Susan M. Mawhinney-Brignola
JD, MSN and MBA degrees with 29 years of clinical and hospital management experience. Prior CCRN and CNAA certifications. Extensive experience in all levels of Nursing and Administrative functions. Thorough knowledge of start-up services/units. Experienced in developing and analyzing organizational systems, financial forecasts and management information systems; skilled in fiscal planning and budgetary management. Knowledgeable of regulatory standards, medico-legal considerations, continuous quality improvement. Experienced in labor relations and contract administration. Strong organizational skills. Proven ability to interact and communicate with all levels of administration and staff. Familiar with facilities and support services management; versed in JCAHO regulations. Informed on managed care issues. Experienced in team building activities. Current knowledge base on issues effecting healthcare. Experienced in Six Sigma practices.
Regional Medical Center at Bayonet Point, Hudson, Florida 9/04 to 6/07
Director – Surgical Intensive Care Unit; Neuro/Ortho/Spine Center;
Stroke Coordinator and Administrator for the Neuroservices/Orthopedic Service Line
Managerially responsible for the clinical care and patient outcomes of a 20 bed SICU, a 30 bed inpatient Neurosciences/Orthopedic/Spine care center and an Outpatient Intake Clinic. As the Stroke Coordinator for the facility, responsible for all activities maintaining JCAHO accreditation. The role of Administrator has oversight of all outpatient and inpatient activities.
Worked as a staff nurse in the Cardiac Surgery Unit from 9/04 until 3/06.
· Opened the Spine Care Center in June 2006 and was rated highest in patient satisfaction in 6 weeks.
· Opened the first clinic service offered by the facility.
· Maintained the facility’s Stroke certification.
· Developed proforma reports for the service line.
· Recruited and developed staff.
· Established community outreach programs with Marketing department.
· Worked to form a multi-disciplinary task force heading the creation of the Neuro Sciences Center of Excellence.
· Consistently the best financial performance for in-patient units.
The Noah Group, Inc, Blairstown, New Jersey 11/99 to 7/04
Founder and CEO for this healthcare management consulting service which looked at specific issues within the industry focusing on the improvement of Nursing services. Nine ‘service lines’ comprise the company’s functions, all in support of outcomes improvement. Examples of client relations not prohibited by prior agreement:
- Worked with Nursing Managers and reviewed issues relevant to patient throughput in the emergency departments. Able to launch a Nurse Call Center in each of the boroughs, at the facilities chosen by the central office. Experience by facility varied but resulted in either a reduction of ER visits overall by 3% to 5% or, the numbers of those lesser acute visits dropped by over 40% or, a combination of both outcomes.
- Worked with the Nursing Managers to do baseline assessments and provide advice on the application process for the Magnet Award.
- Worked with the Quality Assurance staff and developed nursing targets for improved patient care delivery systems that increased nursing time spent with the patient by almost one hour per shift.
- Worked with the Nursing Senior Managers and developed staffing patterns that resulted in reductions in overtime, improved nursing coverage 24/7, increased satisfaction studies.
- Project entailed a thorough review of the Nursing structure and an analysis of selected staff and patient outcomes. Resulted in reduced levels of management, reassignment and better utilization of existing staff, reduced labor expenses, improved TQM studies.
- Worked with the Senior Nursing staff in preparing for their 2002 JCAHO survey. Entailed a review of all standards in the manual. They successfully completed the survey with a score of 96.
- Worked with the Nursing Managers involving several projects – Nursing Division structures, support systems, patient outcomes, satisfaction survey results, provision of educational services, to name a few. In all concerns, results were positive.
NORTH BROOKLYN HEALTH NETWORK, Brooklyn, New York 3/97 to 11/99
Deputy Executive Director – Patient Care Services
Chief Nursing Officer at a full-service hospital comprised of 608 beds, within the Health and Hospitals Corporation in New York City; HHC is the largest public health care system in the nation. In addition, Woodhull and Cumberland Diagnostic and Treatment Center, another HHC facility, partnered to create the North Brooklyn Health Network. This position is responsible for all Nursing activities occurring within this network of services/sites, as well as for the Department of Respiratory Care, Surgical Services and Dietary Services. Assumed the responsibility of managing Social Services while a vacancy existed for its senior manager.
Oversight for personnel and operating budgets in excess of $80M and a workforce of over 1100 FTEs. Productivity levels: over 350,000 ambulatory care visits (including ER and 12 network sites) and > 150,000 inpatient days per year.
· Developed strategic plan for Surgical Services (12 OR suites, PACU, SDS, Endoscopy).
· Performance initiatives for surgical services focused on JCAHO standards and other regulatory compliance issues. Rated first place in comparison of corporate services.
· Improved OR support systems resulted in reduced room turnover times by up to 30 minutes and cost avoidance.
· Cross-trained nursing staff between like services to improve financial outcomes and enhance staff competence in all product lines
· JCAHO score in 1999 improved by 15% over prior survey.
· Patient satisfaction survey results received for the Network were the highest in the corporation.
· Staff satisfaction surveys showed an increase in several criteria assessed over prior surveys.
· Twelve off-site out-patient clinics were opened with no increases in labor expenses.
· Research initiatives undertaken in skin care resulting in a decrease in patient days for identified patient populations.
· Nurse call center initiated and became the model for the corporation. The ER witnessed a 3% reduction in visits due to this initiative.
· Nurse Manager course resulted in better use of existing staff and cost avoidances appreciated with less overtime and agency usage.
· Fewest number of grievances with NYSNA for the corporation owed to open communications.
· Improved relations with physician staff by increased use of APNs.
· Improved patient care issues positively influenced community relations with 35% fewer complaints received over prior years.
NORTHWEST COVENANT MEDICAL CENTER, Dover, New Jersey 1994 to 9/96
Formerly Dover General Hospital & Medical Center
Director of Nursing – Dover Division (1994-1996)
Functioned as the Chief Nursing Officer at the Dover Division of the newly formed Northwest Covenant Medical Center, a 697 bed system. Administratively responsible for all Nursing functions and clinical operations at this Division including management oversight of Surgical Services including 9 OR suites, PACU, SDS, Endoscopy suite. There was an indirect report for Anesthesia.
· Surgical Services – budget management for equipment, staff and processes; Performance Improvement projects (TAT, staff competence based on AORN standards, correct surgery/correct site, asepsis, first assists, clinical outcomes); physician preferences and service volumes; regulatory compliance.
· JCAHO survey in 1995 resulted in no recommendations for the Dover site including Surgical Services. Staff and QA programs received an exceptional review.
· Created business plan for turn key operation of an in-house dialysis service. Newly developed service resulted in an increase in patients using other hospital services, reduced costs associated with prior structures and increased revenue base by a small amount.
· Cardiac catheterization service developed and positively influenced a consumer’s choice of acute care facilities for other care concerns.
· Co-investigator for a research study that was implemented, creating a new model for Nursing care delivery.
Assistant Vice President, Nursing (1991 to 1994)
Administratively responsible for all Nursing management and clinical operations of a 324 bed hospital which provides complete acute care services.
PRESBYTERIAN HOSPITAL, New York, New York 1989 to 1991
Vice President, Business Services
Financial Controller, Facilities Management Center
Administratively responsible for the effective management of several key support functions in this 1500 bed hospital environment: Telecommunications, Security, Biomedical Engineering, Doctor’s Private Offices, Fire and Safety, Environmental Safety, Housing, Parking and Transportation. In addition, responsible for a 300,000 sq. ft. Resource Center and the Hospital Safety Program.
· Construction projects resulted in several achievements in plant expansion. A new acute care building, The Milstein Building was erected housing 775 beds. The Allen Pavilion, a 300 bed facility, was built in the Bronx.
· Expansion of parking facilities resulted in a net profit gain of 8%.
· Chaired of the Hospital Safety Committee and through various initiatives saw a reduction in employee injuries, less costs associated with covering employee’s sick time, reduced insurance expenses for workmen’s compensation, reduced OSHA concerns and surveys.
· Oversight of over $81M in operating and personnel expenses with increases seen that were less than the industry experiences.
· As financial controller, worked closely with the Nutritional department as they developed a for-profit mode, marketing their services to outside entities. Resulted in 4 clients outside of the hospital environment and contracts with a net worth of more than $1M.
PRESBYTERIAN HOSPITAL, New York, New York
Senior Clinical Manager, Department of Medical Nursing 1987 to 1989
Responsible for the effective and efficient clinical operations of a 300+ bed department consisting of 28 critical care beds, an active oncology service, hemodialysis unit, transplantation unit, cardiac catheterization service and clinical research unit, all part of a challenging medical service.
Nursing Care Clinician, Medical Intensive Care Unit 1984 to 1987
Manage delivery of safe and efficient patient care in a 14 bed Medical lCU, requiring supervision of 55+ professional and auxiliary nursing personnel and coordination with appropriate medical and hospital services. Responsible for all compliance issues with regulatory agencies. Administratively responsible for management of Cardiac ICU when required.
CNIII (Assistant Head Nurse), Medical Intensive Care Unit 1984
Staff Nurse, Medical Intensive Care Unit 1982 to 1984
Staff Nurse, Telemetry/General Medical Unit 1979 to 1982
OTHER RELATED EXPERIENCE:
Williams, Ristoff & Proper Law Firm 9/07 to Present
Field medical consultant
Medical Malpractice, Personal Injury, Demands, Interrogatories, Case preparation
Nature Coast NeuroSurgery, Hudson, Florida 7/07 to 6/08
Montefiore Medical Center, Bronx, New York 10/03 to 07/04
Per diem Emergency Room staff RN
White Glove Nursing Agency, Brooklyn, New York 02/03 to 10/03
Adult critical care and emergency per diem nursing assignments
at Montefiore Medical Center, Bronx, New York
All Care Nursing Services, Union, New Jersey 11/00 to 02/03
Adult critical care and emergency per diem nursing assignments at Lenox Hill,
Manhattan Eye & Ear and Beth Israel Hospitals, New York
INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 825, Little Falls, NJ January to March 1997
Consulting with the PPO’s Pre-cert program and Medical Department to create manuals for their Quality Improvement endeavors and Utilization Review Department.
ENGLEWOOD HOSPITAL & MEDICAL CENTER, Englewood, New Jersey
Critical care per diem RN (1996 to 1999)
CHILTON MEMORIAL HOSPITAL, Pompton Plains, New Jersey
Flex-pool Critical Care Nurse (1993 to 1995)
PRESBYTERIAN HOSPITAL, New York, New York
Per diem ICU staff (1990 to 1992)
AMERICAN PRACTICE MANAGEMENT, New York
Functioned as a Consultant for A.P.M., traveling nationally to health care facilities, to discuss the “phase 2″ process and provide instruction to the Task Force leaders. (1988 to 1990)
PROFESSIONAL NURSING RESOURCES, INC., New York
Agency Nurse in all adult critical care units at Presbyterian Hospital – Medical, Cardiac, Surgical, Neurological and Open Heart. (1987 to 1990)
NON-NURSING MANAGEMENT EXPERIENCE
President, HAWK AERO, INC., Sparta, New Jersey (1993 to 7/04)
UNIVERSITY OF SOUTH FLORIDA, Tampa, Florida
Post Masters’ Certificate
Acute Care Nurse Practitioner Program
Anticipated completion 2009
CONCORD LAW SCHOOL, Los Angeles, California
Top 25% of the class, 2005
RUTGERS UNIVERSITY, Newark, New Jersey
Master of Business Administration
Graduated with Honors, 1990.
COLUMBIA UNIVERSITY, New York, New York
Master of Science in Nursing, Acute Care Program; Minor in Administration; clinical focus Cardiology/Medicine.
Graduated with Honors, 1983.
FAIRLEIGH DICKINSON UNIVERSITY, Rutherford, New Jersey
Bachelor of Science in Nursing
Graduated with honors, 1979
Professional nurse licensure in New York, Florida and New Jersey
Real Estate Salesperson in New Jersey
Certified Flight Instructor – ASEL
Commercial Pilot – ASEL
Private Pilot – AMEL, ASES
Previous Critical Care Registered Nurse (CCRN)
B.C.L.S. and A.C.L.S.
Previous American Heart Association A.C.L.S Instructor (former)
Previous Certified Nurse Administrator -Advanced
American Organization of Nurse Executives of New Jersey
American Association of Critical Care Nurses
American College of Healthcare Executives
American Society of Law, Medicine and Ethics
American Trial Lawyers Association
American Health Lawyers Association
Lawyer Pilot Association
Aircraft Owners and Pilots Association
Women in Aviation Association
Sigma Theta Tau
Phi Omega Epsilon
1986 Recipient of the Linda Green Memorial Award for Clinical Practice
3 Chapters, “Standards of Critical Care Edition; Johanssen, B., et al.
Currently contributing to a Neurosurgical Nursing Handbook
Frequent lecturer for Emergency Room, Critical Care and Neuroscience courses.
Ethics Lectures provided to hospital staff and community groups.
Literacy Volunteer of America
Volunteer math instructor for the GED program
Volunteer for Starlight Children’s Foundation
Volunteer for Make a Wish Foundation
References Available upon request.