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Imelda A. Gopico, RN, BSN, CPHQ
30298 Prairie Dog Way, Murrieta, CA 92563
310 309-0814 (cell) * Imelda.A.Gopico@KP.org , igopico@ymail.com
Registered Nurse
Quality Management
• Case Coordination Center role:
Repatriation of Kaiser Permanente patient who presents in a non-Kaiser
facility back to Kaiser is one of the functions of Kaiser Permanente Case
Coordination Center. Call monitoring is one of the measures used to improve
the quality of service.
A. Performs and conducts call monitoring for Registered Nurses in the
Emergency Prospective Review Program.
B. Facilitates and manages cases for Peer and Department review to improve
the quality of care/services provided to KP members and ensure patient safety
during the repatriation process.
• Offering years of diverse nursing experience, including hospital staff nursing in
areas of medical, surgical, critical care, emergency care, post-operative care and
a nurse consultant in Quality and Risk Management at KP Southern California
region. Recently, a Quality Coordinator at KP Case Coordination Center.
• Collaborates with Quality Directors in reporting Performance Improvement report
updates for Southern California senior leadership.
• Collaborates with Nursing Executives in development of corrective action plans
for quality measures such as hospital falls and central line blood stream
infections to assist compliance with patient safety KP goals.
• Partners with Regional Compliance officers and KP medical centers Quality
Directors in determination and resolution of quality care issues identified via
Hotline Compliance calls.
• Facilitates and corresponds with SCAL leaders for Regional Quality Improvement
Committee (RQIC), Regional Transplant Committee (RTQC), and Regional Peer
Review Oversight Committee (RPROC). Assists in identifying areas needing
improvements and collaborates with SCAL regional leaders in developing
recommendations to resolve issues identified.
• Partners with Clinical Consulting Department on Domestic Violence Study (2011
– 2012)
• Assist in Surgical Center site visits to demonstrate oversight of contracted
facilities (2011 – 2012)
• Manages approval process for Medical Center Trilogy documents including
aggregate report to KP Southern California Quality Committee (SCQC) from 2007
-2013
• Develops quarterly KPSC aggregate reports to KPNQC (KP National Quality
Committee) and QHIC (Quality Health Improvement Committee) Board meetings
from 2007 – December 2015
• !
Risk Management: 2012 - 2015
• Manages SCAL Legal Closed Claims cases and processes/facilitates referral of
those cases for peer/department review by Medical Centers.
• Assist KP Program Office legal department in providing responses for inquiries
received from DMHC enforcement agency related to SCAL claims cases which
received negative arbitration awards in favor of the complainant.
• Provides SCPMG Counsel with peer/nursing review outcomes when California
Medical Board or Nursing Board will take action (such as license suspension) or
an accusation notice is received involving a physician or an RN.
Hotline Compliance Calls: Facilitates investigation of calls placed on Hotline
Compliance line related to quality of care provided to our members.
Professional Experience
• Kaiser Permanente Case Coordination Center – Quality RN Coordinator
(February 2016 to December 2016)
• Kaiser Permanente Regional Offices Walnut Center – Nurse Consultant Quality
and Risk Management (2007- present January 2016)
• Kaiser Permanente WLA Quality Department – Nurse Coordinator – 2001 –
2007
• Kaiser Permanente WLA Emergency Department – Staff Charge RN -
1994-2001
• Kaiser Permanente WLA Critical Care/Intensive Care Unit, Staff alternate
Charge RN – 1987-1994
• Kaiser Permanente WLA Medical Surgical Unit – Unit Charge RN 1983-1987
Education
Registered Nurse, Bachelor of Science in Nursing – Cebu Velez College of Nursing –
Cebu City, Philippines – 1976
Certification
Certification for Professionals in Healthcare Quality (CPHQ) - Los Angeles California –
since 2006

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Professional Resume 10.2016. I.Gopico

  • 1. Imelda A. Gopico, RN, BSN, CPHQ 30298 Prairie Dog Way, Murrieta, CA 92563 310 309-0814 (cell) * Imelda.A.Gopico@KP.org , igopico@ymail.com Registered Nurse Quality Management • Case Coordination Center role: Repatriation of Kaiser Permanente patient who presents in a non-Kaiser facility back to Kaiser is one of the functions of Kaiser Permanente Case Coordination Center. Call monitoring is one of the measures used to improve the quality of service. A. Performs and conducts call monitoring for Registered Nurses in the Emergency Prospective Review Program. B. Facilitates and manages cases for Peer and Department review to improve the quality of care/services provided to KP members and ensure patient safety during the repatriation process. • Offering years of diverse nursing experience, including hospital staff nursing in areas of medical, surgical, critical care, emergency care, post-operative care and a nurse consultant in Quality and Risk Management at KP Southern California region. Recently, a Quality Coordinator at KP Case Coordination Center. • Collaborates with Quality Directors in reporting Performance Improvement report updates for Southern California senior leadership. • Collaborates with Nursing Executives in development of corrective action plans for quality measures such as hospital falls and central line blood stream infections to assist compliance with patient safety KP goals. • Partners with Regional Compliance officers and KP medical centers Quality Directors in determination and resolution of quality care issues identified via Hotline Compliance calls. • Facilitates and corresponds with SCAL leaders for Regional Quality Improvement Committee (RQIC), Regional Transplant Committee (RTQC), and Regional Peer
  • 2. Review Oversight Committee (RPROC). Assists in identifying areas needing improvements and collaborates with SCAL regional leaders in developing recommendations to resolve issues identified. • Partners with Clinical Consulting Department on Domestic Violence Study (2011 – 2012) • Assist in Surgical Center site visits to demonstrate oversight of contracted facilities (2011 – 2012) • Manages approval process for Medical Center Trilogy documents including aggregate report to KP Southern California Quality Committee (SCQC) from 2007 -2013 • Develops quarterly KPSC aggregate reports to KPNQC (KP National Quality Committee) and QHIC (Quality Health Improvement Committee) Board meetings from 2007 – December 2015 • ! Risk Management: 2012 - 2015 • Manages SCAL Legal Closed Claims cases and processes/facilitates referral of those cases for peer/department review by Medical Centers. • Assist KP Program Office legal department in providing responses for inquiries received from DMHC enforcement agency related to SCAL claims cases which received negative arbitration awards in favor of the complainant. • Provides SCPMG Counsel with peer/nursing review outcomes when California Medical Board or Nursing Board will take action (such as license suspension) or an accusation notice is received involving a physician or an RN. Hotline Compliance Calls: Facilitates investigation of calls placed on Hotline Compliance line related to quality of care provided to our members. Professional Experience • Kaiser Permanente Case Coordination Center – Quality RN Coordinator (February 2016 to December 2016) • Kaiser Permanente Regional Offices Walnut Center – Nurse Consultant Quality and Risk Management (2007- present January 2016)
  • 3. • Kaiser Permanente WLA Quality Department – Nurse Coordinator – 2001 – 2007 • Kaiser Permanente WLA Emergency Department – Staff Charge RN - 1994-2001 • Kaiser Permanente WLA Critical Care/Intensive Care Unit, Staff alternate Charge RN – 1987-1994 • Kaiser Permanente WLA Medical Surgical Unit – Unit Charge RN 1983-1987 Education Registered Nurse, Bachelor of Science in Nursing – Cebu Velez College of Nursing – Cebu City, Philippines – 1976 Certification Certification for Professionals in Healthcare Quality (CPHQ) - Los Angeles California – since 2006