Quality Specialist II

Position Summary

The Quality Specialist II will develop, implement, coordinate, and revise clinical data review activities across the acute care continuum. The Quality Specialist II is responsible for data collection and entry into comparative databases using retrospective review of closed medical records and concurrent review of open medical records and is accountable for working with nursing, physicians, and ancillary staff to champion mandated quality measures for improvement of evidence-based patient outcomes.  The Quality Specialist II facilitates understanding of evidence-based practices that have been identified to improve patient outcomes and translates current data requirements into achievable best practices that are incorporated into the organization system-wide. The Quality Specialist II is expected to interact with regulatory surveyors based on area of expertise that may encompass multiple National registries, Accreditations and Certifications for multiple acute care sites within the organization. The Quality Specialist II will support mentorship and onboarding of new Quality Specialist associates and may assist in providing education on Quality Topics to Spartanburg Regional Healthcare associates as requested.

Minimum Requirements

Education       

• BS, BSN or BA in healthcare administration, nursing, health informatics or related field with at least seven years of experience in an acute care setting or an Associate's Degree with at least nine years of experience in an acute care setting

Experience        

• Minimum of seven to nine years of experience in an acute care setting
• Minimum of four years of experience in a Quality Services role (Quality Specialist, Performance Improvement, etc.)
• Proficiency with Microsoft Office Outlook, Excel, and PowerPoint
• Proficiency with accessing electronic healthcare record systems
• Proficiency with data collection and data analysis for specified assigned registries or CMS specific measures
• Knowledge and proficiency with DNV, CMS and National Registry requirements for service lines and patient populations that may include but not limited to cardiovascular, cardiology, orthopedic, stroke, sepsis, vascular surgery, and heart failure

License/Registration/Certifications       

• Current state licensure in area of health care training if applicable
• Evidence of completion of Lean Six Sigma Yellow Belt education or completion within 12 months of employment
• Completion of 8 hours of continuing education specifically related to registry specialty, performance improvement or healthcare quality

Preferred Requirements

Preferred Education      

• BS, BSN or BA in healthcare administration, nursing, health informatics or related field.

Preferred Experience   

• Eight to ten years of acute care experience
• Five or more years of experience in a Quality Services role (Quality Specialist, Performance Improvement, etc.)

Preferred License/Registration/Certifications   

• Certified Professional in Healthcare Quality (CPHQ)

Core Job Responsibilities

• Conducts timely data collection, data entry and/or data validation from the electronic health record into a specified database or for defined regulatory, accreditation or certification body.
• Develops and presents reports on organizational performance from areas of expertise within assigned registry or regulatory body
• Understands and applies current data definitions for all registry, DNV and CMS requirements
• Participates in Regulatory and/or Registry related committee meetings as indicated
• Collaborates with stakeholders, Program Coordinators and Clinical Analytics Manager regarding process improvement activities identified through chart review
• Refers process improvement opportunities to other members of the Quality Services department, Risk Management, Patient Safety, Department Managers, Executive leaders and Medical Staff providers
• Provides registry and regulatory measure education to stakeholders and new staff
• Participates in data validation and random or targeted audit surveys conducted by national organizations that may include but not be limited to Centers for Medicare Services (CMS), National Cardiovascular Data Registry, Vascular Quality Initiative and Society of Thoracic Surgery (STS)
• Assists in mentorship and onboarding coaching for new staff as assigned
• Conducts and oversees specific data registry assignments that may include multiple registries and multiple sites within the organization
• Demonstrates excellent written and verbal communication skills
• Demonstrates ability to prioritize and complete patient case load in a timely manner
• Demonstrates effective time management skills
• Demonstrates ability to use critical thinking skills and work independently with minimal direction
• Other duties as assigned