1. Annie L. Garcia, MSN, RN, CNML
5803 Amber Rose ∙ San Antonio, TX 78253 ∙ (210)445-8021 ∙ Annie.Garcia@mhshealth.com
Objective: My objective and responsibility as a Chief Nursing Officer is to provide for an
environment to lead my team in delivering exceptional care to all patients in my
organization. As a Chief Nursing Officer, being nurturing, collaborative, driven and
innovative has allowed me to develop new leaders for my division. These skills have
directly guided my ability to effectively execute our strategic plan in an intense, high
pressure setting.
Education:
University of Texas El Paso
Select Marshall for the Nursing for Outstanding Academic Achievement
Masters in Nursing Systems Management
December 2013
New Mexico State University – Las Cruces, NM
Bachelor of Science in Nursing
May 2003
Kaplan University
Legal Nurse Consultant
October 2010
Experience:
Methodist Texsan Hospital, March 24, 2014 – Present
Chief Nursing Officer
 Leading HCA Cohort in Patient Experience for consistent and sustained results above 85% since 2015.
 Delivered multiple presentations on patient experience strategies and best practices to division and HCA
 Modern Healthcare Top 100 Places to Work in Healthcare for 2016
 First in San Antonio to eliminate contract labor for inpatient nursing departments, took contract labor
from 25 FTEs biweekly to zero
 Lead facility to Leapfrog A Grade by driving and executing quality outcomes
 First in San Antonio to be Hip and Knee Accredited by the The Joint Commission 2016
 Top 10 in the company for Employee Engagement 2016
 Nursing engagement increased by 11% Highest level of improvement in the San Antonio Division
 2016, 13 month Rolling Vacancy Rate 8.10%
 Physician survey for nursing care increased by 19.5%
 Hip and Knee, Trauma Level 4, Heart Failure and Chest Pain
 Baldrige Site Visit 2016
 2016 Rolling 13 Month Leadership Turnover 3.8%
 Collaborated with University leadership to develop and implemented a Nurse Internship Program
 Initiated “Knock Your Socks of Campaign” fall prevention program which led to zero falls with injury
in 2015
 Quest Quality Award 2016

2.  Executive sponsor for three Nurse Director candidates and Chief Nursing Officer (EDP associate)
 Executive sponsor for Methodist Leadership University
 Partnered with local Universities for Graduate mentoring
Del Sol Medical Center , March 28, 2010 – March 23, 2014
Administrative Director Critical Care Services
 Responsible for the overall operations of the critical care services to include, Intensive Care, Cardiac
Critical Care, Telemetry, Dialysis, Neuroscience Program and Heart Failure that encompasses 213
reports.
 Responsible for covering Emergency and Medical Surgical services in the absence of an administrator.
Also cover in the absence of my Chief Nursing Officer
 Responsible for market share growth through strategic planning. Involved in the overall budgeting,
planning and implementation of strategic and customer service initiatives.
 Develops, interprets and reviews facility wide policies and procedures along with leading through
several Joint Commission Surveys.
 Responsible for quality outcomes and customer satisfaction
 Responsible as the facility coordinator for the National Data Base for Nursing Indicators (NDNQI)
 Led facility wide falls initiatives along with leading weekly case reviews
 Spearheaded the hospital to El Paso’s first ANCC Pathway to Excellence designation and re-designation
(formerly the TNA Nurse Friendly Designation)
 Successes during tenure: Successful completion of onsite Joint commission survey and primary stroke
designated with no recommendations and recognized for best practices.
 Modern Healthcare Top 100 Places to Work in the Healthcare for 2009
 Decreased contract labor from 8.75 FTE biweekly to zero
 Physician satisfaction ranked at the top quartile
 TMF Healthcare in the Quality Excellence award for Texas (only hospital in El Paso and one of 27 in
the state)
 Led the VTE core measure from the 55th percentile to 100 % in 7 weeks, core measure under my
leadership are at 100% for stroke, VTE and heart failure
 In addition I was selected to serve as a Hospital Representative for an HCA Texas state table. I
facilitated the negotiation of two first collective bargaining agreements (CBA) for five HCA hospitals in
the state of Texas, helping to meet all management objectives. I also worked with the hospital’s Labor
Relations Director in training and preparing managers and supervisors in handling Weingarten Rights,
disciplinary investigations, grievances, and arbitrations for the new collective bargaining agreements for
2 bargaining units represented by SEIU and NNOC- Texas Locals. I also support all levels of
management on labor and employee relations matters. Currently served as the management chair for
SEIU and NNOC staffing committees.
Del Sol Medical Center July 20, 2008 – March 27, 2010
Director of Telemetry

3.  Responsible for the overall operation of a 44 bed unit with an ADC 39. Responsible for 75 direct
reports along with managing the operations, productivity along with future development and budgetary
projections for the service line.
 Ensure Telemetry services maintained a high degree for efficiency and safety in providing quality care
including, but not limited to quality improvement, staff competency, inventory control, cost
containment, patient satisfaction and physician satisfaction.
 Accomplished successful Joint Commission survey.
 Implemented shared governance and served on various committees such as falls team, patient safety,
education management and survey preparedness.
 Collaborated and coordinate the efforts Telemetry services staff accomplish the mission of Del Sol
Medical Center. Lead by example and held others accountable for adhering for adhering to the goals,
policies, and procedures of Del Sol Medical Center.
Del Sol Medical Center October 29, 2006 – July 19, 2008
Nursing Supervisor
 Prescribed, delegated and coordinated nursing care provided throughout 336 bed facility. Collaborate with
other members of the health care delivery team including physicians to deliver quality health care. Assisted
in providing effective distribution and utilization of nursing personnel on twenty four basis.
 Managed staffing and executed decisions in the absence of the Hospital Administrator. Provided efficient
placement of patients to their assigned units and managed bed status in order to manage patient flow.
 Responsible for monitoring and evaluating clinical practice standards and understands all functions with the
organizations areas.
 Responsible for collaborating with other members of the health care delivery team including physicians,
employees, patients, family and other facility’s to maximize patients experience and deliver quality health
care
Del Sol Medical Center June 08, 2003 – October 28, 2006
Registered Nurse- Relief Charge Nurse – Critical Care
 Provided professional nursing care to patients utilizing the nursing process.
 Demonstrated the knowledge and application of the nursing process in critical care.
 Supported, maintained and provided an environment which is supportive of quality patient care through
effective use of resources and personnel.
 Served as a patient and family advocate along with excellent customer service skills with internal and
external customers.
 Planned and implemented patient care and teaching based on a total assessment and the age of the
patient.
 Evaluated, monitored and recognized changes in physiology and psychosocial status; take appropriate
action based on assessment on assessment of the patient.
 Preceptored new employees by assisting in their training and acclimation to ICU.
Certifications :
 Basic Cardiac Life Support- current

4.  Advanced Cardiac Life Support- current
 Texas Organization of Nurse Executives, Certified Nurse Manager Leader 2011- current
 Legal Nurse Consulting Certificate 2010
Recognition:
 Recognized as one of HCAs Top-Performing Chief Nurse Officers for San Antonio Division-2016
 Marshall for the Nursing Graduate Program for Outstanding Academic Achievement
 Elect speaker for the Nursing Systems Management Graduating Class
 Achieved Gold for Heart Failure Program by Get with the Guidelines
 Achieved Gold Plus with Honor Roll for Get with Guidelines
 Recognized by USA weekly for outstanding programs