Helping healthcare organizations strengthen regulatory performance, quality infrastructure, and leadership culture.

Hello,
​
I’m Dr. Tiffany Thompson, DNP, RN, CPHQ—a healthcare consultant, leadership trainer, and nursing leader with experience spanning hospital operations, regulatory compliance, and quality improvement.
​
I partner with healthcare organizations to strengthen regulatory readiness, build sustainable quality infrastructure, and develop leaders who drive accountability and results. My work focuses on helping organizations close critical gaps, reduce risk, and improve both patient outcomes and team performance.
​
Doctorally prepared in Population Health and Executive Leadership, I bring deep expertise in CMS Conditions of Participation, accreditation standards, quality program development, and clinical operations. I’ve led complex regulatory environments, overseen multi-department hospital operations, and supported organizations through high-stakes compliance and performance challenges.
​
In addition to my work in healthcare, I provide leadership training across industries, equipping leaders at all levels to communicate effectively, build trust, and lead with clarity and purpose. As a certified coach and trainer with the John Maxwell Leadership Team, I bring practical, people-centered strategies that translate across any organization or team.
​
My perspective is shaped not only by my professional experience, but by my personal journey as a breast cancer survivor. Experiencing the healthcare system as both a clinician and a patient has deepened my commitment to ensuring that care is not only compliant, but also safe, compassionate, and complete.
​
I would be honored to partner with you to strengthen your organization, support your leaders, and improve the experience of both patients and the teams who care for them.
Leadership Training & Coaching
One of my greatest strengths is developing leaders who can perform effectively under pressure while staying connected to the purpose behind their work. I partner with leaders and teams to strengthen self-awareness, communication, and accountability—helping them lead with clarity, confidence, and consistency.
In today’s demanding environments, it’s easy for leaders to become overwhelmed or disconnected. Through coaching and education, I help professionals reconnect to their “why,” navigate challenges with intention, and lead in a way that drives both results and fulfillment.

EVERYONE COMMUNICATES FEW CONNECT
Customized training for leaders on the power of connection
​
-
2-Day Facilitated Teaching and Workshop
-
1-Day Facilitated Teaching and Workshop
-
1/2 Day Facilitated Teaching with Exercises
-
Group mastermind and team coaching

THE 21 IRREFUTABLE LAWS OF LEADERSHIP
Customized training for your team on the 21 Irrefutable Laws of Leadership
​
-
2-Day Facilitated Teaching and Workshop
-
1-Day Facilitated Teaching and Workshop
-
1/2 Day Facilitated Teaching with Exercises
-
Group mastermind and team coaching

THE LEADERSHIP GAME
A facilitated, fun, and engaging experience designed to help you and your team discover and implement core leadership principles and values. This game is designed to bring positive, powerful connection, dialogue, and transformation to you and your teams.

LEADERSHIP COACHING
1:1 coaching for leaders facing challenges with:
​
-
Managing people
-
Navigating transition
-
Problem-solving
-
Finding joy and meaning in their work
-
Staying connected to the high call of leadership
Healthcare Consulting
My consulting practice focuses on strengthening clinical quality, patient safety, and regulatory compliance across healthcare organizations. I partner with teams to identify breakdowns in care delivery, standardize high-risk clinical processes, and improve documentation and monitoring practices. By aligning operations with CMS Conditions of Participation and accreditation standards, I help organizations deliver consistent, high-quality care while maintaining continuous survey readiness.

REGULATORY COMPLIANCE & SURVEY READINESS
Enjoy peace of mind knowing your organization is survey-ready at all times!
​
-
Comprehensive risk analyses and mock surveys
-
Detailed reports of risk and deficient findings
-
Mitigation strategies for compliance
-
Skilled alignment with CMS Codes of fFederal Regulation, as well as standards of The Joint Commission, and the Accreditation Commission on Health Care

POST-SURVEY MITIGATION & PLANS OF CORRECTION
I help the organizations identify solutions, strategies, and measures for sustaining improvement and compliance post-survey. ​
​
-
Expert assistance with writing Plans of Correction after deficient citations
-
Strategies for immediate compliance after Immediate Jeopardy events
-
Comprehensive resolution after Conditions of Participation citations

POLICY & PROCEDURE REVIEW AND PROCUREMENT
Strong policies are essential for maintaining high standards of patient care, operational efficiency, organizational protection, and regulatory compliance.​
​
-
Comprehensive policy and procedure review to ensure all requirements for compliance are met
-
Strategies for aligning policies and procedures across systems

QUALITY IMPROVEMENT PROGRAM DEVELOPMENT & IMPLEMENTATION
I assist organizations with implementing quality improvement initiatives that promote patient safety, reduce risks, and enhance care outcomes.
​
-
Development of QAPI Plan
-
Data analysis
-
Review of performance metrics
-
Contracted Services review
-
Implementation of Evidence-Based Practice to foster positive outcomes and sustain quality improvement

PROFESSIONAL SUPPORT & COLLABORATION
Utilize my knowledge and experience to enhance operational efficiency by analyzing workflows, staffing, resource allocation, and patient care protocols to identify areas for improvement. The goal is to optimize productivity while maintaining high standards of patient care.
Currently licensed to practice in 44 US states, I may function in temporary or part-time capacities to fill in the gaps or assist clinicians and teams with time-consuming tasks such as quality reviews, adverse event investigations and reviews, data gathering/reporting, policy development and management, development of education and training, and more
Writing &
Public Speaking
As the author of HELD: Faith, Medicine, and a Life Rewritten by Cancer and currently writing Steady Your Boat, I use both clinical insight and personal experience to help individuals navigate life’s most difficult seasons with clarity, strength, and faith.
​
Through writing and public speaking, I equip audiences with practical tools and perspectives to advocate for themselves, navigate the healthcare system, and remain grounded in the midst of uncertainty.
​
I regularly speak on:
-
Women’s health
-
Breast health
-
Cancer care and navigation
-
Self-advocacy in healthcare
-
Leadership
-
Resilience through adversity
-
Faith-centered encouragement



