Meredith L. Selvage
Kingsville
Summary
Registered Nurse with 15 years of Emergency nursing experience and 7 years as a Senior Clinical Nurse and Database Specialist/Quality Improvement Nurse for the Stroke Center. Recognized leader in data integrity, program compliance, and process improvement, with expertise in MIEMSS Primary Stroke Center designation under COMAR, CMS core measure reporting, and Get With The Guidelines–Stroke registry. Proven track record of managing Stroke Center data, leading recertification efforts, mentoring abstractors, training staff, and driving improvements in acute stroke metrics. Dedicated clinician passionate about advancing stroke care excellence through data management, leadership, innovation, and collaboration.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Database Specialist / Quality & Performance Improvement Specialist (RN), Stroke Center
University of Maryland St. Joseph Medical Center
08.2018 - Current
- Provide leadership in managing abstraction and integrity of the Get With The Guidelines–Stroke (GWTG-Stroke) registry, ensuring compliance with MIEMSS Primary Stroke Center designation requirements under COMAR 30.08.11 and CMS stroke core measure standards.
- Uphold institutional policies on data confidentiality, security, and release of information in alignment with patient rights and MIEMMS requirements.
- Lead concurrent and retrospective reviews of stroke cases, validating accuracy and identifying outliers for performance improvement.
- Direct inter-rater reliability processes, maintaining >98% accuracy on audits and setting quality standards for the Stroke Center.
- Direct management of stroke center patient lists, streamlining workflow and ensuring accurate case capture for quality reporting, performance improvement, and survey readiness.
- Deliver monthly opportunities for improvement (OFI) feedback, driving compliance improvement of measures across the physician group.
- Manage Stroke Center Score Card data to show compliance with GWTG- Stroke Quality and Achievement Measures; present at monthly Stroke Interdisciplinary Meeting.
- Perform timely chart audits for TNK administration and endovascular transfers to ensure compliance with core measures; provide feedback to management, Stroke Coordinator, and medical directors to drive accountability and improvement.
- Collaborate with ED, Neurology, ICU, and Quality teams to analyze treatment metrics, identify barriers, and implement process improvement solutions.
- Champion process improvement for acute stroke metrics (TNK door-to-needle, stroke alert/brain attack processes in ED, dysphagia screening, and stroke education).
- Serve as ED Stroke Champion, leading education, coaching, and real-time feedback.
- Supported Primary Stroke Center recertification in 2022 through MIEMMS by providing data, participating in surveyor chart reviews, and presentation/walk-through of the ED Brain Attack Process.
- Provide ongoing leadership support for annual MIEMMS surveyor check-ins, ensuring data preparation and presentation, as well as, leading chart reviews.
- Provided leadership in training and mentorship of two abstractors in GWTG-Stroke abstraction methodology, establishing consistency and accuracy across the team.
- Assumed leadership responsibilities during Stroke Coordinator transition (2025), assisting with onboarding, mentoring, and ensuring program stability during transition.
- Assisted and supported Stroke Coordinator in system-wide stroke program initiatives ensuring national recognition.
Senior Clinical Nurse, Emergency Department
University of Maryland St. Joseph Medical Center
01.2017 - Current
- Chair, Unit Practice Council (UPC), leading evidence-based practice initiatives.
- Actively participate in Nurse Practice Council monthly meetings.
- Attend Senior Clinical Nurse Professional Development sessions.
- Lead development and implementation of new process initiatives, evaluating outcomes and identifying opportunities for improvement.
- Coordinate patient care and flow as charge nurse, monitoring acuity and collaborating with interdisciplinary teams.
- Mentor and precept new nurses, fostering clinical competency and professional development.
- Recognized for leadership in advancing process improvement and patient experience.
- Completed ENA Triage Training; applied this expertise to design and implement a comprehensive Emergency Department Triage Course adopted for RN orientation and staff development
Per Diem RN, Post-Anesthesia Care Unit
Eye Service Partners – Dulaney Eye Institute
06.2020 - 10.2024
- Provided safe post-anesthesia monitoring and discharge education for patients undergoing ophthalmologic surgery.
Adjunct Clinical Instructor (Nursing)
Harford Community College
02.2021 - 08.2021
- Supervised and evaluated student nurses during clinical rotations.
- Facilitated application of classroom knowledge to clinical practice.
- Supervised and evaluated student nurses in skills lab
Registered Nurse, Emergency Department
University of Maryland St. Joseph Medical Center
01.2010 - 01.2017
- Delivered high-acuity emergency nursing care across the lifespan.
- Performed triage using the ESI Level 5 Triage System.
- Applied ACLS and PALS protocols in rapidly changing clinical situations.
- Collaborated with physicians and interdisciplinary teams on care plans.
- Acted as charge nurse as needed, ensuring safe patient flow and unit operations.
- Precepted new graduate nurses.
Education
Bachelor of Science in Nursing -
Stevenson University
01.2018
Associate Degree of Nursing Science, Cum Laude - undefined
CCBC
01.2009
Skills
- PMT tool – Proficient in abstraction and submission to the GWTG-Stroke registry
- Meditech & EPIC – Data abstraction, reporting, and clinical documentation
- Excel & Smartsheet – Data management, tracking, and performance reporting
- Partner with data analysts to create custom reports for the Stroke Center
Affiliations
- American Heart Association / American Stroke Association
- Emergency Nurses Association
Certification
- Registered Nurse, Maryland Board of Nursing (Active)
- Certified Emergency Nurse (CEN), BCEN
- ACLS, PALS (current)
Continuing Education & Conferences
- International Stroke Conference & State-of-the-Science Stroke Nursing Symposium – Attended in 2020, 2023, and 2024.
- Maryland Comprehensive Stroke Conference – 2019
- Mid-Atlantic Heart & Stroke Quality Summit – 2019
- Maryland Patient Safety Center – Quality & Safety and Opioid Epidemic Conferences – 2018–2019
Community Service
Stroke awareness, blood pressure screenings, opioid crisis education, and Narcan training at local community events.
Awards
Golden Brain Award – February 2024, TNK administration in under 45 minutes for five patients., Pink Brain Award – Consistently administering TNK in under 45 minutes., Nursing Excellence Award Nominee – 2020, 2024, 2025., Get With The Guidelines–Stroke Gold Plus Award – Annual hospital recognition for quality stroke care achievement.
Timeline
Adjunct Clinical Instructor (Nursing)
Harford Community College
02.2021 - 08.2021
Per Diem RN, Post-Anesthesia Care Unit
Eye Service Partners – Dulaney Eye Institute
06.2020 - 10.2024
Database Specialist / Quality & Performance Improvement Specialist (RN), Stroke Center
University of Maryland St. Joseph Medical Center
08.2018 - Current
Senior Clinical Nurse, Emergency Department
University of Maryland St. Joseph Medical Center
01.2017 - Current
Registered Nurse, Emergency Department
University of Maryland St. Joseph Medical Center
01.2010 - 01.2017
Associate Degree of Nursing Science, Cum Laude - undefined
CCBC
Bachelor of Science in Nursing -
Stevenson University
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