RN Prof Practice Evaluation

3 weeks ago

Tyler, United States NCH Healthcare System Full time
DEPARTMENT: 18400 - Medical StaffLOCATION: 350 7th Street North, Naples, FL, 34102WORK TYPE: Full TimeWORK SCHEDULE: 8 Hour Day

ABOUT NCH

NCH is an independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations throughout Southwest Florida that offer nationally recognized, quality health care.

NCH is transforming into an Advanced Community Healthcare System(TM) and we’re proud to: Provide higher acuity care and Centers of Excellence; Offer Graduate Medical Education and fellowships; Have endowed chairs; Conduct research and participate in national clinical trials; and partner with other health market leaders, like Hospital for Special Surgery, Encompass, and ProScan.

Join our mission to help everyone live a longer, happier, healthier life. We are committed to care and believe there's always more at NCH - for you and every person we serve together. Visit nchjobs.org to learn more.

JOB SUMMARY

The Professional Practice Evaluation (PPE) RN is responsible for supporting and coordinating Medical Staff Peer Review committees and all aspects of the PPE program. Will work in close collaboration with Medical Staff leadership on providing accurate clinical summaries, data trending, reports, and analysis. The PPE RN will also monitor significant trends by analyzing aggregate data and monitoring the performance of all practitioners, identifying areas for performance improvement and the quality of care we provide.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Other duties may be assigned.

· Identify cases meeting the criteria for clinical case review through pulling reports from various data systems.

· Analyze preliminary (RN level) findings of retrospective Morbidity and Mortality review using indicators andscreening criteria developed and approved by the Medical Staff.

· Collect data as specified in the Professional Practice Evaluation (PPE) Policy for aggregation, analysis, and presentation.

· Collect data as requested by hospital committees as defined in the PPE-Policy including but not limited to Leadership Council, Physician Excellence Committee, or others for ongoing trends or outlier status and to identify opportunities for improvement. Create charts and graphs to facilitate the communication of data and trends.

· Maintains a file on each practitioner for tracking and trending of variances.

· Maintains a close working relationship with the Committee Chairpersons and members.

· Follows the Peer Review Process as outlined in the MePPE Policy.

· Prepares a summary of all the medical records and other relevant data sources to be reviewed by the PPE Committees.

· Responsible for setting the agenda and recording minutes for the MePPE Committees.

· Attends Medical Staff meetings to facilitate the peer review process as designated.

· Creates and maintains records of the peer review discussion and outcomes.

· Coordinate follow-up planning processes and activities.

· Coordinates activities with all hospital departments involved in data collection, scheduling of meetings, and interfaces with the Medical Staff Services Department to facilitate communication and appropriate meeting support.

· Expediate timely and accurate triage of Medical Staff related Risk Events Notices, including variance report and patient grievances.

· Knowledgeable of Evidence-based, CMS and TJC clinical metrics (i.e. Core Measures, AHRQ Patient Safety Indicators, Hospital Acquired Conditions)

· PPE RN reports directly to the Manager Practitioner Quality.

EDUCATION, EXPERIENCE AND QUALIFICATIONS

· Graduate from an accredited school of nursing, BSN preferred.

· Valid RN license in the state of Florida.

· Strong clinical background with minimum 3 years in Performance Improvement required.

· Intermediate computer knowledge: Uses Microsoft Word, Excel, Outlook, and Windows.

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