MEGAN L. PETERS, BSN, RN, CPHQ, LSSGB

 Telephone: (469) 616-4641                                                                      E-mail:  [email protected]

PROFESSIONAL EXPERIENCE

Parkland Health & Hospital System                                       August 2018 to Current

Dallas, Texas                                                                                  Senior Program Manager

• Abstract and share data related to multiple CMS Core Measures, including SEP-1 (Sepsis)
• Review charts flagged with Patient Safety Indicators, Hospital Acquired Conditions, and other quality measures
• Attend several multidisciplinary committees related to Sepsis, PSIs, Core Measures, and other topics
• Assist department director in tasks related to quality registry maintenance including Quality Net, Vizient, Medisolv, and The Joint Commission
• Mentor colleagues to further their skills and education related to quality including earning the CPHQ
• Act as subject matter expert in CMS measures, including hybrid measures, eCQMs, and abstracted measures

CHRISTUS Health                                                                 May 2015-April 2018

Irving, Texas                                                                                   Regional Claims Manager

• Managed active lawsuits, attorney assertions, and individual assertions of claims
• Acted as liaison between the System and outside counsel
• Reviewed possible and actual claims, including interviewing staff, collaboratively set reserves, and completed in depth reports, medical chronologies, and summaries
• Conducted settlement discussions both before and as a part of formal mediations, attended trials
• Coordinated claims reviews with hospitals, planned claims review meetings, and presented concerning trends in claims, losses, significant potential losses
• Utilized MediTech, Cerner, RiskMaster, and Cerner

Methodist Health System                                                        September 2012-June 2014                               

Dallas, Texas                                                                                  Coordinator, Regulatory Affairs Department

• Conducted tracers at all MHS facilities, completed tracer report, followed up on action plans related to findings
• Prepared agenda, planned packets, and presented at Regulatory Steering Committee meetings
• Maintained Focused Standards Assessment software package to ensure consistent review of standards by MHS leaders
• Assisted and acted as a resource for those developing and updating policies and processes throughout the system
• Maintained an up-to-date knowledge of Joint Commission, CMS, and other applicable standards

Methodist Health System                                                        March 2011 –September 2012

Dallas, Texas                                                                           Claims Investigator, Legal Affairs Department

• Investigated potential and actual claims for all entities of Methodist Health System by reviewing significant untoward outcomes and as well as concerning complaints to determine degree of risk exposure
• Reviewed medical records and other documents to prepare timelines, summaries, and analysis of risk exposure for the use of both in-house and outside counsel
• Responded to all discovery requests.  Obtained responsive documents, interviewed appropriate personnel, and assisted counsel in formulating responses to interrogatories
• Interviewed employees and managers, both independently and in concert with outside counsel, to determine facts as well as prepare for depositions and trials
• Informed excess carriers of potential and actual claims to excess carriers per reporting guidelines and apprise them of any changes as claims and lawsuits progress
• Provided consultative guidance to the System’s Policy and Guidelines Committee, sharing information related to potential legal and regulatory consequences of policy and form changes

Navarro Regional Hospital                                                           September 2007 – March 2011

Corsicana, Texas                                                                           Risk Manager/Quality Coordinator

• Assisted Director of Quality in ensuring compliance with Joint Commission and CMS standards by reviewing and editing existing policies and creating new polices, educating staff, monitoring for compliance
• Led tracer teams to assess organization’s readiness for surveys by TJC, prepared reports of findings and designed action plans for improvement
• Evaluated reported events and complaints for risk exposure by reviewing details with patients/families, hospital staff, and physicians, participating in disclosure of errors, documenting potential claims and follow up, coordinating investigation of events with corporate office and independent investigators, and managing collection of all discovery documents
• Reviewed all Joint Commission Sentinel Event alerts as well as Corporate Patient Safety Alerts, evaluated facility’s compliance with recommendations, and spearheaded efforts to improve processes, policies, and compliance
• Managed database of medication variances, falls, surgical site infections and other untoward outcomes including review of relevant documentation, completion of RCA/CAP data trending, and report preparation/presentation for various Hospital and Medical Staff Committees
• Coordinated Peer Review Committee including chart review, timeline creation, agenda and minute preparation as well as Committee related correspondence

Various Healthcare Systems                                                     1998-2007                                                                 

Dallas Fort Worth metroplex, Texas 

• Provided intrapartum care for childbearing women, their infants, and their families in all aspects of Maternal-Fetal health, including diagnoses such as gestational diabetes, gestational induced hypertension, eclampsia, pre-term labor, multiple fetus gestations, fetal anomalies, and fetal demise

CURRENT CERTIFICATIONS AND LICENSES

Registered Nurse        State of Texas                                                              1998-curent

CPHQ                         National Association of Healthcare Quality                    2019-current

(Certified Professional in Healthcare Quality)

EDUCATION

Bachelor of Science Nursing  · July 2021

Western Governor’s University · Salt Lake City, UT

Bachelor of Science Liberal Studies · October, 2003

Excelsior College · Albany, New York

Associate Degree in Nursing · May, 1998