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Coco Panda

Director of Patient Safety and Quality
PROFESSIONAL SKILLS
Patient Safety & Quality Leadership
High Reliability Organization PrinciplesRoot Cause AnalysisFailure Mode and Effects AnalysisJust CulturePatient Safety Event Review
Regulatory & Accreditation
The Joint Commission StandardsCMS Conditions of ParticipationDNV AccreditationLeapfrog Hospital Safety GradePolicy Governance
Analytics & Performance Improvement
Quality DashboardsRisk-Adjusted MetricsHCAHPSPSI and HAC MeasuresLean Six Sigma
EDUCATION
University of Illinois Chicago
Healthcare AdministrationPublic University
Master of Health Administration
Chicago, ILAug 2012 - May 2014

Focused on healthcare quality management, population health, and health system operations.

University of Wisconsin-Madison
NursingClinical Practice
Bachelor of Science in Nursing
Madison, WISep 2005 - May 2009

Clinical foundation supporting interdisciplinary patient safety and quality improvement leadership.

PROFESSIONAL SUMMARY

Patient safety and quality leader with 12+ years of healthcare experience directing enterprise quality programs, regulatory readiness, and harm reduction initiatives. Skilled in HRO principles, RCA, FMEA, CMS and Joint Commission standards, and executive performance reporting. Known for aligning clinical teams, senior leadership, and frontline staff around measurable, sustainable improvement.

KEY ACHIEVEMENTS
Standardized Safety Governance

Developed an enterprise safety governance model adopted across acute care, ambulatory, and procedural departments within nine months.

Advanced Quality Transparency

Built executive quality scorecards that improved visibility into harm events, regulatory gaps, and service line performance trends.

Strengthened Leadership Capability

Coached 60+ clinical leaders on Just Culture decision-making, event response, and sustainable corrective action planning.

PROFESSIONAL EXPERIENCE
NorthStar Regional Medical Center
Chicago, IL
Acute Care HospitalMagnet Recognized
Director of Patient Safety and Quality
Mar 2020 - Present
Patient SafetyQuality Leadership
  • Led patient safety and quality strategy for a 520-bed hospital, reducing serious safety events by 31% over 18 months.
  • Directed regulatory readiness activities across 22 departments, achieving successful Joint Commission survey outcomes with no condition-level findings.
  • Implemented standardized RCA and action tracking workflows, improving corrective action closure rates from 68% to 94%.
  • Partnered with physician and nursing leaders to reduce hospital-acquired infections by 22% through targeted rounding and bundle compliance reviews.
Lakeview Health System
Milwaukee, WI
Integrated Delivery NetworkCommunity Health
Quality and Patient Safety Manager
Jun 2015 - Feb 2020
Process ImprovementRegulatory Compliance
  • Managed quality improvement portfolio across three hospitals, delivering 14 performance initiatives tied to CMS, Leapfrog, and value-based contracts.
  • Facilitated multidisciplinary FMEA projects for high-risk medication and procedural workflows, decreasing preventable process failures by 27%.
  • Created monthly quality dashboards for executives, service line leaders, and board committees, improving metric ownership and escalation discipline.
  • Trained 180+ clinicians on event reporting, Just Culture principles, and safety behaviors, increasing near-miss reporting by 46%.
CERTIFICATIONS
Certified Professional in Healthcare Quality (CPHQ) - National Association for Healthcare Quality
May 2023
Certified Professional in Patient Safety (CPPS) - Institute for Healthcare Improvement
Aug 2021

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