MADGE HAMER
Hamer,SC
Summary
Dynamic healthcare professional with over 25 years of leadership experience, dedicated to driving organizational success and fostering professional growth. Expertise includes Performance Improvement, Risk Management, Regulatory Compliance, Organizational Learning, and Laboratory Medicine, with a strong commitment to promoting a culture of safety and high reliability. Successfully facilitated the implementation of a Quality Management System that achieved NIAHO Accreditation and ISO Certification across a seven-hospital system in under one year. A motivated change agent with exceptional project management skills, focused on sustaining positive outcomes and championing continuous improvement initiatives.
Overview
34
34
years of professional experience
Work History
Associate Vice President of Certification and Accreditation
McLeod Health
09.2018 - Current
- Serves as Quality Management Representative for seven hospital system.
- Works collaboratively with Leadership team to ensure QMS is effectively implemented and maintained.
- Promotes ISO methodologies for management of risks to QMS.
- Managed large-scale projects and introduced new systems, tools, and processes to achieve challenging objectives.
- Advance healthcare system to System ISO Certification which resulted in perfect scores in 2024 and 2025.
- Manages facility operations to promote safety standards and improve service delivery through Internal Audits and Risk Assessments.
- Oversees 80 + facility surveys annually to maintain patient safety and regulatory compliance across the healthcare system. These include DNV, CMS, Joint Commission, SC DPH, SC DES, CAP, COLA, and ACHC.
- Governs Document Control Committee to assure information is available, suitable for use, and adequately protected.
- Coordinates training and educational needs for Board, Leadership, middle management and front-line staff.
- Responsible for oversight of Environmental Sustainability and Facility Safety Officer programs.
- Increased employee job satisfaction with hands-on, motivational approaches.
- Optimized business performance with consistent data tracking and analysis of ongoing operations.
CEO
The Accreditation Consultant
01.2023 - Current
- Consulted and Educated 5 Healthcare Systems (21 entities) across the US on QMS, NIAHO and ISO implementation and Continuous Improvement. All entities successfully completed their surveys and even reduced their number of non-conformities. Specific states include: NY, NJ, NH, CA, and SC.
- Conduct mock survey inspections, identifying areas needing improvement and eliminating hazards posed to staff and patients for continued compliance with associated regulations.
- Produce detailed and relevant reports for use in making risk-based decisions to promote high quality patient care.
- Design and introduce leadership development, coaching and team training modules.
- Develop and update policies and procedures, maintaining compliance for clinical and anon-clinical areas.
Operational Effectiveness Leadership Resident/Process Manager
McLeod Regional Medical Center
08.2015 - 09.2018
- Served as one of the primary champions for the implementation of improvement methodologies including Lean methodology.
- Worked closely with the senior administrative team to develop a plan for improvement by utilizing A3 thinking, value stream analysis, and rapid improvement events as well as monitoring outcomes to assess the effectiveness of change and sustainability.
- Collaborated with multidisciplinary teams to aid in the process of cultural changes by reducing wastes and improving inefficiencies.
- Past projects include building framework to support Quality Management System. Strategic and operational decisions included cross walking NIAHO standards, implementation of transformation plan to a QMS, and constructing a culture of risk-based thinking.
- Standardized document control methods and developed Audit and Risk Assessment processes for a proactive mindset to monitor for continuous improvement and compliance.
- Created clarity of Emergency Management Process and clarity of the people to understand and support the Emergency Operation Plan to foster a system approach.
- Coordinated training for over 500 staff in McLeod Health.
- Aligned evidence-based best standards in Women’s Healthcare to match practice to policy.
- Reduced discharge length of stay in the ED by 25% and LWOT% by 72% in less than 2 years.
Director of Laboratory Services
McLeod Medical Center Dillon
01.2005 - 08.2015
- Successfully achieved and maintained Joint Commission accreditation during 10 year tenure.
- Planned and administered, directly and through subordinate personnel, the effective management and delivery of diagnostic laboratory procedures in accordance with all hospital, state, and federal agency standards.
- Established and monitored quality assurance programs in both Laboratory and Respiratory departments to ensure the accuracy of patient results.
- Implemented long and short-range goals and objectives by working with staff, Pathologists, Hospital Administration, and Departmental Directors.
- Developed capital expense and salary operating budgets in excess of $10 million.
- Maintained cooperative working relationships with various hospital personnel and physicians to resolve problems, enhance delivery of services, and plan for the future.
- Assisted in build and training of new computer system across the health care system.
- Promoted an environment of Service Excellence.
High School Science Teacher
Dillon District #2
08.1999 - 01.2005
Medical Technologist, Lead Technologist
McLeod Regional Medical Center
01.1992 - 07.1998
Education
MBA - Healthcare Management and Administration
Western Governors University
Salt Lake City, UT12.2018
Bachelor of Science - Medical Technology
Clemson University
Clemson, SC08.1992
Skills
- Local, State, Federal Regulatory standards
- Quality Management Systems
- Project management and Execution of measurable outcomes
- Leadership & Staff development
- Risk mitigation strategies & Continuous Improvement
- Cross-functional collaboration
- Lean methodologies & Operational Excellence
Accomplishments
- DNV National Advisory Board Member, 2021-2023
- Chairperson of DNV Advisory Board Strategic Committee, 2022
- Finalist DNV Innovation of the Year, 2023
- Public Speaker, National DNV Symposium 2020-2025
- Public Speaker, COLA Lab Enrichment Conference 2025, 2026
- Presenter, RLDatix Connected Healthcare Summit, 2026
- Member of National DNV User Group, Critical Access Group, South Carolina Group, Charter member of Behavioral Health User Group & Emergency Management Group
- DNV trained on QMS, NIAHO, ISO, Risk Based Thinking, Internal Audits, & CHOP B
- Lean Bronze Belt
- NIMS Emergency Management 100-800
- Awarded PRC Excellence in Healthcare, Gold Achievement in Emergency Patient Flow, 2018
- McLeod Health Merit Award recipient, Highest honor for a McLeod Health employee
- Clinical Didactic Instructor of the Year, 1995
- Medical Technologist, ASCP certified 1992
Timeline
CEO
The Accreditation Consultant
01.2023 - Current
Associate Vice President of Certification and Accreditation
McLeod Health
09.2018 - Current
Operational Effectiveness Leadership Resident/Process Manager
McLeod Regional Medical Center
08.2015 - 09.2018
Director of Laboratory Services
McLeod Medical Center Dillon
01.2005 - 08.2015
High School Science Teacher
Dillon District #2
08.1999 - 01.2005
Medical Technologist, Lead Technologist
McLeod Regional Medical Center
01.1992 - 07.1998
Bachelor of Science - Medical Technology
Clemson University
MBA - Healthcare Management and Administration
Western Governors University