Christal M.
Program Manager, Quality and Performance Improvement @LifeBridge Health
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WORK HISTORY
Program Manager, Quality and Performance Improvement @LifeBridge Health
Strategy• Develop/execute a comprehensive MIPS strategy for the health system• Manage all regulatory reporting requirements for ambulatory providers• Create and maintain a robust framework for quality metric reporting/compliance• Ensure alignment of reporting strategies with organizational quality goals/regulatory standardsInfrastructure• Design/implement data registry tools and processes for comprehensive quality metric reporting• Conduct detailed mapping from Electronic Medical Records (EMRs) to reporting tools• Develop/maintain rigorous validation protocols to ensure metric accuracy• Establish data validation checkpoints to verify metric integrity before submissionData• Create precise technical mappings between EMR systems/quality reporting platforms• Develop validation algorithms to confirm metric accuracy and completeness• Implement quality control processes to minimize reporting errors• Conduct regular audits of metric logic and reporting mechanismsPerformance• Develop comprehensive dashboards/performance reporting tools• Create detailed data visualizations that enable engagement managers to communicate performance at practice/provider levels• Serve as SME for providers questioning metric logic or performance calculations• Design intuitive performance reports that facilitate actionable insights• Leverage analytical mindset to investigate and resolve complex quality report discrepancies, implement systematic troubleshooting approaches to identify root causes and develop solutionsProvider Engagement• Provide expert guidance to providers on quality metric interpretation• Develop educational materials/training programs to enhance provider understanding of quality reporting• Act as primary point of contact for technical/strategic quality reporting inquiries• Support providers in understanding and improving their performance metrics• Collaborate with/provide guidance and direct supervision to the VBC Quality Team
EDUCATION
Chamberlain University
DNP, Health/Health Care Administration/Management
University of Pittsburgh - School of Nursing
Bachelor's of Science, Nursing
Chamberlain University
Master of Science - MS, Nurse Executive
ABOUT CHRISTAL M.
I’m a strategic nurse leader (RN, MSN; DNP candidate) with nearly 20 years of progressive healthcare experience spanning inpatient/outpatient clinical care, clinical informatics, oncology accreditation, and enterprise value-based performance strategy. Today, I lead system-wide ambulatory quality and MIPS strategy across a multi-entity provider network, partnering with executive leadership, analytics teams, and physicians to align quality performance with financial sustainability in risk-based contracts. My work sits at the intersection of clinical operations, regulatory reporting, and population health strategy. I translate complex claims and performance data into actionable insights that improve benchmark attainment, strengthen provider engagement, and mitigate regulatory risk.Core strengths include:• Enterprise MIPS & value-based contract strategy• Population health performance optimization• Provider incentive alignment • Quality metric architecture (HEDIS, eCQM, CQM)• Clinical data governance & validation• Dashboard design & performance transparency• Cross-functional leadership and team developmentI manage and mentor a team of quality professionals while serving as the system subject matter expert for quality metric logic, regulatory reporting, and performance improvement strategy. My clinical foundation (6 years inpatient and 1 year outpatient) informs my ability to design programs that are operationally realistic, physician-aligned, and outcome-driven.I’m focused on director-level leadership opportunities in population health, value-based care strategy, and clinical performance optimization where I can help organizations design scalable systems that improve quality outcomes while reducing total cost of care.
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