SANDY STAMES, RN, BSN, MBA, RAC - CT

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1 ALC HEALTHCARE NETWORK, INC CAREER SUMMARY Nursing and business executive with over 25 years experience in healthcare operations and management. Provides executive leadership and consulting to enable hospitals and multifacility healthcare systems to improve quality of care, promote efficiencies of operating units, enhance diverse professional capabilities, assure financial sustainability, set effective policy and practices, and develop strategic vision for future growth. ALC Healthcare Network, Inc. (ALC) Clinical consultant, project leader and/or interim Director of Nursing for units or facilities for this healthcare consulting management firm. Projects include but are not limited to: Education, Training and Staff Development Teach seminars on MDS 3.0 rules and regulations for all staff and disciplines and assist facilities in making the cultural and documentation changes needed to support the Resident Assessment Instrument. Provide ongoing seminars and webinars on updated regulations and changes to the Resident Assessment Instrument manual and MDS 3.0 assessment process. Provide seminars for billing department related to RUG rates and Uniform Billing 2004 regulations and claims instructions. Provide MDS 3.0 audits to assess accuracy in coding, billing and supporting documentation. Provide ongoing audits at least quarterly to ensure highest accuracy rate possible. Provide clinical oversight and support for staff to ensure classroom education is translated to direct patient care. Create audit tools, systems and processes to ensure ongoing compliance. Develop and implement Director of Staff Development Educational Program for a DP/SNF. Includes development of lesson plans, as well as planning, implementing and evaluating educational programs to be used during the calendar year. Teach classes on psychotropic medications, bowel and bladder programs, RNA program, CNAs coding of the ADL flow sheets, survey preparedness, care planning, Pressure Ulcers, forms and documentation. Teach MDS 3.0 classes to all staff and disciplines and assist facilities in making the cultural and documentation changes need to support the 3.0 assessment. Provide MDS 3.0 audits to assess accuracy in coding, billing and supporting documentation. Lead/co lead in both independent and team project environments. Provide clinical oversight and support for staff to ensure classroom education is translated to direct patient care. Create audit tools, systems and process to ensure ongoing compliance. Regulatory Compliance Responsible for the development, oversight, facilitation and implementation of crossfunctional compliance policies, programs and practices to ensure full compliance with all applicable federal, state, and industry laws, regulations, and standards. Audits and independently verifies compliance and facilitates remediation efforts where necessary.

2 Provide three day mock surveys including all aspects of DHS/CMS survey including daily briefings, final written results, and plan for survey preparedness. Create and implement an organizational development plan for closing Transition Care Units which included a timeline for each component of the process, required forms, letters for DHS, CMS, local and state, a detailed closure plan for DHS, public notification information and overseeing internal processes for patient transfers/discharge, union relationship during the termination/replacement process of all staff, complete removal of all equipment, supplies and medications from unit by deadline. Direct report to CEO or CFO. Responsible for assessing medical records flagged by the Recovery Audit Contractors (RACs) in an inpatient Acute Rehabilitation Unit for denied payment. Determine any risks of noncompliance for medical necessity or coding, review admission and documentation processes. Educate staff, physicians and billing office personnel, staff educationclassroom and clinical and day to day clinical oversight of daily care and documentation. Enabled client to enhance operations, shorten revenue cycle time, improve patient care, achieve better patient and employee satisfaction. Responsible for letters of appeal with documentation support. Successful in appealing many of the claims at the first level of appeal. The remaining appeals went to Administrative Law Judges (ALJs). Worked with the hospital s lawyers to prepare the Medical Director and Rehabilitation Director for the hearings. Direct report to CFO. Responsible for a ten day intensive survey readiness project for the Sub Acute Unit. Colead with the Regional Director with a twelve member executive management team. Reviewed all aspects of the unit in relationship to regulatory compliance which included: medical record audits, daily verbal and written recommendations for documentation and environmental changes, consultations meetings with each department head, clinical supervision of care and documentation, review of processes and documentation of care plans, anti psychotics, skin management, pain management and abuse. Daily verbal and written recommendations were presented. Team met twice a day to review what had been accomplished, concerns and recommendations. Direct report to Regional Director. Conduct mock surveys and implement tailored strategic plan for successful CMS and DHS surveys for: large LTC facilities to specific LTC units within large medical centers annual survey, new LTC facility s certification survey, and survey recovery and loss of Medicare certification for LTC. These strategic plans resulted in a deficiency free survey at most of the facilities. The strategic survey recovery plan led to a deficiency free recertification and follow up surveys. Direct report to Regional Director of Nursing, CEO or Regional Director of Compliance. Responsible for creating new processes, new nursing model, union buy in to new process re design, complete re design of documentation tools, education of staff classroom and clinical education and support of staff, working as a liaison/consultant for all hospital departments regarding their regulatory responsibilities for supporting the facilities, created system for daily audits of medical records, environment and patient care. Direct report to CEO and COO.

3 Source:Leadership, Inc. An executive development firm, consulting and coaching for senior level leaders of organizations in the US and other countries, improving executives capabilities to lead strategic change as well as strengthen their personal leadership effectiveness and purpose. Coach executives in healthcare, oil and IT industries. The healthcare division provides leadership and oversight, project management, and operational support to healthcare organizations and hospitals in the areas of finance, strategic planning, business development, training, operations improvement and workforce management. Has demonstrated success in leading change in the following: Labor Management hospital operation improvement turn around project for healthcare organization service area which included four hospitals. Re design of several hospital staffing processes from unit specific staffing to a centralized staffing office Organizational development and re design of Emergency Department, Nursing Supervisors, Transitional Care Units, recruitment and retention programs for Human Resource Departments, Centralized Travelers Department to service a 27 facility healthcare organization. Established a centralized staffing office to achieve more efficient use of nursing staff Centralized the use of supplemental staffing agencies to reduce costs, increase accountability, and improve quality expectations. Reduced the use of registry nurses by 85% Developed contract for local registries and one for travel agencies requiring their compliance with hospital, local, state, federal and JACHO regulations as they apply to supplemental staffing. Audited current registries for compliance. Reduced registries from 41 to 5 for local and travelers. Conducted competitive analysis of nurse salaries offered by the hospital and local registries Developed a local registry and traveler orientation comprehensive handbook for all supplemental nurses Developed role and defined procedures for a new RN nurse recruiter to fill more than 100 RN positions, and Created and conducted an intensive nurse recruitment plan, including interviewing and hiring, in partnership with major advertising firm, to fill 30 positions in ninety days. Recruited, interviewed and hired staff for the creation of the Education Department with a director, three clinical nurse specialists, and three educators.

4 Assisted in preparing and participating in JAHCO and DHS survey. Created, organized, and implemented recruitment and retention project for new cardiac center. Hired forty four nursing specialist, two Physician Assistants, three Nurse Practitioner as well as Surgical Director, Cardiac Service. Developed and delivered state approved Certified Nurse Assistant programs for a long term care facility. Developed comprehensive strategic business plan for Golden Orchard assisted living homes. Kaiser Permanente, Northern and Northern California Regions Outside independent consultant working with a large team of internal consultants to implement a system wide winter plan to ensure efficient patient flow process twenty four hours a day. Included all systems, equipment, processes and workforce. Co lead the sub team nursing workforce initiative to align recruitment, retention, internal registry and training to effectively staff all facilities at a high winter patient census. The Winter Plan was successful and was duplicated for several years. Lead the management team for the hospital operation improvement project (HOIP) turnaround plan to achieve best practice standards in operations and financial performance in the Golden Gate service area (four hospitals) within a labor management partnership. There was a three member team the lead and two assistant members who worked with me individually one unit at a time then dropped off to complete the final report. There were at least six units with opportunities to improve. Each unit was responsible for a final report and presentation to the Service Area Executive Team. Worked with Kaiser Permanente s internal consulting department on this nine month project which was a system wide project. There were three member teams for each service area. The large team met weekly for report outs, lessons learned, next step and recommendations from the team. Lead a two day training and interest based problem solving process for each facility s teams prior to beginning the HOIP project unit by unit. Facilitated the daily eight hour meetings between labor/management to determine how to incorporate the best practices into their unit s systems and processes. Worked with the other team member to document the day s accomplishments. Prepared the documents as handouts for the following day. Coordinated the plan of activities for the next unit to be assessed with the second team member. Coordinated the final report and group presentation which was create by the HOIP team and reviewed and rehearsed with the unit team.

5 Co lead the creation of a centralized travel nurse department to provide long term supplemental nursing staff for all hospital facilities in northern and southern California. The centralized travel department significantly decreased the abuse of the recruiters and Manager s time and resources of each facility s. Increased the quality of nurses assigned and decreased the repetitive review of candidates that had been declined. Developed contract for registries and travel nurse agencies requiring their compliance with hospital, local, state, federal and JACHO regulations as they apply to supplemental staffing. Audited all current registries for compliance. Developed an operations and workforce assessment, planning and implementation process that was replicated system wide and became a national model for staffing cost reduction. EDUCATION Chamberlain College of Nursing St. Louis, MO University of Denver Daniels College of Business Executive Program Denver, Colorado Saint Francis School of Nursing Wichita, Kansas Bachelor of Science in Nursing Master of Business Administration Diploma in Nursing CERTIFICATIONS Registered Nurse current in Colorado and California. American AED/CPR Healthcare Provider BLS current through June 17, 2012 Resident Assessment Coordinator Certification EXPERTISE Leadership Provide vision and motivation, based on creativity, high integrity and mature judgment that balance analytic and intuitive skills. Assure sound communication and positive relationships with clients, employees and vendors. Lead organizations and units through significant change by team building, creating trust, and role modeling. Strong interpersonal relationships skills, personnel management, union, nursing and medical staff relations.

6 Planning and Operations Develop gap analysis, strategic /business plans including market analyses, financial objectives, operations goals and management policies. Analyze operating results relative to stated objectives, improve performance, and establish sound communications. Regulatory Compliance Responsible for the development, oversight, facilitation and implementation of cross functional compliance policies, programs and practices to ensure full compliance with all applicable federal, state, and industry laws, regulations, and standards. Audits and independently verifies compliance and facilitates remediation efforts where necessary. Provides three day mock surveys including all aspects of DHS/CMS survey including daily briefings, final written results, and plan for survey preparedness. Finance Prepare and monitor operating and capital expenditure budgets. Establish sound financial structures and systems to support maximum performance and profitability. Assume full profit and loss responsibility for an organization. Human Resources Develop and implement plans, policies and procedures to ensure effective selection, motivation, development, and advancement of management, professional and support personnel. Has strong knowledge of state, federal, and other HR regulations. Education, Training and Staff Development Developed and delivered state approved CNA programs and staff development programs, MDS education, FIMs training, care plan development and implementation, regulatory compliance, case management, DON orientation plan for hospital and parent healthcare organization. Provide clinical oversight and support for staff to ensure compliance. Clinical Skills Has demonstrated success in clinical support for nursing areas such as ED, ICU, CCU, Transitional Care., Staffing Office, Hospital Supervisors and long term care. Has strong clinical skills in ED, ICU, CCU, Transitional Care., and long term care.