Meet Carol Marsiglia, RN, CCM, MS
Division Director for Consultation Services
Healthcare Informatics Consultant

Highly motivated and qualified healthcare leader with more than 22 years experience in the healthcare industry. Expertise is in community care management for populations with complex needs and knowledge of community systems of care and healthcare information management. Skills include:
• Systems analysis and design
• Process re-engineering
• Project management
• Strategic planning
• Program development
• Case management
• Team leadership
• Healthcare Information management
• Knowledge of community systems
• Communication

Professional Experience

2002 – Present
The Coordinating Center
Millersville, MD
Division Director for the ACCESS Division
Clinical Informatics Consultant
Accountable for the direction of the consultation and technical assistance division of the Corporation. Primary responsibilities include development of projects and programs, development of policies and procedures for the operation of the Division, budgetary analysis, program/timeline management, researching opportunities/new ventures and strategic planning.

Selected results:
• Developed and implemented $1.4 million contract to provide care coordination for adults coming out of long-term care.
• Designed and developed infrastructure within the division for positive revenue production
• Designed and implemented program to address HIPAA within the organization

1995 – 2002
The Coordinating Center
Millersville, MD
Program Director for Care Management Division
Accountable for Division oversight including strategic planning for a model care management system for children with special health care needs and their families. Primary responsibilities include oversight of compliance with contract and regulatory requirements, development and implementation of policies and procedures for all care management contracts, development of clinical information system for all care management. The Program Director supervises and mentors in excess of 40 professionals and paraprofessionals in the delivery of care management services
Selected results:
• Lead for implementation of two new care coordination contracts to The Coordinating Center (both adult and pediatric population waivers)
• Developed, monitored and improved the processes, policies, and procedures for the care management division
• Lead for standardization of care management practices and delivery of service addressing:
- Data collection, report preparation and presentation
- Quality management and utilization review
- Customer satisfaction
- Fee structure and billing
- Care management policies and procedures
- Information system

1989 – 1995
The Coordinating Center
Millersville, MD
Clinical Care Coordinator
As a Clinical Care Coordinator, responsible for providing community care coordination services to Medicaid recipients participating in 1115 and 1915C state waiver programs as well as state funded Managed Care Organizations and other private insurance entities. Facilitated discharge transition from acute and long-term care facilities. Responsibilities include identifying, locating and monitoring services to support inclusion of individuals with cognitive disabilities and medical needs in order for them to reside successfully in the community.

1993 - 1994
Pediatric Care America
Columbia, MD
Pediatric Infusion Specialist and Patient Care Supervisor
Provide infusion in home setting to pediatric population. Acted as coordinator for infusion services, coordinating care with referral sources, third party payers, physicians, families, infusion nurses and pharmacists. Attained certification in the administration of chemo-therapeutic drugs.

1988 - 1990
Sinai Hospital Adult Intensive Care Unit
Baltimore, MD
Critical Care Staff Nurse
Administer clinical nursing care to critically ill individuals using state of the art technology.

1982 - 1989
Independently Employed
Primary Care Nurse
Provide clinical nursing care for children with technology dependence. Assisted in the transition of children with complex medical needs into the community school setting.

1981 - 1982
Johns Hopkins Hospital
Baltimore, MD
Pediatric Intensive Care Staff Nurse
Administer clinical nursing care to critically ill children in the pediatric intensive care unit.

Education
Master of Science in Nursing Informatics (MSN)
University of Maryland at Baltimore (2002)
Bachelor of Science in Nursing (BSN)
University of Maryland at Baltimore (1997)
Diploma in Nursing
Maryland General Hospital School of Nursing (1981)

Licenses and Certification
Certified Case Manager (CCM)
Registered Nurse, Maryland Board of Nursing (RN)
CPR Certification

Awards
Excellence in Nursing Scholastic Achievement
Maryland General Hospital School of Nursing
1981

Honors for Academic Achievement
University of Maryland
1998

Professional Memberships
Case Management Society of America
Healthcare Information Management Systems Society (HIMSS)
Sigma Theta Tau National Nursing Honor Society
Phi Kappa Phi

Publications
March 1999, Co-author of The Coordination Pathway – A Family Centered Care Management Model for people with complex medical care needs who live in a community setting. The Coordination Pathway is a model of care management that identifies family centered outcomes for individuals utilizing community-based services.

November 2002, Primary author for Chapter 23 in Guidelines for Pediatric Homecare, Case Management for Children who are Technology Dependent. This book was published by The American Academy of Pediatrics to begin to establish standards for pediatric homecare practices.

Presentations
April 2003, Kencrest Services 2003 National Conference for Children Who are Medically Fragile or Technology Dependent, Philadelphia PA., Care Management Decisions Regarding Nursing Services for Children.

November 2002, Prince George’s County Department of Family Services. Individuals with Disabilities Division, Infants and Toddler Program Fall In-service, Largo, MD., Co-presenter for Working with Families and Children with Special Needs.

October 2000, National Association of Homecare Conference., New Orleans, LA., Coordinating Services for Children with Special Healthcare Needs.

September 2000, UM/CM Best Practices Conference sponsored by CMSA and URAC in San Diego, CA., Benchmarks in Pediatric Case Management: Setting Standards for Success.

June 2000, Case Manager Society of America National Conference in Tampa FL., Case Management Standards for Children with Complex Healthcare Needs.

November 1999, American Academy of Pediatrics National Conference in Washington D.C., Planning Homecare for Children who are Technology Dependent.

April 1999, Kencrest Services 1999 National Conference for Children Who are Medically Fragile or Technology Dependent., Philadelphia PA., Coordination Pathway : A Model for Community Centered Care Management.

Other Experience
July 2000 – present, Appointed representative for Maryland Association of Community Support Providers to Statewide Legislative Commission on the Crisis in Nursing in Maryland to address the statewide nursing shortage.

September 2001 – December 2001, Clinical Internship at MedStar in the Information System Department. Involved in training and implementation project of McKesson Homecare Pathways point of care documentation system for MedStar Visiting Nurses Association.

May 1998 – June 1998, Invited participant in the Care Management Task Force of the Special Needs Advisory Committee to recommend standards for qualification of case managers and guiding principles for case management for children in statewide 1115C waiver.