D. Thomas
Senior clinical accreditation and healthcare quality leader
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About
Senior clinical accreditation and healthcare quality leader with more than two decades of progressive experience across academic medical centers and complex hospital systems. Nationally certified in healthcare accreditation with deep expertise in Joint Commission, DNV, CMS, and CIHQ standards. Recognized for leading enterprise-wide tracer programs, executive-level reporting, and system-wide compliance initiatives that sustain continuous readiness and reduce regulatory risk.
Experience
Field representative RN surveyor - Joint Commission - Remote
(2026-07)
Participated in country-wide Joint Commission surveys as general, pediatric and women's services RN surveyor.
Clinical Accreditation Specialist - MD Anderson Cancer Center - Houston, TX
(2019-01 - 2025-01)
- Led enterprise-wide accreditation readiness efforts across nursing, laboratory, and clinical service lines to support Joint Commission and CMS compliance.
- Coordinated tracer methodology, mock surveys, and corrective action planning that supported successful regulatory surveys with zero immediate jeopardy findings.
- Developed executive-level accreditation and QAPI reports used by senior leadership to guide system-wide compliance priorities.
- Partnered with clinical and executive leaders to sustain continuous readiness and reduce repeat findings.
Director of Quality / Quality Coordinator - St. Joseph Medical Center - Houston, TX
(2012-01 - 2018-01)
- Directed system-wide regulatory compliance and patient safety programs aligned with DNV and CMS standards.
- Oversaw NDNQI reporting and performance improvement initiatives, strengthening survey outcomes and sustained compliance.
- Led root cause analysis and corrective action planning reduced repeat regulatory findings across survey cycles.
Director of Nursing - Harris County Hospital District - Houston, TX
(2010-01 - 2011-01)
Provided operational and clinical leadership across multiple maternal–child service lines, managing 100+ staff while maintaining regulatory compliance and quality outcomes.
Regulatory & Compliance RN - Baylor St. Luke's Medical Center
Adjunct Faculty Member - Texas Woman's University
Nurse Manager, NICU - Texas Children's Hospital
Registered Nurse / Assistant Head Nurse - The Methodist Hospital
Education
Master of Science - Health Care Administration - Texas Woman's University
Bachelor of Science - Nursing - University of Texas Medical Branch
Bachelor of Arts - Sociology - Lamar University