Health System Specialist
4 weeks ago
About the Position: Directorate of Executive Quality Management
This is a Direct Hire Solicitation
Duties
- Continually review command instructions for compliance with current Joint Commission guidelines and maintains a current and complete set of instructions, reports, and other pertinent data that is organized according to Joint Commission functions.
- Manage the Joint Commission Reference Library by ensuring up-to-date instructions and Standard Operating Procedures. Coordinates update of Joint Commission standards on the Command intranet.
- Assist in the preparation of the Command's annual Joint Commission survey application.
- In conjunction with the supervisor or higher graded specialist, the incumbent compile required information and submit application for review by the chain-of command prior to submission deadline.
- Participate in the completion of annual Periodic Performance Review to validate compliance with Joint Commission standards and elements of performance.
- Assist in the implementation of Continuous Improvement tools, data collection techniques, measurement techniques, statistical process control methodologies, and processes for reporting and documenting Continuous Improvement activities.
- Coordinate training sessions for individuals, teams/groups/committees to ensure they are properly educated in the concepts and tools of performance improvement.
- Prepare written reports, informational documents, storyboards, etc. to inform members of the command and other interested agencies (The Joint Commission, IG) and to assist with the process of implementing performance improvement initiatives.
- Compile and organize data, CI reports and provides analysis of the information for teams and committees to determine appropriate action for improvements.
- Create and analyze databases and charts for teams using the applications of SPSS, PowerPoint, FOCUS-POCA Quality Improvement Model and other technical support as appropriate.
- Track and monitor meeting records, Performance Measures, such as ORYX and Core Measures required by The Joint Commission, and repo
- Assists with the actual Joint Commission survey processes, surveyors and Medical Inspector General reviews.
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