Carole S. Guinane, MBA, RN, CPHQ

Carol Guinane
Vice President
System Orthopedics

Guinane has extensive experience at the corporate vice president and vice president levels at health care systems in Virginia, North Carolina, Tennessee and Colorado. From steering system-wide quality improvement initiatives and introducing/expanding orthopedic service lines, to leading the charge on opening a multi-million dollar ambulatory surgery center, Guinane has extensive experience with demonstrated successes.

She served as vice president at one of six hospitals in the country to adopt quality improvement strategies as implemented in manufacturing and industry, and the hospital was featured in the book Striving Toward Improvement: Six Hospitals in Search of Quality published by the Joint Commission on Accreditation of Healthcare Organizations.

Guinane has authored and co-authored numerous books on various health care topics, including outpatient policies, improving quality in the outpatient setting and analyzing clinical care pathways. She also has published several articles in the Journal for Healthcare Quality and the American Heart Hospital Journal, and presented at National Association for Healthcare Quality, Institute for Healthcare Improvement and National Association for Healthcare Quality national conferences on topics such as health care quality, data analysis and process improvement.

Areas of Expertise

  • Orthopedic service line
  • Healthcare quality
  • Surgery center leadership and management
  • Ambulatory care operations and quality
  • Heart hospital operations and quality
  • Creating and implementing orthopedic and spine bundled care programs  

Education, Certification and Training

Master of Business Administration
Colorado State University
Pueblo, Colo.

Master of Public Health Administration Coursework
University of Colorado
Colorado Springs, Colo.

Bachelor of Business Administration
University of Phoenix
Colorado Springs, Colo.

Registered Nurse
Colorado State University
Pueblo, Colo.

Critical Care Practitioner
American College of Surgeons
Colorado Springs/Denver, Colo.

Certified Professional Healthcare Quality (CPHQ)

Master Black Belt Six Sigma

Leadership Certificate from the University of North Carolina Gillings School of Global Public Health

Executive Leadership Institute, Novant Health, Inc.
University of North Carolina
Chapel Hill, N.C.

Awards & Distinctions

  • National award winner for the MediQual Third Quality Challenge
  • Sentara CEO Award for Sentara Joint Replacement Center

Affiliations (current and past)

  • National Association for Healthcare Quality, product and advisory committee
  • Association for Professionals in Infection Control & Epidemiology, national external director
  • Journal of Healthcare Quality, editorial panelist
  • American Heart Hospital Journal, editorial panelist


The Bundled Payment Guide for Physicians.  Served as a contributor.  Compiled by Smith, Anderson, Blount, Dorsett, Mitchell & Jernigan, L.L.P.  Sponsoring organization: Toward Accountable Care Consortium with the NC Medical Society and a grant from The Physicians Foundation.  2014.

50 Policies and Plans for the Outpatient Setting.  Co-authored with Joseph Venturelli.  CRC Press.  December, 2011.

Improving Quality in the Outpatient Setting. Co-authored with Noreen Davis. Forward by Kevin Fickenscher, MD, CRC Press.  June 2011.

Interview with a Quality Leader:  Regina E. Herzlinger on Consumer Driven Healthcare. The Journal for HealthCare Quality. July 2008.

Interview with a Quality Leader:  Mikel Harry on Six Sigma in Healthcare. The Journal for Healthcare Quality. July 2006.

What Makes Our Hospitals Different:  The Nursing Role in a Specialty Hospital. Co-authored with Joan McCanless and Donna Giles. The Heart Hospital Journal.  LeJacq Communications.  December 2005. 

The Science of Six Sigma in Hospitals. Co-authored with Noreen Davis. The Heart Hospital Journal. LeJacq Communications. Winter 2004.

Analyzing Clinical Care Pathways: 3-Dimensional Tools for Quality Outcomes, Measurement and Improvement. Co-authored with M. Daniel Sloan. McGraw-Hill. 1999.             

Esprit de Corp: Is Work Something You Really Believe In? The Journal for HealthCare Quality. May/June, 1999.     

Interview with a Quality Leader: M. Daniel Sloan on Universal Standards of Measurement and Performance Improvement. The Journal for Healthcare Quality. May 1999.

Clinical Care Pathways: Tools and Methods for Designing, Implementing and Analyzing Efficient Care Practices. New York, NY: McGraw-Hill. 1997.

Thought Packages that Product Results: Just-In-Time Training Modules. Co-authored with M.K. Key and Mark Smith. Quorum Health Resources Inc., 1997.

Editor for the following book at the request of McGraw-Hill: The Manual for Designing Change in Healthcare Organizations. Copyright by the Healthcare Financial Management Association. New York, NY: McGraw-Hill. 1997.

Using the PDCA Cycle to Standardize a Quality Assurance Program in a Quality Improvement-Driven Environment.  Journal on Quality Improvement (JCAHO). Co-authored with Judy Sikes and Keith Wilson, M.D.  December 1994.

Sentara in the Community