Registered Nurse Sales

Trish Hill, MSN, APRN – BC acrkcn@r.postjobfree.com

**** ********** ***** (M) 314-***-****

Florissant, MO 63033 (H) 314-***-****

PROFESSIONAL SUMMARY

Advanced Practice Registered Nurse – Child-Adolescent Psychiatric-Mental Health Board Certified

As an advanced practice nurse (APRN) in the state of Missouri I am one of twenty-two (22) qualified APRNs to respond to the shortage of providers licensed to provide psychotherapy and psychopharmacology to children and adolescents in the state. Psychotherapy can be provided independently and psychopharmacology through a collaborative agreement with a pediatric psychiatrist. I have experience and am passionate about caring for children-adolescents with a history of trauma, primarily interpersonal trauma and often involved in Children’s Division.

CREDENTIALS

Board Certified Child-Adolescent Psychiatric Clinical Nurse Specialist 7/ 2/2010

Registered Professional Nurse License, Multi-State License 9/15/1983

WORK EXPERIENCE AS AN ADVANCED PRACTICE REGISTERED NURSE IN CHILD & ADOLESCENT PSYCHIATRY

Advanced Practice Registered Nurse – Board Certified

CHADS Coalition 8/14 -

Part-time position working with a local nonprofit as a research grant manager. Working in partnership with St. Louis Children’s Hospital (SLCH) and Washington University School of Medicine Pediatric Psychiatry, to provide assistance in navigating the mental health system for suicidal adolescent youth and their families. Participating from the ground up with the Principal Investigator at Washington University and leaders at CHADS to develop the program and achieve IRB approval. Working to develop relationships with faculty and medical, clinical and supportive staff in order to provide a non-intrusive in the SLCH emergency department.

Advanced Practice Registered Nurse – Board Certified

Ascension: Rising to a Higher Level 6/14 –

Began providing pro bono services in my community of North St. Louis County after my previous position was de-funded. In-home services provided included: psychiatric assessments with psychotropic medication management, therapy, nursing case management and tutoring/educational support. During this timeframe, decided to start a new nonprofit to provide these same services with a mission to provide each youth with an opportunity to succeed. In December 2014, the company became licensed as a nonprofit in Missouri and on July 22, 2015 the IRS logged the company’s 501c3 application which awaits approval. In the meantime, the company obtained free space in which to practice and so the services continue to be provided by appointment with the pro bono collaborative agreement with a pediatric psychiatrist, free space and free care.

Advanced Practice Registered Nurse – Board Certified 7/13 – 4/14

BJC Behavioral Health – Adolescent Intensive Out-Patient Program

Provided comprehensive intake assessments for services including medication management, individual therapy, group therapy, and general cursory medical examinations, including signs and symptoms of drug and/or alcohol use/abuse/exposure. Once the assessment was completed a comprehensive treatment plan was done with the appropriate referrals. For those requiring psychiatric services only, this was provided through ongoing collaborative agreement with David Berland, M.D. Each youth was also assessed for appropriateness for group therapy, case management needs, medical needs, individual therapy, school-based advocacy needs, as well as socioeconomic and spiritual needs. Provided group facilitation for the older adolescent group and individual therapy for traumatized youth, in addition to medication management. The majority of these youth were not in their home of origin due to various types of trauma, including but not limited to: inutero drug/alchohol exposure, impaired caregivers (due to drug/alchohol use/abuse and/or mental illness); physical abuse, sexual abuse, neglect, sexual trafficking, self-medicating (drug or alchohol use), community violence, school violence and drug trafficking and violence related to the same. Therapy clients ranged from 12 to 19 and medication management clients ranged from 5 to 19.

Advance Practice Registered Nurse – Board Certified 4/10 – 3/13

Children’s Advocacy Services of Greater St. Louis

Continuing to provide trauma therapy services for children from ages 5 to 19 using evidence-based Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and evidence-informed Integrated Therapy for Complex Trauma (ITCT) for severely traumatized youth. In addition, since board certification July 2010, have been providing psychiatric services through assessment and prescription of psychotropic medications from a trauma-informed perspective and via a collaborative practice agreement with David Berland, M.D. Further experience has included co-facilitation of the caregiver portion of Adolescents with Illegal Sexual Behavior Problems (AISB), an evidence-based group process for adolescent males who have either been adjudicated, or acts could have been adjudicated. Ongoing provision of psychoeducation provided at monthly colloquiums have included differential diagnosis between ADHD and PTSD, as well as a variety of classes of psychotropic medications used in children and adolescents. The majority of the youth were not in their home of origin due to various types of trauma, including but not limited to: inutero drug/alchohol exposure, impaired caregivers (due to drug/alchohol use/abuse and/or mental illness); physical abuse, sexual abuse, neglect, sexual trafficking, self-medicating (drug or alchohol use), community violence, school violence and drug trafficking and violence related to the same. Therapy clients ranged from 12 to 19 and medication management clients ranged from 5 to 19.

CLINICAL PRACTICUM EXPERIENCE

Advanced Practice Nurse Intern 6/09 – 4/10

Children’s Advocacy Services of Greater St. Louis, St. Louis, MO

Provided individual psychotherapy for children-adolescents with a history of traumatic event using evidence-based Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). Co-facilitated Children with Sexual Behavior Problems (CSBP) caregiver groups. Attended didactic training in trauma care and TF-CBT. Observed forensic interviews and Parent-Child Interactive Therapy (PCIT). Researched and developed a presentation at the Children’s Advocacy Services Community Colloquium entitled, “The Effects of Trauma on the Developing Brain”.

Advanced Practice Nurse Intern 6/09 – 11/09

Washington University Division of Child & Adolescent Psychiatry

Sought out additional clinical hours in psychopharmacology with children and adolescents with complex backgrounds and diagnoses, including autism spectrum disorder, depressive disorders, bipolar disorder, sociopathy and anxiety related disorders. Worked with John Constantino, M.D. and the fellows working with him through observation, presentation and discussion of cases.

Advance Practice Nurse Intern 1/09 – 5/09

Hazelwood School District, Hazelwood, MO

Created, facilitated and evaluated a 6-week group for eight grade girls with a history of exposure to domestic violence. Provided individual psychotherapy with male and female 6th – 8th grade students with behavioral problems, depressive and anxiety disorders, as well as assessment for drug & alcohol use/abuse. Incorporated parental interviews and involvement when possible with the students. Observed initial assessments for referral to ongoing care provider for grade-school aged children by a BJC Healthcare psychiatrist. Provided consultation about medications for my preceptor who is a Licensed Clinical Social Worker.

Advance Practice Nurse Intern 9/08 – 12/08

CentrePointe Psychiatric Hospital, St. Charles, MO

Provided individual psychotherapy for inpatient children-adolescents ages 3 to 18. Participated in interdisciplinary rounds for the child and adolescent units. Attended, observed and interacted with children-adolescent in therapeutic activities and groups. Observed medication management by staff physicians on the child and adolescent units.

Advance Practice Nurse Intern 9/07 – 12/07

Barnes-Jewish St. Peters Hospital Emergency Department, St. Charles, MO

Completed physical assessments, discussed diagnoses and treatment plans with a Board Certified Emergency Physician.

Advance Practice Nurse Intern 9/06 -10/06

Hawthorn Children’s Psychiatric Hospital, St. Louis, MO

Obtserved children and adolescents and their multi-disciplinary caregivers in a residential setting as they participated in groups, activities, school and time on their units. Attended, as an observer, weekly multi-disciplinary planning meetings and client discharge/placement meetings.

WORK EXPERIENCE AS A REGISTERED NURSE

Project/QI Coordinator 6/06 – 12/09

Barnes-Jewish St. Peters Hospital, St. Peters, MO

Created the Ongoing Provider Practice Evaluation (OPPE) process for regulatory compliance. Instrumental in the creative design (not the programming) of a Microsoft Access database to serve as a data repository for quality indicators for licensed independent providers to meet regulatory requirements by The Joint Commission (TJC). Design of individual and departmental summary reports and completion of reports for ongoing provider feedback. Provide response to ad hoc requests for provider and patient-level reports through access of internal databases, CareDiscovery and Diver. Working autonomously to meet deadlines for report preparation, submission and analysis. Independent consulting review for TJC compliance indicated the process is ahead of most others.

Senior Consultant, Patient Safety and Quality 10/03 – 12/05

Barnes-Jewish Hospital, St. Louis, MO

Worked directly with department chiefs in educating and ensuring compliance with regulatory agencies such as CMS, Joint Commission and the State of Missouri resulting in successful outcomes in these areas during the credentialing surveys. Coordinated and facilitated a successful, unannounced State Licensing Survey. Facilitated root cause analyses for adverse events, as well as investigations for internal abuse allegations. Left to pursue Masters of Science in Nursing degree.

Program Manager and Clinical Research Coordinator 4/02 – 10/03

Washington University School of Medicine, St. Louis, MO

Provided direction for day-to-day operations and prepared the outcomes reports for a patient-safety grant from the Agency for Healthcare Research and Quality (AHRQ). Served in a clinical capacity to provide insight into the development of the Safety Event System (SES) currently used throughout the BJC Health System. Developed interview guides for and conducted interviews and facilitated focus groups to inform the process for developing the SES. Left due to a desire to continue work in patient safety and quality recognizing the impending end of the AHRQ grant.

Regional Director of Operations 11/00 – 2/02

Occupational Health and Rehabilitation, d.b.a., SSM Corporate Health Services, Hingham, MA

Provided direction of day-to-day operations through three direct report on-site operations managers. Facilitated management of physician services in the absence of a medical director. Established mechanisms to capture previously missed rehabilitation visits and to track cancelled and missed follow-up to injury visits, each resulting in an increase in revenues. Maintained relationships with clients in order to solidify an ongoing business relationship and referral of employees for occupational health services. Left this position when the corporate office downsized and laid off regional operations and sales directors.

Independent Nurse Consultant 9/99 – 3/02

Self-Employed

Provided investigative services and documentation of history of events involving life-care-planning for individuals with on the job work injuries resulting in permanent disabilities. Provided analysis of Medicaid services and claims made for the City of St. Louis. Worked in this capacity due to lay off from Bristol-Myers Squibb when eight months pregnant.

Business Manager – Advanced Healthcare Services 3/98 – 10/99

Bristol-Myers Squibb Company, New York, NY

Supported regional sales teams to differentiate the organization in the market by providing disease management software services in cardiovascular diseases and diabetes management. Provided the sales presentations, user training for and the implementation of disease management programs in provider offices and insurance agencies. Left when the disease management division was eliminated.

Director Pharmaceutical Division 6/95 – 2/98

Practice Patterns Science, a division of Express Scripts, Inc., St. Louis, MO

Developed and managed the pharmaceutical division in sales and services with pharmacoeconomic analyses that resulted in obtaining 90% of the company’s $4 million dollar revenue in the second year of business. Served as a consultant in the clinical development of the proprietary algorithms for software development.

Director, IVTx St. Louis 1/93 – 6/95

IVTx, a division of Express Scripts, Inc., St. Louis, MO

Oversight and direction of the entire St. Louis Office, including nursing, pharmacy, billing & sales with a history of exceeding profit goals by 16%. Accomplished increased revenues, reduction of expenses, reimbursement of denied billings and decrease in the account payable cycle to under sixty days. Developed policy and procedure manuals, selected and trained staff and prepared for and passed without recommendations the very first Joint Commission survey conducted for this business. Moved due to an internal promotion to a start-up business within the same company.

Special Projects Manager 10/89 – 12/92

Synergon, a division of Spectrum Emergency Care, Inc., St. Louis, MO

Developed, implemented and evaluated program outcomes resulting in a successful new value-added division by which the company differentiated itself. The result was an increase from 0% to 20% operating margin in 18 months. Achieved 175% of plan for 1992 through these same add-on sales (value-added) to a satisfied client base.

Staff Nurse Emergency Department 2/85 – 6/95

Barnes-Jewish Hospital, St. Louis, MO

Accomplished certification as an instructor for Advanced Cardiac Life Support and the Trauma Nurse Core course. Challenged the exam and became certified as a Trauma Nurse Specialist. Provided care for acute medical/surgical illnesses, trauma induced injuries and drug and alcohol use/overdoses and acute intoxications and any illnesses or injuries sustained due to the use/abuse of alcohol and drug use.

EDUCATION

Masters of Science in Nursing Dec. 2009

Emphasis in Child-Adolescent Psychiatric-Mental Health

St. Louis University School of Nursing, St. Louis, MO

Bachelors of Science in Nursing May 1992

Webster University, Webster Groves, MO

Diploma in Nursing June 1983

Lutheran Medical Center School of Nursing, St. Louis, MO

AFFILIATIONS

Sigma Theta Tau Honor Society of Nursing

Delta Lambda Chapter, St. Louis University School of Nursing, St. Louis, MO

American Psychiatric Nurses Association

International Membership

National Alliance on Mental Illness (NAMI)

Full Membership

COMMUNITY AFFILIATIONS

Stephen’s Minister

Lay Caring Ministry, St. Louis, MO

Church Member

St. Andrew’s United Methodist Church, Florissant, MO

Certified Emergency Response Team Member (CERT) – Disaster Preparedness Team

Disaster Preparedness Team, Florissant, MO

PUBLICATIONS

Baker, T*, Ertle, A. & Cave, D. (1997). Challenges to identifying actual diabetes case-mix complexity and total treatment charges. Medical Interface, 10, 91-95.

Wilson, P., Baker, T. & Care, D. (1998). Medical trends report: Sinusitis. Managed Care Interface, 54-56.

Jeffe, D, Dunagan, W, Garbutt, J., Burroughs, T., Hill, P., Harris, C, Bommarito, K. & Fraser, V. (2004, Sept). Using focus groups to understand physicians’ and nurses’ perspectives on error reporting in hospitals. Joint Commission Journal on Quality and Safety, 30, 471-479.

*Baker is my maiden name

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