Filomena Canci Tavares
1204 Stephenson Drive ,ON
Summary
Experienced with clinical management, focusing on enhancing patient care and operational efficiency. Utilizes strategic planning and leadership to drive team performance and compliance with healthcare standards. Track record of implementing process improvements and fostering collaborative work environment.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Clinical Manager PICU, PACE and Pediatric Transport Team
MCH
01.2022 - Current
- Led teams through go-live of EHR; also designated MCH site lead for go live and stabilization period
- Promote a culture of safety by supporting policies and practices related to infection control, medication administration, and incident reporting procedures.
- Ensure compliance with local and provincial regulatory guidelines and accreditation standards through consistent monitoring and implementation of corrective actions when needed.
- Provide leadership through unprecedented pediatric surge while maintaining multiple local and provincial services (PACE and Transport)
- Manage budgets and allocated resources effectively to ensure sufficient staffing levels and the availability of necessary equipment and supplies.
- Manage daily operations across 3 programs totaling over 200+ employees .
Chief Nursing Informatics Officer (CNIO)
HHS
01.2020 - 01.2022
- Provided clinical leadership for transformational project to implement a new enterprise-wide health information system for 15,000 staff across 8 health centers
- Led clinical teams in implementing process changes and workflows supporting best practices, improved patient outcomes while ensuring seamless experiences for patients, families, and staff
- Supported change management and readiness preparation activities to empower nursing and allied health to successfully adopt new clinical workflows and practice changes.
- Informed documentation workflows and tools to optimize patient safety surveillance including early warning systems, sepsis management, rapid response, medication safety and harm prevention bundles
Mohawk College Informatics Professor
School of Health
01.2020 - 01.2020
- Assisted in re-design of Introduction to Health Informatics course for first year health professional students. Course explored impact of working within a digital practice environment.
Clinical Manager Pediatric Medical Day Care Unit
MCH
01.2019 - 01.2020
- Led introduction, standardization and adoption of numerous evidenced-based clinical pathways, complex orderset development and nursing documentation standards.
- Used Continuous Quality Improvement (CQI) to implement program offering Remicade infusions closer to home.
Clinical Manager Ophthalmology Clinic
MCH
01.2018 - 01.2020
- Led digitalization process of transitioning 17,000 paper patient charts to Sovera.
- Clinic second busiest at MCH; supported launch of CQI program to improve patient experience; first clinic at MCH to introduce wireless paging system for patients/families.
Clinical Manager Patient Safety and Rapid Response (PACE) Team
MCH
01.2017 - 01.2020
- Responsible for numerous clinical projects and standardization efforts to support patient safety and improve complex clinical workflows. Quality improvement projects included:
- Implementation of a Pediatric Code Omega response team
- Medication safety initiatives supporting insulin, anaphylaxis, antihistamines, hypoglycemia, hyperkalemia, anticoagulation and blood product administration
- Led projects related to managing complex infusions and high alert medications including designing custom safety engineered IV extension sets for pediatric patients at MCH
- Co-led launch of cuffed PICC catheters to improve catheter stability and securement
- Responsible for PACE team development, education and performance/tracking of provincially regulated metrics. In 2018 co-led launch of the Pediatric Early Warning System across the Pediatric Medicine units.
PICU Clinical Leader
MCH
01.2016 - 01.2017
- Coordinated daily patient flow, surge planning, scheduling, resources to optimize delivery of patient centered care.
- Used unit-based scorecards and metrics to engage teams in tracking of key performance indicators.
PICU Quality and Safety RN
MCH
01.2013 - 01.2016
- Inaugural role; led quality safety initiatives including implementation of CLABSI and IV extravasation bundles and numerous medication safety initiatives.
- Supported implementation of PICU Liberation bundle; early mobilization and improved recovery bundle.
- Created PICU Gazette, biweekly newsletter sharing unit specific data and practice updates.
- Developed, implemented and evaluated clinical initiatives, policies and protocols including CRRT, TPE and manual exchange.
PICU Clinical Coach
MCH
01.2010 - 01.2013
- Unit lead for planning and implementation of a hospital wide EHR (Meditech)
- Key role in transition planning for new PICU construction/move project (2012). Responsibilities included policy and protocol development, code planning, simulation testing, communication pathways and education for new technologies and structures.
PICU RN
MCH
01.2002 - 01.2010
- Numerous roles and responsibilities; Charge, PACE, Code Blue, peer mentor and preceptor.
- Developed specialized critical care skills, supported family centered care within a complex environment.
PICU RN
Hospital for Sick Children
01.1999 - 01.2002
- Additional specialized skill development while caring for cardiac and transplant patients.
PICU RN
Riley Children’s Hospital, Indianapolis Indiana
01.1998 - 01.1999
- Developed pediatric critical care skills within a specialized pediatric trauma center.
Hematology/Oncology RN
MCH
01.1994 - 01.1998
- Cared for patients with complex treatment pathways while supporting families experiencing significant and challenging diagnosis amidst extended hospitalizations.
Education
MAS - Patient Safety & Healthcare Quality
Johns Hopkins Bloomberg School of Public Health
Baltimore, Maryland01.2019
BScN - Nursing
Queens University
Kingston, Ontario01.1994
Skills
- Clinical Leadership
- Project Management
- Patient Safety
- Training and Mentoring
Certification
- Crucial Conversations 2022
- Leading High Performing Teams that Thrive through Covid and Beyond (HHS) 2021
- Epic Informaticist Certification 2021
- RNAO and AVA member 2021
- Evidence-Informed Decision Making Workshop (McMaster University) 2016
- Lean Yellow Belt (Ontario Hospital Association, Toronto) 2015
- Introduction Quality Improvement Program (IDEAS Ontario, Hamilton) 2015
- Patient Safety Education Program (Canadian Patient Safety Institute, Toronto) 2013
- Advanced Cardiac Care Certificate (Mohawk College) 1998
- Critical Care Certificate (Mohawk College) 1994
- College of Nurses of Ontario 1994-present
Awards
HHS Margaret Charters Nursing Bursary 2018, HHS Nursing Excellence Award 2016, HHS Nominated Nursing Excellence Award 2015, Third place poster submission Canadian Vascular Access Association (CVAA) Conference Toronto Quality Improvement Initiative: Implementing Central Line Bundles in a PICU, Canadian Vascular Access Association (CVAA) Scholarship 2013, MCH PICU Nursing Excellence Award 2012
Publications
- Canci Tavares F., AlBandari M., Donnellan J. Peripherally Inserted Central Catheters in Children: A Prospective Single-Center Analysis of Associated Complications. Journal of the Association for Vascular Access 2021; doi: https://doi.org/10.2309/JAVA-D-20-00036
- Turner T., Olafson C., Elahie A., Pai M., Canci Tavares F., Acker J. Evaluating the Impact of Flow on RBC Product Quality Through Two Different Intravenous Tubing. CJMLS Spring 2021.
- Choong K, Canci F, Clark H, Hopkins RO, Kudchadkar SR, Lati J, Morrow B, Neu C, Wieczorek B, Zebourh T. Practice Recommendations for Early Mobilization in Critically Ill Children. J Pediatr Intensive Care. 2018 Mar;7(1):14-26.
- Contributor McMaster Children’s Hospital PICU Drug Handbook 2019 & 2014 edition
- PICULiber8 Clinical Innovation Video (2017) https://www.youtube.com/watch?v=6lvZP6YacDY
Hospital Committees and Other Activities
- Co-Chair of Pediatric Code Blue Committee 2022-present
- Co-Chair of Pediatric Medication Safety 2022-present
- Member of MCH Patient Safety Steering 2022-present
- Co-Chair HHS Patient Care Documentation Committee 2020-2022
- Member HHS Quality of Care/Quality Patient Safety Steering Committee 2019-2022
- Co-Lead MCH Pediatric Code Omega Implementation 2019-2020
- Member HHS CLABSI Prevention Working Group 2018-2020
- MCH Pediatric Early Warning System Steering Committee 2018-2020
- MCH Co-Chair Pediatric Medication Safety Committee 2017-2020
- MCH IV Extravasation Prevention Steering Committee 2017-2020
- HHS Social Media Ambassador (@TavaresFil; @mch_childrens) 2017-present
- MCH Pediatric Code Blue Steering Committee-Quality Lead 2015-2020
- MCH Pediatric Vascular Access Committee 2015-2020
- HHS Vascular Access Product & Technology Committee 2015-2018
- MCH Member of Canadian ICU Collaborative “PAD your ICU” 2016
- MCH PICU Continuous Quality Improvement Committee 2016
- MCH PICU Renal Replacement, Therapeutic Exchange & Hemodialysis Lead 2016
- MCH PICU CLABSI Prevention Group 2014-2016
Invited Presentations
- National/International Conferences:
- Canadian Vascular Access Association (CVAA) National Conference (Quebec City) 2019 I See Your IV: Preventing Harm from IV Extravasation
- American Association of Critical-Care Nurses (AACN) National Conference (Boston, Massachusetts) PICULiber8: Changing Culture and Care in the PICU 2018
- Patient Safety Conference (Georgetown, Guyana) Patient Safety in a Complex Environment 2018
- Patient Safety Conference (Mumbai, India) SURYA Women’s & Children’s Hospital Enhancing Patient Safety & Quality Improvement in Newborn and Pediatric Care 2017
- Association for Vascular Access (AVA) National Conference (Orlando, Florida) All Aboard the Change Train: Driving Change across a Children’s Hospital PEDISIG National Grand Rounds-Case Presenter 2016
- Association of Vascular Access (AVA) National Conference (Dallas, Texas) Beyond the Bundle: Sustaining the initiative PEDISIG National Grand Rounds-Case Presenter 2015
Local Presentations
- RNAO PedNIG Safety Symposium Hospital for Sick Children Panel Member 2019
- Canadian Association of Pediatric Health Centres (CAPHC Presents!) The ABCs of PICU Recovery 2018
- Canadian Vascular Access Association (CVAA) Hamilton Chapter Keynote Presentation PIV Securement and the Reduction of Infiltration Rates 2017
- Canadian Vascular Access Association (CVAA) Hamilton Chapter Keynote Presentation All Aboard the Change Train: Driving Change across a Children’s Hospital 2016
- Baxter CLABSI Education Session (Moncton, New Brunswick) Beyond the Bundle: Changing Culture and Sustaining Change 2015
Posters
- Canadian Pediatric Society (Virtual Conference) Co Author Complication rate of cuffed versus uncuffed PICC lines placed in interventional Radiology in pediatric patients 2021
- Sick Kids Innovation Expo Toronto, Ontario PICU Liberation Starts on Admission Innovating Rehabilitation in Critically ill Children 2017
- Canadian Association of Pediatric Health Centres (CAPHC) Halifax, Nova Scotia Protect our Lines, Protect our Lives. How we standardized central line care across McMaster Children’s Hospital Using ABCs to Liberate patients from the PICU 2016
- McMaster University Health Fair Hamilton, Ontario Using Evidence-Based Guidelines to Improve Patient Outcomes in the PICU 2016
Timeline
Clinical Manager PICU, PACE and Pediatric Transport Team
MCH
01.2022 - Current
Chief Nursing Informatics Officer (CNIO)
HHS
01.2020 - 01.2022
Mohawk College Informatics Professor
School of Health
01.2020 - 01.2020
Clinical Manager Pediatric Medical Day Care Unit
MCH
01.2019 - 01.2020
Clinical Manager Ophthalmology Clinic
MCH
01.2018 - 01.2020
Clinical Manager Patient Safety and Rapid Response (PACE) Team
MCH
01.2017 - 01.2020
PICU Clinical Leader
MCH
01.2016 - 01.2017
PICU Quality and Safety RN
MCH
01.2013 - 01.2016
PICU Clinical Coach
MCH
01.2010 - 01.2013
PICU RN
MCH
01.2002 - 01.2010
PICU RN
Hospital for Sick Children
01.1999 - 01.2002
PICU RN
Riley Children’s Hospital, Indianapolis Indiana
01.1998 - 01.1999
Hematology/Oncology RN
MCH
01.1994 - 01.1998
BScN - Nursing
Queens University
MAS - Patient Safety & Healthcare Quality
Johns Hopkins Bloomberg School of Public Health
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