LVN QI Coordinator- Quality- FT- Days

DHR Health - US:TX:Edinburg - Days

Summary:

POSITION SUMMARY:

Responsible for assisting the medical and hospital patient care staff in ensuring quality patient care and compliance with Texas law, CMS and The Joint Commission requirements through quality program design, and data collection, analysis and presentation.

POSITION EDUCATION/ QUALIFICATIONS :

• LVN license required
• Minimum of five ( 5 ) years of hospital experience in a progressively responsible position requiring contact with various departments is preferred.
• Ability to communicate clearly and concisely with all levels of nursing, administration, and physicians
• Demonstrated leadership experience
• Core Measures abstraction experience preferred
• Ability to read, write and speak English
• Ability to lead disease specific certifications

Responsibilities:

JOB KNOWLEDGE/EXPERIENCE/ POSITION RESPONSIBILITES :

• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices

• Must have the attitude that building the center of excellence ( COE ) culture is paramount, and the foundation upon which clinical operations are based. Such a culture takes time to build, and requires constant nurturing and reinforcement to maintain.

• The LVN Quality Coordinator is responsible for assisting the Quality Management leadership and Administration in the planning and execution of the Performance Improvement Program for the hospital.

• Responsible for data collection and analysis, which drive the organization's Performance Improvement Program

• Responsible for planning, organizing, developing, managing, and evaluating DHR accreditation/certification process. These duties require the ability to apply the specialized principles and practices of health care management in leading the accreditation/certification program.

• Develops and updates policies required for accreditation compliance.

• Compiles evidence and reports of compliance with established standards of quality patient care.

• Keeps informed of statutory and voluntary standards/regulations and requirements.

• Promotes collaborative working relationships, creative problem solving, and flexibility.

• Ability to use sound judgment in decision-making that focuses on meeting and improving quality customer service and the delivery of patient focused outcome orientated health care.

• Reviews quality and performance measures for process improvement. Implements, evaluates, and monitors these activities.

• Responsible for translating the policies, theories, and strategies into action within the complex interrelationships of the three care lines and Quality Management.

• Performs duties directly contributing to the administrative management of the facility health care delivery system

• Develops background and management options available to deal with complex medical center planning and implementation problems related to the facility's accreditation readiness

• Plays a critical support role in developing and coordinating internal review systems to assure that both clinical and administrative staff are in compliance with agency and accrediting standards and regulatory requirements

• Performs TJC readiness tracers

• Assists with disease specific certification survey readiness/tracers/preparedness

• Prepares and analyzes data and makes recommendations for improvement. Immediately addresses any discrepancies. Analyzes complex and critical data, recommends remedial action.

• Performs staff support work in short and long-range planning efforts, and complies with directives and national guidelines in preparing required accreditation/certification documents.

• Monitors and analyzes changes in the different accreditation and certification programs too assess the impact of these changes on local work methods/procedures and to develop new systems which will address these changes.

• Performs other similar or related duties as assigned.

Other information:

LINES OF REPSONSIBILITES :

(Chain-of-command)

1. Director of Quality 2. Vice President of Quality, Safety and Accreditation Readiness

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC :

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA) :

A. Essential Duties : Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:

B. Working Conditions : The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.

C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.

D. Aptitudes : HIGH 1 2 3 4 5 6 LOW

Intelligence: General learning ability: The ability to “catch on” or understand instructions and underlying principles. Ability to reason and make judgments. 3

Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3

Numerical: Ability to perform arithmetic operations quickly and accurately. 2

Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to “visualize” objects or two or three dimensions, or to think visually of geometric forms. 2

Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3

Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2

Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3

Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3

Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3

Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3

Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3

I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.

If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.

Employee Signature: ________________________________ Date: ____________________

Transfer/Hire Date Effective: ________________________.