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2016 Resume
Patricia Sellars Frith, RN, MSN, PhD, CLNC
5815 N Rosa Springs Ave.
Meridian, Idaho 83646
1-208-866-7340, 1-208-888-7673
pat.sellars@hotmail.com
EXPERIENCE
 4 years as Medical /Legal Nurse Consultant for Hospitals,Medical Clinics,Medical Insurance
Companies,andLawFirms.
 10 years in NursingManagementpositions including:AssistantVice Presidentof PatientCare
Services, Directorof Care Management(URAC,CMS,Pre-auth,CM,UM, DM), Director of
ICU/CCU, Service Line DirectorCardiovascularServices, Managerof Disease Management,
Branch Manager InfusiontherapyandHome Health.
 10 years in clinical bedside nursing – ICU, CCU, CVOR, Telemetry,Medical/Surgical,OB/GYN,
Nursery,Rehab,andPediatrics,PediatricClinic.
EDUCATION
 Doctorate in Philosophy:OrganizationalLeadership Gonzaga University,Spokane,WA
 Masters in Science inNursing:Healthcare Admin Gonzaga University,Spokane,WA
 Bachelorof Science inNursing Gonzaga University,Spokane,WA
 Associate RegisteredNurse Boise State University,Boise,ID
PROFESSIONAL EXPERIENCE
2016 – Current– AdjunctProfessoratISU School of Nursing,PhDNursingProgram. – Designedanew
curriculumandteachingan online core course - The Philosophyof Inquiry.
2012- Current- Sellars,Frith and Associates,Inc. Medical/Legal Consulting– Boise,Idaho
 Responsible forthe design,development,andimplementationof my CertifiedMedical /Legal
Nursingconsultingbusiness.
 IndependentNursingConsultantworkingincollaborationwiththe IMA ConsultingFirmto
provide leadershipexpertise andservicesincludingregulatorycompliance,operational
improvements,andinterimmanagementservicesforhospitalsandclinics.
 Organized,designed,andcreatedanEducationdepartmentandprogramfromthe groundup
for communityhospitals.InterviewedandhiredPhDEducationDirector, MSN RN Clinical Nurse
Educators,executive assistant,anddataanalystforthe department.
 DesignedaNursingResidencyProgramforRN Graduates newlyhiredinto inpatienthospitals.
 ExpertwithMosby’sonline educational program.
 Created,designed,andrevisedmultiple administrativehospital policies,clinical nursing
standardsof practice,andstandardsof care accordingto state board of nursingrulesand
2
regulations,JointCommissionstandards,DNV standards,Medicare regulatoryrules,and
healthcare industryevidenced bestpractice.
 Expertinleading, facilitating, designing,andimplementingprocessimprovement
projects/chartersthatbringhospitalsuptothe national standardsof practice utilizingSix sigma
and Kaizenstrategiesspecificallyfor,but notlimitedtomanagingPatientSafety,Pain
Management,PatientRestraints,andPressure Ulcers.
 Complete oversightof daily hospital andclinicoperations,financial stewardship,growthacross
state boundaries
 Educatedand consultedwithattorneys,clients,witnesses,andtestifyingexpertsonhealthcare
issues,nursingprocesses,standardsof practice,scope of practice,andregulatorycompliance
 Responsible forassistingattorneyswin cases,save time,andmoney
 Servedasa consultingexpertortestifyingexpertformedical malpractice cases,personal injury
cases,productsliability,toxictort,criminal cases,andanycase where health,illness,orinjuryis
an issue
2010-2012 Medical Legal Consultantas Director of Medical Care ManagementThird Party
Administration– AmeriBen/IEC,Boise,Idaho
 SeniorNursingDirector/consultantoverthe Medical ManagementDepartment. Assessment
and redesignof CompassMedical Managementdepartmentincluding: hiringandtraining24
RNsand support staff, FTE positioncontrol,andfinancial formulastosupportproductivityand
growth.
 Organized,designedandimplementeffective,efficientprogramincludingPre-Authorizationand
Certification,Case Management,DiseaseManagement,MotherBabyprogram, andthe
Wellnessprogram.
 Interviewed,hiredandtrainedthree PhysicianAdvisorstothe Care managementteam
 Workedincollaborationwiththe company’sattorneyonestablishingandeducatingonthe
Denial andAppealsProcessforall nursesandphysicianadvisors.
 Instrumental indesigningoutcome reporting, organizationalstrategicplanning,andsetting
financial objectives
 Responsible forcreating effective review processforall casesgreaterthan10 days Lengthof
Stay,Medical necessityreviews, Chemotherapyreviews,ratesof re-admission,appropriate
Patientstatusdocumentation,anddischarge planningprocessaccordingto regulatory
compliance withFederalandState law.
 EstablishedaUtilization Review plananddailyconcurrentreview process forall patientswith
highdollarclaimsandclaimsgreaterthan 50% of speculation
 ImplementedQualitymeasures, benchmarkingtools,andreportstomeasure andmonitor
successful deliveryof qualityof care utilizingstandardsfromACOinitiatives,NCQA, HEDIS,
URAC, JCAHO,DOI,DOH, 100,000 livesCampaign,andOSHA
2009- 2010- Medical Legal ManagementConsultantas the Director ofCare Management – Oregon
Health Science and University(OHSU) Portland,Oregon
 Accountable and responsible for240 RNs,and social workersforthe KnightCancerInstitute,
General OHSU Medical Center,andthe DorenbeckerChildren’sHospitalwithapproximately
1200 combinedbeds.Additionally, supportedover12 committeesatthe seniorlevel including:
3
Executive QualityCouncil,Corporate Compliance,RiskManagement,NursingExecutive
Leadership,MonthlyManagement,Clinical Resource Council,PatientFlow,Ethics,andthe
Educationcouncil
 Responsible forleadingthe managementof adultandpediatric patientcare andleading,
monitoring,andimproving several2009-2010 strategicinitiatives:patientandemployee
satisfactionsurveyanalysis,increasingthe flow of patientthroughput, reducingdenialsby1
millionbyJune 2010, loweringLengthof Stay25% by June 2010.
 Redesigned AdmitRN CMrole relatingtoassigningPatientStatuswith100% accuracy
 Implemented the newPhysicianCMAdvisorrole forthree hospitalsand900 MD clinics
 Responsible formanaging vendorcontracts,negotiatingpayercontracts,managingrisk
assessmentsandimplementingpro-hospital strategies, educatingprofessional staff onfinancial
performance,revenue cycle,legal aspectsof administrationanddocumentation,regulatory
compliance,andprofessionalpractice asdefinedby variouslicensingState agencies.
2008-2009 Medical Legal Consultantas Director of Nursingfor three OB/GYNclinics Boise,Idaho
 Responsible forNursingLeadershipandClinical Operationsoverfourmedical groupsandall
clinical staff (NP, RN,LPN,MA, and PFC) and Laboratories.
 Developedclinical excellence,evidence basedpolicy/protocols,ensuringCorporate Compliance,
StandardizingOSHA compliance,designingclinical qualitybenchmarks,
 Responsible fornegotiatingandimplementing vendorcontractforoutpatientAnesthesia
servicesforgynecological procedures.
2007-2008 Consultant/ Director for Magnet Program – Trinity Healthcare Systems Boise,Idaho
 Conductedanddirectedanorganizational system-wide MagnetDesignationgapanalysisand
readinessassessmentforSaintAlphonsusRegionalMedical Center,a365 bednonprofithospital
inBoise,Idaho.
 Responsible foreducating,measuring,and conductingagap analysisof the 168 Standardsof
Practice to the current hospital standardsof practice.
 The pursuitof MagnetAccreditationwaspostponed tofurtherdevelop,educate,andmonitor
the current nursing standards of practice.
 2005-2007 CNO/ Assistant Vice PresidentofPatient Care Services Empire Health System
Spokane,WA
 Seniorlevel AdministratorandClinical leaderresponsibleforPatientCare ServicesSpokane
ValleyHospital andMedical Centera125 bedcommunityhospital andback-upCNO/AVP for
DeaconessMedical Center,a375 bedtertiaryhospital andtraumacenter. I wasresponsible for
350 professional staff andthe followingdepartments:OB/GYN,Nursery,Medical/Surgical,
Pediatrics,Pre-Admission,Surgery,PACU,ICU,CCU,CVOR,Orthopedics,Neurology,andRehab
 Successfullyled teamsinbothhospitalsthroughJointCommissionSurveysforAccreditation
 Responsible forthe dailyoperationsof patientcare servicesandadministratoron-callforboth
organizations
 Responsible forriskmanagementinvestigations,analyzingallegationsandtrendsof claimed
errors,interviewingpatients,families,staff,andphysiciansfordetails,leadinglegal strategies
sessions,researchingstandardsof care andevidencedbasedpractice,andwritingformal
4
reports for hospital boards,JointCommissions,Departmentof Healthandvariousotherinternal
and external committees.
 Servedandchairedmultipleinternalandexternalcommitteesthatsupporteddailyoperations
(see committee listbelow)
2001-2005 Aug- Director of Cardiovascular (CV) Service line Providence HealthSystem, Spokane,WA
 Responsible forthe developmentof CV service line and daily administrative andclinical
operationsforthe followingdepartments:ICU, CCU, ACU, Cath Lab, NuclearMedicine,Echo,
EKG, EEG, CardiacRehab,and Renal Dialysis-Managementof 160 employees.
 Ledand developedbenchmarkingdataanddashboardsfor100,000 Live Campaign
 Active indesigned,developed,andeducatedstaff on MD ordersets,CV performance measures
 Ledthe teamsuccessfullythroughJointCommissionSurveys,Departmentof Healthinquiries
1999-2001 Manager of Disease State Managementfor Cardiovascular Program -Regence BlueShieldof
Idaho, Blue Cross/ BlueShieldofUtah
 Responsible forthe development,implementation,andmanagementthe Regence
CardiovascularProgram-
 Educatedand mentored100 employeesonpreventable disease education,stratificationand
identificationof patientatriskforcardiac disease.
 Successfullyenrolled1200 patientsinIdahoand1800 patientsinUtah,withinthe first6 months
of the cardiovasculardisease state program.
1989-1999 Clinical bedside nursingas a RN, Charge Nurse andCoordinatorinall cardiovascularservices
including:ICU,CCU,CVOR,Cath Lab, Telemetry, general Medical/Surgical units,Pediatrics,MotherBaby
postpartum, andofficesof Cardiology, Pediatrics,OB/GYN,andInfusionTherapydepartments.
Professional Certifications/Awards
 CertifiedLegal NurseConsultant CLNC–National AllianceCertifiedLegal Nurse Consultants
 CertifiedCritical Care RN – CCRN – Loma Linda,California
 AdvancedCritical Care Certification-SacredHeartMedical Center,Spokane WA
 IdahoNursingExcellence Award - 2008
 International Nursing AssociationAward2013 - Recipientof the TopNurse inWorldwide
LeadersinHealthcare
Publications– Books
 The Five Characteristicsof Resilience AmongTwoGroupsof BatteredWomenSurvivors
 Exploringthe Perceptions of TrustAmongFourGroups of Executive LeadersinaNon-Profit
Healthcare Organization
 NURSEAdvisor:2013, Fall Ed., The Empowermentof Choicein ProfessionalNursing
COMMITTEE MEMBERSHIP SERVICE:
 1:1 withCEO, COO,CNO,CFO Medical Executive Committee
 Executive QualityCommittee PatientCare Operations Committee
 PatientCare Executive Committee PatientFlow Committee
5
 Clinical Resource ManagementCommittee UtilizationReview Committee
 RiskManagementCommittee JointCommissionReadinessteam
 Evidence Base Practice andResearchTeam Re-AdmissionFocusGroup
 RAC AuditMeetings Care ManagementStatscommittee
 ContinuousCompliance Committee Revenue Cycle Review Committee
 NursingCollaborative MonthlyManagementMeeting
 PatientClassificationWorkgroup LOS weeklymeeting
 RN ManagersForum CM Departmentmonthlymeeting
 Care Transitionsforthe Underserved RonaldMcDonaldDevelopmentProgramOHSU

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Pat Sellars Frith -Resume 2016

  • 1. 1 2016 Resume Patricia Sellars Frith, RN, MSN, PhD, CLNC 5815 N Rosa Springs Ave. Meridian, Idaho 83646 1-208-866-7340, 1-208-888-7673 pat.sellars@hotmail.com EXPERIENCE  4 years as Medical /Legal Nurse Consultant for Hospitals,Medical Clinics,Medical Insurance Companies,andLawFirms.  10 years in NursingManagementpositions including:AssistantVice Presidentof PatientCare Services, Directorof Care Management(URAC,CMS,Pre-auth,CM,UM, DM), Director of ICU/CCU, Service Line DirectorCardiovascularServices, Managerof Disease Management, Branch Manager InfusiontherapyandHome Health.  10 years in clinical bedside nursing – ICU, CCU, CVOR, Telemetry,Medical/Surgical,OB/GYN, Nursery,Rehab,andPediatrics,PediatricClinic. EDUCATION  Doctorate in Philosophy:OrganizationalLeadership Gonzaga University,Spokane,WA  Masters in Science inNursing:Healthcare Admin Gonzaga University,Spokane,WA  Bachelorof Science inNursing Gonzaga University,Spokane,WA  Associate RegisteredNurse Boise State University,Boise,ID PROFESSIONAL EXPERIENCE 2016 – Current– AdjunctProfessoratISU School of Nursing,PhDNursingProgram. – Designedanew curriculumandteachingan online core course - The Philosophyof Inquiry. 2012- Current- Sellars,Frith and Associates,Inc. Medical/Legal Consulting– Boise,Idaho  Responsible forthe design,development,andimplementationof my CertifiedMedical /Legal Nursingconsultingbusiness.  IndependentNursingConsultantworkingincollaborationwiththe IMA ConsultingFirmto provide leadershipexpertise andservicesincludingregulatorycompliance,operational improvements,andinterimmanagementservicesforhospitalsandclinics.  Organized,designed,andcreatedanEducationdepartmentandprogramfromthe groundup for communityhospitals.InterviewedandhiredPhDEducationDirector, MSN RN Clinical Nurse Educators,executive assistant,anddataanalystforthe department.  DesignedaNursingResidencyProgramforRN Graduates newlyhiredinto inpatienthospitals.  ExpertwithMosby’sonline educational program.  Created,designed,andrevisedmultiple administrativehospital policies,clinical nursing standardsof practice,andstandardsof care accordingto state board of nursingrulesand
  • 2. 2 regulations,JointCommissionstandards,DNV standards,Medicare regulatoryrules,and healthcare industryevidenced bestpractice.  Expertinleading, facilitating, designing,andimplementingprocessimprovement projects/chartersthatbringhospitalsuptothe national standardsof practice utilizingSix sigma and Kaizenstrategiesspecificallyfor,but notlimitedtomanagingPatientSafety,Pain Management,PatientRestraints,andPressure Ulcers.  Complete oversightof daily hospital andclinicoperations,financial stewardship,growthacross state boundaries  Educatedand consultedwithattorneys,clients,witnesses,andtestifyingexpertsonhealthcare issues,nursingprocesses,standardsof practice,scope of practice,andregulatorycompliance  Responsible forassistingattorneyswin cases,save time,andmoney  Servedasa consultingexpertortestifyingexpertformedical malpractice cases,personal injury cases,productsliability,toxictort,criminal cases,andanycase where health,illness,orinjuryis an issue 2010-2012 Medical Legal Consultantas Director of Medical Care ManagementThird Party Administration– AmeriBen/IEC,Boise,Idaho  SeniorNursingDirector/consultantoverthe Medical ManagementDepartment. Assessment and redesignof CompassMedical Managementdepartmentincluding: hiringandtraining24 RNsand support staff, FTE positioncontrol,andfinancial formulastosupportproductivityand growth.  Organized,designedandimplementeffective,efficientprogramincludingPre-Authorizationand Certification,Case Management,DiseaseManagement,MotherBabyprogram, andthe Wellnessprogram.  Interviewed,hiredandtrainedthree PhysicianAdvisorstothe Care managementteam  Workedincollaborationwiththe company’sattorneyonestablishingandeducatingonthe Denial andAppealsProcessforall nursesandphysicianadvisors.  Instrumental indesigningoutcome reporting, organizationalstrategicplanning,andsetting financial objectives  Responsible forcreating effective review processforall casesgreaterthan10 days Lengthof Stay,Medical necessityreviews, Chemotherapyreviews,ratesof re-admission,appropriate Patientstatusdocumentation,anddischarge planningprocessaccordingto regulatory compliance withFederalandState law.  EstablishedaUtilization Review plananddailyconcurrentreview process forall patientswith highdollarclaimsandclaimsgreaterthan 50% of speculation  ImplementedQualitymeasures, benchmarkingtools,andreportstomeasure andmonitor successful deliveryof qualityof care utilizingstandardsfromACOinitiatives,NCQA, HEDIS, URAC, JCAHO,DOI,DOH, 100,000 livesCampaign,andOSHA 2009- 2010- Medical Legal ManagementConsultantas the Director ofCare Management – Oregon Health Science and University(OHSU) Portland,Oregon  Accountable and responsible for240 RNs,and social workersforthe KnightCancerInstitute, General OHSU Medical Center,andthe DorenbeckerChildren’sHospitalwithapproximately 1200 combinedbeds.Additionally, supportedover12 committeesatthe seniorlevel including:
  • 3. 3 Executive QualityCouncil,Corporate Compliance,RiskManagement,NursingExecutive Leadership,MonthlyManagement,Clinical Resource Council,PatientFlow,Ethics,andthe Educationcouncil  Responsible forleadingthe managementof adultandpediatric patientcare andleading, monitoring,andimproving several2009-2010 strategicinitiatives:patientandemployee satisfactionsurveyanalysis,increasingthe flow of patientthroughput, reducingdenialsby1 millionbyJune 2010, loweringLengthof Stay25% by June 2010.  Redesigned AdmitRN CMrole relatingtoassigningPatientStatuswith100% accuracy  Implemented the newPhysicianCMAdvisorrole forthree hospitalsand900 MD clinics  Responsible formanaging vendorcontracts,negotiatingpayercontracts,managingrisk assessmentsandimplementingpro-hospital strategies, educatingprofessional staff onfinancial performance,revenue cycle,legal aspectsof administrationanddocumentation,regulatory compliance,andprofessionalpractice asdefinedby variouslicensingState agencies. 2008-2009 Medical Legal Consultantas Director of Nursingfor three OB/GYNclinics Boise,Idaho  Responsible forNursingLeadershipandClinical Operationsoverfourmedical groupsandall clinical staff (NP, RN,LPN,MA, and PFC) and Laboratories.  Developedclinical excellence,evidence basedpolicy/protocols,ensuringCorporate Compliance, StandardizingOSHA compliance,designingclinical qualitybenchmarks,  Responsible fornegotiatingandimplementing vendorcontractforoutpatientAnesthesia servicesforgynecological procedures. 2007-2008 Consultant/ Director for Magnet Program – Trinity Healthcare Systems Boise,Idaho  Conductedanddirectedanorganizational system-wide MagnetDesignationgapanalysisand readinessassessmentforSaintAlphonsusRegionalMedical Center,a365 bednonprofithospital inBoise,Idaho.  Responsible foreducating,measuring,and conductingagap analysisof the 168 Standardsof Practice to the current hospital standardsof practice.  The pursuitof MagnetAccreditationwaspostponed tofurtherdevelop,educate,andmonitor the current nursing standards of practice.  2005-2007 CNO/ Assistant Vice PresidentofPatient Care Services Empire Health System Spokane,WA  Seniorlevel AdministratorandClinical leaderresponsibleforPatientCare ServicesSpokane ValleyHospital andMedical Centera125 bedcommunityhospital andback-upCNO/AVP for DeaconessMedical Center,a375 bedtertiaryhospital andtraumacenter. I wasresponsible for 350 professional staff andthe followingdepartments:OB/GYN,Nursery,Medical/Surgical, Pediatrics,Pre-Admission,Surgery,PACU,ICU,CCU,CVOR,Orthopedics,Neurology,andRehab  Successfullyled teamsinbothhospitalsthroughJointCommissionSurveysforAccreditation  Responsible forthe dailyoperationsof patientcare servicesandadministratoron-callforboth organizations  Responsible forriskmanagementinvestigations,analyzingallegationsandtrendsof claimed errors,interviewingpatients,families,staff,andphysiciansfordetails,leadinglegal strategies sessions,researchingstandardsof care andevidencedbasedpractice,andwritingformal
  • 4. 4 reports for hospital boards,JointCommissions,Departmentof Healthandvariousotherinternal and external committees.  Servedandchairedmultipleinternalandexternalcommitteesthatsupporteddailyoperations (see committee listbelow) 2001-2005 Aug- Director of Cardiovascular (CV) Service line Providence HealthSystem, Spokane,WA  Responsible forthe developmentof CV service line and daily administrative andclinical operationsforthe followingdepartments:ICU, CCU, ACU, Cath Lab, NuclearMedicine,Echo, EKG, EEG, CardiacRehab,and Renal Dialysis-Managementof 160 employees.  Ledand developedbenchmarkingdataanddashboardsfor100,000 Live Campaign  Active indesigned,developed,andeducatedstaff on MD ordersets,CV performance measures  Ledthe teamsuccessfullythroughJointCommissionSurveys,Departmentof Healthinquiries 1999-2001 Manager of Disease State Managementfor Cardiovascular Program -Regence BlueShieldof Idaho, Blue Cross/ BlueShieldofUtah  Responsible forthe development,implementation,andmanagementthe Regence CardiovascularProgram-  Educatedand mentored100 employeesonpreventable disease education,stratificationand identificationof patientatriskforcardiac disease.  Successfullyenrolled1200 patientsinIdahoand1800 patientsinUtah,withinthe first6 months of the cardiovasculardisease state program. 1989-1999 Clinical bedside nursingas a RN, Charge Nurse andCoordinatorinall cardiovascularservices including:ICU,CCU,CVOR,Cath Lab, Telemetry, general Medical/Surgical units,Pediatrics,MotherBaby postpartum, andofficesof Cardiology, Pediatrics,OB/GYN,andInfusionTherapydepartments. Professional Certifications/Awards  CertifiedLegal NurseConsultant CLNC–National AllianceCertifiedLegal Nurse Consultants  CertifiedCritical Care RN – CCRN – Loma Linda,California  AdvancedCritical Care Certification-SacredHeartMedical Center,Spokane WA  IdahoNursingExcellence Award - 2008  International Nursing AssociationAward2013 - Recipientof the TopNurse inWorldwide LeadersinHealthcare Publications– Books  The Five Characteristicsof Resilience AmongTwoGroupsof BatteredWomenSurvivors  Exploringthe Perceptions of TrustAmongFourGroups of Executive LeadersinaNon-Profit Healthcare Organization  NURSEAdvisor:2013, Fall Ed., The Empowermentof Choicein ProfessionalNursing COMMITTEE MEMBERSHIP SERVICE:  1:1 withCEO, COO,CNO,CFO Medical Executive Committee  Executive QualityCommittee PatientCare Operations Committee  PatientCare Executive Committee PatientFlow Committee
  • 5. 5  Clinical Resource ManagementCommittee UtilizationReview Committee  RiskManagementCommittee JointCommissionReadinessteam  Evidence Base Practice andResearchTeam Re-AdmissionFocusGroup  RAC AuditMeetings Care ManagementStatscommittee  ContinuousCompliance Committee Revenue Cycle Review Committee  NursingCollaborative MonthlyManagementMeeting  PatientClassificationWorkgroup LOS weeklymeeting  RN ManagersForum CM Departmentmonthlymeeting  Care Transitionsforthe Underserved RonaldMcDonaldDevelopmentProgramOHSU