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Pat Sellars Frith -Resume 2016
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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
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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:
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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
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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
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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