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Marsha L. Carpenter, BS, MBA, CSSGB 279 Lauren Hope Lane • Moore, SC 29369 • (864) 237-4846 • [email protected] QUALITY HEALTHCARE PROFESSIONAL Niche expertise in regulatory initiatives, project management and Lean Six Sigma Process Improvement PROFESSIONAL EXPERIENCE MidasPlus, Inc A Xerox Company September 2015 – Present Account Manager Tucson, AZ Remote location Operational point-of-contact for Midas+ clients. Assist clients to assure they are getting maximum benefit from Midas+ solutions and help navigating internal Midas+ support systems. Responsible for communication and assistance with clients on specific Midas+ functions and features. Also, works with the internal Midas+ departments to accomplish projects, assigned tasks and related client communication and Midas+ activities. ECPI University August 2015 - Present Adjunct Business Faculty Virginia Beach, VA Remote location Currently Teach BUS121 for the Online Virginia Beach campus. Approved to teach other online business courses for the online undergraduate and associate degree program. Spartanburg Regional Healthcare Systems (SRHS) May 2001- January 2016 Data Quality Analyst (Nov 2014 – January 2016) Medical Group of the Carolinas Prepare PQRS annual reporting, assist with meeting annual Meaningful Use, prepare monthly physician national reporting for audit patient charts, provide direction for regulatory compliance after completion of audits, facilitate the establishment and changes of appropriate policies and procedures for exceptional quality, patient care, develop monitoring tools and conduct analysis monthly reports to identify trends and areas for improvement, monitor data and trends relative to the quality process, assist Regulatory Compliance Officer to ensures CMS rules and regulations are adhered to, maintain a working knowledge of hand hygiene and personal protective equipment regulations, assist the Infection Preventionists, exhibit a commitment to organizational shared values through ensuring defect-free workmanship through Lean Six Sigma methodology, and facilitate Process Improvement teams as a Certified Lean Six Sigma Green Belt. Accomplishments Include:

Marsha Carpenter Resume 04.17.2016

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Page 1: Marsha Carpenter Resume 04.17.2016

Marsha L. Carpenter, BS, MBA, CSSGB 279 Lauren Hope Lane • Moore, SC 29369 • (864) 237-4846 • [email protected]

QUALITY HEALTHCARE PROFESSIONALNiche expertise in regulatory initiatives, project management and Lean Six Sigma Process Improvement

PROFESSIONAL EXPERIENCE MidasPlus, Inc A Xerox Company September 2015 – Present Account ManagerTucson, AZRemote locationOperational point-of-contact for Midas+ clients. Assist clients to assure they are getting maximum benefit from Midas+ solutions and help navigating internal Midas+ support systems. Responsible for communication and assistance with clients on specific Midas+ functions and features. Also, works with the internal Midas+ departments to accomplish projects, assigned tasks and related client communication and Midas+ activities.

ECPI University August 2015 - Present Adjunct Business FacultyVirginia Beach, VARemote locationCurrently Teach BUS121 for the Online Virginia Beach campus. Approved to teach other online business courses for the online undergraduate and associate degree program.

Spartanburg Regional Healthcare Systems (SRHS) May 2001- January 2016Data Quality Analyst (Nov 2014 – January 2016) Medical Group of the CarolinasPrepare PQRS annual reporting, assist with meeting annual Meaningful Use, prepare monthly physician national reporting for audit patient charts, provide direction for regulatory compliance after completion of audits, facilitate the establishment and changes of appropriate policies and procedures for exceptional quality, patient care, develop monitoring tools and conduct analysis monthly reports to identify trends and areas for improvement, monitor data and trends relative to the quality process, assist Regulatory Compliance Officer to ensures CMS rules and regulations are adhered to, maintain a working knowledge of hand hygiene and personal protective equipment regulations, assist the Infection Preventionists, exhibit a commitment to organizational shared values through ensuring defect-free workmanship through Lean Six Sigma methodology, and facilitate Process Improvement teams as a Certified Lean Six Sigma Green Belt. Accomplishments Include:

Attested for 224 providers for PQRS for CY2014 In 2015, assisted in the growth of PCMH Certified practices at MGC locations from 18 to 24 practices Developed the idea and database for Provider Performance Review for more than 150+ providers – Saving

provider’s time in viewing all of their metrics in a one-stop shop for all quality metrics with comparison data System Administrator for more than 230+ providers in Meaningful Use Assistant – a database which assists

in automating Meaningful Use attestation in a cloud-based system and monitoring each providers’ Meaningful Use activities per each initiative and whether they are in compliance or not with each initiative

Assisted in increasing the overall average of NCQA Diabetes Recognition Program score of all physicians from 71.57 to 79.95 in FY 2015

Assisted in increasing the overall average of NCQA Heart Stroke Recognition Program score of all physicians from 53.25 to 66.25 in FY 2015

Assisted in increasing the overall early detection of breast cancer by receiving mammograms for the outreach community project from 63.4% to 66.7% throughout Medical Group of the Carolinas’ practices for FY 2015

Assisted in Increasing the average patient satisfaction percentages from 73.1% to 82.1% for FY2015 for all Medical Group of the Carolinas’ practices

Assisted in increasing the Pediatrician provider BMI percentages from 79.6% to 85.3% for FY2015 and their e-prescribing percentages from 88.9% to 92.5%

Page 2: Marsha Carpenter Resume 04.17.2016

Marsha L. Carpenter, BS, MBA, CSSGB 279 Lauren Hope Lane • Moore, SC 29369 • (864) 237-4846 • [email protected]

Data Quality Analyst/Assistant Midas+ System Administrator (April 2002-November 2014) Clinical Documentation Auditor I Quality Services Department Ran reports to show trends for executive management. Created reports within Midas+ and through Crystal reports. Developed indicators to show trends. Developed score cards for physician groups or departments within Statit from indicators within Midas+. Created users and securities for new Midas+ suite users. Trained users on the Midas+ Quality Database for all modules: Quality, Risk, Patient Relations, Focus Studies, Reporting, etc. Trained users on the Statit. Troubleshoot the system for errors. Run error reports for interface issues. Dictionary maintenance. Created Focus Studies. Created worklists with email alerts. Scheduled reports for users. Created Midas+ presentations for groups. Group education for the Midas+ modules.Audited patient charts for CMS Core Measures.

Certified Six Sigma Green Belt (September 2009-Present) Accomplishments Included: As a CSSGB, completed three Lean/Six Sigma Green Belt projects, and coordinated data for many teams

Perioperative Team Project/Process Annual cost savings after project - $173,806.32 Assigned an OR staff member to organize the preference cards for the surgeon’s next days’ cases and return to the Sterile Processing Department prior to 1pm daily. This prevented delays from SPD and from the OR when setting up for the case. This cost savings was from the average salaries of the staff in each room and for the met goal of shaving five minutes off of each surgical case. Average total surgical cases per month = 1100 for a total of 5500 minutes saved per month (91 hours and 40 minutes). The staff in a room consists of 1 CRNA (average pay $90/hour), 1 RN (28/hour), and 2 CSTs (20/hour each). Monthly total savings = $14,483.86 Assisted in lowering the number of instruments in orthopedic trays to prevent worker’s comp

injuries. This savings is unidentifiable, but large Assisted in increasing the Sterile Processing Department’s analytics of productivity to show the need for

additional FTEs through counting productivity through number of instruments touched

Regional Pediatric Services Team Recommended partial removal of a wall for better patient flows and patient volumes. The wall was removed

resulting in patient flow and volume improvement. Efficiency for this practice is greater than 81%

Meaningful Use Functional Status Team Team discussed who is responsible for collecting the data, where to put it in the EHR, and how the education

would be rolled out. This information is needed to meet stage 2 of MU. Total incentives are expected at $3.8 million. After 2015, collection of this information will contribute toward avoiding penalties

Assisted in increasing hand hygiene before and after patient intervention percentages for all providers and AHP ranging between 68.5% to 96.3%

Assisted in increasing Core Pneumonia from 85% to 100% (currently a retired measure) Direct hand in increasing Blood Consent Compliance from 82% to 96.5% in a two year period. Identified

that PAs/NPs were able to sign a blood consent anywhere in the state of SC except in our hospital due to our policy. Lead for the policy being changed with resultant ongoing focus on this issue on the Blood Utilization Committee assisted the compliance rate increasing from 82% in 2008 to 96.5% in 2010

Spartanburg Regional Healthcare Systems, Spartanburg, SC (May 2001-April 2002)Surgical Scheduler/ Certified Surgical Technologist II/Scheduled surgeries in house through departments, surgeons, and surgical offices in the McKesson Surgical Suite software. Printed surgery schedule delivering to different managers/departments throughout the hospital system. Provided lunches and breaks to surgical technologists throughout the surgical suite.

Page 3: Marsha Carpenter Resume 04.17.2016

Marsha L. Carpenter, BS, MBA, CSSGB 279 Lauren Hope Lane • Moore, SC 29369 • (864) 237-4846 • [email protected]

Assisted surgeon during surgery with a strong emphasis in Open Heart procedures, anticipated surgeons' needs, maintained a sterile surgical field for the safety of the patient, organized the sterile equipment and supplies prior to each surgery, performed subcutaneous and skin suturing, and maintained monthly Open Heart Team call schedule.

Paragon Healthcare Corporation, Spartanburg, SC March 1999-May 2001 Research & Development Technician / Manager Researched, developed, and validated new products according to FDA regulations, managed and trained production employees on the procedures for new products and in-depth teaching of sterilization, developed FDA required documents for validation procedures, calibrated organization processing equipment to meet FDA specifications, sharpened orthopedic surgical instruments to organization and customer specifications, developed job related educational documents for company use and for continuing education units needed for the Certified Healthcare Production employee, ensured process control through meticulous record keeping FDA requirements, monitored trends relative to organizations equipment and processes, ensured that FDA rules and regulations were adhered to, maintained knowledge and in-depth understanding of all sterilization processes to articulate communication with others within the organization, customers, and any FDA officers, and maintained knowledge and understanding of shipping and receiving in a warehouse setting.

Spartanburg Regional Healthcare Systems, Spartanburg, SC May 1995 - November 2000 Certified Surgical Technologist II June 1989 – February 1994Assisted surgeon during surgery with a strong emphasis in Open Heart procedures, anticipated surgeons' needs, maintained a sterile surgical field for the safety of the patient, organized the sterile equipment and supplies prior to each surgery, performed subcutaneous and skin suturing, and maintained monthly Open Heart Team call schedule.

EDUCATION MBA, (IT Management) Gardner-Webb University, Boiling Springs, NC 2015 BS, (IT Management), ECPI University, Virginia Beach, VA 2012 Diploma, Surgical Technology, Spartanburg Technical College, Spartanburg, SC 1989

CERTIFICATIONS CSSGB, Certified Six Sigma Green Belt, Global Certifications, Expert Rating 2012 SSGB, Six Sigma Green Belt Certificate, Spartanburg Regional Medical Center 2009 CST, Certified Surgical Technologist, NBST 1989 CPM, Certified Project Management, Global Certifications, Expert Rating 2012 Certificate, Introduction to Crystal Reports 10, Spartanburg Community College 2014