Quality Performance Improvement Specialist - Cardiovascular

Facility: 55 Whitcher Street

Job Summary:

Under Service Line Leadership, the Service Line Quality Performance Improvement Specialist will assist with the coordination and implementation of data gathering, research and analysis to identify gaps and opportunities for quality improvement, developing solution plans and identifies problem areas fostering a culture of safety and quality among Wellstar facility team members, leaders, and physicians. This individual will be embedded within the Service Line to ensure quality performance efforts are focused within all relevant clinical areas and sites of services of the Service Line. The Service Line Quality Performance Improvement Specialist is a highly competent process manager with a skill set that includes quality performance assessment, data review, project design, leadership, and process improvement to lead improvements for target initiatives. The person in this position is responsible for using Lean Six Sigma principles and program data to drive continuous improvement initiatives and operational excellence. This role collaborates with key stakeholders/departments in developing best practice standards to ensure the reliable, safe design of care processes and workflows across the System. Strong relationship building is key to this role. The Service Line Quality Performance Improvement Specialist practices innovative design and systems thinking to improve measures of quality and safety while striving to improve the financial profile of service line programs.

Core Responsibilities and Essential Functions:

Core Responsibilities and Essential Functions Leads performance improvement initiatives for Service Line clinical and administrative leadership, and front-line staff in establishing a comprehensive quality assessment and performance improvement plan. Collaboration with analytical teams to develop performance dashboards. Supports Wellstar high reliability leadership principles, incorporates the Just Culture into decision making and places the patient at the center of all initiatives. Utilizes internal and external data to identify issues and trends that impact patient safety and quality of care. Collaborates with organizational leadership and front-line staff in formulating plans to address identified concerns. Is subject matter expert in relevant clinical registries or databases that are utilized to evaluate and track quality improvement. Interfaces with appropriate team members and leadership to provide data-based process and actions necessary for identification and escalation of trends for process improvement within the service line. Evaluating and prioritizing potential improvement initiatives based on patient outcomes and ROI along with required effort of the team. Initiates proactive change management establishing a clear and well-articulated implementation plan for improvement. Conducting detailed analysis of the current situation that accurately describes the issues and specifying deliverables, outcome indicators, and KPIs. Regularly monitors the implementation of solutions to achieve objectives and expected benefits. Effectively supports and presents service line goals and identifies gaps in data where said goals are not met. Collegial Relations Establishes and fosters collaborative working relationship with medical and clinical staff involved in the care of identified specialty patients. Provides leadership in facilitating appropriate communication systems between medical staff and other health care professionals. Facilitates, supports and co-leads specialty committee with medical director. Regulatory Adherence and Compliance Maintains current working knowledge related to applicable laws, regulations, statues, and best practice literature that may affect: Georgia Medical Board, Board of Nursing, The Joint Commission (TJC) and accreditation requirements, AHRQs National Quality Forum-Serious Reportable Events (NQF-SRE) and HIPAA. Ensures adherence to regulatory standards. Financial/Fiscal Responsibility Demonstrates responsibility in financial management, continuous quality improvement, institutional support and representation, and customer service. Professional Practice Fosters cooperative spirit among team members. Utilizes appropriate intervention behaviors and communication styles to be an effective liaison and resource. Maintains climate of open communication by listening, providing regular feedback, and involving employees in process implementation Utilizes effective verbal and written communication skills and maintains appropriate interpersonal relationships. Serves as mentor in the development of peers and staff. Promotes positive learning environment for staff and promotes professional practice through shared governance, evidence-based practice, and ethical accountability. Performs other duties as assigned Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

Bachelor's Degree in nursing, business administration, finance, industrial engineering, or health related field is required. Required and Master's Degree in health management, nursing or operations Preferred and Other Education Quality improvement methodologies such as Lean, Six sigma Required

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.

Additional License(s) and Certification(s):

Required Minimum Experience:

Minimum 2 years of experience in healthcare, nursing, clinical practice, or performance improvement Required and Minimum 2 years of experience in high reliability, Lean, and safety design principles Preferred

Required Minimum Skills:

Organizational and interpersonal skills with the ability to work independently as well as with a team; High time management; Medium excellent written and communication skills; High high degree of professionalism, discretion, and confidentiality. Medium Ability to build relationships and foster communication among stakeholders in clinical and non-clinical settings. High Skilled computer skills with Microsoft Office. High Strong analytical, investigative skills, program/protocol development and implementation experience necessary. Medium Demonstrates knowledge of standards related to the field of practice, clinical management and concepts of interpersonal relationships. Medium Delegation skills and ability to multitask High Adept as a change agent High Utilizes a wide range of theories in managing complex problems or problem resolution Medium