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Participation in the development of a plan, and purchase/installation of software to enable quality improvement within the provincial cytology registry Participation in the CCHSA accreditation process as team leader of the Cancer Care Team.

2003 - 2005 Senior Director of Clinical Efficiency Health Care Corporation of St. John’s (HCCSJ) St. John’s, NLResponsible for the development and implementation of measures to ensure efficient use of clinical resources and continuity of patient care. I link with all clinical programs and services, as well as community and long term care partners to identify issues and solutions. Some of my accomplishments include:

identification of key measures of efficiency development of efficiency targets analysis of clinical data, and development of action plans to Improve utilization of resources development of a wait list management program identification of initiatives to support clinical efficiency - Le. Appropriateness of Admission software, education for physicians, and development of an electronic discharge summary. development of processes to monitor bed wait times for admitted patients in the Emergency Department, and implementation of processes to improve the indicator, including ~ Improved access to long term care beds, through the implementation

of a first available bed policy ~ Development of a process to create surge capacity with in the organization (Code111) ~ An 11 OOh discharge time ~ Expansion of Medical Ambulatory Treatment services.

development of information systems to provide current clinical information to support improved clinical efficiency ( Cognos Cubes) refinement of a minimum data set for quality reporting within the HCCSJ establishment of an Evidence Based Practice Council, and the development of structures to support best practice within the organization, including development of research activities development of comprehensive discharge planning processes

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1999 - 2003 Director of Quality Initiatives Health Care Corporation of St. John’s (HCCSJ) St. John’s, NLResponsible for the ongoing quality plan of the organization, which included a focus on Risk Management, Utilization Management, Infection Control and Quality Improvement. I linked with all programs and departments to develop and implement processes to address ongoing quality improvement. Some of my accomplishments included:

implementation of Risk Management processes to improve patient safety, including ~ monitoring of patient occurrences ~ management of critical occurrences ~ establishment of a Medication Safety Committee ~ development of a patient safety plan ~ refinement of a Product Alert process ~ establishment of a Patient Relations Officer role to manage

patient/customer feedback ~ implementation of effective infection control processes ~ identification and management of risk issues ~ education forums for managers and staff regarding risk management implementation of processes to improve quality of patient care, including ~ development of a quality planning document for the organization ~ review and revision of processes for quality reporting within the HCCSJ ~ development and monitoring of appropriate corporate quality and

outcome indicators, using a balanced scorecard framework ~ coordination of the CCHSA accreditation process ~ implementation of a process to support the development of administrative policies ~ education of managers and staff regarding quality improvement and indicator development ~ provision of support to programs in ongoing process improvement and quality reporting

implementation of processes to support appropriate resource utilization, including: ~ identification of appropriate utilization indicators for clinical and

corporate departments ~ collaboration with the Information Management Department to develop and implement systems to support decision making ~ completion of surveys and benchmarking studies, in collaboration with the Canadian Institute for Health Information and the Newfoundland and Labrador Center for Health Information

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1996-1999 Professional Practice Coordinator Health Care Corporation of St. John’sResponsible for the development and implementation of an interdisciplinary professional practice model, with specific responsibilities for the nursing components. Established structures to enable a shared governance approach for nursing, and was responsible to implement an appropriate committee structure to support these initiatives. I led a number of initiatives during that time, including:

development and implementation of a plan to consolidate the computerized patient information systems at eight hospitals, as these institutions were merged into one board as a result of hospital restructuring; development of a corporate system to track professional practice issues for all professional groups within the Health Care Corporation of St. John’s; development of a corporate nursing practice manual; and identification of quality indicators for the nursing professional practice group.

1995 - 1996 Director of Nursing, Medical-Surgical Areas General Hospital, Health Care Corporation of St. John’s

Accountable for the provision of leadership to coordinate and facilitate the management of eight medical surgical units within the General Hospital. These units include the following services: General Medical Oncology General Surgery Nephrology Orthopaedics Neurology/Neurosurgery Dialysis Urology Cardiology/Cardiovascular Surgery Endocrinology Responsibilities included planning and directing effective patient care programs within these areas. This includes the preparation of annual operating budgets, as well as ongoing fiscal monitoring. I was also responsible for Human Resource Planning and Development, and was actively involved in labour relations issues, specifically in relation to closure of beds and reallocation of services. Worked closely with other disciplines to facilitate effective interdepartmental and interdisciplinary communications. Accomplishments in this area include: implementation of a care mapping project coordination of an interdisciplinary committee to develop a plan to implement a home infusion program ongoing development of a corporate policy regarding Advance Health Care Directives

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consolidation of technical support for Dialysis equipment within the city of St. John’s development of a proposal for the implementation of Advanced Nursing Practice roles, Le. First Assist in Cardiovascular Surgery.

1990 - 1995 Coordinator, Nursing Q. . & Patient Education General Hospital, St. John’s, NLA member of the Nursing Executive Committee, with specific responsibilities for the Quality Assurance Program for the Department of Nursing, which included a risk management component. As a member of Nursing Executive, responsible for development of the goals and objectives for the Department of Nursing within the General Hospital, at both the Health Sciences and Dr. L.A. Miller Center sites. Specific accomplishment included:

redevelopment of Nursing audits to reflect outcome development of interdisciplinary goals and objectives development of interdisciplinary audits implementation of a Shared Governance model within the Department of Nursing, which included the elimination of after hours supervision implementation of a hospital wide Occurrence Reporting system implementation of a computerized nursing care planning system redevelopment of nursing documentation systems development of a hospital wide patient education policy During my tenure, the position evolved from one of coordinator to facilitator, in keeping with the shift from Quality Assurance to Quality Improvement. My responsibilities were extended beyond the Department of Nursing, and I was responsible for the development and implementation of the organization’s Quality Improvement Plan. This included the development of a reporting mechanism, as well as education for all staff

1984 - 1990 Instructor, Staff Development General Hospital, St. John’s, NLResponsibilities in Staff Development were initially related to general programs, and included such activities as orientation, coordination of various workshops, courses and seminars. I developed the initial Chemotherapy course for nurses, and was responsible for the education of Pharmacists in relation to safe handling of Chemotherapy. In 1986, I was appointed to the position of Coordinator, Emergency Medical Attendant Program.

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1980 - 1984 Staff Nurse, 4 North A, Oncology Unit General Hospital, S1. John’s, NL1979 - 1980 Staff Nurse, Medicine & Coronary Care James Paton Memorial Hospital, Gander, NL

Education

1996 Master of Nursing Memorial University of Newfoundland

1995 Tools of CQI University of Toronto, Toronto

1979 Bachelor of Nursing Memorial University of Newfoundland

1973 Grade XI Gander Collegiate, Gander, NL

Work Related Training

I have attended numerous workshops and training programs, the following are examples:

2008 Distress Screening Workshop - Canadian Partnership Against Cancer (CPAC) Cancer System Indicators - CPAC Canadian Conference on Cancer Screening National Breast Cancer Research Summit Mapping the Future

2007 Canadian Colorectal Cancer Roundtable National Cancer Systematic Risk Assessment Workshop

2006 Atlantic Guidelines Workshop Cancer Registries Workshop Atlantic Canada Waitlist Management Workshop National Cancer Surveillance Conference

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2005 International Cancer Symposium San Antonio Breast Cancer Symposium Health Technology Assessment - Memorial University Ethics Forum - HCCSJ Patient Safety and Accreditation - CCHSA

2004 Patient Safety - Putting the Pieces Together - HCCSJ

2003 Leading the Accreditation Process - CCHSA Leadership Training - Memorial University

2001 Using Indicators to improve performance - CIHI

1999 Emergency Preparedness - Emergency Preparedness Canada

Professional Affiliations

Association of Registered Nurses of Newfoundland & Labrador (ARNNL):

2001-2004 President, ARNNL Council

2000-2001 President-Elect, ARNNL Council

1998-2000 Councilor

Liaison Committee: Newfoundland & Labrador Medical Association, Newfoundland Medical Board, Chair Liaison Committee: Council for Licensed Practical Nurses &

ARNNL, Chair Appointments Committee, Chair Nursing Practice Committee, Member Advanced Nursing Practice Committee, Member Working Group: Council for Licensed Practical Nurses &

ARNNL, Member

Canadian Nurses Association (CNA)

2006-2008 Committee on Nominations, Member

2001-2004 Board of Directors, Member

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Canadian Association of Nurses in Oncology

Past-Treasurer, Provincial Chapter

Committees-Current

Eastern Health

Joint Portfolio Meeting with VP People and Information Services and COO Adult Acute Care Portfolio

Tele-Health Committee Palliative End-of-Life Regional Committee Clinical Chiefs/Program Directors Committee Cancer Care Program, Leadership Team Clinical Issues Committee Clinical Efficiency Committee Information Management and Technology Committee Radiation Safety Committee, Cancer Care Program Power of Life Committee Dr. H. Bliss Murphy Cancer Care Foundation Board Waitlist Management Committee

External Committees

Canadian Council of Cancer Registries Canadian Colorectal Screening Network Provincial Cancer Control Strategy Steering Committee CAPCA Wait times Working Group

Health Care Corporation of St. John’sSenior Management Committee, Member

Committees Past: Health Care Corporation of St. John’sAdministrative Policy Committee, Chair Cardiac Utilization Committee, Member Community Health Liaison Committee, Chair Corporate and Board Quality Initiatives Committees, Member Clinical Efficiency Steering Committee, Member Data Quality Committee, Chair

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Committees Past: Health Care Corporation of St. John’s (cont’d)Disaster Committee, Member Emergency Department Pressures Committee, Chair Evidence-Based Practice Council, Chair Human Resources Services Advisory Committee, Member Information Management Committee, Member Infection Control Committee, Member Internal Communications Committee, Member Medical Advisory Committee, Member Medication Safety Committee, Member Nursing Council, Member Nursing Practice Committee, Member Nursing Documentation Committee, Member Organizational Development Quality Improvement Committee, Member Pharmacy/Nursing Liaison Committee, Chair Professional Practice Committee, Nursing, Member Professional Practice Committee, Interdisciplinary PPC’s, Member

Other Committees -Past:

CIHI Partnership Working Group - responsible for the development of a model of a national health information framework, Member

Disaster Planning, S1. John’s Airport, Member Documentation Committee, S1. John’s Hospitals, Member Canadian Association of Nurses in Oncology (CANO) National Conference

Planning Committee, Member Computer Application Committee, MUN School of Nursing, Member Administration Manual Development Committee, Health Care Corporation of S1.

John’s, Member

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Presentations:

I have presented at numerous meetings, conferences, and hearings, for example,

Clinical Guidelines, Newfoundland - 2006 Cancer Registry Overview, Newfoundland - 2006 Radiation Therapy - 2006 Post San Antonio Review - 2006 Clinical Efficiency- Management Education Certificate Program, HCCSJ 2005 Clinical Efficiency - Medical School Orientation - HCCSJ, 2005 Clinical Efficiency- Putting the Pieces Together - Poster Presentation to the National Health Care Quality Association, 2004 Indicator Development for Environmental Services - St. John’s, 2004 President’ Address at ARNNL Annual Meetings (2002-2005) Newfoundland & Labrador Health Boards Association Development of Indicators (2003) Indicator Development - Peninsula’s Health Board (2003) Electronic Clinical Documentation - Recovery Room Nurses Seminar (2003) Accreditation - Numerous presentations to teams within the HCCSJ 2003/04 ) Sustaining Our Public Health Care System, ARNNL’s Presentation to the Commission on the Future of Health Care in Canada (2002) ARNNL Presentation to the Standing Senate Committee on Social Affairs, Science and Technology on the Health of Canadians - The Federal Role Issues and Options (2001) ARNNL Presentation to "Reaching Consensus and Planning Ahead" Provincial Health Forums, Government of Newfoundland and Labrador (2001 ) Health Care Corporation of St. John’s - Implementing Quality Plans The Canadian Association for Quality in Health Care, Implementation of a Quality Improvement Plan (1995) The National CANO Meeting, Risk Management (1994) ARNNL Teleconferences: Components of Program Evaluation (1996), and Risk Management (1995)

Research:

Systemic Therapy Research Project - 2008 Team Members "Impact of Transfusion on Length of Stay" - Supervisor for L. Wade, Bachelor of Technology Program, 2005. Impact of Acute Care Restructuring in Newfoundland and Labrador", 2002, Team Member

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Participant in Benchmarking Studies (Health Care in Canada, etc.) A Retrospective Study to Determine the Effect of a Fall Prevention Program (1996), Master of Nursing Thesis, Memorial University of Newfoundland

Awards:

1991 Department of Health Scholarship

1993 Government of Newfoundland Nursing Administration Award

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