Quality Improvement Specialist RN
3 days ago
Assists the Director in maintaining and revising the Medical Center Quality Improvement program. Coordinates the activities of departments, committees, and medical staff to develop and document ongoing evaluation activities; performs studies and problem-focused reviews; interprets data and promotes the Medical Center Quality Improvement Program to medical, nursing, and support services.
Essential Responsibilities:- Consults with Service Line Leaders, Chiefs of Service, Medical Staff Committee Chairpersons, Physicians, and Department Administrators in charge of special care areas to assist them in developing ongoing evaluation programs to identify, resolve, and report opportunities to improve patient care.
- Represents the Department on Medical Staff committees.
- Designs, conducts, and evaluates studies and problem-focused reviews requested by the Medical Center Administration, medical staff, or department administrators which frequently involve sensitive, confidential, or medical legal issues.
- Performs and oversees ongoing Quality Improvement activities across the medical center to assure timeliness, accuracy, and compliance with licensing and regulation requirements.
- Uses and educates end users on data display tools, including statistical process control methods.
- Participates in risk management by investigating problems encountered by patients, identifying patterns and trends in patient care problems, and developing policies and procedures to reduce risks.
- Monitors compliance with quality improvement requirements.
- Assists in the supervision and direction of the activities performed by the Quality Improvement Analysts and support staff.
- Assists in the preparation of the Quality of Care reports that are sent to the Region offices and the Board of Directors.
- Develops and conducts presentations on the quality improvement standards and the Medical Center Quality Improvement Plan to ensure compliance with TJC, NCQA, and other regulatory agency standards.
- Conducts special clinical studies related to patient care management.
- Participates in the annual development of the Medical Center goals for Quality Improvement.
- Experience: Minimum two (2) years of experience as a licensed hospital nurse required.
- Minimum one (1) year experience in quality-related activities.
- Graduate of an accredited school of nursing required.
- Experience in a "patient advocate" role to ensure a "patient" centered focus.
- Familiarity with medical procedures and terminology.
- Strong planning, organizing, interpersonal, and conflict resolution skills.
- Detailed knowledge of Title 22, TJC, and NCQA requirements for licensure and accreditation.
- Proficient with PC applications, including database, spreadsheet, and word processing.
- Must be able to work in a Labor/Management Partnership environment.
- Experience in a quality improvement related role, including leading/facilitating teams in performance improvement.
- Current Certified Professional of Healthcare Quality (CPHQ) preferred.
- Bachelors degree in Nursing or Health Care preferred.
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