In my previous role, I led a quality improvement project aimed at reducing hospital-acquired infections. I collaborated with cross-functional teams to analyze infection rates, identify root causes, and implement evidence-based interventions. By standardizing protocols and enhancing staff training, we achieved a 20% reduction in infections within six months. My approach emphasizes data-driven decision-making and continuous monitoring to ensure sustained improvements in patient outcomes.

I stay updated on regulatory changes by attending workshops and reviewing guidelines regularly. In my last role, I conducted routine audits to assess compliance with CMS and Joint Commission standards. I developed corrective action plans for any gaps identified and provided staff training to address deficiencies. By fostering a culture of accountability and transparency, I ensured our facility consistently met or exceeded regulatory expectations, maintaining accreditation and minimizing risk.

I have extensive experience with tools like Tableau, Excel, and SQL for data analysis, as well as EHR systems like Epic and Cerner. In one project, I used Tableau to visualize patient satisfaction trends, identifying areas for improvement. I also utilized SQL to extract and analyze large datasets, enabling data-driven decisions. These tools helped me streamline reporting processes and present actionable insights to stakeholders, enhancing overall quality management efforts.

I address resistance by fostering open communication and involving staff in the planning process. For example, when introducing a new hand hygiene protocol, I organized focus groups to gather feedback and address concerns. By explaining the rationale behind the change and demonstrating its benefits through pilot results, I gained buy-in. Providing ongoing support and recognizing staff contributions also helped ease the transition, ensuring successful implementation and sustained adherence.

In a previous role, I analyzed patient readmission data and identified a high rate of readmissions for heart failure patients. I conducted a root cause analysis, which revealed gaps in discharge education and follow-up care. I collaborated with the care team to develop a comprehensive discharge plan, including patient education materials and scheduled follow-up calls. This intervention reduced readmissions by 15% within three months, improving patient outcomes and reducing costs.