gayle c - Nash Legal Nurse Consultanting

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GAYLE C. NASH, RN, MPH
269 Fountain Road, El Paso, Texas 79912
915-241-7830
gnash123@icloud.com
www.legalnursenash.com
SUMMARY
Over 36 years experience in nursing administration,
accreditation, and quality assurance
Chief Nursing Officer for 168-bed inpatient and outpatient
healthcare provider
Former Nurse Surveyor for The Joint Commission
Former Chief Nursing Officer for New Mexico Department of Health
Master’s of Public Health in Health Services Administration
Recipient, Chief Nursing Officer Excellence in Leadership Award for Division IV, Community
Health Systems 2010
Standards evaluation experience with Det Norske Veritas Healthcare, Inc. (DNV) and the
Healthcare Facilities Accreditation Program
CURRENT PROFESSIONAL POSITIONS
MountainView Regional Medical Center (Community Health Systems), Las Cruces, New
Mexico, Chief Nursing Officer, September 2009 to September 2012; August 2014 to Present
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Member of facility’s senior management team responsible for patient care operations
Responsible for recruitment and supervision of nursing staff (nursing managers and nurses)
for 168-bed inpatient and outpatient facility
Responsible for maintaining facility accreditation for patient safety standards
Ensure compliance with state, local, and facility safety standards, policies, and regulations in
the delivery of patient care
During tenure, obtained disease specific care certification for Hip and Knee and Stroke
Certification by The Joint Commission 2012, Chest Pain Certification from the Society of
Chest Pain Centers, 2012, increased Core Measure scores to 99.5% in 24 months
Nash Legal Nurse Consulting
Legal Nurse Consultant, 2009 to Present
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Provide nurse consulting in the areas of medical malpractice, quality assurance, and
health care administration consulting for inpatient facilities, rehabilitation facilities,
outpatient facilities, and long term care facilities
Riverside County Regional Medical Center;
Joint Commission Consultant, September 2014 to February 2015.
 Provide clinical and non-clinical policy analysis and rewrite for all hospital policies and
procedures based upon current standards of practice and regulatory compliance.
 Prepare documents required for Joint Commission survey accreditation
Gooch and Associates;
Nurse Consultant for Joint Commission International
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Provided a complete gap analysis for 1800 acute care beds in Changshu, China in
preparation for an initial Joint Commission International Survey
C.V., Gayle C. Nash, February 2016
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Glenn Krasker Critical Management Solutions;
 Nurse Consultant for Joint Commission and CMS survey preparation
DiGiacomo-Geffers & Associates
 Nurse Consultant for Joint Commission survey preparation
EDUCATION
1997
University of Minnesota, Minneapolis, Minnesota
 Masters Degree, Health Services Administration, School of Public Health.
 Credential, Health Services Administration
1995
Ottawa University, Ottawa, Kansas
 Bachelors of Arts; Health Services Management
1979
Presentation College, Aberdeen, South Dakota
 Associate Degree; Nursing
HONORS AND CERTIFICATIONS
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Excellence in Leadership CNO Award CHS, Division IV, 2010
Certified Integrated Nurse Surveyor, The Joint Commission, 2005
PAST PROFESSIONAL EXPERIENCE
New Mexico Department of Health
Chief Nursing Officer, Sept. 2012 to July 2014
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Responsible for all clinical and quality outcomes for seven Department of Health operated
facilities, 2500 employees:
o New Mexico State Veterans Home, Truth or Consequences, New Mexico
o Fort Bayard Medical Center/State Veterans Home, Fort Bayard, New Mexico
o The New Mexico State Behavioral Health Institute, Las Vegas, New Mexico
o Turquoise Lodge Hospital, Albuquerque, New Mexico
o Sequoyah Adolescent Treatment Center, Albuquerque, New Mexico
o Los Lunas Community Program for Developmentally Disabled Persons, Los
Lunas, New Mexico
o New Mexico Rehabilitation Center and Chemical Dependency Unit, Roswell,
New Mexico
Consultative involvement with the developmental disability waiver, licensing and
certification surveys and quality issues resolution
Provided advisement on legislative bills and New Mexico nurse staffing bill.
Functioned as interim administrator in New Mexico Department of Health facilities as
needed.
CMS surveyor for long-term care and acute care.
R&G Medical Legal Consultants
Drug Safety Nurse Consultant, Dec. 2010 to Dec. 2011
The Joint Commission, Oakbrook Terrace, Illinois
Integrated Nurse Surveyor, Nov. 2001 to July 2014
C.V., Gayle C. Nash, February 2016
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Survey responsibilities include hospitals, long term care, home health agencies, behavioral health,
and ambulatory care and a participant and speaker for the Continuous Survey Readiness team for
Ohio hospitals
Woodward Medical Center, (Community Health Systems) Woodward, Oklahoma
Interim Chief Nursing Officer, July 2009 to September 2009
Eastern New Mexico Medical Center, (Community Health Systems) Roswell, New Mexico
Interim Chief Nursing Officer, Oct. 2008 to July 2009
Accountable for patient care operations of a 160 bed investor-owned inpatient/outpatient facility
William Beaumont Army Medical Center (WBAMC), El Paso, Texas
Chief, Quality Management, June 2005 to Oct. 2008
 Responsible for inpatient and outpatient quality, risk management, medical staff
credentialing and privileging, The Joint Commission survey process, all outcomes quality
measures for the Army Medical Division, a facility with 2400 active duty, civilian, and
contract staff, 40,000 outpatient clinic visits and 100 inpatient beds
 Oversaw core measures, all performance improvement measures and reorganized the Quality
Review and Peer Review Committees
 Implemented ongoing professional practice evaluation and focused professional practice
evaluation for WBAMC
Carlsbad Medical Center, Carlsbad, New Mexico
COO/Chief Nursing Officer, March 2003 to April 2005.
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Accountable for patient care operations of a 130 bed inpatient/outpatient facility.
Responsible for hospital operations and nursing, joint commission preparation, quality,
physician relations, core measures
El Paso Cancer Treatment Center, El Paso, Texas
Accreditation Director and Consultant, March 2002 to 2004
 Responsible for Joint Commission Accreditation for 2003, compliance with all Federal
and State regulation relative to CMS, OSHA, Infection Control, Risk Management,
Performance Improvement, Quality Assurance and Assessment and Medical Records for
three cancer treatment locations
Memorial Medical Center, Las Cruces, New Mexico
Vice President/Chief Nurse Executive, Nov. 2000 to Jan. 2002
 Accountable for patient care and operations of a 289 private not-for-profit
inpatient/outpatient facility
 Staff responsibilities of >500 and budget responsibilities of $87 million
 Initiated implementation of the Studer philosophy for customer service for hospitals and
clinics
Sierra Medical Center, El Paso, Texas
Senior Director of Inpatient Nursing, Aug. 1999 to Oct. 2000
 Accountable for patient care operations of a 369 bed investor-owned inpatient/outpatient
(Tenet Healthcare) facility, with staff responsibilities of >400, budget responsibilities of 35
million and 600 admitting physicians
Assisted with hospital wide implementation of Studer customer service plan
Holzer Medical Center, Gallipolis, Ohio
Associate Vice President of Nursing, July 1998 to July 1999.
 Responsible for internal patient care operations of a 269 bed private not for profit
inpatient/outpatient facility
C.V., Gayle C. Nash, February 2016
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Coordinated with area system healthcare facilities relative to nursing, medical staff and
ancillary services. Total staff responsibilities of 325
Responsible for financial management, performance improvement, human resource
management, policy, planning, medico/legal issues, project management, day to day
operations and involvement with medical staff
Member or chair of 10 various committees and Joint Commission quality action teams. Team
member with Mercer Consulting to restructure the salary and benefit package
Interim Department Director for Maternity Family Services, 1998.
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Responsible for completion activities for a 2 million dollar renovation project, monitoring
FTE’s,, staff cross-training to implement LDR/mother baby staffing
Implementation of hospital-wide customer service program
Northern Hills General Hospital, Deadwood, South Dakota
Director of Patient Care Services, March 1989 to May 1998.
 Responsible for the continuous operation of a 60 bed private not for profit
inpatient/outpatient rural facility with systems integration relative to Critical Care, Medical,
Surgical, Obstetrics, Emergency, Ambulance, Orthopedics, Pediatrics, HomeCare, Durable
Medical Equipment, Respiratory Therapy, Social Services, Respite/Swing Bed, Surgery
Services, and Anesthesia.
 Annual facility revenues of $8 million; total staff responsibilities of 100
 Responsible for financial management, performance improvement, human resource
management, policy, planning, medico/legal issues, safety, corporate compliance and project
management. Member or chair of 14 various committees and Joint Commission teams
Roosevelt Memorial Medical Center, Culbertson, Montana
Director of Nursing May 1988 to March 1989
 Responsible for a 40 bed Long Term Care facility and 14 bed acute care hospital,
emergency room, labor and delivery, surgical services and Native American Health
Poplar Community Hospital, Poplar, Montana
Staff Nurse/Charge Nurse, 1985 to 1988
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40 bed long-term care facility, 35 bed acute care hospital, Emergency Room, Labor
and Delivery, Ambulance Service, Surgical Services
Ambulance crew/flight nurse for transfers and emergency care
Mesa Lutheran Hospital, Mesa, Arizona
Staff Nurse/Charge Nurse, September 1985 to March 1988 – winter months, September through
April
 Intensive Care, Open Heart Unit, Telemetry, Dialysis, HIV Unit, Corrections Unit
Roosevelt Memorial Medical Center, Culbertson, Montana
Staff Nurse/Charge Nurse, 1983 to 1987
 40 bed Long Term Care, Acute Care 14 beds, ER, Labor and Delivery, Surgical
Services
 Advanced Trauma Life Support Coordinator 1984
Sheridan Memorial Medical Center, Plentywood, Montana
Staff Nurse/Charge Nurse, 1979 to 1983
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Long Term Care, Acute Care 14 beds, ER, Labor and Delivery, Surgical Services
PROFESSIONAL AFFILIATIONS
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American Organization of Nurse Executives, 2014
C.V., Gayle C. Nash, February 2016
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American Association of Legal Nurse Consultants, 2009 to present.
Wound Ostomy, Continence Nursing 2012 to present
C.V., Gayle C. Nash, February 2016
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