Industrial & Organizational Nurse
2003
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Metrics by Timeline

Portfolio in review...

2021 through 2023

Pivoted to support clinical capacity and throughput in WA State. 

2018 through 2020

​Eligible for CPPS (Certified Professional in Patient Safety) exam. Completed MED Instructional Design degree program with emphasis on measurement and evaluation. NE-BC recertification achieved. Masters of Education and Instructional Design curricula included:
​IDC1
JNT2
JOT2
JPT2
C224
C225
C226
C227
MEC1
JRT2
JQT2
JST2
C636
Foundations of Instructional Design
Instructional Design Analysis
Issues in Instructional Design
Instructional Design Production
Research Foundations
Research Questions and Literature Review 
Research Design and Analysis
Research Proposals
Foundations of Measurement and Evaluation 
Evaluation Methodology and Instrumentation 
​Issues in Measurement and Evaluation 
Evaluation Process and Recommendation
​Measurement & Evaluation Instructional Design Capstone
wgu_award_10_2018.pdf
File Size: 269 kb
File Type: pdf
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2015 through 2017

Eligible for PMP certification exam. NE-BC certification achieved. MBA completed. Designed and implemented 2014 NAR communication architecture. Administrative focus shifted to Accountable Care, networking, and facility process mapping for Quality and Risk metrics. Masters of Business Administration curricula included:
JDT2
JET2
JGT2
JIT2
SAT2

JCT2
JFT2
JJT2
QRT2
JHT2
JKT2
Human Resources 
Financial Analysis 
Decision Analysis 
Risk Management 

Team Leadership 

Supply Chain Management
Organizational Management 
Social Responsibility 
E-Business Solutions
Strategic Management 
Management & Strategy Business Administration Capstone
Enhanced select health metrics in WA, OR and AK. Facilitated an annual reduction in harms related to:
​
Sepsis (31.2% decrease in mortality)
Rapid Response Teams (46% increase in staff-­initiated processes)
Honoring Choices PNW (contributed to over 1,500 conversations)
Children’s Radiation Safety (mapped 110 CT imaging protocols)
Readmissions (13% decrease in all-­cause hospital readmissions)
acn_planning_visual_map.pdf
File Size: 113 kb
File Type: pdf
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bsg_industry_winner.pdf
File Size: 420 kb
File Type: pdf
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2014 

Initiated MBA at WGU. Invested in NE-BC certification review. Completed 2013 NAR communication architecture. Analyzed Nursing Administrative Supervisor role to align with Strategic Plan. Eight primary categories defined to include: Operational Resource, Emergency Response, Executive Team Liaison, Risk Mitigation, Crisis Intervention, Human Capital Management, Bed Control, and Clerical Oversight. Tiered triage of multiple critical events mapped. 
Nursing Annual Report Process Improvement:
2014 NAR
2013 NAR
2012 NAR
  65 hours
  80 hours
130 hours 
16-pages
20-pages
20-pages
On-time
On-time
On-time
48.9% Under Budget
   21% Under Budget
     3% Under Budget
tiered_triage_for_site_admin_.pdf
File Size: 183 kb
File Type: pdf
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2014_nursing_annual_report.pdf
File Size: 1776 kb
File Type: pdf
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2013 

Oriented to Personalysis and Insights assessments. Completed 2012 NAR communication architecture. Accepted Change Facilitator role to implement waste reduction measures, expedite contention resolution, and accelerate affiliation opportunities. Proposed departmental reorganization. MSN completed. 
Masters of Science in Nursing curricula included: 
HFT2
HGC2
SGT2
SMT2
SOT2
NET2
SQT2
SKT2
NFT2
DHT2
DIT2
Healthcare Policy & Financing
Organization of Healthcare Delivery Systems
Global Health, Human Diversity & Disease
Role Development for Advanced Nursing Practice 
Advanced Nursing Ethics & Values 
Nursing Administration Specialist
Research Proposal on Hostility Interventions 
Research Literature Review 
Evidence-Based Practice 
Leadership & Management Nursing Administration Capstone
Research Oral Defense 
2013_nursing_annual_report.pdf
File Size: 1997 kb
File Type: pdf
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2012

In-depth assessment of administrative supervisor and admission coordinator roles completed. Analysis initiated for possible reformatting of roles to align with strategic planning and quality initiatives. Renewed emphasis on direct admit process with restructuring to accommodate new software environment and evolving stakeholder needs. Expanded communication architecture to incorporate the Nursing Annual Reports. Planned consecutive MSN and MBA degree programs at WGU.  
2012_nursing_annual_report.pdf
File Size: 3143 kb
File Type: pdf
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2011

Ongoing assessment and execution of administrative supervisor and admission coordinator roles continued. Personality profiling and skill set evaluation incorporated. Heavy emphasis on interpersonal skills coaching, peer mentoring, and ongoing risk management. Ethical and legal issues addressed. Recommendations made to Human Resources. Metrics qualitative and confidential. 

  
 2010

Ongoing placement in and assessment of role as administrative supervisor. Initial metrics for admission coordination focused on development of a transfer center as well as streamlining processes. One Call Does It All established. Incorporated placement of admitted emergency department patients for an initial 55% decrease in wait times (33 to 15 minutes). Ongoing metrics focusing on other factors were largely qualitative and related to Magnet Journey. 

Admission Coordinator Process Improvement Project:
Metric
  
Time to assign bed
One call to assign bed
Direct admit volumes
Complete information
Satisfaction survey
Customer service
Time to assigned room
Overall experience
Before
  
39.67 minutes
33%
2,340 in 2009
No baseline
25% approval
87% approval
50% approval
25% approval
After
  
14.7 minutes
88%
2,858 in 2010
53%
80% approval
80% approval
80% approval
80% approval
Impact 
  
63% improved
55% improved
22% increase
improved 
improved
declined
improved
improved  
  
2009

Ongoing placement in and assessment of role as administrative supervisor. Assisted with the inception and implementation of a new role and clinical continuity program designed to standardize the pathway by which patients are directly admitted to the hospital. Revised housewide staffing protocols in conjunction with plans to expand the facility. Qualitative reviews of job satisfaction, efficiency, and workplace hostility begun. Internal newsletter established. Nursing Matters quarterly newsletter designed and implemented as communication architecture for administration and shared governance. Admission coordinator project formalized. 

nursing_matters_aug_2013.pdf
File Size: 302 kb
File Type: pdf
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nursing_matters_feb_2014.pdf
File Size: 475 kb
File Type: pdf
Download File

nursing_matters_nov_2012.pdf
File Size: 371 kb
File Type: pdf
Download File

nursing_matters_feb_2013.pdf
File Size: 499 kb
File Type: pdf
Download File

nursing_matters_feb_2012.pdf
File Size: 370 kb
File Type: pdf
Download File

nursing_matters_may_2012.pdf
File Size: 1722 kb
File Type: pdf
Download File

nursing_matters_aug_2011.pdf
File Size: 1010 kb
File Type: pdf
Download File

nursing_matters_nov_2011.pdf
File Size: 3440 kb
File Type: pdf
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2008

Dual roles performed for Providence Regional Medical Center in Everett. Administrative supervisor and diabetes educator positions reviewed and executed. Metrics involving diabetes clinic confirmed qualitative value of services at financial deficit. Options assessed before clinical downsizing. Evaluation of proposed clinical continuity program and admission coordination project initiated. Nominated as finalist for March of Dimes Nurse of the Year in the Leadership Category. 
​


2007 B

Management of annual budgets, oversight to GI procedures, and supervision of non-clinical staff at Puget Sound Gastroenterology clinic located within Swedish in Seattle. Central role involved practice review and staff evaluation. Primary obstacles to provider success identified and disclosed. Six direct reports.
​
2007 A

Clinical project developed for the Vencor Group at Kindred Hospital in Seattle included assessment of patients for alternative therapies related to anxiety and pain management. Evaluations conducted with clinical pharmacist and chief medical officer as interdisciplinary team. Ethical and legal issues addressed. Non-blinded patient-specific trial conducted over nine months. Metrics confidential within organization. Clinical practice resumed as IO Nurse.  


2006

Academic program incorporating BSN degree and RN licensure for WA State. Clinical practice transitioned. 


2005

Continuation of HMC project initiated in 2001. Stage three metrics set to incorporate both revenue and ongoing patient satisfaction as criteria for PCC placement and annual reviews. Personality profiles and skill set analyses offered to Human Resources to assist with selection and training of future applicants for PCC positions. A review of insurers for remunerative barriers to be incorporated into stage four with expectations of Pareto (80/20) results. Deliverables included standardized protocols for surgical, medical, and allied care coordination, successful coordinator profiles, skill set analyses, job satisfaction survey, profitability analysis, and preparation for carrier negotiations. Final carrier negotiations beyond the scope of project. Clinical practice maintained. 


2004

Continuation of HMC project initiated in 2001. Eventual mapping was adjusted to include 49 ambulatory PCC, 2 in-patient PCC, and 4 financial counselor positions. 49 PCCs noted to account for $2,940,000 in annual returns set against $2,107,000 in salaries ($833,000 annual revenue). Refinements correlated with a revenue increase to $954,600 by the end of year two across all ambulatory clinics. Surgical income excluded. First year metrics were analyzed and processes revised for an 11% increase in revenue versus costs adjusted for inflation across all clinics. Metrics disclosed at first comprehensive group PCC meeting with Administration (January, 2005).  Clinical practice maintained. 


2003

Continuation of HMC project initiated in 2001. Designed, presented, and implemented a three-stage clinical continuity program for Harborview Medical Center aimed at mapping all ambulatory patient care coordinator (PCC) positions for review of services and necessity. Metrics included cost of position set against revenue generated by clinic and individual, personality profiles matched with patient satisfaction and job satisfaction surveys, and task-specific measurements for time/cost analysis. Clinical practice begun as Cafe Docere. 


2002

Continuation of HOC project initiated in 2000. Revenue at project closure was $38,430 (-$15,000 in costs) monthly or $461,160 (-$180,000 in costs) annually with 366 subscribers paying $40/month for consult service and $65/month for supplements. Net income of $281,160 by the end of year two. Attrition was noted as 7% or less annually, offset by consistent 300% growth. Completed Simply Philips Six Sigma Black Belt certification. Deliverables included refined protocols for virtual management, product delivery, consults, treatments, billing, tracking, and accounting as well as private label vitamin sets. Project concluded by resale. 


2001 B

HMC project initiated. Discussed clinical continuity needs with select members of Harborview Medical Center executive team. Hired into PSR/PCC float position for initial evaluation of project feasibility, development of project parameters, and stakeholder assessment. Studied process and protocol for entry-level and mid-level clinical support positions. 


2001 A

Continuation of HOC project initiated in 2000. Triple growth sustained over the second year of the project. Managed team of consulting physicians and accountant. Six sigma methodologies applied to supplement line, delivery protocols, medical consults, therapeutic protocol development, and research with oversight from Philips Corporation. Refined delivery and billing processes. Refined vitamin/mineral sets to custom label. Refined medical consult protocol. Researched and developed treatment protocols in conjunction with consultation and referral services. Integrated with primary clinic through referral. Ethical and legal issues addressed.
​


2000

HOC project initiated using DFSS methodology. Graduated from Bastyr University with ND degree, concentration in counseling and primary care. Initiated administrative internship for consolidation of I/O psychology in clinical practice. Designed program for the Hyperbaric Oxygenation Corporation designated Health On Call, aimed at supporting individuals' health by phone consult, triage, referrals, and supplements by mail. Program implemented by 5 Elements Naturopathic Health Center, LLC. Intermittent fund raising and sales occurred in conjunction with Global Health Fairs. Opening administrative budget of $14,200 (offset by $10,600 in initial operating costs) grew to a monthly income of $9,870 six months later as the virtual clinic grew from 40 to 94 subscribers, nearing a break-even point. At one year the subscriptions had tripled to 126 ($13,230 monthly income against $12,200 in operating costs).

Doctorate of Health Sciences (Natural Medicine) curricula included: 
Fall 1995
​CX
​BC5100
BC5104
BC5110
​BC5115
BC5130
NM5111
NM5804
​NM9101
​PM5100
​
​Winter 1996
BC5101
BC5105
​BC5112
BC5116
NM5101
OM5100
PM5101
​PM5300

​Spring 1996
AV5100
BC5102
BC5106
BC5113
BC5117
BC5141
BO5100
PM5102
PS5103

​Fall 1996
BC5107
BC6203
BO5301
HO6300
MW6100
​TR6300

Winter 1997
​​BC5108
BO6301
HO6301
PM5304
TR6301
TR9104

Spring 1997
​BC5109
BC5114
BO6302
HO6302
PM5305
​PM6300
TR7311

Summer 1997
​BC6203
MW9511
MW9512
NM9105
​NM9532

Fall 1997
BC6200
​BO6301
MW7300
NM6201
NM6204
​NM6207
PS6305

Winter 1998
BC6201
BC6204
BC6301
MW7301
NM6202
NM6205
​NM6208
​PS6306

Spring 1998
BC6202
BC6205
BC6302
NM6302
NM6206
NM6209
​NM6803
NM6804
​PS6303

Summer 1998
NM7109
NM7340
NM7417
NM7820
​NM7821

Fall 1998
BO7300
MW7303
NM7101
NM7102
NM7313
NM7815
NM7822
NM7823
PM7301
​PS7203

Winter 1999
NM7122
NM7314
NM7381
NM7824
NM8308
PM7302
PS7200
TR7400
​
Spring 1999
MW8102
NM7315
NM7320
NM7382
NM7400
NM7825
NM7826
NM7827
NM8313
​TR7401

Summer 1999
BO7303
MW7310
NM7828
NM8211
PM7303
​PM7801

Fall 1999
​NM7829
NM8302
NM8303
NM8304
NM8306
NM8340
NM8381
NM8413
NM8830
​PM7802

​Winter 2000
BO7301
NM8213
NM8307
NM8309
NM8382
NM8414
NM8831
NM8832
​PM8341

Spring 2000
NM8107
NM8109
NM8212
NM8305
NM8311
NM8312
NM8833
NM8834
PM8801
PS7315

Summer 2000
​BC9520
NM8801
NM8802
NM8803
NM8835
NM8836
​PM8802


​
​

3
​3
4
5
1
0
1
1
2
1
21

3
4
3
1.5
1
3
1
​1.5
18
​
2
3
4
1
1
2
2
1
2
16

5.5
​R
2
2
2
2
14.

5.5
R
3
1.5
3
​2
15

​3
6.5
​2
3
1
2
​3
20.
​

4.5
1.5
1.5
2
2
11.

4
2
2
4
3
2
​3
20

4
4
2
2
4
3
2
​3
​24
​
4
3
2
4
3
2
1
1
​2
22

2
3
3
2
2
12

​2
3
1.5
1.5
3
2
2
2
3
2
20

1
2
1
2
3
3
2
3
​17

1
2
2
2
3
2
2
2
2
3
​21

1
3
2
4
3
2
15

2
2
2
2
2
1.5
2
2
2
2
19.

​2
2
2
1.5
1
2
2
2
2
​16.

2
2
3
2
2
1.5
2
2
2
2
20.

2
1
1
1
2
2
2
11
​
335
​


​
Year 1A
Transfer ​Credits 2 semester (3 quarter) hours
​Gross Human Anatomy 1
Biochemistry 1
Histology
Human Dissection and Computer Lab 1
Histology Lab 
​History of Naturopathic Medicine
Clinic Entry 1 
Iris Analysis 1 
​Living Anatomy 1
​
​Year 1B
​​Gross Human Anatomy 2

Biochemistry 2
Embryology
Human Dissection 2
Naturopathic Philosophy 1
Fundamental Principles of Chinese Medicine
​Living Anatomy 2 
Massage

Year 1C
Fundamentals of Ayurvedic Medicine 
Gross Human Anatomy 3
Biochemistry 3
​Genetic Counseling 
Human Dissection 3
Research Methods and Design 
Pharmacognosy
Living Anatomy 3
Physician Heal Thyself 
​
Year 2A
Human Physiology 1
Microbiology (organisms)
Botanical Medicine 1
Homeopathy 1
Midwifery: History and the Law
​Basic Foods/Diet Assessment and Planning 

​Year 2B
Human Physiology 2 Lec/Lab
Botanical Medicine 2
Homeopathy 2
Hydrotherapy/Physiology Lecture 
Therapeutic Diets 
Nutrition and Mental Health 

Year 2C
Human Physiology 3 Lecture
Neuroscience
Botanical Medicine 3
​Homeopathy 3
Hydrotherapy/Physiotherapy Lab
Naturopathic Manipulation 1
Maternal Infant Nutrition
​
Year 2D
​Microbiology (antimicrobials) 
Doula Training 1
Doula Training 2
Moral Issues in Medicine 
Advanced Classical Natural Medicine 

Year 3A
​Human Pathology 1
Botanical Medicine 2R
Normal Pregnancy and Birth 1
Physical/Clinical Diagnosis 1
​Clinical Laboratory Diagnosis 1 
Signs and Symptoms 1
Naturopathic Counseling 1 
​
​Year 3B
Human Pathology 2
Immunology
Pharmacology 1
Normal Pregnancy and Birth 2
Physical/Clinical Diagnosis 2
Clinical Laboratory Diagnosis 2
Signs and Symptoms 2
​Naturopathic Counseling 2  

Year 3C
Human Pathology 3
Infectious Diseases
Pharmacology 2
Physical/Clinical Diagnosis3
Clinical Laboratory Diagnosis 3
Signs and Symptoms 3
Clinical Applications 
​Clinic Entry 2
Sexuality and Sex Therapy 

​Year 3D
Practice Management 1
Cardio Pulmonary 1
Medical Procedures
Patient Care 1
Patient Care 2
​
Year 4A
Botanical Medicine 4
Labor Complications
Environmental Medicine 
Public Heath 
Gynecology
Clinic Assistant/Dispensary 
Patient Care 3
Patient Care 4
Naturopathic Manipulation 2
Additions and Disorders
​
Year 4B
​Naturopathic Philosophy 2
Pediatrics 1
NM Case Analysis and Management 1 
Patient Care 5
Endocrinology
Naturopathic Manipulation 3
Psychological Assessment
Therapeutic Nutrition 1

​Year 4C
Childbirth Education
Pediatrics 2
Family Medicine
NM Case Analysis and Management 2 
​Minor Surgery 
Patient Care 6
​Patient Care 7
Patient Care 8​
Oncology
​Therapeutic Nutrition 2

​Year 4D
Botanical Medicine Dispensary Lab
Neonatology
Patient Care 9
Radiographic Interpretation 1
Naturopathic Manipulation 4
Patient Care 18/Physical Medicine 1 

Year 5A
​Patient Care 10
Orthopedics 
Geriatrics
Dermatology
Gastroenterology
Cardio Pulmonary 2

NM Case Analysis and Management 3 
Advanced Naturopathic Therapeutics 1
Patient Care 11
Patient Care 19/Physical Medicine 2 

Year 5B
Botanical Medicine 5
Diagnostic Imaging
Eye, Ear, Nose and Throat 
Rheumatology
NM Case Analysis and Management 4
​Advanced Naturopathic Therapeutics 2
Patient Care 12
Patient Care 13
​Sports Medicine/Therapeutic Exercise

Year 5C
Jurisprudence
Practice Management 2
Radiographic Interpretation 2 
Clinical Ecology 
Neurology
Urology
Patient Care 14
Patient Care 15
Patient Care 20/Physical Medicine 3 
Naturopathic Counseling 3 

Year 5D
​Drug/Herb Interactions 
Preceptorship 1
Preceptorship 2
​Preceptorship 3 
Patient Care 16
Patient Care 17
Patient Care 21/Physical Medicine 4 ​


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