Quality Management Consulting Group QMCG

  

   QMCG Consultants

Melinda E. Whitney, MS, RN, CPHQ, CPMSM, FACHE
Director of Quality and Medical Staff Services and
Senior Consultant

Phone:  614.227.4849
Fax:  614.227.2390

Areas of Practice

Healthcare administration and clinical consulting, emphasizing issues pertaining to patient care, medical staff administration – design, support and management, medical staff management - peer review, medical staff mediation, credentialing, privileging, care competency evaluation, quality assessment and improvement, governance documents and medical executive committee development and education, and Medicare Plans of Correction/survey readiness assessments for acute and ambulatory care physician leaders and organizations.

Representative Experience

  • Senior Consultant with, and Director of Quality Management services for, The Quality Management Consulting Group, Ltd., (QMCG), a subsidiary company of the Healthcare Law Firm - Bricker & Eckler, LLP. Since 1996, directs and manages multiple service lines of customized healthcare consulting services. Currently works in more than thirty states with quality and Medical Staff projects on peer review, credentialing, medical staff management, mediation, privilege delineation, mergers, problem solving, accreditation compliance and readiness assessments.
  • Director of Performance Improvement, Risk Management and Utilization Management at Naval Hospital, Camp LeJeune, U.S. Tricare Region III, North Carolina. Oversight included management of the Medical Executive and associated subcommittees, Credentials Committee, and Infection Surveillance Committee. Responsible for facility and contractor JCAHO preparation and accreditation. Consistent scores, two triennial surveys with several new and diverse contractors and multiple new offsite acute and ambulatory care services.
  • Technical and systems consultant for U.S. Tricare, a multi-service federal managed care directive. Reviewed requests for proposal submissions for a several state wide managed care region, and local Emergency Room, Ancillary and Ambulatory Care contracts. Evaluated and monitored contractual compliance based in care performance, litigation history, patient satisfaction and medical staff performance, credentialing and compliance.
  • Registered Nurse, private and federal, profit and not-for-profit facilities within the U.S. and abroad. Maternal-Child, Neonatal Intensive Care and Operating Room focused.
  • Lutheran (lifelong) active service Deacon, on Altar Guild and Medical Team volunteers.
  • Served as an elected Alderman, North Topsail Beach, North Carolina.
  • Registered Nurse volunteer at Peace Lutheran Church with health and wellness screenings as staff R.N. Columbus, Ohio, serving adults with acute and chronic illnesses and providing community service connections and support.

Education

  • ADNsg, Coastal Carolina College, NC, current Ohio Registered Nurse license. Currently completing RN-BSN program at Chamberlain School of Nursing, Columbus, Ohio.
  • B.S., Healthcare Management, Southern Illinois University.
  • M.S., Human Resources Management, Golden Gate University.
  • CPHQ, Certified Professional in Healthcare Quality, by the National Association for Healthcare Quality (NAHQ).
  • CPMSM, Certified Professional Medical Staff Manager, by the National Association of Medical Staff Services (NAMSS).
  • FACHE, Certified Healthcare Executive and Fellow in the American College of Healthcare Executives (ACHE).

Representative Sample of Speeches, Presentations, Publications
(Since 2005)

  • "Clinical & Legal Medical Staff Hospital based Hot topics for 2005" – The Ohio Hospital Association (OHA), Columbus, OH, June 21, 2005
  • Mock Hearing (Presentation) to the National Association of Medical Staff Services, Cast Member, Atlanta, GA, September 17, 2006
  • "Physician Peer Review – A Hospital Perspective" – The Columbus Bar Association, Columbus, OH, October 12, 2006
  • "Peer Review - When, How & Why" – The Texas Society for Medical Staff Services, Fort Worth, Texas on April 19, 2007
  • "2007 JCAHO and CMS: What Hospital Medical Staff Leadership Needs to Know", Ohio Hospital Association Columbus, Ohio on June 19, 2007
  • "2007 SW Region OAMSS presentation on TJC Changes", Middletown, Ohio, September 7, 2007
  • “Focused and Ongoing Professional Practice Evaluation”, The Ohio Hospital Association National Medical Staff Services Awareness Week, Columbus, Ohio, November 7, 2008
  • "Eeny Meeny, Miney, Mo - To Accredit Yes or No?", The Ohio Hospital Association Spring Conference, Columbus, Ohio, June 17, 2009
  • "Electronic Credentialing", The Ohio Hospital Association Medical Staff Services Week Conference, Columbus, Ohio, November 6, 2009.
  • “Roundtable Discussion on Problematic Medical Staff Issues”, the National Association of Medical Staff Services 35th annual educational conference, Dallas, Texas, September 26, 2011.

Contact Melinda at: mwhitney@qmcg.com

   

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