Jennifer Dougan
Elizabeth
Summary
Healthcare Environment of Care and safety leader with over 10 years of acute-care hospital experience, specializing in Environment of Care (EOC) program leadership, life safety management, and regulatory compliance. Brings progressive experience spanning Infection Prevention, construction risk mitigation, and emergency preparedness, supporting continuous readiness for CMS, Joint Commission, OSHA, and NFPA standards. MBA-prepared, mission-aligned leader recognized for strengthening EOC governance and sustaining regulatory performance.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Facility Safety Manager /Manager of Facility Management
HCA HealthONE – Sky Ridge Medical Center
Lone Tree, CO
03.2024 - Current
- Chair the Environment of Care Committee, overseeing life safety, utilities, hazardous materials, fire safety, medical equipment, and physical environment programs
- Develop, implement, and evaluate EOC Management Plans, policies, and annual effectiveness reviews in alignment with CMS and Joint Commission standards
- Lead hospital-wide EOC rounding, deficiency tracking, corrective action planning, and sustained closure validation
- Improved EOC and Life Safety deficiency closure rate from 30% to 80%
- Maintain audit-ready regulatory documentation and support continuous Joint Commission and CMS readiness
- Partner with executive, clinical, facilities, and infection prevention leaders to mitigate systemic safety and compliance risks
- Provide EOC and Life Safety oversight for construction and renovation activities, ensuring compliance with Interim Life Safety Measures (ILSMs)
- Collaborate with Infection Prevention to develop, implement, and monitor Infection Control Risk Assessments (ICRAs)
- Maintain Emergency Operations Plans and Incident Command integration as part of the EOC governance framework
- Ensure completion of required emergency preparedness drills and after-action improvement activities
Infection Preventionist / Assistant Director of Infection Prevention
HCA HealthONE – Sky Ridge Medical Center
Lone Tree, CO
02.2019 - 03.2024
- Served in progressive Infection Prevention leadership role supporting Environment of Care, Life Safety, and regulatory compliance
- Conducted routine Environment of Care rounding across inpatient and ancillary departments
- Led Infection Control Risk Assessments (ICRAs) for all construction and renovation projects, ensuring compliance with CMS, Joint Commission, and life safety standards
- Partnered with Safety, Facilities, and Clinical leadership to mitigate environmental and infection-related risks
- Supported Joint Commission surveys with overlapping EOC, Life Safety, and Infection Prevention standards
- Developed and implemented infection prevention protocols to enhance patient safety and reduce hospital-acquired infections.
Disease Reporting Technician
Colorado Department of Public Health & Environment
Denver, CO
05.2016 - 02.2019
- Ensured compliance with CDC and state public health reporting requirements and supported outbreak identification
- Collaborated with cross-functional teams to develop and implement safety protocols
- Documented findings and prepared detailed reports for regulatory review
Education
Master of Science - Business Administration
Syracuse University
Syracuse, NY12-2024
Bachelor of Science - Biological Sciences
Colorado Mesa University
Grand Junction, CO01-2013
Websites
Boards and Committees
- Chair, Emergency Management Committee
- Chair, Environment of Care Committee
- Co-Chair, Infection Prevention Committee
- Member, Healthcare-Associated Infection Advisory Board (CDPHE)
- Member, Employee Advisory Group
Certification
- CIC – Certification in Infection Control
- EMT
- Phlebotomy
Timeline
Facility Safety Manager /Manager of Facility Management
HCA HealthONE – Sky Ridge Medical Center
03.2024 - Current
Infection Preventionist / Assistant Director of Infection Prevention
HCA HealthONE – Sky Ridge Medical Center
02.2019 - 03.2024
Disease Reporting Technician
Colorado Department of Public Health & Environment
05.2016 - 02.2019
Master of Science - Business Administration
Syracuse University
Bachelor of Science - Biological Sciences
Colorado Mesa University