CANCER CENTER PERFORMANCE IMPROVEMENT COORDINATOR
3 weeks ago
Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.
Position Overview:
Performance Improvement Analyst
JOB CODE:40213
* SUMMARY (BASIC PURPOSE OF THE JOB)
Responsible for facilitating the performance improvement and patient safety activities for departmental/ division Hospital and Medical Staff in accordance with accreditation, regulatory and other requirements, including continually monitoring requirements, practices and medical staff/hospital needs for the purpose of modifying monitoring activities. Responsible to perform initial screening and analysis of reported events, conduct data abstraction, and facilitate meaningful case review and documentation. Implements and monitors physician and organization performance improvement specific tracking, trending and reporting. Analyzes trends and identifies key measures; acts upon trends and measures identified. Collaborates with the Medical Staff and other clinical leaders to assure compliance with regulatory and accreditation requirements. Facilitates high reliability and identifies care variation. Incumbent has comprehensive and advanced clinical, data analysis, and organizational skills.
* MINIMUM REQUIREMENTS
Education: Bachelor's Degree in Nursing, Healthcare Administration, or other healthcare-related field; or five years of healthcare quality experience.
Experience: Five years staff RN or LPN experience in acute care environment with two years experience in quality management, health information management, informatics, safety, or risk management.
Other Credentials: Registered Nurse - NJ
Knowledge and Skills :Knowledge of PI tools, analytics and data management. Excellent coaching, organizational, interpersonal, verbal and written communication skills, and conflict resolution skills.
Special Training: Proficient with various clinical data systems and PC programs such as Excel, Word, and Power Point.
Mental, Behavioral and Emotional Abilities: Able to knowledgeably collect, compile, and evaluate data. Ability to learn unfamiliar concepts quickly and partner with medical staff and clinical leaders to drive results.
Usual Work Day:8 Hours
ESSENTIAL FUNCTIONS
* Facilitates and supports performance improvement (PI) and patient safety initiatives or assigned area to promote clinical excellence and patient safety.
* Performs analysis and trending of data through review of reported events, case screening, and data abstraction.
* Prepares and designs meaningful reports that include statistical analysis, interpretation, monitoring and benchmarking of clinical data.
* Understands and appropriately applies data definition, abstraction and benchmarking requirements to facilitate meaningful data collection, interpretation and presentation.
* Designs and maintains database system for compilation and reporting of program metrics with incorporation of benchmarks and comparative data.
* Develops meaningful dashboards and reports for departments, divisions, committees and staff.
* Utilizes PI methodology and PI tools such as flow mapping, fish bones, root cause analyses to facilitate and drive process improvement.
* Reviews charts for quality concerns including adverse occurrences. Establishes timelines and exercises discretion and judgment when identifying concerns for review to improve processes.
* Performs chart review to identify if variation from quality of care exists and to determine the need for peer review.
* Assists in the identification of cases for peer review and education to promote quality of patient care.
* Investigates quality of care concerns form providers, payers and patients/ families.
* Supports several medical staff departments and clinical areas with performance improvement initiatives and quality outcomes.
* Develops and monitors action plans.
* Participates in other initiatives and programs and performs other duties as assigned by the Director of the department.
* Responsible to maintain confidentiality of sensitive information.
* Attends in-service training sessions and seminars to maintain and improve knowledge of performance improvement techniques.
*
* PHYSICAL DEMANDS AND WORK ENVIRONMENT
Frequent physical demands include: Wrist position deviation , Keyboard use/repetitive motion
Occasional physical demands include: Sitting , Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Pinching/fine motor activities
Continuous physical demands include:
Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Minimal Hearing
Anticipated Occupational Exposure Risks Include the following: N/A
Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.
Company will never ask candidates for social security numbers or date of birth during application phase. If you are asked for this information online, you may be a target for identity theft.
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