1. PAMELA S. BALLOU-NELSON, RN MA MSPH PHD PCMH CCE
6895 Groveton Ave. │ Castle Rock, CO 80104
(630) 294-1072 │ Pballounelson@gmail.com
SENIOR-LEVEL HEALTH CARE PROFESSIONAL
Registered Nurse | Health Care Systems Director| Change Agent
Advanced Health Care Professional with expertise in patient care as well as administration and education. Clear-thinker
with analytical and management skills. Skilled in collaboration with all members of the organization to achieve process
improvements, quality measures and goals. Adaptable researcher implements programming with efficacy. Instrumental
in streamlining and improving processes, enhancing productivity, and implementing practical solutions. Technical
proficiency: (Informatics, project management, change management skills, EMR, ICD-9 and ICD-10 coding, PQRS/HEDIS
Quality Measures, PCMH 2014 and Microsoft Suite).
 Critical Thinker
 Problem Solver
 Goal-Oriented
 Time Management
 Administrator/Director
 Leader/Trainer/Mentor
 Educator
 Organized
 Program Development
 Education Development
 Public Speaking
 Clinical Knowledge
L I C E N S U R E / CE R T I F I C A T I O N S
Registered Nurse License, State of Illinois, License #041.151602, Active
Registered Nurse License, State of Colorado, RN 1635112
Red Cross Instructor Certificate for First Aid/CPR/AED
NCQA PCMH CCE - December 2014
P R O F E S S I O N A L EX P E R I E N C E
ENCORE, A QUINTILES COMPANY, Houston, TX 2013 – 2015
Process Improvement consultant for physician practices, health systems
 Advised and evaluated health systems in ACO and Population Health development and management across the
continuum of care aligning systems.
 Spearheaded staff to implement level 3 PCMH 2011 & 2014 pilot for Advocate Health Partners (AHP) 14
practices. Advised AHP on care management, medication therapy management and care pathways.
 Implemented PCMH 2014 and primary care development for Open Door Clinics, Chicago improving efficiency.
 Performed value performance advisory role for meaningful use, PQRS and other quality measures for EP and
hospitals.
 CQM IQM project Cerner and Meditech EHR
1. Documentation of current state manual abstraction processes
2. Baseline current abstraction time and effort
3. Baseline Performance of each Core Measure
4. Creating a comprehensive measures matrix for documentation, tracking and prioritization of measures
5. Documentation of measure abstraction workflow use cases
6. Member of emeasures review board within Encore.
ADVENTIST HEALTH NETWORK, Bolingbrook, IL 2006 – 2013
Clinical Quality Director for Physician Hospital Organization
 Developed with team of physicians clinical quality measures for Physicians in the PHO, implemented and
measured outcomes of defined measures.
 Developed patient and physician interventions to specific conditions such as, hypertension, diabetes,
immunizations, colorectal cancer screening, improving compliance.
 Worked with offices on compliance to Medicaid care management programs, and Medicaid insurance contracts,
including high risk and dual eligible patients programs, streamlined processes.
 Developed, along with AAPC, ICD-10 training for all practices in the PHO. Completed 12 hours of training with
practice sites.
 Tested practice/physician documentation for ICD-10 preparedness.
 Served on ICD-10 committee for Adventist Health Partners in Chicago and Florida to implement ICD-10 strategy.

2. PAMELA S. BALLOU-NELSON Resume, Page 2
KEY ACCOMPLISHMENTS
 Initiated integration process of a 600-physician hospital organization to develop health interventions at the
physician and community levels, involving: physicians, four hospitals, and a data vendor to develop evidence-
based clinical practice guidelines, collecting and measuring outcomes over time from inpatient, outpatient,
emergency room, and ancillary services.
 Developed PCMH NCQA program for 53 practices within the PHO, submission to NCQA 2012-2013 achieving
level 2 and level 3 recognition.
WHEATON COLLEGE, WHEATON, IL 2007 – 2008
Adjunct Professor
 Taught Intro to Global Public Health and Nutrition while professor was on sabbatical.
WHEATON COLLEGE, WHEATON, IL 1997 – 2006
Director of Student Health Services
 Directed all aspects of student health services including the student insurance health plan.
 Worked in a clinical capacity with ill students and developed preventive health programs.
 Organized and conducted student health education programs increasing knowledge base.
 Expanded offerings to include ancillary health services such as massage therapy and developed an extensive
travel medicine program for pre- and post-travel care.
 Worked with international students to assist with the transition of health care from their home countries. Directed
and developed policies and procedures for Wheaton’s North Woods Campus and HoneyRock Camp.
AD D I T I O N A L EX P E R I E N C E
AVANTI HEALTH SYSTEMS, Oak Brook, IL 1996—1998
Director of Operations
HEALTH SPRINGS MEDICAL GROUP, Bloomingdale, IL 1995—1996
Health Center Manager
Independent Consultant, Wheaton, IL 1994—1995
Independent Consultant, Chicago, IL 1984—1995
WOMEN’S CENTER FOR HEALTH, EDWARD HOSPITAL, Naperville, IL 1989—1994
Administrative Director
Regional Operations Manager, SERVICE MASTER HOME HEALTH, Downers Grove, IL 1985—1989
Director Home Health Care Agency, COPLEY HOSPITAL, Aurora, IL
AMERICARE HOME HEALTH AGENCY, Naperville, IL 1984—1985
Home Health Agency Administrator
GOOD SAMARITAN HOSPITAL, Downers Grove, IL 1982—1984
Hospital Nurse
FAITH HOSPITAL, Glennallen, Alaska 1976—1982
Hospital and Community Health Nurse and EMT II

3. PAMELA S. BALLOU-NELSON Resume, Page 3
ED U C A T I O N & C R E D E N T I A L S
Ph.D., Doctor of Philosophy, Public Health, Walden University, Minneapolis, MN
M.S., Master of Science, Public Health, Walden University, Minneapolis, MN
M.A.., Master of Arts, Communication, Wheaton College, Wheaton, IL
B.S.N., Bachelor Science in Nursing, University of Utah, Salt Lake City, UT
NCQA PCMH Certified Content Expert, 2014
Enrolled in IHI Population Health Leadership course, November 2015 completion
AB S T R A C T / PO S T E R PR E S E N T A T I O N S /PU B L I C A T I O N S
Ballou-Nelson, P., “A synthesized Model of Compliance Based on Physician and Patient Reported Barriers to Hypertension
Guidelines”. (2012). UMI ProQuest Ann Arbor Michigan
Ballou-Nelson, P. (2010, June). Clinical Integration Workshop. Panel Discussion at Valence Health workshop, Chicago, Illinois.
Ballou-Nelson, P. (2010, March). Running a professional camp in a fearful world. Paper presented at the meeting of the Christian
Camping Association, Lake Geneva, WI.
Ballou-Nelson, P. (2009, January). Globalization, integrating faith and learning. Paper presented at the meeting of the Indian
Theological Seminary, Avadi, India.
Ballou-Nelson, P. (2004). Identifying emergencies. Paper presented at the meeting of the Staff Development Program, Wheaton College,
Wheaton, IL.
Ballou-Nelson, P. (1999, March). Work place mentoring. Paper presented at the meeting of the Staff Development Program, Wheaton
College, Wheaton, IL.
Ballou-Nelson, P. (1995, February). Continuous quality improvement process: Avoiding pitfalls. Paper presented at the meeting of the
Health Management Associates Inc. , Lake Tahoe, NV.
Ballou-Nelson, P. (1990, September). Marketing your women’s health program. Paper presented at the meeting of the Third Annual
Meeting of The National Association of Women’s Health Professionals, Chicago, IL.
L E C T U R E S & P R E S E N T A T I O N S
Presenter: Oregon Chapter of HIMSS May 2015 “Impact of Data on Patient Experience”
Presenter: Medical Home Summit Tuesday March 24th 2015 “Key Factors in PCMH ROI Success and Disappointment”
Presentation: June 24th -25th 2014 Blue Cross Blue Shield of Illinois, Patient Activation, PAM tool.
H O N O R S & AW A R D S
Outstanding Young Women of America: Community Service and Professional Excellence (1982)
Certificate of Appreciation: Salt Lake City Community Action Program (1973)
Achieving Excellence Award in Adventist Midwest Health Pillars (2012)
Community Leadership Award from Chicago Health Executives Forum (2013)
C O M M U N I T Y S E R V I C E
Served on the executive council for HoneyRock Camp, Wheaton College North Wood Campus, Three Lakes, Wisconsin
(2008-2013)
Serve on the American Board for Faith Based NGOs in Avadi, India (2007- 2015).
Member of Illinois QIO governing body (2010-2014)