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Cynthia A. Cadwell MS RN NP CNS CPHQ
cadwellconsulting@yahoo.com
Cell 858-775-7372
MODIFIED CV
Recent Employment History:
YOH- JHU OCC. HEALTH & WELLNESS CENTER – MAY/2016 – PRESENT
 Provider of urgent, clinical care & direct case management of injured and/or sick workers to
improve clinical & economic outcomes. Facilitator of care coordination to ensure best practices &
clinical guidelines application.
 Coordinator and care delivery provider for pre-employment testing to meet all federal, state and
corporate requirements associated with Pepsico employment.
 Healthcare educator and co-collaborator for improving the overall health & wellness of the Pepsico
employees. Collaborating and communicating best practices to prevent both illnesses and injuries
among employees, their families and the Pepsico community at large.
Principal Consultant - Cadwell Consulting; Dec/2005 – Dec/2007; *Specialized case management (2015-2016)
PROTEUS DIGITAL HEALTH – MAR/2014 - NOV/2015
Regional Business Development/Customer Partnering Liaison – Southern CA
Develop key regional partners for initial high profile integration of disruptive, novel digital technology to
improve cost effective outcomes through new insights from digitized medication taking behaviors
 Facilitating relationships with select CA Healthcare system executives to develop partnerships,
integration strategies and care delivery models for the at risk, peri-acute population. Clinical goal –
reduced care confusion for patients and cost of care
 Collaborating on integration strategies to demonstrate clinical and economic outcomes, using
Proteus mobile health technology, for improving patient engagement & medication taking behaviors.
Clinical goal – reduced CVD mortality and morbidity in adults.
PREMIER INC. & HMSA - MAY/2011 – DEC/2013
Director of Performance Improvement for Advanced Hospital Care Program
Help lead region’s hospitals to top performance, via a commercial payer P4P program, using the Premier
quality data products and QUEST cohort as a means of sharing methods for improvement.
 Facilitating culture change to performance improvement among hospital executive and board of
director teams to impact employee engagement and patient care clinical outcomes.
 Organizing regional collaboration among quality leaders, for rapid adoption of best clinical practices
in high care/high cost populations/diagnoses and to maximize impact on outcomes.
 Develop relationships and membership among all statewide acute care Quality Improvement teams
to help usher in facility level initiatives to improve care. Promoting teamwork.
HOSPITAL ASSN OF SAN DIEGO & IMPERIAL COUNTIES May/2010 – May/2011
VP of Quality and Performance Improvement
Lead Patient Safety initiatives throughout region in conjunction with the 38 hospitals’ executive and quality
leadership.
 Facilitating Patient Safety Council’s reduction projects on sepsis mortality, hospital acquired
infections and < 39 week elective deliveries. Marked, measured reductions occurred in each focus
area.
 Hospital association liaison for county/community wide Health Information Exchange project.
Initiator and project director for the Preventable Readmissions Network.
 Clinical quality representative and communication conduit for regional affiliates on California’s
patient safety, clinical quality measures and regulatory committees and boards.
2
Director of Quality, Sharp Metro Medical Campus, Kearny Mesa May/2009 to May/2010.
Patient Safety Officer for 4 acute care hospitals: Sharp Memorial, Mary Birch women’s, Mesa Vista psych and Vista
Pacifica drug rehab. Improvement facilitation included: Core Measures to top decile in all categories from below
average, CA hospital ICU compliance improvement to over 91%. Increased quality variance follow-up dissemination
to integration of new processes/methods throughout organization for sustained improvement. Modified physician peer
review to more precise and meaningful specifications with significant physician leadership satisfaction and value
acclaimed. Active clinical participatory ‘hands-on’ approach.
Quality Improvement Project Manager, Scripps Memorial Hospital La Jolla Dec/07 – May/09. Areas of
responsibility included: Emergency, Trauma, Critical Care and Cardiovascular programs. Identified clinical
opportunities to improve care quality and program efficiency, ultimately reducing costs and improving resource
utilization. Initiated and facilitated process improvement teams, including medical staff and other disciplines to
research, develop, and monitor strategies and tactics to improve clinical care processes to a minimum of best
practices. Awarded 1st
place for Quality Improvement teams: Achieved 100% STEMI in < 90 minutes within 1
month (from 0%) and sustained for 1year.
Principal Consultant, Cadwell Consulting, Dec/2005 – Dec/2007; *Intermittent contracts (2008-16)
Providing Hospital and Medical Device Industry clients with results driven development plans for multiple business
services including: service and product offerings, quality improvement, improved clinical & economic outcomes,
measurable outcomes design and metric components, clinical research and process improvement protocols, improved
patient flow, and advanced technology marketing plans. All service plans designed to maximize the effectiveness of
professional and ancillary staff, and to reduce costs through process management and use of advanced technology.
Business Partner- Senior Healthcare Management- Jun/2006 – Nov/2007; Board Member 2008 -2011
Privately owned and operated business providing seniors with top quality individualized clinical healthcare
consultation, care management and coordination. Services include individual care planning across the continuum,
from independent home care assistance to inpatient care collaboration, and direct consultation with all patient
physicians. Customized patient care consultation and services are organized, provided, recommended and/or
coordinated to optimize the adult’s health and independence to the most appropriate level. Substantially reduced costs
through advocacy for and acquisition of appropriate technology.
Director, Healthcare Solutions, Biosite, Inc. (now Alere) May/2003 – Nov/2005
Designing, developing and implementing new and innovative strategies for health care administration customers to
achieve improved clinical, operational and economic outcomes associated with high volume, high risk and high
liability, ED populations. Also providing consultative expertise and services to internal customers, including Biosite’s
consulting services, sales and marketing management, business development, R&D, discovery and national accounts
management; External customers included VIP’s, Hospital Executives and Healthcare affiliated associations
interested in methods and measures of quality of care and process improvement.
Managing Director of Sales Training, Biosite, Inc. (now Alere) May/2000 – May/2003:
Designed, developed and implemented a clinically based sales training program with a special focus on
consultative selling into the Cardiovascular disease management arena in accord with corporate initiatives and
long term strategic plan. Facilitated comprehensive education plan for launch of first diagnostic blood test for HF
(BNP) and first urine drug screen designed for use in the Emergency Department. Incorporated FDA, OSHA,
JCAHO and GCP regulatory requirements into training programs designed for all field, research and corporate
personnel. Designed and implemented multiple educational offerings for ongoing clinical education via webcasts,
teleconferencing and other electronic media to facilitate understanding of product utility and the clinical and
economic impact on healthcare systems.
Clinical Savvy Program Director/Sr. Clinical Research Coordinator,
Guidant Corporation (now Boston Scientific): Vascular Intervention Division (now Abbott) Dec/98–May/2000
Re-designed, then developed and implemented a CV disease focused clinical education curriculum for the Vascular
Intervention division from its research and development facility and extended it throughout the organization to
multiple sites worldwide. Established company-wide policies and competencies to achieve a ‘clinically savvy’
organization (100% compliance), which could optimally contribute to the treatment of CVD via clinically driven
innovation and technology. Involved in clinical curriculum development for Clinical Research department, delivery
of training, facilitation of sales training program, and national sales meeting speaker preparations.
3
Education
MS San Diego State University Adult/Geriatric NP & CNS acute/critical care 1998
BSN Regents College/ University of the State of New York 1995
ADN San Diego Community College
LPN Sacred Heart Hospital School of Practical Nursing in PA
Additional Clinical Employment History:
Clinical Nurse Specialist for Critical Care Sharp Chula Vista Medical Center 1998
Providing leadership to ensure quality care; coordination and facilitation of optimal patient care in the critical
care department of the leading heart center in the South Bay. Responsibilities included activities related to
clinical expert/resource, educator, consultant/liaison and research/evaluator of practice, emphasizing
incorporation of interdisciplinary approach for JCAHO standards. As the healthcare system’s Critical Care
Policy and Procedure Committee chair, my charge was quality patient outcomes in a cost effective manner via
developing, implementing, and evaluating best practices and standards of patient care.
Clinical Applications Specialist CardioDynamics International Corporation 1997-1998
Multiple responsibilities in this start-up company included clinical assistance with research, research protocol
development, sales support, product development, and customer and sales education. Assisted in clinical
research design, data collection and analysis, and production of unregulated clinical studies for marketing
purposes. Wrote and submitted multiple abstracts for scientific journal publications. Designed educational
program for utilization of new, noninvasive hemodynamic monitoring technology for sales team. * Conducted
Masters Thesis on the cardiac electrical impedance product, BioZ.
Clinical Applications Manager, Boston Scientific Corporation, Boston, MA 1992-1997
Responsibilities included worldwide management and updates on current sales related clinical issues;
development, production and coordination of all educational programs for users, clinical specialists, user-
trainers, sales representatives, R&D and service personnel; Designed CME and CE approved programs for
MD’s and RN’s. Primary Clinical Consultant to Product Management, Research and Development and Sales
and Marketing teams. Established revenue stream for value added services and their competitive positioning.
Designed customer acquisition strategy for disposable sales when capital equipment line discontinued for
business divestiture. Invited guest speaker to multiple AACN NTI's and to ASAIO's national conference.
Authored multiple peer reviewed publications, several by special request/invitation.
Regional Sales Manager, BSC 1989-1992
In the Western Regional Manager's role, responsibilities included managing the territory and sales activities of
7 distributor groups with 21 sales representatives and 4 part-time Clinical Specialists. Also designed and
conducted global clinical sales training. Successfully grew the disposable business by 15% and capital
equipment market share by 5%.
Clinical Specialist to CV Sales Specialist BSC 1987-89
Originally hired to educate users and sales representatives on equipment. In six months, promoted to Sales
Specialist, responsible for all capital equipment sales, clinical trials, and product evaluations west of the
Mississippi. Worked with a direct sales force of 10 who had responsibilities for multiple Cardiac Cath Lab
products. Increased market share from 3 –10% in a mature market place with major competitor holding an 80%
national market share and a very large one product dedicated sales force with dedicated clinical and service
sales support team.
4
Program Operation and Project Management Involvement:
 Organized and coordinated regional performance improvement forum for Hawaii hospitals involved in
Premier Inc.’s QUEST (Clin. Qual. Impr.) cohort. Facilitated regular collaborative sessions for
executive level strategy and director/manager level tactics on patient safety and best care quality.
Transparent results along 5 dimensions of care, included mortality, readmission and harm reduction,
increased evidence based care, patient satisfaction, and top to bottom staff engagement in quality care.
 Successfully led region in perinatal harm and early elective delivery reduction, sepsis mortality and
hospital acquired infection reduction via Anthem Blue Cross grant. Established regional preventable
readmissions reduction forum, aligning with the Health Information Exchange ‘Beacon’ grant (from
ONC) to improve provider’s immediate access to critical patient information for optimal care.
 Designed and facilitated operation of a clinical and economical outcomes improvement process for
Healthcare Administrators’ use in multiple high volume, high risk, high liability, and high cost CV
patient populations, in accord with JCAHO’s new tracer methodology for quality improvement
evaluation. (2004). Chest pain center accreditation resulted from successful application in 2 centers.
 Provided critical insight and assistance to business development and operation of ‘new to marketplace’
clinical products and services, including initial marketing and commercialization of real time IABP
(1990’s), BNP testing (2000-05), digital medicines (2014) and clinical customer training programs, and
associated clinical and economic outcomes measurement services for impact and sustainability.
 Designed and implemented a five phase competency based clinical sales training program (2000) for a
small diagnostic medical device company increasing sales from $50 to $200 million dollars (US) over
3 years. Company ultimately sold with significant shareholder profit (Biosite, now Alere).
 Re-designed, orchestrated and implemented a ‘clinical savvy’ program for the Guidant Vascular
Intervention (now Abbott) research and development facility in Santa Clara. Impact significant for
innovation, customer loyalty, Quality and regulatory processes and sales training. Compliance was
100% at all levels of training and development for this program.
 Facilitated implementation of the 1st
CPOE to Sharp Healthcare and 1st
electronic clinical charting
system into ICU’s. Facilitated comprehensive e-charting/ordering educational program design and
delivery. Collaborator to software design engineer (Clinicomp 1885)
Clinical Research and Trials Project Involvement
 Primary Investigator and Publication Author: IABP - Investigation of various timing modalities and
IABP equipment performance. 1996
 VAD - Investigation of the role of the IABP in combination with non-pulsatile ventricular assist
devices in the ICU setting. 1996
 PI and Author for Master’s Thesis: Thoracic fluid contents correlation to pulmonary capillary wedge
pressure. 1998
 Clinical Research Associate responsibilities for data collection, site monitoring and data management
of the non-invasive monitoring comparison COST study 1998
 Clinical Trial Manager, second author for non-invasive monitoring reliability and reproducibility study
on elderly CV rehabilitation patients 1998
 Sr. Clinical Research Coordinator: Angiogenesis, brachytherapy, peripheral and drug eluting stent
efficacy 2000
 Internal Clinician Liaison for Clinical Affairs and Project Management Teams: Review, write and
design protocols, CRF’s, Directions For Use and results analyses for product studies re: Biomarkers of
disease states, and operational utility of products and associated processes. Designed, developed and
insured proper training for new product launch for user safety and regulatory compliance purposes
2005
5
Specialized Clinical Internships
 LVN; Critical Care – 16 bed general ICU in 200 bed city hospital in Norristown, PA
 RN; Psychiatric ward – largest VA hospital in USA in San Diego, CA
 RN; Maternity ward – 2nd
largest birthing center & high risk level nursery, San Diego
 RN; Pediatric medical/surgical floor – Children’s hospital in San Diego, CA
 RN; Adult Surgical ICU – 16 bed general SICU in 400 bed hospital in San Diego, CA
 NP run extended care ward – excessively ill interim care unit, San Diego VAMC, 1996
 NP run CHF/chronic disease clinic – Scripps Clinic, San Diego, CA 1996
 NP @ indigent/homeless free clinic, St Vincent de Paul’s, downtown San Diego, CA 1997
 NP @ hospital based cardiology clinic (inpatients included) Scripps, San Diego, CA 1997
 CNS @ 10 bed SICU (CV and Trauma care) UCSD medical center, San Diego, CA 1998
Other Training and Development Programs Attended:
*Multiple Clinical Subject Matter Training programs attended routinely.
ACOEM Medical examiner 2016 DOT UDS/BAT 2016 Suturing/Special Procedures 2016
CPHQ certification program 2008 PDCA cycles 2008 Scripps Quality Program 2008
North Carolina State and Premier Inc. Lean Certification program 2012 - 2013 Social Styles 1997; 1999
Group/Team Development 2005 Lean-Six Sigma for Healthcare 2005 Team Success 2005
Strategic Selling 2001, 2005 Presentation Skills for Biotech 2005 Power Speaking 2000
Coaching Techniques 2003 Presentation Skills 2000 Training Techniques 1999
DISC 1987, 1998; 2000, 2004 Competency Training 1986 Micro Teaching Skills 1985
Seven Habits of Successful People/Managers 1998 Gung-Ho Customer Service 1998 Spin Selling 1990
Targeted Selection Interviews 1999 E-commerce program tools 2007 Consultative Selling 2000
Selling with Integrity 1989 Internet Sales and Marketing Strategies 2007 Large Account Management 1992
Certifications Membership
CCRN by AACN, 1985 - 1990 AACN since 1980
BCLS instructor by AHA, 1985 - 1988 ANA since 1984
ACLS instructor by AHA, 1985 - 1990 ENA since 2001
BCLS (current in 2016); ACLS provider to 2005 SHSMD 2002
Adult Nurse Practitioner 1998 – 2003 ACC Assoc. since 2003
Acute Care Nurse Practitioner 1998 – 2003 Hawaii Assn Prof Nurses: since 2012
Certified Professional in Healthcare Quality 2008
Lean Project Certified 2013
Dept. of Trans. Medical Examiner 2016; DOT UDS/BAT collector 2016
National Association Annual Conference Speaking Engagements:
Premier Inc. Breakthroughs – Novel HC Improvement Leadership Strategy with Insurers 2013
AACN – American Association of Critical Care Nurses’ National Teaching Institute 1985-2005
AACN – American Association of Critical Care Nurses’ Advanced Practice Institute 2000-2003
ASAIO - American Society of Artificial Internal Organs Scientific Sessions 1990
ENA – Emergency Nurses Association Scientific Sessions 2000-2005
ENA – Emergency Association’s Leadership Conferences 2000-2005
Critical Care Management – Clinical Updates 1995-1999
AHRQ – Agency for Healthcare Research and Quality’s Translating Research into Practice 2003
 Multiple Hospital and Healthcare based training courses and speaking engagements, list extensive;
focus CVD across the continuum, advances in technology and improving community health
Healthcare Committees Work
Cardiac Assist Device Code Blue Committee Critical Care Transport
New Products Critical Care Symposia Trauma Team Leader
Transplant Team BCLS ACLS Process Improvement
Critical Care Education Nursing Research Team New Employee Orientation
Advanced Practice Nsg Qual/Perf Improvement Statewide Quality metrics
6
Publications
 "Management of the Patient on the IABP" 1988, 1990, 1992. Published by Boston Scientific
Corporation
 Real Timing, chapter in Quaal "Comprehensive Intraaortic Balloon Counterpulsation" 2nd ed.
Published 1993 by Mosby-Yearbook of St. Louis, MO.
 Letters to the Editor of Critical Care Nurse, 1994. Published by AACN.
 "Intraaortic Balloon Counterpulsation Timing: A Synthesis". July 1996 AJCC by AACN.
 "Clinical Observations with Real Timing" published Dec., 1996 in Crit Care Nurs Clinics of No Am by
W. B. Saunders Company of Philadelphia, PA.
 Letters to the Editor of American Journal of Critical Care, Jan.., 1997. Pub. by AACN.
 “Correlation of Thoracic Fluid Index and Pulmonary Capillary Wedge Pressures” May, 1998. Master’s
Thesis, San Diego State University Library
 “Triage BNP Test, Sales Training Manual”. Published by Biosite Inc. for internal sales training. Dec.
2000.
 Triage Drugs of Abuse, TOX Sales training manual. Published by Biosite Inc. for internal sales
training Dec 2001
 Triage Cardio ProfilER Sales Training Manual. Published by Biosite Inc. for internal sales training,
April 2003.
 Hospital Case Exemplar. San Diego Veterans Administration Hospital. Published by Biosite Inc. for
marketing purposes. Nov 2004
 MPO (myeloperoxidase) use for clinical diagnostic testing. Research review editorial for informative
advertisement use. Provided to Biosite Inc. for pre-approval marketing use in medical journals. May
2006
 Editor for all publications from the Patient Safety Council.org (2010-2011), a regional network
associated with HASD&IC for patient safety in San Diego county.
 Author of quarterly executive summaries for the Advanced Hospital Care program, a statewide
network of all hospitals in Hawaii providing care to non-military residents. (2011-2013)
Volunteer Positions:
AACN: Practice Research Think Tank 1996
AACN: CE Article Review Panel 1996-1997
SDSU: Member of Board of Directors for Preschool Education 1996-1997
AACN: Grass Roots Advisory Team 1997- 1998
Educator for Children’s Liturgy, St Catherine LaBoure, San Diego, CA. 1997 through 2011
Weekly Religious Education, St Catherine LaBoure, San Diego, CA; 9th
graders; 2006-2007
Language Academy Elementary School: Board of Directors/ VP Ways and Means 1998-1999
Amer. Heart Assn. Silicon Valley Walk Team Leader at Guidant 1999
Castro Elementary School: Parliamentarian, PTA Board 1999 - 2000
Assistant Director for Christmas Pageant, St Catherine LaBoure, San Diego, CA. 2000, 2001
Chair for Girl Scout Troop 3071 Cookie Sales 2002
Amer. Heart Assn. San Diego Walk Team Leader at Biosite 2002
Tecolote Bronco Division Padres Team Parent 2004 -2005
Annual Community Health Fair: St. Mary Madeleine 2002 – 2005
Francis Parker Cheer Squad Team Parent 2006 -2007
Francis Parker Parent’s Association After Prom Chair and Annual Gala Volunteer 2006-2007
Border Safety Corridor Coalition – San Diego, CA 2006 -2007
Hawaii Assn of Professional Nurses: 1st
Annual conference committee 2013; President 2013
7
Initial Clinical Employment History
Critical Care Clinical Educator
1985 - 1987 Sharp Memorial Hospital, San Diego, CA
Assessed need for, developed, coordinated and implemented all educational programs for a six unit 500 nurse
acute/critical care department with a cardiovascular and trauma care focus. Patient care units spanned ED and
ICU to medical/surgical stepdown care and included the post anesthesia and cardiac cath lab areas.
Responsibilities included case management, teaching plan development and implementation of departmental
orientation program. Courses included computerized order entry and clinical information charting systems
utilization, preceptor/internship program, CCRN review courses, ACLS and BCLS courses. Charged with
development of research based policies and procedures, and evaluation of staff performance for maintenance
and/or modifications of standards to reflect new research. Liaison to management. Chaired multiple
committees.
Clinical Nurse III, 1980
First CN III (clinical ladder) in facility. Extensive critical care practice in an SICU, which utilized multiple
cardiac assist devices for the high risk cardiovascular and transplant patients. Patient population also included
level II trauma victims, pediatric cardiac surgical cases, and all general surgical ICU patients. Responsibilities
included direct patient care, clinical resource activities, charge duties, trauma and transport nurse assignment,
and educational activities.
Consultant,
Educational consultant for program development, presentation in regional seminars for continuing education of
health care professionals. Representative to multiple interdepartmental committees concerned with quality care
and standardization. Assisted with start up of trauma, transport, MRI imaging and transplant programs.
Other Clinical Experiences
Staff nurse
Clinical practice in multiple San Diego area health care facilities in multiple settings, including critical care,
skilled nursing facilities, medical surgical units, and psychiatric care units. Early emphasis was on care of the
critically ill pediatric and neonatal patient.
Licensure for Advanced Practice in California and Hawaii
Additional Language proficiency in Spanish and some French
References will be provided upon request

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Teddi Glass Resume 3
 

CAC CV 8-2016

  • 1. 1 Cynthia A. Cadwell MS RN NP CNS CPHQ cadwellconsulting@yahoo.com Cell 858-775-7372 MODIFIED CV Recent Employment History: YOH- JHU OCC. HEALTH & WELLNESS CENTER – MAY/2016 – PRESENT  Provider of urgent, clinical care & direct case management of injured and/or sick workers to improve clinical & economic outcomes. Facilitator of care coordination to ensure best practices & clinical guidelines application.  Coordinator and care delivery provider for pre-employment testing to meet all federal, state and corporate requirements associated with Pepsico employment.  Healthcare educator and co-collaborator for improving the overall health & wellness of the Pepsico employees. Collaborating and communicating best practices to prevent both illnesses and injuries among employees, their families and the Pepsico community at large. Principal Consultant - Cadwell Consulting; Dec/2005 – Dec/2007; *Specialized case management (2015-2016) PROTEUS DIGITAL HEALTH – MAR/2014 - NOV/2015 Regional Business Development/Customer Partnering Liaison – Southern CA Develop key regional partners for initial high profile integration of disruptive, novel digital technology to improve cost effective outcomes through new insights from digitized medication taking behaviors  Facilitating relationships with select CA Healthcare system executives to develop partnerships, integration strategies and care delivery models for the at risk, peri-acute population. Clinical goal – reduced care confusion for patients and cost of care  Collaborating on integration strategies to demonstrate clinical and economic outcomes, using Proteus mobile health technology, for improving patient engagement & medication taking behaviors. Clinical goal – reduced CVD mortality and morbidity in adults. PREMIER INC. & HMSA - MAY/2011 – DEC/2013 Director of Performance Improvement for Advanced Hospital Care Program Help lead region’s hospitals to top performance, via a commercial payer P4P program, using the Premier quality data products and QUEST cohort as a means of sharing methods for improvement.  Facilitating culture change to performance improvement among hospital executive and board of director teams to impact employee engagement and patient care clinical outcomes.  Organizing regional collaboration among quality leaders, for rapid adoption of best clinical practices in high care/high cost populations/diagnoses and to maximize impact on outcomes.  Develop relationships and membership among all statewide acute care Quality Improvement teams to help usher in facility level initiatives to improve care. Promoting teamwork. HOSPITAL ASSN OF SAN DIEGO & IMPERIAL COUNTIES May/2010 – May/2011 VP of Quality and Performance Improvement Lead Patient Safety initiatives throughout region in conjunction with the 38 hospitals’ executive and quality leadership.  Facilitating Patient Safety Council’s reduction projects on sepsis mortality, hospital acquired infections and < 39 week elective deliveries. Marked, measured reductions occurred in each focus area.  Hospital association liaison for county/community wide Health Information Exchange project. Initiator and project director for the Preventable Readmissions Network.  Clinical quality representative and communication conduit for regional affiliates on California’s patient safety, clinical quality measures and regulatory committees and boards.
  • 2. 2 Director of Quality, Sharp Metro Medical Campus, Kearny Mesa May/2009 to May/2010. Patient Safety Officer for 4 acute care hospitals: Sharp Memorial, Mary Birch women’s, Mesa Vista psych and Vista Pacifica drug rehab. Improvement facilitation included: Core Measures to top decile in all categories from below average, CA hospital ICU compliance improvement to over 91%. Increased quality variance follow-up dissemination to integration of new processes/methods throughout organization for sustained improvement. Modified physician peer review to more precise and meaningful specifications with significant physician leadership satisfaction and value acclaimed. Active clinical participatory ‘hands-on’ approach. Quality Improvement Project Manager, Scripps Memorial Hospital La Jolla Dec/07 – May/09. Areas of responsibility included: Emergency, Trauma, Critical Care and Cardiovascular programs. Identified clinical opportunities to improve care quality and program efficiency, ultimately reducing costs and improving resource utilization. Initiated and facilitated process improvement teams, including medical staff and other disciplines to research, develop, and monitor strategies and tactics to improve clinical care processes to a minimum of best practices. Awarded 1st place for Quality Improvement teams: Achieved 100% STEMI in < 90 minutes within 1 month (from 0%) and sustained for 1year. Principal Consultant, Cadwell Consulting, Dec/2005 – Dec/2007; *Intermittent contracts (2008-16) Providing Hospital and Medical Device Industry clients with results driven development plans for multiple business services including: service and product offerings, quality improvement, improved clinical & economic outcomes, measurable outcomes design and metric components, clinical research and process improvement protocols, improved patient flow, and advanced technology marketing plans. All service plans designed to maximize the effectiveness of professional and ancillary staff, and to reduce costs through process management and use of advanced technology. Business Partner- Senior Healthcare Management- Jun/2006 – Nov/2007; Board Member 2008 -2011 Privately owned and operated business providing seniors with top quality individualized clinical healthcare consultation, care management and coordination. Services include individual care planning across the continuum, from independent home care assistance to inpatient care collaboration, and direct consultation with all patient physicians. Customized patient care consultation and services are organized, provided, recommended and/or coordinated to optimize the adult’s health and independence to the most appropriate level. Substantially reduced costs through advocacy for and acquisition of appropriate technology. Director, Healthcare Solutions, Biosite, Inc. (now Alere) May/2003 – Nov/2005 Designing, developing and implementing new and innovative strategies for health care administration customers to achieve improved clinical, operational and economic outcomes associated with high volume, high risk and high liability, ED populations. Also providing consultative expertise and services to internal customers, including Biosite’s consulting services, sales and marketing management, business development, R&D, discovery and national accounts management; External customers included VIP’s, Hospital Executives and Healthcare affiliated associations interested in methods and measures of quality of care and process improvement. Managing Director of Sales Training, Biosite, Inc. (now Alere) May/2000 – May/2003: Designed, developed and implemented a clinically based sales training program with a special focus on consultative selling into the Cardiovascular disease management arena in accord with corporate initiatives and long term strategic plan. Facilitated comprehensive education plan for launch of first diagnostic blood test for HF (BNP) and first urine drug screen designed for use in the Emergency Department. Incorporated FDA, OSHA, JCAHO and GCP regulatory requirements into training programs designed for all field, research and corporate personnel. Designed and implemented multiple educational offerings for ongoing clinical education via webcasts, teleconferencing and other electronic media to facilitate understanding of product utility and the clinical and economic impact on healthcare systems. Clinical Savvy Program Director/Sr. Clinical Research Coordinator, Guidant Corporation (now Boston Scientific): Vascular Intervention Division (now Abbott) Dec/98–May/2000 Re-designed, then developed and implemented a CV disease focused clinical education curriculum for the Vascular Intervention division from its research and development facility and extended it throughout the organization to multiple sites worldwide. Established company-wide policies and competencies to achieve a ‘clinically savvy’ organization (100% compliance), which could optimally contribute to the treatment of CVD via clinically driven innovation and technology. Involved in clinical curriculum development for Clinical Research department, delivery of training, facilitation of sales training program, and national sales meeting speaker preparations.
  • 3. 3 Education MS San Diego State University Adult/Geriatric NP & CNS acute/critical care 1998 BSN Regents College/ University of the State of New York 1995 ADN San Diego Community College LPN Sacred Heart Hospital School of Practical Nursing in PA Additional Clinical Employment History: Clinical Nurse Specialist for Critical Care Sharp Chula Vista Medical Center 1998 Providing leadership to ensure quality care; coordination and facilitation of optimal patient care in the critical care department of the leading heart center in the South Bay. Responsibilities included activities related to clinical expert/resource, educator, consultant/liaison and research/evaluator of practice, emphasizing incorporation of interdisciplinary approach for JCAHO standards. As the healthcare system’s Critical Care Policy and Procedure Committee chair, my charge was quality patient outcomes in a cost effective manner via developing, implementing, and evaluating best practices and standards of patient care. Clinical Applications Specialist CardioDynamics International Corporation 1997-1998 Multiple responsibilities in this start-up company included clinical assistance with research, research protocol development, sales support, product development, and customer and sales education. Assisted in clinical research design, data collection and analysis, and production of unregulated clinical studies for marketing purposes. Wrote and submitted multiple abstracts for scientific journal publications. Designed educational program for utilization of new, noninvasive hemodynamic monitoring technology for sales team. * Conducted Masters Thesis on the cardiac electrical impedance product, BioZ. Clinical Applications Manager, Boston Scientific Corporation, Boston, MA 1992-1997 Responsibilities included worldwide management and updates on current sales related clinical issues; development, production and coordination of all educational programs for users, clinical specialists, user- trainers, sales representatives, R&D and service personnel; Designed CME and CE approved programs for MD’s and RN’s. Primary Clinical Consultant to Product Management, Research and Development and Sales and Marketing teams. Established revenue stream for value added services and their competitive positioning. Designed customer acquisition strategy for disposable sales when capital equipment line discontinued for business divestiture. Invited guest speaker to multiple AACN NTI's and to ASAIO's national conference. Authored multiple peer reviewed publications, several by special request/invitation. Regional Sales Manager, BSC 1989-1992 In the Western Regional Manager's role, responsibilities included managing the territory and sales activities of 7 distributor groups with 21 sales representatives and 4 part-time Clinical Specialists. Also designed and conducted global clinical sales training. Successfully grew the disposable business by 15% and capital equipment market share by 5%. Clinical Specialist to CV Sales Specialist BSC 1987-89 Originally hired to educate users and sales representatives on equipment. In six months, promoted to Sales Specialist, responsible for all capital equipment sales, clinical trials, and product evaluations west of the Mississippi. Worked with a direct sales force of 10 who had responsibilities for multiple Cardiac Cath Lab products. Increased market share from 3 –10% in a mature market place with major competitor holding an 80% national market share and a very large one product dedicated sales force with dedicated clinical and service sales support team.
  • 4. 4 Program Operation and Project Management Involvement:  Organized and coordinated regional performance improvement forum for Hawaii hospitals involved in Premier Inc.’s QUEST (Clin. Qual. Impr.) cohort. Facilitated regular collaborative sessions for executive level strategy and director/manager level tactics on patient safety and best care quality. Transparent results along 5 dimensions of care, included mortality, readmission and harm reduction, increased evidence based care, patient satisfaction, and top to bottom staff engagement in quality care.  Successfully led region in perinatal harm and early elective delivery reduction, sepsis mortality and hospital acquired infection reduction via Anthem Blue Cross grant. Established regional preventable readmissions reduction forum, aligning with the Health Information Exchange ‘Beacon’ grant (from ONC) to improve provider’s immediate access to critical patient information for optimal care.  Designed and facilitated operation of a clinical and economical outcomes improvement process for Healthcare Administrators’ use in multiple high volume, high risk, high liability, and high cost CV patient populations, in accord with JCAHO’s new tracer methodology for quality improvement evaluation. (2004). Chest pain center accreditation resulted from successful application in 2 centers.  Provided critical insight and assistance to business development and operation of ‘new to marketplace’ clinical products and services, including initial marketing and commercialization of real time IABP (1990’s), BNP testing (2000-05), digital medicines (2014) and clinical customer training programs, and associated clinical and economic outcomes measurement services for impact and sustainability.  Designed and implemented a five phase competency based clinical sales training program (2000) for a small diagnostic medical device company increasing sales from $50 to $200 million dollars (US) over 3 years. Company ultimately sold with significant shareholder profit (Biosite, now Alere).  Re-designed, orchestrated and implemented a ‘clinical savvy’ program for the Guidant Vascular Intervention (now Abbott) research and development facility in Santa Clara. Impact significant for innovation, customer loyalty, Quality and regulatory processes and sales training. Compliance was 100% at all levels of training and development for this program.  Facilitated implementation of the 1st CPOE to Sharp Healthcare and 1st electronic clinical charting system into ICU’s. Facilitated comprehensive e-charting/ordering educational program design and delivery. Collaborator to software design engineer (Clinicomp 1885) Clinical Research and Trials Project Involvement  Primary Investigator and Publication Author: IABP - Investigation of various timing modalities and IABP equipment performance. 1996  VAD - Investigation of the role of the IABP in combination with non-pulsatile ventricular assist devices in the ICU setting. 1996  PI and Author for Master’s Thesis: Thoracic fluid contents correlation to pulmonary capillary wedge pressure. 1998  Clinical Research Associate responsibilities for data collection, site monitoring and data management of the non-invasive monitoring comparison COST study 1998  Clinical Trial Manager, second author for non-invasive monitoring reliability and reproducibility study on elderly CV rehabilitation patients 1998  Sr. Clinical Research Coordinator: Angiogenesis, brachytherapy, peripheral and drug eluting stent efficacy 2000  Internal Clinician Liaison for Clinical Affairs and Project Management Teams: Review, write and design protocols, CRF’s, Directions For Use and results analyses for product studies re: Biomarkers of disease states, and operational utility of products and associated processes. Designed, developed and insured proper training for new product launch for user safety and regulatory compliance purposes 2005
  • 5. 5 Specialized Clinical Internships  LVN; Critical Care – 16 bed general ICU in 200 bed city hospital in Norristown, PA  RN; Psychiatric ward – largest VA hospital in USA in San Diego, CA  RN; Maternity ward – 2nd largest birthing center & high risk level nursery, San Diego  RN; Pediatric medical/surgical floor – Children’s hospital in San Diego, CA  RN; Adult Surgical ICU – 16 bed general SICU in 400 bed hospital in San Diego, CA  NP run extended care ward – excessively ill interim care unit, San Diego VAMC, 1996  NP run CHF/chronic disease clinic – Scripps Clinic, San Diego, CA 1996  NP @ indigent/homeless free clinic, St Vincent de Paul’s, downtown San Diego, CA 1997  NP @ hospital based cardiology clinic (inpatients included) Scripps, San Diego, CA 1997  CNS @ 10 bed SICU (CV and Trauma care) UCSD medical center, San Diego, CA 1998 Other Training and Development Programs Attended: *Multiple Clinical Subject Matter Training programs attended routinely. ACOEM Medical examiner 2016 DOT UDS/BAT 2016 Suturing/Special Procedures 2016 CPHQ certification program 2008 PDCA cycles 2008 Scripps Quality Program 2008 North Carolina State and Premier Inc. Lean Certification program 2012 - 2013 Social Styles 1997; 1999 Group/Team Development 2005 Lean-Six Sigma for Healthcare 2005 Team Success 2005 Strategic Selling 2001, 2005 Presentation Skills for Biotech 2005 Power Speaking 2000 Coaching Techniques 2003 Presentation Skills 2000 Training Techniques 1999 DISC 1987, 1998; 2000, 2004 Competency Training 1986 Micro Teaching Skills 1985 Seven Habits of Successful People/Managers 1998 Gung-Ho Customer Service 1998 Spin Selling 1990 Targeted Selection Interviews 1999 E-commerce program tools 2007 Consultative Selling 2000 Selling with Integrity 1989 Internet Sales and Marketing Strategies 2007 Large Account Management 1992 Certifications Membership CCRN by AACN, 1985 - 1990 AACN since 1980 BCLS instructor by AHA, 1985 - 1988 ANA since 1984 ACLS instructor by AHA, 1985 - 1990 ENA since 2001 BCLS (current in 2016); ACLS provider to 2005 SHSMD 2002 Adult Nurse Practitioner 1998 – 2003 ACC Assoc. since 2003 Acute Care Nurse Practitioner 1998 – 2003 Hawaii Assn Prof Nurses: since 2012 Certified Professional in Healthcare Quality 2008 Lean Project Certified 2013 Dept. of Trans. Medical Examiner 2016; DOT UDS/BAT collector 2016 National Association Annual Conference Speaking Engagements: Premier Inc. Breakthroughs – Novel HC Improvement Leadership Strategy with Insurers 2013 AACN – American Association of Critical Care Nurses’ National Teaching Institute 1985-2005 AACN – American Association of Critical Care Nurses’ Advanced Practice Institute 2000-2003 ASAIO - American Society of Artificial Internal Organs Scientific Sessions 1990 ENA – Emergency Nurses Association Scientific Sessions 2000-2005 ENA – Emergency Association’s Leadership Conferences 2000-2005 Critical Care Management – Clinical Updates 1995-1999 AHRQ – Agency for Healthcare Research and Quality’s Translating Research into Practice 2003  Multiple Hospital and Healthcare based training courses and speaking engagements, list extensive; focus CVD across the continuum, advances in technology and improving community health Healthcare Committees Work Cardiac Assist Device Code Blue Committee Critical Care Transport New Products Critical Care Symposia Trauma Team Leader Transplant Team BCLS ACLS Process Improvement Critical Care Education Nursing Research Team New Employee Orientation Advanced Practice Nsg Qual/Perf Improvement Statewide Quality metrics
  • 6. 6 Publications  "Management of the Patient on the IABP" 1988, 1990, 1992. Published by Boston Scientific Corporation  Real Timing, chapter in Quaal "Comprehensive Intraaortic Balloon Counterpulsation" 2nd ed. Published 1993 by Mosby-Yearbook of St. Louis, MO.  Letters to the Editor of Critical Care Nurse, 1994. Published by AACN.  "Intraaortic Balloon Counterpulsation Timing: A Synthesis". July 1996 AJCC by AACN.  "Clinical Observations with Real Timing" published Dec., 1996 in Crit Care Nurs Clinics of No Am by W. B. Saunders Company of Philadelphia, PA.  Letters to the Editor of American Journal of Critical Care, Jan.., 1997. Pub. by AACN.  “Correlation of Thoracic Fluid Index and Pulmonary Capillary Wedge Pressures” May, 1998. Master’s Thesis, San Diego State University Library  “Triage BNP Test, Sales Training Manual”. Published by Biosite Inc. for internal sales training. Dec. 2000.  Triage Drugs of Abuse, TOX Sales training manual. Published by Biosite Inc. for internal sales training Dec 2001  Triage Cardio ProfilER Sales Training Manual. Published by Biosite Inc. for internal sales training, April 2003.  Hospital Case Exemplar. San Diego Veterans Administration Hospital. Published by Biosite Inc. for marketing purposes. Nov 2004  MPO (myeloperoxidase) use for clinical diagnostic testing. Research review editorial for informative advertisement use. Provided to Biosite Inc. for pre-approval marketing use in medical journals. May 2006  Editor for all publications from the Patient Safety Council.org (2010-2011), a regional network associated with HASD&IC for patient safety in San Diego county.  Author of quarterly executive summaries for the Advanced Hospital Care program, a statewide network of all hospitals in Hawaii providing care to non-military residents. (2011-2013) Volunteer Positions: AACN: Practice Research Think Tank 1996 AACN: CE Article Review Panel 1996-1997 SDSU: Member of Board of Directors for Preschool Education 1996-1997 AACN: Grass Roots Advisory Team 1997- 1998 Educator for Children’s Liturgy, St Catherine LaBoure, San Diego, CA. 1997 through 2011 Weekly Religious Education, St Catherine LaBoure, San Diego, CA; 9th graders; 2006-2007 Language Academy Elementary School: Board of Directors/ VP Ways and Means 1998-1999 Amer. Heart Assn. Silicon Valley Walk Team Leader at Guidant 1999 Castro Elementary School: Parliamentarian, PTA Board 1999 - 2000 Assistant Director for Christmas Pageant, St Catherine LaBoure, San Diego, CA. 2000, 2001 Chair for Girl Scout Troop 3071 Cookie Sales 2002 Amer. Heart Assn. San Diego Walk Team Leader at Biosite 2002 Tecolote Bronco Division Padres Team Parent 2004 -2005 Annual Community Health Fair: St. Mary Madeleine 2002 – 2005 Francis Parker Cheer Squad Team Parent 2006 -2007 Francis Parker Parent’s Association After Prom Chair and Annual Gala Volunteer 2006-2007 Border Safety Corridor Coalition – San Diego, CA 2006 -2007 Hawaii Assn of Professional Nurses: 1st Annual conference committee 2013; President 2013
  • 7. 7 Initial Clinical Employment History Critical Care Clinical Educator 1985 - 1987 Sharp Memorial Hospital, San Diego, CA Assessed need for, developed, coordinated and implemented all educational programs for a six unit 500 nurse acute/critical care department with a cardiovascular and trauma care focus. Patient care units spanned ED and ICU to medical/surgical stepdown care and included the post anesthesia and cardiac cath lab areas. Responsibilities included case management, teaching plan development and implementation of departmental orientation program. Courses included computerized order entry and clinical information charting systems utilization, preceptor/internship program, CCRN review courses, ACLS and BCLS courses. Charged with development of research based policies and procedures, and evaluation of staff performance for maintenance and/or modifications of standards to reflect new research. Liaison to management. Chaired multiple committees. Clinical Nurse III, 1980 First CN III (clinical ladder) in facility. Extensive critical care practice in an SICU, which utilized multiple cardiac assist devices for the high risk cardiovascular and transplant patients. Patient population also included level II trauma victims, pediatric cardiac surgical cases, and all general surgical ICU patients. Responsibilities included direct patient care, clinical resource activities, charge duties, trauma and transport nurse assignment, and educational activities. Consultant, Educational consultant for program development, presentation in regional seminars for continuing education of health care professionals. Representative to multiple interdepartmental committees concerned with quality care and standardization. Assisted with start up of trauma, transport, MRI imaging and transplant programs. Other Clinical Experiences Staff nurse Clinical practice in multiple San Diego area health care facilities in multiple settings, including critical care, skilled nursing facilities, medical surgical units, and psychiatric care units. Early emphasis was on care of the critically ill pediatric and neonatal patient. Licensure for Advanced Practice in California and Hawaii Additional Language proficiency in Spanish and some French References will be provided upon request