CYNTHIA A



LOVELYAMMA J. VARGHESE, RN, MSN, FNPWest Nyack, NY | Cell (845) 270-9490 | Home (845) 727-6355 | ljv815@Dedicated and accomplished healthcare leader and Director of Nursing with expertise in nursing practice, laws, and guidelines, and APN practice guidelines, with more than 15 years of ambulatory care nursing experience in #1 hospital in NYC. Additional experience in a large metropolitan health care system including medical–surgical nursing, OR, MICU, Blood bank, outpatient infusion center, and Long Term Care. Other expertise includes but not limited to:Patient Centered Medical Home (PCMH) Regulatory standards/ preparationDiabetes Self-Management Education (DSME)Magnet standards Delivery System Reform Incentive payment (DSRIP) Policy and proceduresTelehealth nursingPrimary Nursing in inpatient and ambulatory care settingInter-disciplinary team based care delivery (IDT-3.0) Recruitment and Retention strategyInter-disciplinary patient education modelShared Governance in Ambulatory care settingPROFESSIONAL EXPERIENCE Montefiore Medical Center/New Rochelle 12/2016- PresentDirector of Nursing/Schaffer Extended Care CenterProvide 24/7 leadership to over 200 nursing staff. Oversee quality and practice of Shaffer nursing staff. Responsible for staff education department, quality New York Presbyterian Hospital, New York, NY 2008 - July 2016Director of Nursing-Ambulatory Care Network of New York-Presbyterian-NYP ColumbiaProvided clinical leadership in an 800,000-visit Patient Centered Medical Home (PCMH) outpatient practice of the ACN. Managed a team of 320 FTE’s including 52 APNs, four patient Care directors and Nurse coordinator, RNs, LPNs, MAs, MSTs, OAs, DAs and NAs. Oversaw nursing practice, quality and operations of 14 PCMH Primary Care Practices, seven School-Based Health Clinics, ten School-Based Mental Health Clinics, more than 50 Specialty Care Clinics contributing to 3000 patient visits /day leading to 800,000 Patients visits/year. Coordinated patient care and collaborated with more than 200 Attending Physicians, 800 Sessional Providers, 1200 plus residents and over 320 nursing and support staff. Implemented and managed AADE certified Diabetes education program (DSME) which led to a 9% increase in number of patients with A1c, with less than 7 and 16% decrease in patients with A1c more than 9. (N=1250) Implemented and managed PCMH and DSRIP project improving coordination of care and patient experience which led to a 28.5% decrease in inpatients utilization and a 29.7% decrease in Ed utilization ( N=5,852). Designed and successfully implemented Shared Governance model and Primary Nursing care delivery model in the ACN leading to increased employee engagement with a documented employee satisfaction score from 70%-82% and patient satisfaction from 82.8 to 84.5. Designed and implemented Telehealth Nursing Center at NYP/ACN designed to increase access to care, reduce walk in admission, reduce avoidable ED visit/admission and increase over all patient experience. Designed and implemented patient cooking demo which increased WHI community’s understanding of affordable healthy food choices. Hosted in Univision national TV and recognized as a best practice. Implemented interdisciplinary team based care (ITD) resulting in increased collaboration among team members and improved thru put as well as reduced turnaround time by 30 minutes/visit.Successfully lead 6 TJC facilitating accreditation. Facilitated new EMR ECLIPSYS implementation across all the ACN practices.Created online policy folder for Ambulatory Care Network and added 20 plus policies including: diabetes education referral, chronic preventive care screening, adherence medication regime of HIV patients. Designed and implemented multi-disciplinary Patient Education Model that facilitated creation and implementation of 180 plus patient friendly, patient approved, culturally sensitive, language appropriate education material for WHI patient population. Awarded 2016 NYS clear mark award. Collaborated with internal and external stakeholders to improve access to care, reduce ED admission and 30-day re-admission. Columbia Presbyterian Medical Center (CPMC), New York, NY 2001 - 2008Nursing Education/ (ACN) Clinical InstructorDeveloped educational programs to address knowledge gaps, review policies, and orient new hires to ACN protocols, and practices. Provided clinical oversight to 280 FTE’s. Supported, organized and managed an integrated team of physicians, nurses, and ancillary personnel with a census of 950,000 visits annually. Formulated and provided continuing education classes and in-service orientation programs for the nursing staff.Planned, developed and implemented risk management strategies in the ACN on a daily basis resulting in reduced risk point to patient care. Acted as member of hospital-wide case review committee risk management.Empowered personnel to implement a comprehensive, cost-effective, high quality patient delivery system resulting in improved patient satisfaction.Planned, developed and implemented on-going education programs for all ACN Nursing personnel resulting in increased employee satisfaction. Assisted with Pediatric Advanced Life Support (PALS), Basic Cardiac Life Support (BCLS) training and testing for the medical and nursing staff. Created 21 different unit specific orientation skills competency checklists for APNs and nursing support staff resulting in standardization across all the ACN practices. Participated in developing new policies and procedures and ensured proper usage by the staff.Provided certification review course for the ACN staff; increased AAACN certification from 3%-13% (number was sustained and increased).Part of JACHO preparation steering committee member for ACN.Served as a council member for CIS, and other education committees.Restructured and standardized telephone triage practice across all the ACN practices resulting in providing safe patient care guidance over the phone and reduced unnecessary walk-in admissions.Developed adult and pediatric simulation program for medical emergency management in the ACN.Developed and standardized ACN orientation program based on the American Academy of Ambulatory Care Nurses Association standards (AAACN) Established CN3/charge nurse monthly Shared Governance meeting and facilitated and implemented clinical practice standardization across ACN practices resulting in improved coordinated care, facilitating access to different specialties and improved standardization. PRIOR PROFESSIONAL EXPERIENCEHeld various nursing positions at Montefiore Medical Center (MMC), Bronx, NY (1989-2001)Montefiore Medical Center (MMC), Bronx, NY Level III RN – Medical Intensive Care Unit Provided comprehensive critical care management of varied Medical cases with multi -system failure.Perform hemodynamic monitoring, managing Swan-Ganz lines, telemetry and ICP monitoring.Initiate IV therapies, titrate complex drips, administer pain management therapies.Monitor patient outcome, analyzing ABGs, cardiac enzymes and other critical parameters.Counsel patients and family members regarding advanced directives and end-of-life decisions Level III RN-Operating Room Nurse Performed duties of circulation as well as scrub nurse in Cardio-thoracic, Vascular, Orthopedic, GU, ENT, Plastic, General, GYN, Ophthalmology surgeries.Participated in different OR projects such as introducing new machineries, and maintains, initiated measures to improve turn over time.Vacation coverage given to charge nurses in GYN, General, and ophthalmology servicesAn active member of CQI committee of ORActing charge Nurse in Neurosurgery in Weiler operating room.Level III RN – Blood Bank Performed aphaeresis for donation as well as treatmentAdministered blood transfusion in the outpatient departmentManaged blood donor suitStaff Nurse: North West 8 Neurosurgical step down unit. Bainbridge Nursing Home, Bronx, NY 1/90- 06/93SupervisorACADEMIC TEACHINGRockland Community College, Suffern, NY 2001 - PresentAdjunct Faculty School of Nursing Subjects: Psychiatric nursing and Medical surgical nursingNell Continuing Education Inc (Nell CE Inc), West Nyack, NY 2001 - Present CEO and Director of Curriculum Development and Lead Educator Successfully trained over 1000 foreign and domestic educated NCLEX –RN Studentwith a passing rate of 90% and aboveImplemented live video conference education model from NY to BangalorePace University, Pleasantville, NY 2002 - 2008 PresenterProvided NCLEX RN Review Course Provided Ambulatory Certification Review CourseConsultant for Nursing Programs Proved consultation services to the following organizations:Focus Group, Bangalore, IndiaGBT International Medical College, Georgia, Europe Lviv Medical Collage, Lviv Ukraine, Europe EDUCATIONDoctor of Nursing Practice, The Frances Bolton School Of Nursing At Case Western University, Cleveland, OH, Expected date of graduation May 2017Masters in Nursing / Family Nurse Practitioner, College Of New Rochelle, New Rochelle, NYBachelor of Science Nursing, College of New Rochelle, New Rochelle, NYLICENSESNew York State Family Nurse Practitioner - F333257; New York State RN - 421330CERTIFICATIONSCertificate of Critical care; Basic Cardiac Life Support ; Pediatric Life Support ProviderPROFESSIONAL MEMBERSHIPSAmerican Academy of Ambulatory Care Nursing (AAACN) (2001-Present)American association of Diabetes Educator (AADE)New York State Nurses Association (1990-Present)Alumni Association, College of New Rochelle (1995-Present)Sigma Theta Tau International Nursing Society (1990-Present) LANGUAGESFluent in English and MalayalamCOMMUNITY INVOLVEMENTManaging Committee Member, St. Mary’s Indian Orthodox Church, Bedford Park Blvd, BX, (01/2016-Present)Volunteer, American Heart Association (1997-Present)Volunteer, American Cancer Society (1997-Present)Instructor, Early Childhood Program, St. Mary Orthodox Church, Bronx, NY (1995-Present)An active member of Hudson Valley Malayalee association, and Malayalam school of Rockland county.AWARDSClear Mark Award 2016 for the best patient education material created in 2016 in New York StateNational recognition during 2014 AADE annual meeting (Over 25 Press Releases)Poster presentation at 5th Annual Nursing Research Symposium?PCC grant 2015 for healthy cooking demo AAMC Spencer Foreman Award for Outstanding Community ServicePCMH Team-Based Care Success Story Award at Press GaneyPress Ganey Success Story Award 2014New York-Presbyterian most improved unit Patient Centered Care Team Award 2015PUBLICATIONS/RESEARCHAmerican Nurses association, Hand book for the nurses on American Nurse movie ()Contributes chapters in NCLEX-RN-Review ( by Dr. Monahan point writer for AAACN () Research on diabetes self-management education and its effect on low income Medicaid patients ()PRESENTATIONSHow to set up Diabetes Self-Management Education program ( DSME) in patient Centered Medical Home setting in an academic medical center ( 2014 AADE ANNUAL MEETINGDiabetes self-management education and its effect on low income Medicaid patient population NYONE New York ................
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