Melinda Whitney Headshot
Director of Quality Management Services
614.227.4849
mwhitney@qmcg.com

Areas of Focus

  • Healthcare Administration and Clinical Consulting
  • Clinical Consulting
  • Patient Care Issues
  • Medical Staff Administration (Governance and Management)
  • Medical Necessity Review
  • Care Competency Evaluation
  • Credentialing
  • Privileging
  • Appointment
  • Quality Assessment and Improvement
  • Governance Documents
  • Policies and Procedures
  • Medical Executive Committee (and Sub-Committee) Development
  • Education and Survey Readiness

Healthcare administration and clinical consulting, emphasizing issues pertaining to patient care, medical staff administration - design, support and management, medical staff management - peer review, medical staff mediation, credentialing, privileging, care competency evaluation, quality assessment and improvement, governance documents and medical executive committee development and education, and Medicare Plans of Correction/survey readiness support for acute and ambulatory care physician leaders and organizations.

Experience

  • Senior Consultant with The Quality Management Consulting Group (QMCG). Since 1996, directs, manages and consults on multiple service lines of customized healthcare consulting services. Currently works in more than thirty states with quality and Medical Staff projects on peer review, credentialing, medical staff management, mediation, privilege delineation, mergers, problem solving, accreditation compliance and readiness assessments.
  • Director of Performance Improvement, Risk Management and Utilization Management at Naval Hospital, Camp LeJeune, U.S. Tricare Region III, North Carolina. Oversight included management of the Medical Executive and associated subcommittees, Credentials Committee, and Infection Surveillance Committee. Responsible for facility and contractor JCAHO preparation and accreditation. Consistent scores, two triennial surveys with several new and diverse contractors and multiple new offsite acute and ambulatory care services.
  • Technical and systems consultant for U.S. Tricare, a multi-service federal managed care directive. Reviewed requests for proposal submissions for a several state wide managed care region, and local Emergency Room, Ancillary and Ambulatory Care contracts. Evaluated and monitored contractual compliance based in care performance, litigation history, patient satisfaction and medical staff performance, credentialing and compliance.
  • Registered Nurse, private and federal, profit and not-for-profit facilities within the U.S. and abroad. Maternal-Child, Neonatal Intensive Care and Operating Room focused.
  • Lutheran (lifelong) active service Deacon, on Altar Guild and Medical Team volunteers.
  • Served as an elected Alderman, North Topsail Beach, North Carolina.
  • Registered Nurse volunteer at Peace Lutheran Church with health and wellness screenings as staff R.N. Columbus, Ohio, serving adults with acute and chronic illnesses and providing community service connections and support.

Presentations & Published Works

  • "Practical Considerations on Drafting Clinical Privileges," The Ohio Hospital Association 2015 Annual Meeting, June 8, 2015
  • "Creating Clinical Privilege Sets-You Can Do It!" National Association of Medical Staff Services 39th Annual Educational Conference, October 6, 2015
  • "What the Term 'Provider-Based' Means to the Medical Staff," The Ohio Hospital Association Annual Meeting, June 10, 2014
  • "Roundtable Discussion on Problematic Medical Staff Issues", the National Association of Medical Staff Services 35th annual educational conference, Dallas, Texas, September 26, 2011
  • "2007 SW Region OAMSS presentation on TJC Changes", Middletown, Ohio, September 7, 2007
  • "Electronic Credentialing", The Ohio Hospital Association Medical Staff Services Week Conference, Columbus, Ohio, November 6, 2009.
  • "Eeny Meeny, Miney, Mo - To Accredit Yes or No?", The Ohio Hospital Association Spring Conference, Columbus, Ohio, June 17, 2009
  • "Focused and Ongoing Professional Practice Evaluation", The Ohio Hospital Association National Medical Staff Services Awareness Week, Columbus, Ohio, November 7, 2008

Education

  • ADNsg, Coastal Carolina College, NC, current Ohio Registered Nurse license.
  • BSN, Chamberlain School of Nursing, Columbus, Ohio.
  • B.S., Healthcare Management, Southern Illinois University.
  • M.S., Human Resources Management, Golden Gate University.
  • CPHQ, Certified Professional in Healthcare Quality, by the National Association for Healthcare Quality (NAHQ).
  • CPMSM, Certified Professional Medical Staff Manager, by the National Association of Medical Staff Services (NAMSS).
  • FACHE, Certified Healthcare Executive and Fellow in the American College of Healthcare Executives (ACHE).

Contact Melinda E. Whitney