Christine Kirby
Inman
Summary
Seasoned multi-state RN with comprehensive healthcare background in LTC, SNFs, ALFs, and Hospice, possessing deep expertise in clinical quality assurance, process improvement, and risk management, seeking a challenging role to leverage skills and commitment to delivering exceptional patient care.
Overview
21
21
years of professional experience
Work History
Vice President of Clinical Quality and Risk
Accordius Healthcare
12.2019 - Current
- Promote organizational quality assurance and process improvement to achieve clinical best practices, operational efficiency, while maintaining compliance with policies and regulatory requirements.
- Lead the company's risk management program to identify deficient practices, mitigate risks, and implement resolutions.
- Develop, monitor, and report on Key Performance Indicators (KPIs) based on trends, company benchmarks, and assist the team with corrective action plans. (Clinical metrics such as FAPUs, weight loss, UTIs, psychotropic utilization, rehospitalizations, survey outcomes, 5-Star Ratings, QMs, staffing/PPD, census, EHR documentation compliance, etc.)
- Develop and revise company policies and procedures and clinical programs in accordance with industry changes, best practices and regulatory updates.
- Monitor, coach, and assist teams with survey readiness through the mock survey process, and assist remotely or in person as needed during CMS surveys or state health inspections.
- Monitor survey outcomes and correspond with state agencies and CMS on regulatory issues affecting facility operations.
- Attend industry trainings and healthcare associations to represent the company and to stay abreast of industry changes.
- Coordinate and host corporate and regional QA meetings in person and via conference calls.
- Collaborate and work closely with teams to review performance outcomes vs. Goals and assist with the implementation of performance improvement plans based on root cause analysis.
- Work closely with key stake holders with integrations and divestures of facility operations (60+ facilities 2019)
VP of Clinical Quality & Regulatory Compliance
Consulate Health Care
09.2016 - 11.2019
- Lead quality assurance and regulatory compliance for a division of 58 facilities (SNFs and ALFs) across NC and TN division.
- Reports directly to the VP of Clinical Services, and indirectly to the VP of Regulatory Compliance and provides coverage in their absence as needed.
- Serve on the Corporate QAPI board and DON board to collaborate on best practices.
- Direct activities of SWAT team in obtaining and/or maintaining substantial compliance for facilities within the company who have failed a survey revisit, received a harm tag or are on SFF
- Conduct mock surveys to identify areas of deficiency, initiate facility led plans of correction and ensure compliance at site revisit
- Prepare and present education on clinical areas, including QAPI, RCA, Survey Management, and various other areas related to regulatory compliance and best practices.
- Monitor and evaluate KPIs, i.e. Clinical metrics, survey outcomes, RTH, 5-star quality measures, care tracker, and various other predictive indicator reports to the Clinical VP.
- Assist with policy and procedure implementation through ongoing education and monitoring.
- Monitor and assist facilities with PIPs and open PoCs for compliance.
- Assist facilities with high-risk surveys, Immediate Jeopardies and PoC development and implementation.
- Monitor facilities for survey readiness (pre/post) and assist remotely and on-site as necessary.
Regional Director of Clinical Services
Consulate Health Care
Western NC/TN Region
02.2015 - 09.2016
- Supported DONs and clinical services across eight nursing facilities, ensuring adherence to company best practices, policies and regulatory standards.
- Conducted mock surveys to identify deficiencies and assist with development of corrective action plans for survey readiness.
- Supported facilities during surveys and post-survey to ensure substantial compliance is achieved at first revisit.
- Provided ongoing education and clinical consultation to Directors of Nursing and clinical staff 1:1, and in large group presentations.
- Assist as needed in the absence of the DON.
- Other duties as assigned by the VP of Clinical.
Regional Director of Clinical Services
Fundamental Clinical and Operational Services
Greenville
02.2013 - 01.2015
- Regional director for clinical services for 10 nursing facilities including skilled nursing, long-term care, assisted living center and a medical specialty unit.
- Conduct mock surveys to identify areas of deficiency, implement a plan of correction, and make a revisit to ensure survey readiness.
- Attend and assist in health inspection surveys, PoC development and implementation and revisit readiness.
- Provide clinical consultation and ongoing education to Directors of Nursing and other clinical staff on best practices.
- Monitor KPIs and prepare weekly and monthly reports to supervisor.
- Assist facilities with PIPs and monitor for ongoing compliance.
Regional Executive Director/RN Assessment Nurse
Cardinal Care Center and Blue Ridge Retirement Community
Hendersonville
10.2010 - 01.2013
- Overall administration of two assisted living communities.
- Increased census from 75% to 98% capacity within three months.
- Implemented a plan of correction to address previous administration health inspection citations.
- Exceeded operational and clinical goals at each quarterly review.
- Marketing and relationship-building within the community for census growth.
- Provided education, clinical competencies, and completed resident assessments, as required by an RN per the NCBON.
- Assure compliance with federal, state, local government, accrediting organizations, and corporate policies.
Administrator/Clinical Director
Gentiva Home Health & Hospice
Greenville
07.2009 - 10.2010
- Increased census 35% within six months
- Met budget ending year at 114% EBITA
- Increased clinical audit score 24 points in three months
- Implemented QAPI program increasing clinical audit scores to 95%
- Monthly 'Eagle Award'
- Assumes 24/7 accountability of patient care needs
- Manage branch's financial budget
- Develop/maintain relationships with referral sources to grow census
- Ensure compliance with federal, state, local government, accrediting organizations and corporate policies
Director of Operations
Piedmont Hospice
Spartanburg/Charleston
01.2007 - 01.2009
- Start-up for a new hospice in Spartanburg and Charleston.
- Developed policies, procedures, and clinical programs.
- Cleared DHEC/Medicare initial certification with no plan of correction necessary.
- Recruit, hire, train, schedule, and manages clinical, operational, and ancillary staff.
- Developed and implemented training program and skills competencies for orientation of all staff.
- Assumes 24/7 on-call accountability for patient care needs.
- Ensures compliance with federal, state, local government, accrediting organizations, and corporate policies.
- Marketing to community hospitals, colleges, ALFs, and SNFs to build census.
- I attended training, as well as other healthcare association meetings and conventions, to keep up with industry changes.
- Prepared detailed reports outlining operational results on a regular basis.
- Other duties as requested by the CEO
RN Case Manager/Admissions
Vistacare Hospice
Greenville
01.2004 - 01.2007
- Provided comprehensive hospice care to patients and families, including assessment of physical, emotional, social, spiritual, and cultural needs.
- Employee of the Month for August and November 2006, and for the year of 2006.
- Ensure all services are delivered as outlined in the Plan of Care.
- Collaborate with all members of IDG to assure optimal care.
- Participated in on-call rotation for after hour emergencies.
- Managed crisis intervention when necessary.
- Maintained accurate documentation according to agency policies and regulatory standards.
- Admissions Nurse (9/2006-1/2007)
Skills
- Nominated and awarded for the NCHCFA 2026 Institute for LTC Leaders Committee
- QAPI scholarship for 2024 and 2025 by the AHCA conference
- Infection Control Certification by NC SPICE in 2024
- QAPI Certified Professional (QCP) since 2022
- Wound care certification 2020
- Current CPR certification
- Up to Date with COVID vaccination
- Multi-state regulatory specialist for long-term care, assisted living, and hospice
- Attendance at least annually to health care conventions and educational sessions
- Policy and procedure development
- Clinical program development
- Excellent PowerPoint presentation skills to small or large groups
- Excel expert with several self-developed data and QA programs
- PointClickCare (PCC) EHR corporate enterprise administrator user (all system setup access) and train the trainer for eMAR rollout
- Experienced with medical professional credentialing
- Contracted vendor decision-maker and negotiator
- Detail-oriented and data-driven
- Budgeting experience
- Proficiency will be a variety of software programs such as PCC, Matrix Care, Relias, Simple LTC, Abaqis (QA software program for survey preparedness), Team TSI, Power BI, Hosted Time, Census Pro, CMS (QIES), TELs, SharePoint, etc
References
Available upon request
Timeline
Vice President of Clinical Quality and Risk
Accordius Healthcare
12.2019 - Current
VP of Clinical Quality & Regulatory Compliance
Consulate Health Care
09.2016 - 11.2019
Regional Director of Clinical Services
Consulate Health Care
02.2015 - 09.2016
Regional Director of Clinical Services
Fundamental Clinical and Operational Services
02.2013 - 01.2015
Regional Executive Director/RN Assessment Nurse
Cardinal Care Center and Blue Ridge Retirement Community
10.2010 - 01.2013
Administrator/Clinical Director
Gentiva Home Health & Hospice
07.2009 - 10.2010
Director of Operations
Piedmont Hospice
01.2007 - 01.2009
RN Case Manager/Admissions
Vistacare Hospice
01.2004 - 01.2007
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