Quality Improvement Analyst

Knowledge & skills:
The Quality Improvement Analyst (QIA) at GVHC provides analytics to drive key success metrics and facilitates quality improvement initiatives within their assigned service lines and committees in alignment with the organization’s objectives. This position works collaboratively with a diverse array of stakeholders to assist with data analysis, goal selection, process improvement, and the development of sustainment plans. This position is responsible for sourcing, collating, analyzing and validating quality data, preparing reports for internal purposes and external reporting which includes technical support for and oversight over routine statistical reports and ad hoc analyses. The QIA works in close partnership with the Quality Management and Leadership teams to meet regulatory and accreditation requirements, as well as the Improvement Office to ensure that al work is approached with a Lean mindset. This position does not directly manage other caregivers, however, may be asked to review and provide feedback on the work of other caregivers.

Main Duties and Responsibilities of the Role: these duties are the essential functions and are not all-inclusive of all duties that the incumbent performs.

• Utilizes quality improvement principles, such as PDSA and A3 thinking, to design, develop, implement, and sustain True North initiatives for their respective services lines and committees.
• Provides support in the development and maintenance of guidelines, standards, methodologies, and conventions for quality improvement reporting deliverables.
• Ensures complete and accurate logical definition of quality data. Responsible for validation, maintenance of data integrity and the ongoing quality control of quality improvement deliverables.
• Works collaboratively with a diverse array of caregivers, leadership, and support services to assist with data collection, analysis, goal selection and the development of various auditing tools, such as: standard work and performance scorecards.
• Ensures quality improvement data is valid and accurate while providing documentation and training materials to transfer knowledge of operational support workflow to others upon request.
• Participates in development and maintenance of numerous quality and safety dashboards and scorecards for their respective services lines and committees.
• Solves complex analytical problems using quantitative approaches with unique blend of analytical, mathematical and technical skills.
• Retrieves and analyses data from NHSN (National Healthcare Safety Network) and reporting platforms such as CMS Core Measures, nursing and surgical databases such as NDNQI (National Database of Quality Indicators) and NSQIP (National Surgical Quality Improvement Program) and Value-Based Care contracts and incentive programs. Creates reports and dashboards to share data and analyses with the organization.
• Assess the reporting needs of various stakeholders through investigation, analysis, and evaluation to generate reporting specifications.
• Receive and document formal requests from end-uses, including report specifications, and ensure reporting requests are completed.
• Prepares detailed specifications as well as technical and user documentation from which reports, downloads, and extracts will be written.
• Analyzes data for trends and facilitates notification to appropriate individuals as warranted. Applies complex mathematical concepts and statistical methods to plan and design deliverables, as well as interpret data.
• Coordinates and supports department level Quality Committee (QC) meetings and reports to the Quality meeting.
• Supports continuous survey readiness in coordination with Leadership including regular rounding, mock (and actual) survey participation and auditing.

Qualifications:
Bachelor’s degree, or associate’s degree plus two (2) years’ experience in healthcare field, datal analytics, public health, or other closely related field. Lean, Six Sigma, CQIA, CQE, or other industry-recognized quality certification.