Julissa Sharbini

• Participate in performance and quality improvement programs.
• Manage and report HEDIS at the unit and MEDCOM levels.
• Retrieve data from the MHSPHP portal and provide the data to the Clinic Leadership.
• Communicate best practice procedures for implementing HEDIS measures and assist in the implementation.
• Present barriers to Clinical Leadership. Provide education to Hospital staff and beneficiaries on HEDIS to increase awareness and compliance.
• Distributes HEDIS/appointment reminders for overdue, due in 30 days, due in 60 days, and due in 90 days to Clinic NCOICs one day in advance so patients can be informed during their appointments.
• Distribute call lists to Team Outback and Safari each month to contact patients that are overdue, due in 30 days, due in 60 days, and due in 90 days.
• Provide instruction to ensure HEDIS call outs are professional and patient privacy rights are protected. Aide in the development of programs and processes that improve patient care.
• Retrieve procedure reports from remote facilities with patient consent.
• Create telephone consults and upload procedure reports and other documents to Documentation for inclusion in the patient's record.
• Complete Power Forms in Genesis to ensure the encounter is properly captured. Present Tricare enrollment issues to Winn Enrollment Officer.
• Send HEDIS reminder letters in the mail and contact overdue and due patients via MHS Genesis patient portal.
• Perform other nursing duties and tasks as assigned based on competency assessment.
• Maintain HIPAA standards and immediately report any critical findings to designated authorities.
• Keeping abreast of HEDIS measures.

• Participate in performance and quality improvement programs.
• Manage and report HEDIS at the unit, Western Region Medical Command, and MEDCOM levels.
• Retrieve data from the MHSPHP portal and provide the data to the Clinic Leadership.
• Present MEDDAC-AK HEDIS data at Access to Care briefings.
• Brief DCCS monthly on HEDIS measures to include sustains, barriers, and new developments.
• Communicate best practice procedures for implementing HEDIS measures and assist in the implementation.
• Present barriers to Clinical Leadership and the Command team.
• Provide education to Hospital staff and beneficiaries on HEDIS to increase awareness and compliance.
• Distributes HEDIS/appointment reminders for overdue, due in 30 days, due in 60 days, and due in 90 days to Clinic NCOICs one day in advance so patients can be informed during their appointments.
• Distribute call lists to Team Denali, Team Aurora, and Team Tundra each month to contact patients that are overdue, due in 30 days, due in 60 days, and due in 90 days.
• Provide instruction to ensure HEDIS call outs are professional and patient privacy rights are protected.
• Aide in the development of programs and processes that improve patient care.
• Retrieve procedure reports from remote facilities to include Fairbanks Memorial Hospital, Breast Cancer Detection Center, Tanana Valley Clinic, Veteran's Affairs, and other facilities with patient consent.
• Create telephone consults and upload procedure reports and other documents to Documentation for inclusion in the patient's record.
• Complete Power Forms in Genesis to ensure the encounter is properly captured.
• Provide guidance to HEDIS champions at Joint Base Elmendorf Richardson and Kamish SCMH.
• Present Tricare enrollment issues to Bassett Enrollment Officer.
• Meet with Mammography Technician and General Surgery Clinic Nurse periodically to ensure workload provided from HEDIS calls does not exceed current capabilities.
• Send HEDIS reminder letters in the mail and contact overdue and due patients via MHS Genesis patient portal.
• Perform other nursing duties and tasks as assigned based on competency assessment.
• Participate in two on-site pay-it-forward (Keesler AFB and Fort Meade) and three virtual pay it forwards by way of TEAMS.
• Assist other Population Health Nurses that are out of state to build their programs by virtual training.
• Maintain HIPAA standards and immediately report any critical findings to designated authorities.
• Keeping abreast of HEDIS measures.

• Move to Health Coordinator which includes coordinating the presenters as well as teaching weekly classes.
• Virtual Health Nurse backup.
• Retinal Health Nurse backup.
• Process Improvement Team Member and Data Collector- this includes identifying patient care process improvements.
• Revise local instructions to ensure practice is in accordance with policies.
• Diabetic Champion.
• Team Lead/ Charge Nurse for 2- 4 providers and 4-8 LVN's.
• Conduct daily Huddles that include core team staffing optimization, access management/realignment, visit prep, transition of care, clinic prep and provide nursing in-service/ staff education for the clinic staff during the rating period.
• Perform independent, comprehensive telephone and clinical triaging.
• Develop and implement individual patient's plan of care.
• Prepare, review, and track data reports.
• Serve as liaison between Tricare Manage Care, Support Contractor, MTF providers, and Referral Management services on matters relating to consultation, referral practices, and behavioral health Connect Program.
• Establish priorities for patient care and evaluate a patients progress toward high-level wellness.
• Facilitate care coordination through multidisciplinary approach.
• Apply the nursing process to systems or processes at the unit/team/work group level to improve care through process improvement projects.
• Communicate with providers regarding determinations and situations, document events appropriately. Recognize and report abnormal test results, changes in symptoms and the need for follow up.
• Demonstrate leadership by involving others in improving care.
• Evaluate practice of self and others using professional standards, relevant statues, and regulations.
• Acquire knowledge and skills to maintain expertise in area of practice through continuing education.
• Participate in educational activities related to acute and chronic illnesses to improve clinical knowledge and enhance role performance.
• Assist with clinic orientation as well as precept/mentor new staff members.
• Serve as a resource to staff and clients in addressing ethical issues. Use group process to identify, analyze, and resolve care problems.
• Promote non face-to-face care-scrubbing appointment list.
• Prepare and administer medication either subcutaneous, intramuscular, intravenous, or oral medications using the 6 patient rights. Execute physician orders.
• Perform treatments and assists health care providers with examinations and a variety of medical procedures e.g. EKG, nebulizer treatments, IV access/phlebotomy, assist lab with blood draws on difficult patients, wound care and teaching.
• Provide patient teaching regarding self-care and assistive devices i.e. canes, crutches, boots, splints, braces.
• Evaluate/review medical records for wellness or preventative care measures (also known as HEDIS) with notification to provider and patient as well as updating delinquencies.
• Maintain current knowledge in immunization updates and practices to ensure safe and appropriate care to the patients.
• Completion of annual immunization training to maintain staff knowledge.
• Work well with others and maintain a professional demeanor in dealings with co-workers, customer, and supervisors, including appropriate respect for cultural, ethnic, gender, and other differences and full cooperation with the EEO process when necessary.
• Maintain a safe and healthful work environment and promptly address allegations of noncompliance.
• Comply with safety and occupational health duties, program management, and responsibilities.
• Maintain/address/report deficiencies to leadership and assists in maintaining a safe and healthy work environment.
• Assist with pain management.
• Respond to emergency situations.

• Triage and screen walk-in patients to assess the severity of the patient's condition and the need for provider intervention.
• Make psychosocial assessment of patients to identify significant cultural practices, the ability to understand and cooperate, and expectations of care and coping mechanisms.
• Recognize and report abnormal test results, changes in symptoms and the need for follow-up care.
• Assist health care providers with examinations and procedures(e.g. EKG, nebulizer treatments, IV access in adult patients, medication administration using the 6 rights).
• Prepare and administer oral, subcutaneous, intra-muscular and intravenous medications.
• Promote non face-to-face care- scrubbing appointment list, i.e. Hedis measures.
• Assist with pain management.
• Respond to emergency situations.
• Enter approved consults.
• Patient education.
• Assist with infection control education.

• Case Manager to patients who screened positive to PTSD, anxiety, and depression.
• Track service members through periodic phone contact, monitoring progress and offering support and suggestions.
• Consulted bi-monthly with the behavioral health specialist then relayed information back to the primary care provider.
• Appointed by the commander of WAHC when both the Head Nurse and Chief Nurse were unavailable.
• Provide a full range of supervisory duties, to include personnel and resource management, assist with hiring, and enforcement of performance standards.
• Provide input regarding organization, structural, or content changes throughout the ambulatory care centers, services, and clinics in the Medical Treatment Facility.
• Provide care coordination activities, internally within the accountable care organization, and externally with civilian and military medical facilities.
• Serve as a clinic nursing subject matter expert and perform direct patient nursing care, as needed.
• Evaluate work performance of subordinates and give advice, counsel, or instruction to employees on both technical and administrative matters.
• Infection Control Lead Nurse.

Ensure infection control practices are properly implemented and carried out by all employees in the WAHC. Conduct daily to monthly unit/departmental educational in-services. Perform routine rounds to assure infection control policies and practices are being followed by staff members. Created “Silent Slips” that are completed by visitors and/or patients that are used to assess how the clinic is doing. Collected and reported data to Landstuhl Regional Medical Center (LRMC).

• Key participant during the Joint Commission Inspection.
• Safety Team Member- assist the Wiesbaden Army Safety Team during the Army Safety Health and Management System Survey (ASHMS).
• Participated in the Livorno Army Health Clinic ASHMS Survey and relayed safety tips, practices, and information to the WAHC.
• Ensure safety practices are properly implemented and carried out by employees.
• Conduct daily to monthly unit/departmental education in-services.
• Perform routine rounds to assure safety policies and practices are being followed by staff members.
• Key participant during the ASHMS Survey. Immunization and Allergy Trained- assist with protecting the community from vaccine preventable diseases by providing education and immunization to the beneficiaries within the Wiesbaden community.
• Assess the immunization status of patients, as well as administer and educate patients and caregivers about immunization matters.
• Assess the allergy immunotherapy status of patients, as well as administer and educate patients and caregivers about their allergy matters.
• Tele-health Nurse (Secondary)- acting Tele-health nurse coordinator when primary was not available. Coordinate tele-health appointments via polycom technology with the Landstuhl Hospital.
• Perform assessments for the providers using specialized equipment in an acute or specialty care appointment.
• Key participant in the Process Improvement (PI) project for Newborns - track how many newborns were born each month. Screen for jaundice and identify if the newborn needs a circumcision, hearing screen, PKU, referral to a specialty clinic, and/or re-admittance to hospitals due to issues identified through the newborn assessment.
• Assist with creating a new SOP regarding newborn infants. Lactation Counselor- offer support to new and experienced mothers with breast feeding needs.
• Educate mothers on the best practices for breast feeding using different or multi-faceted approaches.
• Assess for, monitor, and evaluate behavioral, cultural, and social conditions that can predispose mothers and babies to complex breastfeeding experiences.
• Orient and train new nursing staff members.
• Triage patients through walk-ins and/or through telephone conference calls.
• Enter approved consults. Promote non face to face care- scrubbing appointment list.
• Administer medications using the 6 rights. Start IV’s. Execute physician orders.
• Assist new employees with using AHLTA and CHCS.