resume updated july 2016
TRANSCRIPT
Kathleen McCloskey, RNSystems Analyst, Consultant
Hatboro, [email protected]
215-817-5578
Professional Summary Health Insurance:
o Project Lead and Business Systems Analyst – implementation of medical management application for case management, utilization review and precertification including 6 inbound and outbound interfaces – 2 eligibility applications, 2 claims applications, appeals and patient portal. Development and upkeep of project plan on Microsoft project platform. Supervision of staff of four. Development of Training Manuals. Development of Test Scripts eventually used by vendor for QA.
o Collaboration with staff on business requirements development. Creation and upkeep of business requirements document. Test scripts created from Business Requirements. Emphasis on project lifecycle, instruction design and materials development, gap analysis and quality assurance.
o Implementation of project for out of state medicare/Medicaid provider onto blue cross software. All communication with client was done remotely. Successful implementation completed within budget and timeframe.
o Expansion Trainer – Development of all training materials for staff in four different states. Including case Management, URAC and NCQA guidelines, eligibility and claims as well as documentation, precertification and utilization review
Hospital – EHRo Business Systems Analyst – Siemens outsourced to Robert Wood Johnson Memorial Hospital Rahway.
Configuration of Allscripts Acute Care to convert from Siemens Invision/OAS Gold. Core, security. Gap analysis and configuration of radiology including updates to Siemens Syngo. Activation support for implementation and all upgrades. Training of nurses, physicians and physician staff. Configuration of orders and order sets. Gap analysis and configuration for pharmacy upgrades. Business requirements development for CPG and Knowledge based charting and universal care plan. Configuration of flow sheets and some clinical documents. Test script development and HL7 testing.
o Consultant – Order set development from Allscripts mainframe application upgrading to SCM Acute Care – 250
order sets completed collaborating with physicians and staff. CPOE configuration and QA for all order sets built for Children’s Hospital of Alabama Radiology optimization to include American College of Radiology requirement for Bronx - Lebanon Project Lead for Training and Medication Reconciliation at Carson Tahoe Medical Center Security optimization for St. Joseph’s Medical Center in Toronto,Canada Business Requirements development for Physician documentation at Maimonides Hospital Gap analysis and radiology build, pharmacy coding and HL7 testing for radiology at Lenox Hill
Hospital Clinical Informatics – development of business requirements in collaboration with staff from all
departments for enhancements to Allscripts EHR – City of Hope Hospital. Analysis of physician workflows and Meaningful Use reports. Creation of xcel workbooks to
document all patient visit information, ccda generation, issues and solutions to allow eligible providers and hospital to meet meaningful use criteria – New York Presbyterian Hospital.
EHR configuration for 9 hospitals in 6 states and in Toronto Canada EHR Training manual development including class training materials EHR provider training
Core Competencies Technical Competencies Project Lead/manager for application Implementation Application Implementation Workflow analysis Business requirements development Quality assurance and testing analysis Training development, design and delivery: CPOE, orders and results,
eMAR, pharmacy, worklists, structured notes, flowsheets, KBC and ORM. Training of physicians,nursing staff, ancillary, and physician office
Allscripts Acute CareAllscripts Ambulatory CareAllscripts Orders, Results, Order SetsAllscripts SRXAllscripts SecurityAllscripts ABC ContentAllscripts KBC ContentAllscripts Clinical Documentation flowsheets
[Consultant Name]staff.
Training manual development Project and resource management Case management – 7 years case management experience Application Implementation for health insurance including configuration,
testing and training Activation support for application implementation Training development: user guides, job aides, training evaluations Project Management for installation of Allscripts KBC universal care plan. Business Requirements development for Meaningful Use Meaningful Use Report Validation Workflow analysis for meeting Meaningful Use Criteria Activation Support Case management Training Health Insurance eligibility and claims training NCQA and URAC guideline training Precertification and Utilization Review training. Functional, User Acceptance and HL7 testing
Allscripts ISS Query ToolAllscripts FP1 5.5 ORM
Allscripts SCM 6.0,6.1, 15.3 Allscripts SCM14.1 and 14.2 Microsoft Project Platform
Microsoft OfficeMicrosoft WordMicrosoft OutlookMicrosoft Power PointExcelAccessSharepointSnag It
Full Shot Invision Syngo/RIS maxMc Unix
Key Achievements
Project Achievements and Outcomes
New York Presbyterian HospitalClinical Analyst Consultant- Meaningful use
____________________________________________________
City of Hope Medical CenterDuarte, CaliforniaClinical Analyst Consultant – Clinical Informatics
June 2015 to June 2016Collaborate with IT and Physician Leadership on meaningful use attestation for Eligible Providers including:Analysis of workflow to meet meaningful use criteria.Development of xcel workbooks for documentation of Meaningful Use reportsAnalysis of meaningful use reports, both Allscripts and hospital based reports to determine if the report logic is appropriately documenting Eligible Providers Meaningful Use complianceAnalysis of physician documentation workflow ______________________________________________________
January 2015 to June 2015Collaborate with stakeholders to develop business requirements for individual departments within the hospital, Business requirements development for meaningful useResearch issues and development of solutions. Meet with clinical team to prioritize issues and enhancements. Documentation in Sharepoint and Incident development in Remedy.
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[Consultant Name]
Lenox Hill HospitalSenior Consultant for Radiology6.0, 6.1 upgrade, system and hl7 testing
August 2013 to September 2014Radiology configuration to coordinate with NSLIJ hospital items and Siemens RIS including cardiology and pulmonary items. Gap analysis and conversion of items. Assisted pharmacist with coding of pharmacy IV items. Member of testing team for both 6.0 and 6.1 upgrades. Systems & HL7 testing. Activation support
Carson Tahoe Medical CenterCarson City, NevadaConsultant –Project Management – Training, ORMAnd 5.5 activation
March 2013 to July 2013Project Manager – Training Development, ORM and Prescription Writer activation.Preceptor for newly hired SCM trainer. Training materials development - SCM including new ORM and Prescription writer. Development of user guide and hand-outs for training classes. Training database development with users for Physicians, Nurses and Students, configuration of all orders, etc. needed for specific training classes. Activation support.
Maimonides Medical CenterBrooklyn, New YorkSenior Consultant – business requirements For physician documentation-using Allscripts ABC
August 2012 to October 2012Collaborated with staff from all clinical areas to develop business requirements for the use of SCM ABC Content.Created agendas, meeting minutes and Power Point presentations.
St. Joseph’s Medical CenterToronto, CanadaSenior Consultant/Security Optimization
September 2012 to March 2013Security optimization. Review of existing security build to determine how optimization of security groups could be accomplished
Development of final report including findings and recommendations for future state security build
Developed usable spreadsheet for clinical informatics team to gather security business requirements
Children’s Hospital of AlabamaBirmingham, AlabamaSenior Consultant – CPOE team
March 2012 to July 2012Development of order sets including medication order sets. Creation of quality assurance document. QA for all order sets completed by all members of the CPOE team. Correction of any errors on order sets. Attendance at all requirements and team meetings.
Bronx Lebanon HospitalNew York, New YorkSenior Consultant – Optimization of Radiology
January 2012 to March 2012Reconfiguration of radiology build to include a dynamic dictionary and Indication of exams from the American College of Radiology.Development of Surgical order Sets
New York Downtown HospitalNew York, New YorkSenior Consultant – Order Set build for Core Measures
October 2010 to December 2011Development of 134 order sets that met hospital specific needsand core measures/meaningful useCollaborated with hospital staff and department heads to develop unit specific order sets.Developed order sets incorporating workflow specifics using E7000 mainframe screenprints
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[Consultant Name]Robert Wood Johnson University HospitalRahway, New JerseySystems Analyst 4
January 2008 to October 2010Core Build including radiology items development, workstations and securityProject Management for nursing orders, nursing documentation using CPG and Knowledge Based Charting, Universal Care PlanGap analysis for pharmacy, pharmacy items coding in Allscripts SMM (SRX).
Independence Blue CrossProject Management
Application Implementation of medical management software including configuration, testing and training
Integrated a non-Blue Cross project onto Blue Cross medical management application
September 1995 to January 2008Project Lead for medical management software implementationConfiguration of medical management softwareMaintained direct contact with client to develop and maintain project timelines and resourcesDeveloped business rules and requirementsLed workgroups with business entities and worked directly with IS resources to ensure positive project outcomesLed team of BSAs in testing effortMaintained problem logs, researched issues and implemented successful updates to applicationDeveloped training guides for client use and trained new project leadsDeveloped test scripts for case management functions in maxMC used by Landacorp for QA of the case management side of the application.Project Manager for new business development – worked remotely with a medicare/Medicaid company in Kentucky to install company onto Blue Cross medical management application. Developmentof business requirements. Worked entire project from project plan, configuration, testing and implementation to a positive activation. Six inbound and outbound interfaces. Covered eligibility to claims payment.
Professional History
Medmatica
New York Presbyterian Hospital, New York, New York June 2015 to June 2016
Clinical Analyst – Meaningful Use
Impulsehcs January-June 2015
City of Hope Hospital, Duarte, California – January 2015 to June 2015 Clinical Analyst – Clinical Informatics Development, analysis and testing of business needs
For all ancillary departments for meaningful use. Leidos Healthcare, LLC 2010 to Aug 2014
Lenox Hill Hospital(New York, New York) – Consultant, 2013-2014 Radiology configuration, quality review, acceptance and integrated testing Activation support for Allscripts 6.0 and 6.1 upgrades
Carson Tahoe Hospital (Carson City, Nevada) – Consultant 2013 Development of training manuals, training hand-outs and trainer’s materials for Allscripts Sunrise Clinical Manager Configuration of training database including patients, orders and users for physicians, nurses, students Development of training materials and activation support for Orders Reconciliation Management, Signature Manager And Prescription Writer
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[Consultant Name] Preceptor for new departmental trainer
Children’s Hospital of Alabama (Birmingham, Alabama) – Consultant, 2012 Developed order sets for physician use as member of CPOE team QA: Validation of order set content/configuration. Completed revisions as
needed Documentation of QA results in Sharepoint Activation support of SCM orders sets for pilot unit
Bronx-Lebanon Hospital (Bronx, New York) – Consultant, 2012 Worked with CMIO to optimize radiology orders and reduce payment denials Developed mandatory criteria field on radiology orders Created surgical pre and post-op order sets and anesthesia order sets
New York Downtown Hospital (Manhattan, New York) – Consultant, 2010 to 2011 Tested all order sets for configuration accuracy Completed 5.5 and S2V cbts Developed physician training documents for use of SRM
Siemens 2008 to 2010
Robert Wood Johnson University Hospital (Rahway, New Jersey) – Systems Analyst 4, 2008 to 2010 Handled configuration and implementation of SCM 4.5 orders and results Security administration backup Developed business requirements, created testing scripts and developed training materials Clinical Documentation configuration and implementation for nursing including lists,
observations, flowsheets, and orders to Flowsheet links Project Manager for nursing documentation using Knowledge Based Charting, CPGs and
Univerisal Care plan
Independence Blue Cross – Philadelphia, Pennsylvania 1995 to 2008Project Lead/Project Manager, maxMC Implementation Team, 2002-2008
Project Lead – Application Implementation. Successful implementation of medical management software for health insurance – Eligibility through claims payment, case management, concurrent review and precertification. Project management, configuration, testing and training.
Supervised staff of 5 – included assigning tasks, review of progress and updating of project plan
Developed test scripts for case management functions in maxMC used by Landacorp for QA of case management side of application
Developed training guides for client use and trained new project leads
Patient Care Management Training Coordinator, 1997 to 2002 Planning, development and presentation of training for all levels of multidisciplinary teams
within Care Management and Care Coordination Department. Development of training for 12 different applications in four different states Development of training materials including manuals, aides and training evaluations.
Perinatal Case Manager, 1995 to 1997
Education and Professional Development
Associate of Science in Nursing, 1985Gwynedd Mercy College – Gwynedd Valley, Pennsylvania
Certification – Training Materials Development Langevin – 1997
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[Consultant Name]References
Christian Wilson – Manager – Technical Support – Soarian Clinicals – [email protected]
Cara Hoekzema – Project manager – New York Presbyterian [email protected]
I-Ping Shue – IT Director – New York Presbyterian [email protected]
Trish Earing – Independent Consultant815-238-8367
Christine Hannan – Peer at Independence Blue [email protected]
Myra Cunningham – Project Manager during RWJ Rahway [email protected]
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