Coord Clinical Quality FT On-Site

Job Purpose:

• Three to five years of acute care hospital experience preferred.
• One to two years Quality Analyst experience preferred.
• Computer Skills; Outlook, Word, Excel, Power Point
• Excellent communication skills; Written and Verbal

Physical Demands & Working Conditions: The physical demands described here are representative of those that must be met by an employee to successfully to perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee is regularly required to lift up to 50 pounds and push or pull heavy objects using up to 50 pounds of force. The employee is frequently required to sit for extended periods of time. Ability to stand and/or walk for extended periods of time. Ability to use fine motor skills to operate office equipment and/or machinery. Ability to utilize full range of body motion in occasionally handling and lifting patients.   Ability to receive and comprehend instructions verbally and/or in writing.  Ability to use logical reasoning for simple and complex problem solving.  Requires Normal visual acuity and hearing.  Potential for exposure to bodily fluids.  

Special Requirements: Verbal and writing ability required to communicate effectively in informing employees of activities and policies.  Numerical ability required.  Ability to receive, comprehend, and carry out instructions; ability to work safely with equipment, supplies, and materials; ability to comply with attendance requirements; ability to comply with Human Resource policies. 

Preferred knowledge of the following: Medi-tech or other Electronic Medical Record, Quality Net, Excel and other Microsoft office products.

Risk Analyst

• Track and trend complaints and grievances. Facilitate investigative process and response to patients per policy.
• Facilitate administrative adjustments in response to risk events as necessary.
• Compose letters and documents to be sent to patients and physicians. 
• Compile documents for insurance companies and legal as necessary.
• Log, track, and trend risk events.
• Track and trend OPPE/FPPE metrics for physician performance.

Quality Analyst:

• Manages the day-to-day workflows for quality reporting that may include design, change management, requirements gathering, end-user communications. Consults with administration, operations, ancillary services, and clinical areas on process improvement and workflow reporting. 
• Collects and summarizes information and trends, consults on quality initiatives/projects, and recommends actions. Provides identified data to various leaders for analysis and/or recommendations.
• Responsible for preparing and documenting Quality Improvement indicator collection related to State and accrediting body. 
• Analyze Quality data and drill down on outliers. Coordinate Quality Data submissions with interdisciplinary departments.
• Extracts and manipulates data to create reports and visual presentations.
• Preparatory documents required for auditors, oversight of agencies and compliance with all state/federal and quality reporting requirements. 
• Conducts data collection and monitoring for key performance measurements and activities for Joint Commission standards.
• Disseminates accurate data and information in a timely manner.
• Escalates gaps and barriers in implementation and compliance to senior management. 
• Must be personable and able to communicate well with physicians and other clinical and technical staff.
• Run and disseminate monthly clinical QI reports supporting entire organization.
• Coordinates and facilitates process improvement action plans.
• Collaborate with Medical Staff for FPPE and OPPE tracking.
• Utilize database query tools and reporting software to fulfill ad-hoc report requests.
• Examine the Culture and continue to work toward our Journey of Safety Culture.
• Participate as member of PI and Peer Review Committee.
• Recommend technology solutions and provide IT support for tracking and efficiency.
• Assist with Patient Safety priorities based in data results.
• Identify and report Preventable Adverse Events team to state agencies.
• Recommend Root Cause Analysis initiatives.
• Integrate with team to continuously improve outcomes.