Jacqueline Gacek Smith, RN, MS, CPHQ, HACP-CMS, LNC

Senior Associate

Jacqueline Gacek Smith, RN, MS, CPHQ, HACP-CMS, LNC is a senior accreditation and regulatory compliance consultant. She works with hospitals and healthcare programs nationwide to support them in achieving and maintaining Joint Commission accreditation and CMS compliance. As a surveyor, she conducts training, gap analysis, mock surveys and provides operational and technical assistance. She is experienced in developing and monitoring corrective action plans to remedy regulatory and accreditation non-compliance.

Ms. Smith has over 30 years of healthcare management experience and more than 12 years consulting experience. She most recently served as Chief Operations Officer for two hospitals providing inpatient, outpatient, and partial hospitalization services. Her prior experience includes Director of Quality & Risk Management with responsibility for regulatory compliance, health information management, utilization management, risk management, outcomes measurement, and performance improvement. Her experience also includes technology implementation assistance, telehealth, and staffing services in the healthcare setting.

Ms. Smith has also held a variety of leadership positions in managed care including Operations Administrator, Director of Government Programs, and Director of Resource Management.

Ms. Smith earned certificates in Health Care Quality (CPHQ), Healthcare Accreditation for Medicare and Medicaid Services (HACP – CMS), Behavioral Health (ACHC), Legal Nurse Consulting from Duke University and Human Resources Studies from Cornell University.

Ms. Smith received her master’s degree in health systems administration from Rochester Institute of Technology and her registered professional nursing degree from Sage College, in New York State.