Samantha Freeman-Brown

Operational Leadership & Provider Collaboration Quality Improvement & Service Line Performance Risk Management Responsibilities Safety Officer & Compliance Oversight Financial & Resource Management Provider Onboarding & Credentialing Support

• Partner daily with hospitalists, emergency physicians, advanced practice providers, and department directors to support efficient inpatient and emergency operations.
• Serve as administrative liaison to Medical Staff, presenting monthly reports on quality indicators, risk trends, productivity measures, safety concerns, and compliance status.
• Support provider scheduling coordination, real-time operational adjustments, and facilitation of solutions to provider-related performance or workflow issues.
• Ensure adequate staffing, space, equipment, and resource availability to meet service expectations across hospital departments.
• Lead the hospital’s Quality Improvement program, managing scorecards, core measures, productivity indicators, and service-line quality data.
• Analyze and report organizational performance metrics aligned with goals for quality, service, volume, safety, and efficiency.
• Facilitate QI meetings, develop action plans, and collaborate with clinical leaders to optimize performance and achieve measurable improvements.
• Prepare data for Medical Staff, Governing Body, and external regulatory requirements.
• Direct the complete risk management program, including incident reporting, investigations, root cause analyses (RCA), corrective actions, and education.
• Identify risk trends, implement mitigation strategies, and strengthen hospital processes to reduce preventable harm.
• Maintain risk documentation in compliance with CMS and state requirements.
• Serve as Hospital Safety Officer, overseeing Environment of Care rounds, hazard surveillance, emergency drills, and safety compliance.
• Ensure adherence to CMS Conditions of Participation, EMTALA, HIPAA, OSHA, Life Safety Code, and emergency preparedness requirements.
• Lead audit readiness activities, mock surveys, and corrective action planning to maintain regulatory compliance and survey preparedness.
• Maintain hospital-wide 96-hour sustainability plan and coordinate emergency preparedness efforts with community partners.
• Contribute to budget discussions, resource planning, equipment procurement, and departmental performance monitoring.
• Prepare and deliver data-driven reports tied to quality outcomes, service levels, staffing patterns, and productivity trends—mirroring service-line budgeting and reporting duties.
• Support revenue, cost, and resource analysis to improve operational efficiency.
• Assist with provider orientation, onboarding processes, and integration into hospital workflows.
• Prepare and submit performance data, policies, and operational documents needed for medical staff credentialing and reappointment.
• Communicate with providers regarding expectations, quality initiatives, scheduling, performance, and workflow needs.

• Led the Respiratory Care Department, ensuring compliance with regulatory standards and hospital protocols.
• Managed inventory of respiratory equipment, ensuring availability and adherence to safety guidelines.
• Analyzed patient outcome data to identify trends and drive quality improvement initiatives.
• Implemented quality improvement initiatives that led to enhanced patient satisfaction and safety measures.
• Monitored budgetary expenditures for the Respiratory Care Department, identifying opportunities for cost savings without compromising patient care quality.
• Oversaw the procurement of respiratory equipment, maintaining optimal inventory levels while minimizing costs.
• Managed a team of respiratory therapists, ensuring high-quality care and adherence to professional standards.
• Served as liaison between the Respiratory Care Department and other hospital units, fostering strong relationships and communication channels.
• Coordinated scheduling for a team of respiratory therapists, ensuring full coverage during peak hours and efficient use of resources.
• Evaluated staff performance through regular assessments, providing constructive feedback and opportunities for professional growth.
• Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration, and general liability.
• Developed and implemented training programs for new staff, enhancing team competency in patient care.
• Streamlined patient assessment processes, improving treatment efficiency and response times.
• Collaborated with multidisciplinary teams to optimize care plans for patients with respiratory conditions.

• Administered respiratory therapy treatments according to physician orders and patient care plans.
• Monitored patients' vital signs and oxygen levels to ensure optimal therapy effectiveness.
• Educated patients and families on respiratory conditions and at-home care techniques.
• Collaborated with multidisciplinary teams to develop comprehensive care strategies for patients.
• Implemented quality improvement initiatives to enhance therapy protocols and patient outcomes.
• Adjusted ventilator settings based on continuous assessment of blood gas analysis results improving overall ventilation efficacy for critically ill patients.
• Managed and operated mechanical ventilators to deliver airway management.
• Provided emergency response during cardiac arrests or other life-threatening situations utilizing advanced life support measures when required.
• Coordinated with physicians and other care team members on care and treatments.

• Administered respiratory therapies, including nebulization and mechanical ventilation, to critically ill patients.
• Collaborated with interdisciplinary teams to develop individualized patient care plans.
• Monitored and adjusted ventilator settings based on patient assessments and clinical guidelines.
• Educated patients and families on respiratory conditions and home care techniques.
• Conducted pulmonary function tests to evaluate the patient lung capacity and function.
• Provided emergency response during cardiac arrests or other life-threatening situations, utilizing advanced life support measures when required.
• Improved patient outcomes by providing comprehensive respiratory care plans and interventions.