Andrew Resnick, MD, MBA, joined Brigham Health as senior vice president and chief quality and safety officer in October 2019. He oversees the planning, administration, and monitoring of all quality, safety management, and regulatory requirements, as well as all quality improvement initiatives across Brigham Health. In this role, he is responsible for the Brigham’s compliance with all regulatory, state, federal, and Joint Commission requirements, and the development of a comprehensive quality and performance improvement program.
Prior to joining Brigham Health, Resnick was chief medical officer at Froedtert Hospital in Wisconsin, where he also served as associate dean of Clinical Affairs Adult Practice and associate professor of General Surgery at the Medical College of Wisconsin. In these roles, Resnick helped drive improvements in quality, efficiency, cost, access, staff engagement, and patient experience across a 614-bed acute care hospital and multispecialty group comprised of more than 1,300 physicians, 500 advanced practice providers, and other practitioners. Prior to that, Resnick worked at Penn State Milton S. Hershey Medical Center as chief quality officer. While there, he led the development of interprofessional, unit-based quality teams to empower frontline staff, as well as clinical and operational leaders, to improve patient care quality and safety at the local level.
He began his career at the University of Pennsylvania, where he oversaw many quality improvement activities across the organization. Resnick graduated from Dartmouth College and Yale University School of Medicine. He completed a surgical residency at the Hospital of the University of Pennsylvania and earned a master’s degree in business administration from UPenn’s Wharton School.
Jennifer Beloff is the Vice President of Quality in the Department of Quality and Safety at Brigham and Women’s Hospital. Jennifer is a nurse practitioner with over 17 years of healthcare quality and patient safety experience. She joined BWH in August 2008 and is responsible for the operational management, strategic planning, and performance on all commercial, state, and federally funded pay for reporting (P4R) and pay for performance (P4P) programs, as well as the management and performance improvement efforts associated with a growing body of publicly reported metrics included in external quality reporting organizations, local/state government agencies, and medical boards and associations.
Additionally, Jennifer also oversees the strategic planning, goal setting, and management of the Clinical Pathways and the Clinical Documentation Improvement programs at BWH. Prior to joining the hospital, Jennifer worked at Valley Hospital in Ridgewood, NJ (just outside of New York City) as a nurse, nurse practitioner, and clinical quality specialist.
Dr. Sonali Desai is the Associate Chief Quality Officer at Brigham and Women’s Hospital and is a practicing rheumatologist. Dr. Desai conducts research on improving the quality of care and patient safety with a focus on the ambulatory setting. Dr. Desai is also an Assistant Professor of Medicine at Harvard Medical School and served as a Program Director (2015-2017) for an innovative global education, blended learning course titled Safety, Quality, Informatics, and Leadership. She is a native of Massachusetts and attended both college and medical school at Brown University in Rhode Island. She completed her internal medicine residency and Chief residency at Beth Israel Deaconess Medical Center in Boston, her rheumatology fellowship at BWH, and her MPH at the Harvard School of Public Health.
Kelly Doorley is the Executive Director of Clinical Compliance at Brigham and Women’s Hospital. She joined the hospital in November 2010 and is responsible for directing the hospital-wide efforts of all regulatory compliance and surveys including The Joint Commission and Centers for Medicare and Medicaid Services. She works closely with all levels of the organization to ensure Brigham and Women’s Hospital remains in compliance with state and federal rules and regulations including hospital licensure requirements. Prior to joining BWH, Kelly held varying positions across Mass General Brigham including staff nurse at Massachusetts General Hospital, Compliance Manager at Mass General Brigham Internal Audit, and most recently was the Director of Continual Readiness, Patient Safety, and Infection Prevention and Control at Brigham and Women’s Faulkner Hospital.
Karen Fiumara is the Executive Director of Patient Safety in the Department of Quality and Safety at Brigham and Women’s Hospital. She joined Brigham and Women’s Hospital in August 2002 and is responsible for the strategic planning and direction of the BWH Safety program. Particular areas of focus include enhancing the culture of safety at BWH, proactive and reactive risk assessment, and ensuring compliance with National Patient Safety Goals. Karen graduated from Massachusetts College of Pharmacy and completed a pharmacy practice residency at BWH. Prior to joining the Department of Quality and Safety, Karen worked as the Medication Safety Officer and managed the Anticoagulation Management Service at Brigham and Women’s Hospital.
Deb Jones is the Director of Clinical Documentation Improvement. Deb joined Brigham and Women's Hospital's CDI Team in January, 2015, and became Program Director in October, 2017. As Director of the CDI Program, Deb collaborates with Quality Professionals, Clinical Teams, Finance, and Coding to ensure the accuracy and integrity of patient medical records. Much of Deb’s previous work experience has been in the fields of Case Management and Utilization Review. Prior to joining the BWH CDI team, Deb served as the Team Leader of the Utilization Review Department at Geisinger Medical Center in Danville, Pennsylvania, where she was first introduced to CDI.
Casey McGrath is the Senior Director of Clinical Quality Improvement. She earned her Bachelor of Science in Nursing and Master of Science in Nursing degrees from Endicott College. Prior to joining the Department of Quality and Safety in 2013, she worked as a staff nurse on the Intermediate Neuroscience Unit at Brigham and Women’s Hospital. At BWH, Casey has led quality reporting and improvement efforts in surgery, heart failure, the emergency department, the NICU, nursing, and catheter-associated urinary tract infection (CAUTI) prevention.
In the spring of 2015, Casey successfully launched the Brigham Surgical Quality Redesign (BSQUARED) effort, a program that enabled multidisciplinary provider-led teams from the departments of surgery, anesthesia, and nursing to develop and implement projects that transformed front-line clinical expertise into hospital-level improvements in surgical quality and safety. Through this program Casey facilitated the expansion of the hospital’s Enhanced Recovery After Surgery (ERAS) protocol to multiple service lines. Currently Casey is overseeing the design, facilitation, and implementation of the new Unit Based Teams structure. She is also responsible for providing vision and direction of many clinical quality, safety, and operational initiatives throughout BWH.
Dr. Marc Pimentel is a Medical Director for the Department of Quality and Safety and primarily works on the Hospital Acquired Conditions Reduction program for BWH. Following his anesthesiology residency at BWH, he completed the two-year HMS Fellowship in Patient Safety and Quality. He continues to practice as an attending anesthesiologist in the BWH operating rooms, while also serving as the Associate Clinical Director for Quality in the Department of Anesthesiology. Current projects include prevention of central line infections and catheter-associated urinary tract infections, and improving hand hygiene.
Dr. Mihaela Podovei is a fellow enrolled in the Harvard Medical School Fellowship in Patient Safety and Healthcare Quality. She is also an anesthesiologist, fellowship-trained in Obstetric Anesthesia. Dr. Podovei joined the Brigham in 2007 as a new anesthesia resident, completed the anesthesia residency program and the OB Anesthesia fellowship, and then joined the staff in 2011. Prior to coming to BWH, she graduated from medical school in Iasi, Romania, and completed her internship at the Hospital of St. Raphael at Yale University in New Haven, CT. She had been doing quality assurance work at the divisional level, working on projects to improve peripartum care, before joining the HMS Fellowship. As a fellow, Dr. Podovei is now involved in hospital-level projects focused on improving perinatal care.
Dr. Karthik Sivashanker joined Brigham Health as the Medical Director of Quality, Safety, and Equity in July 2019, and the American Medical Association in January 2021 as the Vice President of Equitable Health Systems & Innovation. He is also a psychiatrist at Justice Resource Institute, and a faculty member at the Institute for Healthcare Improvement. His work focuses on advancing racial justice and equity in the health care arena by leveraging high-performance quality and safety practices to systematically make inequities visible and to address them as an integral part of health care delivery.
Prior to joining Brigham Health, he served as a consultation-liaison psychiatrist and innovation specialist at the Veterans Administration, and as an Assistant Professor of Psychiatry at the Boston University School of Medicine. He attended college and medical school at Northwestern University in Illinois, and he completed psychiatry residency at New York - Presbyterian Weill Cornell in New York and a psychosomatic medicine fellowship at Brigham and Women's Hospital. He is a graduate of the Harvard Medical School Fellowship in Patient Safety and Quality and received a Master’s in Public Health at the Harvard School of Public Health.
He served as a Fulbright scholar in Venezuela studying the vertical transmission of HIV/AIDS in rural mountain communities, and as a VA Under Secretary for Health Diffusion of Excellence Gold Fellow to spread improved processes for substance use screening and triage. He has published on topics including quality and safety, equity, substance use, and mental health.
Kate Ulbricht is the Senior Director of Clinical and Academic Programs. She received her Bachelor of Science from the University of Connecticut, her Doctor of Pharmacy from the Massachusetts College of Pharmacy and Health Sciences University, and her Master of Business Administration from Northeastern University in Boston. Kate has served as a Senior Attending Clinical Pharmacist at Massachusetts General Hospital and as an Assistant Professor at multiple universities since 1996. She founded an international research collaboration providing evidence-based decision support tools promoting patient safety. Her publications include hundreds of peer-reviewed scientific articles, book chapters, and texts. Kate helps propel our Joint Commission/National Patient Safety Goals, transparency, and educational efforts forward.
Dr. Scott Weiner is an Assistant Professor of Emergency Medicine at Harvard Medical School and an Attending Emergency Physician and Director of the Health Policy Research Translation Fellowship in the Department of Emergency Medicine at Brigham and Women’s Hospital in Boston. He is also the Director of B-CORE: The Brigham Comprehensive Opioid Response and Education Program, a hospital-wide, multi-disciplinary project with the goal of reducing opioid-related morbidity and mortality.
Dr. Weiner completed his residency training at the Harvard-Affiliated Emergency Medicine Program at Beth Israel Deaconess Medical Center and MPH degree at Harvard School of Public Health. He is the President of the Massachusetts College of Emergency Physicians. His research focuses on technological innovations that improve the care of ED patients presenting with pain, including usage and optimization of online prescription drug monitoring programs (PDMPs), as well as improving access to naloxone, the life-saving opioid overdose reversal medication.
Zoe Burns, MPH, Patient Safety Program Manager, earned her Bachelor of Science in Legal Studies from the University of Wisconsin - Madison, and her Master of Public Health from Boston University where she concentrated in Health Policy and Management. In her role on the safety team, Zoe focuses on the prevention of delayed or missed diagnoses through the Ambulatory Safety Net program. Prior to joining Brigham and Women’s Hospital in 2018, Zoe worked in administration and clinical operations at Boston Healthcare for the Homeless Program. There she co-founded and managed a weekend women’s clinic, serving as an Emergency Department alternative, and a safe space for patients living in shelters and on the streets to seek care. She was a Project Manager in BWH’s Center for Patient Safety Research and Practice before joining the Department of Quality and Safety. Zoe is driven by the desire to improve patients’ quality of life and the patient experience. Her career has focused on patient safety, process improvement, and program development / implementation / evaluation. She spends time outside of work volunteering on various patient advocacy initiatives.
Karen Griswold, RN, MBA, CPPS, Senior Patient Safety Specialist, Patient Safety, received her Bachelor of Nursing from the University of Vermont in Burlington, VT, and Master of Business Administration from Simmons College in Boston, MA. Karen joined the Brigham as a cardiac catheterization lab staff nurse in the nursing department in 2000, followed by Assistant Clinical Director and then Director of Clinical Operations of CDIC. She joined the Department of Quality and Safety in December of 2007 as a Senior Consultant, and has progressively increased her role within the department. Karen leads / co-chairs numerous hospital-wide programs including the Emergency Response Committee, Hospital Acquired Pressure Injury reduction committee, and Central Venous Catheter insertion safety teams. She also leads numerous prospective Failure Modes and Effects Analyses, driving strategy through data driven process improvement. In close collaboration with interdisciplinary colleagues, Karen is accountable for Patient Safety and Risk Management activities across the continuum of care, utilizing BWH's Equity Informed High Reliability Organizational framework. Utilizing safety reporting and trend analysis, she coordinates numerous event reviews, debriefs, and Collaborative Case Reviews to assess workflows and events for areas of vulnerability and risk, and works to apply systems-based solutions to improve quality of care. She is responsible for external quality and safety regulatory reporting, as well as regulatory readiness and compliance, and she supports regulatory survey activities including TJC, DPH, and BORiM, and collaborates with MGB OGC and the hospital's malpractice insurer. She brings over 20 years of both clinical and quality / safety experience and expertise to her work, representing the Department of Patient Safety on numerous additional BWH strategic initiatives.
Deborah Darveau, RN, BSN, Senior Patient Safety Specialist, earned her Bachelor of Science in Nursing from Rhode Island College. She worked as a staff nurse in Labor & Delivery and the Step-Down ICU at Women and Infants’ Hospital in Rhode Island. She was also a member of the Rapid Response and Code Teams. There she participated in Shared Governance Committee working to solve systems problems and update policies and procedures.
Deborah’s career is multifaceted ranging from founding a fitness business to managing an OB/GYN practice, then working on HEDIS metrics for an insurance company. Her many skills and interests lead her current focus on coordinating quality, safety, compliance, and risk programs. She has been in the Mass General Brigham family since 2016 when she started working at Newton Wellesley Hospital (NWH) as a Quality and Patient Safety Specialist. Deborah is a past Director on the Board of New England Health Care Quality, serving on the Membership Committee. She joined Brigham and Women’s Hospital Department of Quality and Safety in 2020 while maintaining a Postpartum per diem staff nurse position at NWH.
Eunji Michelle Ko, PharmD, Senior Safety Program Manager, received her Doctor of Pharmacy from Massachusetts College of Pharmacy and Health Sciences University in Boston, Massachusetts. Michelle served on Brigham and Women’s Hospital Emergency Department Medication Reconciliation Support Team helping to ensure patients were admitted to the hospital with Best Possible Medication Histories (BPMH). Prior to joining the Department of Quality and Safety as a Resident, she was a Clinical Content Consultant for Alosa Foundation in Boston, MA where she contributed to provider and patient educational materials. Michelle helps oversee clinical rotation students while participating on multiple projects involving quality, safety, and performance improvement initiatives across the healthcare system.
Jonathan Kong, BA, Program Coordinator, originally grew up in New Jersey but went to school in Boston at Northeastern University. He graduated in May 2021 with a Bachelor’s degree in business administration and concentrations in supply chain management and management information systems. During his time in school, he worked as an emergency medical technician, intern and business analyst for various different organizations while pursuing his Bachelor’s degree. Moreover, some of his recent interests and hobbies have been volunteering and community service, volleyball, running, dance and playing guitar/video games.
Daniel McAnally, MPH, Program Manager, joined the Department of Quality and Safety at Brigham and Women's Hospital in July 2019. Prior to moving to Boston, Daniel worked as a transplantation coordinator in the Bone Marrow Transplantation Department at Mount Sinai Hospital in New York City. He received his Master of Public Health (MPH) Degree from the Icahn School of Medicine at Mount Sinai. Daniel's prior experiences include Program Analyst at the National Institutes of Health, Office of Clinical Research Training and Medical Education; Health Education Volunteer in Mali, West Africa with the United States Peace Corps; and patient transporter at the Bryn Mawr Rehabilitation Hospital in Pennsylvania. Daniel is a certified yoga instructor and group fitness instructor. When not in the office or on the yoga mat, Daniel enjoys spending time cycling, hiking, and playing cards.
Andrea Shellman, MHSA, CPPS, Lead Program Manager, Patient Safety, received her Bachelor of Arts in Biology and Psychology from Northwestern University in Evanston, IL and her Master of Health Service Administration from University of Michigan. In her role, she analyzes medical center safety trends, administers the patient safety culture survey, and facilitates other hospital-wide patient safety initiatives. Previously she worked at Kaiser Permanente, Los Angeles Medical Center as part of the transition team that facilitated opening a new hospital.
Rossella Mastrocola, MPH, Program Coordinator, earned her Bachelor’s degree in Psychology at Rivier University in 2014. In 2018, she earned her MPH from Southern New Hampshire University. Prior to starting at BWH, Rossella worked at Lahey Hospital & Medical Center as the Project Coordinator for the Department of Quality & Safety. Rossella has always had a passion for working in healthcare, specifically in improving healthcare quality.
E. Ann Vispoli, RN, BSN, MS, CPHRM, Senior Patient Safety Specialist, earned her Bachelor of Science in Nursing from Seton Hall University in South Orange, NJ, and her Masters in Leadership and postgraduate certificate in Healthcare Management from Northeastern University in Boston, MA. Ann’s clinical experience includes emergency department staff nurse as well as assistant nurse manager. She joined the Mass General Brigham family in March 2021 from Winchester Hospital (BILH) where she was the Patient Safety Specialist. Ann is a Board Member of Massachusetts Society of Healthcare Risk Managers (MSHRM) and co-chair of the membership committee.
Sarah Williams, MPH, Patient Safety Project Manager, began her role as a Project Manager for the Department of Quality and Safety in June 2017 where she assists and oversees projects associated with patient safety. Prior to joining Brigham and Women’s Hospital, Sarah earned a Master of Public Health degree from Boston University where she concentrated in healthcare management. At Boston University School of Public Health, she pursued opportunities focused on quality and process improvement initiatives. Sarah completed her Bachelor of Art in Biology with a focus in Neuroscience at Assumption College in Worcester, MA.
Jodi Dalto, RN, MSN, Lead Program Manager, earned a Bachelor of Science in Nursing and a Master of Science in Nursing Administration from Northeastern University. For the past ten years, she has worked as a clinical instructor in Adult Health II for Northeastern University. Prior to joining the Department of Quality, Jodi started at Brigham and Women’s Hospital as a staff nurse in 2000, working in the Thoracic ICU, the Cardiac Intensive Care Unit (CCU), Angiography, and Cross-Sectional Interventional Radiology (CSIR). She has consistently demonstrated a passionate commitment to quality improvement initiatives. In her role on the quality team, Jodi focuses on quality measures related to CLABSI reduction and the American Heart Association’s Program titled Get with The Guidelines for Heart Failure. She also facilitates the MICU, CCU, medical cardiology step-downs, and Emergency Department Unit-Based Teams.
Jo Ann David-Kasdan, RN, MS, SM, Lead Program Manager, earned a Bachelor of Science degree in Nursing from the University of Wisconsin-Madison, a Master of Science degree in Nursing from Boston University, and a Master of Science degree in Health Policy and Management from the Harvard School of Public Health. Prior to joining the Department of Quality and Safety in 2012, she most recently worked at Massachusetts General Hospital. She has had extensive clinical experience and has been involved in a wide range of quality improvement projects in various service lines, including the care of patients with diabetes, heart failure, and HIV, pediatric weight-based dosing, adverse events, and race and gender issues in kidney transplantation. On the quality team, she focuses on hospital-wide quality and reporting initiatives and spends a significant amount of time reviewing and improving patient safety indicators.
Evelyne Joseph-Noel, RN, MBE, Senior Quality Program Manager, earned her Bachelor of Science degree in Nursing from Northeastern University and her Masters in Bioethics from Harvard Medical School Center for Bioethics. Prior to joining the Department of Quality and Safety, she had worked as a staff nurse in the Emergency Department at Massachusetts General Hospital since 2004. She co-chaired the ED Ethics Committee, where she led clinical improvement projects addressing health disparities in vulnerable populations. She is a staunch advocate for health equity and is passionate about quality care delivery, patient safety, and improved patient outcomes. In her role on the quality team, Evelyne focuses on quality measures related to ED throughput, Outpatient Stroke, Endoscopy, and Oncology.
Sean McLaughlin, MBA, CPHQ, Senior Quality Program Manager, earned his Bachelor of Science degree in Biomedical Informatics and his Master of Business Administration degree from Massachusetts College of Pharmacy. Prior to joining the department, he worked at North Shore Medical Center in the Department of Quality & Patient Safety as a Quality Data Analyst and then as the Program Manager for Quality Reporting & Data Analytics. In these roles, he managed daily work and was responsible for regulatory submissions to the Centers for Medicare & Medicaid, the Joint Commission, NDNQI, MassHealth, the Leapfrog Group, and other organizations that collect quality data. He is experienced in data analytics, report building, and using data to drive improved patient outcomes. In his role on the quality team, Sean focuses on Care Coordination Measures and will lead Oncology Unit-Based Teams.
Kasey Moffat, RN, BSN, Lead Program Manager, earned her Bachelor of Science in Business Administration with a focus on Healthcare Management from the University of Connecticut. She worked as a Business Analyst at Children’s Hospital prior to earning her Bachelor of Science in Nursing from Simmons College. She worked as a staff nurse at Brigham and Women’s Hospital on the Neuroscience Intermediate Care Unit since 2014, where she was involved with quality initiatives related to fall prevention and served as a member of the Nursing Informatics committee and her unit-based practice council. In her role on the quality team, Kasey focuses on quality improvement initiatives related to inpatient venous thromboembolism (VTE) and inpatient influenza immunization.
Kelly Peters, MS, Lead Program Manager, earned a Bachelor of Science in Biology from Loyola University Chicago and a Master of Science in Exercise Science with a concentration in Public Health from Northeastern University. She completed her Master's clinical internship at Brigham and Women’s Hospital Department of Cardiology/Radiology. Prior to joining the Department of Quality and Safety, she worked as a Clinical Exercise Physiologist at Newton-Wellesley Hospital in the Department of Cardiology. As a member of the quality team, Kelly previously focused on quality and reporting initiatives, including Emergency Department throughput, Get with the Guidelines Heart Failure, tobacco cessation, pain management, care coordination, and endoscopy. Currently, Kelly co-chairs the Brigham Health Sepsis Taskforce and focuses on reporting and quality improvement initiatives related to sepsis.
Celene Wong, MHA, Program Manager, earned her Bachelor of Science in Exercise Science from the University of California, Davis and her Master of Healthcare Administration from Simmons College. Prior to joining the Department of Quality and Safety, she worked as a Project Manager in the Center for Patients and Families at BWH. In that role she supported multiple Patient Family Advisory Councils and worked with Patient Family Advisors to improve the patient experience. As part of the quality team, Celene will support the Executive Director of Quality on numerous ongoing projects including the mortality review program and hospital performance ranking.
DonnaMarie Maguire, RN, MSN, Clinical Compliance Senior Consultant, supports various hospital programs with addressing accreditation and related regulatory requirements with quality assurance performance improvement management for special projects. She received her BSN from Salve Regina University and joined BWH nursing in 1982. As well as inpatient nursing, she was the hospital ASPEN certified nutrition support nurse for inpatients and developed a patient home parenteral and enteral nutrition program. Research includes central venous catheter infection assessment and feeding glutamine to neonates. She also established the BWH needle safety program, and during her MSN in family education at UMass Boston she presented her research work on the impact of swabbable needleless systems to decrease needlesticks for healthcare workers.
Cheryl Codner, RN, BSN, MPH-c, CCDS, Team Leader, joined the Brigham and Women's Hospital's CDI program in April, 2015, with 8 years of CDI experience and over 20 years of clinical experience in vascular surgery, medical surgical, and oncology nursing. As a member of the CDI team, Cheryl has been a member of the Coding Complications Committee and she is presently working with the team to develop and implement BWH’s first Clinical Validation Appeals Program. Cheryl received a Bachelor of Science in Nursing from Rivier University in Nashua, New Hampshire, and is currently enrolled in their Master of Public Health program. She anticipates completion in 2020. Cheryl lives in Billerica with her husband, Bill, and their two daughters, Bridget and Lauren. Cheryl has traveled to Haiti and Jamaica pursuing her passion for service. Her next adventure is to begin working with Horizons for Homeless Children in August 2018.
Linda Cameron, RN, BSN, CPN, CCDS, Clinical Documentation Improvement Specialist, joined the Brigham and Women's Hospital Clinical Documentation Improvement (CDI) team in July of 2019. Prior to accepting this position, she was a CDI specialist for Lifespan Corporation for eight years. She has been a professional nurse for 38 years. Most of Linda’s clinical experience was in pediatrics at Hasbro Children’s Hospital in Providence, RI, as the PACU assistant manager and the clinical manager of the infant unit. Early in her career she cared for adult patients requiring cardiac surgery. She is extremely happy to be part of the CDI and Quality teams.
Maura Carrier, RN, BSN, CCDS, Clinical Documentation Improvement Specialist, joined Brigham and Women's Hospital's CDI program in March 2017. Prior to this position she worked in similar roles at Lowell General Hospital and Brigham and Women's Faulkner Hospital and as a Quality Improvement Specialist at Hallmark Health. Maura spent most of her career as a critical care nurse in the SICU at St. Elizabeth’s Medical Center, moving to the outpatient area as the Assistant Patient Care Director in Surgical Services. She earned her Bachelor of Science in Nursing from Emmanuel College in Boston and her nursing diploma from St. Elizabeth’s School of Nursing.
Ellen Downing, RN, BSN, CCDS, Clinical Documentation Improvement Specialist, has worked at Brigham and Women’s Hospital in Boston, MA, since 2001. Ellen earned her Bachelor of Science in Nursing at Salem State University after working as an LPN since 1977. Her years of nursing experience have traversed multiple clinical specialties and nursing settings such as Acute Care, Acute and Sub-acute Rehabilitation, Community Health, Case Management, and Quality Assurance.
At BWH, she established the Nursing Education Fund which awarded yearly scholarship funds for nurses pursuing advanced education in nursing. She served as a one-year member of the Chief Nursing Officer’s Nursing Focus Group and has served as a Magnet Champion during Brigham and Women’s Hospital Magnet Designation Journey. She is currently serving her second year as a member of Brigham and Women’s Hospital Magnet Council.
Ellen has held many prior certifications which include Certification in Case Management (CCM) by the Center for Certification in Case Management, Certified Professional in Utilization Review (CPUR), Certified Professional in Healthcare Management (CPHM) from McKesson, and Certification in Clinical Documentation from the Association of Clinical Documentation Specialists. She is currently pursuing her Master of Science in Nursing at Aspen University.
Mary Lou Finn, RN, BSN, Clinical Documentation Improvement Specialist, joined Brigham and Women's Hospital's CDI Department in July, 2018, after a short stay with the Faulkner Hospital CDI staff. Mary Lou has extensive experience in CDI working at Steward Norwood Hospital since 2012. Prior to that, Mary Lou worked as a Case Manager for eight years. Mary Lou has 38 years of nursing experience in a wide variety of acute care, long term care, and community settings. She received a Bachelor of Science in Nursing from Framingham State University and attended St. Elizabeth’s Hospital School of Nursing.
Danielle M. Forni, RN, BSN, CCRP, Clinical Documentation Improvement Specialist, earned her Bachelor of Science in Nursing from the University of Massachusetts, Dartmouth. Danielle began her nursing career in August, 1999, as a staff RN on a medical-surgical telemetry unit at Good Samaritan Medical Center in Brockton, MA. She joined Brigham and Women's Hospital in October, 2000, and worked as a staff RN on both the Thoracic Surgery Intermediate Care Unit and the Hematology-Oncology/BMT Unit. Danielle left BWH in August, 2008, to pursue an opportunity in clinical research as a CEC Clinical Reviewer at Harvard Clinical Research Institute in Boston, MA. In August, 2013, Danielle returned to Brigham and Women's Hospital and worked within the TIMI Study Group as a Senior CEC Medical Reviewer and subsequently as the CEC Manager of Medical Review. She joined the BWH CDI team in January, 2019, and is thrilled to have joined such an exemplary team of nursing professionals.
Doris Herrick, RN, BSN, CDSC, Clinical Documentation Improvement Specialist, joined the CDI department at Brigham and Women’s Hospital in January, 2018. She earned her Diploma in Nursing from St. Elizabeth’s Hospital School of Nursing and Bachelor of Science in Nursing degree from the University of Massachusetts, Boston. She has been working in Clinical Documentation since 2015. Her responsibilities include reviewing inpatient medical records to access and procure accurate and complete documentation of the patient’s diagnosis and procedures to accurately reflect quality of care, severity of illness and risk of mortality to support correct coding and quality initiatives. Prior to joining the CDI department, she worked in Case Management/Utilization Review for 15 years. Some of the other positions she has held in her 30 years in healthcare include Clinical Nurse Liaison, Travel Nurse, and Staff/Float Nurse.
Cindy Labins, RN, MSN, CCDS, Clinical Documentation Improvement Specialist, has over 25 years of both clinical and nursing leadership experience. She initially joined Brigham and Women’s Hospital in February, 1997, as a critical care staff nurse. Although she has left the Brigham several times to pursue other nursing opportunities, she returned to the Brigham and Women’s Hospital in May, 2017, in her current position. In this role, Cindy works to bridge the gap between provider documentation and coding through education and communication. Cindy supports providers to document all patient conditions and procedures in a language that coders can capture, to reflect the patient’s accurate severity of illness and risk of mortality. Cindy is currently working with her CDI colleagues on an initiative to ensure 100% of all nutrition consults and diagnoses of malnutrition are captured by the provider documentation.
Alisa Lundstrom, RN, BSN, CCDS, Clinical Documentation Improvement Specialist, joined the CDI team in January, 2017. She earned her Bachelor of Science in Nursing from Salem State University, and has been a nurse for 21 years, with combined experience in long-term care, Asthma/Allergy Specialty, and Intermediate Care Surgical Specialties. Six years of her experience was at the Brigham as a Staff Nurse on the Surgical/Intermediate Care/Burn Trauma/Renal Transplant Unit. She has been working as a clinical documentation specialist since 2013 and earned her Certified Clinical Documentation Specialist designation in October, 2017. Attending conferences as well as taking part in special projects are enjoyable to her.
This year she has been involved with orienting new CDI Staff members to the program. She enjoys mentoring. She was also involved in the creation of a new employee handbook for all staff members on the CDI team to reference. Contributing every day along with the other team members of CDI Nurses is very important to the true bigger picture. Reporting to the Department of Quality & Safety, everyone contributes so much to patient and facility outcomes on the larger scale. The work of her team has a direct impact on the patient’s medical record as well as the facility.
Tricia S. McDonough, MS, BSN, RN-BC, CCDS, Clinical Documentation Improvement Specialist, earned her Master of Science in Health Informatics and Management and Bachelor of Science in Nursing from the University of Massachusetts. Certified in both Nursing Informatics and Clinical Documentation Improvement, she is passionate about improving healthcare outcomes through the use of data. With her strong nursing informatics background, Tricia brings technical expertise to quality projects in her organization that has led to improved medication safety practices, the optimization of clinician documentation, and improved communication methods among care teams at her previous employer. Tricia is excited to be part of the CDI Team at BWH as she continues on her journey to improve the quality of patient care and safety.
Trish Meyer, RN, BSN, CCDS, Clinical Documentation Improvement Specialist, joined the CDI team at Brigham and Women's Hospital in March, 2018, after previously holding CDI positions at both Mt. Auburn Hospital and Lahey Health. She originally received a diploma in Nursing at New England Deaconess Hospital, completed her BSN at Southern Adventist University, and became a CCDS in 2017. In her clinical nursing days, she was focused on critical care, primarily cardiac surgery, and PACU, although she also spent several years working in hospice and palliative care which she found very rewarding.
Robert Sutherlin, RN, BSBA, Clinical Documentation Improvement Specialist, rejoined Brigham and Women’s Hospital in July, 2018. His nursing degree was earned at Rivier College in Nashua, New Hampshire, and he earned a business degree from Suffolk University in Boston. His career has encompassed many areas with the nursing profession including Oncology (Stem Cell Transplantation Unit), Cardiac (Step Down and Cardio/Thoracic PACU), SICU, Diabetes Research (published), Pulmonary Critical Care, and now Clinical Documentation. He has joined a team of extremely talented, experienced nurses in the CDI Department at BWH and has been welcomed as a colleague and nursing professional.
Joyce Williams, RN, MS, CCDS, CCS, Clinical Documentation Improvement Specialist, joined the CDI team March, 2019. Joyce graduated from Rhode Island College with a BSN and a Master of Health Service Administration from Salve Regina University. She has been a Registered Nurse for 31 years. Her experience includes Cardiac (telemetry/CCU), Nursing Supervisor, Case Manager, Clinical Analyst RN in revenue cycle, Pressure Ulcer Research Nurse, and CDI RN since 2009. She has also been a co-leader for the Massachusetts Association of Clinical Documentation Specialists chapter since 2016.
Hannah Delorey, BA, Clinical Pathways Data Coordinator, earned a Bachelor of Arts in Political Science with a Minor in Communication Studies from Bridgewater State University. She is currently pursuing a Graduate Certificate in Public Health and plans to enroll in a Master of Public Health program in 2022. Before joining the Department of Quality and Safety, Hannah was a Patient Services Coordinator at Massachusetts General Hospital. She is passionate about improving healthcare quality and generating a positive patient experience.
Devan Egan, BS, Clinical Pathways Data Coordinator, earned a Bachelor of Science in Exercise Science from Loyola University Chicago, Marcella Niehoff School of Nursing. She joins the Department of Quality and Safety with extensive clinical experience in the field of fitness and rehabilitative medicine. Her passion to promote the wellness of others drives her interest in collecting, analyzing, and reporting data to improve patient care outcomes. As a member of the Clinical Pathways team, Devan currently focuses on reporting surgical outcomes data across service lines including Bariatrics and Colorectal.
Courtney Nolan, Clinical Pathways Program Manager, received a Bachelor of Science in Psychology with a minor in Biology from Western New England University. Additionally, she completed her Master of Public Health at Boston University in May 2018. Courtney has been part of the Brigham family for the last couple years working as a Research Coordinator prior to joining the Department of Quality and Safety. As a member of the Clinical Pathways Team within the Department of Quality and Safety, Courtney utilizes ERAS (Enhanced Recovery After Surgery) pathways to focus on monitoring and improving surgical outcomes data across a variety of service lines.
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