Maitri Vaidya, MS, DBA, FACHE, CPHQ, C-MI
Experienced healthcare executive mindfully creating positive change through thoughtful leadership
EDUCATION
Doctor of Business Administration, Healthcare Management, Leadership & Policy, Cal University
Master of Science, Healthcare Administration, National University, San Diego, CA
Bachelor of Arts, Liberal Studies/ Biological Sciences, Chemistry, University of California Riverside, CA
CERTIFICATIONS
FACHE, Fellow of American College of Healthcare Executives
CPHQ, Certified Professional in Healthcare Quality
C-MI, Certified Meditation Instructor, American Institute of Healthcare Professionals, Inc.
OSHA First Responder, Occupational Safety & Health Administration, 2011
American Red Cross Disaster Preparedness Certifications:
CPR/First Aid (Adult/Infant & Child): American Red Cross Certified
Red Cross CPR/First Aid/AED Instructor: Basics in how to act during cardiac emergencies
FIT (Fundamentals of Instructor training): Basic disaster preparedness instructor training rules & regulations
Community Disaster Education Presenter: Community Disaster Education presenter training
Introduction to Disaster Services (DS) (ARC 3066): Basics on disasters effects, agency roles, DS Program
Mass Care: An Overview (ARC: 3068-1): How ARC meets immediate food and shelter needs for disaster clients
Shelter Operations (ARC 3068-11): Knowledge, skills & practice on running a successful shelter operation
Family Service: Providing Emergency Assistance (ARC 3072-1): Learn post emergency disaster needs
EXPERIENCE
Director, Clinical Practice August 2022 – Present
Infectious Diseases Society of American (IDSA) Arlington, VA
- Develop and advance comprehensive strategies to support ID clinicians’ provision of quality care & services.
- Oversee the development and dissemination of information, tools, and resources for ID clinicians to practice efficiently, optimally engage in quality assessment and improvement, and comply with reporting requirements, such as resources on physician payment policies, billing & coding, implementing telemedicine, value of ID promotion, and ID-related population health programs, antimicrobial stewardship, infection prevention and control, bio-preparedness.
Academia – curriculum development January 2021 – November 2023
Western Governors University/ South College Los Angeles, CA
- Development and writing of curriculum for higher education healthcare programs.
Chief Wellness Officer May 2015 – Present
Zesa Wellness Los Angeles, CA
- Founding partner of Zesa Wellness, providing education & skills that promote balance well-being & happiness
through the practice of mindfulness and meditation built off the evidence-based program of Mindfulness
Based Stress Reduction (MBSR) supported by the National Institute of Health.
Corporate National Director, Regulatory and Accreditation February 2019 – March 2022
Department of Quality Management and Patient Safety- Prospect Medical Holdings, Inc Los Angeles, CA
- Regulatory and accreditation expert and mock surveyor ensuring ongoing compliance with regulatory
expectations and accrediting organization requirements for over 25 system wide facilities across continuum
(SNF, BHU, subacute, long-term care, acute, ambulatory) resulting in zero immediate jeopardy findings. - Subject matter expert & facilitator in disaster preparedness and life safety to prepare organizations via various
survey readiness activities including COVID response and Everbridge integration. - Subject matter expert in medical staff operations collaborating with PMH hospitals as regulatory advisor,
outcome monitoring for scope & governance, OPPE/FPPE database creation, credentialing & privileging. - High Reliability Organization (HRO) internal trainer per Press Ganey Associates
Vice President, Quality Assurance September 2017 – October 2018
Hollywood Presbyterian Medical Center – CHA Health Systems, Inc., Los Angeles, CA
- CHA Health Systems, a South Korean based international health system Executive Leader of Quality over the
Los Angeles campus, a 434 licensed bed safety net acute care facility including 89 SNF. - Oversight of all Quality functions, including Regulatory, Risk & Patient Safety, Performance Improvement, Clinical Quality, OPPE/ FPPE, Medical Staff Peer Review, Clinical Trials, Education & Training, Infection Prevention, Patient Experience, Policies & Procedures, Disaster Preparedness, Incident Command Center
- Provide organization wide strategic direction on publicly reported measures including Leapfrog, CMS Stars rating, Value Based Purchasing and HCAHPS. Streamline processes to fill care gaps demonstrated via a 22% increase in Sepsis bundle compliance, decreased CAUTI’s, MRSA, internal and external complaint
- System preparedness for value-based initiatives via determining population health goals, payment innovations, managed care and Medicaid programs including facilitated health plan contract compliance with requirements.
Population Health Executive, Strategic Services, Healthcare Reform July 2014 – July 2017
Cerner Corporation (formerly Siemens Health Services) Kansas City, MO
- Strategized with C-suite on utilization of big data platforms (HealtheIntent) to create and implement population health strategic services and associated value based KPI’s aligning with appropriate Medicaid and managed care payment models.
- Steering Committee member developing implementation methodology for strategic solutions assisting with risk contracting, insurance payer- partner agreements, patient centered medical homes (PCMH), data interoperability and governance, clinical integration, care management, patient engagement.
Director, Quality Management October 2012- June 2014
Hospital Corporation of America, North Hills Hospital Richland Hills, Texas
- Facilitating day to day operations through planning, implementing, and following up on implementation of evidence based best practices and abilities to meet established strategic goals to support the quadruple aim, ensuring cost effectiveness, engagement of staff, providers, and members.
- Program and service development to align with corresponding operational and quality initiatives and performance standards, such as disaster preparedness and incident command center operations lead.
- Led Leapfrog improvement efforts to raise score from C to B via implementation of structure measures to ensure core measures stay within CMS’s 90th percentile.
- Quality recognition from The Joint Commission’s Top Performers on Key Quality Measures for 2013 in heart attack, heart failure, pneumonia, and surgical care including recertification of Disease Specific Programs (Stroke, AMI and Joint), Hospital Accreditation and Cycle IV Chest Pain Center.
Director, Pulmonary Division (Manager, Cystic Fibrosis Program) 2012
Children’s Medical Center Dallas Ambulatory Services Dallas, Texas
- Operational oversight of Pulmonary Division across multiple campuses with average annual volume of 20,000 visits. Developed, monitored and controlled capital budget and expenditures
- Day to day operational leader to staff and providers via training and development, performance assessments, disciplinary actions, leading programs linked to organizational strategic and quality goals.
- Decreased 3rd next available appointments from 29 days to 7 days within 4 months via streamlining provider panel management
Regulatory and Accreditation Specialist, Department of Quality Resource Management 2010 – 2012 Children’s Medical Center Dallas, Texas
- Oversaw Children’s 559 bed and 50 subspecialty clinics regulatory readiness activities across 3 campuses, including system wide implementation of command centers, facilitating surveyors, conducting tracers, audits, executive walks, root cause analysis, problem solving for required Action Plans, Elements of Performance, Periodic Performance Reviews, Measures of Success, Disaster Preparedness Team member.
Improvement Analyst– Division of Quality and Patient Safety 2008 – 2010
Zuckerberg San Francisco General Hospital & Trauma – Department of Public Health San Francisco, CA
- Strategic development of primary care and hospital quality programs and task forces across SF County primary care clinics to incorporate evidence based clinical and administrative practice through data analysis, role development, and implementation of IHI’s PDSA methodology.
Practice Support Specialist, Internal Medicine & Medicine for Seniors Department 2006 – 2007
University of San Diego Medical Center San Diego, CA
- Managerial responsibilities resulting in improved clinic telephone satisfaction scores from 64% to 74% and increased Press Ganey likelihood to recommend score from 7% to 47% within 5 months.
- Operational leader to staff and providers via training and development, performance assessments, disciplinary actions, labor management agreements, and leading programs linked to strategic and quality goals.
AFFILIATIONS & MEMBERSHIPS
American College of Healthcare Executives (ACHE), Member & Fellow 2001 – Present
Los Angeles Food Bank and North Texas Food Bank, Volunteer 2018 & 2015
East Hollywood Business Improvement District Council, Board Member, 2018
Texas Association for Healthcare Quality (TAHQ), Board Member 2013 – 2014
Spirit of the Game Foundation (Global NGO Director of Operations volunteer) 2022 – Present