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Clinical Excellence

The NSH Clinical Quality team focuses on assisting facilities in order to ensure the efficient delivery of accessible, high quality, safe, cost effective, patient-centered and timely healthcare services. In the present national environment, a highly structured approach to the pursuit of quality is essential.  With increased public reporting and transparency over the past few years, facilities have been faced with increased competitive pressures, continuing resource constraints, and rising customer expectations. An organized system to achieve high quality can also lead to lower health care costs.

Our model for quality healthcare sets forth a common approach to quality assurance, utilization review, risk management and infection control within all NSH facilities, while continuously focusing to improve quality management.  

We provide a framework to assist facilities in healthcare delivery:

  • Organization
  • Communication
  • Monitoring
  • Continuous improvement initiatives

We provide evidence-based, patient-focused, and fiscally responsible quality services for all NSH facilities.  Our quality focus is supported by goal-oriented, data-driven daily practices at each NSH facility. The Clinical Quality team designs performance improvement initiatives in order to achieve measurable improvement in processes and outcomes of care. We strive to align processes, technology, people, values and policies that lead to continuous improvement.

Our Clinical Quality team has adopted a culture of life-long learning.  We constantly seek new, innovative ways of meeting facility needs and exceeding expectations.

Clinical Leadership
Donna Giles, Vice President, Clinical Operations

Donna Giles recently joined NSH from Compass Clinical Consulting where she served as a Principal, helping hospital leaders improve patient safety, quality of care and improve efficiencies. Prior to that she was with MedCath, Inc., a developer of physician joint ventured hospitals throughout the U.S. where she provided clinical operations leadership. She began her leadership career at Carondelet, St. Mary's Hospital in Tucson, AZ. Ms. Giles holds a BSN and a MS from the University of Arizona.

Charlotte Dupuis, Director of Performance Outcomes

Charlotte M. Dupuis, Director – Performance Outcomes. Ms. Dupuis joined the NSH corporate team in September 2012. As Director – Performance Outcomes, her responsibilities include performance improvement, value based purchasing, infection prevention, and case management. Prior to joining the NSH corporate team, Ms. Dupuis was the VP – Quality Management and Corporate Compliance at Lafayette Surgical Specialty Hospital (a NSH affiliate). Ms. Dupuis holds a Bachelor of Science in Nursing from the University of Louisiana at Lafayette. She is a member of the Association for Professionals in Infection Control and Epidemiology, the National Association of Healthcare Quality and various other organizations.


  • Patient Experience: HCAHPS patient surveys
  • Pay for Performance: Value Based Purchasing
  • Public Reporting: Hospital Compare, Health Grades, Consumer Reports


"5 Star" Total Knee Replacement 2013
El Paso Specialty Hospital, TX

Joint Replacement Excellence
El Paso Specialty Hospital, TX (2011 - 2012)

Women's Choice Award

Mountain View Regional Hospital - Honored with the Women's Choice Award because of their high patient care standards and appreciation of the unique healthcare needs of women.

Other Awards

The Michigan Surgical Hospital lab recently received a certificate of excellence from the state of Michigan on their CLIA survey.