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My recent administrative experience was as the Director of Midwifery and
"The Birth Center at the Beth" at Newark Beth Israel Medical Center, an
inner city tertiary medical center, in Newark New Jersey. Establishing a
Midwifery multi-centered practice, establishing a $1,000,000 budget,
negotiating managed care contracts for midwifery and birth center services.
I established A Shared Beginning: The Westchester Birth Center, my own
business MOOREINFO Inc. a medical information service and licensed home
health agency for mothers and babies and being the first CNM to obtain
hospital delivery privileges at Columbia Presbyterian Medical Center. To
provide the best in administrative duties I have taken business and
management courses, and have an MPH degree in Health Administration from
Columbia University. I do consulting, marketing, advertising, financial
planning, third party reimbursement, publication, program development,
continuing education, business plans, teaching and private practice patient
care. MOOREINFO Inc. was granted a license to operate as a Home Health
Agency and started the first Infant Home Phototherapy program in the Hudson
Valley Region. MOOREINFO Inc. also did the postpartum home visits for the
families that delivered at the Birth Center.
Through MOOREINFO Inc. I wrote a New York State Department of Health Certificate of Need application for A Shared Beginning: The Westchester Birth Center and have followed the whole process of establishment of the birth center that was fully licensed. As part of this I also developed a business plan and obtained the funding for the Gonzalez-Moore Corporation for 1.65 million for purchase of the site, leases and operating capital for the office space, birth center and equipment, supplies and staffing necessary to be operational.
As a clinical specialist and administrator I have had to work with staff while bringing about change, which also included supervision and coordination of the clinical and educational changes for the nurses, midwives and clients/patients. The specialist position also included the coordination of the clinic, labor and delivery or class activities, research projects and overall program changes. In education I have taught in both a team and individual class concept. This involved designing, teaching, coordinating, and evaluating the courses myself. With research I have had to write grants, manage the project, supervise research assistants and other personnel, manage the budget and coordinate various other professionals and organizations to bring the research results to completion. I have also supervised masters and doctoral student work. The Westchester Birth Center was approved as a clinical teaching site for the Community Nurse-Midwifery program through Kentucky frontier Nursing and Case Western Reserve University. I have worked with community groups like, ASPO/Westchester and From Here to Maternity Inc., to develop and/or coordinate community education, patient care, and publicity programs.
I was on the Board of Directors for the Los Angeles Birth Center and worked at NACHIS, one of the first freestanding birth centers in the USA. I have done volunteer work for the March of Dimes and was on the Westchester Professional Board and the Health Advisory Committee for the MOD. For ASPO/Lamaze I have been the Westchester Chairperson for the Insurance reimbursement and Publicity committees. I was Assistant Editor for the Journal of Nurse-Midwifery and I was elected to the editorial board of the Journal of Perinatology.. I was a member of the ACNM Research and Statistics Committee, Nominations Committee and the ACNM Continuing Education committees. I published the Midwives Forum for the ACNM Chapter 2 newsletter and I was on the Peer Review Committee of the local ACNM Chapter. I have volunteered as a consultant and speaker in MCH, research, midwifery, sexuality, and nurse entrepreneurship, for local, national and international groups. I have also worked with the local school groups in helping to teach human sexuality to the young people and parents of my community. I was on the Boy Scouts of America Troop 55-parent committee as well as the Yonkers Community Council and Yonkers Mayors' task Force to Reduce the Infant Mortality Rate and Teen Pregnancy Rate in Yonkers. I was appointed by the Yonkers Mayor to be on the AIDS Advisory council.
As part of my MOOREINFO Inc. consulting I am an expert witness and do medical-legal case reviews for the legal profession.
Contact MOORE INFO Inc. about your particular questions or needs at:
DSMOORE@MOOREINFO.COM
I have worked as a CNM (Certified Nurse Midwife) for the past 20 years in a variety of settings including level & 3 hospitals and out of hospital birth center providing the full range of midwifery care. The experiences included being on call at the hospital and birth center site as well as being on beeper. The care included prenatal, intrapartum, postpartum, family planning and well women gynecology. In the hospital settings the care also included the use of IV's, fetal monitors, pitocin stimulation, AROM, analgesia, local anesthesia, episiotomy repair, emergency procedures, VBAC, labor bed and delivery room births, childbirth education, and Co-managing high risk patients, etc. In the birth center we monitored the women every 15-30 minutes during the first stage of labor, used virtually no medication, and provided constant supervision and labor support. Hydrotherapy in labor and birth including waterbirth was also part of the training and practice in both birth centers. VBAC births in the birth center and hospital were also provided, providing they were otherwise low risk. We transferred women to the back-up hospital that desired transfer or who developed complications. The birth center families were low risk and followed through the pregnancy and birth experience by the midwifery professionals with consultation by the physicians as needed. In the hospital setting the women were often high risk and unknown to me at the time of their visits or delivery. The midwifery services also included all types of family planning (Norplant, IUD's, Cervical cap, Diaphragm, etc.) well women gynecology including yearly physicals, pap smears, vaginal infections etc.
My nursing and childbirth educators clinical experience includes working as a clinical nurse specialist in labor and delivery, outpatient and the overall obstetrical area during which time I did staff development, designed patient education programs, patient and staff literature, gave direct patient care, developed care plans, did home visits, research, quality assurance, program evaluation and worked with numerous other members of the health care team. In addition I also set up the program and did the maternal helicopter transports and published clinical papers. As a childbirth educator I have designed, and taught prenatal, postnatal, breast feeding, family planning and breathing/relaxation classes. I have taken courses, worked with and/or read extensively about the Read, Erna Wright, Bradely and Lamaze method. I received certification through ASPO/Lamaze. I also set up a NYS DOH Licensed Home Health Care Agency for the home care of mothers and babies.
I was nominated several times for the New York State Nurse of Distinction Award. The National League presented their award for Outstanding Community Nursing. In 1998 I was selected as on of 5 finalist in the Nursing Spectrum "NURSE OF THE YEAR" award.
I have had the opportunity to teach in both a full time, part time and guest speaker positions in numerous schools and conferences across the United States and world. As a full time tenure track faculty I have worked in nursing and public health teaching maternal child health, women's health, research, biostatistics, physical assessment, program evaluation, group dynamics and various other nursing, midwifery and public health subjects. As a guest speaker I have spoken on Midwifery, human sexuality, teen-age sexuality, contraception and pregnancy, the role of the nurse and the nurse-midwife in the health care system, and women's health to name a few topics. I have had the opportunity to sit or chair search, admissions, research, testing, curriculum, faculty, nominations and other university or professional organization committees. I received a special Teaching Award from the UCLA graduate students. I was one of six national finalist for the Childbirth Educator of the Year Award sponsored by Childbirth Educator magazine.
I have continued my research career actively throughout my various positions. I have a strong commitment to the research process and believe in publishing the findings and when possible implementing programs as a result of research. I have worked in nursing and on interdisciplinary teams. One interdisciplinary endeavor was with Susan Scrimshaw Ph.D. on her Latina Birth Project through the UCLA School of Public Health. The Adolescent Sexuality and Contraceptive project grew out of mutual interests with my graduate students at UCLA and grew into national and international interdisciplinary presentations and publications. I managed a large market research survey in connection with the birth center project. I have also been involved with the pilot study work for a study and grant proposal on Nutrition in Labor with Pixie Elsberry CNM-Director of Midwifery at North Central Bronx Hospital. Recently I have worked with the Center for Perinatal Research on a DOULA project forinner city teens.In my position with MOOREINFO Inc. I have also assisted others with developing and carrying out and publishing their own research the most recent example is with Dr. Monica Furlong an anesthesiologist working on Awareness under General Anesthesia. I am presently teaching nursing research to the graduate students at Seton Hall University.
I have a history of getting others interested in research or clinical questions, working with them on the project and following through to publication with everyone benefiting from the experience. At this point I have authored more than 40 scientific publications and have written and been funded for several grants. I have been a grant reviewer for the Department of Health and Human Services. In 1979 I was named an American Journal of Nursing Scholar and awarded a research grant by the American Nurses Foundation and the Department of Health and Human Services. I was named in Who's Who in American Nursing, Who is Who in Professional and Executive Women, 2,000 Notable Women, and The World Who's Who of Women.
Contact MOOREINFO Inc. about your particular
questions or needs at:
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