Stephanie R. Paulmeno, MS, RN, NHA
9 Rockland Place
Old Greenwich, CT 06870
203 637-9227-Home
203-344-9333-Work
203-236-0400-Cell

Spaulmeno47@yahoo.com

spaulmeno@globalhealthsystemsconsultants.com
www.globalhealthsystemsconsultants.com

 

 

Mrs. Paulmeno has been a resident of Old Greenwich for 26 years and has worked in Greenwich positions consistently during that time. Since June 2009 she has operated two private for profit health care consulting businesses from offices in Old Greenwich; Global Health Systems Consultants, LLC, which focuses on international organizational and health system strategies, and Stephanie R. Paulmeno, MS, RN, NHA, Executive Nursing Consultation, which addresses high level nursing strategic planning as well as organizational and case management consultation. Primary within these consulting roles has been the opening and development of an integrative medicine home care agency serving the holistic needs of people of all ages with special needs, and the conversion of an agency's group homes to a recovery-based model of care.

 

She has held highly responsible professional, managerial and executive level positions in New York and Connecticut in health, mental health, and long term care since 1981. This included 12 years as Director of Nursing and 1 year as the Administrator of Record for The Nathaniel Witherell Nursing home, and 7 years as the Director of Community Health Planning for the Greenwich Department of Health. Her past work has included, being appointed as research coordinator for an international study on depression and dementia, publishing professional papers, speaking at national and international conferences, developing numerous coalitions and collaborations to address a multitude of health, mental health and social services issues, and designing award winning projects and programs. She conducted the acclaimed Greenwich public health systems assessment. Her long term involvement with Town departments and town-wide agencies added tremendous depth to her understanding of issues that required attention and decision making during her tenure on the Greenwich elected body, the RTM, where she served 2 terms of office.  She sat on the Public Works Committee, the Health Committee and the Appointments Committee. She has served for many years on the Greenwich Community Development Block Grant Advisory Council to the Selectman.

 

She sits on numerous State, Regional and Town boards, task forces, advisory boards and commissions and was appointed to the CT Commission on Health Equity by the House Minority Leader. She was elected by that body to their Executive Board. She has been serving as the Selectman's appointee to the Southwestern Connecticut Regional Mental Health Board for six years and has been the Chairman of the Board of the Lower Fairfield County Regional Action Council for over 6 years; she is the founding president of the 1^st CT Chapter of the American Foundation for Suicide Prevention, and a past Chairman of the Board for TAG (handicapped transportation).

 

Stephanie is an Advisory Board Member of Greenwich Hospital and of the Stamford Hospital's Patient and Family Advisory Board, of At Home in Greenwich.

 

Stephanie holds a degree in nursing, two degrees in gerontology, and a post master's certification in long term care administration and has had extensive course work in public health.

Curriculum Vitae:

 

 

EDUCATION

Quinnipiac College, Hamden, CT 06518, Long Term Care Administration Post Graduate  

Certificate Program: Basic Financial Management of Long Term Care Facilities (Offered through the American College of Health Care Administrators)

 

Graduate School of the College of New Rochelle, New Rochelle, NY 10801;

Master of Science Degree in Gerontology; Certificate in Peer Career Guidance Counseling

 

St. Thomas Aquinas College, Sparkill, NY 10976;

Bachelor of Science Degree in Gerontology

 

Beth Israel Medical Center School of Nursing, NYC, NY 10001, Registered Nurse

 

Rockland County Office for the Aging, Pomona, NY 10970; Certificate:

Nursing Home Ombudsman

 

LICENSES AND PROFESSIONAL CERTIFICATIONS

 

Nursing Home Administrator: CT:  001075

Registered Professional Nurse: NY:  RN 214 714 1      CT:  R39058

American Nursing Association:  Certified Gerontological Nurse:  090474

 

PROFESSIONAL POSITIONS

July 2009 to Present: Global Health Systems Consultants, LLC ~ 9 Rockland Place, Old Greenwich, CT 06870

July 2009 to Present:  Stephanie R. Paulmeno, MS, RN, NHA: Executive Nursing Consultation ~ 9 Rockland Place, Old Greenwich, CT 06870

 President and CEO

Owner and operator of a strategic health planning and program consulting firm, and an executive nursing consultation firm, both serving hospitals, long term care facilities, home care providers, community organizations, local departments of health, and mental health agencies; provides consultation and educational curriculums to individual agencies, at public and community forums, to home care providers, and at major conferences; develops policies and protocols, PowerPoint programs, newsletters and speeches for others. In my company capacity I served as the Acting Clinical Director and worked to successfully reorganize a mental health agency with multiple residential and community-based support services to become a recovery-based model of care; provided continuous quality improvement consultation and start-up assistance for a newly opening holistic home care agency serving people with special needs from inception through licensure and Medicare certification processes; I provided the licensure and educational credentials to this agency in my role to serve as their Administrator and Clinical Director for one year while simultaneously running my company; organized staffing for a major mass immunization clinic for the administration of influenza vaccinations for a community; appointed by the Deputy Commissioner of the Connecticut Department of Public Health to sit on the Prevention Advisory Board of the SustiNet Health Insurance program; Served as the Treasurer on the Executive Board, and on the Public Voice Committees of the Connecticut Commission on Health Equity, an appointed position for the only Commission reporting directly to the Connecticut Governor; worked with the State of Connecticut and the American Heart Association to develop the Connecticut Stroke Prevention Plan and Heart Disease Prevention Plan.

2010-2011: Sterling Care, LLC Licensed Home Care Agency (Simultaneously with Global Health Systems Consultants, 259 Glenville Road, Greenwich, CT 06830

Served as Administrator and Clinical Director for a start-up home care agency; provided administrative and clinical leadership for this program to bring it through providing non-skilled care only to becoming a fully State licensed home care agency and initiating all the pre-requisite steps to becoming a certified Medicare agency. The agency provided services to people across the age span with special needs and included a well-baby program that I developed from inception through policies, procedures and training manuals that became fully implemented during my tenure. I began as a consultant with this agency stepping into its Administrator and Clinical Director role in order to move it to licensure and have now stepped back into my consulting role after one full year. Co-hosted and scripted a weekly radio show, the Sterling Health Show, for one year on 1490 WGCH AM radio on a range of health issues impacting the elderly, those utilizing homecare services, those needing rehabilitation and people with special needs including developmental, mental, neurological and cognitive disorders;

 
2002-2009: Department of Health, Greenwich, CT 06830

Director of Community Health Planning:

Directs, develops and coordinates public health and social services planning, evaluation, and program implementation for the Greenwich Department of Health; assures that a wide range of community health needs are identified, gaps filled and duplication avoided; Provides community health surveillance via monitoring designated health statistics and social indicators, tracks and trends the causes of Town deaths; Utilizes national, state and local health information data and networks to establish community health goals; Serves as the Chairman of the Lower Fairfield County Regional Action Council, a mental health and addiction services initiative; chaired the Access to Care and Health Information Committee of the Greenwich Health Improvement Partnership for 5 years, spearheading the development of multiple unique health, mental health, and collaboration projects for the community; sits on the Southwestern CT Regional Mental Health Board’s Community Action Council as the Selectman’s designee for the Town of Greenwich, which also conducts site and program reviews of a variety of mental health programs, group homes, and services; Serves as the Committee Chairman for the program review committee that assesses these community and home-based mental health and recovery-based programs; designed and computerized a bi-lingual interactive Desktop-based matrix for behavioral health services that enhanced information and referral opportunities for professionals and consumers; serves as a professional consultant and health and mental health resource to community health and municipal leaders; serves as the off-board Health Specialist for the CT League of Women Voters; coordinates and facilitates community agencies’ efforts to define and respond to common goals that support a healthy community lifestyle; designs public speaking programs, conferences and forums on community health planning, long term care and social services issues; develops and analyzes reports based on needs assessments and town/region-wide workgroup activities; coordinated the Greenwich Department of Health’s Bioterrorism, mass prophylaxis, SARS, and pandemic response plans for actual and potential emerging infectious diseases; coordinated, conducted and implemented the CDC’s Public Health Systems Assessment and Strategic Response Plan for the Greenwich Department of Health; organized and implemented collaborative town-wide Multicultural Health & Heritage Fairs that brought unfunded health and mental health screenings, workshops, and information on service programs and agencies largely to the uninsured and underinsured at no cost; developed a hyperlinked pandemic planning policy template for long term care facilities that is in use throughout CT following a presentation at the Infection Control Nurses of Connecticut’s annual meeting; serves on multiple town, regional and state advisory boards, task forces, and working groups for health, mental health, home care and social services;  implemented the Town Hall Automated External Defibrillator and 1^st Aid Response Team; chairs the award-winning Town Hall Health & Safety Committee; designed and implemented an award-winning OSHA-ConnOSHA compliant policies and protocols template that is in use across CT; worked on the teams that developed the State of Connecticut Heart Disease Prevention Plan and the Cancer Prevention Plan.

 

 

 

1989-2002:  The Nathaniel Witherell Nursing Home, Greenwich, CT 06830

Director of Nursing (Former Acting Administrator on two occasions):

Responsible for Nursing Division oversight of a 202 bed, Medicare/Medicaid certified municipal facility authorized to provide care to mild and manageable psychiatric patients; Appointed by the Board of Directors to serve as Acting Administrator for facility operations for a 12-month span during a period of transitional crisis, obtaining their first and only simultaneous deficiency free State, Federal and Life Safety Code surveys. Implemented and oversaw the facility’s role as a training site for students from Norwalk Community College and for CT Home Health Aides working with the Department of Social Services to develop their clinical skills; Negotiated and implemented an in-house to outsourced pharmacy transition; Designed, implemented and analyzed quality assurance studies, needs-assessments, public relations/food service surveys, productivity, and program cost-benefit analyses for the Board, Town committees, and community groups; developed and implemented remediation plans for clinical and care-related investigative procedures for regulatory authorities’ review; developed and co-chaired the Family Support and Family Council groups;  initiated a monthly resident education program; designed a restorative and rehabilitative nursing care model for a sub-acute and medically complex care delivery system; restructured the Admissions, Medical Records, Dietary and Rehabilitation Divisions for performance enhancement and regulatory compliance while serving in the Interim Administrator role; re-designed and chaired the facility’s Continuous Quality Improvement and Health & Safety Committees; provided oversight of the facility’s Infection Control Program/Committee; analyzed surveillance reports prepared by the Infection Control Nurse and oversaw corrective actions for the enhanced identification and monitoring of nosocomial and community acquired infections, disease manifestation trends, antibiotic use and antibiotic resistant organism incidence; monitored the I.V. Therapeutics Committee, Resident Education and Staff Development Programs;  developed the facility’s Corporate Compliance Program; monitored the integration of the clinical aspects of the Medicare A reimbursement utilization groups (RUG’s) system that links clinical services with the facility’s billing system through the Keane computer program; maintained oversight of the initiation of fee-for-service billing for Medicare B services; formulated and presented funding grants for programs and operations; formulated, implemented and monitored administrative and nursing policies and procedures; responsible for budget development for the Nursing Division, and for the entire facility budget and operation while serving twice in the capacity as Acting Administrator; developed staffing model analyses related to operational functions for a potential facility reconstruction; served on the Long Range Planning, Accounts Receivable, Renovation, and Technology Committees of the Board of Directors; established an outcome-based goals and objectives system in order to enhance facility accountability.

 

 

1988-1989:  St. Camillus Health Care Center, Stamford, CT 06902

Assistant Administrator (initially Director of Staff Development/Infection Control):

Responsible for operational performance, budget development and analysis of multiple departments in a newly opening 120 bed skilled nursing facility. This included Social Services, Admissions, Dietary, Volunteers, Housekeeping/Laundry, Rehabilitation, Adult Day Care, Chaplaincy Services and the office support staff operations; provided nursing administration consultation to the Administrator; responsible for policy and procedure development and implementation, investigation and conflict negotiation and contract negotiation for essential services; developed and analyzed cost efficiency studies for review with the diocesan management and Board members; designed and implemented an innovative in-house Alzheimer’s Day Care program with expanded growth options that was presented as a unique model at a Gerontological Society Conference in Washington DC, and was published.  Designed a State approved training curriculum for certifying nursing assistants in the State of Connecticut; created the facility’s quality assurance, staff development and infection control programs.

 

1987-1988: Darien Convalescent Center, Darien CT) 06820 (A New Medico managed facility) (No longer in operation; References available)

Administrator:

Responsible for the operation of a 120-bed for-profit ICF/SNF facility; priority was placed on reversing significant financial deficits in place upon arrival, restructuring the Nursing, Social Services and Admissions Departments, re-outfitting the dietary operations to bring standards up to code requirements, and developing a model in-house Alzheimer’s Special Care program; extensive negative survey results from prior administrations were reversed within three months and a JCAHO accreditation application was prepared and submitted resulting in a three-year certification. Emphasis placed on managing existing long-term aging accounts resulted in the collection of extensive revenues; systems were established to control and reverse prior spending patterns; renovations and preventive maintenance projects were initiated and completed.

 

1986-1987: Greenwich Woods Health Care Center, Greenwich, CT 06831

Director of Staff Development and Infection Control:

Department Head member of a newly opening long term care facility; developed and implemented a State approved nursing assistant training curriculum; designed and presented multidisciplinary in-service training curriculums; instituted program protocols, developed nursing departmental polices and procedures, established an infection control and surveillance program, utilized CQI studies and processes to assure that standards of practice were established and maintained; established facility and departmental orientation programs; formulated the application and adjunct reports prerequisite to securing a Medicare certification for the facility. 

 

 

1985-1986: Greenwich Adult Day Care, Greenwich, CT 06830

Executive Director:

Converted a geriatric recreation program into a health and social services-focused day care delivery system, and relocated the program into a health care facility setting. Responsible for on-site case management and referral services, counseling, rehabilitation and provision of direct health care services that included providing hands-on in-home nursing assessment and care to patients as they were subsequently transitioned to day care program. Family support, education groups, and client focused groups and activities were designed and implemented. Non-licensed staff was supervised in the delivery of health maintenance services; negotiated contracts, coordinated entitlement programs, conducted surveys and designed marketing approaches; developed policy and procedure manuals, client intake and assessment forms, and other medical records documents; secured funds through grant writing for program design and development. An Area Agency on Aging grant award facilitated converting home health aides to certified nursing assistants.

 

 

1983-1985: New York Hospital/Cornell Medical Center-Westchester Division

Geriatric Division Director for Nursing:

Nursing administrative, clinical, educational, operational, and budgetary responsibility for the long term and short term care units of a private psychiatric hospital; developed and implemented a psychogeriatric assessment process and training manual for use with the psychiatrically impaired elderly (published in Nursing Management); Provided clinical management of patient care, quality assurance and family and patient education using a multi-disciplinary approach. Professional presentations, publications and research involvement were position expectations and were actively engaged in with physician colleagues within the division.

1981- 1983: Harlem Valley Psychiatric Center (HVPC), Wingdale NY 12594 (Multiple positions held, some simultaneously) (No longer in operation; References available)

Regional Psychogeriatric Center Coordinator:

Executive Director Appointee; provided expert consultation and direction on psycho-geriatric care and management issues, community-based program planning, development, implementation and evaluation, and resource allocation related to out-patient clinics and sites in Westchester, Putnam and Duchess Counties. This included direct teaching to multi-disciplinary staff about in-patient care programs, as well as teaching staff and providing care to surrounding community residents as part of an innovative in-home-care services model called the Personalized Care Model Program. This involved instructing, supervising and providing care to community families who were being trained to become home care providers for non-related elderly psychiatric patients. These non-related families were paid to care for discharged elderly psychiatric patients in their own homes. Chaired the facility’s Community Advisory Board.

 

Research Project Coordinator:   

Coordinated a collaborative research study (between the HVPC and the Columbia Medical Faculty/Department of Psychogeriatrics) on the topic of “Depression in the Elderly in State Hospitals” (Barry Gurland, MD and John Toner, PhD); Conducted a sub-study on communication deficits in the in-patient population; Research participants presented findings of both studies at multiple professional conferences.

Program Coordinator:

Provided multi-disciplinary clinical and administrative leadership for two community-based geriatric treatment sites; this involved case management and referral services and also provided direct counseling and supportive care; provided on-site clinical management and administration for a community-based adult home for discharged chronically ill psychiatric patients.

Senior Nurse Clinician:

Director of Nursing appointee; utilized supervisory and credentialing authority for psychiatric and physical medicine nursing staff practicing in the HVPC clinics and out-patient sites across multiple counties

Faculty Member:

Academic Affiliations Committee Member for the Central Westchester Clinic of the HVPC; Lectured on the “Personalized Care Model” geriatric training program for community-based providers of in-home care for discharged elderly psychiatric patients.

Psychiatric Public Health Nurse:

Direct care provision of psychiatric counseling and referral services to elderly clients in clinic and home care settings.

 

 

1981: Burke Rehabilitation Center, White Plains, NY 10605

Masters' Degree Intern:

Alzheimer’s Day Treatment Program intern at the Burke Rehabilitation Center, White Plains, NY

Independent Study Research Assistant to the Director of Planning and Program Development at the Burke Rehabilitation Center, White Plains, NY

Graduate Assistant at the Graduate School of the College of New Rochelle, to the Director of the Gerontology program, Dr. Demise Smith Frasier

Graduate Assistant Research Assistant to Dr. John Toner, PhD, Graduate School of the College of New Rochelle

Graduate Assistant/Teaching Assistant at the Graduate School of the College of New Rochelle

 

Prior to the above, staff nurse positions had been held continuously since 1969.

VOLUNTEER AFFILIATIONS

 

·         Appointed to the Prevention Advisory Committee of the SustiNet Board, State of Connecticut

·         Executive Board Member/Commissioner on  the Connecticut Commission on Health Equity

·         Chair: Steering Committee of the Lower Fairfield County Regional Action Council

·         Founding President of the CT Chapter of the American Foundation for Suicide Prevention (AFSP)

·         Board of Directors- Stamford-Greenwich Literacy Volunteers

·         Board of Directors- At Home in Greenwich (provides in-home services intended to keep elders in their own homes ); Now serving on their Advisory Board

·         Member: Southwestern CT Regional Disabilities Advocacy Council

·         Former Off-Board Health Specialist: CT League of Women Voters

·         Member: SWCT Regional Mental Health Board and Community Action Council (CAC) 1& 2

·         Former Member, Greenwich Community Development Block Grant Committee

·         Greenwich Hospital: Community Advisory Board, Co-Chair of the Clinical Pastoral Education Committee, Diabetes Resource Advisory Board, Hospice Advisory Board.

·         Stamford Hospital: Patient and Family Advisory Board, served previously as a co-chair.

·         Chairman: Nursing Advisory Board of Norwalk Community College (9 years)

·         Former Chair of the Access to Care Committee of the Greenwich Health Improvement Partnership

·         Steering Committee: Greater Stamford System of Care Collaborative (Youth mental health/Juvenile justice)

·         Member: Ct Cancer Prevention Partnership/Early Detection Committee/Annual Conference Planning Team for two years

·         Elected to public office: Representative Town Meeting (RTM) Member for District 6 in Greenwich, CT (two plus terms-2002-2006); Served on the Health and Human Services Committee, the Appointments Committee and Department of Public Works Committee of the Greenwich RTM.

·         Member of the United Way Planning Council, Youth Council and Needs Assessment Task Force, Allocations Committee, Legislative Breakfast Planning Committee, and Late Life Issues Committee

·         Board Member of the former Greenwich Coalition to Combat Underage Drinking; Chair of the Parents’ Forum, Chair of the Community Advisory Board (5 years).

·         Former Member: Greenwich Library’s Health Information Reference Center Advisory Board

·         Public Speaker for Regional training programs for the Department of Veteran’s Affairs

·         Member: Greenwich Adult Day Care Advisory Board

·         Greenwich Red Cross: Red Cross Nurse; Former Member of the Disaster Mental Health Services Team

·         Former Member: Advisory Board of Sacred Heart University Nursing Department

·         Original Member: Greenwich Senior Provider Network continuously since 1981

·         Member: Advisory Board of the Greenwich Time For Lyme Task Force (7 years)

·         Original Member: Greenwich Hospital’s Geriatric Evaluation Unit Development Advisory Committee

·         Former Chairman of the Board: Transportation Association of Greenwich (TAG)

·         Past Board member of the Area Agency on Aging

·         Past member of the Connecticut White House Conference on Aging: 1995

·         Past Board Member of the Alzheimer’s Association: Fairfield County Chapter

·         Founding member of the Lower Fairfield County Directors of Nursing Council 

·         Member of the former Greenwich Selectman’s Transportation Committee 

·         Served on the Connecticut State Health Department’s Medical Records Subcommittee for the revision of the Public Health Code;

·         CT Public Health Nursing Association

·         American Public Health Association

·         American Nursing Association

 

Publications and public speaking engagements and reference contacts are available upon request:

•  Aging issues and related topics
• Asthma management and treatment
• Community health assessments
• Community needs-assessments
• Conference planning & implementation
• Developing and implementing multicultural health, mental health and social services fairs
• Diabetes early detection, management and treatment
• Emergency, disaster, bioterrorism, infectious diseases and pandemic planning topics
• Health and wellness topics
• Home care provision topics
• Intentional and unintentional substance misuse
• Lyme Disease and other tick-borne illnesses
• Mental health issues and associated themes
• Nutritional topics
• Outcome based budgeting
• Addiction/Preventions topics
• A wide range of public health topics
• Risk modification
• Sleep disorders
• Strategic planning
• Stroke: Causes and Prevention
• Substance abuse and allied subjects across the age span
• Working effectively with people with mental illness
• Recognizing and Defusing Mental Health Crises

 

 

Revised:  9-9-11