Texas CIN Director, Quality and Continuing Care since 2017, leading the continuing care and quality initiatives for value based contracts with CMS as an Accountable Care Organization, Cigna, United Health Medicare Advantage, Devoted Medicare Advantage and Blue Cross Blue Shield ACO and employee health plans. Responsible for creation, operation, reporting and redesign of the complex care, transition of care & quality gap closure services. The CIN has achieved the highest quality scores of the CIN’s history in the contracts, boosting shared savings when financial benchmarks have been met.

Director, Quality & Outcomes, Community Health Choice, September 2013 – Sept. 2017

• Responsible for the operation and redesign of the programs for the high risk pregnancy, asthma, diabetes, heart failure, community health worker assessment & verification of children with special health care needs, SSI application assistance, social determinants of health resources, and utilization review appeals in the Health Insurance Exchange, Medicaid & CHIP managed care populations.  Prepare responses to provider complaints from the Texas Health and Human Services Commission (HHSC), represent CHC in HHSC member fair hearings, investigate and assist in quality review cases brought before the medical peer review committee.  File quarterly reports to the HHSC regarding members with special health care needs, 17P, and member appeals. Participate in Quality work groups for performance and quality improvement plans (PIPs, QIPs, QIS), as well as performance excellence projects for the HHSC.

Lead Clinical Product Owner/SME, Prognosis HIS                        July 2010 – September 2013

• Manage electronic health record software solutions through complete life cycle, from strategic planning through software development, release, and maintenance.
• Follow Agile, PDCA, Kaizen management in working with up to twenty-five developers to create software for electronic inpatient registration, order entry, clinical documentation, eMAR medication administration, emergency department, clinical pathways and quality measures for critical access and rural hospitals.
• Our team successfully converted twenty hospitals from paper to electronic documentation in eighteen months.​​​​​

Instructor, HESI Review Courses, Elsevier Inc.                 September 2009 – September 2010

• Taught graduating BSN/ADN students preparation courses for NCLEX-RN or NCLEX-PN exams in nursing schools across the country.

Project Manager, Serpe, Jones, Andrews, Callender & Bell, P.L.L.C. Nov. 2008 – Nov. 2009

• Managed the creation and opening business of a new nine-attorney firm.

Associate Professor, Houston Baptist University                          September 2005 – May 2009

• Taught all levels of BSN/ADN students and nurses from novice to expert in all management and clinical care areas.
• Member of the Retention Committee at HBU to develop ‘Finish in Four’ campaign to decrease rate of junior transfer and dropouts through mentoring, counseling and establishing a channel for self-organizing groups to exist.
• Student Discipline Appeals Committee
• Faculty Affairs and Peer Review Committee
• College of Nursing Graduating Level Curriculum Committee

Attorney, Clark, Depew, & Tracey, Ltd., L.L.P.                            April 2002 – January 2006

• Successful representation in all phases of plaintiff’s medical malpractice litigation docket and mass tort docket

Attorney, The Perdue Law Firm, L.L.P.                                         June 1997 – June 2001

• Successful representation in all phases of plaintiff’s medical malpractice litigation docket

Attorney, Davis McMath & Davis, L.L.P.                                       January 1994 – June 1997

• Successful representation in all phases of plaintiff’s medical malpractice and personal injury litigation docket

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Board Participation

Board of Directors, Children at Risk                                              2013 - 2017

Advisory Board Member, March of Dimes                                    2013 – 2017​​​​​​​

Presentations

“Electronic Medical Records: Problems, Liability Issues Related to ACA Requirements and HIPAA.”  Claims and Litigation Management Alliance Summit, Chicago, IL, June 6, 2015.

“Moral Courage Update:  Ethics:  Putting Ethics into Action.” Annual Education Day, The Methodist Hospital, Houston, Texas, August 18, 2012.

 “Implications for Health Care Providers Facing Criminal Charges Part I: Health Care Providers & the Criminal Justice System – Implications for Nurses & Those Who Advocate for Them” 29^th Annual Meeting and Educational Conference, The American Association of Nurse Attorneys, Lexington, Kentucky, October 21, 2010.

“Moral Courage:  Ethics:  Putting Ethics into Action.” Annual Education Day, The Methodist Hospital, Houston, Texas, August 14, 2010.

 “Legal Implications for Successful Intervention and Treatment in the School Setting: Special Needs Accommodations.” The Heart, Head and Hands of School Nursing.  Fort Bend Independent School District, Houston, Texas, August 1, 2007.

“Legal Implications for Successful Intervention and Treatment in the School Setting: Documentation Tips.” The Heart, Head and Hands of School Nursing.  Fort Bend Independent School District, Houston, Texas, August 1, 2007. 

“Focus on Documentation within the Computerized Record.” Gulf Coast Division, Inc., Houston, Texas, September 28, 2006.

 “Spirituality, Healthcare and the Law.” Houston Baptist University College of Nursing, Houston Baptist University, October 12, 2006.

“Documentation Tips,” Fort Bend Independent School District School Nurse In-service, Houston Baptist University College of Nursing, Houston Baptist University, January 19, 2006.

“Special Needs Funding.”  Epilepsy Foundation Texas, St. Martin’s Episcopal Church, Houston, Texas, June 14, 2003.

“Documentation Issues for the Future.”  Nursing Continuing Education, Omni Hotel, Houston, Texas, August 31, 2001.

“Documentation Issues for Nurse Practitioners.” Texas Nurse Practitioners Annual Conference, The Westin Galleria Hotel, Houston, Texas, September 24, 2000.

“Good Samaritan Laws and Nursing.”  Nurse Practitioners In-service, Houston Baptist University College of Nursing, Houston Baptist University, October 20, 1996.

Taught continuing education for nurses in the areas of the Good Samaritan Law, Use of Restraints in sub-acute and acute care, and Nursing Negligence for Transitional Hospital Corporation in 1996.

“Nursing Negligence.”  MD Anderson Cancer Center Nurse In-service, MD Anderson Cancer Center, Houston, Texas, May, 1994.

Publications

Texas Nurses Association. (2009). Tired is Trouble. [Reference for nurse leaders].  Austin, TX: 2009 Practice Committee.