A highly experienced, diverse Doctorate prepared Nurse Practitioner focused on clinical quality programs, strategic growth, and patient outcomes. Adept at the development and implementation of system-wide quality improvement programs and building, engaging high-performing multidisciplinary teams to achieve programmatic success while exhibiting strategic leadership, operational excellence, and stakeholder engagement
Overview
26
26
years of professional experience
Work History
Surgical Wellness Nurse Practitioner
Novant Healthcare
12.2024 - Current
Gathering comprehensive medical histories, including past surgeries, chronic conditions (e.g., diabetes, hypertension), allergies, medications, and family history
Conducting physical exams to evaluate the patient’s general health and identify any potential issues that may impact the surgery or anesthesia
Ordering and reviewing necessary preoperative labs (e.g., blood tests, urine tests, EKG, imaging) to assess fitness for surgery
Using clinical guidelines and scoring tools (NSQIP, Gupta, Frailty, MST) to assess a patient’s surgical and anesthesia risk and determining if additional tests or consultations are needed
Identifying any conditions or factors that may contraindicate the planned surgery
Ensuring all preoperative requirements are completed on time, including tests, consultations, and clearances. Coordinating with other departments (e.g., cardiology, pulmonology) for additional evaluations if needed
Working closely with surgeons, anesthesiologists, and nursing staff to ensure a smooth transition through the preoperative process and prepare for any potential complications during surgery
Making decisions regarding patient clearance for surgery based on the patient’s medical condition and ensuring that all preoperative evaluations and consultations are completed
Assistant Vice President, Clinical and Quality Outcomes
Providence Anesthesiology Associates
01.2017 - 09.2024
Collaborate with surgical teams to develop individualized care plans that address patient needs and optimize surgical outcomes
Monitor patient progress and address any perioperative concerns or complications that arise
Oversight of all clinical and quality improvement for the organization
Develop and refine processes and workflows to support key perioperative clinical operational functions
Novant Health Perioperative Surgical Home Executive Steering Committee member
Novant Health Patient Blood Management Committee member
Lead various interdisciplinary teams in the development, implementation, expansion, and sustainability of the perioperative Enhanced Recovery after Surgery (ERAS) program in 12 facilities in 4 hospital systems and 17 surgical lines to improve clinical and financial performance
Demonstrated success in the tracking and analysis of ERAS outcomes, compliance, and financial performance
Perform gap analysis of additional facilities, identify gaps of care to guide implementation planning/change management
Work closely with the Hospital Executive Leadership Team in planning and execution of various quality improvement and patient safety programs
Partner cross-functionally and collaborate on a daily basis, including with system CEOs, VPs, and service line directors
Prepares and oversees annual business budgets and reports
Reports yearly Merit-based Incentive Payment System (MIPS) to the Anesthesia Quality Institute (AQI)
Established a high-performance culture within the team by setting clear expectations and providing regular feedback on individual performance contributions.
Collaborated closely with executive leadership to align department goals with overall company objectives, resulting in stronger organizational cohesion.
Managed a diverse portfolio of projects, ensuring that each project met established quality standards and delivered expected results on time and within budget.
Enhanced collaboration between team members by implementing innovative communication tools and fostering an open dialogue culture.
Implemented data-driven decision-making processes, leading to more informed strategic choices and improved overall performance metrics.
Led cross-functional teams to deliver successful projects on time and within budget, enhancing company reputation in the industry.
Contributed to budget planning, and initiatives for communications, planning and coordination of facility management and space allocations.
Attended weekly meetings and special sessions of Leadership and Executive Leadership Teams and contributed to major administrative initiatives, policies and decisions.
Fostered strong relationships with key clients, leading to repeat business and a significant increase in customer satisfaction ratings.
Oversaw change management initiatives, ensuring smooth transitions during periods of organizational restructuring or process improvements.
Developed comprehensive financial forecasts based on historical data analysis, enabling more accurate budget planning and resource allocation.
Established and directed successful programs focused on perioperative metrics.
Clinical Field Specialist - National Lead
Edwards LifeSciences
06.2012 - 01.2017
Implementation of perioperative enhanced surgical recovery quality improvement programs in hospitals and ambulatory surgery centers across the country to improve patient outcomes
Educate critical care clinicians on hemodynamics in the septic patient and surgical patient
Development of sepsis pathways in compliance with Sepsis Guidelines
Developed and implemented the Enhanced Surgical Recovery process pilot
Collaborate with anesthesia and surgery departments in developing and implementing Enhanced Recovery quality improvement processes
Work with hospital various hospital service lines to implement quality improvement processes
Collaborate with physicians and support staff in protocol development and implementation
Serve as leader to clinical colleagues through education, development of educational programs
Speaker at Grand Rounds in several hospitals in the Southeast on the implementation and sustainability of quality improvement processes
Educate ICU/OR nurses, CRNAs, Residents, and Attending Physicians on hemodynamic optimization through goal directed therapy
Perform large group, interactive clinical simulations with physicians, residents, and nurses
2014-2015 Culture Award recipient
2013-2016 Clinical Field Specialist of the Year award recipient
CEO/Owner
VLM Nurse Consultants
09.2004 - 12.2012
Secured DoD contract to provide medical services to local Soldier Readiness Program
Hired, trained, and managed clinical (NPs and RNs) and administrative staff of 30
Responsible for annual budget, payroll, and scheduling
Provide medical services to members of the Armed Forces for purposes of either compliance or pre-deployment medical readiness
Engaged in root cause analysis following each Soldier Readiness Program
Recreated the Soldier Readiness Program to streamline the process and save the Regional Readiness Command Center approximately $1M
Organ Recovery Coordinator II/Advanced Practice Coordinator
LifeShare of the Carolinas
08.2008 - 06.2012
Medically manage organ donors while maximizing organ recovery potential
Clinical Administrator on-call to serve as a clinical resource to other Organ Recovery Coordinators
In house hospital coordinator with large local hospital system working closely with administration in successfully grow their organ donation program while following CMS and JCAHO guidelines
Chair - Critical Care Committee
Co-Chair - Cardiothoracic Collaboration
Chair - Quality Improvement in Organ Procurement
Senior Organ Donation Coordinator/Advanced Practice Coordinator
LifeSource
02.2007 - 02.2008
Perform all duties of the Organ Donation Coordinator
Perform bronchoscopies and line placement on consented organ donors
Actively involved in research - Publication Nov 2009 Journal of Diabetes Science and Technology co-author with Dr
Michael Marvin
New hire panel member
Serve as a mentor to new procurement coordinators
Committee Chair - Neuroadvisory Committee
Committee member - Critical Care Committee
Committee Chair - Clinical Quality Improvement
Educate hospital staff/community about organ donation/procurement
Organ Donation Coordinator
LifeSource
09.2006 - 02.2007
Medically manage organ donors in the critical care setting and optimize organ viability
Perform bedside nursing care of the patient
Allocate donor organs to local and national transplant centers
Coordinates surgical recovery of organs and tissue
Work with donor families to obtain consent
Participate in Committee work to enhance best practices and develop relationships between LifeSource and hospitals
Registered Nurse
North Memorial Hospital
06.2004 - 02.2006
Cardiovascular ICU
Registered Nurse
Wake Medical Center
01.2003 - 06.2004
Cardiovascular ICU
Registered Nurse
UNC Chapel Hill
08.2000 - 05.2004
Trauma and Neurosurgical ICU
Registered Nurse
Presbyterian Hospital
08.1998 - 08.2000
Coronary Care Unit/Cardiovascular ICU
Skills
Team leadership
Relationship building
Decision-making
Critical thinking
Coaching and mentoring
Complex Problem-solving
Strategic planning for growth
Results-driven
Operations management
Process improvement
Public Speaking
Staff development
Performance monitoring
Data analytics
Affiliations
ERAS Cardiac Society, Executive Board Member and Director, International Relations
Society of Thoracic Surgeons, Board Member
Morpheus Consortium, Board Member and Faculty
Perioperative Quality Initiative, Faculty
American Association of Nurse Practitioners, Member and Faculty
American Society for Enhanced Recovery, Faculty
Evidence Based Perioperative Medicine, Faculty
Publications
ERAS Cardiac Turnkey Order Set for Perioperative Pain Management in Cardiac Surgery: Proceedings from the AATS ERAS Conclave 2023, Gregory, Alexander & Arora, Rakesh & Chatterjee, Subhasis & Crisafi, Cheryl & Morton, Vicki & Rea, Amanda & Salenger, Rawn & Engelman, Daniel & Grant, Michael & Cangut, Busra & Crotwell, Shannon & Lobdell, Kevin & McConnell, Gina & Reddy, Seenu, JTCVS Open, 10.1016/j.xjon.2024.08.018, 2024
Preoperative Medication Management Turnkey Order Set for Nonemergent Adult Cardiac Surgery, Rea, Amanda & Salenger, Rawn & Grant, Michael & Yeh, Jennifer & Damas, Barbara & Crisalfi, Cheryl & Arora, Rakesh & Gregory, Alexander & Morton, Vicki & Engelman, Daniel & Cangut, Busra & Chatterjee, Subhasis & Lobdell, Kevin & McConnell, Gina & Crotwell, Shannon & Reddy, Seenu, JTCVS Open, 10.1016/j.xjon.2024.06.009, 2024
ERAS Cardiac Society Turnkey Order Set for Surgical Site Infection Prevention: Proceedings from the AATS ERAS Conclave 2023, Crisafi, Cheryl & Grant, Michael & Rea, Amanda & Morton, Vicki & Gregory, Alexander & Arora, Rakesh & Chatterjee, Subhasis & Lother, Sylvain & Cangut, Busra & Engelman, Daniel & Salenger, Rawn & Lobdell, Kevin & McConnell, Gina & Crotwell, Shannon & Reddy, Seenu & Lazar, Harold, The Journal of Thoracic and Cardiovascular Surgery, 10.1016/j.jtcvs.2024.03.027, 2024
ERAS Cardiac Society turnkey order set for prevention and management of postoperative atrial fibrillation after cardiac surgery: Proceedings from the AATS ERAS Conclave 2023, Chatterjee, Subhasis & Cangut, Busra & Rea, Amanda & Salenger, Rawn & Arora, Rakesh & Grant, Michael & Morton, Vicki & Hirji, Sameer & Engelman, Daniel & Gregory, Alexander & Lobdell, Kevin & Hui, Dawn & Puskas, John & Gaudino, Mario & Crisafi, Cheryl & Reddy, V., JTCVS Open, 10.1016/j.xjon.2024.02.008, 2024
ERAS Cardiac Society turnkey order set for patient blood management: Proceedings from the AATS ERAS Conclave 2023, Salenger, Rawn & Hirji, Sameer & Rea, Amanda & Cangut, Busra & Morton, Vicki & Gregory, Alexander & Arora, Rakesh & Grant, Michael & Raphael, Jacob & Engelman, Daniel & Chatterjee, Subhasis & Lobdell, Kevin & Crisafi, Cheryl & McConnell, Gina & Crotwell, Shannon & Reddy, Seenu, The Journal of Thoracic and Cardiovascular Surgery, 10.1016/j.jtcvs.2023.10.034, 2023
State of the Art: Proceedings of the AATS Enhanced Recovery after Cardiac Surgery Summit, Chatterjee, Subhasis & Arora, Rakesh & Crisafi, Cheryl & Crotwell, Shannon & Gerdisch, Marc & Katz, Nevin & Lobdell, Kevin & Morton, Vicki & Pirris, John & Reddy, V. & Salenger, Rawn & Varelmann, Dirk & Engelman, Daniel, JTCVS Open, 10.1016/j.xjon.2023.04.004, 2023
Perioperative Quality Initiative and Enhanced Recovery After Surgery-Cardiac Society Consensus Statement on the Management of Preoperative Anemia and Iron Deficiency in Adult Cardiac Surgery Patients, Guinn, Nicole & Schwartz, Jonathon & Arora, Rakesh & Morton, Vicki & Aronson, Solomon & Brudney, Charles & Bennett-Guerrero, Elliott, Anesthesia & Analgesia, 135, 532-544, 10.1213/ane.0000000000006148, 2022
The 10 Commandments of ERAS for Cardiac Surgery, Morton, Vicki & Salenger, Rawn & Engelman, Daniel, Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, 16, 10.1177/15569845211048944, 2021
Cardiac ERAS: A Guide to Team Building and Successful Implementation, Salenger, Rawn & Morton, Vicki & Grant, Michael & Gregory, Alexander & Williams, Judson & Engelman, Daniel, Seminars in Thoracic and Cardiovascular Surgery, 32, 10.1053/j.semtcvs.2020.02.029, 2020
How Providence Anesthesiology Associates' ERAS program transitioned to the ASC setting, Morton, V., Becker's ASC Review, 2019, https://www.beckersasc.com/anesthesia/how-providence-anesthesiology-associates-eras-program-transitioned-to-the-asc-setting.html
Glycemic Control and Organ Transplantation, Marvin, M., Morton, V., Journal of Diabetes Science and Technology, 3, 6, 1365-1372, 2009
Speaking Engagements
Implementation of ERAS and the Perioperative Nursing Role, Novant Presbyterian Medical Center, 03/09/17
Nursing Research and Enhanced Recovery, American Society of Enhanced Recovery (ASER), 04/28/17
Overview of Enhanced Recovery After Surgery: Why We Do What We Do, Novant Presbyterian Medical Center Grand Rounds, 08/14/17
Multimodal Analgesia to Reduce Opioid Consumption in the Post-Surgical Patient, Novant Presbyterian Medical Center, 10/09/17, 10/13/17, 10/19/17, 10/23/17, 10/26/17
Colorectal and Bariatric ERAS - Comparisons to Historic Controls, Charlotte ERAS Symposium, 11/04/17
Colorectal and Bariatric Enhanced Recovery After Surgery in a Non-Academic Institution in Collaboration with a Private Anesthesia Group, ERAS Society Annual Quality Meeting, 11/11/17
Healthcare Economics: Value-Based Care vs. Fee for Service, Queens University, 01/31/18, 02/01/18
Colorectal and Bariatric Enhanced Recovery After Surgery in a Non-Academic Institution: An Anesthesiology Led Initiative, American Society of Anesthesiologists Practice Management, 01/27/18
Data Challenges and Beyond, American Society for Enhanced Recovery Annual Meeting, 03/17/18
Implementing and Sustaining a Quality Initiative Program, Evidence Based Perioperative Medicine (EBPOM-USA) Master's Course, 04/14/18
Opioid Reduction in the Presence of an Enhanced Recovery Program, Evidence Based Perioperative Medicine (EBPOM) - London Consortium, 07/04/18
Are You Really Doing Enhanced Recovery After Surgery?, Evidence Based Perioperative Medicine (EBPOM-USA), 09/21/18
Multimodal Analgesia Within an Enhanced Recovery Program: Addressing the Opioid Crisis, NC Association for Peri-Anesthesia Nursing, 10/29/18
Multimodal Analgesia: A Different Approach to Acute Surgical Pain, Annual Anesthesia Update, 11/10/18
Implementation of a Bariatric ERAS Program at a Community Hospital Improves Length of Stay, Postoperative Nausea and Vomiting, 30-Day Outcomes, and Reduces Cost, American Society for Metabolic and Bariatric Surgery, 11/12/18
Reducing opioid consumption through multimodal analgesia within an Enhanced Recovery Pathway, 4th International Anesthesia and Pain Medicine Conference, Abu Dhabi, UAE, 12/14/18
Implementing Enhanced Surgical Recovery: The Future is Yesterday, OR Business Management Conference, San Diego, 01/28/19
Enhanced Recovery After Surgery in Minimally Invasive Gynecologic Surgery (MIGS), Grand Rounds, St. Mary's Hospital of Waterbury, 02/06/19
Enhanced Recovery After Surgery: Implementation Strategies for Sustainability, Grand Rounds, Miami Baptist, 02/07/19
ERAS Nuts and Bolts, EBPOM-USA, Chicago, 02/23/19
Perioperative Medicine Gaps and Opportunities, EBPOM-USA, Chicago, 09/13/19
Enhanced Recovery State of the Art, EBPOM Dingle, Ireland, 10/09/19
How to Implement a Successful ERAS Cardiac Program, EBPOM, Chicago, 09/11/20
Multimodal Analgesia to Reduce Opioid Consumption, EBPOM, Chicago, 09/12/20