Coordinator, Quality & Performance Improvement - Trauma Services - University Hospital

USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community.

USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's most advanced medicine at multiple facilities, campuses, clinics and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall wellbeing of our community.

Abides by and enforces all compliance requirements and policies and performs these responsibilities in an ethical manner consistent with the organization’s values, including confidentiality; Works the assigned schedule and overtime as needed. Ensures on-time completion of deliverables; highly organized and skilled at managing numerous details for multiple projects; Demonstrates the ability to multi-task, prioritize, establish timelines, and meet deadlines, while remaining composed under pressure; Anticipates team needs and takes initiative to complete work before being asked; enhances professional growth and development through participation in education programs; showcases an open mind and spirit to continuous learning and research; Engages and fosters relationships with team members, physicians, patients, families, and co-workers;  serves as leader or facilitator of PI efforts; Demonstrates a spirit of optimism, passion, and conviction to speak up for quality, harm prevention and evidence-based practice, with constructive, innovative approaches to system improvement opportunities; Understands and applies the principles of human factors, safety, improvement science and lean principles in (PI) project designs; Conducts Plan-Do-Study-Act (PDSA) cycles for small, rapid-cycle tests of change; Recommends and uses effective methods to educate various audiences/spread quality and (PI) knowledge/materials/concepts, meaningful and relevant for organizational needs; Assists organizational leaders/department heads in identifying opportunities for improvement in processes, and EHR documentation workflow. Works with interdisciplinary teams to implement improvement strategies, including planning, monitoring, and evaluation; Applies strategic planning to address large scale opportunities for improvement with transformational leadership; Evaluates and analyzes complex data using statistical analysis to identify opportunities for improvement. Assists with data visualization for targeted audiences; Collaborates in the development of departmental and organizational PI dashboards; Participates in root cause and system analysis of sentinel, adverse, or near miss occurrences to discern improvement opportunities, as needed; Seeks engagement of all staff, medical staff and residents in performance improvement efforts; Coordinates and promotes initiatives in alignment with the Joint Commission standards focused on safety, and reduction or elimination of patient harm; Collaborates with clinical areas to ensure that care meets evidence-based standards; Participates in local, state and/or national activities pertaining to evidence-based care and decreasing disparities in care; Abstracts and enters data into web-based software for quality measures; Validates data in the various programs including inter-rater reliability as needed; advocates for the engagement of the family and patient; serves as a subject matter expert in the concepts of quality based reimbursement programs; plans, collects, organizes and reports QA data for use in the PI program and in external and internal benchmarking programs according to the hospital’s PI plan; coordinates and/or revises policies and procedures related to evidence-based compliance; coordinates and directs service line improvement activities; collaborates with clinical areas to ensure that care meets evidence-based standards; designs and facilitates revisions or builds in Cerner applications to support evidence-based care; abstracts and enters data into web based software for the quality measures; validates data in the various programs as needed; facilitates/participates in activities to ensure policies/measures/safe practices are being followed; maintains working knowledge of Microsoft Word, Excel and PowerPoint; uses internet, email, databases, spreadsheets, word processing and presentation programs; accepts and completes all duties positively and without conflict; cooperates; completes all mandatory unit, education and hospital requirements; adheres to current Infection Control and Safety Standards; Other duties as required.

Bachelor’s degree in nursing from an accredited institution as approved and accepted by the University of South Alabama, five years acute care nursing experience, and current licensure with state of Alabama as a registered nurse. Formal project management and performance improvement training, such as lean six-sigma required. Master’s degree, advanced data management skills and certification in healthcare quality (CPHQ), is preferred.

USA Health is an EO/AA employer and does not discriminate on the basis of race, color, national origin, sex, pregnancy, sexual orientation, gender identity, gender expression, religion, age, genetic information, disability, protected veteran status or any other applicable legally-protected basis.