician (Basic A 1984)

Achievements

1985 Coulter Electronics: Key troubleshooter Award (DACOS)

1986 Presentation at the Coulter Electronics DACOS analyzer meeting:

How to configure and run EMIT Drugs of Abuse (DAU) on the DACOS analyzer.

Total Calcium Analysis on the DACOS chemistry analyzer.

1992 Circle of Quality Award Nominee WakeMed

1995 Adventures in Excellence CQI Presentation: “Reducing Blood Loss and Blood Transfusions in Neonates”. Member of the CQI Team.

1996 Adventures in Excellence CQI Presentation: “Chemistry Workflow Improvements”

2003 Member: Advisory Board, Radiometer A/S Copenhagen: A multinational advisory group. The goal of this study group was to assist their staff in the development of the next generation blood gas analyzer. Presentation during the meeting: “The future of Analyzers and Information Technology”

2007 Lean Six Sigma Yellow Belt

2008 Project Management training

2008 Change Agent training

Publications: Hallmark L.M., Overfield C.V. PhD: STAT Testing in the Future May 2003. Available at www.Bloodgas.org.

Programs/ LIS Systems

Microsoft: Word, Excel, Power Point, Publisher, Access, Image Creator, Front Page – Advanced Level.

Other: Smart Draw 7.0, Photoshop 7.0, Photo Elements, Sitemaker (Web product) Kronos Time Management, Parappas (employee evaluation Software).

Bayer (Chiron) Rapid Link Data Management System

Radiometer: Radiance Data Management System

Data Innovations: Instrument Handler

Sunquest Information Systems (formerly Misys): Proficient in General lab maintenance, Instrument interfacing-and calculations for tests.

Quality Net : CMS quality reporting tool and applications (www.qualitynet.org)

Maryland's Hospital Association : Quality Indicator Project (www.qiproject.org)

Hobbies/ Interests

Fabric Artist (Art and Landscape Quilts) Work accepted into national shows. Awards include: Three First Place Ribbons and a Special Purchase Award.

Member Quincy Community Band (Baritone Saxophone)

Member: Quincy Park Band ( Baritone Saxophone)

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