Chasity Walter

Clinical Manager

Implemented ER diversion protocol for high-risk patients with CHF that led to a significant decrease in hospital readmission and ER use through strategic coordination with White River Medical Center Care transitions team, medical director and Pharmacy. Implemented a quality assurance program that led to a significant decrease in hospital readmission, UTI occurrences, and a 30% improvement in patient outcomes and an increase in overall patient satisfaction scores. Created and implemented practice for use of patient/caregiver friendly education guides for common, but often challenging routine skills such as wet to dry dressing application, iv infusion set up with dial-a-flow and troubleshooting, foley cath (male and female) flushing. The first 6 months of implementation had after hours emergent visits by a clinician down to 2 from an average of 7-10 per month, with an average daily census of 350-400 patients. This also greatly improved staff retention with the provision of a better work life balance for all RN staff. Implemented paperless technologies that improved operational efficiency and created real time communication between the back office and all collaborating field staff. Created electronic formats for all remaining paper order forms and service requests to allow staff to decrease windshield time, improve compliance with communication and care coordination, resulting in improved turnaround time for patient care provision, enhanced quality assurance, leading to improved survey and service quality outcomes. Oversight of 35 clinical care team members made up of Skilled Registered Nursing, Licensed Practical Nursing, Occupational Therapy, Physical Therapy, Speech Therapy, Behavioral Health Nursing, and home health aides. Oversight and approval of all patient plans of care. New hire and annual clinical competencies for all skilled care providers.