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Authors: Tony Beshara
Designed and implemented Medication Reconciliation Program Project.
Had integral role in implementation of ICARE program focused on Customer Service and Service Recovery.
Managed organization-wide Quality Improvement goals for each department.
Oversaw state and federal required reporting of hospital data and core measure results.
Managed customer satisfaction survey process and disseminated monthly and quarterly reports.
Developed process to decrease readmissions related to congestive heart failure.
Compliance
Committee Chair of the Corporate Compliance Committee.
Monitored updates by state and federal regulatory agencies to ensure corporate compliance.
Participated in new employee orientation and competency related to compliance issues.
Communicated revisions of requirements to all levels of the organization.
Accreditation
Directed facility through accreditation process.
Maintained communication with accrediting body and organization throughout survey process and follow-up.
Communication/Presentations
Provided daily communication between departments and administration.
Reported monthly to Quality Council, Credentialing Committee, and Medical Staff.