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Gina E. Spivey 5120 Touchstone Road Dover, FL 33527 H (813) 754-8451 C (813) 712-9868 gs162f170@westpost.

net SUMMARY________________________________________________________________ A HEALTHCARE MANAGEMENT AND COMPLIANCE EXECUTIVE with extensive experience in le ading organizations to quality outcomes by operating with a strategic risk manag ement approach. A "Doer" who leverages appropriate subject matter experts to pr oactively develop compliance plan and strengthen operations and internal control s. Believes that strength of workforce is the strength of the company and there fore manages through principle-centered performance to advance employee educatio n and understanding. Possesses excellent analytical, training, and implementati on skills, with a proven track record of improving clinical and financial outcom es. Uses self-governance and accountability to lead by example and achieve inte grity based performance. Advance business objectives by creating culture of tra nsparency and integrity for organization. EXPERIENCE______________________________________________________________ GOLDEN LIVING (FORMERLY BEVERLY ENTERPRISES AND GOLDEN VENTURES), Nationwide Director, Health Information Management, 2009-Ongoing Provide consultation, as part of the Compliance Department, to 310 facilities on the Maintenance, Retention and Destruction of Health Information. Advised Seni or Leadership of current risks and recommended plans of action to respond to con cerns while maintaining focus on business objectives. Assisted with the upgrade of the code of conduct, and other compliance resources, in concert with industr y standards and demands. Completed facility compliance and quality visits to ac cess facility-level care and compliance system effectiveness. * Developed a Health Information Management Manual, including Policies, Procedu res, and Guidelines for Medical Records Maintenance for 310 Golden Living facili ties. * Developed presentation materials, included 6 modules and an exam, for trainin g of HIM via the Learning Management System. * Trained 310 Nursing Facilities in use of the Health Information Management ma nual and forms. * Developed and implemented Health Information Management Practice Councils to follow-up on action plans and changes in regulations/state laws. * Maintain the Health Information Management Intranet Site, including updating all resources, forms and procedures to be in compliance with industry standards. * Visit facilities to conduct HIM Audits and to assist with education related t o Health Information. * Assisted in the writing of HIPAA Privacy Policies and Procedures for all Gold en Living Business Lines. * Assisted in updated the Golden Living Code of Conduct and Business Ethics. * Researching industry standards for Home Health, Hospice and Assisted Living F acility Business lines in order to develop a Health Information Management Manua l * Active member of the IT Security team, assisting in the re-writing of policie s and procedures related to the HIPAA Security Rule and HITECH Act. * Active member of the Project Forest team, assisting in the re-writing of Reco rd Retention Guidelines for all business lines, as well as development of proced ures and systems to move towards Electronic Medical Records. Transition Director/Customer Relations Liaison, 2001-Current

Represent Company's interests in all states with sold facilities by ensuring the company maintains a proactive presence in the state. Resolve internal and exte rnal issues with a variety of stakeholders affiliated with Company's former asse ts. Serve as company liaison between external and internal parties to effective ly manage and resolve issues. Interact with personnel at the sold facilities an d with personnel of new owner/operator on a regular basis to address issues and solve problems. Work with legal representatives, regional counsel and other ass ociates to reconcile sold receivables and other issues. * * m * * Corporate Representative for Florida during depositions and trials. Assist with Litigation Issues by following up on medical records requests fro plaintiff attorneys for all previously owned/operated facilities. Coordinate timely and proper authorized release of medical records. Review medical records and communicate with facilities as needed to determine if resident experienced any major changes since disposition. * Assist Risk Management and Third Party Administrators in facilitating investi gations of potential liability claims. * Investigate and document finding of all Complaints/Concerns as assigned by Cu stomer Response Program for all sold/leased facilities. * Assist with facility divestitures by coordinating Medical Record scanning and storage and completion of disposition assessments. * Coordinate with State Regulatory Agencies for storage of facility records. * Work with vendor to assist with storage, destruction and retrieval of facilit ies records. * Assist Corporate Medicare Compliance with CMS and OIG audits. * Work with open facilities on retrieval of documents stored at off-site storag e. * In 2007 began working with Legal and Operations on touring facilities to iden tify concerns related to Medical Records Departments. Completed facility survey related to Medical Records issues. Provide education and training to Medical Records Coordinators as directed by supervisor. Quality Management Advisor, 1995 to 2001 Primary focus included the development and coordination of training to 17 LTC fa cilities in Quality Improvement principles and facilitation of CQI teams. Addit ional focus on coordinating Quality Reviews for each facility a minimum of yearl y, and providing education and training in the areas of Leadership, Medical Rec ords, ED/DNS orientation, Risk Management, Budget, and Regulatory Changes. * Investigated and developed improvement plans for Customer Response Program co ncerns regarding quality of care or quality of life issues in 17 nursing facilit ies. * Selected and assisted with Regional Office Process Improvement Teams. * Assisted Clinical Services Managers in development of Plans of Correction for State Survey Deficiencies in 17 nursing facilities. * Assisted 17 facilities in monitoring and facilitation of Process Improvement Teams. * Attended Quality Assessment and Assurance meetings in 17 nursing facilities o n a quarterly basis and as needed. * Reviewed QA&A meeting minutes for all 17 facilities monthly and made recommen dations for improvement. * Developed Policies and Procedures related to changes in State Regulations, St ate Laws and identified issues within the facilities. * Assisted with closing facilities according to State Guidelines as directed by Group Vice President. * Provided Recreation, Social Services and Alzheimer's Care Director training, education and consultation quarterly and as needed for Florida facilities. Recreation/Social Services Consultant, 1992 to 1995 Provided Recreation and Social Services education, training and consultation to 35 Florida facilities related to LTC regulation and Company Policy. Assisted wi

th Quality Assurance reviews, follow-up, training and education related to corre ction of identified issues. PUTNAM PINES Recreation Therapist, 1991-1992 Provided recreational therapy assessment and treatment in a 24-bed inpatient adu lt psychiatric unit. Developed programming related to treatment, leisure educat ion, recreation participation and community re-entry. Attended treatment meetin gs and assisted in development of treatment plans related to resident goals for psychiatric stay and re-entry into the community.

EDUCATION______________________________________________________________ University of Florida, Gainesville, Florida M.S., Therapeutic Recreation, 1991 B.S., Exercise Science, 1985 CERTIFICATIONS AND PROFESSIONAL DEVELOPMENT________________________ Certified Certified 998 Certified Certified Certified Risk Manager, Since 2002 Covey Facilitator for Seven Habits of Highly Effective People, Since 1 Alzheimer's Trainer, Alzheimer's Association, Since 2000 Joiner Trainer, Since 1995 Professional in Healthcare Quality, CPHQ, 1995 to 2002

AFFILIATIONS____________________________________________________________ Florida Association for Healthcare Quality National Association for Healthcare Quality American Health Information Management Association, since 2009 Florida Health Information Management Association, since 2009

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